Vermont and New Hampshire Experience Slight Increase in Hepatitis A Cases

     Earlier in October, Vermont AIDS service organizations received information from the VT Health Department regarding a recent increase in hepatitis A cases among MSM (men who have sex with men) in the state. There has been a similar rise in NH. These cases appear to be stemming from an MSM event held in Vermont at the end of August.
      In addition, the “Journal of Sexually Transmitted Diseases” 2001; 28:515-520 has issued a new study which shows that MSM are in urgent need of increased knowledge about hepatitis C virus.
      Researchers sought to identify correlates linked with hepatitis C virus testing among MSM. Internet communications were used to solicit and collect data, via a 31-question survey. When the study was restricted to MSM in the US, (381 subjects), 95 percent of the respondents (361 men) reported at least one risk factor for HCV transmission. However, only 39 percent (140) reported having been tested for the virus. Testing was linked with a history of non-sexual risk behavior, increased knowledge of the hepatitis C virus and healthcare provider communication. The authors conclude that there is a significant need to outreach to MSM about risk, need for testing and ultimately treatment for those infected.
      Some MSM are not aware that they are at risk for hepatitis A, let alone hepatitis B or C. While there is a vaccine to prevent hepatitis A and B, there is nothing for hepatitis C.
      For those of you who are currently monitoring chat rooms on AOL M4M VT or NH, gay.com VT/NH rooms or other sites, including gaypoz.com, please make note that viral hepatitis (A, B and C) is a real risk. Not only should individuals be vaccinated but they should also know their HCV status. The latter can be done by their health care provider or using a home test kit.
      Similar messages should be posted on electronic boards, and other venues being utilized by MSM in the region. Outreach workers are encouraged to integrate hepatitis awareness in their HIV prevention work where appropriate.
      Questions can be referred to the STD Hotline with the Vermont Department of Health: 802-244-7639.

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