May 26, 2018, 4:32 am
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1 Philippine Peso = 0.06987 UAE Dirham
1 Philippine Peso = 2.04394 Albanian Lek
1 Philippine Peso = 0.03405 Neth Antilles Guilder
1 Philippine Peso = 0.46707 Argentine Peso
1 Philippine Peso = 0.02507 Australian Dollar
1 Philippine Peso = 0.03386 Aruba Florin
1 Philippine Peso = 0.03804 Barbados Dollar
1 Philippine Peso = 1.58684 Bangladesh Taka
1 Philippine Peso = 0.03178 Bulgarian Lev
1 Philippine Peso = 0.00718 Bahraini Dinar
1 Philippine Peso = 33.30759 Burundi Franc
1 Philippine Peso = 0.01902 Bermuda Dollar
1 Philippine Peso = 0.02521 Brunei Dollar
1 Philippine Peso = 0.13049 Bolivian Boliviano
1 Philippine Peso = 0.06941 Brazilian Real
1 Philippine Peso = 0.01902 Bahamian Dollar
1 Philippine Peso = 1.2997 Bhutan Ngultrum
1 Philippine Peso = 0.18862 Botswana Pula
1 Philippine Peso = 380.82557 Belarus Ruble
1 Philippine Peso = 0.038 Belize Dollar
1 Philippine Peso = 0.02456 Canadian Dollar
1 Philippine Peso = 0.01888 Swiss Franc
1 Philippine Peso = 11.92087 Chilean Peso
1 Philippine Peso = 0.1215 Chinese Yuan
1 Philippine Peso = 54.23245 Colombian Peso
1 Philippine Peso = 10.69241 Costa Rica Colon
1 Philippine Peso = 0.01902 Cuban Peso
1 Philippine Peso = 1.79018 Cape Verde Escudo
1 Philippine Peso = 0.41871 Czech Koruna
1 Philippine Peso = 3.37645 Djibouti Franc
1 Philippine Peso = 0.12092 Danish Krone
1 Philippine Peso = 0.9416 Dominican Peso
1 Philippine Peso = 2.20987 Algerian Dinar
1 Philippine Peso = 0.25394 Estonian Kroon
1 Philippine Peso = 0.33993 Egyptian Pound
1 Philippine Peso = 0.51779 Ethiopian Birr
1 Philippine Peso = 0.01623 Euro
1 Philippine Peso = 0.03907 Fiji Dollar
1 Philippine Peso = 0.01422 Falkland Islands Pound
1 Philippine Peso = 0.01425 British Pound
1 Philippine Peso = 0.08823 Ghanaian Cedi
1 Philippine Peso = 0.89024 Gambian Dalasi
1 Philippine Peso = 171.23835 Guinea Franc
1 Philippine Peso = 0.13955 Guatemala Quetzal
1 Philippine Peso = 3.93875 Guyana Dollar
1 Philippine Peso = 0.14924 Hong Kong Dollar
1 Philippine Peso = 0.45305 Honduras Lempira
1 Philippine Peso = 0.11993 Croatian Kuna
1 Philippine Peso = 1.23264 Haiti Gourde
1 Philippine Peso = 5.18261 Hungarian Forint
1 Philippine Peso = 268.49914 Indonesian Rupiah
1 Philippine Peso = 0.06761 Israeli Shekel
1 Philippine Peso = 1.28921 Indian Rupee
1 Philippine Peso = 22.52235 Iraqi Dinar
1 Philippine Peso = 800.64676 Iran Rial
1 Philippine Peso = 2.00476 Iceland Krona
1 Philippine Peso = 2.38368 Jamaican Dollar
1 Philippine Peso = 0.01348 Jordanian Dinar
1 Philippine Peso = 2.08195 Japanese Yen
1 Philippine Peso = 1.91839 Kenyan Shilling
1 Philippine Peso = 1.2975 Kyrgyzstan Som
1 Philippine Peso = 77.23036 Cambodia Riel
1 Philippine Peso = 7.96595 Comoros Franc
1 Philippine Peso = 17.12003 North Korean Won
1 Philippine Peso = 20.46376 Korean Won
1 Philippine Peso = 0.00575 Kuwaiti Dinar
1 Philippine Peso = 0.0156 Cayman Islands Dollar
1 Philippine Peso = 6.24805 Kazakhstan Tenge
1 Philippine Peso = 158.41735 Lao Kip
1 Philippine Peso = 28.6285 Lebanese Pound
1 Philippine Peso = 3.00552 Sri Lanka Rupee
1 Philippine Peso = 2.59102 Liberian Dollar
