How many times have you started to have a conversation with someone about Hepatitis C only to have it blow up in your face? Have you ever heard someone say something about Hep C that didn't seem quite right to you? You were probably right something was amiss. A discussion about Hepatitis C can...
As per Wikipedia, the definition of a stigma is as follows: "Stigma is a word that originally means a "sign", "point", or "branding mark"." Wikipedia goes on to call stigma "A badge of shame, a physical mark of infamy or disgrace." Damn that w...
Recently, the CDC (Center for Disease Control) issued a statement that all Baby Boomers should be tested for Hepatitis C. The question often comes up as to why this particular segment of people is so vulnerable. What does being born between 1945 and 1965 have to do with Hepatitis C? What was di...
Buyer Beware! There are several snake oil salesmen out there who are claiming to have cured their own Hepatitis C with herbs, supplements and parking lot gravel. Okay, maybe not the parking lot gravel but it might as well be. What you need to remember is that there are two different types of...
Most every adult woman (and an occasional man) has enjoyed a manicure and a pedicure at a nail salon or spa. That 30 minute pedicure can be so relaxing but are you aware of the danger lurking in that nail salon? Although few individuals recognize the medical risks associated with this common pr...
September marks the 23rd annual observance of National Recovery Month (Recovery Month). Our colleagues at the Substance Abuse and Mental Health Services Administration (SAMHSA) organize Recovery Month as an observance to educate Americans on the fact that addiction treatment and mental health services can enable people with a mental and/or substance use disorder to live healthy and rewarding lives. The main focus is to celebrate the gains made by those in recovery from these conditions, just as we would those who are successfully managing other health conditions such as hypertension, diabetes, and asthma. Recovery Month spreads the positive message that behavioral health is essential to overall health, prevention works, treatment is effective, and people can and do recover.
Additionally, Recovery Month is a time to honor the service providers who help make prevention, treatment, and recovery available to millions of people across the nation. These providers are key partners in our efforts to prevent, diagnose, and treat viral hepatitis associated with drug use behaviors, which is an important part of the Action Plan for the Prevention, Care and Treatment of Viral Hepatitis.
Substance Abuse and Viral Hepatitis
Injection-drug use is a primary risk factor for exposure to bloodborne pathogens such as the hepatitis B virus (HBV) and hepatitis C virus (HCV) because of the sharing of needles and drug preparation equipment. Among new cases of hepatitis C reported to CDC, injection-drug use is the most common risk factor. Alarmingly, CDC has recently reported that new hepatitis C infections are highest in people ages 20-29 and are occurring in suburban and rural areas rather than in urban areas where rates have historically been highest. Research shows that injection-drug users (IDUs) have high rates of viral hepatitis infection with an estimated 64% chronically infected with HCV and up to 11% chronically infected with HBV. IDUs are not only disproportionately affected by these viruses, but they are also more likely to have more severe hepatitis-related health outcomes compared to other infected populations—primarily because of additional, related health problems and inadequate access to and receipt of needed health care services.
The good news is that research funded through our colleagues at the National Institute on Drug Abuse (NIDA) has found that drug abuse prevention and treatment are effective at preventing the spread of infectious disease, including viral hepatitis. With proper drug treatment, individuals can change the behaviors that put them at risk for contracting infectious diseases like viral hepatitis. And, for those who may have chronic viral hepatitis, substance abuse treatment and recovery can enable them to take full advantage of effective treatments for viral hepatitis.
The Viral Hepatitis Action Plan
The fifth goal of the Action Plan for the Prevention, Care & Treatment of Viral Hepatitis calls on us to ensure that persons who use drugs have access to viral hepatitis prevention, care, and treatment services. Chief among the ways we can advance this goal is by integrating viral hepatitis prevention and care services as standard components of all substance abuse treatment programs.
During the first year of implementing the multi-year Action Plan, significant achievements toward this goal have included:
FDA’s approval of a new HCV rapid point-of-care test and CDC’s initiation of demonstration projects to study the use of these new diagnostics in activities targeting IDUs.
SAMHSA’s development and dissemination of Treatment Improvement Protocol (TIP) 53, entitled “Addressing Viral Hepatitis in People with Substance Use Disorders.” TIP 53 is a comprehensive resource for behavioral health staff in substance abuse treatment facilities on integrating drug treatment and hepatitis prevention, care, and treatment. Disseminated to all 432 SAMHSA substance abuse treatment grantees, the TIP is available online, was also promoted in a blog post, and shared with grantees of the Office on Women’s Health and the Indian Health Service, also partners in implementing the Action Plan.
