WHAT IS TREATMENT FOR HEP C?

Transcription

1 wwwcatieca (ATIE accepts collect calls from proners in anada) hepinfo sue three A handy mix of information Thinki about Hep treatment? 8 questions to ask yourself before you start ONTENTS PAGE 2 Get the basics: What? PAGE 3 Getti tested for Hep how does it work? Starti treatment a big decion Your physical health one of the main factors you and your doctor will consider when thinki about treatment Another important factor whether you are ready to start and to st on treatment Even though Hep treatment 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 w, the better your chances of cleari the virus Getti your life as stable as you can and findi support will help you manage treatment You need some time to put the right supports in place before you start treatment Below a lt of questions that can help as you think about treatment: How your physical health? Your doctor will do tests to determine how much damage has caused to your liver Other health sues 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 best to start treatment early, before you feel sick Th can be hard because you feel OK, but Hep can damage your body even while you feel well Starti treatment sooner than later increases your chances of sti healthy How your emotional health? If you feel down a lot or have a htory of depression, talk to your doctor about your options before you start treatment for Hep because it can cause depression in some people Starti antidepressant medication before you go on Hep treatment can prevent depression and make it easier to st on treatment haes Nicotine free Alcohol free And soon to be Hep free Thank you for my life back William B WHAT IS TREATMENT FOR HEP? The main goal of Hep treatment to clear the Hep virus from the body For a lo time, Hep 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 either boceprevir (Victrel) or telaprevir (Incivek) Some people have found these medicines difficult to take because they cause side effects, such as feeli like you have the flu and extreme tiredness There are new medicines that are bei 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 leths of treatment and will cure more people Some of the names of these new medicines are simeprevir (Galexos), sofosbuvir (Sovaldi) and daclatasvir Interested in learni more about treatment for Hep? Talk with a doctor or nurse for more information and to see if treatment could be right for you illustration: William B, Toronto ommunity Hep Program Got bad veins? Try these th to make your Hep test easier PAGE 4 Learn how to protect yourself and others from Hep if you inject drugs PAGE 5 8 steps to safely cleani up a blood spill PAGE 6 Hep A, B and are different Pl the game Learn the AB s To tell or not to tell? Tips for talki about havi Hep PAGE 7 rossword puzzle PAGE 8 Fighti infections! Destroyi poons! heck out what The Amazi Liver doi for you 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 heck with an AIDS service organization (ASO) or health centre about getti 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 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? Do you have a plan to stick to your meds? Think about what might help you or stop you from sticki 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 taki them and to help you figure out any possible problems you might have If you use street drugs, you want to chae when you use drugs so that you can take your meds at the same time every d Or be 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 Do you have a place to st? It can be easier to stick to treatment if you have a place to live If you don t have housi, there a family member or friend you can st with while you re starti or taki treatment? A peer or social worker also be able to help you access housi If you can t find housi, it still possible to go on Hep treatment You will need to find a place to store your medications, like a needle exchae program or a health centre Or you be able to pick up your medication each d at the pharmacy Do you need help coveri the cost of treatment? Hep drugs are expensive; however there are programs that will cover the costs of medications if you meet the qualifications continued on page Richmond Street West, Suite 505, Box 1104 Toronto, Ontario, anada M5V 3B1 2014, ATIE (anadian AIDS Treatment Information Exchae) All rights reserved ATIE Orderi entre No: ATI-70117_3 (aussi dponible en frança, ATI-70118_3) Funded in part by the Ontario Mintry of Health and Lo-Term are (MOHLT) Design: Jlightuptheskyca

2 2 hepinfo sue three catieca What? Hepatit infection caused by the virus (HV) Worldwide, about 170 million people have Hep In anada, about 250,000 people are livi with Hep Roughly 20% of people don t know they have the virus You can get Hep when blood containi the Hep virus gets into your blood stream In anada, the highest-rk activity for getti Hep usi drug equipment needles, syries, swabs, filters, spoons and water that has been used by someone else Taki care to avoid contact with materials that could have blood on them, even if you can t see any blood, will help you st safe The Hep 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 virus very stro Ordinary medicines like antibiotics do not kill viruses However, there are special medications to treat Hep that work for many people Genotype: 6 types of Hep There are at least six different types, or strains, of the Hep virus They are called genotypes The particular genotype a person has will affect h or her treatment decions Stages: Different outcomes of Hep infection There are 2 stages of Hep infection: 1 Acute infection happens when people are first infected and can last from a few weeks to six months Sometimes the body able to clear the virus on its own duri th stage 2 hronic, or lo-term, infection happens when a person has had Hep for six months or more hronic infection a concern because even though a person not feel sick, the Hep virus can still be damagi their liver Let s s 10 people have become infected with the Hep virus Two of the 10 will recover from the infection, or clear the virus on their own, duri the acute phase That means STAGES OF LIVER DAMAGE For up to 1 out of 4 people (25%) who become infected with Hep, the virus goes aw on its own duri the first six months after infection 3 out of 4 (75%) go on to develop chronic Hep and the virus does not go aw on its own their body fought the Hep virus and won The other eight people will go on to develop chronic Hep (which means that the Hep virus in their blood and liver more than six months after infection) It can take as lo as 20 to 30 years for the virus to cause serious liver dease or damage Th damage causes scarri and called fibros 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 Th called cirrhos If the dease continues to get worse, people can also get liver cancer or liver failure The virus goes aw on its own Livi with Hep : Show your liver some love! If you have Hep, you can take steps to reduce harm and prevent liver damage You might: see a healthcare provider find out about treatment for Hep learn tips for livi with Hep and preventi liver damage for example, you choose to drink less alcohol because alcohol can damage your liver even more These th can help you st healthy for a lo time with Hep Hep infection hronic Hep Possible inflammation, fibros Possible cirrhos, liver cancer or liver failure Just found out you have Hep or HIV? Got questions about your rk for Hep or HIV? We ll help in many ws: Talk with you about how to manage your health Answer your questions about Hep or HIV treatment Send you free educational resources Give you information through a confidential, toll-free telephone help line wwwcatieca We accept collect calls from prons at Mond to Thursd, 10 am to 6 pm (Eastern

3 sue three hepinfo 3 Hep testi: how it works Test 1: Hep Antibody Test Negative antibody test (no Hep antibodies) Positive antibody test (Hep antibodies in blood) Th does not mean a person has Hep A second blood test required to confirm if a person has Hep The person does not have Hep Test 2: RNA Blood Test Negative RNA test (no Hep RNA in blood) Positive RNA test (Hep RNA in blood) The person does not have Hep Their body has cleared the virus The person has Hep Learn more about how to protect yourself from Hep People with Hep have many options Talk to a health worker to find out more about them S what? Antibody test th test looks for antibodies, which are like footprints that the Hep virus leaves if it has ever been in your body RNA test th test looks for the actual virus in your body Bad veins & blood tests Hepatit : A concern amo newcomers and immigrants to anada Th that help UI A G DE AN D ould you have the virus and not know it? How Hep treated? I NG KA جگر کی حفاظت رضوری ہے کیونکہ آپ اس کے! زندہ نہیں رہ سکتے ہ یپاٹئٹس سی کی معلومات کینیڈ رہنے والے ایمیگرنٹس کے لیے کیو رضوری ہیں کینیڈا میں ہیپاٹئٹس سی فیصد واقعات ایمیگ 20 کے ہیپاٹئٹس - میں ھوتے ہیں ایمیگرنٹس میں زیادہ پایا سی مقامی کینیڈینز کی نس ھو سکتا ہے کہ - میں یہ وائرس موجود جاتا ہے ھو اور آپ کو اس کا علم نہ ھ : کیونکہ کچھ ہی لوگوں کو ہیپاٹئٹس سی کے خطرات کا علم ہ دنیا بھر میں ہیپاٹئٹس فیصد واقعات غیر 30 محفوظ طبی عمل کی سی کے جس میں وائرس زدہ خون کی وجہ سے ھوتے ہیں مشرتکہ رسنجوں اور منشی منتقلی کے لیے استعامل - ہونے واال سامان بھی شامل ہے sa Wala bakuna laban tao kusa Datapwat roo na buwan gumagali anim impeksyon; pagkatapos magkaroon n a karamihan nagkakarooo talamak lan impeksyo pamataga pumupuksa virus sa Mroo gamot na na a virus, hindi na katawan Kapag naal tao sa iba Maaari nakakahawa a a tao pagkatapos mahawa ulit a a magamot a kanya ہیپاٹئٹس سی کیا ہے ہیپاٹئٹس سی ایک جگر کی بیامری ہے جو ہیپاٹئٹس سی - وائرس کی وجہ سے ھوتی ہے ہیپاٹئٹس وائرس کئ اقسام کے ھوتے ہیں مثال ہیپاٹئٹس تاہم - بی اور سی جو کہ جگر کو متاثر کرسکتے ہیں اے - یہ کتابچہ ہیپاٹئٹس سی کے بارے میں ہے ہیپاٹئٹس سی کس طرح ہیپاٹئٹس اے اور بی سے مختلف ہے 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 آپ کو ہیپاٹئٹس سی کی بیامری اس صورت میں لگ سکتی ہے جب کسی ایسے شخص کا خون آپ کے دوران خون اس طرح یہ - میں آ جاۓ جو اس وائرس سے متاثرہ ھو جگر ایک - وائرس آپ کے جگر کو نقصان پہنچا سکتا ھے ایسا عضو ہے جو آپ کی صحت کے لیے بہت رضوری - ھے لیکن ہیپاٹئٹس سی کا عالج موجود ہے جو کہ جسم کو جب ایک بار وائرس کا - وائرس سے نجات دال سکتا ہے خامتہ ھو جاۓ تو پھر دورسوں کو آپ سے وائرس نہیں تاہم اگراحتیاط نہ کی جاۓ تو آپ کو یہ - لگ سکتا - وائرس دوبارہ لگ سکتا ہے tagalog hepcinfoca 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 Mroo bakuna laban sa A at B, pero wala bakuna laban sa Nakukuha a A sa pag-inom tubig o pagkain pagkai dumi tao Wala gamot sa A pero madalas kusa gumagali a tao sa sakit na ito Pagkatapos gumali a a tao sa A, a katawan natututo protektahan a sarili ku sakali magkaroon muli impeksyon Maaari kumalat a B kapag nasalinan dugo B a a tao wala nito Mga halimbawa: maaari ئی ک ipasa a virus sa pamamagitan رہنام تابچہ wala proteksyon Maaari pagtatalik ri ipasa a virus sa a sagol haba ito ipinaaanak A B a sa pinakalaganap na sakit at madali mahawa dito Karamihan sa B kusa میں tao gumagali اور انگلش Pagkatapos gumali a a tao sa B, nakakagawa a katawan maba depensa laban sa susunod na impeksyon B اردو A paggamot laban sa virus makakatulo sa pagkontrol at pagbawas virus at pinsala sa at, pero hindi ito nakapagtatagal virus sa katawan آپ سی ککو ہیپاٹئٹس میں ے بارے ھونا کیا معلوم چاہیے A Virus اس وائرس سے - ہیپاٹئٹس سی سے بچاؤ کا کوئی ٹیکا نہیں متاثرہ کچھ لوگ وائرس لگنے کے چھ مہینے کے اندر اندر - خود بخود اس انفیکشن سے نجات حاصل کر لیتے ہیں تاہم زیادہ تر افراد میں یہ ایک دامئی اور طویل املدتی - انفیکشن میں بدل جاتی ھے Ano a pagkakaiba sa A at B? A bakuna laban sa A at B madali makuha sa anada Bumita at kumonsulta sa doktor o sa iba tagapag-alaga kalusugan tukol sa pagpapabakuna Marami residente Ontario maaari makakuha libre bakuna ਸ ਪਟ ਈਟ ਨ ਤ ਹ ਸ ਬ ਰ ਣਨ ਝ ਜ ਲ ੜ Bakitਦ A at sa loob katawan roo Sa anada, 20% imigrante Mas madalas te, s sa imigran a kaso hepatitin populasyon kumpara sa kabuua g ikaw dahil: anada Maaarin hindi mo alam, impeksyon unit an ku a kaalam Iilan lama kuha : s sa paano nakaka kaso hepatiti 40% hindi resulta buo mundo g medikal, katulad maiat na gawain About the liver How hep atiti different from s A and B? pagsalin kontaminado dugo, at pakikibahagi sa kagamita pa-droga, katulad hirihilya Maaari magkaroon katahimikan kalooban at mas mabuti kalusugan sa pagkonsulta sa doktor at pagpapaeksamen ਪਟ ਈਟ ਸ ਸ ਵ ਇਰਸ punjabi