Thinking about Hep C treatment? - CATIE

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hepCinfo

(CATIE accepts collect calls from prisoners in Canada)

issue three

A handy mix of hepatitis C information

Thinking about Hep C treatment?

CONTENTS PAGE 2 Get the basics: What is hepatitis C?

PAGE 3

8 questions to ask yourself before you start

How is your emotional health? If you feel down a lot or have a history of depression, talk to your doctor about your options before you start treatment for Hep C because it can cause depression in some people. Starting antidepressant medication before you go on Hep C treatment can prevent depression and make it easier to stay on treatment. Do you have the support you need? Some people who use drugs find they can handle treatment better when they have a support group and a team of health workers to support them. Check with an AIDS service organization (ASO) or health centre about getting connected to a support group or a care team. Other people on treatment, family and friends can also help support you through the treatment process. Do you have spiritual or religious support if you need it? Some people find that their spiritual or religious beliefs help them to cope as

Changes Nicotine free Alcohol free And soon to be Hep C free Thank you for my life back William B.

Got bad veins? Try these things to make your Hep C test easier.

PAGE 4 Learn how to protect yourself and others from Hep C if you inject drugs 8 steps to safely cleaning up a blood spill.

PAGE 6 To tell or not to tell? Tips for talking about having Hep C.

PAGE 7 Crossword puzzle

WHAT IS TREATMENT FOR HEP C? The main goal of Hep C treatment is to clear the Hep C virus from the body. For a long time, Hep C treatment has included a combination of two medicines: peg-interferon (pegylated interferon) and ribavirin. For people with genotype 1, sometimes peginterferon and ribavirin are combined with another medicine. That medicine is either boceprevir (Victrelis) or telaprevir (Incivek). Some people have found these medicines difficult to take because they cause side effects, such as feeling like you have the flu and extreme tiredness.

There are new hepatitis C medicines that are being tested and will be available in the next few years. Some of these medicines will be taken with peg-interferon and ribavirin and some will not be. These new medicines will have fewer side effects, shorter lengths of treatment and will cure more people. Some of the names of these new medicines are simeprevir (Galexos), sofosbuvir (Sovaldi) and daclatasvir. Interested in learning more about treatment for Hep C? Talk with a doctor or nurse for more information and to see if treatment could be right for you.

they start treatment. Are there people whom you want to support you as you start treatment, such as an Aboriginal Elder, an imam, a priest, a rabbi or other religious leader?

If you use street drugs, you may want to change when you use drugs so that you can take your meds at the same time every day. Or maybe you need a place to keep your meds. Talk to your doctor, another healthcare worker or a peer worker about any possible problems and for tips on how to stick to treatment.

you access housing. If you can’t find housing, it is still possible to go on Hep C treatment. You will need to find a place to store your medications, like a needle exchange program or a health centre. Or you may be able to pick up your medication each day at the pharmacy.

Do you have a place to stay? It can be easier to stick to treatment if you have a place to live. If you don’t have housing, is there a family member or friend you can stay with while you’re starting or taking treatment? A peer or social worker may also be able to help

Do you need help covering the cost of treatment? Hep C drugs are expensive; however there are programs that will cover the costs of medications if you meet the qualifications. continued on page 6

Do you have a plan to stick to your meds? Think about what might help you or stop you from sticking to the medication schedule. Before you start treatment, you could practice your medication schedule with Smarties, jelly beans or other candies to get in the habit of taking them and to help you figure out any possible problems you might have.

PAGE 8 Fighting infections! Destroying poisons! Check out what The Amazing Liver is doing for you.

555 Richmond Street West, Suite 505, Box 1104 Toronto, Ontario, Canada M5V 3B1 © 2014, CATIE (Canadian AIDS Treatment Information Exchange). All rights reserved. CATIE Ordering Centre No: ATI-70117_3 (aussi disponible en français, ATI-70118_3) Funded in part by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Design: Jlightupthesky.ca

How is your physical health? Your doctor will do tests to determine how much damage hepatitis C has caused to your liver. Other health issues that could cause liver damage or affect your ability to manage treatment will also help you and your doctor decide when to start treatment. It is best to start treatment early, before you feel sick. This can be hard because you feel OK, but Hep C can damage your body even while you feel well. Starting treatment sooner than later increases your chances of staying healthy.

illustration: William B., Toronto Community Hep C Program

Starting treatment is a big decision. Your physical health is one of the main factors you and your doctor will consider when thinking about treatment. Another important factor is whether you are ready to start and to stay on treatment. Even though Hep C treatment is only for a set time, the more you can stick to treatment and take all your doses at the right time and in the right way, the better your chances of clearing the virus. Getting your life as stable as you can and finding support will help you manage treatment. You may need some time to put the right supports in place before you start treatment. Below is a list of questions that can help as you think about treatment:

Getting tested for Hep C – how does it work?

2 hepCinfo issue three

catie.ca

What is hepatitis C? Hepatitis C infection is caused by the hepatitis C virus (HCV). Worldwide, about 170 million people have Hep C. In Canada, about 250,000 people are living with Hep C. Roughly 20% of people don’t know they have the virus. You can get Hep C when blood containing the Hep C virus gets into your blood stream. In Canada, the highest-risk activity for getting Hep C is using drug equipment—needles, syringes, swabs, filters, spoons and water—that has been used by someone else. Taking care to avoid contact with materials that could have blood on them, even if you can’t see any blood, will help you stay safe. The Hep C virus attacks your liver. Located on the right side of your body, under the ribs, the liver performs more than 500 functions that keep us healthy. Your body can try to fight the virus on its own—and sometimes it can win— but the Hep C virus is very strong. Ordinary medicines like antibiotics do not kill viruses. However, there are special medications to treat Hep C that work for many people. Genotype: 6 types of Hep C There are at least six different types, or strains, of the Hep C virus. They are called genotypes. The particular genotype a person has will affect his or her treatment decisions. Stages: Different outcomes of Hep C infection There are 2 stages of Hep C infection:

1. Acute infection happens when people are first infected and can last from a few weeks to six months. Sometimes the body is able to clear the virus on its own during this stage. 2. Chronic, or long-term, infection happens when a person has had Hep C for six months or more. Chronic infection is a concern because even though a person may not feel sick, the Hep C virus can still be damaging their liver. Let’s say 10 people have become infected with the Hep C virus. Two of the 10 will recover from the infection, or “clear” the virus on their own, during the acute phase. That means

their body fought the Hep C virus and won. The other eight people will go on to develop chronic Hep C (which means that the Hep C virus is in their blood and liver more than six months after infection). It can take as long as 20 to 30 years for the virus to cause serious liver disease or damage. This damage causes scarring and is called fibrosis. Of those eight people with chronic infection, one or two will have enough damage to their liver over the years that the liver will not work as well as it should. This is called cirrhosis. If the disease continues to get worse, people can also get liver cancer or liver failure.

STAGES OF LIVER DAMAGE

Living with Hep C: Show your liver some love! If you have Hep C, you can take steps to reduce harm and prevent liver damage. You might: • see a healthcare provider • find out about treatment for Hep C • learn tips for living with Hep C and preventing liver damage—for example, you may choose to drink less alcohol because alcohol can damage your liver even more. These things can help you stay healthy for a long time with Hep C.

Hep C infection The virus goes away on its own

For up to 1 out of 4 people (25%) who become infected with Hep C, the virus goes away on its own during the first six months after infection. 3 out of 4 (75%) go on to develop chronic Hep C and the virus does not go away on its own.

Chronic Hep C Possible inflammation, fibrosis Possible cirrhosis, liver cancer or liver failure

Got questions about your risk for Hep C or HIV?

Just found out you have Hep C or HIV?

We’ll help in many ways: • T alk with you about how to manage your health • A nswer your questions about Hep C or HIV treatment

• Send you free educational resources • G ive you information through a confidential, toll-free telephone help line www.catie.ca · 1-800-263-1638 We accept collect calls from prisons at 416-203-7122. Monday to Thursday, 10 a.m. to 6 p.m. (Eastern Time) @CATIEinfo

issue three hepCinfo 3

Hep C testing: how it works Test 1: Hep C Antibody Test

Negative antibody test (no Hep C antibodies)

Positive antibody test (Hep C antibodies in blood) This does not mean a person has Hep C. A second blood test is required to confirm if a person has Hep C.

The person does not have Hep C.

Test 2: RNA Blood Test

Negative RNA test (no Hep C RNA in blood)

Positive RNA test (Hep C RNA in blood)

The person does not have Hep C. Their body has cleared the virus.

The person has Hep C.

Learn more about how to protect yourself from Hep C.

People with Hep C have many options. Talk to a health worker to find out more about them.

Say what? Antibody test – this test looks for antibodies, which are like footprints that the Hep C virus leaves if it has ever been in your body RNA test – this test looks for the actual virus in your body

Bad veins & blood tests

Hepatitis C: A concern among newcomers and immigrants to Canada

Things that help

UI A G DE

AN D

Could you have the virus and not know it?

GLES

Mayroong bakuna laban sa hepatitis A at B, pero walang bakuna laban sa hepatitis C.

I

apat M ga d an malam l sa tungko is C hepatit

Nakukuha ang hepatitis A sa pag-inom ng tubig o pagkain ng pagkaing may dumi ng tao. Walang gamot sa hepatitis A pero madalas kusang gumagaling ang tao sa sakit na ito. Pagkatapos gumaling ang isang tao sa hepatitis A, ang katawan ay natututong protektahan ang sarili kung sakaling magkaroon muli ng impeksyon.

‫جگرآپ کے جسم میں‬ ‫ھوتا ہے – یہ انسانی پسلیوں کے نیچے دائیں جانب‬ ‫جسم‬ ‫ جگر کی اہمیت یہ ہے کا سب سے بڑا اندرونی عضو‬-‫ہے‬ :‫کہ یہ‬ ‫جسم میں داخل ہونے والے‬ ‫کیمیائی اور دیگر مادوں کو‬ -‫چھانتا ہے‬ -‫ ہاضمے میں مدد دیتا ہے‬‫ خون اور کئی لحمیات کے‬-

-‫پیدا کرنے میں مدد دیتا ہے‬ ‫جگرایک بہت مضبوط عضو‬ ‫ٹھیک کرنے کی صیالحیت ہے جو کہ اپنے آپ کو خود‬ ‫ اس کے باوجود‬-‫ کیمیائی رکھتا ہے‬،‫ رشاب‬،‫وائرسز‬ ‫مادے اور منشیات آپ کے جگر‬ ‫کو نقصان پہنچا سکتے ہیں‬ ‫کی صیالحیت کو متاثر کر اور آپ کے جگر کے کام کرنے‬ -‫سکتے ہیں‬ ‫جگر کی حفاظت رضوری‬ ‫زندہ نہیں رہ سکتے! ہے کیونکہ آپ اس کے بغیر‬

‫ہیپاٹئٹس‬ ‫رہنے والےسی کی معلومات کینیڈا میں‬ ‫رضوری ایمیگرنٹس کے لیے کیوں‬ ‫ہیں؟‬

‫کینیڈا میں ہیپاٹئٹس سی کے‬ ‫ فیصد واقعات ایمیگرنٹس‬20‫ ہیپاٹئٹس سی‬-‫میں ھوتے ہیں‬ ‫ایمیگرنٹس میں زیادہ پایا مقامی کینیڈینز کی نسبت‬ ‫ ھو سکتا ہے کہ آپ‬-‫میں یہ وائرس موجود ھو جاتا ہے‬ ‫اور آپ کو اس کا علم نہ ھو‬ :‫کیونکہ‬ ‫کچھ ہی لوگوں کو ہیپاٹئٹس‬ ‫دنیا بھر میں ہیپاٹئٹس سی سی کے خطرات کا علم ہے۔‬ ‫ فیصد واقعات غیر‬30 ‫محفوظ طبی عمل کی کے‬ ‫ جس میں‬،‫وائرس زدہ خون کی وجہ سے ھوتے ہیں‬ ،‫منتقلی‬ ‫کے لیے استعامل ہونے واال مشرتکہ رسنجوں اور منشیات‬ -‫سامان بھی شامل ہے‬

Ang paggamot laban sa virus ay makakatulong sa pagkontrol at pagbawas ng virus at pinsala sa atay, pero hindi ito nakapagtatanggal ng virus sa katawan.

