Liver disease has become a major health threat across Europe and the face of European hepatology is changing due to the Antiviral drugs for hepatitis Cfor the control of chronic viral hepatitis B, the increasing alcohol consumption and undiagnosed or untreated liver disease. Consequently, Europe comes before a impending pandemicin which socioeconomic and health inequalities combine negatively affect the prevalence of liver disease and care options.
“Alcohol-related diseases have been observed for a long time, especially in liver diseases. It is also the cause of cirrhosis, decompensation of liver function and liver cancer. The reduction of other causes of liver damage, such as viral hepatitis, for which the proportion of patients is decreasing thanks to, for example, curative treatments for hepatitis C, vaccines and treatments to control the chronic disease in hepatitis B with liver damage from alcohol is now more relevant“, he explains dr Jose Miguel Rosales ZabalExpert of the Spanish Foundation for the Digestive System (FEAD) and Specialist in the Digestive System at the Costa del Sol Hospital in Marbella (Málaga).
In particular, it is estimated that it is alcohol responsible for more than 40% of premature deaths in Europe per year, and we Europeans are the ones with the highest alcohol consumption per person. In addition, he is responsible for more than 50% of cases of liver cirrhosis, one of the most common diseases of the digestive system. This disease has a significant morbidity and mortality rate and is also the main indication for the Liver Transplant. People with undiagnosed cirrhosis, most of whom have normal blood tests remain undetected.
People with undiagnosed cirrhosis, most of whom have normal blood tests, go undetected
Buying a bottle of wine is something very affordable, available in every supermarket and at a very low price. No doubt facilitates consumption. The measures go through the commitment and efforts of politics, health and educational institutions. dr Rosales assures that “everyone must understand that the consumption of alcohol in no way conducive. The recent population-level policy in Russia with the introduction of a minimum selling price for alcohol and an increase in related taxes, have fewer deaths for all reasons at 39% for men and 36% for women”.
On the other hand, consumption has increased in Spain, as Dr. Marta Casado, President of the Spanish Digestive System Foundation (FEAD) stressed in an interview with Consalud.es. “Spain is one of the countries that drinks the most alcohol and consumption increasesespecially in the youthful population, and therefore the prevalence of alcohol-related liver disease has increased,” he comments.
Against this background, alcohol-related harm correlates with the amount and pattern of consumption, but It cannot be said that there is a safe dose of alcohol. “The only amount of alcohol with risk 0 is not to drink alcohol. Also remember that alcohol is a drug and is addictive. The population must understand that there is no such thing as healthy alcohol consumption. Another thing is that there is consumption below the limit that we can consider less harmful. but There is no such thing as healthy alcohol consumption” assures Dr. Rosales.
HOW TO STOP ALCOHOL CONSUMPTION?
Based on this data, there is a need Raising awareness of the prevention and treatment of many liver diseasesespecially in cirrhosis. The commission set up by the European Association for the Study of the Liver (EASL) and the medical journal The Lancet is committed to this increase the price of alcohol consumption in all European countries to at least 1 euro per centilitre of pure alcohol, along with an increase in related taxes that could be repaid to the administration to fund prevention campaigns, the development of cessation programs and social reintegration.
Likewise the importance of implantation “Tools to aid in early detection in primary care of alcohol abuse disorders. In addition, “there is a need to promote education about the prevention of liver disease because most are preventable, and particularly those arising from the consumption of alcohol. These educational efforts should be expanded at all levels, but intensified for children and young people, and Value education in the family core‘ concludes the expert.
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