Upload File

burden and control of alcoholic liver cirrhosis in india

15
Alcoholic liver cirrhosis Prevalence and Prevention Dr. S. A. Rizwan, M.D., Department of Community Medicine, VMCH & RI, Madurai Integrated Lecture Series – I MBBS 30.03.2015

Upload: rizwan-s-a

Post on 15-Jul-2015

71 views

Category:

Health & Medicine


2 download

Report

Tags:

TRANSCRIPT

Page 1: Burden and Control of Alcoholic Liver Cirrhosis in India

Alcoholic liver cirrhosisPrevalence and Prevention

Dr. S. A. Rizwan, M.D.,Department of Community Medicine,

VMCH & RI, MaduraiIntegrated Lecture Series – I MBBS

30.03.2015

Page 2: Burden and Control of Alcoholic Liver Cirrhosis in India

Outline

• Spectrum of Alcoholic Liver Disease

• Burden of disease in India

• Prevention and control

2/14

Riz

wan

SA

Page 3: Burden and Control of Alcoholic Liver Cirrhosis in India

Spectrum of Alcoholic Liver Disease

Normal

10%Steatosis

30%Hepatitis

50%Cirrhosis

10%

3/14

Riz

wan

SA

Page 4: Burden and Control of Alcoholic Liver Cirrhosis in India

Burden of disease in India – 1/3

Annual Death Rate due to Alcoholic Liver Cirrhosis

24 6Per Lac population

4/14

Riz

wan

SA

Page 5: Burden and Control of Alcoholic Liver Cirrhosis in India

Burden of disease in India – 2/3

Alcohol Attributable Fraction for Liver Cirrhosis30% of all cirrhosis are due to alcohol abuse

5/14

Riz

wan

SA

Page 6: Burden and Control of Alcoholic Liver Cirrhosis in India

Burden of disease in India – 3/3

Prevalence of alcohol use in IndiaAdult men – 30%

Adult women – 5% 6/14

Riz

wan

SA

Page 7: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 1/8

• Primary

• Secondary

• Tertiary

7/14

Riz

wan

SA

Alcohol is not the solution to all the questions…

Page 8: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 2/8

Annual production of alcohol in India

Mean age at alcohol initiation

8/14

Riz

wan

SA

Page 9: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 3/8

Percentage of income for government from alcohol sales

9/14

Riz

wan

SA

Page 10: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 4/8

10/14

Riz

wan

SA

Page 11: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 5/8

Decrease production Prevent illegal alcohol

Price control Restrict access

11/14

Riz

wan

SA

Page 12: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 6/8

Prevent advertisement and marketing Awareness generation

12/14

Riz

wan

SA

Page 13: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 7/8

Talk to patients about their alcohol habits

Discuss safe limits of drinking

Risk: >200ml/day for > 14 years

13/14

Riz

wan

SA

Page 14: Burden and Control of Alcoholic Liver Cirrhosis in India

Prevention and control - 8/8

14/14

Riz

wan

SA

Page 15: Burden and Control of Alcoholic Liver Cirrhosis in India

THANK YOU

Email your queries to [email protected]

Find this presentation at www.vmchcm1.blogspot.in

Riz

wan

SA

mailto:[email protected]
http://www.vmchcm1.blogspot.in

Non-Alcoholic Steatohepatitis Hepatitis (NASH) The FDA ......Compensated Cirrhosis NASH Population •Subpopulations –Early cirrhosis without clinically significant portal HTN (i.e.,

UNIVERZA V LJUBLJANI FAKULTETA ZA FARMACIJO · cirrhosis, chronic hepatitis B, chronic hepatitis C, alcoholic hepatitis and cholangitis were used to calculate the fibrosis index

Spur cells in patients with alcoholic liver cirrhosis are ... cells in patients with alcoholic liver cirrhosis are associated with reduced plasma levels of apoA-ll, HDL3, and LDL Gilles

Pathophysiology and Management of Alcoholic Liver Disease ... fileselected patients with cirrhosis and alcoholic hepatitis be-cause relapse rates are low and prognosis is comparable

The Current Economic Burden of Cirrhosis...In addition, liver transplantation (the only cure for cirrhosis) continues to consume substantial economic resources despite a recent reduction

Trends in Burden of Cirrhosis and Hepatocellular Carcinoma ...1).pdfTrends in Burden of Cirrhosis and Hepatocellular Carcinoma by Underlying Liver Disease in US Veterans, 2001–2013

Minister of Higher Education and Scientific Research Chancellor, … · 2019-05-31 · Spur cell haemolytic anaemia is a rare complication of alcoholic cirrhosis and generally carries

Epigenetic Mechanisms Underlying the Link between Non ......Non-alcoholic fatty liver disease (NAFLD), ranging from simple steatosis through steatohepatitis to, ultimately, cirrhosis,

The Diagnostic Evaluation of Nonalcoholic Fatty Liver ...cirrhosis. It is further categorized into non-alcoholic fatty liver (NAFL) and non-alcoholic steatohepatitis (NASH) based on

