In the Media

How SLD Think Tank and its work are appearing in the wider media conversation

In the Mediaadmin2026-09-15T14:27:58+00:00

International

26/05/2026

Science Magazine

Europe’s Silent Epidemic: Chronic Liver Disease—A Preventable Crisis Often Overlooked
Read more
International

25/05/2026

Medical Xpress

Chronic liver disease in Europe: A preventable crisis going undetected
Read more
Europe

26/06/2026

infobae

Un estudio alerta de que la enfermedad hepática es ya una “crisis silenciosa” en Europa
Read more
Europe

09/06/2026

Univadis

La crisis hepática silenciosa que avanza en Europa
Read more
Europe

26/05/2026

laSexta

La crisis de enfermedad hepática crónica en Europa: prevenible, pero pasa desapercibida
Read more
Europe

26/05/2026

Infosalus

Expertos defienden integrar mejor la enfermedad hepática en los sistemas sanitarios europeos
Read more
Europe

26/05/2026

Health Policy Watch

From Margin to Mainstream: Why Liver Health Should Sit at the Centre of the Global NCD Response
Read more
Europe

27/07/2026

Medonet

Nawet co trzeci z nas może chorować. Ekspert: to już globalna epidemia
Read more
Latin America

27/05/2026

Milenio

Obesidad, diabetes y genética colocan a México en la ruta de una crisis hepática
Read more
Latin America

14/06/2026

Milenio

“Me reí del médico”: El diagnóstico que terminó en cirrosis, cáncer y un trasplante de hígado
Read more
Asia

04/06/2026

Bangkok Post

Forum flags stealth-like liver ailment
Read more
Europe

24/06/2026

Allgemeine Ortskrankenkasse

Die stille Bedrohung
Read more
Europe

10/06/2026

Tagesspiegel Background

Nicht immer ist der Alkohol schuld
Read more
Europe

07/06/2026

Le Figaro

«Personne n’en parlait il y a vingt ans» : le dépistage de la «maladie du foie gras» reste très insuffisant malgré sa forte fréquence
Read more
Europe

01/06/2026

la Repubblica

Fegato, è allarme. A rischio chi è obeso e chi ha il diabete 2
Read more
Latin America

04/09/2025

Milenio

El pequeño Chernóbil, el tratamiento contra el cáncer más agresivo
Read more
Latin America

22/05/2026

Milenio

Salud hepática entra a la agenda global: OMS aprueba primera resolución sobre hígado graso y enfermedades metabólicas
Read more
Europe

09/04/2026

la Repubblica

Città a misura delle malattie del fegato, prima al mondo Bergamo
Read more
Latin America

26/07/2026

REFORMA

Preocupa desatención de hígado graso
Read more
Latin America

27/07/2026

El Universal

Aprueban en México nuevas alternativas para obesidad e hígado graso
Read more
Latin America

15/07/2026

Medical Xpress

Review calls for Mexico to add liver health to chronic disease programs
Read more
Latin America

15/07/2026

Región Global

Hígado graso afecta hasta a la mitad de los adultos en México
Read more
Latin America

17/07/2026

Vértigo Político

Aprueban en México semaglutida 7.2mg, que logra pérdida de peso superior a 25 por ciento
Read more
Latin America

09/07/2026

Milenio

Hígado graso metabólico, una amenaza para la salud pública en México: estudio
Read more
Latin America

16/07/2026

su médico

Aprueban semaglutida de Novo Nordisk para tratamiento de hígado graso con inflamación
Read more
Latin America

16/07/2026

edomex Al día

Novo Nordisk obtiene la aprobación en México de semaglutida 7.2 mg (Wegovy®), que logra una pérdida de peso superior al 25% en 1 de cada 3 adultos
Read more
Latin America

16/07/2026

Milenio

Cofepris aprueba nuevas dosis de semaglutida para tratar a pacientes con obesidad e hígado graso
Read more
Latin America

16/07/2026

Gobernantes.com

Alertan que la mitad de los mexicanos vive con hígado graso sin diagnóstico; el 90% de la población vive con obesidad
Read more
Latin America

15/07/2026

La Jornada

La mitad de los mexicanos vive con hígado graso sin diagnóstico
Read more
Latin America

14/07/2026

CUNYSPH

Review calls for Mexico to add liver health to chronic disease programs
Read more
Latin America

15/07/2026

zócalo.

Alertan que el hígado graso afecta a la mitad de los adultos y está fuera de políticas públicas en México
Read more

Registration fees

All applications for registration will be reviewed, and you will be notified of your invitation status and fee via email within one week.

