
‘Hepatitis is a silent threat that affects all age groups'
On July 28, observed as World Hepatitis Day, doctors in Hyderabad have raised an alarm on the growing burden of liver disease in India, and have called for urgent awareness, early screening, and preventive action.
Hepatitis, which refers to inflammation of the liver, can be caused by a wide range of factors, including viral infections, alcohol consumption, unhealthy diet, obesity, and even certain medications. In India alone, over 40 million people are living with Hepatitis B, and up to 12 million with Hepatitis C, most of them unaware of the problem. The virus often stays dormant for years, silently damaging the liver, and only revealing itself when the damage is severe, said Kavya Dendukuri, Lead Transplant Hepatologist at Gleneagles Hospital.
She further added that hepatitis is not a single disease. It includes types, A, B, C, D, and E, each with its own causes and modes of transmission. Hepatitis A and E spread through contaminated food and water, while B and C are transmitted through infected blood, unprotected sex, shared needles, or from mother to child. Hepatitis D occurs only in those already infected with B.
'Earlier, hepatitis was largely seen in the elderly due to alcohol or long-standing infections. Now, we are seeing non-alcoholic fatty liver disease in people as young as 40 due to sedentary lifestyles, poor diets, and obesity.' said V.R. Sumanth Kumar and Tejaswini Tumma, Consultant Gastroenterologists at Kamineni Hospitals.
Auto-immune hepatitis, drug-induced hepatitis, and alcohol-related liver inflammation are also on the rise.
'Many people don't realise that certain herbal medicines, painkillers, or even overdosing on paracetamol can trigger serious liver inflammation,' warnedSrinivasa Reddy G from Star Hospitals.
One of the greatest challenges in tackling hepatitis is that most people show no symptoms until the disease is advanced. Common signs, when they do appear include fatigue, nausea, abdominal pain, loss of appetite, dark urine, pale stools, and jaundice. But by then, the liver may already be scarred.
Akash Chaudhary from CARE Hospitals shared that hepatitis is preventable and, in many cases, curable. Vaccines are available for Hepatitis A and B, and all new-borns and high-risk adults should receive them.
'Treatments for Hepatitis C, once considered expensive and complex, now involves short-term oral medication with near-total cure rates. Hepatitis B can be managed through daily anti-viral tablets, which have become highly affordable,' he added.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


India Today
13 hours ago
- India Today
What is hepatitis D, the deadly viral disease now given a cancer tag by WHO?
Hepatitis D is now tagged as a cancer-causing infection by the World Health Organisation. The health agency's cancer arm, the International Agency for Research on Cancer, called hepatitis D a carcinogen as the little-known virus can silently raise the risk of liver cancer, just like hepatitis B and is a viral infection that inflames the liver. Of the five main types – A, B, C, D and E – the B, C and D strains are the most dangerous because they can stick around for years, damaging the liver estimates that over 300 million people live with chronic hepatitis B, C, or D infections, and 1.3 million die each year from related diseases. Most don't even know they're infected until the damage is already done. Hepatitis D is different from the others. It only infects people who already have hepatitis B, but together, the two viruses are far more harmful. According to WHO, having both increases the risk of liver cancer two to six times compared to hepatitis B virus spreads through infected blood, unprotected sex, unsafe injections, or occasionally from mother to child during if they appear, are usually vague and includes fatigue, nausea, abdominal discomfort, dark urine or yellowing of the skin. Many people ignore these signs or confuse them with other isn't a separate vaccine for hepatitis D. The only way to stop it is by getting the hepatitis B vaccine, which protects against both viruses. WHO says 147 countries now offer newborn vaccinations, but testing and treatment for existing cases still lag far it comes to the treatment of hepatitis D, medications are still evolving. However, the full benefit of reducing liver cirrhosis and cancer deaths can only be realised through urgent action to scale up and integrate hepatitis services – including vaccination, testing, harm reduction, and treatment – into national health experts say better awareness, early screening and wider access to treatment could save millions of lives by 2030. For now, the key advice is simple: get vaccinated, get tested, and don't ignore liver health.- Ends


