Hepatitis C is transmitted or spread when the blood from a Hepatitis C-infected person enters the bloodstream of someone who is not infected. Today, most people become infected with HCV by sharing needles or other equipment to inject drugs. Before 1992, when screening donated blood and organs for Hepatitis C was not standard in the United States, the disease was commonly spread through blood transfusions and organ transplants.
Hepatitis C can be transmitted through sex between a man and a woman, but the risk is low. Therefore, condoms are not routinely recommended for monogamous, heterosexual couples. The risk of Hepatitis C transmission is higher with unprotected anal sex between two men; using condoms will decrease this risk. All people with multiple sex partners should use condoms to reduce the risk of getting Hepatitis C and/or HIV.
Hepatitis C may be spread if there is a breakdown in the skin or lining of the mouth. Therefore, sharing of toothbrushes, razor blades and nail clippers is not recommended.
Is hep C contagious?
Hepatitis C transmission happens only through exposure to an infected person’s blood. It is not contagious like the common cold. You cannot get, or give, Hepatitis C by:
- Kissing
- Hugging
- Holding hands
- Casual contact
- Sneezing
- Coughing
- Sharing eating utensils
- Sharing food or drink
- Breastfeeding (unless nipples are cracked and bleeding)
Hepatitis C is believed to be transmitted only by blood. However, unlike many other blood borne viruses (like HIV) virtually any source of blood or blood products seems to be capable of carrying the virus, even if the source is indirect – like a used razor, for example. This makes hepatitis C far more transmissible than most other blood borne viruses – including HIV.
Many hepatitis C victims contracted the disease through blood transfusions in the 1970s and 1980s. Rates of post-transfusion hepatitis during this period were determined to have been between 8% and 10%. Effective bloodscreening for the virus was developed and implemented by 1990, which lowered the rates of post-transfusion hepatitis to less than 5% from 1990-1993. Since then, improved testing has led to drastic reductions in risk, down to less than 1% after 1993. However, anyone who had a blood transfusion prior to that time is at risk for having been infected. Incidence of hepatitis C infection among hemophiliacs remained high through 1993, because plasma used to treat hemophilia is often a mixture from many different donors. However, incidence of new infection among hemophiliacs has rapidly approached zero as better methods have been employed.
Tattooing, as well as many body piercing practices, such as acupuncture and ear-piercing, have contributed significantly to the spread of HCV, even in industrial nations. Needle-stick injuries, contaminated medical equipment, and blood spills in health care.
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