Category	Early Bird (before 1 April)	After / onsite
Private Sector/Industry	295	350
Start-up*	95	150
Healthcare Professional, Academic, Public Health/Professional Association, NGO	75	100
Young Researcher / Trainee / PostDoc / Student / Young Person (under 25) *	45	60
Patient with lived experience *	free	free
Patient or Patient Representative *	45	50

* Registration fee scholarship offered on application, please email: lisa.rice@isglobal.org

Criteria for start-ups:

Early-stage startup (e.g., pre-seed, seed, or Series A).
Incorporated for under 5 years
Raised under $5 million in funding
Annual revenue less than $1 million
Fewer than 50 employees

What’s included in your ticket?

Entry to lunch main agenda sessions 1pm-7pm on 26 May and evening reception

5. Strengthen the capacity of community health services to prevent and treat MASLD through social prescribing

Primary care has a well-established network of health centres across Spain. In the last years, there has been an increase in the number of community-based activities promoting well-being and reducing the metabolic risk profile through social prescribing. These activities usually integrate exercise through increasing physical activity.⁴⁵ Strengthened primary care systems can reinforce the role of community health services by incorporating social prescribing models to address lifestyle drivers of MASLD in vulnerable populations, such as physical activity, which is a recommended first-line therapy of people with MASLD, and can improve psychosocial health,⁴⁶ which is often reported as poor by people living with MASLD.⁴⁶ By facilitating participation in community-based activities like group exercise, arts, or wellness programs, social prescribing addresses both physical inactivity and the isolation or low mood commonly seen in this population.⁴⁷ In Catalonia, the Programa de Prescripció Social i Salut exemplifies this approach by linking patients to local community assets via an integrated system in primary care, particularly targeting conditions such as anxiety, depression, and social isolation,⁴⁴ and which may be beneficial for people living with MASLD/MASH. Elsewhere, social prescribing has demonstrated benefit for people living with diabetes.⁴⁸ Evaluation data from Catalonia show that over 70% of participants report improvements in emotional well-being and social support after engaging in prescribed community activities frequently related to physical activity.⁴⁴

5. Leverage electronic health records (EHR) through integrated automated diagnostic tools

Integrating MASLD/MASH screening algorithms into existing EHR systems can substantially enhance early detection and risk stratification in primary and secondary care. Automated tools such as intelligent liver function testing (iLFT)—which systematically interprets routine liver function tests, performs reflex testing, and identifies likely liver diseases for physicians to consider—have shown promise in improving early diagnosis and care pathways, particularly in underdiagnosed conditions like MASLD and MASH.⁴³ In the Spanish context, where nearly 10 million individuals may be living with MASLD by 2030,³ embedding such tools in the primary care EHR systems used across autonomous communities could standardise assessment, reduce diagnostic delays, and promote timely secondary referrals. Moreover, this approach complements digital transformation priorities already outlined in Spain’s National Health System and aligns with the objectives of the Strategic Framework for Primary and Community Care (2019).^26,44

4. Increase awareness and education of MASLD/MASH among at-risk groups and healthcare professionals

Enhancing awareness of MASLD/MASH among both at-risk populations—such as those living with obesity, diabetes, and metabolic syndrome—and frontline healthcare workers is critical for early identification, appropriate risk stratification and timely intervention. Given its silent clinical course, MASLD is often underdiagnosed until advanced stages, particularly in primary care settings where patients with obesity, diabetes, or metabolic syndrome are commonly managed.

Spain’s Strategic Framework for Primary and Community Care (2019) already emphasises chronic disease prevention, making it an ideal entry point for MASLD/MASH education.²⁶ Yet, existing knowledge gaps among primary care providers regarding liver disease etiology, progression, and appropriate screening necessitate awareness or education campaigns and professional training modules that build the knowledge and clinical skills needed to manage MASLD in frontline settings.^24,41 A cohesive and comprehensive educational strategy is essential and could begin with the integration of MASLD/MASH-specific content into undergraduate, specialty, and continuing medical education curricula to foster competency in metabolic hepatology across the care continuum. A national interdisciplinary training strategy could bring together professionals from family medicine, endocrinology, cardiology, nephrology, internal medicine, endoscopy, clinical nutrition, and hepatology to address MASLD/MASH as a complex, multisystemic disorder.

A comprehensive communication and engagement health literacy strategy should position MASLD/MASH as serious, progressive, and multisystemic conditions. This involves dismantling the minimising narrative of “fatty liver” and clearly linking MASLD to major outcomes such as cardiovascular, renal and metabolic disease. Such a campaign should incorporate the concept of MetALD, which captures the under-recognised harm of moderate alcohol use in people with MASLD. Establishing a national MASLD/MASH patient platform would also enable the co-design of care pathways, educational materials, public campaigns, and research priorities, ensuring patient-centered policy and practice.