hepcinfoca filters chemicals and other substances that enter the body helps digestion helps the production of your blood and many proteins The liver 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 Protecti your liver important you cannot live without it! The Liver within the body Why information important to immigrants in anada? In anada, 20% of cases are amo immigrants Hepatit more common amo immigrants than amo anada s general population You have the virus and not know it because: Few people know about the rks for infection Worldwide, 40% of cases are the result of unsafe a tai A pagpapa-eksamen ku ikaw ਸਮ, ਮਨ ਹ ਵ ਲ ਆ an paraan upa malaman Kinakaila ਨਸ਼ ਲ ਆ ਵਸਤ ਲ ਣ ਸਮ ਇ ਦ ਜ ਦ ਆ ਈਆ ਅਤ ਡਰ ਗ ਲ ਣ ਲਈ onਸ upa dalawa eksaminasy ਵਰਤ ਜ ਦ ਦ ਜ ਸ Hepatitic ਦ ਨ ਵਰਤਣ ਰਨ ਹ ਦ ਹਨ malaman ku ikaw medical practice transfus s, ions of con includi and sha taminated red nee blood, dles equipm ent for sub and other stance use Immigra are not nts enteri an require ada d to be for any tested kind of hepatiti People are rout s inely syphil, tested HIV and but not tubercul for for os Mos A, B or t people with hep do not atit exp They erience any sym are sick not find out they ptoms until they damage hav e liver or even liver can Imm cer igrants face healthc are and barriers to immigra testi nts in Ontario wait for three New Insuranc for their Ontariomonths e in anada Plan (OHIP) ImmHealth access igrants system less and the healthcare cultural and li often face utic to services and info barriers rmation Health for peo often hard to ple new prioritiz th can e to anada while buil take priority ove Many can affe di 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 ti cy test early can ed and diag and pea lead to bet ter nosed ce of min health d it: Magpa-eksamen ਕਜਗਰ ਬ ਰ ਜ ਣ ਰ Hindi sumasailalim a imigrante sa eksaminasyon para sa para malaman ku silaਦ ਇ ਕ ਬ ਮ ਰ, roo ਜ ਗਰ ਪਟ ਈਟ ਸ ਸ syphil, HIV at tuberculos Hindi ਹ ਦ sila ਪਟ ਈਟ ਸ ਸ ਨ ਮ ਦ ਵ ਇਰ ਸ ਕਰਕ iniiksamen para sa A, B, o Kadalasan ਤਰ ਹ ਦ ਹਨ ਜ ਨ ਹ ਤ ਜ ਗਰ ਕਈsintomas wala ਪਟ ਈਟ ਸ ਵ ਇਰ ਸ a ਪਟ ਈਟ ਸ ਏ tao ਹਨ,ਜ ਵ ਲ ਗਦ ਆ ਬ ਮ ਰ ਆ Maaari ਦ ਆ hindi ਈਟ ਸ ਸ nilaਅਤ ਪ alam na sila ਣਕ ਰ ਜਦ ਤ ਟ ਸ ਹਠ ਬ haga malala na a kondyon ਬ ਰ at o roon na sila kanser sa at ਉਦ ਹ ਦ ਦ ਜਕਸ ਪਟ ਈਟ ਸ Nakakaranas ਜਕਸ ਜਵਅਕਤ ਨ a imigrante ਮਰ ਦ ਖ ਨ ਉਸ ਜਵਅਕਤ hadla ਤ ਪ ੜ ਹ saਤpaaalaga ਪਟ ਈਟ ਸ ਨ ਲ kasulusugan, ਇਸ ਵ ਇਰ ਸ ਹ ਵ at sa pagkuha ਦ ਖ ਨ ਜਵ ਚ ਦ ਖਲ ਦ ਤ ਦਰ ਸਤ mahalaga ਭ ਵਤ ਹ ਦ ਜ ਗਰ Madala ਉਸਦ ਜ ਗਰ ਪ ਰeksaminasyon a paggamit ਦ ਹ ਸਕਦ ਜਸਹਤਮ imigrante ਰਜਹ ਹਣ ਨ ਲ ਹ ਆਦਮ serbyo pakalusugan Maari hadla sa ਕ ਝ ਲ ਕ ਨ ਕ ਈ ਟ ਕ ਨਹ a ਪਟ ਈਟ ਸ ਸ ਦ immigrante kultura at wika sa kanila ਹਫfਤਆ ਦ paggamit ਅ ਦਰ ਇਹ ਵ ਇਰਸ ਲ ਗਣ ਦ ਪਜਹਲ ਛ serbyo at pagkuha ਪਰ ਕਈ ਲ ਕ, impormasyon ਦ ਹ ਖ ਤਮ ਅ ਦਰ ਆਪਣ ਆਪ ਹ ਲ ਗ ਦ Kadalasa ਉਮਰ ਭਰ ਲਈ hindi ਲਈ pinauuna ਨ ਇਹ ਲ ਮ ਸਮ imigrante bago sa anada a kanila ਨ ਲ ਵ ਇਰਸ ਨ ਜ ਸ ਦ ਇਲ ਮ ਦ Hindi prioridad ਪਰ ਇਸ kalusugan a kalusugan ਦ ਵ ਇਰਸ ਸਕਦ ਕ ਤ tao bago ਸਰ ਰ ਅ ਦਰ ਖ ਤਮ dati sa anada ਤ ਹ ਡ ਤ ਇਹ ਦ ਜ ਆ a ਨ ਨਹ ਹ ਦ ਤ Nakakaapekto ਖ ਤਮ stress sa kanya paggamit ਵ ਹ ਸਕਦ ਰ droga, ਸਕਦ, ਪਰ ਇਹ ਤ ਹ ਨ ਦ ਬ ਲ ਗdiyeta alak, at nutryon Maaari umabot ila taon bago makahanap doktor na pampamilya Kadalasan, gumagamit a imigrante serbyo pakalusugan sa bigla paaailaan lama The liver very important because There a vacci and B but not ne for A for Hepatit A iest fecal transmitted when peop matter usual le contaminat ly through ed no treatm water, drinks or food There ent infection usual for A but the ly clears on the body becom its own and es immune to the virus Hepatit 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 duri unpro virus can be passed tected sex or duri childb irth It one to a baby widespread deases and of the most from person spreads easily to get 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 A Ask your docto available in anada provider about r or healthcare getti vaccin Many peop ated le receive th in Ontario can vaccination for free Gra ndma 123 Wood Ave onto St ator thar A numero ito ines para sa buo Onta rio M probinsya Ontario iba t a Nakakapagsalita na da 5J 4G2 iba wika, katulad Stages of liver damage Hepatit through bloo spread d-to-blood contact Hepatit of someone spread when the blood carryi the bloodstream the virus gets into of another usually happ ens through person Th skin or break breaks in the s nose, mouth in the soft lini of the or a stro virus anus Hepatit and can live of the body outside for blood can also many ds Dried pass the virus These are some can get inside of the ws your body: Unsafe medical pract ices such as surgeries, blood transfusions vaccinations and reusin that not steriliz g equipment ed ( not clean Blood ) transfusions done before 1992, which were in anada because routin high-r e blood scree k ni Hindi, Punjabi, Urdu, Tagalog, Mandarin at Kantones ਥ ਲ ਹ ਹ ਦ on ਨਡ ਅ ਦਰon: a tagapagpo dito Sa pagtawag eksaminasy ਦ ਸ ਜ ਪ ਸ ਪ ਸਲ ਆ ਆਉਣ ਵ ਲ ਆਵ ਸ ਆ ਦ ਕ ਸ ਕਜਗਰ ਤ ਹ ਡ ਸਰ ਰ A una eksaminasy ਹ ਦ ਵ ਕ ਸਮ ਦ ninyo, bibigyan ko tiyak na oras ਦ ਸਭ ਤ ਵ ਡ ਅ ਗ ਟ anti-body ਪਟ ਈਟ ਸ ਦ ਈ ਵ ਪਕਹਲ ਇਹ ਤ ਹ ਡ ਸਰ ਰ upa makipag-usap sa tagapag-po ਸਟ ਨਹ ਤ ਜ ਦ ਲ bago pumunta sa anada, ਦ ਐਚ ਆਈ ਵ maaari ਇਹ: nakapagsasalita inyo ginusto wika naghahanap, ਕ ਉ ਕ ਅਤ ਟ ਬ on ਮਹ ਤਤ ਆਕਦ ਤ ਹ ਸ ਦ ਕ ਤ ਸ ਅਕਜਹ ਖ ਨ ਪ ਪਤ ਅਕਹਮa ਦ ਟ ਸਟ A una eksaminasy hindi ਦ nasuri ਤ ਕਜਗਰ dugo naalin ਤ ਜ ਦ ਹਨ ਤ ਪਰ ginagawa ਪਟ ਈਟ ਸ ਹ ਵ ਕਜਸ ਦ ਜ ਚ ਨ ਤ ਗਈ ਹ ਵ ਏ ਬ sa antibodies, ਜ virus ਸ ਦ ਟ ਸਟ ਨਹ ਤ Nagbibig sila libre at anonymous A pinaghihiram-hiram ਹ ਣ ਵ ਲ naਰਸ ਇਣ hirihilya pagkatapos ਜ ਦ mahawa ਸਰ ਰ ਅ ਦਰ ਦ ਖ ਲ katawan at kagamita na po tukol sa, HIV at ਦਵ ਈਆ ਅਤ ਡਰ ਗ ਲ ਣ ਦ ਕਤਆਰ ਰਕਦਆ medikal o paਨ ਛ ਣਦ ਦ ਜ ਪਦ ਰਥ ਅਤna pakalusuga sekswal Maaari ligo haga droga ginagamit sa paghanda anim na ਜ ਉਨ ਹ ਦ ਟ ਲ ਉ ਕਦਆ ਪਕਹਲ ਵਰਤ ਆ Sa pagitan ਅ ਸਰ ਪਟ ਈਟ ਸ ਸ ਦ ਈ ਲ ਛਣ ਨਹ ko sabihan ku saan maaari at pag-iniksyonਨ pagkatapos mahawaan gamot ਰਨat droga ਹ ਈਆ ਇ ਦ ਜ ਦ ਆ ਸ ਈਆ ਅਤ ਸ ਜ anim na buwan ਕਦਸਦ ਪ ਟ ਇਕਟਸ ਭ ਜਨ ਆਕਦ ਹਜ ਮ -ਸਮ ਨ maaari ਸ ਵ ਲ ਬਹ ਤ ਬ ਮ ਰ ਨ magpa-eksamen sa Ontario magkaroon naglalaman maaari ਵਰਤਣ, ਕਜ ਰਦ dugo ਨ ਹ ਤ ਖ ਨ ਮ ਮ ਦਦ ਈ ਜ ਦ ਲ ਛਣ ਹ ਸ ਦ ਕਵ ਚ a - ਈ ਸ ਹ ਨਹ ਹ ਦ, ਹ ਸ ਦ antibodies minsan sa sobra konti hindi ਮਕਹਸ Libre tawag sa Ontario: sapat na bila ਵ ਰ ਏਨ ਘ ਟ ਮ ਤਰ ਕਵ ਚ ਕ ਤ ਸ ਵਖ ਉਨ ਹmakita ਨ ਓਦ ito dugo ਤ saਪਤ ਵ ਨ ਟ ਨ ਨ beses la ito ਦ ਜ ਪ a ਵ ਨ ਲ ਗ ਕ ਉਹ ਬ ਮ ਰ ਖ ਨ ਅਤKahit nakikita katawaan para ਸ ਦ ਹ ਵ ਅਕਜਹ ਸ ਜ -ਸਮ ਨ ਨ ਇ Lunes - Biyernes: 10:00am-10:30pm ਹਨ, ਜਦ ਤ ਉਨ ਹ ਦ ਕਜਗਰ humiram ਵ ਰ kagamitan, malaki ਕਵ ਚ ਮ ਦਦ ਰਦ pa ਨ ਨ ਬਣ ਉਣ ਵਰਤਣ ਵ ਭ ਰ ਖ ਤਰ ਹ ਸ ਦ ਸ ਸ kusa napuksa ਸ ਨ ਜ ਸਰ ਨਹ tao rin a paanib na makakuha ਹ ਜ ਦ ਦ ਆ a Sabado at Ligo: 11:00am-3:00pm Kahit na a ਤ ਅ ਗ ਹ ਦ ਮਜ ਬ ਅਕਜਹ ਆ ਨ ਲ ਆ, ਸਟਰ ਅ ਜ ਨ ਟ ਜ y sa paggamot ਕਜਗਰ ਬਹ ਤA Proseso y pipa krtal, ਲ a virus o matagumpa sa ਆਪਣ ਆਪ antibodies ਪਟ ਈਟ ਸ ਸ A, aਪsaਟata ਈਟ ਸ ਨਡ ਅ ਦਰ ਡਰ ਗ ਨ ਸ ਘ ਜ ਨ ਰ ਹ ਅ ਦਰ ਲ ਘ ਉਣ aਨਵ ਆਮ ਰ salapi, maaari ਅਤ traw naglalaman ਆਉਣ ਵ ਕਲਆ ਨ ਕਸਹਤ hindi mawawala ਲਈ Para makakuha antibodies ਕਫ ਰ ਵ, sa labi na iminsal ਵਰਤਦ ਹਨ, ਸ ਭਵ ਚ ਰ ਵ ਲ ਬ ਲ ਹ ਜ ਹ dugo ਭ ਲ ਅਤ ਟ ਸnਟ nagagali pagkakaroo ਠ ਹ ਜ ਦ Pamਤ ਰਵ ਉਣ ਸ a dugo A ਸ ਨ ਬ ਧ ਈ ਰ ਵਟ ਹ ਣ ਦ ਪੜ ਅ ਏਅਤ ਬ ਕ ਵ ਵ ਖਰ? ਰਸ ਇਣ ਅਤ ilo sugatਸ ਰ ਬ, ਕਵ ਚ ਥ ੜ ਹ ਕਜਨ ਵਗਦ ਖ ਨ ਰ ਹ ਲ ਗ ਵ o sa pagdurugo ਵ ਹ ਦ ਆ na ਨ ਸ ਨ ਨ impormasyon hindi indikasyon ਹਨ nakakahawa karagdaga ਵ ਇਰ ਸ, ਨ ਡ ਅ ਸ ਦ ਦਰ ਕਜਗਰ ਨਵ ਆਏ ਕਵਅ ਤ ikalawa ਵਸਤ ਆ ਕਸਹਤ ਸ ਭ ਲ ਪ nਣ ਲ a tao Kinakailaa Pakikibahagi ਝ ਦ ਜ ਆ ਨਸ ਲ ਆ kagamita ਦ ਘ ਟ ਵਰਤ ਰਦ ਹਨ ਪਟ ਈਟ ਸ ਏ ਉਦ ਹ ਦ ਜਦ ਲ ਗ ਦ ਪ ਣ, ਪ ਣ on para malaman ਨ ਕਜਗਰ tagaloghepcinfoca sa: eksaminasy ਡ o Pumunta ਹ ਕ ਉ ਕ ਤ test ਉਹਨ ਪ pa-tattoo, a pa-acupuncture ਨ ਸਮ ਕਸਹਤ Kumakalat ਟ ਟ, ਸਰ ਰ ਕਵ ਨ ਹਣ ਰਨ ਜ ਸ ਈਆ ਨ ਲ taoਸਵ ਵ ਅਤ ਜ ਣ ਰ ਵ ਲ ਆ ਦ ਜ ਆ ਵਸਤ ਜ ਭ ਜਨ ਦ ਆਰ ਮਲ-ਮ ਤਰ ਜ dugo ਹਨ ਅਤ o virus sa ਤ ਸ ਦ ਆ ku ਹ ਸਲ ਚ tea pabutas ਰਨ ਕਵ ਚ ਅ ਸਰ ਸ ਕਭਆਚ ਰ at katawan 不安全的医疗操作导致 ਨ ਸ ਨ ਪਹ ਜ ਣ ਵ ਲ的 ਦਗ ਖ ਲ ਦ ਹਨ ਪਟdugo ਈਟ ਸ ਏ ਦ ਇਲ ਜ ਈ ਇਲ ਜ ਲਈ ਇ ਅਤ ਦ Tandaan: ਜ ਦ ਸ ਜ ਸਮਰ ਥ saਗ paghalo ਸਮ ਨ 这 ਦ ਪ ਟ ਈਟ ਸ ਸ ਇ ਤ ਦ ਜ Maaari ਭ ਸ ਈ ਰ ਵਟ ਦ ਸ ਮ ਹ ਮ ਰਨ dugo na on: ਇਸ ਦ naglalaman ਵਰਤਣ ਕਸਆਹ, ਸ ਈਆ, ਸ ਜ -ਸਮ ਨ ਤ ਣ ਰਨ ਪ ਦ ਨਹ ਹ ਦ, ਆਮ ਰ ਇਹ ਆਪਣ ਆਪ ਹ ਖ ਤਮ ਹ 包括输了受污染的血 A ikalawa eksaminasy ਹਨ karom, ਵ ਤ a 使用麻醉 A nakakaapekto saਦdugo virus 简 ਅਸਰ ਪ ਸ ਦ ਆ 使用 tao on virus ਖ ਨ ਲ ਗ ਜ ਦ ਅਤ ਸਰ ਰ ਇਸ ਨ ਲ ਲੜ ਹਨ ਦ 体 ਵ ਇਰਸ ਰਕਹ ਸ ਦ ਕਜਸ ਨ ਜਰਮ ਰਕਹਤ eksaminasy ਕਵਅ ਤ ਦ ਖ ਨito ਦ ਸ ਪਰ ibaਰ ਹ sa iba t tinta at iba kagamitan 品时共用针头和其他器 ਨਡ ਕਵ ਚ ਨਵ ਆਉਣ ਵ ਲ at Kumakalat ਲ ਲਈ ਕਸਹਤ 具 ਤ ਕਬਨ ਹ ਜ ਦ wala ਮ ੜ-ਵਰਤਣ ਨ ਲ ਪਟ ਈਟ ਸ ਸ virus ਤ ਹ tao ku ਸਮਰ ਥ ਬਹ ginagamit (tinatawag a ਦ pamamaraan ito ਨ ਪਕਹਲ ਦਣ ਮ ਸ ਲon ਸ ਭ ਲ ਸਰ ਰ ਅ ਦਰ ਕਜਗਰ ਕਜਗਰ ਹ ਦ ਨਵ ਜ ਵਨ ਸ ਰ ਫ ਲ之 ਦ paghahalo dugo 侧的肋骨 A ikalawa eksaminasy ਲ ਗ ਸ ਦ ਤ ਸ ila beses ਕਬਨ at hindi 肝脏位于人体内右 Maaari roon ka test o RNA test ) sterilize ਇਸna 进入加拿大的移民不需 viral load test, ਲ ਕਗਆ ਬਹ ਤ ਜ ਰ ਰ ਹ ਦ ਸ ਰ ਆ na PR ਰਨ nasalin ਪਟ ਈਟ ਸ ਉਦ ਹ ਦ kapag ਜਦ ਅਕਜਹ ਕਵਅ ਤ, ਦ ਜ ਆ ਗ ਲ ਕਸਹਤ aਬ 经过任何 器官 Kumakalat impeksyon! ਰਜ ਰ, ਦ ਦ ਦ ਬ ਰਸ ਜ ਨ ਹ ਟਣ ਵ ਲ ਤ ਪਕਹਲ Aਕਜਊ ਦ ਨਹ ਰਕਹ ਸ ਦ 是人体最大的内脏 at a ila pagpapahiram ਲ ਲ aktibo ਜਦ lumipas ਇਸ ਵ ਇਰਸ ਵ ਲ ਦ taon ਖ ਨ na ਕ ਸwala ਦ ਜ ਕਵਅ ਤ ਦ 类型肝炎的检查 sa personal na ਦ ਆ ਹਨ ਨਵ naghahanap ਟਰ ਨ ਵ ਇਰਸ ਲ ਗ ਹ ਵvirus, ਦ ਖ sa ਨ,dugo ਵ ਰਜ ਜ ਯ ਨ ਦ tao dugo ਕਜ ਦਗ ਸ਼ 下 aਕਜਸ resulta ਰ ਰਨ 人们需要经 A negatibo 过梅ਸ ਝ ਆ ਰਨ ਜ ਇ ਕਜਹ ਆ gamit, katulad pa-ahit, sipilyo, ਰ ਕਨ ਜ ਵਸਤ nararamdama ਮ ਨਕਸ sugat ਖ ਨ ਦ方面 ਅ ਦਰ ਦ ਖ ਲ sintomas, ਹ ਜ ਵ ਤ kahit ਪਟ ਈਟ ਸ ਸ ਫ ਲਦ 毒 ਦਬ ਅ ito kapag Nari ਰਨ ਨਸ਼ ਲ ਆ tao iba ਤਰਲ ਕ ਸ ਦ ਜ ਕਵਅ ਤ ਦ ਸਪ ਰਸ ਕਵ ਚ ਆ ਜ ਵ, a ਵਸਤ 艾滋病毒和肺结核的常 以下几个 na, wala at inyo pagupit a nito ਦ sinira kuko ਜ na ਦ 要性在于 pahiwatig at iba ਲ ਵਰਤ ਲ gamit bibig ਵਰਤਣ 英 ilo, 规检查 ਖ ਰ ਆਕਦ ਵ ਲ ਆ ਅਕਜਹ ਆ ਚ ਜ, ਆਮ ਤ ਰ ਤ, ਚਮੜ ਅ ਦਰ ਚ ਰ ਜ ਨ, ਮ ਹ ਜ o panloob 肝脏的重 balat ਵਜ aਕਮਸ ਲ pahiwatig,语ਅਸ ਰ ਕਖਅਤ ਸ ਭ ਗ ਦ ਆਰ ਜ ਬ ਚ ਦ丙型肝炎是由丙肝病毒 ਕਵ ਚ ਦ ਸਮ ਚ ਡ resulta ਕਵਅ ਤ ਨdugo na positibo 但不包括甲型 乙型和丙型 maaari makapag的 说明 ਕਜ ਨ ਹ ਤ ਖ ਨ ਲ ਗ ਰਕਹ ਸ ਦ, ਰ ਹ tao Aਕਸਹਤ ਤ ਅਸਰ ਪ ਦ Matatag upa ਦ ਦ ਨਰਮ ਚਮੜ ਅ ਦਰ ਚ ਰ malaman ਦ ਆਰ ਹ ਇਹ ਹ o tumbo paraan tai A ਗ tao atਨ ਫ ਮਲ ਈਆ ਵ ਜਣਪ ਵਲ ਉਸ ਨ ਲ ਗa ਸ ਦ ਇਹ ਵ ਇਰ ਸ ਇਹ a 肝炎 na roo 引起的肝脏疾病 impeksyon ਵ ਲ Maaari ਪਟ ਈਟ ਸ ਸ ਲ ਗ ਸ ਦ ਕਮਸ ਲ ਡ ਟਰ mabuh ila sa ਹ ਦ ਵ ਇਰਸ virus ਲ ਭਣ ਕਵ ਚ ਪ ਟ ਈਟ ਸ ਸ ਮਜ ਬ ਤ ku ikaw iba ਸ ਲ ਨਵ ਆਉਣ 对进入人体的化学ਸ ਦ ਵਜ, siya ਈ ਇ Maaari ਬਹ ਤ ਫ ito ਲ ਹ ਈ ਕਬਮ ਰ ਅਤ ਇ ਕਵਅ ਤ ਲ ਗtao ਜ ਦ ਹਨ ri makakuha sa maaari ਲ ਦ ਹਜ ਮਤ/ਵ ਲ ਟਣ ਵ ਲ ਨ ਈ ਅਤ makahawa sa labas katawan Maaari ri araw ਦeksaminasyon ਈ ਲ ਕਸਰਫ ਐਮਰਜ ਸ pamamagitan ਈ ਕਦਨ ਸਰ ਰ ਬ ਹਰ ਕਜਉ ਦ ਰਕਹ ਸ ਦ 丙型肝炎经常不表现任 ਟ ਈਟ ਸ ਸ ਪ ਅਕਜਹ ਤ ਦ ਜ ਨ ਸਕਹਜ ਹ ਲ ਗ ਜ ਦ ਬਹ ਤ ਲ ਕਜ ਨ ਹ 何症状 ਵਲ ਹ ਕਸਹਤ 物质及其他多种 ਜ 型 ਵ ਸਤ barberya ku saan ginagamit ila makakuha virus sa dugo tuyo ਆਵ ਸ ਆ ਰਜ ਰ ਵ ਰ-ਵ ਰ ਵਰਤ ਸ ਦ ਹਨ ਕਜ ਨ ਹ 影响肝脏健康的肝炎病毒分为甲 ਸਵ ਵ ਤ ਪਹ ਚ ਰਦ ਹਨ ਖ ਸ ਹ ਚ ਖ ਨ ਰ ਹ ਵ ਇਹ ਵ ਇਰਸ ਲ ਗ ਸ ਦ 大多数丙肝感染者不觉 ਨ ਪਕਹਲ ਨ ਪਟ ਈਟ ਸ ਬ ਹ ਵ,ਕਵ ਚ ਇਹ ਆਪਣ ਆਪ ਹ beses at hindi nililin a pa-ahit 得有任 物质进行过滤 ਜਰਮ-ਰਕਹਤ Makipag-ugnan 本册子介绍丙型肝炎 ਨ ਤ ਕਗਆ ਹ ਵ ਕ ਉ ਜ ਰ ਰ? ਜ ਣ ਰ ਖ ਤਮ ਜ ਦ paraan ਅਤ ਉਨupa ਹ ਦ ਸਰ ਰ ਇਸ ਵ ਇਰ ਸ乙型和丙型 ਤ 何症状 直到肝脏受损或患上肝 ਬ ਰmakahawa iba tਹ iba M Maaari ਸਮ ਕਸਰ ਕਸਹਤ ਸ ਬ ਧ ਟ ਸ sa ਟ ਰਵ sਲ ਣਨ ਲ ਚ ਗਰ 帮助消化 sa hepatiti ਅਸ ਰ ਕਖਅਤ ਸ ਭ ਗ, ਕਜ ਥ ਖ ਨ ਵ ਹ ਸ ਦ : ਨ ਇਹ ਰ ਗ ਪ ਤ ਰ ਤ ਮ ਤ ਹ ਜ ਦ ਪਰ ਈਆ tukol magkaroon fਕਸ 流 pamamagitan ਕਸਹਤ ਅਤ ਮਨ ਦ ਸ ਤ ਕਮਲਦ hindi 癌时才意识 protektado ਬਲ ਪਟ ਈਟ ਸ ਸ ਮ ਦ 到自己早已 ਪ ਟ ਈਟ ਸ ਸ ਹ ਠ ਕਲਖ ਢ ਗ ਰ ਹ ਤ ਹ ਡ ਸਰ ਰ ਵ ਸ 进入您体内的血 ਆਮ ਦ 当感染者的血液 pagtatalik (ਕਮਸ ਲ生病 ਵ ਹ ਨਡ (ku ਲ ਗ ਜ ਦ ਇਲ ਜ ਨ ਲ ਇਸ ਵ ਇਰਸ ਤ ਝ ਬ ਵਜ, ਮ ਹਵ ਰ ਦ ਰ ਨ ਜ ਇ ਛ ਰਕਹਤ saanਵ ਧ dugo ਜ ਦ ਇਹ ਤ ਹ ਨ makipag-ugnan A hindi maiat na paggamit ਪ ਈ ਦਰ Sa labas 促成血液和多种 ਅ ਦਰ ਦ ਖ ਲ ਹ ਸ ਦ : 丙型肝炎 ਸ ਭ ਗ ਜ ਗ ਦ ਦ ਆਰ ਸ ਭ ਗ) ਨ ਲ ਵ ਵ ਇਰ ਸ ਆਵ ਸ ਆ 然 而 Ontario, ਪ ਇਆ ਜ ਸ ਦ ਪਰ ਪ ਤ ਰ ਤ ਖ ਤਮ nagagali ਸ ਕਵ ਚ 20 saਅ regla, sa butas sa ਨਹ ਤ 时 您就有可能染上 pa-medikal ਦ ਲ 甲型和乙型肝炎有疫苗 kagamita 移民面临就医和检查方 ਇਸ sa inyo lokal na organasyo, ਪਰ 面的障 ਲ ਗ ਸ ਦ puwet oਸ ਦ 蛋白质的生成 ਅਸ ਰ ਕਖਅਤ ਡ ਟਰ ਰਵ ਈਆ ਕਜਵ ਕ ਜ operasyon, ਸ ਦ sa magaslaw 肝 ਹ ਸ ਦ na pagtatalik) ਹ ਨ ਪਤ ਨ pagsasalin dugo o ਪ ਏ ਜ ਦ ਹਨ ਤ 丙型肝炎没有疫苗 后病毒就开始感染和损害肝脏 pa-imigrante o sa tagapag碍 在安大略省 新移民要等 % ਸ ਆਵ ਸ ਆ ਕਵ ਚ - Makipag-ugnan: pagpapabakuna gamit a Sa pagbubunt Karagdaga ਗਰਭ ਅਵ ਸਥ 待 o paaanak ਖ ਨ ਬਦਲ ਅਤ ਟ ਲ ਉਣ ਲ ਕਗਆ ਜ ਬ ਚ ਨ ਜਨਮ ਦਣ ਸਮ alaga iyo kalusugan 官 ਅਪ ਸ਼ਨ,Detalye 脏是维持身体健康的重要器官 ਪkagamita ਟ ਈਟ ਸ ਏ ਅਤ ਬ ਤ na ਬਚ ਅ ਲਈmalin) ਨਡ ਅ ਦਰ ਕਕਉ fਕ: (hindi ਹ ਵ na 三个月才能参加省健康 nagamit M maliit 肝脏是强有力的器 yourlauagehepcinfoca tsansa 甲型肝炎通常通过饮食含有粪便 ਗਰਭ ਅਵ ਸਥ ਅਕਜਹ ਸ ਜ -ਸਮ ਨ ਵਰਤਣ ਜ ਜਰਮ ਰਕਹਤ 保险计划 ਜ ਬ ਚ ਜਣਨ ਦ ਰ ਨ ਬ ਚ on: impormasy ਆਮ ਰ ਇਸਦ ਟ ਉਪਲਬ ਧ ਵ ਸ ਨ ਦ g ਬ ਰ 不 ਖ ਤਕਰਆ mahawaan karagdagan a bunt ਲ ਗ ਦ wwwcatieca OHIP 移民人口较 Para sa ਨ ਪ A pagsalin dugo bago sa 1990 sa ਟ ਈਟ ਸ ਸ ਦ ਵ ਇਰਸ ਲ ਗਣ ਦ (ਸ ਫ ਨ ਹ ਵ) ਨ ਤ ਕਗਆ ਹ ਵ 通常可以自愈疾病 一些人在感 成分的污染水 饮料或食物而传 ਪਟ ਈਟ ਸ ਸ ਦ na Kalusugan 少使用医疗 ਟ ਲਵ ਉਣਲਈ ਆਪਣ ਡ ਟਰ ਜ ਕਸਹਤ-ਸ ਭ ਲ目前没有丙型肝炎疫苗 ਅ ਦਰ tao a kanya dahil sagol mapaanib numero Kawanihan maaari anada ਨ ਪਤ ਦ ਨ ਆ ਭਰ ਖ ਤਰ ਬਹ ਤ ਘ ਟ ਹ ਦ ਉਦ ਤ ਦ ਧ ਘ ਟ ਲ haba 过 病毒 酒精 化学 1992 ਤ ਪਕਹਲ ਤ ਗਈ ਖ ਨ ਦ ਬਦਲ ਜ 服务 并且经常在使用服务和 月内自行 ਸਬ sa ਧ tao ਜ ਣ ਰ ਹ ਈਆ ਰਨ ਵ ਲ ਸ ਸਥ ਨ ਪ ਛ 染病毒后 目前尚无治疗甲肝的方法 但(Toronto Public Health) ito bunt ਕਰ ਖਅਤ 身体可以在六个 oਬਹ saਤ paaanak pagsusuri a Toronto nagsimula ito ਮ 40% ਸ ਅਸ 播 ਚ ਘ ਉ ਕਦਆ ਪ获取 ਟ ਈਟ ਸ ਸ ਲ ਗਣ ਦ ਟ ਈਟ ਸ ਸ ਦ a ਪpahahawa Hindi ਬਹ dugo ਤ ਉਨਟ ਰ ਓ ਵ ਸ ਇਸ ਵ ਸ ਨ ਦ ਟ ਮ ਫ ਤ ਬਹ ਤ ਖ ਤਰਨ ਹ ਦ ਸ ਕ ਉ ਉਸ ਸ ਲ ਤ 信息时面临文化和语言 sanhi sakit sa laban 物质 一些药物及街 ਖ ਨ ਲ ਣ ਦਣ ਦ pasalin 但大多数人的情 ਖ ਤਰ 障碍 清除 排除 病毒 ਨਹ ਹ ਦ,ਜਦ ਤ ਛ ਤ ਉਪ ਰ ਈ ਰਵ ਈਆ, ਪ ਦ ਸ ਤ 感染通常会自行得到清除 并且 pagpapasusoਡ ਟਰ 时 ਇਸ ਵ ਇਰਸ ਦ ਪਤ ਰਨ ਲਈ ਬ ਇਦ ਖ ਨ ku wala ਲਗਵ ਸ ਦ ਹਨ hiwa a pagsalin dugo hindi Delikado 头毒品却可以在长 ਚ ਰ ਜ ਜਖਮ ਨਹ 或长期的感染 之后身体会对病毒产生免疫 gawa ni Andrea Zariwny A larawa medikal ਦ ਜ ਚ ਰਨ ਜਰ ਨਹ ਸ Reserbado ਜ ਨa ਡ lahatਆਉਣ 刚到加拿大 karapatan sinusuri Ku ikaw nasalinan dugo况却发展成慢性 o hindi dumudugo a uto sa anada) AIDS ਰ simplifiedchinese hepcinfoca at laban Matatag a pero ito sa sakit, ala maaari mapins bag marami alak, tulad virus, at droga kemikal, gamot mahalaga a kol kaalaman tu sa sa anada? imigrante sa s Many of the tests for Hep require blood to be taken Th can be hard if your veins are bad There are some th 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 a person on staff who good at taki blood from damaged veins Get your body warm Th can make it easier to take blood Take a hot bath or shower before you go The liver on the right side of your body, under the ribs It the largest internal organ in your body St atha Ontario rines a na da M5J 4G2 bagoਸ pumasok ਕ sa?anada ਪਟ ਈਟ ਸ Iniiksamen a imigrante ਪ ਜ ਬ Mahalaga a at paalagaan hindi ka mabuh ku wala ito!? 中文 什么是丙型肝炎 丙型肝炎与甲型 乙 型肝炎有什么区别 丙型肝 炎须知 a ndm Ave G ra W o o d 123 nto o r To 不过 通过治疗可以清除病毒 病毒 一旦清除 您就不会传染丙肝给别人 不过您却有再次感染丙肝的可能 wwwcatieca yourlauagehepinfoca Get tested for the virus did not that year Transfus begin until blood ions are a not a transfusio screened If you rk if anada, n before comi had you migh blood that t have receto was not screened ived Sha red needles and equ used for ipm prepari medicine and injec ent s have bloo and drugs, whic ti h tiny amo d on them sometican unts that you can mes Shari t see equi high-rk 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-pierci or needles ipment and The blood and equipment can ink, unsteriliz transmit carr y ed equipme nt reus if Sha red or ed items like borrowed pers onal clippers razors, toothbrus that migh hes t have bloo or nail them can barbers, transmit d on for Public razors that example, migh t reus have not been steri e Unp rotected lized sex whe could be present (for re blood duri men example, anal sex) struation, rough and trans sex mit the virus or Duri preg nancy or The rk child of with hepa a pregnant pers birth on tit to their child passi the or childbirth duri pregnancvirus y very low no rk Ther of duri brea passi e nipples are stfeedi as lo as the not cracked or bleedi Testi the only if you have hepatitiw to find out s It takes two tests to know if you have hepatiti s The first test: hepatiti s antibody testi When you call, specific time you be given a in your prefer to talk to a counsellor red lauage They offer free and anony counselli about hepat mous it, HIV and sexual health to a clinic in They can also refer you Ontario to get tested all toll-free in Ontario: Mond Frid : 10:00am 10:30pm Saturd and Sund: 11:00am 3:00p m The test looks for antibodies that your body would create in your blood after bei exposed to the virus After bei 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 alws be antibodi es presence of antibodi in the blood The es alone does not mean that a person on to someone elsecan pass needed to look for A second test the virus in the blood The second test: Virus testi Th test (called a PR test, a viral load test or an RNA active test) checks for infection A negative result means that a person does not have A positive test result means that a person has the virus and can pass it on to others Speak to someone about Outside of Ontario contact local settlement organiza your or healthcare provider tion The Information Line Toronto Public Healthat Th an Ontariowide information line where counsel lors Punjabi, Urdu, Tagalog speak Hindi, antonese and many, Mandarin, more lauages Get more information Go to: yourl auageh epcinfoca Remember : Hepatit affect spread throug s the liver It of blood-to-bl h different kinds ood contact You can have many years for without symp even thoug toms, h the damagi your virus liver The only w to know you have treatment to get tested There for people finh Many treatm ent and able to get rid of the virus are ontact: yourla uagehep wwwcatie cinfoca ca Biomedical Illustration s by Andrea 2012, ATIE (anadian AIDS Zariwny ATIE Orderi Treatment Informatio entre Number n Exchae) Funded by the in Elh/Si All rights ਪੜਤ ਲ ਸ਼ ਰ ਰ Ontario Mintry mplified hinese: reserved of Health ਵ ਲ ਤ ਹ ਨ ਮਸ ਵਰ ਦਣ ਵ ਲ ਨ ਲ ਆਪਣ ਪਕਹਲ ਭ ਸ ATI-70121; in and Lo-Term Elh/Urdu: are (MOHLT ATI-70122; in ) Elh/Punjabi: ਕਵ ਚ ਗ ਲਬ ਤ ਰਨ ਲਈ ਕਵਸ਼ਸ਼ ਸਮ ਦ ਸ ਦ ਹਨ ATI ਸ ਤ ਇਹ ਪਤ ਰਨ ਲਈ ਕ ਤ ਹ ਨ ਪਟ ਈਟ ਸ ਦ ਇਹ ਨਹ, ਟ ਸਟ ਰਵ ਉਣ ਹ ਇ ਰਸਤ ਹ ਪਤ ਰਨ ਲਈ ਦ ਟ ਸਟ ਦ ਲ ੜ ਟ ਸਟ ਪਕਹਲ ਟ ਸਟ: ਪਟ ਈਟ ਸ ਸ ਦ ਐ ਟ ਬ ਡ ਰਵ ਉਣ ਰ ਗਨ ਸ ਵ ਇਰਸ ਲ ਗ ਜ ਣ ਕਪ ਛ, ਇਹ ਟ ਸਟ ਅਕਜਹ ਤ ਹ ਡ ਸਰ ਰ ਅ ਸ (ਐ ਟ ਬ ਡ ਜ ) ਦ ਪਤ ਰਦ ਜ ਤ ਹ ਡ ਖ ਨ ਅ ਦਰ ਪ ਦ ਰਦ ਲਈ ਵ ਇਰ ਸ ਲ ਗ ਜ ਣ ਕਪ ਛ, ਟ ਸਟ ਕਵ ਚ ਆਉਣ ਬਣ ਉਣ ਤ ਹ ਡ ਸਰ ਰ ਨ ਰ ਗਨ ਸ ਅ ਸ (ਐ ਟ ਬ ਡ ਜ ) ਹਨ ਲਈ ਛ ਹਫ ਕਤਆ ਤ ਛ ਮਹ ਨ ਲ ਗ ਸ ਦ ; in Elh/Ta ਇ ਥ ਕਸਹਤ ਨ ਲ ਸ ਬ ਕਧਤ ਮ ਮfਲਆ, ਸਮਤ ਪਟ ਈਟ ਸ ਸ, ਬ ਰ ਤ ਹ ਨ ਮ ਫ ਤ ਅਤ ਗ ਪਤ ਸਲ ਹਮਸ ਵਰ ਕਦ ਤ ਜ ਦ ਹਰ ਜ ਣ ਰ ਨ ਗ ਪਤ ਰ ਕਖਆ ਜ ਦ ਟ ਸਟ ਰਵ ਉਣ ਲਈ ਉਹ ਤ ਹ ਨ ਉਨਟਰ ਓ ਅ ਦਰ ਕ ਸ ਕਲਕਨ ਲ ਵ ਭਜ ਸ ਦ ਹਨ ਆਪ ਜ ਭ ਵ ਕ ਸ ਕਵਅ ਤ ਅ ਦਰ ਵ ਇਰ ਸ ਆਪਣ ਨ ਅ ਦਰ ਇਲ ਜ ਦ ਆਰ ਖ ਤਮ ਹ ਜ ਵ, ਕਫਰ ਵ, ਖ ਦ ਰਕਹ ਦ ਹਨ ਰ ਗਨ ਸ ਅ ਸ (ਐ ਟ ਬ ਡ ਜ ) ਸਦ ਮ ਜ ਕਸਰਫ ਇਹ ਅਕਜਹ ਰ ਗਨ ਸ ਅ ਸ ਦ ਹ ਦ ਦ ਭ ਵ ਸ ਕ ਸ ਨਹ ਹ ਦ ਕ ਉਸ ਕਵਅ ਤ ਰ ਹ ਪਟ ਈਟ ਸ ਵ ਇਰਸ ਦ ਦ ਜ ਕਵਅ ਤ ਨ ਲ ਗ ਸ ਦ ਖ ਨ ਅ ਦਰ ਦ ਪ ੜ ਲ ਦ ਟ ਪਤ ਰਨ ਲਈ ਦ ਜ ਟ ਸ St ath ar Ontario ines 4G2 a na da Mਟ:5J ਦ ਜ ਟ ਸ ਵ ਇਰਸ ਦ ਟ ਸਟ ਰਨ ਉਨਟਰ ਓ ਕਵ ਚ ਜ ਣ ਰ ਲਈ ਮ ਫ ਤ ਫ ਨ ਰ : ਸ ਮਵ ਰ- ਸ ਰਵ ਰ: 10:00 ਸਵਰ ਤ ਲ 10:30 ਸ ਮ ਤ ਸਕਨ ਚਰਵ ਰ- ਐਤਵ ਰ: 11:00 ਸਵਰ ਤ ਲ 3:00 ਸ ਮ ਤ ਵਧਰ ਜ ਣ ਰ ਹ ਸਲ ਰ yourlauagehepcinfoca ਤ ਜ ਓ ਯ ਦ ਰ ਖ : 做化验检查 断自己是否 做化验检查是判 ਪਟ ਈਟ ਸ ਸ ਕਜਗਰ ਉ ਤ ਅਸਰ ਪ ਉ ਦ ਵ ਇਰਲ ਲ ਢ 途径 ਇਹ ਵ ਖ ਵ ਖ ਤਰ ਹ ਇ ਕਵਅ ਤ ਦ ਖ ਨ ਤ ਦ ਜ ਇਹ ਟ ਸਟ (ਕਜਸ ਨ ਪ ਸ ਆਰ ਟ ਸਟ, 感染丙肝的唯一 )ਤ ਹ ਡ ਦ ਖ ਨ ਰ ਹ ਫ ਲਦ ਟ ਸਟ ਜ ਆਰ ਐਨ ਏ ਟ ਸਟ ਕ ਹ ਜ ਦ ਕਜਉ ਦ ਜ 才能知道您 ਸਰ ਰ ਕਵ ਚ ਪਟ ਈਟ ਸ ਸ ਦ ਵ ਇਰਸ ਕਬਨ ਲ ਛਣ ਦ ਪਤ ਲ ਗ, ਪਟ ਈਟ ਸ需要做两项化验 ਸ ਤ ਹ ਨ ਦ ਭ ਵ ਨਹ ਸ ਦ ਪਤ ਰਦ ਨ ਹ ਕਵ ਚ ਨਤ ਜ 炎 