Hepatitis C FAQs for the Public
Index of Questions
- How is Hepatitis C spread?
- Can Hepatitis C be spread through sexual contact?
- Can you get Hepatitis C by getting a tattoo or piercing?
- Can Hepatitis C be spread within a household?
- How should blood spills be cleaned from surfaces to make sure that Hepatitis C virus is gone?
- How long does the Hepatitis C virus survive outside the body?
- What are ways Hepatitis C is not spread?
- Who is at risk for Hepatitis C?
- What is the risk of a pregnant woman passing Hepatitis C to her baby?
- Can a person get Hepatitis C from a mosquito or other insect bite?
- Can I donate blood, organs, or semen if I have Hepatitis C?
- What are the symptoms of acute Hepatitis C?
- How soon after exposure to Hepatitis C do symptoms appear?
- Can a person spread Hepatitis C without having symptoms?
- Is it possible to have Hepatitis C and not know it?
- What are the symptoms of chronic Hepatitis C?
- How serious is chronic Hepatitis C?
- What are the long-term effects of Hepatitis C?
“Hepatitis” means inflammation of the liver. Toxins, certain drugs, some diseases, heavy alcohol use, and bacterial and viral infections can all cause hepatitis. Hepatitis is also the name of a family of viral infections that affect the liver; the most common types are Hepatitis A, Hepatitis B, and Hepatitis C.
Hepatitis A, Hepatitis B, and Hepatitis C are diseases caused by three different viruses. Although each can cause similar symptoms, they have different modes of transmission and can affect the liver differently. Hepatitis A appears only as an acute or newly occurring infection and does not become chronic. People with Hepatitis A usually improve without treatment. Hepatitis B and Hepatitis C can also begin as acute infections, but in some people, the virus remains in the body, resulting in chronic disease and long-term liver problems. There are vaccines to prevent Hepatitis A and B; however, there is not one for Hepatitis C. If a person has had one type of viral hepatitis in the past, it is still possible to get the other types.
Hepatitis C is a contagious liver disease that ranges in severity from a mild illness lasting a few weeks to a serious, lifelong illness that attacks the liver. It results from infection with the Hepatitis C virus (HCV), which is spread primarily through contact with the blood of an infected person. Hepatitis C can be either “acute” or “chronic.”
Acute Hepatitis C virus infection is a short-term illness that occurs within the first 6 months after someone is exposed to the Hepatitis C virus. For most people, acute infection leads to chronic infection.
Chronic Hepatitis C virus infection is a long-term illness that occurs when the Hepatitis C virus remains in a person’s body. Hepatitis C virus infection can last a lifetime and lead to serious liver problems, including cirrhosis (scarring of the liver) or liver cancer.
In 2009, there were an estimated 16,000 acute Hepatitis C virus infections reported in the United States.
An estimated 3.2 million persons in the United States have chronic Hepatitis
C virus infection. Most people do not know they are infected because they
don’t look or feel sick.
Approximately 75%–85% of people who become infected with Hepatitis C virus develop chronic infection.
Transmission / Exposure
People can become infected with the Hepatitis C virus during such activities as
- Sharing needles, syringes, or other equipment to inject drugs
- Needlestick injuries in health care settings
- Being born to a mother who has Hepatitis C
Less commonly, a person can also get Hepatitis C virus infection through
- Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes
- Having sexual contact with a person infected with the Hepatitis C virus
Yes, but the risk of transmission from sexual contact is believed to
be low. The risk increases for those who have multiple sex partners, have
a sexually transmitted disease, engage in rough sex, or are infected with
HIV. More research is needed to better understand how and when Hepatitis
C can be spread through sexual contact.
A few major research studies have not shown Hepatitis C to be spread
through licensed, commercial tattooing facilities. However, transmission
of Hepatitis C (and other infectious diseases) is possible when poor infection-control
practices are used during tattooing or piercing. Body art is becoming increasingly
popular in the United States, and unregulated tattooing and piercing are
known to occur in prisons and other informal or unregulated settings. Further
research is needed to determine if these types of settings and exposures
are responsible for Hepatitis C virus transmission.
Yes, but this does not occur very often. If Hepatitis C virus is spread within a household, it is most likely a result of direct, through-the-skin exposure to the blood of an infected household member.
Any blood spills — including dried blood, which can still be infectious — should be cleaned using a dilution of one part household bleach to 10 parts water. Gloves should be worn when cleaning up blood spills.
The Hepatitis C virus can survive outside the body at room temperature, on environmental surfaces, for at least 16 hours but no longer than 4 days.
Hepatitis C virus is not spread by sharing eating utensils, breastfeeding, hugging, kissing, holding hands, coughing, or sneezing. It is also not spread through food or water.
Some people are at increased risk for Hepatitis C, including
- Current injection drug users (currently the most common way Hepatitis C virus is spread in the United States)
- Past injection drug users, including those who injected only one time or many years ago
- Recipients of donated blood, blood products, and organs (once a common means of transmission but now rare in the United States since blood screening became available in 1992)
- People who received a blood product for clotting problems made before 1987
- Hemodialysis patients or persons who spent many years on dialysis for kidney failure
- People who received body piercing or tattoos done with non-sterile instruments
- People with known exposures to the Hepatitis C virus, such as
- Health care workers injured by needlesticks
- Recipients of blood or organs from a donor who tested positive for the Hepatitis C virus
- HIV-infected persons
- Children born to mothers infected with the Hepatitis C virus
Less common risks include:
- Having sexual contact with a person who is infected with the Hepatitis C virus
- Sharing personal care items, such as razors or toothbrushes, that may have come in contact with the blood of an infected person
Hepatitis C is rarely passed from a pregnant woman to her baby. About 4 of every 100 infants born to mothers with Hepatitis C become infected with the virus. However, the risk becomes greater if the mother has both HIV infection and Hepatitis C.