‫آپ‬ ‫سی ککو ہیپاٹئٹس‬ ‫میں ے بارے‬ ‫ھونا کیا معلوم‬ ‫چاہیے؟‬

‫ہیپاٹئٹس سی کس طرح ہیپاٹئٹس اے‬ ‫اور بی سے مختلف ہے؟‬

Ang hepatitis C Virus

‫ہیپاٹئٹس اے اور بی کے حفاظتی ٹیکے موجود ھیں لیکن‬ -‫ہیپاٹئٹس سی کا نہیں‬ ‫ہیپاٹئٹس اے اس وقت لگتی ہے جب فضالتی مواد آلودہ‬ -‫ خوراک یا دیگر مرشوبات کے ذریعے نگل لیا جاۓ‬،‫پانی‬ ‫ عام طور پر یہ بیامری‬- ‫ہیپاٹئٹس اے کا کوئی عالج نہیں‬ ‫خود بخود دور ھو جاتی ہے اور جسم آیندہ کے لیے‬ -‫بیامری سے محفوظ ھو جاتا ھے‬ ‫ہیپاٹئٹس بی اس وقت پھیلتی ہے جب کسی ایسے شخص‬ ،‫کا خون یا جنسی عمل میں پیدا ھونے والی رطوبتیں‬ ‫جسے وائرس لگ چکا ھو دورسے شخص کے خون سے‬ ‫ مثال کے طور پر وائرس غیر محفوظ‬-‫رابطے میں آ جاۓ‬ ‫جنسی عمل (کونڈم کے بغیر) کے ذریعے منتقل ہو سکتا‬ ‫ یہ دنیا‬-‫ہے یا پھر دوران پیدائش بچے کو لگ سکتا ہے‬ ‫میں سب سے زیادہ پائی جانے والی بیامری ہے اور آسانی‬ ‫ زیادہ تر‬-‫سے ایک شخص سے دورسے کو لگ جاتی ہے‬ ‫افراد جنہیں ہیپاٹئٹس بی وائرس لگ جاۓ خود بخود اس‬ ‫سے نجات حاصل کر لیتے ہیں اور آیندہ کے لیے بیامری‬ ‫ کچھ لوگوں کو دامئی انفیکشن‬-‫سے محفوظ ھو جاتے ہیں‬ ‫ھو جاتی ہے جس پر عالج کے ذریعے قابو تو پایا جاسکتا‬ -‫ہے لیکن اسے مکمل طور پر ختم نہیں کیا جا سکتا‬

tagalog. hepcinfo.ca

‫ہیپاٹئٹس اے اور بی کے حفاظتی ٹیکے کینیڈا میں بڑے‬ ‫ آپ اپنے ڈاکٹر یا نرس سے ٹیکا‬-‫پیامنے پر میرس ہیں‬ ‫ اونٹیریو میں‬-‫لگوانے کے بارے میں پوچھ سکتے ہیں‬ -‫رہنے والے کافی افراد یہ ٹیکا مفت لگوا سکتے ہیں‬

‫ا‬

‫اردو‬

Ang mga bakuna laban sa hepatitis A at B ay madaling makuha sa Canada. Bumisita at kumonsulta sa doktor o sa ibang tagapag-alaga ng kalusugan tungkol sa pagpapabakuna. Maraming residente ng Ontario ay maaaring makakuha ng libreng bakuna.

ਪੰ ਜਾਬ

ੀ

ੱਸ ਹੈਪੇਟਾਈਟ ਾਨੰ ਤੁਹ ਸੀ ਬਾਰੇ ਾਣਨ ਿੀ ਿੁਝ ਜ ਲੋੜ ਹੈ Bakitਦੀ a ang

Ang atay sa loob ng katawan

mahalag kol kaalaman tung mga C sa sa hepatitis Canada? imigrante sa

ng ng mga mayroo Sa Canada, 20% imigrante. Mas madalas mga te, hepatitis C ay s C sa mga imigran ang kaso ng hepatitin ng populasyon kumpara sa kabuua g ikaw ay may dahil: ng Canada. Maaarin hindi mo alam, impeksyon ngunit kung may kaalaman ang • Iilan lamang kuha ng hepatitis C: paano nakaka hepatitis C sa ng kaso 40% ng mga hindi ay resulta ng buong mundo g medikal, katulad maingat na gawain

s

Proseso

ਹੈਪੇਟਾਈਟੱਸ ਏ. ਉਦੋਂ ਹੁੰ ਦਾ ਹੈ ਜਦੋਂ ਲੋ ਿ ਗੰ ਦਾ ਪਾਣੀ, ਪੀਣ Cਤਰ ਜਾਂ ang Kumakalat ਵਾਲੀਆਂ ਦੂਜੀਆਂ ਵਸਤਾਂ ਜਾਂ ਭੋhepatitis ਜਨ ਦੁਆਰਾ ਮਲ-ਮੂ ਦਗੀ ਖਾ ਲੈਂ ਦੇ ਹਨ।ng ਹੈਪੇਟdugo ਾਈਟੱਸ ਏ. ਦਾ ngਿੋਈ ਇਲਾਜ saਗੰ paghalo ਨਹੀਂ ਹੁੰ ਦਾ, ਆਮ ਿਰਿੇ ਇਹ ਆਪਣੇ ਆਪ ਹੀ ਖ਼ਤਮ ਹੋ saਦੇdugo virus 简 may 使用 taong ਜਾਂਦਾ ਹੈ ਅਤੇ ਸਰੀਰ ਇਸ ਨਾਲ ਲੜ੍ਹਨ ਦੇ 体 ਵਾਇਰਸ ਹੋ ਜਾਂਦਾwalang ਹੈ। virus. taong ngਸਮਰੱਥ

中文

Maaaring magkaroon ng katahimikan ng kalooban at mas mabuting kalusugan sa pagkonsulta sa doktor at pagpapaeksamen.

ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਵਾਇਰਸ

punjabi. hepcinfo.ca

ng

y ਹੈਪੇਟਾਈਟੱਸ ਸੀAng , ਹੈaਪsaੇਟAta ਾਈਟੱਸ iminsal Pamਤੋਂ ਏ.ਅਤੇ ਬੀ. ਕਿਵੇਂ ਵੱਖਰਾ ਹੈ?

nasalin ਹੈਪੇਟਾਈਟੱਸ ਉਦੋਂ ਹੁੰ ਦਾCਹੈkapag ਜਦੋਂ ਅਕਜਹੇ ਕਵਅਿਤੀ, hepatitis angਬੀ. Kumakalat may ਨੂੰ ਵਾਇਰਸ ਲੱਗਾ ਹੋਵvirus ੇ, ਦਾ ਖ਼ੂsa ਨ,dugo ਵੀਰਜ ng ਜਾਂ ਯੋਨੀ ਦਾ ng taong dugo angਕਜਸ sugat may ito kapag Nangyayari tao. ibang ਤਰਲ ਕਿਸੇ . ਦੂਜੇ ਕਵਅਿਤੀ ਦੇ ਸਪੱਰਸ਼ ਕਵੱਚ ਆ ਜਾਵੇ, ng ilong, o英panloob balat ਵਜੋਂ angਕਮਸਾਲ ,语ਅਸੁਰੱਕਖਅਤ ਸੰ ਭੋਗ bibig ਦੁਆਰਾ ਜਾਂ ਬੱਚੇ ਦੇ 的说明 C hepatitis Matatag o tumbong. ਜਣੇਪੇ ਵੇਲੇ ਉਸ ਨੂੰ ਲੱਗang ਸਿਦਾ ਹੈ ।ਇਹ ਵਾਇਰੱਸ ਇਹ mabuhay ng ilang virus. ਇੱਿMaaari ਬਹੁਤ ਫੈitong ਲੀ ਹੋਈ ਕਬਮਾਰੀ ਹੈ ਅਤੇ ਇੱਿਕਵਅਿਤੀ sa labas ng katawan. Maaari ring araw ਤੋਂ ਦੂਜੇ ਨੂੰ ਸਕਹਜੇ ਹੀ ਲੱਗ ਜਾਂਦੀ ਹੈ। ਬਹੁਤੇ ਲੋ ਿ ਕਜੰ ਨ੍ਹਾ makakuha ng virus sa dugong tuyo. ਨੂੰ ਹੈਪੇਟਾਈਟੱਸ ਬੀ. ਹੋਵੇ,ਕਵੱਚੋਂ ਇਹ ਆਪਣੇ ਆਪ ਹੀ ਖ਼ਤਮ ਜਾਂਦਾ ਹੈparaan ਅਤੇ ਉਨupang ੍ਹ ਾਂ ਦਾ ਸਰੀਰ ਇਸ ਵਾਇਰੱਸ ਤੋਂ iba’tਹੋibang May C: ਨੂੰ ਇਹ ਰੋਗ ਪੱਿੇ ਤੌਰ ਤੇ ਮੁਿਤ ਹੋ ਜਾਂਦਾ ।ਪਰ ਿਈਆਂ hepatitis ng ਹੈ magkaroon ਲੱਗ ਜਾਂਦਾ ਹੈ। ਇਲਾਜ ਨਾਲ ਇਸ ਵਾਇਰਸ ‘ਤੇ ਿੁਝ ਿਾਬੂ • Ang hindi maingat na paggamit ਪਾਇਆ ਜਾ ਸਿਦਾ ਹੈ ਪਰ ਪੱਿੇ ਤੌਰ ਤੇ ਖ਼ਤਮ sa ਨਹੀਂ ਿੀਤਾ pang-medikal ng kagamitang ਜਾoperasyon, ਸਿਦਾ। pagsasalin ng dugo o pagpapabakuna gamit ang mga ਹੈਪkagamitang ੇਟਾਈਟੱਸ ਏ. ਅਤੇ ਬੀ. ਤੋਂ na ਬਚਾਅ ਲਈmalinis). ਿੈਨੇਡਾ ਅੰ ਦਰ (hindi nagamit ਆਮ ਿਰਿੇ ਇਸਦਾ ਟੀਿਾ ਉਪਲਬੱਧ ਹੈ। ਵੈਿਸੀਨ ਦਾ • Ang pagsalin ng dugo bago sa 1990 sa ਟੀਿਾ ਲਵਾਉਣayਲਈ ਆਪਣੇ ਡਾਿਟਰ ਜਾਂ ਕਸਹਤ-ਸੰ ਭਾਲ dahil mapanganib maaaring Canada ਸਬੰsa ਧੀtaong ਜਾਣਿਾਰੀ ਹੱਈਆ ਿਰਨ ਵਾਲੀ ਸੰ ਸਥਾ ਨੂੰ ng ਪੁੱਛੋ। pagsusuri ang nagsimula ito ਮੁ ਬਹੁdugong ਤੇ ਉਨਟਾਰੀਓ ਵਾਸੀ ਇਸ ਵੈਿਸੀਨ ਦਾ ਟੀਿਾ ਮੁਫ਼ਤ sakit. sa mga laban pangsalin ਲਗਵਾ ਸਿਦੇ ਹਨ। ang pagsalin ng dugong hindi Delikado sinusuri. Kung ikaw ay nasalinan ng dugo

丙型肝炎须知

a ndm Ave G ra W o o d 123 nto o Tor

dma an ve od A Wo onto Tor

www.catie.ca yourlanguage.hepCinfo.ca 1-800-263-1638 @CATIEinfo

The liver is very tough and can usually heal itself. Still, viruses, alcohol, chemicals, and some medicines and street drugs can permanently damage your liver over time and affect its ability to function.

Protecting your liver is important…you cannot live without it!

it:

The Liver within the body

Why is hepatitis C information important to immigrants in Canada?

