Winnipeg Free Press (Newspaper) - June 05, 2012, Winnipeg, Manitoba
C M Y K PAGE A11
I N many ways, living with hepatitis C is similar
to living with HIV - both are viruses
that begin with a dormant stage, but then
they attack the human body and eventually
kill you unless they are treated.
Treatments for hep C and HIV are quite
similar, too. Both are highly invasive, but
there is a 55 to 70 per cent success rate in ridding
the body of the hep C virus entirely, while
there is no " cure" for HIV. In other words, you
live with the HIV virus
and keep it under control
with a drug, hoping it
won't eventually become
full- blown AIDS ( and now
there are even plenty of
people living with AIDS
because of a " prescription
drug cocktail" which prevents
the body's immune
system from failing)
But I am told a big difference
has developed
between the experiences of HIV and hep C
patients recently.
According to one of Manitoba's top liver
specialists, Dr. Kelly Kaita, people who have
hep C are living with a social stigma people
with other treatable illnesses have been able to
manage or overcome more effectively. Kaita
says people with hep C are especially reluctant
to talk about their illness. And that's what
is making it a stigma.
About 250,000 Canadians have hepatitis C.
The virus is spread through the blood so most
victims got the illness from blood transfusions,
before we started testing for it, and
many were infected by sharing needles. No
matter how you got it, you are sick and should
be treated as such.
The most effective treatment for is a 48-
week regimen that consists of a weekly injection
of interferon and daily ribavirin pills ( two
or three in the morning and the same at night).
The big problem is this treatment is a monster
that knocks you on your arse.
There are about 150 possible side- effects.
Most patients can expect to experience about
35 of them, and the most common are flu- like
symptoms. Not just feeling " light- headed" or
" off your game" but knock ' em down and drag
' em out influenza - painful, aching joints,
nausea that keeps you flat on your back in
bed, fever, chills, dry heaves, headaches of the
migraine kind and so on.
The more exotic side- effects include something
called lichen planis, a horrible fungal
infection that literally slices your tongue to
shreds and turns your cheeks and gums red
with a painful pimply rash.
Most people who decide to undergo this
treatment have to make arrangements to
take an extended leave from work or have a
big enough savings account to cover living
expenses for six months to a year. All of this
becomes more difficult because, according to
Dr. Kaita, patients with hep C are extremely
reluctant to talk about it.
Maybe it's because AIDS attracted such
high- profile support after it became known
how devastating the effects of this killer illness
were. At first it was " confined" to the
gay community. Hollywood stars such as
Elizabeth Taylor ( and others who knew how
powerful gays are in the film and television
industry) created awareness and raised funds
for research.
And when AIDS began to spread to heterosexuals,
basketball star Magic Johnson
jumped up and educated people about the
dangers of unprotected sex while also making
people aware of how simple it can be to
prevent the spread of AIDS if you take some
basic precautions.
Somehow hepatitis C got lost in the shuffle.
Hep C is only spread through the blood.
Since it is socially accepted that people should
protect themselves during sex, and there are
sanitary reasons for not sharing a razor blade
or even a toothbrush, it is easy to keep hep C
to yourself in every way.
Some patients have said they have experienced
budding romantic or sexual relationships
cool as soon as they tell their prospective
partner they have the virus. Co- workers and
casual, even close friends, start to whisper
about you if you share your experience.
So they suffer in silence. And isolation.
The hep C virus can lie dormant for years
- 20 to 30 is the average - but inevitably it
will attack your liver until this vital organ is
so damaged you need a transplant or you die
from liver disease or cancer.
When hep C becomes active, you stop being
active, because along with all the other hepatitis
symptoms ( jaundice, tender abdomen,
etc.), you are extremely tired all the time.
And the treatment makes you just as sick,
and it is just as debilitating.
You become undependable, and you can only
make so any excuses for missing work or the
social events you used to attend so reliably.
Dr. Kaita feels there is a need to remind
people that hep C affects a lot of our fellow
Canadians and they are going through hell
trying to deal with it.
They don't need a social stigma on top of all
of that.
Don Marks is a freelance writer based
in Winnipeg who is presently being treated
for hep C but asks for no sympathy or
understanding because he is routinely unreliable
and has been blessed with some good friends.
Necessary correction
Re: NDP should raise tax, get out of the
way ( June 2). I agree wholeheartedly with the
second sentiment in the headline of David
Asper's article.
On the first sentiment, however, Manitoba's
provincial administration has proven beyond
any reasonable doubt that taxation past a certain
point will in fact decrease tax revenues
and in turn not reduce debt nor enhance effective
public services. They've also proven they
cannot " get out of the way."
