Pubdate: Thu, 13 Apr 2006 Source: Charlotte Sun Herald (FL) Copyright: 2006 Sun Coast Media Group Inc. Contact: http://www.sun-herald.com/newsch.htm Details: http://www.mapinc.org/media/1708 Bookmark: http://www.mapinc.org/find?143 (Hepatitis) STATE IGNORING STARTLING GROWTH OF HEPATITIS C There is a silent epidemic threatening Floridians and, so far, the state has done little to stop it. Hepatitis C, a contagious, life-threatening condition, is becoming the number-one health problem in not only the U.S., but Florida and Charlotte County according to Dr. Mark Asperilla. With more than 4 million cases in the U.S. and 270,000 in Florida, the disease is spreading so fast the medical community cannot keep up with it. There were 203 reported cases in Charlotte County in 2005 and 348 in Sarasota County while only one was reported in DeSoto County. Those numbers have steadily risen since statewide tracking began. Asperilla and other doctors fear if something is not done about what is suddenly the number-one disease -- eclipsing HIV-AIDS in new cases reported each month -- that hundreds of people will go untreated and the disease could reach epidemic proportions. Why has Hepatitis C grabbed the medical spotlight? First, it is indeed a truly silent disease. People can go as long as 10 years without showing symptoms. Also, the disease is costly to treat -- so costly that some insurance companies have dropped clients stricken with the ailment. Treatment can be as much as $30,000 a year for the expensive drugs needed. Kathy McDowell, of Port Charlotte, reported her insurance company dropped her after just a few treatments. James Coburn, president of the Charlotte County Hepatitis C Support Group, traces the spread of the disease to Baby Boomers who shared needles or practiced sex in the wide-open '60s and '70s, during the Vietnam War. Many of those people carried the disease for years, spreading it to others without even knowing they were infected. Another issue is the rapid spread of the disease among immigrants -- some of whom have little or no money and don't read or speak good English. Asperilla said the Legislature dedicated $2.5 million in 1999 to tracking Hepatitis C patients and increased that funding to $3.5 million recently. The money, however, is not used to help cure people - -- only for locating them and keeping records of where the outbreaks occur. He says too many mid-level working people have Hepatitis C and do not have insurance to help them get well. In Charlotte County, for example, 25 percent of the workforce does not have health insurance -- and while Medicaid often helps the poor, these people have nowhere to turn. Asperilla believes lawmakers should use more of this year's projected budget surplus to treat people stricken with this disease that eventually destroys a person's liver. He says the treatment upfront is much less expensive than $500,000 liver transplants or treatment down the road. One issue, he believes, is prejudice. The idea that a person contracted the disease through sex or drugs is a turn-off for politicians who might help. However, even people who don't use drugs or are promiscuous can still be infected from someone who has no idea they are a carrier. We agree that more should be done to attack this disease. There are a number of areas that need an infusion of cash in Florida -- mental health care, education and roads are three big ones -- but if early treatment can slow down or stop the spread of Hepatitis C, legislators should commit to that. - --- MAP posted-by: Derek