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Editor,—Chronic liver disease represents one of the major public health problems in Western countries. Hepatitis B and C viruses are becoming the main causes of cirrhosis and primary liver carcinoma. Hepatitis C virus (HCV) accounts for approximately 20% of cases of acute hepatitis, 70% of chronic hepatitis, and 30% of end stage liver disease in the United States.1 Today, injecting drug use and high risk sexual activity are the most frequently identified risk factors associated with HCV infection.2 Likewise, in areas of high endemicity of hepatitis B virus (HBV), perinatal transmission is the main route of transmission, whereas in areas of low endemicity, sexual contact among high risk adults …