C IRRHOSIS. A LCOHOLIC L IVER I NJURY : Alcoholic Liver disease - Patterns Fatty change, Acute hepatitis Chronic hepatitis Cirrhosis, Chronic Liver failure

MIND THE GAP - Rethinking · PDF file36 Alcohol dependance syndrome, alcoholic liver disease, cirrhosis, cardiomyopathy. Sundial Upper GI bleeds, hyponatraemia, resistant ascites

2016 Alcoholic Liver Disease: Global view Hepatic non ... · chronic liver diseases including liver fibrosis and cirrhosis. According to recent studies, hepatic non-parenchymal cells

CIRRHOSIS · An enlarged image of the liver surface with cirrhosis Did You Know Non-alcoholic fatty liver disease (NAFLD) is a condition that involves the accumulation of fat in the

Alcoholic liver disease · beenidentifiedasasignificantandindependentriskfactor for the progression of alcoholic liver injury to fibrosis or cirrhosis.33,35 Progression of ALD

The clinical, pathophysiological and regulatory implications of ......2016/04/04  · Alcoholic Hepatitis resolution Cirrhosis resolution Decompensation Death Bedogni et al, Hepatology,

Alcoholic Liver Disease - Angelfire · ALCOHOLIC LIVER DISEASE (ALD) Introduction In 2000, there were 26,552 deaths in the United States from chronic liver disease and cirrhosis

Case Report Escherichia coli Eyelid Abscess in a Patient ...downloads.hindawi.com/journals/criopm/2015/827609.pdf · Escherichia coli Eyelid Abscess in a Patient with Alcoholic Cirrhosis

Approach to Common Problems in Gastroenterologyreviews.berlinpharm.com/20191019/Approach_to... · SOS Right-sided HF Pulmonary HT Cirrhosis Alcoholic hepatitis Fulminant hepatitis

HUMAN RESOURCES MANAGEMENT DIVISION, … 8.1.18 OPERATIONAL... · 2018-01-09 · Malaria, Non-Alcoholic Cirrhosis of Liver, Purpura, Typhoid, Accidents of Serious Nature, Cerebral

Disease Burden of Non Alcoholic Fatty Liver Disease (NAFLD) Disease Burden by... · Disease Burden of Non Alcoholic Fatty Liver Disease (NAFLD) Dr. H. Razavi May 31, 2017 First European

 · Gastritis and duodenitis -r Alcoholic liver disease Chronic hepatitis, not elsewhere classified Liver cirrhosis not elsewhere classified ... Fee for Home Visit Fee for Hospital

Liver - WordPress.com · Forms of alcoholic liver disease 1-Hepatic steatosis (90-100% of drinkers) 2-Alcoholic hepatitis ( 1- 35% of drinkers) 3-Cirrhosis ( 14% of drinkers) - Steatosis

Iron and non-alcoholic fatty liver diseaseeprints.qut.edu.au/101156/1/101156.pdf · Non alcoholic steatohepatitis (NASH), the aggressive form of the disease, can lead to cirrhosis

S-Adenosylmethionine in alcoholic liver cirrhosis: a ...hera.ugr.es/doi/15010831.pdfS-Adenosylmethionine in alcoholic liver cirrhosis TABLE 1 Demographic, clinical and biochemical

Alcoholic Cirrhosis Liver Treatment

Nutrition in the Care of - UCLA Health · Every patient with alcoholic hepatitis/cirrhosis has malnutrition of varying severity • 62% alcoholic subjects without liver disease were

Alcoholic Hepatitis: Routine Screening for Early …...2017/04/07  · • Alcoholic liver disease causes a huge burden of illness worldwide • Only a minority of heavy drinkers develop

Complications of Cirrhosis978-3-319-13614... · 2017. 8. 25. · bers are driven by the complications patients with cirrhosis suffer. In addi-tion, the economic burden of cirrhosis

For Peer Review Only NASH submitted.pdfIntroduction: Non-alcoholic steatohepatitis (NASH) is a chronic liver disease that can progress to cirrhosis and hepatocellular carcinoma. Diagnosis

Hepatitis B virus and hepatitis C virus play different ... · alcoholic cirrhosis, hepatitis viruses, tobacco and metabolic diseases[4]. Hepatitis viruses, including hepatitis B virus

Alcoholic liver cirrhosis & herbs

Alcoholic liver cirrhosis & herbs - IOSR Journalsiosrjournals.org/iosr-jpbs/papers/Vol10-issue1/Version-1/E... · Alcoholic liver cirrhosis & herbs DOI: 10.9790/3008-10111731 18 |

ISSN 2219-2840 (online) World Journal of Gastroenterology · cirrhosis, and hepatocellular carcinoma (HCC). In 2010, about half a million deaths globally were attributable to alcoholic

LIVER CIRRHOSIS. Liver cirrhosis Define Cirrhosis. Recognize the types of cirrhosis. Recognize the major causes and the pathogenetic mechanisms

LIVER CIRRHOSIS - amu.ac.in · Reversible causes of liver fibrosis include 1. Chronic hepatitis C 2. Hemochromatosis 3. Alcoholic Liver Disease The rate of progression of liver cirrhosis