In Canada, 20% of hepatitis C cases are among immigrants. Hepatitis C is more common among immigrants than among Canada’s general population. You may have the virus and not know it because: • Few people know about the risks for hepatitis C infection. Worldwide, 40% of hepatitis C cases are the result of unsafe

ang tanging Ang pagpapa-eksamen kung ikaw ਸਮੇਂ, ਮਨਾਹੀ ਵਾਲੀਆਂan paraan upang malaman C. Kinakailang ਨਸ਼ੀਲੀਆਂ ਵਸਤਾਂ ਲੈ ਣ ਸਮੇਂ ay may hepatitisਇੱਿ ਦੂਜੇ ਦੀਆਂ ਈਆਂ ਅਤੇ ਡਰੱਗਾਂ ਲੈ ਣ ਲਈ onਸੂupang ng dalawang eksaminasy ਵਰਤੇ ਜਾਂਦੇ may C. ਦੂਜੇ ਸੰHepatitic ਦਾਂ ਨੂੰ ਵਰਤਣ ਿਾਰਨ ਹੁੰ ਦੇ ਹਨ। malaman kung ikaw ay

medical practice transfus s, ions of con including and sha taminated red nee blood, dles equipm ent for sub and other stance use Immigra . are not nts entering Can require ada d for any kind of to be tested hepatiti People are rout s. inely test syphilis, ed for HIV and but not tube for hepatitis rculosis • Mos A, B or t people C. with hep do not atitis C exp They may erience any sym are sick not find out they ptoms. until they damage or even have liver liver can • Imm cer. igrants face healthc are and barriers to immigra testing. nts in Ontario wait for three New Insuranc for their Ontariomonths e in Canada Plan (OHIP). ImmHealth access igrants system less and the healthcare cultural ofte n face and to services linguistic barr iers and info rmation • Health . is for peo often hard to ple prioritiz things can new to Can e ada while buil take priority ove . Many can affe ding a new life. r health ct use, diet a person’s subStress can take and overall hea stance lth. years to doctor and find a fam It healthcare many people ily access only in an emergen Get ting cy. test early can ed and diag and pea lead to bet ter nosed ce of min health d. •

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Stages of liver damage

Hepatitis C is through bloo spread d-to-blood contact

Hepatitis C is of someone spread when the blood carryi the bloodstream ng the virus gets into of another usually happ ens through person. This skin or break breaks in the s nose, mouth in the soft lining of the or is a strong virus anus. Hepatitis C and can live of the body outside for blood can also many days. Dried pass the virus. These are some can get inside of the ways hepatitis C your body: • Unsafe medical pract ices such as surgeries, blood transfusions vaccinations and reusin that is not steriliz g equipment ed (is not clean • Blood ). transfusions done before 1992, which were in Canada because routin high-r e blood scree isk ning

Ang numerong ito ay para sa buong probinsya ng Ontario. Nakakapagsalita ng iba’t ibang wika, katulad ng Hindi, Punjabi, Urdu, Tagalog, Mandarin at Kantones ang mga tagapagpayo dito. Sa pagtawag ninyo, bibigyan kayo ng tiyak na oras upang makipag-usap sa tagapag-payong nakapagsasalita ng inyong ginustong wika.