Hepatitis C virus has not been shown to be transmitted by mosquitoes
or other insects.
No, if you ever tested positive for the Hepatitis C virus (or Hepatitis B virus), experts recommend never donating blood, organs, or semen because this can spread the infection to the recipient.
Approximately 70%–80% of people with acute Hepatitis C do not have any symptoms. Some people, however, can have mild to severe symptoms soon after being infected, including
- Loss of appetite
- Abdominal pain
- Dark urine
- Clay-colored bowel movements
- Joint pain
- Jaundice (yellow color in the skin or eyes)
If symptoms occur, the average time is 6–7 weeks after exposure, but
this can range from 2 weeks to 6 months. However, many people infected with
the Hepatitis C virus do not develop symptoms.
Yes, even if a person with Hepatitis C has no symptoms, he or she can
still spread the virus to others.
Yes, many people who are infected with the Hepatitis
C virus do not know they are infected because they do not look or feel sick.
Most people with chronic Hepatitis C do not have any symptoms. However,
if a person has been infected for many years, his or her liver may be damaged.
In many cases, there are no symptoms of the disease until liver problems
have developed. In persons without symptoms, Hepatitis C is often detected
during routine blood tests to measure liver function and liver enzyme (protein
produced by the liver) level.
Chronic Hepatitis C is a serious disease that can result in long-term health problems, including liver damage, liver failure, liver cancer, or even death. It is the leading cause of cirrhosis and liver cancer and the most common reason for liver transplantation in the United States. Approximately 15,000 people die every year from Hepatitis C related liver disease.
Of every 100 people infected with the Hepatitis C virus, about
- 75–85 people will develop chronic Hepatitis C virus infection; of those,
- 60–70 people will go on to develop chronic liver disease
- 5–20 people will go on to develop cirrhosis over a period of 20–30 years
- 1–5 people will die from cirrhosis or liver cancer
Yes. It is common for persons with chronic Hepatitis C to have a liver enzyme level that goes up and down, with periodic returns to normal or near normal. Some infected persons have liver enzyme levels that are normal for over a year even though they have chronic liver disease. If the liver enzyme level is normal, persons should have their enzyme level re-checked several times over a 6–12 month period. If the liver enzyme level remains normal, the doctor may check it less frequently, such as once a year.
Talk to your doctor about being tested for Hepatitis C if any of the following are true:
- You were born from 1945 through 1965
- You are a current or former injection drug user, even if you injected only one time or many years ago.
- You were treated for a blood clotting problem before 1987.
- You received a blood transfusion or organ transplant before July 1992.
- You are on long-term hemodialysis treatment.
- You have abnormal liver tests or liver disease.
- You work in health care or public safety and were exposed to blood through a needlestick or other sharp object injury.
- You are infected with HIV.
No, getting tested for Hepatitis C is not part of routine
prenatal care. However, if a pregnant woman has
risk factors for Hepatitis C
virus infection, she should speak with her doctor about getting tested.
Several different blood tests are used to test for Hepatitis C. A doctor may order just one or a combination of these tests. Typically, a person will first get a screening test that will show whether he or she has developed antibodies to the Hepatitis C virus. (An antibody is a substance found in the blood that the body produces in response to a virus.) Having a positive antibody test means that a person was exposed to the virus at some time in his or her life. If the antibody test is positive, a doctor will most likely order a second test to confirm whether the virus is still present in the person's bloodstream.
Yes, acute hepatitis C can be treated. Acute infection can clear on its own without treatment in about 25% of people. If acute hepatitis C is diagnosed, treatment does reduce the risk that acute hepatitis C will become a chronic infection. Acute hepatitis C is treated with the same medications used to treat chronic Hepatitis C. However, the optimal treatment and when it should be started remains uncertain.
Yes. There are several medications available to treat chronic Hepatitis C, including new treatments that appear to be more effective and have fewer side effects than previous options. The Food and Drug Administration (FDA) maintains a complete list of approved treatments for Hepatitis C.
Yes, approximately 15%–25% of people who get Hepatitis C will clear the virus from their bodies without treatment and will not develop chronic infection. Experts do not fully understand why this happens for some people.
People with chronic Hepatitis C should be monitored regularly by an experienced doctor. They should avoid alcohol because it can cause additional liver damage. They also should check with a health professional before taking any prescription pills, supplements, or over-the-counter medications, as these can potentially damage the liver. If liver damage is present, a person should check with his or her doctor about getting vaccinated against Hepatitis A and Hepatitis B.
Not yet. Vaccines are available only for Hepatitis A and Hepatitis B. Research into the development of a vaccine is under way.
Hepatitis C and Employment
Should a person infected with the Hepatitis C virus be restricted from working in certain jobs or settings?
CDC's recommendations for prevention and control of the Hepatitis C virus infection state that people should not be excluded from work, school, play, child care, or other settings because they have Hepatitis C. There is no evidence that people can get Hepatitis C from food handlers, teachers, or other service providers without blood-to-blood contact.
Hepatitis C and Co-infection with HIV
HIV and Hepatitis C virus coinfection refers to being infected with both HIV and the Hepatitis C virus. Coinfection is more common in persons who inject drugs. In fact, 50%–90% of HIV-infected persons who use injection drugs are also infected with the Hepatitis C virus. To learn more about coinfection, visit http://www.cdc.gov/hiv/resources/factsheets/hepatitis.htm.