Finally, it is critical to explicitly position MASLD within the cardio-renal-metabolic axis, evolving toward a CHRM model (cardiovascular-hepatic-renal-metabolic).⁴² This paradigm recognises the liver as a pivotal organ in systemic metabolic dysfunction. The CHRM paradigm reflects the shared pathophysiology and clinical trajectories of MASLD, T2DM, chronic kidney disease, and cardiovascular disease. Scientific societies and patient organisations in Spain must collectively support and disseminate this integrative model, aligning MASLD policy with broader strategies for non-communicable diseases.

3. Add MASLD/MASH as an indicator to the list of Key Health System Indicators

Despite the rising clinical, social, and economic burden of MASLD, this condition is not currently included among Spain’s Key Health System Indicators, which guide monitoring, evaluation, and resource distribution across the National Health System.14 Integrating MASLD/MASH as a formal indicator would recognise the disease as a strategic health priority by integrating it into the national health information system, guiding decision-making on screening, diagnosis, and care pathways. Failure to track this disease risks underestimating its long-term economic and public health impacts. Incorporation into the indicator framework aligns with Spain’s commitment to data-driven governance and would support benchmarking across autonomous communities. To support targeted local action on MASLD, tools at the autonomous community level should be developed to guide policy and programme implementation. A MASLD risk index, combining aggregated clinical data, social determinants of health, and population-level metrics, can help identify high-need areas and inform municipal-level screening strategies. In parallel, a MASLD Impact Score should be created to assess the effectiveness of local policies related to metabolic health, food regulation, healthy environments, early detection practices, and workforce training. This metric could be implemented through municipal initiatives such as the upcoming “Santander se mueve” health promotion program, set to launch in September 2025.

2. Create a national MASLD registry, cohort, or observatory

Establishing a national MASLD registry, cohort or observatory is a critical step toward advancing clinical management, research, and policy evaluation. A national registry would enable the systematic collection of epidemiological, clinical, and sociodemographic data, essential for monitoring disease prevalence and progression, identifying high-risk subgroups, and assessing territorial disparities in access to care. While the Epidemiological sTudy of Hepatic infectiONs (ETHON) cohort estimated that 1.33%% of the Spanish population from 2015-2020 had MASH with fibrosis (stage F2-F3), these findings are limited to participants from primary care centers in Madrid, Santander and Valencia.^12,39 Additionally, while national clinical registries like HEPAmet and REGHNA (focused on hospital settings) provide important data, they are not population-based, nor are they consistently linked with public health surveillance systems.⁴⁰ A standardised and centralised MASLD registry would enable longitudinal tracking of this more prevalent disease, facilitate research on progression and treatment outcomes, and help evaluate the impact of interventions over time. Furthermore, registry data could support regional health planning and inform clinical practice guidelines aligned with Spain’s digital health transformation efforts.

1. Launch a Ministry of Health-led whole-of-government strategy

The growing prevalence of MASLD and MASH in Spain—projected to affect over 27% and 5.9% of the population, respectively, by 2030—necessitates an integrated, cross-sectoral policy response,³ led by an intersectoral working group under the leadership of the Ministry of Health. This whole-of-government initiative could facilitate the mainstreaming of MASLD/MASH into key national strategies addressing chronic diseases in general, and obesity, diabetes, and cardiovascular health specifically through a “health in all policies” approach. These strategies include the Strategy for Addressing Chronic Diseases (2012),²⁷ the Diabetes Strategy (2006)²⁸ and its 2012 update²⁹, and the Cardiovascular Health Strategy (2022),³⁰ where MASLD/MASH remain largely underrepresented despite their metabolic underpinnings. This omission contributes to fragmented care and missed opportunities for early intervention. Systematic integration of MASLD across these strategies would allow Spain to align with recommendations from the EASL–Lancet Liver Commission, which urges countries to address liver diseases through upstream, equity-based, and multisectoral policies.³²

Crucially, national leadership must be paired with urban action. Cities are where obesogenic environments, food insecurity, and social inequalities converge with high diabetes and obesity prevalence. An initiative to address this, “MASH Cities,” calls on municipalities to integrate MASLD/MASH into local health promotion, food policy, urban mobility, and primary care services to mitigate disease progression.³³ Major cities in Spain should consider joining this growing platform for sharing learned lessons and best practices. Empowering cities with the mandate and resources to act on liver health can serve as a scalable, equitable response to this growing challenge, as was proposed for Barcelona in May 2025.³⁴

