Natural Treatments may help with hepatitis C
by Dr. Zoltan P. Rona

Hepatitis C is a serious inflammatory liver disease caused by a virus acquired from infected blood.
About 60 per cent of the cases are thought to be contracted through intravenous drug use, blood transfusions, sexual contact or by accidental perforation of the skin with a contaminated needle. In 40 percent of the cases, the source of the infection is unknown.

At least 20,000 Canadians acquired hepatitis C thanks to the less than competent efforts of the Canadian Red Cross and Health Canada's Health Protection Branch (HPB), who failed to screen for the virus in the blood supply.

The majority of victims have no symptoms, but about 50 percent have abnormal liver function blood tests. About 10 percent to 25 per cent of the cases ultimately develop chronic liver disease leading to cirrhosis and death. Signs and symptoms of active disease include fever, weakness, nausea, dark urine, light-coloured stools, abdominal discomfort and jaundice.

Conventional medical treatment of chronic hepatitis C involves injections of interferon three times a week for six months. Unfortunately, interferon injections have a sustained (long term) benefit in only 25 percent of the cases.

Any liver problem, including hepatitis C, can be helped by periodic juice fasting and a diet high in raw fruits and vegetables and low in fats, sugar, processed foods and all animal proteins, especially fish, shellfish, beef, pork and dairy products.

Avoid supplementation with megadoses of vitamin A or niacin because these can cause abnormal liver function tests in some individuals.

Supplement instead with carotenoids found in greens, carrots and other raw fruits and vegetables.

Artichokes should be added in liberal amounts to the diet because they contain natural factors that protect the liver. Herbs such as licorice, burdock, dandelion, black radish, goldenseal, green tea, red clover and yellow dock have either anti-viral effects or can cleanse the liver and bloodstream.

Silymarin, a flavonoid found in milk thistle, can help heal a damaged liver and aid in its regeneration.

Curcumin, a potent anti-inflammatory yellow pigment found in the herb tumeric, is equally important in reversing any liver disease.

Since the 1950s, there have been several reports of the benefits of supplementation or infusion of vitamin B12, folic acid, raw liver extract and vitamin C. The basic effect of these nutrients is to reduce the mean duration of hepatitis.

Supplementation with the bioflavonoid cianidanol (catechin) is also effective in reducing the damage seen in hepatitis.

Other natural supplements of benefit include bifidobacteria, coenzyme Q10, liquid chlorophyll, bovine colostrum, DMG (dimethylglycine), N-acetyl-cysteine, and the amino acids L-methionine and L-cysteine.

Dosages for all these remedies depend on individual patient tolerance and disease severity. Supervision by a natural health care physician is strongly recommended.

Dr. Zoltan Rona is a general practitioner with interests in nutritional and preventive medicine in Toronto, Ontario, Canada. Permission granted by author to Smilin' Sandi, on 7/15/98, for inclusion of article in hepc bull newsletter.

For further information regarding alternative therapies for HCV, check online at “Natural Interferon Boosters” http://www.wwonline.com/rona/natur.htm

“Natural Treatments may help with hepatitis C” article can be found online at “Sandi's Crusade Against Hepatitis C” http://webhome.idirect.com/~dusanm/smking/index.htm
Smilin' Sandi, smking@idirect.ca, ICQ UIN: 5259509

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Will Canadian Hepatitis C Patients be Denied Access to a Potentially Superior Combination Therapy like Their American Neighbours?
by Craig B.

This article is intended to provide hepatitis C patients with information on recent developments in treatment. The research was done by members of the Windsor Hepatitis C Support Group.

The April 98 issue of Hepatology contained an article by Dr. Jenny Heathcote (from the University Of Toronto and a physician of mine in the past) and others titled “Retreatment of chronic hepatitis C with consensus interferon.” Consensus interferon (the brand name is Infergen, by Amgen) was used in this trial to treat patients who had relapsed after one course of Interferon therapy or had not responded to Interferon therapy in the first Place. The researchers reported that when they treated patients who had relapsed after previous treatment with 15 micrograms of consensus interferon for 48 weeks, they managed to get a sustained virologic response in 58% of these patients. This response rate is the highest ever seen when treating relapsers. It is necessary to compare this sustained response rate with those seen in other studies that treated relapsers with other interferons.

