At the Crossroads: The Rise of Hepatitis C and the Fight to Stop It

Series produced by Kristin Espeland Gourlay

Caption: This estimate includes those typically not counted by CDC estimates, e.g., the incarcerated, active duty military, homeless., Credit: Jake Harper
Image by: Jake Harper 
This estimate includes those typically not counted by CDC estimates, e.g., the incarcerated, active duty military, homeless. 

Hepatitis C infects an estimated five million Americans, though most of them don’t know it. Now, deaths from hepatitis C are on the rise in baby boomers. And new infections are creeping up among a younger generation of injection drug users. But there's new hope. Less than a year ago, their only options for treatment were complicated regimens of injections that caused major side effects and didn’t always lead to a cure. Today, new drugs can cure the disease, with few side effects. It's what many people living with hepatitis C have been waiting for. The trouble is, the drugs are so expensive they're out of reach for many. So where do we go from here?

This eight part series looks at this unique moment in time for hepatitis C, a chronic infection that primarily infects baby boomers, with especially high rates among the incarcerated, veterans, and injection drug users. It's been called the "silent killer," because symptoms usually don't emerge until decades after a person has been infected. By then, the liver may be badly scarred. Hep C is the leading cause of cirrhosis and liver cancer, and can be deadly if untreated.

The good news is that we can cure hepatitis C. But for a hefty price tag: $84 - $94,000 dollars for a full course of treatment with drugs like Sovaldi and Harvoni. So who pays? For many of the millions of infected Americans, we'll all pay, through programs like Medicaid, Medicare, and prison health care systems.

Head inside a medium security prison clinic to meet inmates who are hoping for a second chance, and a cure. Hop out of the mobile needle exchange van in a poor New England town, where outreach workers are trying to keep injection drug users safe, and get them tested for hepatitis C. Hear the stories of people who have been living with chronic hepatitis C for decades, waiting for a cure. And meet the doctors, epidemiologists, and scientists who are battling the disease, and trying to understand it.

This series was produced for Rhode Island Public Radio as a project for The California Endowment Health Journalism Fellowships, a program of the USC Annenberg School for Communication and Journalism. Hide full description

This eight part series looks at this unique moment in time for hepatitis C, a chronic infection that primarily infects baby boomers, with especially high rates among the incarcerated, veterans, and injection drug users. It's been called the "silent killer," because symptoms usually don't emerge until decades after a person has been infected. By then, the liver may be badly scarred. Hep C is the leading cause of cirrhosis and liver cancer, and can be deadly if untreated. The good news is that we can cure hepatitis C. But for a hefty price tag: $84 - $94,000 dollars for a full course of treatment with drugs like Sovaldi and Harvoni. So who pays? For many of the millions of infected Americans, we'll all pay, through programs like Medicaid, Medicare, and prison health care systems.Head... Show full description


8 Pieces

Order by: Newest First | Oldest First
Caption: An outreach worker picks the finger of a woman who wants to be screened for hepatitis C., Credit: Kristin Espeland Gourlay
In 2014, tens of thousands of Americans died from accidental drug overdoses. Many more remain addicted to prescription painkillers and heroin. For...

Bought by KAWC / Border Radio - KOFA, WMMT, and KBCS 91.3 FM Community Radio


  • Added: Jan 20, 2015
  • Length: 08:54
  • Purchases: 3
Caption: Medium security prison in Cranston, RI, Credit: Kristin Espeland Gourlay
Rhode Island’s prisons are grappling with a dilemma. Hundreds of inmates have hepatitis C. New drugs can cure it. But they’re so expensive the depa...

  • Added: Jan 20, 2015
  • Length: 08:39
Caption: Sen. Bernie Sanders (I-VT) at a US Senate Committee on Veterans Affairs hearing Wednesday, Dec. 3, 2014., Credit: Kristin Gourlay (screenshot)
In our ongoing series about hepatitis C, we look now at one of the hardest hit populations: veterans.

  • Added: Dec 05, 2014
  • Length: 04:02
Caption: This estimate includes those typically not counted by CDC estimates, e.g., the incarcerated, active duty military, homeless., Credit: Jake Harper
What’s the price of a human life? Many of us would say each life is priceless. But health economists sometimes have a number in mind.

Bought by WMMT


  • Added: Dec 05, 2014
  • Length: 08:30
  • Purchases: 1
Caption: The FDA has approved dozens of so-called specialty drugs recently. Most are costlier than standard treatments, and most target a relatively small patient population suffering from a rare condition. But hepatitis C is far from rare. The FDA has approved do, Credit: Jake Harper / RIPR
This year marks the 25th anniversary of the discovery of the hepatitis C virus. Since then, people with hepatitis C have had limited – and not very...

Bought by WMMT


  • Added: Nov 25, 2014
  • Length: 08:12
  • Purchases: 1
Piece image
In just a few weeks, another pharmaceutical company will likely win FDA approval for a new drug to cure hepatitis C. That makes three breakthrough ...

  • Added: Nov 14, 2014
  • Length: 07:52
Piece image
How do you stop an epidemic? Keep the people who are sick from infecting more people. Isolate them if you have to, treat them, and cure them. Epide...

Bought by WMMT and KBCS 91.3 FM Community Radio


  • Added: Nov 14, 2014
  • Length: 06:43
  • Purchases: 2
Caption: Rapid screening test for hepatitis C infection, Credit: Kristin Gourlay
Baby boomers make up the majority of the estimated five million people who have hepatitis C. Most caught the disease – from sharing needles, or a b...

Bought by WMMT


  • Added: Nov 14, 2014
  • Length: 07:55
  • Purchases: 1