The World Health Organization (WHO) has called for urgent action to address the increasing number of liver cancer deaths in South-East Asia, which is home to 70.5 million people living with viral hepatitis B and C. The WHO emphasized the need for universal access to prevention, vaccination, diagnosis, and treatment of these viruses in order to prevent liver cirrhosis and cancer. According to recent data, liver cancer is the fourth biggest cause of cancer deaths in South-East Asia and the second most common cause among men. Almost 75% of all liver cirrhosis cases are due to hepatitis B and C infection.
The importance of early testing and treatment cannot be overstated. Hepatitis C can be cured, preventing further damage to the liver, while hepatitis B can prevent cirrhosis and cancer if treated in its early stages. The WHO also highlighted that investment in viral hepatitis response could yield a significant return on investment of up to US$ 2-3 for every dollar invested.
The issue is not limited to South-East Asia alone. Kashmir, a region facing serious public health challenges, has a higher prevalence of hepatitis B and C compared to other parts of India. Raising awareness through public health campaigns, mass media, social media, and community outreach programs is essential in combating this silent epidemic.
The WHO's 2030 viral hepatitis elimination goal remains a significant challenge. Only 13% of people with chronic hepatitis B had been diagnosed and around 3% received antiviral therapy by the end of 2022. Mother-to-child transmission remains a key mode of transmission in regions with high disease burden, such as Southeast Asia and Africa. Routine birth-dose HBV vaccination is not yet implemented in the majority of West and Central African countries.
To meet this goal, focused efforts are needed in high-burden regions like South-East Asia and Africa. Investment in priority countries, implementation of policies for equitable treatment, and addressing diagnosis and treatment gaps are crucial steps towards eliminating viral hepatitis as a public health threat by 2030.