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The burden of chronic liver disease in sub-Saharan Africa is high, with cirrhosis and other chronic liver diseases accounting for 2·5% of deaths and 1·3% of total disability-adjusted life-years in 2019.1 The most prevalent causes of cirrhosis and hepatocellular carcinoma in sub-Saharan Africa are chronic viral hepatitis (hepatitis B, C, and D), heavy alcohol use, aflatoxin B1 exposure, and, increasingly, metabolic risk factors associated with metabolic dysfunction-associated steatotic liver disease (MASLD).
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C Wendy Spearman (2023) studied this question.
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