The evidence: our massive debt load ( increasing
exponentially every year) and the
fact that more people and businesses are leaving
this province. There is a direct connect
between the two.
The fact that Asper advocated increased
taxes and was applauded for promoting it is
further evidence of the real problem in this
province: our apathetic electorate and business
community. If even our business community is
supportive of his proposal, we are headed for
darker times indeed.
Our provincial administration has proven it
can't be trusted with our tax revenues, given
that it has shown no signs of applying the real
needed correction: immediate slashing of government
spending.
If you want to increase tax revenues, cut the
waste. Decrease the cost of doing business in
Manitoba and the rejuvenated private sector
will respond with more tax revenue and real
cash to repair our infrastructure.
DAVID OWENS
Winnipeg
��
So did David Asper look to his past business
skills in order to make him an advocate for
raising the PST or is this just the musings of a
law professor?
CLIVE RUSSELL
Winnipeg
��
Re: One per cent solution is 100 per cent lazy
( June 2). I concur fully with Shannon Martin's
article. It is very easy for big business, organized
labour and David Asper to call for such an
increase. Would they by any chance profit by
such an increase?
Have these organizations given any thought
to what this would mean to the poor, to seniors
and to middle- income earners? We have
already been hit by increases in the motor
vehicle fee, the fuel tax, the property tax, the
insidious frontage levy and the ever- increasing
education tax.
It is my hope that the government will hold
firm in denying an increase in the PST. This
would only add to the burden of those who can
least afford it.
AURISE KONDZIELA
Winnipeg
��
If infrastructure is the emergent issue the
unions say it is, perhaps a better solution would
be to implement tolls for each of the projects
that are in such dire need of extra funding.
At least this way the users pay the cost and
the money generated can be controlled to a
specific cause and not simply added to the general
squander fund. Once the project is paid
for, then the toll can come off.
MICHAEL CROOKS
Winnipeg
��
When the provincial government increases
our sales tax from seven to eight per cent, we
will soon see eight workers on the side of the
road leaning up against a shovel instead of
seven.
DEREK J. WRIGLEY
Winnipeg
Heartening support
Re: Gay rights making tremendous strides
( Sunday Extra, June 3 ) . As a member of the
lesbian, gay, bisexual, transgender, two- spirit,
queer and questioning community and a participant
in Pride 25, I was heartened to see so
many people out supporting the community,
including many persons of faith, and celebrating
how far we have come as a society.
Although our legal rights have come a long
way, we still have a long way to go with regard
to attitudes. Many members of the community
need to really think before we are willing to
walk down the street holding the hand of the
person we love, something others never have to
think about.
Homophobia, biphobia and transphobia are
still alive and well in the world today and although
we celebrate how far we have come, we
know there is much work still left to do.
PATRICK WOODBECK
Winnipeg
��
Re: Great time to show the pride ( June 4).
The comments St. Boniface MP Shelly Glover
made about her anger at the politicization of
the gay pride parade were out of place. Pride
parades are inherently political.
Gay, lesbian, transsexual, transgender,
intersex, two- spirit and queer people have had
to fight for legal protections and equality, and
discrimination still exists. There is nothing
wrong with Andrew Swan announcing the
fact that the Progressive Conservatives have
consistently opposed protections for this community
( even the provincial human rights code
protects sexual orientation).
This was my first year at Pride to support
this community. I do not believe that the
number of times one attends a Pride parade is
indicative of the amount of support one has for
sexual rights and equality.
GILLIAN HANSON
Winnipeg
Forewarned, forearmed
Re: Branson blog raises B. C. government's
ire ( May 30). For a man who, until recently,
claims that he doesn't use a computer, Sir Richard
Branson's tasteless Internet blog has me
feeling a bit puzzled.
Branson is well- known for his flamboyantly
brash market- savvy style, so it's no surprise
that he owns an airline called Virgin and vacations
on a Caribbean island known as Necker
Island.
If B. C. Premier Christy Clark does consider
the offer to visit his peachy island paradise, I
would advise her to go fully chaperoned and
armed with a good supply of pepper spray.
DON WARKENTIN
Winnipeg
Understandable travel
Re: Knight rides to rescue chivalry ( June 4).
It is not so passing strange that with all the
systemic governmental corruption, civil disorder,
religious alienation and continuing ethnic
nationalism, Vincent Gabriel Kirouac should
leave his home province on horseback in quest
of chivalry elsewhere. It's apparently been absent
from Quebec for some time.
MARK S. RASH
Winnipeg
A scary thought
Re: Media monsters ( June 2) Mike McIntyre's
article was very interesting, yet very
disturbing. The thought that these " evil monsters"
will, at some point, be eligible for parole
is downright scary.