ਥੱਲ੍ਹੇ ਹੁੰ ਦਾ • on ਿੈਨੇਡਾ ਅੰ ਦਰon: eksaminasy ਦੇ ਸੱਜੇ ਪਾਸੇ ਪੱਸਲੀਆਂ ਆਉਣ ਵਾਲੇ ਆਵਾਸੀਆਂ ਦਾ ਕਿਸੇ ਕਜਗਰ ਤੁਹਾਡੇ ਸਰੀਰ Ang unang eksaminasy ਹੁੰ ਦਾ ਹੈ। ਵੀ ਕਿਸਮ ਦੀ ਦਾ ਸਭ ਤੋਂ ਵੱਡਾ ਅੰ ਗ ng hepatitis C ਟੈanti-body ਹੈਪੇਟਾਈਟੱਸ ਦਾ ਿੋਈ ਵੀ ਪਕਹਲਾਂ ਹੈ। ਇਹ ਤੁਹਾਡੇ ਸਰੀਰ ਸਟ ਨਹੀਂ ਿੀਤਾ ਜਾਂਦਾ। ਲੋ ਿਾਂ bago pumunta sa Canada, ਦੇ ਐਚ ਆਈ ਵੀ maaaring ਇਹ: ay naghahanap ਹੈ, ਕਿਉਂਕਿ ਅਤੇ ਟੀ ਬੀon ਮਹੱਤਤਾ ਆਕਦ ਤਾਂ ਹੋ ਸਿਦਾ ਹੈ ਕਿ ਤੁਸੀਂ ਅਕਜਹਾ ਖ਼ੂਨ ਪ੍ਾਪਤ ਅਕਹਮang ਦੇ ਟੈਸਟng Ang unang eksaminasy hindi ਦੀ nasuri ਤਾਂ ਿੀਤੇ ਜਾਂਦੇ ਹਨ ਪਰ ਕਜਗਰ dugong naisalin. ਿੀਤਾ mga ginagawa ਹੈਪੇਟਾਈਟੱਸ ਹੋਵੇ ਕਜਸ ਦੀ ਜਾਂਚ ਨਾ ਿੀਤੀ ਗਈ ਹੋਵੇ। ਏ. ਬੀ. sa ng mga antibodies, ਜਾਂ virus. ਸੀ ਦਾ ਟੈਸਟ ਨਹੀਂ ਿੀਤਾ ਰਸਾਇਣਾਂ Nagbibigay sila ng libre at anonymous • Ang pinaghihiram-hiram ਹੋਣ ਵਾਲੇ na hiringhilya ਦਾਖ਼ਲ ਦਰ ਅੰ ਜਾਂਦਾ। mahawa ਸਰੀਰ katawan pagkatapos •at kagamitang na payo tungkol sa hepatitis, HIV at ਹੈ। • ਦਵਾਈਆਂ ਅਤੇ ਡਰੱਗ ਲੈ ਣ ਦੀ ਕਤਆਰੀ ਿਰਕਦਆਂ medikal o pangਨੂੰ ਛਾਣਦਾ ਦੂਜੇ ਪਦਾਰਥਾਂ ਅਤੇna hanggang pangkalusugang sekswal. Maaari linggo droga na ginagamit sa paghanda anim ਜਾਂ ਉਨ੍ਹਾਂ ਦਾ ਟੀਿਾਂ ਲਾਉਂਕਦਆਂ ਪਕਹਲਾਂ ਵਰਤੀਆਂ ng • Sa pagitan ਅਿਸਰ ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਦੇ ਿੋਈ ਲੱਛਣ ਨਹੀਂ kayong sabihan kung saan maaaring at pag-iniksyonਨੂੰng pagkatapos mahawaan gamot ਿਰਨat droga ਹੋਈਆਂ ਇੱਿ ਦੂਜੇ ਦੀਆਂ ਸੂਈਆਂ ਅਤੇ ਸਾਜ਼ੋ anim na buwan ਕਦਸਦੇ । ਹੈਪਾਟਾਇਕਟਸ ਭੋਜਨ ਆਕਦ ਹਜ਼ਮ -ਸਮਾਨ • maaaring ਸੀ ਵਾਲੇ ਬਹੁਤ ਬੀਮਾਰਾਂ ਨੂੰ magpa-eksamen sa Ontario. magkaroon ay naglalaman maaaring C, ng dugo ਹੈ ਵਰਤਣਾ ਕਜੰ ਨ੍ਹਾਂ ‘ਤੇ ਖ਼ੂਨ ਮੌਜੂਦ ਹੋ ਸਿਦਾ ਹੈ ng hepatitis ਿੋਈ ਲੱਛਣ ਮਕਹਸੂ ਿਰਦਾ ਕਵੱਚ ਮੱਦਦ angਹੁੰ ਦੇ, ਹੋ -ਿਈ ਸ ਹੀ ਨਹੀਂ – minsan ng antibodies sa sobrang konti ay hindi ਸਿਦਾ ਹੈ Libreng tawag sa Ontario: 1-800-668-2437 ng sapat na bilang ਵਾਰੀ ਏਨਾ ਘੱਟ ਮਾਤਰਾ ਕਵੱਚ ਕਿ ਤੁਸੀਂ ਵੇਖ ਉਨ੍ਹmakita ਾਂ ਨੂੰ ਓਦੋਂ ito ੰ beses lang ਨੂ dugo. ੀਨ sa ਤੱਿ ਵੀ ਟ ੋ ਨਾ ਪ੍ ਪਤਾ ੇ ito nakikita. ਜ ਦੂ ਵੀ Kahit isang ਨਾ ਅਤੇ ਲੱਗੇ para ਕਿ ਉਹ ਬੀਮਾਰ ਖ਼ੂਨ • katawaan ਹਨ, ਸਿਦੇ ਹੋਵੋ। ਅਕਜਹੇ ਸਾਜ਼ੋ-ਸਮਾਨ ਨੂੰ ਇੱਿ ਹੈ Lunes - Biyernes: 10:00am-10:30pm ਜਦੋਂ ਤੱਿ ਉਨ੍ਹਾਂ ਦੇ ਕਜਗਰ ਨੂੰ humiram ਵਾਰੀ ng kagamitan, malaki ਕਵੱਚ ਮੱਦਦ ਿਰਦਾ pa ਨੁ ਬਣਾਉਣ ਵਰਤਣਾ ਵੀ ਭਾਰੀ ਖ਼ਤਰਾ ਹੋ ਸਿਦਾ ਹੈ। ਸ਼ੀਸ਼ੇ kusang napuksaਿਸਾਨ ਜਾਂ ਸਰ ਨਹੀਂ taong rin ang panganib na makakuha ਹੋ ਜਾਂਦਾ। ਦੀਆਂ ang Sabado at Linggo: 11:00am-3:00pm Kahit na angਿੈਂmga ਤ ਅੰ ਗ ਹੁੰ ਦਾ ਮਜ਼ਬੂmga ਅਕਜਹੀਆਂ ਨਾਲੀਆਂ, ਸਟਰਾਅ ਜਾਂ ਨੋਟ ਜੋ y sa paggamot hepatitis ਕਜਗਰ ਬਹੁ C.ਤAng pipang kristal, ਲੋ ਿ ang virus o matagumpa sa ਆਪਣੇ ਆਪ antibodies • ਿੈਨੇਡਾ ਅੰ ਦਰ ਡਰੱਗਾਂ ਨੂੰ ਸੰ ਘ ਜਾਂ ਨੱਿ ਰਾਹੀਂ ਅੰ ਦਰ ਲੰਘਾਉਣ angਨਵੇਂ ਆਮ ਿਰਿੇ salapi, ay maaaring ਹੈ ਅਤੇ istraw naglalaman ਆਉਣ ਵਾਕਲਆਂ ਨੂੰ ਕਸਹਤ ay hindi mawawala ਲਈ Para makakuha ng antibodies ਹੈ। ਕਫ਼ਰ ਵੀ, sa labi na ਵਰਤਦੇ ਹਨ, ਸੰ ਭਵ ਹੈ ਚੀਰ ਵਾਲੇ ਬੁੱਲ੍ਹਾਂ ਜਾਂ ngਹੀdugong ਭਾਲ ਅਤੇ ਟੈਸnਟng nanggagaling pagkakaroo ਠੀਿ ਹੇ ਜਾਂਦਾ ਿਰਵਾਉਣ ਸੰang dugo. Ang ਸੰ ਨੱਿ ਬੰ ਧੀ ਿਈ ਰੁਿਾਵਟਾਂ ਹੋਣ ਦੇ ਪੜਾਅ ਅਤੇ ਸਾਨ nakakahawa na ਿ ਰਸਾਇਣਾਂ may sugat ਨੁ ਕਵੱਚੋਂ o sa pagdurugo ng ilong. ਵੀ ਹੁੰ ਦੀਆਂ ਹਨ। ਿੈਨੇਡਾ ਅੰ ਦਰ ਥੋੜ੍ਹੇ ਕਜਨੇ ਵਗਦੇ ਖ਼ੂਨ ਰਾਹੀਂ ਲੱਗ ਵੀ ਸਿਦਾ ਨੂੰ impormasyon ay hindi indikasyon karagdagang ਵਾਇਰੱਸ, ਸ਼ਰਾਬ, ਕਜਗਰ ਨਵੇਂ ਆਏ ਕਵਅਿਤੀ ng ikalawang ਵਸਤੂਆਂ ਹੈ। ਕਸਹਤ ਸੰ ਭਾਲ ਪ੍nਣਾਲੀ isang tao. Kinakailanga • Pakikibahagi ਿੁਝ ਦੂਜੀਆਂ ਨਸ਼ੀਲੀਆਂ ng kagamitang ਦੀ ਘੱਟ ਵਰਤੋਂ ਿਰਦੇ ਹਨ on para malaman ਾਡੇ ਕਜਗਰ ਨੂੰ Pumunta sa: tagalog.hepcinfo.ca ਕਿਉਂਕਿ ਉਹਨਾਂ test o eksaminasy pang-tattoo, ਨੂੰ ng ਸਮਾਂ ਪਾ ਿੇ ਤੁਹpang-acupuncture ਕਸਹਤ • ਟੈਟੂ, ਸਰੀਰ ਕਵੰ ਨ੍ਹਣ ਿਾਰਨ ਜਾਂ ਸੂਈਆਂ ਨਾਲ tao.ਸੇਵਾਵਾਂ ਅਤੇ ਜਾਣਿਾਰੀ dugo ਹਨ ਅਤੇ o virus sa ਿੀਤੇ ਸਿਦੀਆਂ kung may ਹਾਸਲ ਚਾ tenga pangbutas ਿਰਨ ਕਵੱਚ ਅਿਸਰ ਸੱਕਭਆਚਾਰਿ at katawan. 不安全的医疗操作导致 ਨੁਿਸਾਨ ਪਹੁੰng ਜਾਣ ਵਾਲੇ的， ਇਲਾਜ ਅਤੇ Tandaan: 这 ਲਈ ਇੱਿ ਦੂਜੇ ਦਾ ਸਾਜ਼ੋ-ਸਮਾਨ ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਇੱਿ ਤੋਂ ਦੂਜੇ Maaaring ਭਾਸ਼ਾਈ ਰੁਿਾਵਟਾਂ ਦਾ ਸਾਮ੍ਹ ਮ ਿਰਨ ਦੀ ਸਮਰੱਥਾ ng dugo na on: ਇਸ ਦੀ ਿੰnaglalaman ਵਰਤਣਾ। ਕਸਆਹੀ, ਸੂਈਆਂ, ਸਾਜ਼ੋ-ਸਮਾਨ ‘ਤੇ ਣਾ ਿਰਨਾ ਪੈਂਦਾ ਹੈ। 包括输了受污染的血、 Ang ikalawang eksaminasy ਹਨ karayom, ਵੀ may‘ਤੇhepatitis ang mga 使用麻醉 • Ang hepatitis C ay nakakaapekto ਅਸਰ ਪਾ Cਸਿਦੀਆਂ on ng virus ਖ਼ੂਨ ਲੱਗਾ ਰਕਹ ਸਿਦਾ ਹੈ ਕਜਸ ਨੂੰ ਜਰਮ ਰਕਹਤ eksaminasy ਕਵਅਿਤੀ ਦੇ ਖ਼ੂਨito ਦੇ ਸੰ ਪਰਿ ibangਰਾਹੀਂ sa iba’t tinta at mga ibang kagamitan 品时共用针头和其他器 • ਿੈਨੇਡਾ ਕਵੱਚ ਨਵੇਂ ਆਉਣ ਵਾਲੇ atay. Kumakalat ng ਲੋ ਿਾਂ ਲਈ ਕਸਹਤ 具。 ਿੀਤੇ ਕਬਨਾ ਮੁੜ-ਵਰਤਣ ਨਾਲ ਹੈਪੇਟਾਈਟੱਸ ਸੀ ng dugo. ਤ ਹੀ paghahalo kung ਬਹੁ ng (tinatawag ang mga on pamamaraan ito ਭਾਲ ay ginagamit ਨੂ ਸੰ ੰ ਪਕਹਲ ng ਦੀ 之 ਦੇ eksaminasy ਣ ੀ ਮੁਸ਼ਿਲ ਹੁੰ ਦੀ ਹੈ। ਨਵਾਂ ਜੀਵਨ ਸਰੀਰ ਅੰ ਦਰ ਕਜਗਰ ਕਜਗਰ ਫੈਲਦਾ ਹੈ Ang ikalawang ਲੱਗ ਸਿਦਾ ਹੈ। 人体内右侧的肋骨 ਸ਼ੁਰੂ ਤੁਸੀਂ ilang beses ਕਬਨਾ at ਹੈhindi test’ o ‘RNA test’) 肝脏位于 sterilize. । ਇਸna • 进入加拿大的移民不需 ‘viral load test’, ਲੱਕਗਆਂ ਬਹੁਤ ਜ਼ਰੂਰੀ ਹੁੰ ਦੀ Maaaring mayroon ka ng hepatitis C • 器官。 ਸਾਰੀਆਂ na ‘PCR ਿਰਨ ਦੂਜੀਆਂ ਗੱਲਾਂ ਕਸਹਤ 经过任何 impeksyon ! 大的内脏 ਸਿਦੇ aktibong • ng ਰਕਹ ਰੇ ਤੋਂ ਪਕਹਲ ਲੈ ਲੈਂ ਦੀਆਂ ਹਨ। ਨਵੀਂ • Angਕਜਊਂਦੇ ਨਹੀਂ 是人体最 ang ilang pagpapahiram at ਜਦੋਂlumipas ਇਸ ਵਾਇਰਸ ਵਾਲੇ ਦਾtaon ਖ਼ੂਨ na ਕਿਸੇwalang ਦੂਜੇ ਕਵਅਿਤੀ ਦੇ 类型肝炎的检查。ਜ਼ਰ, ਦੰ ਦਾਂ ਦੇ ਬੁਰਸ਼ ਜਾਂ ਨੌਂਹ ਿੱਟਣ ਵਾਲੇ ਿਟਰ sa personal na ay naghahanap ਕਜੰ ਦਗੀ ਸ਼ੁ下， resulta ਰੂ ਿਰਨ 人们需要经 Ang negatibong 过梅ਸਾਂਝੀਆਂ ਿਰਨ ਜਾਂ ਇੱਿ ਕਜਹੀਆਂ gamit, katulad ng pang-ahit, sipilyo, ਿਰਿੇC. ਕਨੱਜੀ ਵਸਤਾਂ nararamdamang ਮਾਨਕਸਿ ng hepatitis ਖ਼ੂਨ ਦੇ方面： ਅੰ ਦਰ ਦਾਖ਼ਲ sintomas, ਹੋ ਜਾਵੇ ਤਾਂ ਹੈkahit ਪੇਟਾਈਟੱਸ ਸੀ ਫੈਲਦਾ 毒、 ਦਬਾਅ ਿਾਰਨ ang C ਨਸ਼ੀਲੀਆਂ hepatitis ਵਸਤਾਂ 艾滋病毒和以下几个 na, walang atay. panggupit ng kuko at ibang mga gamit ang inyong 肺结核的常 ਦੂਜੇ ਿੋਲੋਂ ਲੈ ਿੇ规检查， sinisira na ਦੀ ਵਰਤੋਂ ay pahiwatig ਵਰਤਣ ਵਾਲੀਆਂ ਅਕਜਹੀਆਂ ਚੀਜ਼ਾਂ, ਖ਼ੁਰਾਿ ਆਕਦ ay ਹੈ। ਆਮ ਤੌਰ nito ਤੇ, ਚਮੜੀ ਅੰ ਦਰ ਚੀਰ ਜਾਂ ਨੱਿ, ਮੂੰ ਹ ਜਾਂ 肝脏的重要性在于 pahiwatig ਕਵੱਚ ਦੀ ਸਮੁੱਚੀ ੇ ਡਾ ay resulta ਕਵਅਿਤੀ ਿੈਨdugo na may positibong 但不包括甲型、乙型和丙型 maaaring makapagਕਜੰ ਨ੍ਹਾਂ ‘ਤੇ ਖ਼ੂਨ ਲੱਗਾ ਰਕਹ ਸਿਦਾ ਹੈ, ਰਾਹੀਂ tao. Angਕਸਹਤ ਤੇ ਅਸਰ ਪੈਂਦCਾ ਹੈ upang ੱਦੇ ਦੀ ਨਰਮ ਚਮੜੀ ਅੰ ਦਰ ਚੀਰ malaman ਦੁਆਰਾ ਹੀ ਇਹ ਹੋ paraan tanging Ang • ਗੁ tao atਨੂੰ ਫੈਮਲੀ । ਿੱਈਆਂ ਵੀ ang 肝炎。 impeksyon ng hepatitis na mayroong ਵਾਲੇC. Maaari ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਲੱਗ ਸਿਦਾ ਹੈ। ਕਮਸਾਲ ਡਾਿਟਰ hepatitis ay sa ਹੁੰ ਦਾ ਹੈ C ਵਾਇਰਸ may hepatitis ਲੱਭਣ ਕਵੱਚ ਹੈ। ਹੈਪay ੇਟਾਈਟੱਸ ਸੀ ਮਜ਼ਬੂਤ kung ikaw ibang ngਸਾਲ ਨਵੇਂ ਆਉਣ • 对进入人体的化学ਸਿਦਾ ਵਜੋਂ, siyaਿਈ ਲੱਗtao. ਜਾਂਦੇ ਹਨ ring makakuha ng hepatitis C sa mga maaaring ਲੋ ਿਾਂ ਦੀ ਹਜਾਮਤ/ਵਾਲ ਿੱਟਣ ਵਾਲੇ ਨਾਈ ਅਤੇ makahawa ngਦੇeksaminasyon. ਿਈ ਲੋ ਿ ਕਸਰਫ਼ ਐਮਰਜੈਂਸੀ pamamagitan ਿਈ ਕਦਨ ਸਰੀਰ ਬਾਹਰ ਕਜਉਂਦਾ ਰਕਹ ਸਿਦਾ ਹੈ•। 丙型肝炎经常不表现任 ੇਟਾਈਟੱਸ ਸੀ ਹੈਪ ਅਕਜਹੇ 何症状。 ਵੇਲੇ ਹੀ ਕਸਹਤ 物质及其他多种 ਜੋ barberya kung saan ginagamit ng ilang ਆਵਾਸੀਆਂ ਵਾਸਤੇ ਰੇਜ਼ਰ ਵਾਰ-ਵਾਰ ਵਰਤ ਸਿਦੇ ਹਨ ਕਜੰ ਨ੍ਹਾਂ ਸੇਵਾਵਾਂ ਤੱਿ ਪਹੁੰ ਚ ਿਰਦੇ ਹਨ। ਖੁਸ਼ਿ ਹੋ ਚੁੱਿੇ ਖ਼ੂਨ ਰਾਹੀਂ ਵੀ ਇਹ ਵਾਇਰਸ ਲੱਗ ਸਿਦਾ 大多数丙肝感染者不觉 ਨੂੰ ਪਕਹਲਾਂ beses at hindi nililinis ang mga pang-ahit. 得有任物质进行过滤 ਹੈ। ਜਰਮ-ਰਕਹਤ Makipag-ugnayan ਨਾ ਿੀਤਾ ਕਗਆ ਹੋਵੇ। ੀ ਕਿਉਂ ਜ਼ਰੂਰੀ ਹੈ? ਜਾਣਿਾਰ 何症状，直到肝脏受损或患上肝 ਬਾਰੇmakahawa • Maaaring ਸਮੇਂ ਕਸਰ ਕਸਹਤ ਸੰ ਬੰ ਧੀ ਟੈਸ ng hepatitis C sa ਟ ਿਰਵਾsਲੈ ਣCਨਾਲ ਚੰ ਗੇਰੀ 帮助消化 hepatiti sa • ਅਸੁਰੱਕਖਅਤ ਸੰ ਭੋਗ, ਕਜੱਥੇ ਖ਼ੂਨ ਵੀ ਹੋ ਸਿਦਾ ਸੀ tungkol • ਾਈਟੱਸ fਕਸੇ ng hindi ਦੇ ਟ ੇ pamamagitan ਪ ਕਸਹਤ ਹੈ 癌时才意识 protektadong ਹੈ ਅਤੇ ਮਨ ਦੀ ਸ਼ਾਂਤੀ ਕਮਲਦੀ ਾਬਲੇ 到自己早已 ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਹੇਠ ਕਲਖੇ ਢੰ ਗਾਂ ਰਾਹੀਂ ਤੁਹਾਡੇ ਸਰੀਰ ਹੈ। ਦੀ ਆਮ ਵੱਸੋਂ ਮੁਿ (ਕਮਸਾਲ生病。 ਵੀ ਹੋ ਿੈਨੇਡਾ(kung ਵਜੋਂ, ਮਾਹਵਾਰੀ ਦੌਰਾਨ ਜਾਂ ਇੱਛਾ ਰਕਹਤ pagtatalik saanਵੱਧ may dugong ਜਾਂਦੀ ਹੈ। ਇਹ ਤੁਹਾਨੂੰ makipag-ugnayan ਪਾਈ ਦਰ Sa labas • 促成血液和多种 ਅੰ ਦਰ ਦਾਖ਼ਲ ਹੋ ਸਿਦਾ ਹੈ: ਸੰ ਭੋਗ ਜਾਂ ਗੁਦੇ ਦੁਆਰਾ ਸੰ ਭੋਗ) ਨਾਲ ਵੀ ਵਾਇਰੱਸ ਆਵਾਸੀਆਂsaਅੰ regla, 而 ng Ontario, nanggagaling ਸਾ ਕਵੱਚੋਂ 20 ng sa butas ਦੇ ਿੁੱਲ ਿੇ甲型和乙型肝炎有疫苗， • 移民面临就医和检查方 ਹੈ ਇਸ ng sa inyong lokal na organisasyo ਹੈ, ਪਰ ਹੋ ਸਿਦਾ 面的障 ਲੱਗ ਸਿਦਾ puwet oਸਿਦਾ 蛋白质的生成。 • ਅਸੁਰੱਕਖਅਤ ਡਾਿਟਰੀ ਿਾਰਵਾਈਆਂ ਕਜਵੇਂ ਕਿ sa magaslaw ਹੈ। na pagtatalik) ਹਾਨੂੰ ਪਤਾ ਨਾ ਪਾਏ ਜਾਂਦੇ ਹਨ ।ਤੁ丙型肝炎没有疫苗。 pang-imigrante o sa tagapag碍。在安大略省，新移民要等 % ਿੇਸ ਆਵਾਸੀਆਂ ਕਵੱਚ - Makipag-ugnayan: • Sa pagbubuntis Karagdagang • ਗਰਭ ਅਵੱਸਥਾ 待 o panganganak. ਖ਼ੂਨ ਬਦਲੀ ਅਤੇ ਟੀਿੇ ਲਾਉਣ ਲੱਕਗਆਂ ਜਾਂ ਬੱਚੇ ਨੂੰ ਜਨਮ ਦੇਣ ਸਮੇਂ। alaga ng iyong kalusugan. 官， ਅਪ੍ੇਸ਼ਨ,Detalye ਕਕਉਂfਕ: ਹੋਵੇ na 三个月才能参加省健康 May maliit 肝脏是强有力的器 yourlanguage.hepcinfo.ca tsansang 甲型肝炎通常通过饮食含有粪便 ਗਰਭ ਅਵੱਸਥਾ ਅਕਜਹਾ ਸਾਜ਼ੋ-ਸਮਾਨ ਵਰਤਣਾ ਜੋ ਜਰਮ ਰਕਹਤ 保险计划 ਜਾਂ ਬੱਚਾ ਜਣਨ ਦੌਰਾਨ ਬੱਚੇ impormasyon: ਬਾਰੇ 。不 (ਸਾਫ਼ ਨਾ• ਹੋ1-800-263-1368 mahawaan ng isang buntis www.catie.ca ਲਾਗ ਦੇ ਖ਼ਤਕਰਆਂ （OHIP）。移民人口较 Para sa karagdagang ਨੂੰ ਹੈਪ ੇਟਾਈਟੱਸ ਸੀ ਦੇ ਵਾਇਰਸ ਲੱਗਣ ਦਾ ਵੇ) ਨਾ ਿੀਤਾ ਕਗਆ ਹੋਵੇ। 通常可以自愈疾病成分的污染水、饮料或食物而传 ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਦੀna 少使用医疗 tao ang •kanyang ng Kawanihan ng Kalusugan sanggol । ਦੁਨੀਆਂ ਭਰ ਅੰ ਦਰ habang ਹੈ numero ਪਤਾ 化学 ੰ ਨੂ ਾਂ ਖ਼ਤਰਾ ਿ ਲੋ ਬਹੁਤ ਘੱਟ ਹੁੰ ਦਾ ਹੈ। ਉਦੋਂ ਤੀਿ ਦੁੱਧ ਘੱਟ 过，病毒、酒精、 • 1992 ਤੋਂ ਪਕਹਲਾਂ ਿੀਤੀ ਗਈ ਖ਼ੂਨ ਦੀ ਬਦਲੀ ਜੋ 服务，并且经常在使用服务和目前尚无治疗甲肝的方法，但(Toronto Public Health) ito ay buntis oਬਹੁ ਕਰੱਖਅਤ saਤ panganganak. ng Toronto 40% ਿੇਸ ਅਸੁ播， ਚੰ ਘਾਉਂਕਦਆਂ ਹੈਪ获取 ੇਟਾਈਟੱਸ ਸੀ ਲੱਗਣ ਦਾ ੇਟਾਈਟੱਸ ਸੀ ਦੇ ang ਹੈਪpanghahawa Hindi sanhi ng ਬਹੁਤ ਖ਼ਤਰਨਾਿ ਹੁੰ ਦੀ ਸੀ ਕਿਉਂਿ ਉਸ ਸਾਲ ਤੱਿ 信息时面临文化和语言物质、一些药物及街 ਖ਼ੂਨ ਲੈ ਣ ਦੇਣ ਦੇ ਖ਼ਤਰਾ 障碍。 ਨਹੀਂ ਹੁੰ ਦਾ,ਜਦੋਂ ਤੱਿ ਛਾਤੀ ਉਪੱਰ ਿੋਈ ਿਾਰਵਾਈਆਂ, ਪ੍ਦੂਸ਼ਤ 感染通常会自行得到清除，并且 pagpapasusoਡਾਿਟਰੀ 时 ਇਸ ਵਾਇਰਸ ਦਾ ਪਤਾ ਿਰਨ ਲਈ ਬਾਿਾਇਦਾ ਖ਼ੂਨ kung walang hiwa 头毒品却可以在长 ਚੀਰ ਜਾਂ ਜਖਮ ਨਹੀਂ ਹੈ। 之后身体会对病毒产生免疫。 gawa ni Andrea Zariwny. Ang mga larawang medikal ayਦੀ o hindi dumudugo ang utong. ਜਾਂਚ ਿਰਨਾ ਜਰੂ ੀ ਨਹੀਂ ਸੀ।Reserbado ਜੇ ਿੈਨang ੇ ਡਾlahatਆਉਣ • 刚到加拿大 ng karapatan. sa Canada). AIDS ngਰ

