{"id":290716,"date":"2024-04-15T19:43:59","date_gmt":"2024-04-15T14:13:59","guid":{"rendered":"https:\/\/forumias.com\/blog\/?p=290716"},"modified":"2024-04-16T14:17:33","modified_gmt":"2024-04-16T08:47:33","slug":"viral-hepatitis-a-challenge-to-indias-public-health","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/viral-hepatitis-a-challenge-to-indias-public-health\/","title":{"rendered":"Viral hepatitis- A challenge to India\u2019s public health"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\" wp-image-290819 aligncenter\" src=\"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/04\/Viral-hepatitis.webp?resize=518%2C345&#038;ssl=1\" alt=\"Viral hepatitis\" width=\"518\" height=\"345\" srcset=\"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/04\/Viral-hepatitis.webp?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/04\/Viral-hepatitis.webp?resize=1024%2C682&amp;ssl=1 1024w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/04\/Viral-hepatitis.webp?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/04\/Viral-hepatitis.webp?w=1280&amp;ssl=1 1280w\" sizes=\"auto, (max-width: 518px) 100vw, 518px\" \/><\/p>\n<p><strong>Source<\/strong>-This post on<strong> Viral hepatitis- A challenge to India\u2019s public healt<\/strong>h has been created based on the article \u201c<strong>How viral hepatitis poses a challenge to India\u2019s public health, with second highest prevalence globally<\/strong>\u201d published in \u201c<strong>The Indian Express<\/strong>\u201d on 15 April 2024.<\/p>\n<p><strong>UPSC Syllabus-GS Paper-2<\/strong>&#8211; Issues Relating to Development and Management of Social Sector\/Services relating to Health, Education, Human Resources.<\/p>\n<p><strong>Context<\/strong>&#8211; India has one of the highest burdens of viral hepatitis in the world, according to the World Health Organization&#8217;s Global Hepatitis Report 2024. It&#8217;s tied with tuberculosis (TB) as the second-largest infectious killer globally. <strong>Viral hepatitis<\/strong><\/p>\n<h2><strong>What is viral hepatitis?<\/strong><\/h2>\n<p><strong>Description<\/strong>-Hepatitis means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. It is often caused by a virus.<\/p>\n<p><strong>Types<\/strong>-There are five hepatitis viruses that cause liver disease in humans.They are Hepatitis A, B,C,D and E.<\/p>\n<p><strong>Transmission<\/strong>&#8211; Hepatitis A and E are transmitted through contaminated food and water, and result in week-long symptoms such as fever, abdominal pain, jaundice (yellowing of skin), dark urine, and pale stools.<\/p>\n<p><strong>WHO report<\/strong>-The recent WHO report pertains to the blood-borne hepatitis B (hep B) and hepatitis C (hep C) viruses. The report does not consider hepatitis D because it only infects people who are already infected with hepatitis B.<\/p>\n<p><strong>\u00a0Prevention-<\/strong>Hep B can be prevented by vaccination, while hep C can be cured with medication. Hepatitis D can be prevented by vaccinating against hep B.<\/p>\n<h2><strong>What are the reports finding about India?<\/strong><\/h2>\n<p><strong>Disease burden<\/strong>-According to the report, India ranks second globally in terms of viral hepatitis cases, representing over 11% of the total burden worldwide.<\/p>\n<p><strong>Diagnosis<\/strong>&#8211; The diagnosis of viral hepatitis was extremely low. The report shows that only 2.4% of hepatitis B cases and around 28% of hepatitis C cases were diagnosed.<\/p>\n<p>Read more- <a href=\"https:\/\/forumias.com\/blog\/havisure-indias-first-indigenously-developed-hepatitis-a-vaccine\/\">Havisure: India\u2019s first indigenously developed Hepatitis A vaccine<\/a><\/p>\n<h2><strong>What&#8217;s causing the increase in viral hepatitis cases in India?<\/strong><\/h2>\n<p>Viral hepatitis can be transmitted through contaminated blood transfusions, or through contaminated needles.<\/p>\n<p>1)<strong> Hep B<\/strong>-India\u2019s hep B cases are driven up by mother-to-child transmission. This is because most blood banks offer safe blood, and the risk of needle-stick transmission among healthcare workers is low because almost everyone is vaccinated.<\/p>\n<p>2)<strong> Hep C<\/strong>&#8211; According to the WHO report, India is among the ten countries where 80% of infections occur among injection drug users.<\/p>\n<p>3) <strong>Underutilization of existing facilities<\/strong>&#8211; People aren&#8217;t taking advantage of the free diagnostics and treatment available to them.<\/p>\n<p>4) <strong>Disparity in treatment<\/strong>&#8211; While viral hepatitis causes almost as many deaths as tuberculosis, it doesn&#8217;t receive as much attention in India. As per the report, none of the diagnosed patients received treatment for hepatitis B, and only 21% received treatment for hepatitis C. In contrast, 95% of diagnosed TB patients in India were given therapy.<\/p>\n<h2><strong>What challenges do India face in handling viral hepatitis?<\/strong><\/h2>\n<p><strong>Hep B-<\/strong>There are 3 things that are required to be controlled such as-<\/p>\n<p>A) All newborns need to be fully vaccinated against hepatitis B.<br \/>\nB) Adults who haven&#8217;t been immunized should also get the shot.<br \/>\nC) Additionally, everyone diagnosed with the infection should receive treatment.<\/p>\n<p><strong>Low coverage- The<\/strong> hepatitis B vaccine was introduced for children in 2007-08 as part of the government&#8217;s universal immunization program. However, a 2019 study revealed that its coverage ranged from 41% to 62%.<\/p>\n<p><strong>Lack of universal care<\/strong>-The parameters mentioned in the international guideline for initiating treatment exclude 7 to 8 of the 10 people who are diagnosed with the infection. Thus, there is a need to adopt a \u2018treat all\u2019 or universal approach like HIV.<\/p>\n<p><strong>Question for practice<\/strong><\/p>\n<p>What&#8217;s causing the increase in viral hepatitis cases in India? Highlight the challenges that India faces in handling viral hepatitis?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Source-This post on Viral hepatitis- A challenge to India\u2019s public health has been created based on the article \u201cHow viral hepatitis poses a challenge to India\u2019s public health, with second highest prevalence globally\u201d published in \u201cThe Indian Express\u201d on 15 April 2024. UPSC Syllabus-GS Paper-2&#8211; Issues Relating to Development and Management of Social Sector\/Services relating&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/viral-hepatitis-a-challenge-to-indias-public-health\/\">Continue reading <span class=\"screen-reader-text\">Viral hepatitis- A challenge to India\u2019s public health<\/span><\/a><\/p>\n","protected":false},"author":10320,"featured_media":290819,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[1230,9],"tags":[212,10500,8131],"class_list":["post-290716","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-9-pm-daily-articles","category-public","tag-gs-paper-2","tag-indian-express","tag-social-issues","entry"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/04\/Viral-hepatitis.webp?fit=1280%2C853&ssl=1","views":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/290716","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10320"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=290716"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/290716\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media\/290819"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=290716"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=290716"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=290716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}