ਈ ਸ ਲ ਤ ਲ ਗ ਰਕਹ ਸ ਦ, ਭ ਵ 是否感染丙型肝 ਵ ਇਰਸ ਲ ਗ ਹ ਈ ਕ ਕਵਅ ਤ ਨ ਪਟ ਈਟ ਸ ਸ ਨਹ ਤ ਹ ਡ ਕਜਗਰ ਨ ਨ ਸ ਨ ਪਹ ਚ ਅ ਕਰਹ ਹ ਵ ਅ ਦਰ ਕਵਅ ਤ ਕ ਭ ਵ ਤ ਨਤ ਜ ਕਵ ਚ ਹ ਦ ਟ ਸਟ 液筛查的输血是风险之举 如果 丙肝病毒抗体化验 ਸ ਦ ਟ ਸਟ ਰਵ ਉਣ ਹ ਇ ਤਰ ਇਹ第一项检查 ਪਤ ਵ ਇਰ ਸ ਮ ਜ ਦ ਅਤ ਉਹ ਦ ਕਜਆ ਨ ਲ ਗ 您在来加拿大之前输过血 ਰਨ ਲਈ ਕ ਤ ਹ ਨ ਪਟ ਈਟ ਸ ਤ ਨਹ 您会 接触丙肝病毒之 该检查看身体在 有可能被输过未经筛查的血 ਇਸਦ ਇਲ ਜ ਮ ਜ ਦ ਈ ਲ ਇਲ ਜ ਪ ਰ ਪਟ ਈਟ ਸ ਸ ਬ ਰ ਹ ਰ ਕ ਥ ਰਦ ਹਨ ਅਤ ਇਸ ਵ ਇਰਸ ਤ ਖਕਹੜ ਛਡਵ ਉਣ 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 ਦ ਯ ਗ ਹ ਜ ਦ ਹਨ ਜ ਣ ਰ ਲਈ ਜ ਸ ਦ 共用针头和器具 galog: ATI 这些针头和器 ਪਟ ਈਟ ਸ ਸ ਦ ਟ ਸਟ ਜਰ ਰ ਰਵ ਉ ਸਥ ਨ 具可能带血 有时候哪怕量 ਉਨਟ ਰ ਓ ਤ ਬ ਹਰ ਹ ਣ ਦ ਸ ਰਤ ਕਵ ਚ ਵ ਲ ਨ ਲ ਵਸਬ ਸ ਸਥ ਅਤ ਕਸਹਤ ਪਰਦ ਨ ਰਨ 少得不为肉眼所见 即便共用器 ਸ ਪਰ ਰ 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 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 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 ਕਜ ਥ 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 ਸ ਪਰ ਰ : ਇਹ ਲ ਈਨ ਸ ਰ ਹ ਸ ਬ ਭਰ ਅ ਦਰ ਮ ਜਦ 段 ਉਰਦ, yourlauagehepcinfoca 丙肝传染给别人 这时需要作第二 ਸਲ ਹ-ਮਸ ਵਰ ਦਣ ਵ ਲ ਕਹ ਦ, ਪ ਜ ਬ, 的不同阶 共用纹身 身体穿环或针灸 wwwcatieca ਰ ਭ ਸ ਵ 肝脏受损 器件 ਟ ਗ ਲ ਗ, ਮ ਡਰਨ, ਨਟ ਨ ਜ ਅਤ ਈ ਹ 项化验以查看血液中的病毒 ਤ ਰਦ ਹ 染剂 针头和器具可能因带血而传 ਕਵ ਚ ਗ ਲਬ ਤ ਰਦ ਹਨ ਜਦ ਤ ਸ ਫ ਨ 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 ਵ ਲ ਜ ਵ ਡ ਟਰ ਦ ਕਚਤਰ 称作聚合酶链反应[PR] 2012, ਸ ਏ ਟ ਆਈ ਏ ( ਨਡ ਅਨ ਏਡਜ ਟਰ ਟਮ ਟ ਇਨਫ ਰਮਸ ਨ ਐ ਸਚ ਜ) ਸ ਰ此项检查 ਹ ਰ ਖਵ ਹਨ 共用或借用个人ਸ 卫生用品 ਏ ਟ ਆਈ ਏ ਦ ਆਰਡਰ ਰਨ ਲਈ ਦਰ ਨ ਬਰ No: ATI 例如 测试 也称 化验 Ontario Mintry of Health and Lo-Term are (MOHLT) ਵ ਲ ਫ ਡ ਮ ਹ ਈਆ ਤ 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 ਸ ਬ ਧ ਟ ਰ ਟ ਪਕਬਲ ਲ ਥ ਕਵਖ ਪਟ ਈਟ ਸ ਜ ਣ ਰ ਲਈ ਫ ਨ ਲ ਈਨ 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 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 yourlauagehepcinfoca The paint found in th sue of HepInfo are just three of the 36 self-portraits created by people livi with 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 ommunity Hep Program, a support program whose goal to provide people with a chance to get medical care and support in a safe, inclusive environment Hepatit treatment 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 heali Art also a valuable tool for advocacy and for addressi sues of stigma and dcrimination, inequality, poverty and social exclusion The process of participati 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 livi with Hep 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 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 Th will make it easier to find a vein If these th feel hard or scary to do, bri 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 lo time es St atharin J 4G2 Ontario M5 a na da PAINT ME: SELF-PORTRAITS BY PEOPLE LIVING WITH HEP 有关肝脏的常识 和 پیدا کرنے میں مدد جگرایک بہت ٹھیک کرنے کیمضبوط عضو ہے جو کہ اپنے آپ اس کے باوج - صیالحیت رکھتا ہے رشاب وائرسز کو نقصان پہنچاکیمیائی مادے اور منشیات آپ ک کی صیالحیت کو سکتے ہیں اور آپ کے جگر کے - متاثر کر سکتے ہیں a Maaari magkaroon dugo a tao kapag nasalinan tao wala a a para at nito Kinakailaan a at maaari mapanatili a kalusugan ito mapinsala ا apat M ga d an malam l sa tuko hepatit جگرآپ کے ھوتا ہے یہجسم میں پسلیوں کے نیچے دائی جگر کی انسانی جسم کا سب سے بڑا اند - ہے : اہمیت یہ ہے کہ یہ جسم میں داخل ہونے والے کیمیائی اور دیگ - چھانتا ہے - ہاضمے میں مدد دیتا ہے خون اور کئی لحمیات کے - GLES یک کچھ جگر کے بارے میں IN ਗ ਇ ਇ ਡ kana bahagi A at nasa tadya Ito a katawan, sa ilalimorgan sa loob katawan pinakamalaki sa ito : a at dahil Napakahalaga l ਤ kemika ਅਗ ਰਜ nagsasala gamot) at ਕਵ ਚ (halimbawa: na iba bag katawan pumapasok sa sa tumutulo pagkain pagtunaw sa paggawa tumutulo dugo at protina sa katawan ਅ urdu hepcinfoca Mroo tatlo uri sa at: virus na nakakaapek to pamphlet na A, B at A ito tukol sa A T sa at Ito a uri sakit virus na sanhi What Hepatit a liver dease caused by the hepatiti s virus There are different viruses that can affect the liver: A, B and Th pamphlet about You can get when the blood of a person who gets into your bloodstr has the virus eam The virus can then infect and damage your liver, an organ you need to st healthy There no vaccine for A few people who get the virus clear it (get rid of it) on their own six months of infection within the first, but most people develop a chronic, or lo-term, infection But there treatme nt that can cure the virus Once the virus cured, you can t pass it on to other however, get re-infect people You can, ed with The hep atit viru Tukol sa at Ano a? LOG H yourlauage hepcinfoca Order free brochures about hep c in your lauage GABAY SA W NG I SA L IS GALOG What you should know about Should you get tested? TAG A TA IN ENG 肝 Kaalaman tukol sa Paggamot 的人经常难以对健康 2012, ATIE (Palitan 间内永久性地侵害 ATI Numero sa Sentro Bilihan ਤ ATIE: ਪਕਹਲ ਤ ਹ ਡ ਖ ਨ ਦ ਬਦਲ ਤ ਗਈ ਹ ਵ 问题给予优 are (MOHLT) A pondo para sa proyekto ito nagagali sa Ontario Mintry of Health and Lo-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 丙型肝炎的信息为 r o T 什么对加拿大的 移民很重要 及早化验检查和诊断让 您更健康和安心 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 各种风 很少人知晓丙肝感染的 病例是由 险 全世界40%的丙肝 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 yourlauagehepcinfoca wwwcatieca 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 ATIE 订购中心号码 ATI 由Ontario Mintry of Health and Lo-Term are (MOHLT)资助

4 4 hepinfo sue three catieca Protect yourself and others from Hep if you inject drugs Hep lives in one body fluid: blood It does not live in spit, tears, cum or vaginal or anal fluids For someone to get Hep, the blood of someone with Hep has to get into the other person s bloodstream Some activities can put people at rk for getti or passi on Hep One of those shari injection drug use equipment Sti safe while injecti drugs Shari injection drug use equipment the main w people get Hep Any re-used drug equipment can have invible amounts of blood carryi Hep, HIV or Hep B that can infect someone To st safe, it s best to use new sterile equipment every time you inject drugs Th includes new needles, syries, cookers, filters, water and swabs Your tie (tourniquet) does not need to be new every time if you are the only one usi it Planni ahead: Do you have the equipment you need? Havi new sterile equipment and enough of it for every time you inject helps reduce the chance of Hep passi from one person to another If you alws have extra equipment around, it easier to avoid situations where you borrow from or share with other people