Hepatitis C Spreads Rampantly Amongst HIV-Positive Men

A doctor pressing a stethoscope against his male patient's back(BlackDoctor.org) — There is an ongoing “explosion” of deadly hepatitis C among men who have sex with men.

It’s spread mainly by anal sex, often enhanced by methamphetamine, according to a report in the July 21 issue of the CDC’s Morbidity and Mortality Weekly Report.

“We are having an explosion of sexually transmitted hepatitis C,” study researcher Daniel S. Fierer, MD, of New York’s Mount Sinai School of Medicine. “We have uncovered an emerging epidemic of sexual transmission of hepatitis C. And the main reason is men having anal sex without a condom.”

It’s no surprise to experts who treat hepatitis C. Liver cancer and cirrhosis caused by hepatitis C virus (HCV) already is the leading cause of death among people with HIV infection who have access to HIV drugs. Some 30% of Americans with HIV are co-infected with HCV.

Sexual transmission of HCV among people without HIV is rare, notes Eugene R. Schiff, MD, director of the Center for Liver Diseases at the University of Miami, who was not involved in the Fierer/CDC study. Among heterosexual couples, he says, only 2% of those with HCV infect their partners after 20 years of monogamous marriage.