The National Institutes of Health in the US held a development conference on the management of hepatitis C in March/97 and has published the proceedings and findings. In a chapter called “Retreatment with Interferon,” it did an analysis of the published literature in this area and found overall that only 28% of the patients retreated with other interferons develop a sustained biochemical response. Keep in mind that a biochemical response is not as good an indicator of cure as a virologic response-the measure used in the consensus interferon study.

The combination of interferon alpha 2b (brand name IntronA - made by Schering Plough) plus ribavirin (brand name Rebetol), also a Schering product, has been tested in hepatitis patients. The results of a study using this combination in relapsers showed a 49% sustained virologic response after 6 months of therapy versus a response rate of only 5% when using IntronA alone. The side effects of this combination were much more toxic than using any interferon alone. These results were reported at the American Association for the Study of the Liver Disease (AASLD) conference by Dr. Gary Davis, in 1997. Based on this study the FDA in the US has in the last month given Schering approval to market this combination and the company has called it Rebetron.
Here is the problem. Schering will not sell ribavirin (Rebetol) alone but only as part of a combination pack (Rebetron) which includes their interferon, IntronA. This means that patients in the US are not able to use consensus interferon (which is FDA approved in the US) in combination with ribavirin unless they pay for the combo pack, throw away the IntronA, and buy consensus interferon separately-a very expensive way of doing things. In Canada, neither the combo (Rebetron) nor consensus interferon (Infergen) have yet been approved by the Health Protection Branch, but I assume the approvals will be the same as in the US. If this happens Canadian hepatitis C patients and their doctors will not be able to choose the interferon they want to use in combo with ribavirin.
Consensus interferon has demonstrated that it is a superior interferon in other ways as well. In Dr. Heathcote's study they treated patients who did not respond to a first course of interferon therapy with 15 micrograms of consensus interferon. The published data says that retreating non-responders with other interferons does not work-the response rates are around 0% (this was reported at the NIH Conference). The consensus interferon study showed a 13% sustained response rate in this difficult to treat group of patients. Consensus interferon has also proven that it works better than IntronA in patients with a high hepatitis viral load. This was demonstrated in an earlier study where Dr. Heathcote was one of the researchers. This study was started in 1992 and used only 9 micrograms of consensus interferon and only used it for 6 months since that was how long physicians treated patients for at that time. However the drug still showed that it could cure patients that IntronA could not.

What about patients who have never been treated with interferon before? The combination of IntronA and ribavirin has been tested in this group and Schering reported at The Digestive Diseases Week Conference in New Orleans this May that the response rates are far superior to those seen using IntronA alone.

I think that combination therapy of ribavirin plus an interferon is probably the most effective therapy for untreated patients. The interferon used in the combination should be the interferon that shows the best response. Is it fair that patients and doctors be forced to use a particular interferon in combination with ribavirin? Shouldn't we be free to make that choice based on the published evidence, instead of being forced into a decision?

I have also discovered that Amgen Canada has an emergency drug release program where physicians can get consensus interferon for their patients at NO COST.

Finally, we gathered a lot of information on this subject, but did not include it in this article. We have a comprehensive package available, and if any would like a copy of that, you may call Craig @ (519) 252-9399, or Janice @ (519) 735-7146.

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Herbs for Specific HCV Symptoms
(Ed. Note: See the next column for warnings.)

BID - twice a day. TID - three times a day. QID - four times a day.

Anxiolytics (Anti-anxiety)
1. Valerian
2. Chamomile
3. Hops
4. Kava Kava - muscle relaxant, anticonvulsant, and analgesic properties.
5. Korean, Chinese, and Indian medicine including the plants centella asiatica, radix peoniae alba, radix polygalae, and radix platycondi.
6. Panax Ginseng
7. Siberian Ginseng

Bruising
1. Vitamin C
2. Grape Seed Extract

Constipation
1. Dandelion root - 200-500 mg
2. Aloe Vera

Depression
1. St. John's Wort has the ability to inhibit monoamine oxidase (MAO), but it has also been demonstrated to inhibit the reuptake of serotonin. The dosage from a standard 0.3% hypericin extract is 300 mg taken 3 times daily. A gradual escalation should be followed - one capsule for 2 or 3 days, then, two capsules, then three.

The St. John's Brand Transdermal Patch (R) is an adhesive delivery system that releases St. John's Wort, enabling users to benefit from the constant time-released action rather than having to remember to take three 300-mg. capsules each day. The patch may be applied to the shoulder or the back and replaced once every 24 hours. The St. John's Brand Transdermal Patch (R) is waterproof, so users can shower, bathe or swim without it affecting the patch's performance. These patches (Kira brand) are available in London Drugs or Superstore.