1 Philippine Peso = 0.23569 Lesotho Loti
1 Philippine Peso = 0.05799 Lithuanian Lita
1 Philippine Peso = 0.0118 Latvian Lat
1 Philippine Peso = 0.02586 Libyan Dinar
1 Philippine Peso = 0.18008 Moroccan Dirham
1 Philippine Peso = 0.31929 Moldovan Leu
1 Philippine Peso = 0.99391 Macedonian Denar
1 Philippine Peso = 25.77516 Myanmar Kyat
1 Philippine Peso = 45.76412 Mongolian Tugrik
1 Philippine Peso = 0.15373 Macau Pataca
1 Philippine Peso = 6.73388 Mauritania Ougulya
1 Philippine Peso = 0.65627 Mauritius Rupee
1 Philippine Peso = 0.29618 Maldives Rufiyaa
1 Philippine Peso = 13.63553 Malawi Kwacha
1 Philippine Peso = 0.37196 Mexican Peso
1 Philippine Peso = 0.07566 Malaysian Ringgit
1 Philippine Peso = 0.23683 Namibian Dollar
1 Philippine Peso = 6.82899 Nigerian Naira
1 Philippine Peso = 0.59717 Nicaragua Cordoba
1 Philippine Peso = 0.15404 Norwegian Krone
1 Philippine Peso = 2.06962 Nepalese Rupee
1 Philippine Peso = 0.02745 New Zealand Dollar
1 Philippine Peso = 0.00732 Omani Rial
1 Philippine Peso = 0.01902 Panama Balboa
1 Philippine Peso = 0.0621 Peruvian Nuevo Sol
1 Philippine Peso = 0.06201 Papua New Guinea Kina
1 Philippine Peso = 1 Philippine Peso
1 Philippine Peso = 2.19897 Pakistani Rupee
1 Philippine Peso = 0.06975 Polish Zloty
1 Philippine Peso = 108.10348 Paraguayan Guarani
1 Philippine Peso = 0.06924 Qatar Rial
1 Philippine Peso = 0.0751 Romanian New Leu
1 Philippine Peso = 1.17631 Russian Rouble
1 Philippine Peso = 16.13468 Rwanda Franc
1 Philippine Peso = 0.07134 Saudi Arabian Riyal
1 Philippine Peso = 0.15092 Solomon Islands Dollar
1 Philippine Peso = 0.25547 Seychelles Rupee
1 Philippine Peso = 0.34155 Sudanese Pound
1 Philippine Peso = 0.16566 Swedish Krona
1 Philippine Peso = 0.02546 Singapore Dollar
1 Philippine Peso = 0.01422 St Helena Pound
1 Philippine Peso = 0.42241 Slovak Koruna
1 Philippine Peso = 149.32471 Sierra Leone Leone
1 Philippine Peso = 10.69051 Somali Shilling
1 Philippine Peso = 397.78391 Sao Tome Dobra
1 Philippine Peso = 0.16644 El Salvador Colon
1 Philippine Peso = 9.79608 Syrian Pound
1 Philippine Peso = 0.23678 Swaziland Lilageni
1 Philippine Peso = 0.60662 Thai Baht
1 Philippine Peso = 0.0483 Tunisian Dinar
1 Philippine Peso = 0.04363 Tongan paʻanga
1 Philippine Peso = 0.08961 Turkish Lira
1 Philippine Peso = 0.1286 Trinidad Tobago Dollar
1 Philippine Peso = 0.56886 Taiwan Dollar
1 Philippine Peso = 43.27563 Tanzanian Shilling
1 Philippine Peso = 0.49705 Ukraine Hryvnia
1 Philippine Peso = 71.0291 Ugandan Shilling
1 Philippine Peso = 0.01902 United States Dollar
1 Philippine Peso = 0.5933 Uruguayan New Peso
1 Philippine Peso = 151.83565 Uzbekistan Sum
1 Philippine Peso = 1494.25528 Venezuelan Bolivar
1 Philippine Peso = 433.30797 Vietnam Dong
1 Philippine Peso = 2.03595 Vanuatu Vatu
1 Philippine Peso = 0.04914 Samoa Tala
1 Philippine Peso = 10.63667 CFA Franc (BEAC)
1 Philippine Peso = 0.05136 East Caribbean Dollar
1 Philippine Peso = 10.63667 CFA Franc (BCEAO)
1 Philippine Peso = 1.926 Pacific Franc
1 Philippine Peso = 4.75366 Yemen Riyal
1 Philippine Peso = 0.23681 South African Rand
1 Philippine Peso = 98.716 Zambian Kwacha
1 Philippine Peso = 6.88415 Zimbabwe dollar