to get a blood test and wear warm clothes to the appointment. • Drink two to three glasses of water a couple of hours before your blood test. This will make it easier to find a vein. • If these things feel hard or scary to do, bring a friend, peer worker or harm reduction worker to the appointment with you. • Try to save a vein for hospital emergencies or blood work. If you take care of your veins, they can last a long time.

es St Catharin J 4G2 Ontario M5 Ca na da

Get tested.

for the virus did not that year . Transfus begin until blood is ions are a not a transfusio screened. If you risk if Canada, n before coming had you migh blood that t have receto was not screened ived • Sha . red needles and equ used for ipment preparing medicine s and drugand injecting have bloo s, which tiny amo d on them —sometican unts that you can’ mes Sharing t see. equi is high-risk pment even one or money . The glass pipe time s, snor t drugpeople use to inha straws cracked s can carr y bloo le or d from lips or tiny noseblee • Sha ds. red tatto o, bod acupunc ture equ y-piercing or needles ipment. and equi The ink, pment can blood and unsteriliz transmit hepatitis carr y ed equipme C nt is reus if • Sha red or borr ed. owed pers items like onal clippers razors, toothbrus that migh hes t have bloo or nail them can barbers, transmit hepatitis d on for C. Public razors that example, migh t reus have not been steri e • Unp rotected lized. sex whe could be re bloo pres during men ent (for exam d ple, anal sex) struation, rough and trans sex mit the virus or • Duri ng preg . nancy The risk of a preg or childbirth. nant with hepa person titis to their child C passing the or childbirth during pregnancvirus y is very low. is no risk Ther of during brea passing hepatitise nipples are stfeeding as long C as the not cracked or bleeding .

Testing is the only if you have hepatitiway to find out s C. It takes two tests to know if you have hepatiti s C. The first test: hepatiti sC antibody testing

The test looks for antibodies that your body would create in your blood after being exposed to the virus. After being exposed your body can take to the virus, six weeks to six months to produce enough antibodies to show up in a test. Even if a person clears own or through treatmena virus on their t, there will always be antibodi es presence of antibodi in the blood. The mean that a person es alone does not on to someone else.can pass hepatitis C needed to look for A second test is the virus in the blood. The second test: Virus testing

This test (called a PCR test, a viral load test or an RNA active hepatitis C test) checks for infection. A negative result means that a person does not have hepatitis C. A positive test result means that a person has the virus and can pass it on to others.

Speak to someone about hepatitis C

Outside of Ontario contact local settlement organiza your or healthcare provider tion . The Information Line Toronto Public Healthat

This is an Ontariowide information line where counsel lors Punjabi, Urdu, Tagalog speak Hindi, Cantonese and many , Mandarin, more languages.

When you call, specific time you may be given a in your prefer to talk to a counsellor red language.

They offer free and anony counselling about hepat mous itis, HIV and sexual health . to a clinic in They can also refer you Ontario to get tested. Call toll-free in Ontario: 1-800 -668-2437 Monday – Friday : 10:00am – 10:30pm Saturday and Sund ay: 11:00am – 3:00p m

Get more information

Go to: yourl anguage.h epcinfo.ca Remember : • Hepatitis C affect spread throug s the liver. It is of blood-to-bl h different kinds ood contact. • You can have many years hepatitis C for without symp even thoug toms, h the damaging your virus is liver. • The only way hepatitis C to know you have is is treatment to get tested. There for people finish hepatitis C. Many able to get treatment and are rid of the virus.

Contact: yourla nguage.hep www.catie. cinfo.ca ca • 1-800 -263-1368

Biomedical Illustration s by Andrea © 2012, CATIE (Canadian AIDS Zariwny. CATIE Ordering Treatment Informatio Centre Number n Exchange Funded by the in Ontario Ministry English/Simplified Chinese: ). All rights reserved. of Health ਵਾਲੀ ਤੁਹਾਨੂੰ ਮਸ਼ਵਰਾ ਦੇਣ ਵਾਲੇ ਨਾਲ ਆਪਣੀ ਪਕਹਲ ਭਾਸ਼ਾ ATI-70121; in and Long-Term English/Urdu: Care (MOHLTC ATI-70122; in ). English/Pu ਕਵੱਚ ਗੱਲਬਾਤ ਿਰਨ ਲਈ ਕਵਸ਼ੇਸ਼ ਸਮਾਂ ਦੇ ਸਿਦੇ ਹਨ।

ਪੜਤਾਲ ਸ਼ੁਰੂ ਿਰੋ

ਸੀ ਤਾਂ ਇਹ ਪਤਾ ਿਰਨ ਲਈ ਕਿ ਤੁਹਾਨੂੰ ਹੈਪੇਟਾਈਟੱਸ ਦਾ ਹੈ।ਇਹ ਨਹੀਂ, ਟੈਸਟ ਿਰਵਾਉਣਾ ਹੀ ਇੱਿ ਰਸਤਾ ਹੁੰ ਪਤਾ ਿਰਨ ਲਈ ਦੋ ਟੈਸਟਾਂ ਦੀ ਲੋ ੜ ਹੈ।

ਟੈਸਟ ਪਕਹਲਾ ਟੈਸਟ: ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਦਾ ਐਂਟੀਬਾਡੀ ਿਰਵਾਉਣਾ

ਰੋਗਨਾਸ਼ਿ ਵਾਇਰਸ ਲੱਗ ਜਾਣ ਕਪੱਛੋਂ, ਇਹ ਟੈਸਟ ਅਕਜਹੇ ਤੁਹਾਡਾ ਸਰੀਰ ਅੰ ਸ਼ਾਂ (ਐਂਟੀਬਾਡੀਜ਼) ਦਾ ਪਤਾ ਿਰਦਾ ਹੈ ਜੋ ਤੁਹਾਡੇ ਖ਼ੂਨ ਅੰ ਦਰ ਪੈਦਾ ਿਰਦਾ ਹੈ ।

