Information gaps may be compromising optimal diagnosis and treatment
in Canada and results of a new national survey of physicians and
Canadians on awareness of the liver disease, have prompted the Canadian Liver Foundation (CLF) to urge general practitioners (GPs) to immediately begin recommending a
one-time blood test for all adults born between 1945 and 1975.
“We know that risk-based testing has not been effective in identifying
all infected adults, and most physicians surveyed agree they do not
screen enough patients for hepatitis C,” said Dr. Morris Sherman,
Chairman of the CLF and hepatologist at Toronto General Hospital.
“Given that today’s treatments can cure a majority of those infected,
it’s time to be proactive at identifying chronic hepatitis C in the age
group with the highest prevalence. The hepatitis C antibody test is
inexpensive and is covered by all provincial health care plans.”
According to the survey, conducted by Ipsos Reid, 83 per cent of GPs
agree that patients would benefit from more routine screening. GPs also
admit to having a limited understanding of the disease and its
treatment. Only 35 per cent feel they know a lot about symptoms and
nearly four in 10 (38 per cent) feel they know nothing at all or not
much about available treatments. More than half (57 per cent) are
unaware that hepatitis C can be cured.
Focus on Boomers
While anyone can be exposed to hepatitis C, Canadian data show that
chronic hepatitis C is most pervasive among those born between 1945 and
1975.1 Baby boomers are up to five times more likely to be infected by
hepatitis C than other adults.2 Yet Canadian boomers are less likely than younger generations to have
been tested, according to the survey. Additionally, boomers claim to be
the most knowledgeable generation about hepatitis C, but scores from
the survey show they know the least.
“Hepatitis C is a silent disease, meaning often symptoms don’t appear
for many years until the liver is severely damaged,” said Dr. Marc
Bilodeau, hepatologist and Associate Professor of Medicine at
Université de Montréal. “The large number of people infected, the
asymptomatic nature of the disease and the serious consequences
associated with it justify broader testing. The good news is nearly all
Canadians would accept being tested if suggested by their doctor.”
The CLF extended the recommendation for testing beyond the boomer
generation, taking into account immigration from countries where
hepatitis C is more widespread and common.
While nine in 10 Canadians believe that someone can have hepatitis C and
not know it, this is not leading to testing. In fact, while over
300,000 Canadians are living with chronic hepatitis C and an estimated
71,000 Canadians are living with HIV,3 more are being tested for HIV/AIDS (32 per cent) than hepatitis C (23
per cent) according to the survey.
Survey Design and Methodology
1,000 online interviews conducted nationally with adults over the age
of 18 and 300 online interviews with GPs. The sample was generated by
Ipsos Reid’s Canadian Online Panel to reflect the Census data for
Canadian adults and the national distribution of Canadian GPs.4
percentage points for all Canadians and +/- 6.5 percentage points for
all GPs, 19 times out of 20 had the entire adult population and all GPs
The survey was conducted by Ipsos Reid on behalf of the Canadian Liver
Foundation. The Canadian Liver Foundation acknowledges Merck Canada for
its support of the Canadian Liver Foundation’s campaign to raise
awareness of hepatitis C as a serious liver disease and promote liver
Hepatitis C is a serious and potentially fatal liver disease. More than
300,000 people in Canada are living with chronic hepatitis C but many
are unaware of it.6 It can take decades after individuals are infected for symptoms to
appear.7 Undiagnosed and untreated chronic hepatitis C can lead to cirrhosis,
liver cancer, liver failure or the need for a liver transplant.8
People can contract hepatitis C through any blood-to-blood contact
including injection drug use (even a single episode), blood
transfusions prior to 1990, participation in medical procedures or
immunization in countries where hepatitis C is common, sharing personal
care items (razors/nail clippers), and tattoos and piercings with
improperly sterilized equipment.9
The CLF is encouraging GPs to learn more about screening and testing for
hepatitis C. Tools to help physicians screen, diagnose and treat
hepatitis C are available at http://www.liver.ca/liver-education-liver-research/resources-health-professionals/. Canadians looking for more information on hepatitis C can also visit
the CLF website at www.liver.ca/hepatitis.
About the Canadian Liver Foundation
Founded in 1969 by a group of doctors and business leaders concerned
about the increasing incidence of liver disease, the CLF was the first
organization in the world devoted to providing support for research and
education into the causes, diagnoses, prevention and treatment of all
liver disease. Through its chapters across the country, the CLF strives
to promote liver health, improve public awareness and understanding of
liver disease, raise funds for research and provide support to
individuals affected by liver disease.
- An Audio News Release is available here:
- B-roll is available here:
- A short video on boomers and hepatitis C is available here:
1 Canadian Liver Foundation. http://www.liver.ca/support-liver-foundation/advocate/clf-position-statements/hepatitis_C_testing.aspx. Accessed January 4, 2013.
2 Chronic Hepatitis C: Why Baby Boomers Should Get Tested. www.cdc.gov/knowmorehepatitis/Media/PDFs/FactSheet-Boomers.pdf. Accessed January 4, 2013.
3 UNAIDS. http://www.unaids.org/en/dataanalysis/datatools/aidsinfo/. Accessed on January 4, 2013.
4 Ipsos Reid. http://ipsos-na.com/news-polls/pressrelease.aspx?id=5977.
6 Canadian Liver Foundation. http://www.liver.ca/hepatitis/hepatitis-c.aspx. Accessed January 4, 2013.
7 Health Canada. http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/diseases-maladies/hepc-eng.php. Accessed January 4, 2013.
8 Public Health Agency of Canada. http://www.phac-aspc.gc.ca/hepc/pubs/multiling-hepc/index-eng.php. Accessed January 4, 2013.
9 Canadian Liver Foundation. http://www.liver.ca/liver-disease/types/viral_hepatitis/Hepatitis_C.aspx. Accessed January 4, 2013.
SOURCE: Canadian Liver Foundation
For further information: To arrange an interview, please contact:
Canadian Liver Foundation
416-491-3353 ext. 4923