Do you have Hep C?

BABY Boomers, those born between 1945 and 1965, are five times more likely to have Hepatitis C than other people. One in 30 of them has Hep C and most victims do even know they have this serious viral disease. The question is “Do you have Hep C?”

What is Hepatitis C?
Hep C is a scary blood-borne inflammation of the liver caused by Hep C virus, first discovered in 1989, that affects almost 4 million people in the United States, about a little more than one million in the Philippines. Other possible causes of hepatitis in general are toxic agents like alcohol and drugs, and autoimmune diseases. WHO reports that almost 40 percent of global deaths due to viral hepatitis are in the Western Pacific Region. About 75 percent to 85 percent of infected people will develop chronic (long-term) hepatitis.

What are the symptoms of Hep C?
Most people infected with Hep C virus have no symptoms, but some of these may be evident: jaundice (yellowish discoloration of the eyes and skin), yellowish dark urine, frequent stomach ache, fatigue, nausea, loss of appetite. These usually appear after years or decades after exposure to the virus.

Why are Baby Boomers more prone?
US-CDC explained that “many Boomers were infected in the 70s and 80s when infection control standards were not what they are today. So, the spread went on more rampantly. It was only in 1992 when donated blood was screened for Hep C. The current standards are higher and more stringent. With the internet and era of informational tech, public health education is more accessible and more effective. Since it takes decades before symptoms show up, Baby Boomers who are infected may just be showing symptoms now. 

What does Hep C virus do to the liver?
First, it causes inflammation of the liver cells. Years later, between 5 to 20 percent of the patients develop liver cirrhosis (non-functional tissue scars replace normal liver tissues). Other causes of liver cirrhosis are alcohol use, smoking, diabetes, obesity. From 2008 to 2012, 124,000 Americans were detected to have liver cancer. Over 50 percent of them were Baby Boomers. From 1990 to 2015, deaths from liver cancer in the USA has increased 60 percent.
 
Can sexual contact transmit Hep C?
Yes, most definitely, with unprotected sex. While Hepatitis A and E are transmitted through contaminated food and water, Hep B, C, and D are acquired through unprotected sex, infected blood and other body fluids. IV drug abusers get infected through contaminated needles. Persons could have Hep C for decades without symptoms, and advanced liver damage has already occurred before symptoms appear. If not prevented, or left untreated, Hep C can cause deadly hepatoma (liver cancer). More individuals die from Hep C than from HIV. That’s how treacherous and deadly Hep C is. Pregnant women with Hep C could transmit it to their babies. Hep C is NOT transmitted through water, food, or by casual contact, and not by coughing, sneezing, kissing, hugging, and breast-feeding.

Who should get tested for Hep C virus?
Except for a few, everyone, especially baby boomers, those who do unprotected sex, and IV drug addicts should be tested for Hep C virus. This is the ONLY way to find out and know for sure. Hep C infection can be cured, the reason it is best to diagnosed early. If the test is negative, that would be a great relief and provide peace of mind to you and your spouse or partner.

Can Hep C be prevented or cured?
Yes, and this is the tragedy. Hep C can be prevented, and if one should be infected with it, it can be cured, and yet people, in general, simply do not care or are ignorant about Hep C, and are easy target for this catastrophic viral infection. Part of prevention is by not using other persons personal hygiene wares like, toothbrush, razors, nail clipper, nose hair cutters, and avoiding having tattoos, etc., since we do not know who has Hep C infection. Today’s advanced treatments of Hep C are shorter and more effective, with a cure rate of about 95 percent. One is declared cured when a lab test done 3 months after treatment is completed and no Hep C virus is found in the person’s blood.

Why is there no vaccine for Hep C?
While there are vaccines for Hep A and B, there is no vaccine to prevent Hep C. Research efforts to develop vaccine for Hep C have been ongoing for almost 3 decades, when the virus was first identified. The unique characteristic of Hep C virus and the fact that there are six distinct genotypes with 50 subtypes of Hep C makes it much more difficult to come up with a Hep C vaccine. There were more than 20 Hep C vaccines were studied on animals and a few tested on limited number of people. There are two current investigations: Therapeutic vaccine trial which will be completed in 2020, and the prophylactic (Preventive) vaccine trial, which will finish in July 2018. If these studies find the vaccines to be effective and safe, large scale clinical trials will follow to obtain evidence-based confirmation. As with any illnesses, prevention is the best “cure.”

Is Hep C blood test covered by insurance?
The blood test for Hep C is simple and a one-time test. It is covered by Medicare, Medicaid, and most private insurance. But covered or not, the blood test for Hep C is a life-saving test. The pricey medications for the treatment of Hep C infection may or may not be covered, so it is prudent to check with Medicare/Medicaid, or your private insurance company.

How is Hep C treated?
The treatment varies depending on what genotype of Hep C one has. The FDA, in August 2017, approved a daily combination pill of glecaprevir and pibrentasvir, which offers a shorter course of treatment, 8 weeks for adults with any type of Hep C who do not have cirrhosis and not previously treated. The management for those in a different stage of the disease is longer. Cure rate with this drug is reported to be 92 to 100 percent. There are several other medications available, like Harvoni, Zepatier, Vosevi, Dakklinza, Viekira Pak, Technivie, Epclusa, Sovaldi-Olysio, etc. Each genotype of Hep C is treated differently. Physician consultation is mandatory in the management of Hep C infection.

What are some tips for those with Hep C?
For those infected with Hep C, early treatment is essential. Do not share personal cosmetic/hygiene items with others, cover open wounds with bandages, dispose used tissues, tampons, sanitary napkins, and anything with your blood in them. Do not donate blood, organs, semen or any tissue or body fluids. Use of condom is advised. For any emotional trauma following diagnosis, a discussion with your physician for referral for psychotherapy and support group would be of great benefit. Remember, you are not alone and Hep C is curable. Friends and family are often a substantial source of love, understanding, compassion, and sense of security. Also, be encouraged by the fact that Hep C today can be cured, even up to 100 percent in most instances. 

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