ਲਈ ਵਾਇਰੱਸ ਲੱਗ ਜਾਣ ਕਪੱਛੋਂ, ਟੈਸਟ ਕਵੱਚ ਆਉਣ ਬਣਾਉਣ ਤੁਹਾਡੇ ਸਰੀਰ ਨੂੰ ਰੋਗਨਾਸ਼ਿ ਅੰ ਸ਼ਾਂ (ਐਂਟੀਬਾਡੀਜ਼) ਹਨ। ਲਈ ਛੇ ਹਫ਼ਕਤਆਂ ਤੋਂ ਛੇ ਮਹੀਨੇ ਲੱਗ ਸਿਦੇ

njabi: ATI-70123

; in English/Ta

ਇੱਥੇ ਕਸਹਤ ਨਾਲ ਸੰ ਬੰ ਕਧਤ ਮਾਮfਲਆਂ, ਸਮੇਤ ਹੈਪੇਟਾਈਟੱਸ ਸੀ, ਬਾਰੇ ਤੁਹਾਨੂੰ ਮੁਫ਼ਤ ਅਤੇ ਗੁਪਤ ਸਲਾਹਮਸ਼ਵਰਾ ਕਦੱਤਾ ਜਾਂਦਾ ਹੈ।ਹਰ ਜਾਣਿਾਰੀ ਨੂੰ ਗੁਪਤ ਰੱਕਖਆ ਜਾਂਦਾ ਹੈ। ਟੈਸਟ ਿਰਵਾਉਣ ਲਈ ਉਹ ਤੁਹਾਨੂੰ ਉਨਟੇਰੀਓ ਅੰ ਦਰ ਕਿਸੇ ਿਕਲਕਨਿ ਿੋਲ ਵੀ ਭੇਜ ਸਿਦੇ ਹਨ।

丙型肝炎与甲型、乙型肝炎有什么区别

ਆਪ ਜਾਂ ਭਾਵੇਂ ਕਿਸੇ ਕਵਅਿਤੀ ਅੰ ਦਰੋਂ ਵਾਇਰੱਸ ਆਪਣੇ ਨ ਅੰ ਦਰ ਇਲਾਜ ਦੁਆਰਾ ਖ਼ਤਮ ਹੋ ਜਾਵੇ, ਕਫਰ ਵੀ, ਖ਼ੂ ੂਦ ਰਕਹੰ ਦੇ ਹਨ। ਰੋਗਨਾਸ਼ਿ ਅੰ ਸ਼ਾਂ (ਐਂਟੀਬਾਡੀਜ਼) ਸਦਾ ਮੌਜ ਕਸਰਫ਼ ਇਹ ਅਕਜਹੇ ਰੋਗਨਾਸ਼ਿ ਅੰ ਸ਼ਾਂ ਦੀ ਹੋਂਦ ਦਾ ਭਾਵ ਸੀ ਕਿਸੇ ਨਹੀਂ ਹੁੰ ਦਾ ਕਿ ਉਸ ਕਵਅਿਤੀ ਰਾਹੀਂ ਹੈਪੇਟਾਈਟੱਸ ਵਾਇਰਸ ਦਾ ਦੂਜੇ ਕਵਅਿਤੀ ਨੂੰ ਲੱਗ ਸਿਦੀ ਹੈ। ਖ਼ੂਨ ਅੰ ਦਰ ਹੈ। ਪਤਾ ਿਰਨ ਲਈ ਦੂਜੇ ਟੈਸਟ ਦੀ ਲੋ ੜ ਪੈਂਦੀ

St Cath ar Ontario ines 4G2 Ca na da Mਟ:5J ਦੂਜਾ ਟੈਸ ਵਾਇਰਸ ਦਾ ਟੈਸਟ ਿਰਨਾ

ਸੋਮਵਾਰ- ਸ਼ੁੱਿਰਵਾਰ: 10:00 ਸਵੇਰ ਤੋਂ ਲੈ ਿੇ 10:30 ਸ਼ਾਮ ਤੱਿ ਸਕਨੱਚਰਵਾਰ- ਐਤਵਾਰ: 11:00 ਸਵੇਰ ਤੋਂ ਲੈ ਿੇ 3:00 ਸ਼ਾਮ ਤੱਿ

ਵਧੇਰੇ ਜਾਣਿਾਰੀ ਹਾਸਲ ਿਰੋ yourlanguage.hepcinfo.ca ‘ਤੇ ਜਾਓ ਯਾਦ ਰੱਖੋ:

做化验检查。

断自己是否做化验检查是判 • ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਕਜਗਰ ਉੱਤੇ ਅਸਰ ਪਾਉਂਦੀ ਹੈ। ਵਾਇਰਲ ਲੋ ਢ 途径。 ਇਹ ਵੱਖ ਵੱਖ ਤਰ੍ਹਾਂ ਇੱਿ ਕਵਅਿਤੀ ਦੇ ਖ਼ੂਨ ਤੋਂ ਦੂਜੇ ਇਹ ਟੈਸਟ (ਕਜਸ ਨੂੰ ਪੀ ਸੀ ਆਰ ਟੈਸਟ, 感染丙肝的唯一 ਹੈ)ਤੁਹਾਡੇ ਦੇ ਖ਼ੂਨ ਰਾਹੀਂ ਫੈਲਦੀ ਹੈ। ਟੈਸਟ ਜਾਂ ਆਰ ਐਨ ਏ ਟੈਸਟ ਕਿਹਾ ਜਾਂਦਾ ਕਜਉਂਦਾ ਹੈ ਜਾਂ 才能知道您 ਸਰੀਰ ਕਵੱਚ ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਦਾ ਵਾਇਰਸ • ਕਬਨਾ ਲੱਛਣਾਂ ਦਾ ਪਤਾ ਲੱਗੇ, ਹੈਪਟ ੇ ਾਈਟੱਸ需要做两项化验 ਸੀ ਤੁਹਾਨੂੰ ਦਾ ਭਾਵ ਨਹੀਂ ਸੀ ਦਾ ਪਤਾ ਿਰਦਾ ਹੈ। ਨਾਂਹ ਕਵੱਚ ਨਤੀਜੇ 炎。 ਿਈ ਸਾਲਾਂ ਤੱਿ ਲੱਗੀ ਰਕਹ ਸਿਦੀ ਹੈ, ਭਾਵੇਂ是否感染丙型肝 ਵਾਇਰਸ ਲੱਗੀ ਹੋਈ। ਹੈ ਕਿ ਕਵਅਿਤੀ ਨੂੰ ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਨਹੀਂ ਤੁ ਹ ਾਡੇ ਕਜਗਰ ਨੂ ੰ ਨੁ ਿ ਸਾਨ ਪਹੁੰ ਚਾਅ ਕਰਹਾ ਹੋ ਵ । ੇ ਦਰ ਅੰ ਟੈਸਟ ਦੇ ਹਾਂ ਕਵੱਚ ਨਤੀਜੇ ਤੋਂ ਭਾਵ ਹੈ ਕਿ ਕਵਅਿਤੀ 液筛查的输血是风险之举。如果：丙肝病毒抗体化验 ਸਿਦਾ ਹੈ। • ਟੈਸਟ ਿਰਵਾਉਣਾ ਹੀ ਇੱਿ ਤਰੀਿਾ ਹੈ ਇਹ第一项检查 ਪਤਾ ਵਾਇਰੱਸ ਮੌਜੂਦ ਹੈ ਅਤੇ ਉਹ ਦੂਕਜਆਂ ਨੂੰ ਲੱਗ 您在来加拿大之前输过血， ਿਰਨ ਲਈ ਕਿ ਤੁਹਾਨੂੰ ਹੈਪੇਟਾਈਟੱਸ ਤਾਂ ਨਹੀਂ । 您会接触丙肝病毒之该检查看身体在有可能被输过未 ਇਸਦਾ ਇਲਾਜ ਮੌ ਜ ਦ ੂ ਹੈ । ਿਈ ਲੋ ਿ ਇਲਾਜ ਪੂ ਰ ਾ 经筛查的血。 ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਬਾਰੇ ਹੋਰ ਕਿੱਥੋਂ ਿਰਦੇ ਹਨ ਅਤੇ ਇਸ ਵਾਇਰਸ ਤੋਂ ਖਕਹੜਾ ਛਡਵਾਉਣ 后是否在血液中产生抗体。 • 在准备和注射药品毒品的过程中 ਦੇ ਯੋਗ ਹੋ ਜਾਂਦੇ ਹਨ। ਜਾਣਿਾਰੀ ਲਈ ਜਾ ਸਿਦੀ ਹੈ। 共用针头和器具

galog: ATI-70124 .

ਉਨਟੇਰੀਓ ਕਵੱਚ ਜਾਣਿਾਰੀ ਲਈ ਮੁਫ਼ਤ ਫੋਨ ਿਰੋ: 1-800-668-2437

PAINT ME: SELF-PORTRAITS BY PEOPLE LIVING WITH HEP C 有关肝脏的常识

，这些针头和器 ਹੈਪੇਟਾਈਟੱਸ ਸੀ ਦਾ ਟੈਸਟ ਜਰੂਰ ਿਰਵਾਉ ਸਥਾਨਿ 具可能带血 —— 有时候哪怕量 ਉਨਟਾਰੀਓ ਤੋਂ ਬਾਹਰ ਹੋਣ ਦੀ ਸੂਰਤ ਕਵੱਚ ਵਾਲੇ ਨਾਲ ਵਸੇਬਾ ਸੰ ਸਥਾ ਅਤੇ ਕਸਹਤ ਪਰਦਾਨ ਿਰਨ 少得不为肉眼所见。即便共用器 ਸੰ ਪਰਿ ਿਰੋ।

在接触病毒之后，人体可能需要六个星期至六个月的时间才能产生足

够多的抗体以被化验检查到。材仅仅一次也属高风险。用于抽 ਸੰ ਬੰ ਧੀ 通过自身或治疗清除病毒的人，他吸或者嗅吸药品毒品的玻璃管、 ਟੁਰਾਂਟੋ ਪਕਬਲਿ ਹੈਲ਼ਥ ਕਵਖੇ ਹੈਪੇਟਾਈਟੱਸ ਜਾਣਿਾਰੀ ਲਈ ਫੋਨ ਲਾਈਨ 们的血液里仍会一直保留有抗体。吸管或钱币可能带有来自皲裂嘴 ੂ ਹੈ ਕਜੱਥੇ 唇的少量血液或者微量鼻血。有抗体并不一定意味着这个人能将 ਸੰ ਪਰਿ ਿਰੋ: ਇਹ ਲਾਈਨ ਸਾਰੇ ਹੀ ਸੂਬੇ ਭਰ ਅੰ ਦਰ ਮੌਜਦ 段 ਉਰਦੂ, yourlanguage.hepcinfo.ca 丙肝传染给别人。这时需要作第二 ਸਲਾਹ-ਮਸ਼ਵਰਾ ਦੇਣ ਵਾਲੇ ਕਹੰ ਦੀ, ਪੰ ਜਾਬੀ, 的不同阶 • 共用纹身， ਭਾਸ਼ਾਵਾਂ 身体穿环或针灸 www.catie.ca • 1-800-263-1368 ਰ ਹੋ 肝脏受损 ਿਈ ਅਤੇ ੀਜ਼ ਨ ਟੋ ਨ 器件： ਿੈ , ਟੈਗਾਲੋ ਗ, ਮੈਂਡਰੇਨ 项化验以查看血液中的病毒。 ਤਾਂ ਿਰਦੇ ਹੋ染剂、针头和器具可能因带血而传 ਕਵੱਚ ਗੱਲਬਾਤ ਿਰਦੇ ਹਨ। ਜਦੋਂ ਤੁਸੀਂ ਫੋਨ 染丙肝。这通常发生在器具未经第二项检查：丙肝病毒化验消毒而重复使用的各种情况下。 Andrea Zariwny ਵੱਲੋਂ ਜੀਵ ਡਾਿਟਰੀ ਦੇ ਕਚਤਰ। （称作聚合酶链反应[PCR] 2012, ਸੀ ਏ ਟੀ ਆਈ ਏ (ਿੈਨੇਡੀਅਨ ਏਡਜ਼ ਟਰੀਟਮੈਂਟ ਇਨਫ਼ਰਮੇਸ਼ਨ ਐਿਸਚੇਂਜ) ਸਾਰੇ此项检查 ਹੱਿ ਰਾਖਵੇਂ ਹਨ। • 共用或借用个人©ਸੀ卫生用品， ਏ ਟੀ ਆਈ ਏ ਦਾ ਆਰਡਰ ਿਰਨ ਲਈ ਿੇਂਦਰ ਨੰਬਰ No: ATI-70123 例如测试，也称化验， Ontario Ministry of Health and Long-Term Care (MOHLTC) ਵੱਲੋਂ ਫ਼ੰ ਡ ਮੁਹੱਈਆ ਿੀਤੇ ਗਏ是一种病毒载量 ਹਨ। 剃刀、牙刷或指甲剪，丙型肝炎是在病毒感染者的血液进这些东西如作核糖核酸[RNA]化验）检测活跃果有血在上面，就会传播丙肝。这入到别人的体内血流时传播的。感染的丙肝病毒的感染情况。阴性结果种情况还包括理发店里重复用于通常在皮肤、鼻腔柔软粘膜、口腔或说明您没有丙肝；阳性结果意味着不同顾客的不经消毒的剃刀。肛门有破损的情况下发生。丙肝病毒您有丙肝，并且会传染给别人。生存力强，可以在体外存活很多天。 • 无保护的性接触中出现血的已经干了的血液也能传播病毒。情况（如月经期间、粗暴性交或肛交），可以传播病毒。丙肝病毒通过以下一些方式进入人体：在安大略省之外请与当地医疗 • 怀孕或者分娩的过程。怀孕 • 不安全的医疗操作，例如在手机构或安家服务机构联系. 或分娩的过程中，感染丙肝术，输血和疫苗接种时重复使用的母亲将病毒传给婴儿的多伦多公共卫生局的肝炎信息热线未经消毒（不卫生）的器具。风险是很低的。只要乳头 • 加拿大1992年以前进行的输血这是一个全省范围的热线服务，辅导没有破裂或者出血，母乳喂属高风险，因为常规的血液病毒员以印地语、旁遮普语、乌尔都语、塔养没有传播丙肝的风险。筛查直到这一年才开始。未经血加拉语、普通话、粤语及其他多种语言

