Some of the first-time donors who rushed to give blood in
                  the aftermath of the terrorist attacks are now discovering
                  they may need medical assistance of their own in the future.
                  More than twice as many people as expected tested positive
                  for hepatitis C, a potentially debilitating liver disease,
                  after doting blood, according to the records from the Puget
                  Sound Blood Center.
                  It's hard when someone finds out they have a disease such
                  as hepatitis C, said Keith Warnack, spokesman for the blood
                  center. On the other hand, they found out something important
                  that will help keep them healthy.
                  About 20, or 0.7 percent, of the 2712 first-time donors who
                  turned out between September 11th and September 16th tested
                  positive for the disease even after disclosing no known risk
                  factors. Their blood won't be used.
                  During typical blood drives, only about 0.3 percent of
                  donors test positive for hepatitis C, Warnack said.
                  The data collected by blood banks around the country after
                  the outpouring of donations to give public health officials a
                  rare glimpse into the prevalence of the disease, which is to
                  believe to infect about two percent of the general population.
                  Some health advocates, however, believe the rate could be
                  much higher.
                  Between 10 and 20 percent of people who test positive don't
                  know how they contracted it, said Michael Ninburg, executive
                  director of the hepatitis education project, a Seattle-based
                  group to provide support and information.
                  Some risk factors include injection drug users, having had
                  a blood transfusion prior to 1992 or having received clotting
                  agents before 1987.
                  Having multiple sex partners also increases the risk.
                  The health department has not seen the data yet, said Dr.
                  Jeff Duchin, chief of the communicable disease control program
                  for public health Seattle and King County. But the numbers did
                  not surprise him.
                  The number of people reported to the public health
                  department has been growing as awareness has grown and more
                  people have been tested, he said.
                  Some cases spontaneously resolve, he said.
                  But between 75 percent and 85 percent will develop into a
                  chronic infection, and between 10 to 20 percent of those will
                  eventually lead to cirrhosis of the liver.
                  Currently, hepatitis C is a leading cause of liver
                  transplants in the country.
                  Avoiding alcohol primary method of reducing damage from
                  hepatitis C, said the Duchin.