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ILBS urges Centre to bring law to curb discrimination against hepatitis patients

twitter-logo PTI        Last Updated: July 18, 2019  | 17:54 IST

New Delhi, Jul 18 (PTI) The city-based Institute of Liver and Biliary Sciences has urged the central government to come up with a law to prevent discrimination and social stigma faced by hepatitis patients in India. Doctors at the premiere hospital dedicated for liver care believe the government has "ignored taking a strong call" over the subject despite repeated demands from International Liver treatment associations of Europe, Latin America, Asia and also the World Health Organisation (WHO). "There is a need for a law that ensures no discrimination, ostracisation happens to people with any forms of hepatitis, especially HCV and HBV. Today, the situation in several parts of the country is such that Hepatitis patients are considered untouchable. This is all due to lack of awareness," ILBS Director S K Sarin said at a press conference that was also attended by other gastroenterologists of the hospital here. In India, an estimated 4 crore people are suffering from hepatitis B (HBV) and almost 1.2 crore from hepatitis C (HCV). With 1.5 lakh deaths annually and almost 60 million Indians affected with the dreaded disease, viral hepatitis continues to be a serious public health concern, the doctors said. Sarin said there have been repeated calls from international bodies seeking a special law to stop discrimination that the patients living with the disease face in rural parts of India. "Several organisation such as the WHO, Liver organisations of the Asia, Europe, Latin region have urged the Indian government to come up with such a law. However, the results have been nothing," Sarin told PTI. He said many patients with chronic hepatitis experience shame, decreased self-esteem, fear, depression and isolation. There is a sense of guilt where they hide the disease or attribute it to themselves for being careless, the ILBS director said. "Several initiatives are currently being taken by the government under the National Viral Hepatitis Control Programme (NVHCP) to implement access to vaccine, diagnostics and treatment of the patients and those with risk. However, the stigma and discrimination associated with these infections is a significant hindrance to care-seeking, treatment compliance and mother to child transmission mainstreaming," he said. The WHO defines hepatitis as an inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer. There are five main hepatitis viruses, referred to as types A, B, C, D and E. These 5 types are of greatest concern because of the burden of illness and death they cause and the potential for outbreaks and epidemic spread. In particular, types B and C lead to chronic disease in hundreds of millions of people and, together, are the most common cause of liver cirrhosis and cancer. Both the type B and C is transmitted through activities that involve contact with an infected HCV and HBV blood or fluids. During the occasion, Sarin also announced that the ILBS in collaboration with the Airports Authority of India (AAI) will be organizing a major conclave and awareness drive against hepatitis on July 28 in the national capital. The 'Empathy Conclave 2019' will bring together leading healthcare experts, law makers, government representatives, social influencers and prominent personalities from different strata of the society to discuss the effective ways of addressing the chronic disease. Established in 2009, the ILBS is an autonomous institute under the Delhi government. PTI RUP CK

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