Ashwin Dhanda

As Professor Colin Angus states:

"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."

"Embarrassing" 10-Year Plan.

The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.

The only measures are to improve labelling and support the growth of the zero..(1/2)

assets.publishing.service.gov.uk/media/686638...

Illustration of a figure walking away from two closed doors. One door is labelled 'substance use services' and the other is labelled 'mental health services'. Text reads: People with both substance use and mental health difficulties too often face closed doors to care. This has to change

🧵 People with both mental health and substance use difficulties are fighting a battle on two fronts. But they often face closed doors to care, unable to access services for one until they've dealt with the other. This has to change.
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth

So many unknowns! #microplastics An excellent meet the experts session at #EASLcongress2025 #LiverSky @plymouthmarine.bsky.social @hepatoresearch.bsky.social

The far right feeds on fear, scapegoats, and fake "us vs. them" battles.

The worst thing you can do is echo them.

The best thing? Call them out and offer a better story.

A thread 🧵

#NoPasaran #StandUpToHate

1/

Thanks to Matthew Cramp and Louisa Vine for organising a fantastic SW Hep Group meeting. Excellent speakers. Great venue. And well done to the early morning runners! 🏃‍♂️🏃‍♂️
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social

Views on transplantation for alcohol related hepatitis from France USA and Canada.
❓ Time for the UK to catch up ❓

Great BASL ARLD SIG meeting today. Thanks @richardparker for organising
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective

Great news! Good to see @gwynnemp.bsky.social specifically mentions investment in addiction recovery services

Looking forward to lots of groundbreaking work from Prof Chokshi's new lab in Plymouth #microplastics

By @adhanda.bsky.social & @tom-marjot.bsky.social

#Sharedit link: rdcu.be/d5rwu

Thoughtful piece from Marjot & Dhanda (@adhanda.bsky.social) in @natrevgastrohep.bsky.social: Alcohol-free drinks show promise for motivated individuals to reduce alcohol consumption but may pose relapse risks in others. Balance is key for clinical guidance. 🧪
www.nature.com/articles/s41...

👋Hello #Liversky!
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...

Do read my comment piece with @tom-marjot.bsky.social on NoLo alcohol 👇🏾

Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case

Have you heard of the concept of cirrhosis "recompensation"?

➡️ doi.org/10.1016/j.jhepr.2024.101233

#LiverSky

Adam Curtis Title Card: We Too Are Trapped In A System. Text over a background of a large office building

THREAD

This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact

An Incomplete History Told In The Voice of Documentarian Adam Curtis
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A line chart showing age-standardised alcohol-specific death rates for every region of England, plus Wales, Northern Ireland and Scotland from 2001-2023. Except for Scotland, everywhere follows a similar trend - fairly stable, or rising gradually until 2019, then a sharp rise, although with significant variation between regions - London and the East/South East at the bottom and the Midlands and North at the top. In 2001 Scotland had more than double the rate of anywhere in England, but this fell substantially until 2011, then plateaued, and has risen less than many parts of the rest of the UK since 2019. In 2023, the North East overtook Scotland for the first time.

Since England's alarming alcohol death statistics are in the news again today, here's a particularly alarming fact buried in the figures DHSC have released -

For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019

🚨 Depression and anxiety are common in cirrhosis
🚨 High prevalence in #ALD
🚫 Diagnosed and treated
We need to do better for our patients
Great review 👇🏾
#Liversky

It's that time of the year again. In no particular order, I would like to share a few of #livertwitter in 2024 with #liversky

These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵

So true! Last month saw a pt who had had severe alc hep and MOF 9 mo ago ▶️ Full recovery. Normal fibroscan!
We need better integrated care. Treating the #AUD is fundamental

Increase in #alcohol use in middle age in all generations
🚨 Worrying trends for Millennials as they reach their 40s+
➕ Rising #obesity
🟰 ⬆️ Liver disease and death
#MetALD

It’s time to end the policy vacuum on alcohol harm in England, if this government is serious about shifting its focus to prevention The newly elected United Kingdom’s government has moved quickly to resurrect legislation, initiated by its predecessors, that is designed to tackle the epidemic of youth vaping and create a smoke-free...

#Alcohol
⬇️ Affordability = ⬇️ Alcohol harm
@teamlabouruk.bsky.social need to bring in Minimum Unit Pricing
#MUPworks

www.bmj.com/content/387/...

Welcome @hepatoresearch.bsky.social to Bluesky
#LiverSky

HRG Christmas Meal with our annual Christmas Quiz. Tamar was the big winner once again! Congrats 👏🏻🎅🏻

📈 Increasing alcohol specific deaths in England
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/

Here's my version of a graph originally by the British Liver Trust showing how rates of liver disease deaths in England & Wales have almost quadrupled since 1968, while other leading causes of death have fallen.

In spite of working in alcohol research for 13+ years, this still surprised me...

❓ How do we get off the academic hamster wheel 🛞 chasing impact, funding, spin outs?
❓ How do we better align academic and healthcare agendas?

Interested to see what this commission comes up with

Very important report outlining what is needed to tackle the rising tide of #alcohol harms. A national alcohol strategy is essential. Please read. 👇🏾
2 page summary with infographics included to help spread the word

The rising public health crisis of alcohol harm necessitates a coordinated health system response, argued The Medical Council on Alcohol at the launch of its timely report yesterday.

Great contributions at the launch from Dr @dannychambers.bsky.social MP.. (1/2)

Report m-c-a.org.uk/wp-content/u...

‘At 31, I was told if I didn’t stop drinking, I could die’ BBC journalist Hazel Martin was told she had liver fibrosis and must go teetotal or she could die.

Good to see this important issue getting some airtime on BBC #BingeDrinking #ARLD

www.bbc.co.uk/news/article...