提供服务。您致电时，该服务可能会为您安排使用您首选语言的咨询时间。该服务就包括肝炎、艾滋病、性健康等健康问题提供免费和匿名的咨询服务。他们还可以转介您到安省范围内的诊所做化验检查。安大略省免费热线：1-800-668-2437 星期一至星期五：上午10 点至晚上10点30分星期六和星期天：上午11点至下午3点

如需更多信息请访问网页： yourlanguage.hepcinfo.ca

The paintings found in this issue of HepCInfo are just three of the 36 self-portraits created by people living with hepatitis C who participated in Paint Me, a 2013 art project that explored life with the virus from a personal perspective. Paint Me was part of the Toronto Community Hep C Program, a support program whose goal is to provide people with hepatitis C a chance to get medical care and support in a safe, inclusive environment. Hepatitis C treatment is a large part of the program, with group members at all stages of the treatment journey. The program regularly includes an art project, which contributes to social connectedness, self-examination, self-expression and healing. Art is also a valuable tool for advocacy and for addressing issues of stigma and discrimination, inequality, poverty and social exclusion. The process of participating in Paint Me allowed each group member to create a unique and beautiful piece of art. Together these 36 self-portraits make a powerful statement about people in the community living with Hep C. 乙型肝炎在病毒感染者的血液、精液或阴道分泌液接触别人的血液时得到传播。例如，病毒可能在无保护的性接触过程或分娩过程中传播。乙肝是传播最为广泛的疾病之一，非常容易在人与人之间传播。大多数感染乙型肝炎的人可自行将病毒清除于体外，身体也会对病毒产生免疫。一些人的状况则发展成慢性感染。治疗可以帮助减缓和控制病毒的发展，却不能清除病毒。加拿大有甲型和乙型肝炎的疫苗可供广泛使用。您可以向医生或医疗机构咨询有关接种的事宜。在安省，很多人可以免费接种疫苗。

丙型肝炎病毒

‫ہیپاٹئٹس سی کا وائرس‬

•

filters chemicals and other substances that enter the body helps digestion helps the production of your blood and many proteins

Magpa-eksamen.

ੀ ਕਜਗਰ ਬਾਰੇ ਜਾਣਿਾਰ

simplifiedchinese. hepcinfo.ca

atay laban Matatag ang pero ito sa mga sakit, ala ay maaaring mapins bagay ng maraming alak, mga tulad ng virus, at droga. kemikal, gamot Mahalagang ang atay pangalagaan ay … hindi ka mabuh kung wala ito!

ng pagsalin ng kontaminadong dugo, at ng pakikibahagi sa kagamitang pang-droga, katulad ng hiringhilya. • Hindi sumasailalim ang mga imigrante sa eksaminasyon para sa hepatitis bago pumasok sa Canada. Iniiksamen ang mga imigrante para malaman kung sila ay mayroong syphilis, HIV at tuberculosis. Hindi sila iniiksamen para sa hepatitis A, B, o C. • Kadalasan walang sintomas ang mga taong may hepatitis C. Maaaring hindi nila alam na sila ay may hepatitis C hanggang malala na ang kondisyon ng atay o mayroon na silang kanser sa atay. • Nakakaranas ang mga imigrante ng mga hadlang sa pangangalaga ng kasulusugan at sa pagkuha ng mga mahalagang eksaminasyon. Madalang ang paggamit ng mga imigrante ng serbisyong pangkalusugan. Maaring hadlang sa mga immigrante ang kultura at wika sa kanilang paggamit ng serbisyo at pagkuha ng impormasyon. • Kadalasang hindi pinangunguna ng mga imigranteng bago sa Canada ang kanilang kalusugan. Hindi prioridad ang kalusugan ng mga taong bagong dating sa Canada. Nakakaapekto ang stress sa kanyang paggamit ng droga, alak, diyeta at nutrisyon. Maaaring umabot ng ilang mga taon bago makahanap ng doktor na pampamilya. Kadalasan, gumagamit ang mga imigrante ng serbisyong pangkalusugan sa biglang pangangailangan lamang.

The liver is very important because

•

•

There is a vacci and B but not ne for hepatitis A for hepatitis C. Hepatitis A is ingest fecal transmitted when peop matter usual le contaminat ly through ed is no treatm water, drinks or food. There ent for hepat infection usual itis ly clears on A but the the body becom its own and es immune to the virus. Hepatitis B can be sprea blood, seme d when the n who has the or vaginal fluid of a perso virus comes n with the blood in contact example, the of another person. For during unpro virus can be passed tected sex or during childb irth.. It is one to a baby widespread of diseases and the most from person spreads easily to get hepatitis person. Most people who B own and their clear the virus on their to the virus. body becomes immu ne Some infection. Treatm experience a chron ic ent can help and manage the virus, but slow down will not clear it. Vaccines to protec and B are widely t against hepatitis A Ask your docto available in Canada. provider about r or healthcare getting vaccin Many peop ated. le receive this in Ontario can vaccination for free.

St Catha Ontario rines Ca na da M5J 4G2

和

Maaaring kumalat ang hepatitis B kapag nasalinan ng dugong may hepatitis B ang isang taong wala nito. Mga halimbawa: maaaring ‫ئی ک‬ipasa ang virus sa pamamagitan ‫رہنام تابچہ‬ng walang proteksyon. Maaari ng pagtatalik ring ipasa ang virus sa isang sanggol habang ito ay ipinanganganak. Ang hepatitis B ay isa sa mga pinakalaganap na sakit at madaling mahawa dito. Karamihan sa hepatitis B ay kusang mga ‫ میں‬taong may gumagaling. ‫ اور انگلش‬Pagkatapos gumaling ang isang tao sa hepatitis B, nakakagawa ang katawan ng mabisang depensa laban sa mga susunod na impeksyon ng hepatitis B.

ੱ ਗਾਇ ਇਿ ਡ

ng kanang bahagi Ang atay ay nasa ng tadyang. Ito ang . katawan, sa ilalimorgan sa loob ng katawan pinakamalaking sa ito ay: ang atay dahil Napakahalaga l ਤੇ ng mga kemika ਅਗ ੰ ਰਜ • nagsasala gamot) at ੇ ੀ ਕਵ ੱਚ (halimbawa: na mga ibang bagay katawan sa pumapasok sa • tumutulong pagkain pagtunaw ng a paggaw sa • tumutulong mga ng dugo at protina sa katawan ਅ

urdu. hepcinfo.ca

Ano ang pagkakaiba ng hepatitis C sa hepatitis A at B?

‫یک‬

‫کچھ جگر کے بارے میں‬

IN

How is hep atiti different from s C hepatitis A and B?

The hep atitis C viru

Tungkol sa atay

A

T

Many of the tests for Hep C require blood to be taken. This can be hard if your veins are bad. There are some things you can do to make it easier to have your blood taken: • Show the health worker which veins are good to draw blood from. • If you feel comfortable, ask a health worker if there is a person on staff who is good at taking blood from damaged veins. • Get your body warm. This can make it easier to take blood. Take a hot bath or shower before you go About the liver

yourlanguage. hepcinfo.ca

Order free brOchures abOut hep c in yOur language.

LOG

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What you should know about hepatitis C

How is Hep C treated?

GABAY SA W NG I SA

L IS

GALOG

The liver is on the right side of your body, under the ribs. It is the largest internal organ in your body.

Should you get tested?

TAG A

TA

IN

ENG

NG KA

‫جسم کے ا‬

1-800-263-1638

肝 ng Kaalaman tungkol sa Paggamot 的人经常难以对健康 © 2012, CATIE (Palitan 间内永久性地侵害 ATI-70124. Numero sa Sentrong Bilihan ng ਤੋਂCATIE: ਪਕਹਲਾਂ ਤੁਹਾਡੇ ਖ਼ੂਨ ਦੀ ਬਦਲੀ ਿੀਤੀ ਗਈ ਹੋਵੇ 问题给予优 Care (MOHLTC). Ang pondo para sa proyektong ito ay nanggagaling sa Ontario Ministry of Health and Long-Term 先关注。创建新生活的脏并影响其功能。身体里的肝脏过程中，许多其他问题得到优先考虑。压力可以影响人对麻醉保护肝脏至关重品的使用、饮食和总体健康状况。要。。。没有肝脏找到一位家庭医生可能需要数年时间，人就无法存活！许多人只有在紧急情况下才就医。

a ndm Ave G ra o o d W 123 nto o r 丙型肝炎的信息为 To 什么对加拿大的移民很重要？

肝病例发生在移民在加拿大，20%的丙人口中比在人口中。丙肝的发生在移民。您可能感更为常见加拿大的总人口中不知道，原因如下：染了病毒而自己却肝感染的各种风 • 很少人知晓丙病例是由险。全世界40%的丙肝

及早化验检查和诊断让您更健康和安心。

a dm Ave d an Gr Wo o 123 onto Tor

丙型肝炎通过血液接触传染

丙型肝炎咨询机构

切记： •

丙型肝炎影响肝脏健康，它通过多种血液接触传播。

•

您可能感染丙肝多年而不感觉任何症状，然而病毒却正在损害您的肝脏。

•

做检查是判断是否感染丙型肝炎的唯一方式。目前有对丙型肝炎的治疗方法。很多人在治疗结束时，体内病毒得以清除。

联系方式： yourlanguage.hepcinfo.ca www.catie.ca • 1-800-263-1368

生物医学插图由Andrea Zariwny制作。 © 2012 (加拿大艾滋病治疗信息交流中心)。版权所有。 CATIE 订购中心号码：ATI-70121 由Ontario Ministry of Health and Long-Term Care (MOHLTC)资助


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To stay safe, it’s best to use new sterile equipment every time you inject drugs. This includes new needles, syringes, cookers, filters, water and swabs. Your tie (tourniquet) does not need to be new every time if you are the only one using it.

Protect yourself and others from Hep C if you inject drugs Hep C lives in one body fluid: blood. It does not live in spit, tears, cum or vaginal or anal fluids. For someone to get Hep C, the blood of someone with Hep C has to get into the other person’s bloodstream. Some activities can put people at risk for getting or passing on Hep C. One of those is sharing injection drug use equipment.