Deali with the pressure to share drug use equipment If you are injecti in a group, there be pressure to share equipment To deal with that pressure, you might: Avoid situations where you know shari happens Bri extra new needles and equipment for yourself and other people Learn how to safely prepare and inject your drugs yourself, so you ll have more control over when and how you use To st safe, it s best to use new sterile equipment every time you inject drugs Th includes new needles, syries, cookers, filters, water and swabs Your tie (tourniquet) does not need to be new every time if you are the only one usi it Taki care of your veins When you inject a lot, your veins can collapse or become hard, maki 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 injecti into your neck, groin, pen, breasts, eyes and feet These sites are very daerous to use because injecti into them can cause serious health problems, like an overdose, abscesses or puncturi an artery Draw up your drug through a filter to keep out bits that didn t dsolve These bits can get in your lus and cause scarri and breathi problems (chalk lu) 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 or citric acid to dsolve 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 vible Flag to make sure you are injecti into a vein Use a clean tsue or cotton ball to put pressure on the site after injecti to help stop the bleedi leani up after injecti 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) Th w, there less chance of someone else re-usi your stuff or getti poked What about when you can t get new needles or other injection equipment? Livi in a place without a needle exchae program can make it hard to get new needles and other injection equipment There are th you can do to avoid borrowi needles or other injection equipment if you can t get new supplies: onsider switchi to drugs you can swallow (parachute), eat, smoke or snort until you can get new injection equipment Keep your own needle or syrie to re-use and don t let anyone else use it Mark it with tape, a marker or nail polh so that you know it yours Rinse the needle with cold water after you use it so blood does not dry in the syrie and clog it (Note: Th will not kill Hep or HIV) If you have to borrow used drug injection equipment, clean it with bleach before usi it (see How to clean a needle with bleach, on the next page) Th kill HIV, Hep B and some bacteria but it does not kill Hep Stock up on needles, syries, 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 Findi a safer space to inject Some places are safer than others for injecti drugs Try to pick a place that has a lot of light, runni water for washi your hands, and an area to l 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 Prepari the space and yourself Wherever or whatever you inject, bei as clean as possible your best bet for maki sure you don t get dirt or germs in your veins Veins are an entry point for Hep 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 l 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 usi an alcohol swab wipe in one direction to move dirt and germs aw Wipi in circles just pushes the dirt and germs around in the same place on the skin illustration: Tammy-Lynn A, Toronto ommunity Hep Program Ever since I found out that I had Hep I kind of thought Wow, that was close I was eagi in rky behaviour for many years, even before I became an addict My friends and family alws said that I would catch somethi or end up dead So then one could s findi out I was Hep positive was a wake-up call and now bei in a group a life-saver Tammy-Lynn A

5 sue three hepinfo 5 How to clean a needle with bleach step-by-step It safest to use a new needle for every injection leani needles with bleach won t kill Hep but it kill HIV and Hep B and decrease the amount of Hep in a used needle If th your only option it better than nothi! 4 1 Draw up clean water into the syrie 2 Shake and tap the syrie to loosen blood drops 3 Shoot out the water Repeat steps 1, 2 and 3 30 sec 8 5 Draw up undiluted bleach into the syrie The syrie should be completely filled so bleach touches the entire inside area and bottom of the pluer Let sit for 30 seconds (at least) Shoot out the bleach Draw up clean water into the syrie Shoot out the water Repeat steps 9 and 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 How to clean up blood spills safely 1x Bleach x Water Put on new latex or vinyl gloves arefully collect any sharp objects, such as broken glass, and put them in a sturdy plastic container such as one used for detergent Wipe up blood usi paper towel or dposable cloths Make a solution of 1 part bleach to 9 parts water 10 mins over the area where the blood was with the bleach solution Let bleach solution sit for 10 minutes (at least) Wipe up the bleach solution usi paper towel or dposable cloths Place the paper towel or cloths and gloves into a durable bag and seal it Wash hands with lots of soap and water

6 6 hepinfo sue three catieca To tell or not to tell? Some tips for how to start a conversation about havi Hep If you find out you have Hep, you decide that you want to share th news with some people You 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 st safe In some cases you 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, start with people you trust, who will understand your situation and give you the support that you need Planni the conversation It be hard to tell someone that you have Here are a few ideas of how you can talk about it As you will be shari information that important to you, try to think about where, when and how you would like to tell someone hoose a time that feels right Do you want to tell them over the phone, by 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 want to learn more about after the dcussion ATIE has more information about at wwwcatieca You can also order free Hep brochures from ATIE on the website or by calli Figuri out what to s If you are not sure what to s, you could try starti off with somethi like: I have somethi I d like to tell you I feel that our relationship stro, so I feel I can tell you that Remember how I went to the doctor s office/clinic a few weeks ago? It also be helpful to