indeed which is a serious problem Well it was followed by a study from Germany Dr. Wiese et al. Again this was a large number of women

264 livery biopsies in women who 20 years earlier buy cheap viagra and cialis Here we use the Ishak Fibrosis Score 0 to 6. 5 and 6 represent cirrhosis 3 and 4 represents fibrosis So The numbers show a very low rate again So

certainly it appeared that in young women at least What about studies in children had been transfused They started off with 458 patients What was interesting and I'll come back to that later is that when they followed them up 20 years later Well increased ALT was found in one

Cirrhosis in one and this was a child with HBV

so again So 12 had cirrhosis due to hepatitis C 1 percent and 1 had subacute hepatitis C. Of these 1,144 706 children underwent transplant

of whom 6 had hepatitis C or 0.8 percent 5 with cirrhosis

So So Harvey Alter We reported the first time in 1992 and then we actually have a paper which I say in preparation here We put all the studies together. They all used

more or less transfusion recipients

Well in our first report at 18 years All-cause mortality

41 percent versus 42 percent and 23 years later after all So We have 25 years' data. It's about the same It does indicate

then were positive

and did not in fact die? Well But 17 percent are nonviremic and this has been tested many times They are anti-HCV positive but also in keeping with what she told us

in fact higher than the number that we have accepted now In this next very complicated slide which I won't go through in detail but based on the biopsies we did do So Dr. Schwarz who has been involved in that That's not small. On the other hand 10 times as many