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CR_TheLiverComic:Layout 1 13/05/2010 10:02 Page 1 Community Response presents Supported by an unrestricted educational grant from Roche Products (Ireland) Limited the Liver CR_TheLiverComic:Layout 1 13/05/2010 10:02 Page 2 Community Response is a voluntary agency based in the South Inner City, Community Response was established in 1990 to work with individuals, families and local communities to develop their own response to problem drug misuse, HIV and hepatitis C. We have a clear commitment to resourcing of local people and development and see as central and invaluable the local contribution to devising lasting solutions to drug problem. So how do you know if you have hepatitis C ? Well, unlike some forms of hepatitis, hep c is often free of symptoms. in fact about 95% of people who have it do not even know they have been infected. flu-like symptoms vomiting fever jaundice (recognised by a yellowing of the whites of eyes) if you are worried that you may have contracted hep c you can visit your local doctor or hospital for a blood test. Testing positive to the virus, can either mean: you may have chronic infection which means your infection may be on-going, causing long term low grade inflammation in your liver We have a good track record in the area of drug awareness and training for project workers, family support work, Hepatitis C, community development and our ongoing input into local drug services. This comic was produced as an education tool to raise awareness around Hep C and the body. The comic will be available online as a stop motion cartoon on www.hepinfo.ie Community Response would like to thank Roche for their support in producing the comic. Community Response Carman's Court 14 Carman's Hall (off Francis St) Dublin 8 Tel: 01 4549772 www.hepinfo.ie 2 some people may experience anything from: you may have had hep c at some time in the past and successfully fought off the virus but still test positive There are a number of ways you can help yourself to cope with hepatitis C. Stop drinking alcohol completely or limit your intake, the more you drink the more likely your are to develop cirrhosis which is a scarring of the liver caused by the virus and prevent blood flowing freely through he liver follow a healthy diet.. be aware of how your disease is transmitted. (if you do develop cirrhosis your doctor may suggest a low salt diet to help reduce fluid retention) hep c is transmitted with blood, so you cannot infect your family or friends through normal activities, such as kissing or by sharing cutlery or crockery. because the damage done to liver by cirrhosis cannot be reversed, doctors try to initiate treatment as soon as possible to attempt to prevent its development. 7 CR_TheLiverComic:Layout 1 13/05/2010 10:02 Page 3 Injecting Drugs If you are injecting drugs and share any equipment that could come into contact with your blood, you can expose others to infection with hepatitis C. This obviously applies to the needle and syringe you use but also applies to water, filters and spoons. Hello there! My name is Sid the cell! the Liver i would like to talk yo you about the liver! Snorting Drugs If you share a rolled up note or straw for snorting drugs you risk exposing yourself and others to hepatitis C. This is especially true if your nose is bleeding. Transfusion of blood and blood products can spread hep c. the liver is the second largest organ in your body (the skin is considered an organ making it the largest it consists of 96% water) Sharing personal items such as toothbrushes and razor blades where transfer of blood occurs are low risk ways to become infected, as are unsafe tatooing or body piercing when equipment is not sterile. the liver is found on the upper right hand side of the abdomen (belly) under the right lung & protected by the rib cage. Unlike the kidneys or lungs , you have only one liver. It is vital that you look after it. You can survive with only one kidney or even one lung but not without your liver! Not practising safe sex is a possible risk for hep c. Hep C can also be passed on from mother to baby. Once again this is thought to be a relatively low risk (1 in 20) but a risk nonetheless. The chances of a baby becoming infected are higher if the mother has both hep c and hiv. Passing on hep c to your baby by breast feeding is not thought to be a risk. So what does the liver do? You cannot get hep c from: The liver performs 500 different functions! in fact, it’s so important that we cannot live without our liver! Let’s take a look at the main things the liver does... The liver stores energy in the form of glucose. This acts as a rapid source of energy, it also helps to keep blood sugar at the right levels. ..hugging & kissing Your liver takes out toxins in your blood. These may have been made by your body when breaking down proteins, or may have been brought into your body through breathing or ingesting something like alcohol, drugs or other harmful substances. Your liver sorts things out and changes them chemically into what the body can use and turns what can’t be used into something that dissolves in blood so that it can be carried to the kidneys. ..Holding hands ..sharing toilets ..sharing crockery & cutlery 6 Waste Toxins NEVER FEAR! I’LL KEEP YOUR BLOOD SUGAR LEVEL UNDER CONTROL! Liver Management 3 CR_TheLiverComic:Layout 1 13/05/2010 10:02 Page 4 if the liver is badly damaged.. Hepatitis means inflammation of the liver. It can be caused by alcohol, certain chemicals, drugs and viral infections... Hepatitis c is a viral infection of the liver. A virus is a tiny organism that may cause disease, infection or inflamation if it enters the body. Hepatitis c infection is not caused by a single virus but by a family of viruses, that can be further divided into six different subtypes called genotypes. ..The body cannot control fluid balance in the abdomen. The abdomen (belly) and legs may swell up.. One of these fluids in the liver that needs to be balanced is Billirubin (made of the breakdown of old red blood cells) which is needed by the liver to make bile (a fluid essential for breaking down fats). A tell tale sign that the liver is damaged is when the Billirubin level gets to high resulting in persons eyes and skin to turn yellow (jaundice). genotypes: genotypes: you got me in bad mood! that’s right i’m a virus! i’m infectious! i love being a virus! LET’S PARTY! i can get really nasty! Different genotypes infect different people worldwide. ..Cannot make clotting factors so you might bleed more easily.. 4 ..cannot detoxify the blood of certain chemicals and drugs. Patients with advanced hepatitis may be extremely sensitive to the effects of certain drugs and chemicals. Hepatitis c is a blood borne virus. That means that it is carried in the blood and spread through blood to blood contact. In some case’s persons with hep c have no idea how they became infected. The majority of people however can identify a likely way. Some practices are more risky than others. 5