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Book Review
 
Liver Disease

By A CORRESPONDENT

At a time when the number of patients suffering from liver related diseases continues to rise, Dr. Shrestha's book on liver disease gives important information regarding the liver disease and its prevalence in Nepal.

Although the government is yet to conduct any major study to know about the state of fatality and its national status, Liver Foundation Nepal has made efforts to understand implications of liver diseases in Nepal 's health sector.

Written in Nepali language, the book discuses the Jaundice, Hepatitis E, Alcoholic liver disease, Hepatic IVS disease and Ascites in Nepal . Due to contaminated water, every year a large number of Nepalese suffer from jaundice and Hepatitis E. Now even the cases of Hepatitis C and B are gradually increasing in Nepal .

Unlike in developed world, Hepatitis E and jaundice is common in Nepal and its prevalence is higher during the rainy session when drinking water is over contaminated due to its connectivity with sewerage.

As a well-known specialist on liver, Dr. Shrestha has been working in this area for more than last three decades and has a lot of experience about it.  One can read many things about liver diseases in this book.

Divided in three major parts and eight chapters, the book discusses everything from the physiological structure of liver to its functions and the major diseases, which afflict this vital organ.

As it is said that prevention is better than cure, this is the reason the author Dr. Shrestha seems to have made a lot of efforts to generate awareness among the common people of Nepal through the book.

Simple and interesting, Dr. Shrestha uses simple language to generalize many technical terms so that  a common man does not have to face any difficulty to comprehend the problem.

According to Dr. Shrestha, the problem related to liver diseases is very much associated with culture and race of people. In Nepal most of the problems related to liver is confined to Newar, Tamang and economically high class family. The chronic Hepatitis B is much common in Tibetan and Sherpa community. Because of unhygienic environment, many children are infected by Hepatitis A at very early age and younger and older people suffer from Hepatitis E.

"Along with other cases of hepatitis, the hepatitis C is also common now in Nepal among the drug users who share needles among themselves," Dr. Shrestha writes in his book. This is the first book ever published in Nepali language that gives basic information about liver disease.

In a country like Nepal where only a small number of people have access to modern medicine, it is impossible for many to go to doctors. Nepal can save the lives of common people only through the prevention of the disease.

Although it is not easy to translate almost all medical and technical words into Nepali, Dr. Shrestha has accomplished the difficult job of writing the book in Nepali to generate awareness among people of different level as well as medical.

Diseases of Liver
By: Dr. Santoshman Shrestha
Published by: Liver Foundation Nepal
Price: Rs.150.00
Pages: 210


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