peterjennings@abcnews.com 
                      
                      Sent: Monday, November 11, 2002 8:06 AM
                      Subject: Met with Dr. Deyton, Veterans Administrations Hepatitis 
                      C Program Director.
                    Last 
                      spring Hepatitis C's Movement for Awareness (HMA) met with 
                      Dr. Deyton, the Veterans Administrations (VA) Hepatitis 
                      C Program Director. He told us that the new qualifications 
                      for being screened for HCV now include the pneumatic, needleless, 
                      jet gun injections veterans received for mass vaccinations.
                    We 
                      asked Dr. Deyton how many Veterans within the VA system 
                      have been tested and had HCV. He could not answer that question 
                      because of inadequacy in the prior system wide screening 
                      process cited by the Government Accounting Office (GAO). 
                      
                    The 
                      following article now claims that more than half of all 
                      veterans attending VHA medical clinics have been screened 
                      for HCV. This is the first documentation by the VA as to 
                      how many Veterans have been screened. According to Dr. Robert 
                      H. Roswell, VA under secretary for health, the VA has screened 
                      more than 2.6 million out of 4 million veterans attending 
                      the Veterans Health Care system for hepatitis C risk factors 
                      since the system wide policy was established in 1999.... 
                      
                    The 
                      article does not mention the system wide policy was sited 
                      by the GAO. Many were confused, including Dr. Deyton, to 
                      the actual number of veterans screened after reports of 
                      discarded blood samples, inadequate screening questions 
                      and the public locations for screening veterans. 
                    The 
                      article also fails to mention the screening qualifications 
                      as of 2002 have changed.... 
                    Ask 
                      a Veteran, "Did your doctor tell you they now including 
                      the jetgun shots as part of the screening qualifications?" 
                      Be sure to mention that according the GAO, if you were tested, 
                      you need to be tested again. Why? They threw away the blood 
                      samples. http://www.house.gov/reform/ns/107th_testimony/bascetta_june14.htm 
                      
                    As 
                      a result of this press release, many Veterans will die because 
                      of the continued embellishment of achievements stated by 
                      the Veterans Administration.
                      Many Veterans think they have been tested and are safe. 
                      
                      Many Veterans don't think they have risk factors. 
                    The 
                      Veterans Administration statistics state 25,470,700 veterans 
                      are alive in the United States and the HCV infection rate 
                      among veterans in the VA system is about 10%. This means 
                      based on reported numbers of infected people by the CDC, 
                      3,900,000. An estimated 11 3/4% of the general population 
                      are veterans, or 458,250 veterans were included in the CDC 
                      results. Based on the infection rate quoted by the VA and 
                      CDC, 3,441,750 civilians of which 2,547,070 are Veterans, 
                      compromise the majority of infected people in the United 
                      States. Approximately 75% of the people with HCV are Veterans 
                      with infections longer than 20 years. 
                    This 
                      means out of the three million chronically infected stated 
                      by NIH 2002 Consensus Conference, at least 2,250,000 have 
                      had this disease for over 20 years. NIH states 20% or 450,000 
                      are expected to develop cirrhosis or cancer NOW, 337,500 
                      will be veterans. 
                    In 
                      lieu of all these defenders of freedom facing death, the 
                      saddest part of all is the number one clinic, with the highest 
                      success rate for treating HCV positive veterans, is being 
                      politically phased out. This is because Dr. Cecil prescribes 
                      medicines for his patients. He spends too much money.
                     
                      ( see petition at http://hcvets.com/vabs/disc.htm 
                      )
                    The 
                      following press release ends with this statement, "VA's 
                      approach continues to be a model for how large systems can 
                      manage this debilitating disease." 
                    How 
                      can you say all those Veterans previously tested are safe?
                      How can you close Dr. Cecil's clinic then pat yourself on 
                      the back with such an ambiguous statement that the VA is 
                      a model for others? 
                    We 
                      need mandatory testing of all veterans currently in the 
                      VA health care system. 
                      We need disease surveillance tracking how many veterans 
                      that die also had HCV. 
                      We need private Physicians to be aware of new guidelines 
                      for screening and educating all veterans in their care. 
                      This needs to be done by stating all of the transmission 
                      methods that existed during the pre/post Vietnam era. 
                    Please 
                      respond to our questions.
                    Tricia 
                      Lupole
                      Natl. Coordinator and the members of 
                      Hepatitis C's Movement for Awareness 
                      http://hcvets.com 
                    
                      VA Offers New Treatment for Veterans with Hepatitis C 
                      WASHINGTON (Nov. 1, 2002) - 
                    Less 
                      than 10 days after a new treatment for hepatitis C was approved 
                      by the Food and Drug Administration (FDA), the Department 
                      of Veterans Affairs (VA) made it available to enrolled veterans
                    
                      
                        | "We 
                          take care of more patients with this debilitating liver 
                          disease than any other health system in the country 
                          -- more than 70,000 a year," | 
                    
                    said 
                      Secretary of Veterans Affairs Anthony J. Principi. 
                    
                       
                        | "These 
                          veterans deserve the best, most responsive care we can 
                          offer, including the very latest, approved treatments." | 
                    
                     
                      The treatment approved by the FDA Oct. 16 is called "pegylated 
                      interferon alfa-2a."  VA has made arrangements 
                      with the manufacturer to ship the new drug to VA facilities 
                      sooner than any other medical system.
                    
                       
                        | "We 
                          are getting this drug in the shortest time possible 
                          to facilities that have the most need," | 
                    
                    said 
                      Secretary Principi. Several advances in treating hepatitis 
                      C, particularly with the introduction of the "pegylated 
                      interferons," include drugs that act against the hepatitis 
                      C virus used alone or in combination with other drugs.  Through 
                      VA's national hepatitis C program, which has been in place 
                      about two years, veterans with hepatitis C receive the most 
                      appropriate medical care, including: Counseling for risk 
                      factor identification and disease prevention; Systematic 
                      screening and testing; Proactive patient and clinician education; 
                      Liver transplantation if clinically necessary; and Support 
                      services such as substance abuse and mental health care. 
                       VA has screened more than 2.6 million veterans for 
                      hepatitis C risk factors since the system-wide policy was 
                      established in 1999.  To better manage and improve 
                      patient care, VA created a national case registry of patients. 
                      
                    
                       
                        | "We 
                          have worked hard to put in place the largest hepatitis 
                          C screening and testing program in the world, all to 
                          the benefit of the veterans we serve," | 
                    
                     
                      said Dr. Robert H. Roswell, VA under secretary for health. 
                      
                    
                       
                        | "VA's 
                          approach continues to be a model for how large systems 
                          can manage this debilitating disease." | 
                    
                    To 
                      view and download VA news releases,
                      please visit the following Internet address:
                      http://www.va.gov/opa/pressrel/ 
                      
                    If 
                      you were tested, you need to be tested again!
                    (Members 
                      please forward this again to Mr. Principi Anthony.Principi@mail.va.gov)