2. Ginkgo Biloba - 40-80 mg TID

Diabetes
1. Dandelion - through insulin which buffers blood glucose levels
2. Garlic - hypoglycemic action
3. Ginseng - hypoglycemic action
4. Bittermelon
5. Fenugreek
6. Aloe Vera
7. Bilberry
8. Ginkgo Biloba
9. Grape Seed Extract

Diarrheal (Anti)
1. Goldenseal
2. Carob Pod Powder

Diuretic (for water retention, edema)
1. Horsetail (360 mg) - Diuretic and astringent. Detoxification herb. Rich in silicon & calcium.
2. Dandelion leaves- 4-10g by infusion (tea).
3. Gotu Kola

Fatigue
1. Bee Pollen (450 mg) - Nutritive energy super food.
2. Ginseng, Siberian (410 mg) - For fatigue from chronic, debilitating stress.
3. Barley Juice Powder (480 mg) - Concentrated essence of vital young plants. Nutritious supplement that gives quick energy. High in protein & minerals.
4. Co-enzyme Q
5. Siberian Ginseng

Immune Stimulation
1. Echinacea - immune-boosting properties,including stimulation of phagocytosis, increased motility of leukocytes, and increased T-lymphocyte (increased killer T cells) and interferon production. Increased neutrophils. Increased macrophage activity.

2. Garlic
3. Mistletoe
4. Licorice
5. Panax Ginseng
6. Aloe Vera - increased macrophage activity. Increased interferon production.

Impaired Mental Function
1. Ginkgo Biloba
2. Gotu Kola

Insomnia
1. Kava
2. Valerian
3. St. John's Wort
4. Passion Flower
5. Hops

Inflammation (Anti)
1. Tumeric (curcumin) - 400-600 mg TID curcumin or 8,000- 60,000 mg tumeric
2. Bromelain
3. Aloe Vera
4. Ginger - 2-4 grams powder or 20 grams fresh.
5. Licorice
6. Feverfew
7. Echinacea - The inhibitory activity of lipoxy genase accounts for its anti-inflammatory activity.
8. Garlic
9. Burdock Capsules (360 mg) - Rid the body of acidic, inflammatory pain. Blood purifier & anti-inflammatory.
10. Golden Seal (500 mg) -Effective antibiotic, anti-inflammatory, healing tonic.
11. Yucca (490 mg) - reduces inflammation
12. La Pacho

Iron (high)
1. Gotu Kola - chelates free iron molecules.

Itching
1. Aloe Vera

Leg Cramps
1. Gotu Kola

Migraine Headaches
1. Feverfew - 0.25-0.5 mg and up to 1-2 grams for acute attack.
2. Ginger

Nausea
1. Ginger - 2-4 grams powder or 20 grams fresh

Skin
1. Oregon Grape - Cleansing infection fighter especially for skin problems.
2. Topical St. John's Wort

Spider Nevi
1. Gotu Kola

Thymus Stimulant
1. Mistletoe

General Liver Tonics
1. Dandelion root (460 mg) - Liver & kidney tonic. Bitter laxative, tonic, & diuretic. For liver/spleen ailments also joint pain & eczema.
2. Milk Thistle- increases Glutathione

Liver Protection
1. Milk Thistle (Silymarin) : 70-210 mg TID. Silymarin may stimulate certain immune functions. Promotes tissue regeneration.
2. Licorice
3. Tumeric/Curcumin
4. Panax Ginseng- increases the activity of the Kupffer cells.

Anti-virals
1. St. John's Wort
2. Garlic
3. Licorice - increased interferon production
4. Panax Ginseng - enhances activity of the reticuloendothelial system-increased macrophage activity- increased interferon production- increased natural killer cells.
5. Aloe vera - increased monocytes & macrophage
6. Echinacea
7. LaPacho (Pau d'Arco)

 

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Herbs for additional IFN/Ribavirin Side Effects

Neuropathy/ Neuralgia
1. Ginkgo Biloba
2. Cayenne Pepper (capsicum)
3. Gotu Kola

Cataract/ Glaucoma/ Macular Degeneration
1. Ginkgo Biloba
2. Bilberry
3. Grape Seed Extract

Retinopathy
1. Ginkgo Biloba
2. Bilberry

Cold Sores
1. Licorice - Topical glyceyrrhetinic acid
2. Melissa Officinalis- high lysine content- Herpilyn product available in US

Canker Sores
1. Licorice - 200 mg dissolved in 200 ml water as a mouthwash. QID

Sores in Mouth
1. Capsicum Lozenges

 

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Contra-indications, Side Effects and Toxicity of Some Herbs
by Darlene Morrow, B.Sc.

