In 2010, there were only 39 new cases of Hepatitis C reported in North Carolina. Last year there were 186 reported to the health department. Those numbers might not stand out in a state of 10 million people. But they are alarming because they represent a fast growth in a chronic illness that already afflicts more than 110,000 people in North Carolina. And there are probably more who don't know they have it. In response, groups are trying to prevent the spread by giving addicts clean needles.