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HCV-3 genotype is associated with the highest rates of steatosis among all HCV genotypes, reaching up to 70%.[26] HCV-3a has been associated with intravenous drug use (IVDU) ,[17] tattooing and piercing.[18] A unique worldwide epidemic among drug abuser communities has been proposed because nonstructural protein (NS) 5B of HCV-3a showed similar sequences in intravenous drug users across different countries,[19] suggesting a common origin (apparently emerged and diversified in Asia)[20] of the outbreak