 Hi, this is Dr. Gautam Kumar. I'm the consultant hepatobiliary and transplant surgeon at Manipal Group of Hospitals. On the occasion of World Liver Day that is on April 19th, it's celebrated worldwide to create awareness about liver-related disorders. I'm here to talk about some of the liver-related disorders. There are two types of liver failures. One is acute liver failure, which happens very quickly. Another is chronic liver failure. The main reason for chronic liver failure is alcohol, one, which is very common and rapidly rising with our westernized lifestyle in India. Second, we have viruses, which is hepatitis B and C. They are the most common viruses involved in chronic liver disease. Three, lifestyle. With the fatty liver, which is very common, if you see ultrasound reports of any other person, they will report it as fatty liver. So, with the lifestyle, the fatty liver is a lifestyle disease. With the lifestyle of sedentary lifestyle, junk food, sitting in front of the computer or sitting in front of the TV and watching the entire season of games of thrones, all these things lead to a lifestyle which does not involve active moving around. So, you see if you do a fatty liver scan, that is ultrasound scan in 100 patients, 14% of patients will have fatty liver. So, this is almost an epidemic right now. So, if you don't treat it or prevent it, this slowly goes on to become fibrosis and cirrhosis of the liver. Once we know that there is a cirrhosis of the liver, we cannot reverse it with the medicine, we can just only manage it. The one major cause in India for cirrhosis of the liver is of course fatty liver going on to, going on causing damage. So, the only precaution or only prevention we have in this is lifestyle changes. But there are other things like for hepatitis B, which is common in southern India and eastern part of India. And hepatitis C, which is common in western part of big India, we have drugs to treat them. Hepatitis C can be cured with recent drug advances and hepatitis B can be prevented with vaccination. So, it's important for you to get vaccinated for hepatitis B. There is a lot of literature or a lot of information on national vaccine, national hepatitis program, which is run by government, started July 2018. And regarding alcohol, this is again another epidemic. We do not realize that people drink, binge drink, they drink every day. And this abnormal amount of alcohol does cause liver damage, which needs to be prevented. So, this alcoholic abuse, sometimes we have to realize it's a disease. A lot of people may need some sort of help with regarding to quitting alcohol. Because once with alcohol you'll develop liver disease, your health deteriorates very rapidly. And as far as I know, a lot of people with alcohol, liver disease do not get proper treatment with regards to how to quit, how to get social support, how to manage it. And the family, the caregiver also is in deep, deep dilemma how to go about taking care of your loved ones. So, it's very important to meet a bunch of doctor who are trained in taking care of this alcoholic related liver disease and the alcoholism per se. So, these four different types of diseases and how to prevent it. Because the liver disease initially do not have any many symptoms, it becomes very important to screen yourself and prevent it. So, on this occasion of World Liver Day, I would recommend everyone to make sure that you keep your liver healthy by using all the right strategies. And if you are in any problem, we have a bunch of liver experts who could help you out with how to go about it. We have a helpline, our helpline number is 080-250-4017. That is our liver coordinator and he can tell you what to do.