Hindustan Times
2 days ago
- Hindustan Times
Health Talk: Taking the road to hepatitis elimination
The International Agency for Research on Cancer (IARC) recently classified hepatitis D as carcinogenic—cancer-causing—to humans, just like hepatitis B and C. Hepatitis D, which only affects individuals infected with hepatitis B, is associated with a two- to six-fold higher risk of liver cancer compared to hepatitis B alone, it added. (AP/ Representative photo) Hepatitis D, which only affects individuals infected with hepatitis B, is associated with a two- to six-fold higher risk of liver cancer compared to hepatitis B alone, it added. Viral hepatitis – types A, B, C, D, and E – are major causes of acute liver infection. Among these, only hepatitis B, C, and D can lead to chronic infections that significantly increase the risk of cirrhosis, liver failure, or liver cancer. Each year, July 28 is observed as World Hepatitis Day, as viral hepatitis continues to remain a serious public health threat and one of the primary causes of liver cancer. Yet most people with hepatitis don't know they're infected, says the World Health Organization (WHO). According to the UN health body, types B, C, and D affect at least 300 million people globally and cause at least 1.3 million deaths each year, mainly from liver cirrhosis and cancer. In a paper published on Monday, The Lancet Commission also mentioned that three in five liver cancer cases happen due to preventable risk factors, including fatty liver, alcohol, and viral hepatitis. It also added that obesity-linked cancer cases are on the rise. The majority of liver cancer cases can be prevented by reducing levels of viral hepatitis, alcohol consumption, and MASLD (metabolic dysfunction-associated steatotic liver disease – previously called non-alcoholic fatty liver disease), it said. Liver cancer is already a major cause of death and disability. Globally, it's the sixth most common cancer and the third leading cause of death from cancer. Interestingly, the Commission estimated in the paper that at least 60% of liver cancers are preventable via control of modifiable risk factors, including hepatitis B virus (HBV), hepatitis C virus (HCV), MASLD, and alcohol. While there are preventive measures and treatment available to combat this public health threat, last year's Global Hepatitis Report underscored some challenges that majorly impact disease management. According to the report, testing and treatment coverage remain critically low: only 13% of people with hepatitis B and 36% with hepatitis C had been diagnosed by 2022. Treatment rates were even lower – 3% for hepatitis B and 20% for hepatitis C – well below the 2025 targets of 60% diagnosed and 50% treated. Integration of hepatitis services remained uneven: 80 countries have incorporated hepatitis services into primary health care, 128 into HIV programmes, and just 27 have integrated hepatitis C services into harm reduction centres. The next challenge, according to the report, will be to scale up the implementation of prevention, testing, and treatment coverage. Achieving WHO's 2030 targets could save 2.8 million lives and prevent 9.8 million new infections. With declining donor support, countries must prioritize domestic investment, integrated services, better data, affordable medicines, and ending stigma, said experts in the report. 'Every 30 seconds, someone dies from a hepatitis-related severe liver disease or liver cancer. Yet we have the tools to stop hepatitis,' WHO director-general Tedros Adhanom Ghebreyesus said in a statement on World Hepatitis Day. He is right. We have the tools at our disposal; all we need is for stakeholders—governments, civil society, community leaders, etc.—to come together, to jointly work towards eliminating hepatitis.


