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=== Behavioral changes === ==== Hepatitis A ==== Because hepatitis A is transmitted primarily through the [[Fecal-oral route|oral-fecal route]], the mainstay of prevention aside from vaccination is good hygiene, access to clean water and proper handling of sewage.<ref name="Voise 2011" /> ==== Hepatitis B and C ==== As hepatitis B and C are transmitted through blood and multiple [[bodily fluids]], prevention is aimed at screening blood prior to [[Blood transfusion|transfusion]], abstaining from the use of injection drugs, safe needle and sharps practices in healthcare settings, and safe sex practices.<ref name="WHO Hepatitis B" /><ref name="Final Recommendation Statement: Hepatitis C: Screening" /> ====Hepatitis D==== [[File:Hep D Epidemiology Figure 1.svg|thumb|350x350px|Worldwide prevalence of HDV among HBV carriers in 2015. Eight genotypes have been identified worldwide by comparative phylogenetic analysis. Genotype 1 is the most frequent and has variable pathogenicity, Genotypes 2 and 4 are found in East Asia causing relatively mild disease. Genotype 3 is found in South America in association with severe hepatitis. Genotypes 5, 6, 7, 8 have been found only in Africa.<ref>{{Cite journal|last=Rizzetto|first=Mario | name-list-style = vanc |date=2020|title=Epidemiology of the Hepatitis D virus|url=https://en.wikiversity.org/wiki/WikiJournal_of_Medicine/Epidemiology_of_the_Hepatitis_D_virus|journal=WikiJournal of Medicine|language=en|volume=7|pages=7|doi=10.15347/wjm/2020.001 |doi-access=free}}</ref>]] The hepatitis D virus requires that a person first be infected with hepatitis B virus, so prevention efforts should focus on limiting the spread of hepatitis B. In people who have chronic hepatitis B infection and are at risk for [[superinfection]] with the hepatitis D virus, the preventive strategies are the same as for hepatitis B.<ref name="WHO Hepatitis D">{{Cite web|url=https://www.who.int/csr/disease/hepatitis/whocdscsrncs20011/en/index5.html|title=WHO {{!}} Hepatitis D|website=www.who.int|access-date=2016-03-09|url-status=live|archive-url=https://web.archive.org/web/20160308152650/http://www.who.int/csr/disease/hepatitis/whocdscsrncs20011/en/index5.html|archive-date=2016-03-08}}</ref> ====Hepatitis E==== Hepatitis E is spread primarily through the oral-fecal route but may also be spread by blood and from mother to fetus. The mainstay of hepatitis E prevention is similar to that for hepatitis A (namely, good hygiene and clean water practices).<ref name="WHO - Hepatitis E">{{Cite web|url=https://www.who.int/mediacentre/factsheets/fs280/en/|title=Hepatitis E|website=World Health Organization|language=en-GB|access-date=2016-03-09|url-status=live|archive-url=https://web.archive.org/web/20160306175719/http://www.who.int/mediacentre/factsheets/fs280/en/|archive-date=2016-03-06}}</ref> ====Alcoholic and metabolic hepatitis==== As excessive alcohol consumption can lead to hepatitis and cirrhosis, the following are maximal recommendations for alcohol consumption:<ref>{{Cite web|url=http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking|title=Drinking Levels Defined {{!}} National Institute on Alcohol Abuse and Alcoholism (NIAAA)|website=www.niaaa.nih.gov|date=14 September 2011|access-date=2016-03-09|url-status=live|archive-url=https://web.archive.org/web/20160323085131/http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking|archive-date=2016-03-23}}</ref> * Men β β€ 4 drinks on any given day and β€ 14 drinks per week * Women β β€ 3 drinks on any given day and β€ 7 drinks per week To prevent MAFLD it is recommended to maintain a normal weight, eat a healthy diet, avoid [[added sugar]], and exercise regularly.<ref>{{cite web |title=Preventing fatty liver disease before it's too late |url=https://wexnermedical.osu.edu/blog/fatty-liver-disease |website=wexnermedical.osu.edu |access-date=4 September 2023 |language=en |date=17 June 2020}}</ref><ref>{{cite web |title=Nonalcoholic Fatty Liver Disease (NAFLD) |url=https://liverfoundation.org/liver-diseases/fatty-liver-disease/nonalcoholic-fatty-liver-disease-nafld/ |website=liverfoundation.org |access-date=4 September 2023 |date=23 May 2022}}</ref>
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