India’s Viral Hepatitis Crisis: Challenges and Recommendations

India’s Viral Hepatitis Crisis: Challenges and Recommendations

India faces a significant burden of viral hepatitis, including Hepatitis B and C infections. These infections pose severe health risks, including liver inflammation, damage, and potential progression to liver cancer.

Statistics

  • According to the Global Hepatitis Report 2024 by WHO, India has 2.9 crore people living with Hepatitis B infection and 0.55 crore living with Hepatitis C infection.
  • In 2022, India reported over 50,000 new Hepatitis B cases and 1.4 lakh new Hepatitis C cases, resulting in 1.23 lakh deaths.

Transmission

  • Hepatitis B and C are transmitted through various means, including mother-to-child transmission, unsafe blood transfusions, contact with infected blood, and needle-sharing among drug users.

Prevention and Treatment

  • Hepatitis B can be prevented through vaccination, emphasizing the need for comprehensive vaccination coverage, especially among newborns and high-risk adults.
  • Hepatitis C is curable with medicines, making early diagnosis and treatment crucial in reducing its impact.

Symptoms and Complications

  • Hepatitis B can cause acute symptoms such as nausea, vomiting, and yellowing of the skin, with potential long-term complications including cirrhosis and liver cancer.
  • Many Hepatitis C infections are asymptomatic, but symptoms may include jaundice, loss of appetite, nausea, and fatigue.

Global Impact

  • Globally, viral hepatitis is a significant cause of mortality, with approximately 1.3 million deaths annually, rivaling tuberculosis in its lethality.

Challenges in India

  • Despite the availability of treatments and diagnostics, the coverage of diagnosis and treatment for viral hepatitis in India remains low.
  • Limited utilization of free diagnostics and treatment under national programs contributes to poor coverage.

Recommendations

  • There is a need for enhanced awareness, screening, and treatment initiatives to address the growing burden of viral hepatitis in India.
  • Improving access to diagnostics and treatment, particularly for high-risk populations, is essential to mitigate the impact of these infections.

Multiple Choice Questions (MCQs):

  1. What is the estimated number of people living with Hepatitis B infection in India, according to the Global Hepatitis Report 2024?
    • A) 2.9 million
    • B) 2.9 crore
    • C) 55,000
    • D) 1.23 lakh
    • Answer: B) 2.9 crore
  2. Which of the following is NOT a common mode of transmission for Hepatitis B and C infections?
    • A) Mother-to-child transmission
    • B) Unsafe blood transfusions
    • C) Inhalation of contaminated air
    • D) Needle-sharing among drug users
    • Answer: C) Inhalation of contaminated air
  3. What percentage of Hepatitis B cases were diagnosed and received treatment in India, as per the Global Hepatitis Report?
    • A) 10% diagnosed, 2% received treatment
    • B) 50% diagnosed, 30% received treatment
    • C) 2.4% diagnosed, 0% received treatment
    • D) 90% diagnosed, 70% received treatment
    • Answer: C) 2.4% diagnosed, 0% received treatment
  4. Which of the following is true regarding Hepatitis C treatment?
    • A) It requires lifelong medication
    • B) Treatment is unavailable in India
    • C) It lasts for 12 to 24 weeks and can cure 80 to 90% of patients
    • D) Treatment is only effective in children
    • Answer: C) It lasts for 12 to 24 weeks and can cure 80 to 90% of patients