The Print
3 days ago
- The Print
All about hepatitis D, deadly viral hepatitis given a ‘cancer' tag by WHO
Hepatitis D or HDV, which only affects individuals infected with hepatitis B, is associated with a two- to six-fold higher risk of liver cancer compared to hepatitis B alone, according to the IARC. Viral hepatitis, characterised by inflammation of the liver, can be caused by the five known hepatitis viruses—A, B, C, D and E. Among these, only hepatitis B, C, and D can lead to chronic infections that significantly increase the risk of cirrhosis, liver failure, or liver cancer. New Delhi: The World Health Organisation-International Agency for Research in Cancer (WHO-IARC) has now declared hepatitis D, a little-known but deadly viral hepatitis, as carcinogenic, expressing hope that this will lead to more screening and access to new treatments. It is estimated that globally, 48 million people are affected with HDV, which in combination with the hepatitis B virus, has the highest fatality rate of all the hepatitis infections, at 20 percent. Its prevalence is highest in low- and middle-income regions in Africa and Asia, apart from the Amazon basin and India. Scientific evidence has shown that 8-37 percent, depending on the region, of those infected with hepatitis B, also have HDV. A 2024 report by the WHO had said that India had over 3.5 crore cases of viral hepatitis—including 2.98 crore hepatitis B cases—in 2022, accounting for 11.6 percent of the total disease burden globally that year. Over 1.25 lakh people, the report suggested, had died due to hepatitis B and C in India that year. Senior gastroenterologists and public health professionals suggested that HDV is largely undetected in the country, mainly because of lack of screening, and is more prevalent in some parts of east India and among people infected with HBV. 'From a public health perspective, this classification by WHO-IARC highlights the importance of incorporating HDV awareness, screening, and prevention into the existing hepatitis B prevention programme,' Dr Saswata Chatterjee, gastroenterologist with the Calcutta Medical Research Institute (CMRI), told ThePrint. With liver cancer becoming a challenging burden, screening and early detection of co-infections, such as HDV, will be crucial in reducing chronic complications of viral hepatitis, he added. Also Read: Govt says no plan to ban heartburn drug ranitidine, carcinogenic impurities within safe limits HBV triggers rapid progression to end-stage liver failure Dr Piyush Ranjan, senior gastroenterologist with Sir Ganga Ram Hospital in Delhi, explained that HDV is a satellite virus that requires hepatitis B virus (HBV) for replication, causing the most aggressive form of viral hepatitis. Compared to hepatitis B and C, HDV leads to more rapid progression to cirrhosis and liver cancer. In clinical terms, explained CMRI's Dr Chatterjee, HDV occurs as a co-infection—when it is contracted simultaneously with HBV—or a superinfection—when an individual who is chronically infected with HBV becomes infected with HDV. While HBV increases the risk of developing liver complications, HDV increases this risk substantially, accelerating the progression of liver fibrosis, cirrhosis and malignancy. The mode of transmission of this hepatitis virus is similar to hepatitis B and C—through contaminated injections, mother to child, and sexual contact. Dr Vibhor Sharma, a medical oncologist with Asian Hospital, highlighted that co-dependency of HDV on HBV leads to making hepatitis worse in patients. 'HDV-triggered liver disease is more severe as it can result in end-stage liver failure in less than ten years,' he said, adding that as compared to the general population in India, this form of hepatitis is seen more commonly in intravenous drug users, HIV/AIDS patients and those with chronic HBV. The declaration by the WHO-IARC is crucial, said the medical oncologist as HDV, despite its aggressiveness in triggering liver cancers, is mostly undiagnosed and is grossly underreported in developing countries such as India. Prevention and management Clinicians say HDV is preventable at a low cost, through immunisation. The effective methods to prevent both HBV and HDV are the vaccines against hepatitis B, safe blood practices, sterilisation of medical equipment, and safe sex practices, said Dr Chatterjee. The HBV vaccine in India, as part of the Union government 's Universal Immunization Programme, was piloted in 2002-03 and then scaled up in the entire country in 2010 to protect children from the acute infection. It is now provided as part of the pentavalent vaccine at 6, 10 & 14 weeks apart from the birth dose of hepatitis B vaccine. However, a 2020 study from India said that although the coverage of third-dose hepatitis B vaccine has reached 86 percent in the country, the birth dose coverage was under 50 percent in 2015 despite high rates of institutional deliveries. The WHO says that while treatment with oral medicine can cure hepatitis C within 2 to 3 months and effectively suppress hepatitis B with life-long therapy, treatment options for hepatitis D are evolving. Sir Ganga Ram's Dr Ranjan maintained that for those already infected, management is challenging, with limited approved therapies, though newer agents like bulevirtide—an antiviral therapy especially developed against the condition—offer promise. 'The carcinogen tag will hopefully intensify global surveillance, funding, and research to curb the burden of HDV-associated liver cancer,' said the gastroenterologist. (Edited by Gitanjali Das) Also Read: Cancer warning on liquor bottles 'long overdue'. Even 'light', 'moderate' drinking poses threat