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Hepar Centar-Bitola was established to help raise awareness of liver viruses and non-communicable liver diseases, especially hepatitis, non-alcoholic steatohepatitis NASH , non-alcoholic fatty liver disease NAFLD , obesity, alcohol and liver cancer. Organising campaigns was a challenge this year due to the global pandemic, but our main goal was clear: to place a special emphasis on uniting all parties and stakeholders to showcase the link between hepatitis and liver cancer.

Using this information, we decided to change our approach this year by focusing on the link between hepatitis B and C with liver cancer. We found that by connecting hepatitis B and C with liver cancer many people were more empathetic to the cause and wanted to listen and help, more so than when hepatitis was linked with tuberculosis or HIV. As a conclusion from the numerous virtual conferences, discussions and technical consultations, all participants from the Republic of North Macedonia published the first National Declaration for the Fight Against Cancer.

The declaration was launched on World Hepatitis Day. The declaration calls on the government of the Republic of North Macedonia, the Ministry of Health, the Health Insurance Fund and all the affected parties to develop a fully funded national programme. Dealing with serious health threats and improvements in the fast recovery of the health system, the declaration showcases the role of screening and early diagnosis for the detection of hepatocellular carcinoma and the early stages of cirrhosis.

This will result in better treatment outcomes and quality of life for patients. We achieved this by highlighting the direct link between late diagnosis of hepatitis B and C and liver cirrhosis with the help of the Oncology Clinic, Center for Interventional Radiology of the Liver, Digestive Clinic, Clinic for Gastroenterohepatology and the infectious disease clinic after collecting all the information and number of patients in our country.