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The greatest variation in prevalence of HCV infection
occurs among persons with different risk factors for infection. The highest prevalence of
infection is found among those with large or repeated direct percutaneous exposures to
blood (e.g., persons with hemophilia treated with clotting factor concentrates produced
before 1987, injecting-drug users, and recipients of transfusions from
HCV-positive
donors). Moderate prevalence is found among those with frequent but smaller direct
percutaneous exposures (e.g., long-term hemodialysis patients). Lower prevalence of
HCV-infection is found among those with inapparent percutaneous or mucosal exposures
(e.g., health-care workers). Lowest prevalence of HCV infection is found among those
with no high-risk characteristics (e.g., volunteer blood donors). The estimated prevalence
of persons with different risk factors and characteristics also varies widely in the
United States population (Table 1).
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