tell the person that it s OK if he or she does not know what to s People react differently when you tell them the news Some people react with shock, fear or judgment, especially if they do not know much about When people react th w it help to give them information about Hep Give them time to take it in If it feels OK for you, try to help them understand by shari the information you ve learned about Hep with them Sometimes people dcriminate against people with Some people not understand much about Hep and dcriminate because they are afraid Some people with have to deal with a lot of dcrimination (bei treated differently in a w that negative), especially if they use drugs The important thi to know that you have rights just like everyone else and you should be treated with respect Havi Hep often chaes people s lives You lose some friends, but you also gain new ones WHEN DO I HAVE TO SHARE THAT I HAVE HEP? For most situations, people with Hep do not need to tell others about their Hep status At work and at home: Employees do not have to dclose to employers or unions that they have Employers cannot ask about a infection duri the application or interview process There no legal duty for a person with Hep to dclose their infection to people they live with as lo as there no rk of Hep passi Getti health care: People can choose whether or not to tell healthcare providers about their Hep infection People with Hep 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 infection Hepatit a reportable dease Th means that when a person diagnosed with Hep, h or her name (and likely other information) 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 a contract In an insurance application, personal health information 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 virus and the insurance company finds out, the insurance policy will not be valid Shari equipment to inject drugs: The criminal law in anada not clear about whether a person has a duty to dclose h or her Hep infection when shari drugs and drug equipment As far as we know, there has not been a case where a person with Hep has been criminally charged for exposi someone to the virus by shari drugs or drug equipment Duri sex: It unclear whether people who have Hep have a legal duty to dclose to their sex partners before sex Under anadian criminal law, a person with a sexually transmitted infection has a legal duty to tell h or her partner about that infection before they have sex if the sex will involve a significant rk of serious bodily harm It not clear whether Hep infection falls under th law Until the courts figure th out, dclosure beforehand be the safest w to avoid prosecution Th information not legal advice If you want legal advice about your particular situation, you should speak to a lawyer TAKE THE QUIZ: What s the difference between A, B and? Know your AB s Match Hep A, B and with the correct answers 1 How do you get A, B or? 2 Is there treatment for Hep A, B &? 3 Is there a vaccine for Hep A, B or? Hep A Hep B Hep Hep A Hep B Hep Hep A Hep B Hep 1 Blood and body fluids like semen and vaginal fluid 2 Blood-to-blood contact 3 Fecal-oral route (poo gets in your mouth) from contaminated water; hands not bei washed after goi to the bathroom 1 Treatment available It does not cure the virus but will decrease the amount of virus in your body 2 There no treatment The infection usually clears on its own 3 Treatment available and can cure the virus for some people 1 Vaccine available 2 No vaccine available 3 Vaccine available Answers: How do you get A, B or? Hep A, 3/Hep B, 1/Hep, 2 Is there treatment for Hep A, B and? Hep A, 2/ Hep B, 1/ Hep, 3 Is there a vaccine for Hep A, B or? Hep A, 1 or 3/Hep B, 1 or 3, Hep, 2 (ontinued from page 1) For more information about the programs that cover the cost of treatment, check out wwwcatieca or call ATIE at Do you want to have children soon? It possible to keep your partner safe and have a healthy pregnancy and baby if you have Hep However, if you are taki Hep treatment you will need to wait six months after finhi treatment to try to have a baby because treatment can harm your unborn baby Th true regardless of whether it you or your partner who will become pregnant So, even if your partner will carry the pregnancy and you are the one taki Hep treatment, you need to wait six months after treatment before tryi to conceive The likelihood of passi on Hep to your child very low What if you don t know the answers to all of these questions? It take some time to figure out the answers to all of these questions You 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 ATIE with your questions at

7 sue three hepinfo 7 ROSSWORD illustration: Maureen, Toronto ommunity Hep Program AROSS 2 Body fluid Hep lives in 5 First stage of Hep virus infection 8 First Hep test 9 Shari th while injecti drugs can pass Hep from one person to another 12 Second stage of Hep virus infection 14 A good person to talk to if you have Hep 15 Number of genotypes, or strains, of DOWN 1 Second Hep test 2 What cannot kill Hep in a syrie? 3 Drink that good for the liver 4 Goal of Hep treatment 6 Severe liver scarri 7 What the liver destroys 10 Lots of th can hurt the liver 11 Main body part damaged by 13 anada s source for information about HIV and Hep Answers Across: 2 Blood, 5 Acute, 8 Antibody, 9 Needle, 12 hronic, 14 Doctor, 15 Six; Down: 1 RNA, 2 Bleach, 3 Water, 4 ure, 6 irrhos, 7 Poons, 10 Alcohol, 11 Liver, 13 ATIE No matter what the stigma of havi Hep Bei g, bei native or bei put down by others, I am branchi out like a tree I am taki a lot of courses like swimmi, computer, yoga, and meditation I am looki forward to treatment now that I am in the Hep program I am enjoyi my life now Maureen WAnT hepatitis or hiv InforMATIon? We have many resources we can send you for free across canada We also have hep and hiv educators standi by to answer your questions: all (toll-free, anywhere in canada) or (for collect calls from prons) Available Mond to Thursd, 10 am to 6 pm (Eastern Time)

8 8 hepinfo sue three catieca AIDS THUNDER BAY, 2013 The Amazi Liver part of the Blood2Blood Project created by AIDS Thunder B Download The Amazi Liver and other resources at wwwblood2bloodorg