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Question about RNA undetected and transmission, please help?

Hello, I have  two questions regarding RNA and contagious.

-If the HCV RNA is undetectable can the person still be contagious. Is it similar to HIV? In HIV I think if a person is on treatment and their RNA is at low undetectable levels, they still can be contagious. Is this the same for Hepatitis C?

-Another thing, is there a difference between having the Hepatitis C virus and clearing it out (acute), and achieving SVR on treatment for the Chronic type? In both instances arent you clearing the virus? Also what is the difference of being contagious in the two.

I am asking because I am with someone who tested positive for HCV antibodies, but has no RNA.
3 Responses
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223152 tn?1346978371
ha ha -- ya got that right..  SVR akes blood sweat and tears!  How are you doing?
frijole
Helpful - 0
179856 tn?1333547362
I am asking because I am with someone who tested positive for HCV antibodies, but has no RNA. "

If they were acute and cleared yes they would still have the antibodies but no viral load.  

If they did treatment and stayed Undetectible for six months they would be considered SVR and have no viral load.

Difference? An awful lot of blood sweat and tears for the same result.
Helpful - 0
547836 tn?1302832832
from what i have learned, hepatitis is spread through blood to blood contact.  if you don't have any virus left in ya, then how are you able to pass it on?

there is a difference between acute clearing and SVR:
-acute clearing means that your body was able to fight of the hepatitis on it's own without treatment with 6 weeks from contracting the virus, past 6 weeks and still not clear of the virus, this would be called chronic (treatment might help clear the virus).  acute clearing will result in antibody formation, which is a good thing since this could mean you could be immune to the same strain if you get infected again.  i don't think you would be contagious since, again, the person no longer has any viruses in their body to pass on to others.

-SVR does not mean you will be immune if one is exposed to hepatitis again since the person might not test positive for the anitbody.  SVR (Sustained Viral Response)  is staying clear 6 months post treatment, from then on you have 99% of being clear, essentially cured.  again, if you don't have any viruses in your body, i wouldn't know how you could pass on hepatitis.  you need virus RNA to replicate in the cells of the host so if you don't have any virus left in ya, then how do you pass it on?

positive antibodies does not mean you have hepatitis, it could mean you've been exposed before.  you have hepatitis when you test positive for the viral load PCR.
Helpful - 0
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