Aloe Vera
Avoid during pregnancy. Causes you drug contractions. Has been shown to be excreted into mothers milk. Avoid if breast feeding.

Dandelion
Contra-indicated in hyperproliferative disorders.

Echinacea
Echinacea is contraindicated in progressive systemic disorders such as tuberculosis, leukosis, collagenosis, multiple sclerosis, HIV infections, and other autoimmune diseases.

Feverfew
Contra-indicated in pregnancy.

Ginkgo Biloba
Side effects from GBE are few and mild. Infrequently, gastrointestinal disturbance, head ache, and allergic skin reaction may occur. Very large doses may cause restlessness, diarrhea, nausea, and vomiting. Contra-indicated in people taking anticoagulants.

Ginseng
The incidence of side effects for ginseng is low; insomnia and nervousness usually occur at inappropriately high dosage levels. It is contraindicated in individuals who have asthma, emphysema, fibrocystic breasts, high blood pressure, clotting problems, and cardiac arrhythmia, as well as in pregnant or lactating women. Do not use large doses during acute infections. This can affect some immune functions. In some women it has been shown to cause breast soreness. Contra-indicated if you have high blood pressure.

Hops
Contra-indicated in severe depression.

LaPacho
Chronic administration may cause moderate to severe anemia.

Licorice
Licorice can promote water retention, and hypertension. An increase in your dietary potassium (bananas) may help alleviate this problem. Do not use without the guidance of your physician if you have high blood pressure

Mistletoe
Can have significant toxicity. Use only under the supervision of a physician.

Packaged Chinese Herbal Products.
Use with extreme caution. The popular "Sleeping Buddah" was found to contain morphine. Many of these products are contaminated with other things as well. See your herbalist for good quality, organic combinations.

St. John's Wort
Side effects include mild gastrointestinal disturbances (taking with food may alleviate this). Adynamic ileus has been reported. Also can cause fatigue, pruritus, and weight fluctuation.
Photosensitivity (increased risk of sunburn) may occur. There is also a precaution against taking foods and drugs that interact with monoamine oxidase inhibitors (MAOI), such as tyramine-containing foods, alcoholic beverages, narcotics, and amphetamines. Warnings have surfaced about the dangers of the concurrent use of serotonergic agents (e.g. Trazodone, Elavil, Paxil, Prozac) inducing serotonin syndrome, since evidence is showing that St. John's Wort may act as an SSRI. Do not take with the advice of a physician. Symptoms of moderate serotonin syndrome include mental confusion, muscle twitching, sweating, flushing, and ataxia. Severe serotonin syndrome can cause acute delirium and blood pressure changes.

Valerian
Large doses or extended use may lead to symptoms of poisoning. Take the tea twice a day for no more than three weeks at a time. May cause gastrointestinal upset in sensitive individuals.


References:
1. Muller, Julie L. , Clauson, Kevin A. Top Herbal Products Encountered in Drug Information Requests (Part 1). [Drug Benefit Trends 10(5):43-50, 1998. ©1998 SCP Communications, Inc.] http://www.medscape.com/SCP/DBT/1998/v10.n05/d3287.mull/d3287.mull-01.html


2. Dehmlow C, Erhard J, de Groot H. Inhibition of Kupffer cell functions as an explanation for the hepatoprotective properties of silibinin. Hepatology 1996 Apr Issue: 4 Volume: 23 Pagination: 749-54

3. Muller, Julie L. , Clauson, Kevin A. Top Herbal Products Encountered in Drug Information Requests: Part 2. [Drug Benefit Trends 10(6):21-23, 31, 1998. © 1998 SCP Communications, Inc.] http://www.medscape.com/SCP/DBT/1998/v10.n06/d5131.mull/d5131.mull-01.html


4. Sherman, Carl. Eastern Anxiolytic Herbs Have Novel Mechanisms. [Clinical Psychiatry News 26(6):23, 1998. © 1998 International Medical News Group.] http://www.medscape.com/IMNG/ClinPsychNews/1998/v26.n06/cpn2606.23.02.html


