Regional Mortality From Chronic Liver Diseases in African Countries Attributable to Hepatitis B Virus and Hepatitis C Virus Infections From 1990 to 2021 and Projections to 2030 - Summary - MDSpire

Regional Mortality From Chronic Liver Diseases in African Countries Attributable to Hepatitis B Virus and Hepatitis C Virus Infections From 1990 to 2021 and Projections to 2030

  • By

  • Tsong-Yih Ou

  • Le Duc Huy

  • Nguyen Ngoc Truong Giang

  • Nguyen Thi Thuy Dung

  • Jeffrey Mayne

  • Chung-Liang Shih

  • Yao-Mao Chang

  • Abdikani Ahmed Abdi

  • Shih-Chang Hsu

  • Hung-Jung Lin

  • Shiyng-Yu Lin

  • Chung-Chien Huang

  • September 15, 2025

  • 0 min

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Objective:

To explore the burden and trends of chronic liver diseases (CLD) in Africa due to HBV and HCV, using specific metrics to assess progress towards their elimination by 2030.

Key Findings:
  • In 2021, CLD-related deaths were higher for HBV (81,074) than HCV (60,717), with data directly supporting these findings.
  • Western Africa had the highest number of CLD deaths from HBV (33,603) and HCV (19,583), supported by data.
  • Central Africa exhibited the highest ASDR for both HBV (16.1) and HCV (12.7), with data backing this claim.
  • Predicted increases in CLD deaths by 2030 include 42.5% for HBV in Eastern Africa and 45.5% for HCV in Central Africa, based on projections.
  • Despite a decline in ASDR, the overall mortality burden from CLD increased significantly from 1990 to 2021, with data supporting this conclusion.
Interpretation:

Most African regions are unlikely to meet the WHO's 2030 elimination target for CLD due to HBV and HCV, highlighting the need for enhanced international support, with specific examples.

Limitations:
  • The study is limited by the availability and accuracy of data from the Global Burden of Disease database, which may affect the reliability of findings.
  • Socioeconomic factors influencing healthcare access were not fully explored, potentially impacting the conclusions drawn.
Conclusion:

The increasing burden of CLD due to HBV and HCV in Africa necessitates urgent action to improve healthcare access and resources to meet global elimination goals.

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