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Open AccessJournal ArticleDOI

Global Burden of Aflatoxin-Induced Hepatocellular Carcinoma: A Risk Assessment

Yan Liu, +1 more
- 19 Feb 2010 - 
- Vol. 118, Iss: 6, pp 818-824
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TLDR
Aflatoxin may play a causative role in 4.6–28.2% of all global HCC cases, and most cases occur in sub-Saharan Africa, Southeast Asia, and China where populations suffer from both high HBV prevalence and largely uncontrolled aflatoxin exposure in food.
Abstract
BackgroundHepatocellular carcinoma (HCC), or liver cancer, is the third leading cause of cancer deaths worldwide, with prevalence 16–32 times higher in developing countries than in developed countr...

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Burden of liver diseases in the world

TL;DR: The global prevalence of viral hepatitis remains high, while drug-induced liver injury continues to increase as a major cause of acute hepatitis.
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Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health

TL;DR: In this paper, the authors identify three categories of challenges that have to be addressed to maintain and enhance human health in the face of increasingly harmful environmental trends: conceptual and empathy failures (imagination challenges), such as an overreliance on gross domestic product as a measure of human progress, the failure to account for future health and environmental harms over present day gains, and the disproportionate eff ect of those harms on the poor and those in developing nations.
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The burden of primary liver cancer and underlying etiologies from 1990 to 2015 at the global, regional, and national level : results from the Global Burden of Disease Study 2015

Tomi Akinyemiju, +99 more
- 01 Dec 2017 - 
TL;DR: In this article, the authors report results of the Global Burden of Disease (GBD) 2015 study on primary liver cancer incidence, mortality, and disability-adjusted life-years (DALYs) for 195 countries or territories from 1990 to 2015, and present global, regional, and national estimates on the burden of liver cancer attributable to hepatitis B virus (HBV) and hepatitis C virus (HCV) infection and alcohol, and an “other” group that encompasses residual causes.
References
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Book

Risk Assessment in the Federal Government: Managing the Process

TL;DR: The risk assessment/risk management knowledge representation was the capacity that it granted to the administrators of the EPA to design a joint decision-making process involving the various programmatic and functional offices of the agency and assembling the expertise and specific conceptions of uncertainty of toxicologists, economists, and policy analysts.
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Mycotoxins and human disease: a largely ignored global health issue

TL;DR: Despite the need for a better evidence-base on mycotoxins and human health, supported by better biomarkers of exposure and effect in epidemiological studies, the existing data are sufficient to prioritize exposure reduction in vulnerable populations.
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Science and decisions: advancing risk assessment.

TL;DR: The NRC report tackles a number of topics relating to improvements in the process, including the design and framing of risk assessments, uncertainty and variability characterization, selection and use of defaults, unification of cancer and noncancer dose-response assessment, cumulative risk assessment, and the need to increase EPA's capacity to address these improvements.
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