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Hepatitis C

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Last amended 
1 June 2015

Diabetes mellitus - Hepatitis C Factor

Hepatitis C means the presence of anti-HCV on serologic testing.

Formerly it was included in the group known as non-A non-B hepatitis, and it is unrelated to other types of hepatitis.

Signs and symptoms

Hepatitis C can be asymptomatic and the first sign may well be the detection of hepatitis C antibodies (anti-HCV) in the blood. Fatigue rather than jaundice is the main symptom for this condition. As the disease becomes chronic and cirrhosis of the liver develops then complications of cirrhosis become evident.

Establishing onset

It is quite possible for a veteran or member to be unaware at the time that he or she had been infected with the hepatitis C virus (HCV). However, if there is a reliable history of appropriate symptoms prior to diagnosis of hepatitis C, this generally will be accepted, unless there is contradictory evidence. In other cases, the clinical onset of hepatitis C will be the time when evidence of hepatitis C antibodies or hepatitis C virus is detected. Seek medical advice if the clinical onset of hepatitis C is unclear.

Last reviewed for CCPS 12 March 2008.

Preliminary questions [33834]

33841 there is some evidence that hepatitis C may be a factor in the development or worsening of the condition under consideration.

10548 the veteran has non-insulin dependent diabetes mellitus (type 2).

2794     the veteran has hepatitis C.

33835  the veteran has established the causal connection between hepatitis C and operational service for diabetes mellitus.

33836 the veteran was suffering from hepatitis C before the clinical onset of diabetes mellitus.

33837   the veteran has established the causal connection between hepatitis C and operational service for the clinical onset of diabetes mellitus.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

33838 the veteran was suffering from hepatitis C before the clinical worsening of diabetes mellitus.

33839   the veteran has established the causal connection between hepatitis C and operational service for the clinical worsening of diabetes mellitus.

Clinical onset and operational service [33837]

2799     the hepatitis C is causally related to operational service.

Clinical worsening and operational service [33839]

2799     the hepatitis C is causally related to operational service.

33840 the clinical onset of diabetes mellitus occurred prior to that part of operational service to which the hepatitis C is causally related.