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Hepatitis C and Zika Virus

dollarHepatitis C and Zika virus have something in common: both belong to the virus family Flaviviridae. (Zika belongs to the genus Flavivirus; hepatitis C belongs to the genus hepacivirus). Yellow fever virus is also a member of the Flaviviridae family and yellow is the link here. Flavus means yellow in Latin, and Yellow fever was named because of its tendency to cause jaundice in people. New hepatitis C antiviral drugs may unlock the door to treatment for Zika.

But I want to talk about something green—money. Recently, President Obama requested 1.9 billion dollars to fight Zika virus. The US House approved 622 million dollars; the Senate approved 1.1 billion dollars.

Compare this to funding for viral hepatitis (hep B and C). In fiscal year (FY) 2015, the CDC’s Division of Viral Hepatitis received 31.3 million dollars from Congress. That number was increased to 34 million dollars in FY2016. This year, the President requested 39 million dollars for FY2017. Hepatitis C advocates lobbied for 62.8 million dollars. However, this falls short of 170.3 million dollars that would cover the bare needs.

Granted, the two viruses aren’t the same, so let’s look at the numbers, keeping in mind that numbers are people with the tears wiped away.

 Zika

On May 18, 2016 the Centers for Disease Control and Prevention (CDC), reported the following about Zika in the US:

  • 544 travel-associated cases reported
  • 0 locally acquired vector-borne cases reported
  • 10 sexually transmitted reports
  • 1 case of Guillain-Barré syndrome
  • 157 pregnant women with laboratory evidence of possible Zika virus infection

In US Territories

  • 4 travel-associated cases reported
  • 832 locally acquired cases reported
  • Total: 836
  • 5 cases of Guillain-Barré syndrome
  • 122 pregnant women with laboratory evidence of possible Zika virus infection

Hepatitis B and C

  • Roughly 850,000 to as 2.2 million are infected with hepatitis B; 3.5 to 4.7 million are estimated to be living with hepatitis C
  • New hepatitis C infections increased 150% from 2010 to 2013; new hep B infections just saw its first rise in twenty years
  • In 2014, there were an estimated 19, 659 deaths from hepatitis C; 1843 people experienced hepatitis B-related deaths
  • Hepatitis C-related mortality in 2013 surpassed the total combined number of deaths from 60 other infectious diseases reported to CDC, including HIV, pneumococcal disease, and tuberculosis. Data from death certificates shows that hepatitis C is often underreported, so hepatitis C-related deaths are likely higher than these numbers suggest.

If far more people are injured or killed by viral hepatitis, why is Zika getting more funding?

If I were to guess why Zika virus is getting attention and money, my guess would be babies.  Take a look at the photos of the more than roughly 5000 babies in Brazil with microcephaly and it is tragic. Consider the reports about other birth defects, such as vision problems, and it is heartbreaking. We can’t turn our backs on Zika.

But we also can’t turn our backs on those with viral hepatitis. This is not a “Zika” versus “viral hepatitis” issue; this is a “let’s do the right thing for everyone” issue.

Writing in the Daily Signal, Senator James Lankford from Oklahoma wrote, “The threat to adults from Zika is relatively small, but the threat to pre-born children is very high. Our national priority rightly focuses on protecting the life of these young children in the womb, since each child has value, no matter their age or size.”

Senator Lankford almost got it right. However, I’d rewrite his last sentence, “Each human has value, no matter their age or health problem.”

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{ 4 comments… add one }
  • Karen Hoyt May 26, 2016, 12:59 PM

    What an incredible amount of research you did. This is a pinnacle piece Lucinda, and so important. It speaks volumes about how Hepatitis is being addressed. I’m forwarding this to Senator Lankford’s office. My blood is boiling right now and I’m thankful that you were able to speak so powerfully into a subject that is near to both of us: Helping those who have Hepatitis get the respect and health care they need.
    xo Karen Hoyt

  • PSPam May 26, 2016, 6:37 PM

    Thank you Lucinda for writing this excellent article! I am sharing it far and wide and I hope that those who read it will get in touch with their legislators about supporting funding efforts for hepatitis B and C.

  • Daryl Luster May 27, 2016, 12:25 PM

    Thank so much for this Lucinda. Hepatitis c is an orphaned illness that has been pushed to the margins for too long. Very appropriate for you to point out the disparity that exists, showing the stark contrast in response by governments to what is a public health crisis.

  • Steve June 6, 2016, 1:52 AM

    This is very insightful, I just hope Zika doesn’t get to the scale Hepatitis C is at. I have a question regarding Hepatitis C and Zika – My wife was successfully cured of Hepatitis C (with the help of Fix Hep C Buyers Club) but now we’re planning a trip to Brasil and I’m afraid Hep C illness made her more susceptible to Zika virus, since they are from the same family. Is there anything to it, should we take special precautions or even cancel the trip? Thanks for the answer in advance. Steve

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