Liver cancer is one of the most common
cancers in China. The major risk factors are
chronic infections of hepatitis B virus (HBV), hepatitis C virus (HCV), high exposure to
aflatoxins. In addition, exposure to
cyanotoxins and some preventable health behaviors are also recognized to contribute to
liver cancer development. To relieve the disease burden, primary prevention of etiological interventions is an important strategy. Based on the
liver cancer epidemiology in China and the effective evidences and results from the etiological interventions conduced in Chinese population domestically, the following strategies are recommended in the "Strategies of primary prevention of
liver cancer: Expert Consensus (2018)" to promote the effective prevention of
liver cancer in general population. Immunization with HBV
vaccines, including the immune programs to neonates, infants and children born to mothers with different status of HBV
infection.
Antiviral therapies to the patients with
chronic hepatitis B or
hepatitis C. Avoiding or reducing the exposure to
aflatoxins as well as the
cyanotoxins. Changing harmful life style, including quitting smoking and limiting alcohol consumption etc.