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Viral Hepatitis in Nepal: Past, Present, and Future
1Department of Hepatology, The Liver Clinic, Liver Foundation Nepal, Tripureshwor, Kathmandu, Nepal.
Euroasian Journal of Hepato-Gastroenterology
|December 5, 2017
Summary
Viral hepatitis diagnosis and treatment have advanced globally, with Nepal adopting new strategies despite infrastructure challenges. Challenges in molecular diagnostics, affordability, and national programs hinder comprehensive care for viral hepatitis B and C in Nepal.
Area of Science:
- Hepatology
- Virology
- Public Health
Background:
- Viral hepatitis diagnosis and therapy have seen significant global advancements over four decades.
- Nepal, a developing nation, has strived to implement modern diagnostic and therapeutic strategies for viral hepatitis.
- Despite progress, Nepal faces challenges in molecular diagnostics for viral hepatitis B and C due to infrastructure and logistical limitations.
Purpose of the Study:
- To elaborate on the evolution of understanding, diagnosis, and treatment of viral hepatitis in Nepal.
- To highlight the progress and persistent challenges in managing viral hepatitis in a developing country context.
- To discuss the current landscape of viral hepatitis B, C, and E in Nepal.
Main Methods:
- Review of diagnostic and therapeutic strategies for viral hepatitis in Nepal.
- Analysis of challenges in molecular diagnostics, drug accessibility, and national program implementation.
- Discussion of public health implications of viral hepatitis E epidemics.
Main Results:
- Nepal relies on neighboring countries for molecular diagnostics of viral hepatitis B and C.
- While antivirals are subsidized, affordability remains a significant barrier for patients.
- A lack of a comprehensive national program impedes healthcare access for chronic viral hepatitis patients.
- Hepatitis E continues to be a major public health concern with recurring epidemics.
Conclusions:
- Nepal has made strides in viral hepatitis management but requires enhanced infrastructure for diagnostics.
- Addressing affordability and establishing a robust national program are crucial for improving patient outcomes.
- Further understanding of hepatitis E is needed to mitigate epidemic cycles and improve public health surveillance.
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