5. Sherman, Carl. Herbal Remedies May Be Useful Anxiolytics. [Clinical Psychiatry News 26(6):23, 1998. © 1998 International Medical News Group.] http://www.medscape.com/IMNG/ClinPsychNews/1998/v26.n06/cpn2606.23.01.html


6. The Reynolds Office of Health and Nutrition


7. Thuan L. Tran, MD. Adynamic Ileus Associated with the Use of St. John's Wort. Department of Family Practice Kaiser Foundation Medical Center Fontana, California. November, 1997--Volume 125, Number 16, pp. 1022-1087.


8. Demott, Kathryn. St. John's Wort Tied to Serotonin Syndrome. [Clinical Psychiatry News 26(3):28, 1998. © 1998 International Medical News Group.] http://www.medscape.com/IMNG/ClinPsychNews/1998/v26.n03/cpn2603.28.01.html


9. Murray, Michael T. The Healing Power of Herbs: The Englightened Person's Guide to the Wonders of Medicinal Plants. 2nd Edition. 1995
Prima Publishing.

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CYCLE OF CONSCIENCE
Fifteen year old Hep C victim to bike across Canada "Cycle of Conscience" aims to collect 1 million signatures.

Ottawa, ON, June 12, 1998 - Fifteen year old Ottawa youth, Joey Hache, left Ottawa today on what he hopes will be a campaign to keep the unresolved issue of Hep C compensation in the media spotlight over the summer Parliamentary recess. "I told the Prime Minister I would be his conscience on this issue," Hache said, "and I intend to keep my promise."

Hache hopes to collect 1 million signatures from Canadians who support his call to re-open the Hep C compensation package, extending it to all victims of the tainted blood scandal. If hesucceeds, it could force the Liberal government to re-visit its controversial decision to compensate only those who received tainted blood through transfusions between 1986-90. Joey Hache first came to media attention when, prior to the April 28 vote in House of Commons and the height of the Hepatitis C compensation debate, he accused the Prime Minister of treating his Liberal MP's like "political prisoners". As he watched news of Mr. Chretien's visit to Cuba and the protest against Castro's holding of political prisoners, Joey made the astute comparison. Liberal MP's were being forced to vote the party line even though they publicly stated they would prefer to vote their conscience. The Opposition's motion for a free vote on the Hepatitis C compensation issue was forced into a confidence vote by the Prime Minister. The day of the vote, Joey Hache was in the gallery as he watched the entire right side of the House stand in support of victims of Hepatitis C. As expected, the entire Liberal party stood one by one against and the motion was defeated. But Joey was not. In the dead silence following the fateful tally, Joey stood and began to clap, showing his thanks to Opposition MP's, and waving to them. In response, an unprecedented event occurred, as Conservatives, Reform, NDP, Bloc Quebecois and a lone Independent MP rose to their feet in unison and "brought down the house" in thunderous applause. The Speaker of the House took a full 10 minutes to settle things down, as security guards threw Joey and Hep C victims out of the gallery.

Since then, Joey launched his own private campaign against government dictatorship as he became "the PM's conscience," urging Mr. Chretien and Allan Rock to open up the compensation equally to all infected with Hep C by tainted blood. Frequent letters, e-mails and visits to MP's on Parliament Hill have since made Joey Hache a "household name" to all who serve in the prestigious Federal government buildings in Ottawa. All Opposition health critics and MP's have publicly supported Joey's campaign and will meet him at strategic points across Canada to encourage him through his arduous trek.

On June 15, 1998, Joey will start from Halifax, Nova Scotia, dipping his bicycle wheel into the ocean at 12:00 noon local time. "This really is a grass roots project, with just a few people coordinating from our home in Russell, Ontario" says Joe Hache senior. "We are counting on the support of Canadians to show they care." Reform health critic, Dr. Grant Hill will be in Halifax to help kick off this first leg of the journey. NDP leader, Alexa McDonough is also scheduled to meet him on Tuesday, June 16.

Plans are to visit communities through Nova Scotia, PEI, New Brunswick and Quebec, arriving in Ottawa, Ontario on July 1, 1998. Joey, who suffers from a rare blood disorder, must receive transfusions every 3 - 4 weeks and is scheduled to receive his 124th bag of blood on July 2nd at Ottawa's CHEO hospital.

