alcohol, counseling and testing, hepatitis C, prevention and control, screening



  1. Trepka, Mary Jo MD, MSPH
  2. Zhang, Guoyan MD, MPH
  3. Leguen, Fermin MD, MPH
  4. Obiaja, Kenneth MD
  5. Malow, Robert M. PhD
  6. De La Rosa, Mario PhD


Objective: Early benefits and adverse effects of hepatitis C screening among people who screened anti-hepatitis C virus (HCV) positive were investigated.


Methods: Hepatitis screening program records were abstracted to identify the target population and obtain information about hepatitis A and B vaccination (recommended vaccines if anti-HCV positive). Telephone interviews were conducted using a standardized questionnaire with items regarding clients' medical evaluation, behaviors to prevent liver damage and prevent HCV transmission, and adverse effects experienced.


Results and Conclusions: Of 269 eligible clients, 147 were susceptible to hepatitis A (IgG negative), and 116 (78.9%) received at least 1 hepatitis A vaccine dose. Of 119 clients susceptible to hepatitis B, 101 (84.9%) received at least one dose of hepatitis B vaccine. Fifty-six (20.8%) were reached by phone, and 44 (78.6%) consented to the interview. All interviewed clients reported one or more positive behaviors to protect their liver or prevent HCV transmission; 51.2 percent reported at least one adverse effect related to knowing their positive anti-HCV status, most commonly difficulty obtaining health insurance; and 86.0 percent reported satisfaction with their decision to be tested. Results suggest that most anti-HCV-positive clients had some benefit from screening, and highlight the need for further studies.