This report clearly identifies the need for the
federal minister of justice to open the debate
on capital punishment for killers who commit
heinous, repugnant first- degree murders. Recent
statistics show the majority of Canadians
favour this action.
TERRY MEINDL
Teulon
HAVE YOUR SAY:
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�� LETTERS OF THE DAY
Re: Federal health program ensures fairness
for all ( June 1). Jason Kenney comments:
" But this government does not expect
hard- working taxpayers to pay for health
benefits for failed refugee claimants that
they themselves do not receive."
I agree, but it appears fine with this government
for hard- working taxpayers to pay
for outlandish MP pensions that they themselves
do not receive. Perhaps Kenney should
have a look in his own house if he's looking
for fairness.
TIMOTHY CONNELL
Carman
��
Minister Jason Kenney has entirely
missed the point again and seems to not be
well- informed about the different classes of
refugees.
His article refers mostly to refugee claimants.
Tom Denton's May 17 article ( They
aren't all ' bogus' refugees, as portrayed by
Kenney ) spoke mostly to the plight of privately
sponsored refugees whom the government
has already " blessed" before they ever
arrive in Canada.
The refugees who will be the most negatively
affected by the cuts to the interim
federal health program are the ones who
have just arrived from refugee camps and
who have not had health care for many
years. They will need some basic care for
the first year, which is why it is an interim
program.
JIM MAIR
Winnipeg
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Winnipeg Free Press est 1872 / Winnipeg Tribune est 1890
VOL 140 NO 202
2012 Winnipeg Free Press, a division of FP Canadian Newspapers
Limited Partnership. Published seven days a week at 1355 Mountain
Avenue, Winnipeg, Manitoba R2X 3B6, PH: 697- 7000
BOB COX / Publisher MARGO GOODHAND / Editor
JULIE CARL / Deputy Editor
Federal ministers Jason Kenney ( left) and Vic Toews in Ottawa on May 30.
In search of fairness
T O some, New York Mayor Michael Bloomberg's
idea to limit soda sizes in restaurants,
food carts, delis and movie theatres seems
like the definition of a predatory, nanny- state mandate.
Why target sugary drinks when they are just
one part of a huge problem? Why limit consumer
choice in the process?
But on the other side is the astonishing fact 36
per cent of Americans are excessively overweight,
treatment for which costs the country $ 190 billion
a year. In a very real sense, obese Americans' lifestyle
choices cost everyone. And a primary driver
of America's obesity problem since the 1970s has
been over- consuming sugary drinks.
Sugary drinks have been the largest single contributor
to the increase in Americans' caloric consumption
over the past three decades. Soft drinks
deliver roughly half the added sugar in the average
American's diet. But some Americans consume
much more than others. Teenage boys, for
example, now drink an average of 273 calories in
sugary drinks every day. And, unlike with solid
bad- for- you foods, public- health experts theorize
that people don't tend to cut back on calories
elsewhere after consuming a lot of soda. That is
among the reasons it's unsurprising that consuming
sugary drinks is associated with weight gain
and diabetes.
So, policies aimed at discouraging overconsumption
of sugary soft drinks can make sense, as
long as they are part of a broader, comprehensive
anti- obesity effort to improve eating and exercise
habits.
Bloomberg's approach is a particularly intrusive
attempt at that. He plans to limit soda cup
sizes to 16 ounces, though he would not limit the
number of cups New Yorkers could buy, which
means soda fiends can still get their fix if they
are determined to do so. The proposal relies on
the notion that portion size can serve as a cue to
change behaviour, whether by indicating what a
reasonable serving of soda looks like, or by simply
defining when diners should feel " done" with
their drinks.
That is not the first approach we would try.
First, it's full of holes, including the fact it doesn't
regulate soft- drink bottle size. New Yorkers might
nevertheless bristle at the government mandate
and, Cornell's Brian Wansink suggests, save little
patience for better anti- soda policies in the future,
particularly if waistlines in the city don't decline
dramatically. Requiring clearer in- store warnings
about health risks, for example, would be a less
intrusive place to start.
Still, we are happy to see Bloomberg experimenting
with serious policies to address obesity,
which is more than can be said about most of
America's politicians, and we hope he succeeds.
Even if Bloomberg's plan fails to make much of
a difference, it should be taken as an invitation
for like- minded policy makers to try different approaches.
DON
MARKS
OTHER OPINION
The Washington Post
Limiting the size of sodas is at least a start
Time to get
hep C out
of the closet
A_ 11_ Jun- 05- 12_ FP_ 01. indd A11 6/ 4/ 12 9: 26: 14 PM
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