Strengthening of technical assistance and training to help SAMHSA-supported prevention programs integrate both viral hepatitis and HIV prevention strategies.
VA has incorporated education around models of care delivery for Veterans with hepatitis C and ongoing substance use into their training programs including those on end-stage liver disease, treatment of HCV, and Liver Health Initiative trainings.
Both NIH and CDC are examining emerging evidence of HCV transmission of among young IDUs infected with HCV to inform the development of prevention interventions for this population.
Looking Forward
While these important actions have advanced our efforts, we know that there’s more work to be done. During Recovery Month, I invite you to consider how you can join our continued efforts to reduce the incidence and prevalence of viral hepatitis in this heavily impacted population. How might you or your organization strengthen the link between viral hepatitis prevention and care services in substance abuse treatment activities? Each of us, from family members, to providers, to local, state, and federal partners, can make a difference in reducing the spread of viral hepatitis and supporting and sustaining the far-reaching benefits that long-term recovery can have on individuals, families, and communities.
Please sign the ATC Salvage Therapy Petition Join us in asking Congressman Alcee Hastings and Congresswomen Maxine Waters to send a ‘Dear Colleague’ letter to Anthony Fauci, Director of NIAID, asking for the federal facilitation of apricitabine (ATC). ATC is a phase III nucleoside reverse transcriptase inhibitor (NRTI) that has been shown to be safe and effective in treating people with HIV. It works against viruses that are resistant to several other nukes and could ...
Researchers from Johns Hopkins Children’s Center, the University of Mississippi Medical Center and the University of Massachusetts Medical School announced today at CROI2013 the discovery of the first infant functionally cured of HIV. The baby, a female now two and a half years old, received 3 HIV medications when brought to the hospital at 30 hours old. Viral load tests were performed during the first few weeks that showed a rapidly decreasing viral load which reached ...
At the 19th International AIDS Conference (AIDS 2012) in Washington D.C., the CDC reported that only 1 out of 4 HIV patients in the U.S. have HIV under control, which is defined as complete viral suppression. Warning bells should be ringing in the scientific and HIV advocacy communities. While much progress has been made in the last three decades in the treatment of HIV, tens of thousands of people living with HIV (PLWH) are currently struggling to construct viable treat...
Paige Rawl is 17 and HIV positive, but while her life has been shaped by HIV it isn't ruled by it. When Paige Rawl starts her senior year at Indianapolis’s Herron High School next month, she'll be cheer captain and a member of the student government and prom committee. This summer, the 17-year-old held down a part-time job at Hollister, hawking the popular Southern California-inspired clothing brand. The all-American girl — who happens to be HIV positive. Paige was in...
The HIV community has been abuzz with the August FDA approval of what had been termed “the Quad”, the second one-pill-once-a-day combination antiretroviral drug. Marketed by Gilead under the name Stribild, the drug contains two NRTIs (tenofovir and emtricitabine), an integrase inhibitor (elvitegravir) and an integrase booster (cobicistat) and is approved for use in treatment naïve patients with either drug resistant or wild type virus. In comparison to Atripla, the first...

Bristol-Myers Squibb Company (NYSE: BMY) today announced that the U.S. Food and Drug Administration (FDA) has approved a supplemental new drug application (sNDA) for SUSTIVA® (efavirenz), including dosing recommendations for...

California and other states would be pressured to amend or repeal criminal laws that single out HIV-positive people under a bipartisan bill co-authored and introduced this week by Rep. Barbara...
Mission Statement
At HIV Haven we wish to provide our readers with vital cutting edge information to help expand HIV knowledge and promote activism, particularly that which works towards an end to the HIV pandemic. It is our desire to bring to you the scientific, medical and social advances that given the appropriate attention and support, could change the course of the HIV pandemic, lessen the devastating effects of HIV and AIDS, better the quality and quantity of life for people living with HIV and even yield an eventual end to the HIV pandemic. We also provide the basics of HIV transmission and treatment.
We will focus on issues such as innovative drug development, strategic activist campaigns, HIV relationships and novel HIV and HIV cure research. We also will bring you advances in Hepatitis C (HCV), a common HIV co-infection. Whether you are living with HIV/AIDS, HIV and HCV, love someone who is, are an activist, advocate, researcher, physician or just an interested party, we hope here at HIV Haven we can help you find what you are looking for.