Hepatitis C causes

HCV is transmitted primarily through large or repeated percutaneous (i.e., passage through the skin) exposures to infectious blood, such as
 * Injection drug use (currently the most common means of HCV transmission in the United States)
 * Receipt of donated blood, blood products, and organs (once a common means of transmission but now rare in the United States since blood screening became available in 1992)
 * Needlestick injuries in health care settings
 * Birth to an HCV-infected mother
 * HCV can also be spread infrequently through
 * Sex with an HCV-infected person (an inefficient means of transmission)
 * Sharing personal items contaminated with infectious blood, such as razors or toothbrushes (also inefficient vectors of transmission)
 * Other health care procedures that involve invasive procedures, such as injections (usually recognized in the context of outbreaks)