Although concerns have been raised about Joey's health and ability to complete the journey, his parents have decided to allow the trek under close supervision. "If he can't ride the bike, he'll ride in the van. This isn't an endurance cycle, it's a trip to collect signatures of support." says Joey's Dad. Updated reports and press conference schedules will be made available to all media throughout the summer.
---------------------------------------------------------

SCHEDULE

Aug 1 Moosomin SA
Aug 2 Grenfell SA
Aug 3 Indian Head SA
Aug 4 Regina SA
Aug 5 Moosejaw SA
Aug 6 Chaplin SA
Aug 7 Swift Current SA
Aug 8 Medicine Hat AL
Aug 9 Lethbridge AL
Aug 10 High River AL
Aug 11 Calgary AL
Aug 12 Edmonton AL
Aug 13 Banff AL
Aug 14 Golden BC
Aug 15 Revelstoke BC
Aug 16 Vernon BC
Aug 17 Kelowna BC
Aug 18 Chilliwack BC
Aug 19 Vancouver BC
Aug 20 Nanaimo BC
Aug 21 Victoria BC

Please be there to greet Joey when he comes to your town.

Contact: Connie Hache at (613) 445-0467
Web Site : Joey
E-mail: jhache@istar.ca

 

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SQUEEKY'S CORNER
Thanks a Lot!

Last month, Sandy Smith, one of our volunteers (Volunteer? ---ok, backbone, mainstay, Ground of all Being) at the Victoria chapter came up with this brilliant idea. She said, "Why don't we ask Bill Gates for a computer?"

Well, I'll tell you, I was, to put it bluntly, trembling in my knee socks; almost dislodged a suspender--and you know what the recoil can be like; but Sandy's courageous approach had already secured us a generous donation and continued support from the Royal Canadian Legion, so I tightened my MCP belt, took a breath and said, "Sure." The upshot? We wrote some letters---LOTS OF LETTERS--and we got back lots of letters---and we got nowhere, nada, zilch, bubkas.

And then…………..
We got a telephone call from Maureen Chant at The Jim Pattison Group with an extremely generous offer of some used computer equipment. Neato! (PS: Did I tell you I shop more often now at Save-On-Foods, but it's really because of the J. Higby's Chocolate Thunder frozen yoghurt-eh, Joan?). There was a problem though, if you can call it that. The Pattison Group had only donated computer peripherals, and first we needed computers to attach the peripherals to, as well as some software to run the things, if we ever got them. Minor details!

And then…………..
A masked gentleman on a white horse who prefers to remain anonymous, nameless, incognito and the rest, called and offered to provide us with some slightly older computer equipment so that we could continue to educate Canadians about hepatitis C. The offer was extremely generous and we are still trying to catch our collective breath.

And then……………
Martin Harris of Microsoft Canada made us an offer we couldn't refuse. We had asked specifically for software to enable us to improve the look of the bulletin, our Website and to help manage our office information and databases. Microsoft came through big time, providing us with Office 97 and Publisher 98. Both programs, by the way, are the smoothest babies I've ever worked with. Flawless installs, really intelligent design and very easy to use for the average idiot-who me? Now if we could just get those 400 Mhz Pentiums and a few 19” monitors-------sigh………..

Where do we go from here?
You know, we didn't ask for computers so we could play PacMan. Already, we have transferred our databases to a more workable format, which enables us to have better contact with our members, and address your needs. We are also in the process of shifting the production of the hepc.bull to offset printing from photocopying, which will make the bulletin much easier to read, and lower costs, as well. And we are now able to exchange research information, search for information, collate results and write and contact people much more efficiently as we move toward pressing for a cure for this insidious disease.

We still need a bigger office, we need to organise a concerted effort at getting the public involved in finding a cure for hepatitis C, and we need to settle the compensation issue once and for all. None of this happens when you sit on your tush and complain about the other guy not doing anything. It happens, when, like Sandy-who doesn't even have hep!!!-you listen to that “still small voice” and take that first scary step.
Oh yeah, I almost forgot.

Thanks Bill. J

 

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IN MEMORY
One of our members, Annie Ahrens, of Nanaimo, passed away this last month. Her family has asked that donations be sent to HeCSC in lieu of flowers.

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HEPATICO
Carol D. of Vancouver reported to our office that after taking Hepatico for one month, her LFTs have gone down to normal for the first time in four years!

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