A brief intro about alcholic liver cirrhosis in India

1. 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

2. Outline
• Spectrum of Alcoholic Liver Disease
• Burden of disease in India
• Prevention and control
2/14
RizwanSA

3. Spectrum of Alcoholic Liver Disease
Normal
10%
Steatosis
30%
Hepatitis
50%
Cirrhosis
10%
3/14
RizwanSA

4. Burden of disease in India – 1/3
Annual Death Rate due to Alcoholic Liver Cirrhosis
24 6
Per Lac population
4/14
RizwanSA

5. Burden of disease in India – 2/3
Alcohol Attributable Fraction for Liver Cirrhosis
30% of all cirrhosis are due to alcohol abuse
5/14
RizwanSA

6. Burden of disease in India – 3/3
Prevalence of alcohol use in India
Adult men – 30%
Adult women – 5% 6/14
RizwanSA

7. Prevention and control - 1/8
• Primary
• Secondary
• Tertiary
7/14
RizwanSA
Alcohol is not the solution to all the questions…

8. Prevention and control - 2/8
Annual production of
alcohol in India
Mean age at alcohol
initiation
8/14
RizwanSA

9. Prevention and control - 3/8
Percentage of income for
government from alcohol sales
9/14
RizwanSA

10. Prevention and control - 4/8
10/14
RizwanSA

11. Prevention and control - 5/8
Decrease production Prevent illegal alcohol
Price control Restrict access
11/14
RizwanSA

12. Prevention and control - 6/8
Prevent advertisement and marketing Awareness generation
12/14
RizwanSA

13. 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
RizwanSA

14. Prevention and control - 8/8
14/14
RizwanSA

15. THANK YOU
Email your queries to sarizwan1986@outlook.com
Find this presentation at www.vmchcm1.blogspot.in
RizwanSA