Staying safe while injecting drugs Sharing injection drug use equipment is the main way people get Hep C. Any reused drug equipment can have invisible amounts of blood carrying Hep C, HIV or Hep B that can infect someone. To stay safe, it’s best to use new sterile equipment every time you inject drugs. This includes new needles, syringes, cookers, filters, water and swabs. Your tie (tourniquet) does not

need to be new every time if you are the only one using it. Planning ahead: Do you have the equipment you need? Having new sterile equipment—and enough of it for every time you inject— helps reduce the chance of Hep C passing from one person to another. If you always have extra equipment around, it is easier to avoid situations where you

borrow from or share with other people. Dealing with the pressure to share drug use equipment If you are injecting in a group, there may be pressure to share equipment. To deal with that pressure, you might: • Avoid situations where you know sharing happens • Bring extra new needles and equipment for yourself and other people

How to clean up blood spills safely

1x Bleach

1

2

Put on new latex or vinyl gloves.

3

Carefully collect any sharp objects, such as broken glass, and put them in a sturdy plastic container such as one used for detergent.

4 Wipe up blood using paper towel or disposable cloths.

9x Water

Make a solution of 1 part bleach to 9 parts water.

10 mins 5 Cover the area where the blood was with the bleach solution. Let bleach solution sit for 10 minutes (at least).

6 Wipe up the bleach solution using paper towel or disposable cloths.

7 Place the paper towel or cloths and gloves into a durable bag and seal it.

8 Wash hands with lots of soap and water.

1-800-263-1638 • Learn how to safely prepare and inject your drugs yourself, so you’ll have more control over when and how you use


Finding a safer space to inject Some places are safer than others for injecting drugs. Try to pick a place that has a lot of light, running water for washing your hands, and an area to lay out your stuff. Also, if you can, pick a place where you feel safe and won’t be interrupted, especially from police, so that you can take as much time as you need to safely inject.

for Hep C and other infections such as HIV, Hep B and abscesses. Whenever possible, wash your hands and the work surface with soap and water. You can also lay down some newspaper to use as a work surface. It’s also important to clean the injection site on your skin with soap and water or an alcohol swab before you inject. If you’re using an alcohol swab wipe in one direction to move dirt and germs away. Wiping in circles just pushes the dirt and germs around in the same place on the skin.

Preparing the space and yourself Wherever or whatever you inject, being as clean as possible is your best bet for making sure you don’t get dirt or germs in your veins. Veins are an entry point

Taking care of your veins When you inject a lot, your veins can collapse or become hard, making it difficult for you to inject into them. There are a number of steps you can

take to help keep your veins healthy: • Rotate your injection sites to give your veins a chance to heal between injections. Avoid injecting into your neck, groin, penis, breasts, eyes and feet. These sites are very dangerous to use because injecting into them can cause serious health problems, like an overdose, abscesses or puncturing an artery. • Draw up your drug through a filter to keep out bits that didn’t dissolve. These bits can get in your lungs and cause scarring and breathing problems (chalk lung). Dental filters are best, but if you don’t have them you could use some cotton from a Q-tip. Try not to use cigarette filters because they can cause health problems.

• Use a pinch of vitamin C or citric acid to dissolve drugs like brown heroin or crack (instead of lemon juice or vinegar, which can damage your veins). • Use a tie (tourniquet) to make the vein more visible. • Flag to make sure you are injecting into a vein. • Use a clean tissue or cotton ball to put pressure on the site after injecting to help stop the bleeding. Cleaning up after injecting Put all your used equipment (not just the needles) in a sharps biohazard bin or a hard container that has a lid (such as a detergent bottle, pop bottle or glass bottle). This way, there is less chance of someone else re-using your stuff or getting poked.

What about when you can’t get new needles or other injection equipment? Living in a place without a needle exchange program can make it hard to get new needles and other injection equipment. There are things you can do to avoid borrowing needles or other injection equipment if you can’t get new supplies: • Consider switching to drugs you can swallow (parachute), eat, smoke or snort until you can get new injection equipment.

•

Keep your own needle or syringe to re-use and don’t let anyone else use it. Mark it with tape, a marker or nail polish so that you know it is yours. Rinse the needle with cold water after you use it so blood does not dry in the syringe and clog it. (Note: This will not kill Hep C or HIV.) Stock up on needles, syringes, cookers, filters, water, swabs and ties when you can get to a harm

•

• •

reduction program. If you inhale drugs, stock up on pipes or stems, mouthpieces and screens. If you have to borrow used drug injection equipment, clean it with bleach before using it (see How to clean a needle with bleach, below). The bleach must be undiluted. This may kill HIV, Hep B and some bacteria but it does not kill Hep C.

How to clean a needle with bleach step-by-step It is safest to use a new needle for every injection. Cleaning needles with bleach won’t kill Hep C but it may kill HIV and Hep B and may decrease the amount of Hep C in a used needle. If this is your only option it is better than nothing!

1

2

Draw up clean water into the syringe.

3 Shake and tap the syringe to loosen blood drops.

4 Shoot out the water.

Repeat steps 1, 2 and 3.

30 sec

5 Draw up undiluted bleach into the syringe. The syringe should be completely filled so bleach touches the entire inside area and bottom of the plunger.

9 Draw up clean water into the syringe.

6

7

Let sit for 30 seconds (at least).

10

8 Shoot out the bleach.

11 Shoot out the water.

Repeat steps 9 and 10.

Repeat steps 5, 6 and 7.

If you have to re-use a cooker or a spoon, it can be soaked in undiluted bleach for 30 seconds (at least) and then rinsed thoroughly with clean water.


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To tell or not to tell?

Some tips for how to start a conversation about having Hep C If you find out you have Hep C, you may decide that you want to share this news with some people. You may want to tell: • Your doctor or nurse, so they can help you take care of your health. • A friend or family member you trust, so they can support you. • People you use drugs with, so together you can take steps to stay safe. In some cases you may want to keep the information private. For example, your landlord, co-worker, shelter staff worker or parole officer does not need to know if you don’t want them to know. When you decide to tell people that you have Hep C, start with people you trust, who will understand your situation and give you the support that you need.

Planning the conversation It may be hard to tell someone that you have hepatitis C. Here are a few ideas of how you can talk about it. As you will be sharing information that is important to you, try to think about where, when and how you would like to tell someone. • Choose a time that feels right. • Do you want to tell them over the phone, by e-mail or in person? • If you want to tell them in person, do you want to do it in a public or private place? • Do you want the person to keep it a secret? If so, be sure to let them know. Some people may want to learn more about hepatitis C after the discussion. CATIE has more information about hepatitis C at www.catie.ca. You can also order free

Hep C brochures from CATIE on the website or by calling 1-800-263-1638. Figuring out what to say If you are not sure what to say, you could try starting off with something like: • “I have something I’d like to tell you…” • “I feel that our relationship is strong, so I feel I can tell you that…” • “Remember how I went to the doctor’s office/clinic a few weeks ago?” It may also be helpful to tell the person that it’s OK if he or she does not know what to say. People may react differently when you tell them the news. Some people may react with shock, fear or judgment, especially if they do not know much about hepatitis C. When people react this way it may help to give them

information about Hep C. Give them time to take it in. If it feels OK for you, try to help them understand by sharing the information you’ve learned about Hep C with them. Sometimes people discriminate against people with hepatitis C Some people may not understand much about Hep C and may discriminate because they are afraid. Some people with hepatitis C have to deal with a lot of discrimination (being treated differently in a way that is negative), especially if they use drugs. The important thing to know is that you have rights just like everyone else and you should be treated with respect. Having Hep C often changes people’s lives. You may lose some friends, but you may also gain new ones.

WHEN DO I HAVE TO SHARE THAT I HAVE HEP C? (and likely other information) is given to local, provincial or territorial Public Health. There are rules in place to protect the privacy of personal information stored by Public Health. Insurance: An insurance policy is a contract. In an insurance application, personal health information is sometimes used to determine eligibility and cost. If questions are not answered truthfully—for example, if a person does not report that he or she has the hepatitis C virus—and the insurance company finds out, the insurance policy will not be valid. Sharing equipment to inject drugs: The criminal law in Canada is not clear about whether a person has a duty to disclose his or her Hep C infection when sharing drugs and drug equipment. As far as we know, there has

not been a case where a person with Hep C has been criminally charged for exposing someone to the virus by sharing drugs or drug equipment. During sex: It is unclear whether people who have Hep C have a legal duty to disclose to their sex partners before sex. Under Canadian criminal law, a person with a sexually transmitted infection has a legal duty to tell his or her partner about that infection before they have sex if the sex will involve a significant risk of serious bodily harm. It is not clear whether Hep C infection falls under this law. Until the courts figure this out, disclosure beforehand may be the safest way to avoid prosecution. This information is not legal advice. If you want legal advice about your particular situation, you should speak to a lawyer.

(Continued from page 1) illustration: Tammy-Lynn A., Toronto Community Hep C Program

For most situations, people with Hep C do not need to tell others about their Hep C status. At work and at home: Employees do not have to disclose to employers or unions that they have hepatitis C. Employers cannot ask about a hepatitis C infection during the application or interview process. There is no legal duty for a person with Hep C to disclose their infection to people they live with as long as there is no risk of Hep C passing. Getting health care: People can choose whether or not to tell healthcare providers about their Hep C infection. People with Hep C do not have a legal duty to tell them. On the other hand, healthcare providers can provide better care if they know about the Hep C infection. Hepatitis C is a reportable disease. This means that when a person is diagnosed with Hep C, his or her name

For more information about the programs that cover the cost of treatment, check out www.catie.ca or call CATIE at 1-800-263-1638.

Ever since I found out that I had Hep C I kind of thought “Wow, that was close.” I was engaging in risky behaviour for many years, even before I became an addict. My friends and family always said that I would “catch something or end up dead” So then one could say finding out I was Hep C positive was a wake-up call and now being in a group is a life-saver. Tammy-Lynn A.

Do you want to have children soon? It is possible to keep your partner safe and have a healthy pregnancy and baby if you have Hep C. However, if you are taking Hep C treatment you will need to wait six months after finishing treatment to try to have a baby because treatment can harm your unborn baby. This is true regardless of whether it is you or your partner who will become pregnant. So, even if your partner will carry the pregnancy and you are the one taking Hep C treatment, you need to wait six months after treatment before trying to conceive. The likelihood of passing on Hep C to your child is very low. What if you don’t know the answers to all of these questions? It may take some time to figure out the answers to all of these questions. You may want to talk to your doctor, nurse or another health worker to help you figure out what you want to do or how to get connected to the support you need. You can also call CATIE with your questions at 1-800-263-1638.

1-800-263-1638


ACROSS

2. Body fluid Hep C lives in 5. First stage of Hep C virus infection 8. First Hep C test 9. Sharing this while injecting drugs can pass Hep C from one person to another 12. Second stage of Hep C virus infection 14. A good person to talk to if you have Hep C 15. Number of genotypes, or strains, of hepatitis C

illustration: Maureen C., Toronto Community Hep C Program

CROSSWORD

DOWN

1. Second Hep C test 2. What cannot kill Hep C in a syringe? 3. Drink that is good for the liver 4. Goal of Hep C treatment 6. Severe liver scarring 7. What the liver destroys 10. Lots of this can hurt the liver 11. Main body part damaged by hepatitis C 13. Canada’s source for information about HIV and Hep C

No matter what the stigma is of having Hep C Being gay, being native or being put down by others, I am branching out like a tree I am taking a lot of courses like swimming, computer, yoga, and meditation I am looking forward to treatment now that I am in the Hep C program I am enjoying my life now Maureen C.

Answers — Across: 2. Blood, 5. Acute, 8. Antibody, 9. Needle, 12. Chronic, 14. Doctor, 15. Six; Down: 1. RNA, 2. Bleach, 3. Water, 4. Cure, 6. Cirrhosis, 7. Poisons, 10. Alcohol, 11. Liver, 13. CATIE

WAnT hEpATITIs C or hIV InforMATIon? We have many resources we can send you for free across canada.

We also have hep C and hIV educators standing by to answer your questions: Call 1-800-263-1638 (toll-free, anywhere in canada) or 416-203-7122 (for collect calls from prisons). Available Monday to Thursday, 10 a.m. to 6 p.m. (Eastern Time).

www.catie.ca |

@CATIEinfo


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© AIDS THUNDER BAY, 2013.

The Amazing Liver is part of the Blood2Blood Project created by AIDS Thunder Bay. Download The Amazing Liver and other hepatitis C resources at www.blood2blood.org