Additionally, inclusion of MASLD/MASH in Spain’s Public Health Surveillance Strategy (2022)³⁵ could strengthen early detection and monitoring by enabling systematic data collection and risk assessment in both health and non-health sectors, such as urban planning and food policy. Primary care would be central to this approach, serving as the frontline for MASLD screening, risk stratification, and referral. Integration can help standardise primary care practices, including routine FIB-4 risk stratification of individuals with obesity, T2D, metabolic syndrome, or hepatic steatosis—which are often undetected until advanced stages.³⁶ Primary care should be adequately funded and equipped to screen, stratify, manage cardiometabolic risks, and refer high-risk patients, forming the backbone of MASLD/MASH prevention and control at the national, autonomous community, and city levels.^37,38

Registration fees

Category	Early Bird (before 1 April)	On-site
Private Sector/Industry	495	695
Start-up*	150	200
Healthcare Professional, Academic, Public Health/Professional Association, NGO	100	150
Young Researcher / Trainee / PostDoc / Student / Young Person (under 25) *	50	50
Patient or Patient Representative *	50	50

* Registration fee scholarship offered on application, please email: lisa.rice@isglobal.org

Criteria for start-ups:

Early-stage start-up (e.g., pre-seed, seed, or Series A) / Incorporated for under 5 years

Raised under $5 million in funding / Annual revenue less than $1 million

Fewer than 50 employees

What’s included in your ticket?

Entry to all main agenda sessions starting 2pm on 5 June

5 June: Lunch and afternoon networking coffee, and networking buffet reception

6 June: Morning and afternoon networking coffee, and networking lunch

In the Media

How SLD Think Tank and its work are appearing in the wider media conversation

Europe’s Silent Epidemic: Chronic Liver Disease—A Preventable Crisis Often Overlooked

Chronic liver disease in Europe: A preventable crisis going undetected

Un estudio alerta de que la enfermedad hepática es ya una “crisis silenciosa” en Europa

La crisis hepática silenciosa que avanza en Europa

La crisis de enfermedad hepática crónica en Europa: prevenible, pero pasa desapercibida

Expertos defienden integrar mejor la enfermedad hepática en los sistemas sanitarios europeos

From Margin to Mainstream: Why Liver Health Should Sit at the Centre of the Global NCD Response

Nawet co trzeci z nas może chorować. Ekspert: to już globalna epidemia

Obesidad, diabetes y genética colocan a México en la ruta de una crisis hepática

“Me reí del médico”: El diagnóstico que terminó en cirrosis, cáncer y un trasplante de hígado

Forum flags stealth-like liver ailment

Die stille Bedrohung

Nicht immer ist der Alkohol schuld

«Personne n’en parlait il y a vingt ans» : le dépistage de la «maladie du foie gras» reste très insuffisant malgré sa forte fréquence

Fegato, è allarme. A rischio chi è obeso e chi ha il diabete 2

El pequeño Chernóbil, el tratamiento contra el cáncer más agresivo

Salud hepática entra a la agenda global: OMS aprueba primera resolución sobre hígado graso y enfermedades metabólicas

Città a misura delle malattie del fegato, prima al mondo Bergamo

Preocupa desatención de hígado graso

Aprueban en México nuevas alternativas para obesidad e hígado graso

Review calls for Mexico to add liver health to chronic disease programs

Hígado graso afecta hasta a la mitad de los adultos en México

Aprueban en México semaglutida 7.2mg, que logra pérdida de peso superior a 25 por ciento

Hígado graso metabólico, una amenaza para la salud pública en México: estudio

Aprueban semaglutida de Novo Nordisk para tratamiento de hígado graso con inflamación

Novo Nordisk obtiene la aprobación en México de semaglutida 7.2 mg (Wegovy®), que logra una pérdida de peso superior al 25% en 1 de cada 3 adultos

Cofepris aprueba nuevas dosis de semaglutida para tratar a pacientes con obesidad e hígado graso

Alertan que la mitad de los mexicanos vive con hígado graso sin diagnóstico; el 90% de la población vive con obesidad

La mitad de los mexicanos vive con hígado graso sin diagnóstico

Review calls for Mexico to add liver health to chronic disease programs

Alertan que el hígado graso afecta a la mitad de los adultos y está fuera de políticas públicas en México

Registration fees

All applications for registration will be reviewed, and you will be notified of your invitation status and fee via email within one week.

Criteria for start-ups:

What’s included in your ticket?

5. Strengthen the capacity of community health services to prevent and treat MASLD through social prescribing

5. Leverage electronic health records (EHR) through integrated automated diagnostic tools

4. Increase awareness and education of MASLD/MASH among at-risk groups and healthcare professionals

3. Add MASLD/MASH as an indicator to the list of Key Health System Indicators

2. Create a national MASLD registry, cohort, or observatory

1. Launch a Ministry of Health-led whole-of-government strategy

References

What is ALD?

What is MetALD?

What is MASLD?

What is steatotic liver disease?

Further reading

Registration fees

Criteria for start-ups:

What’s included in your ticket?

Agenda

5 June 2025

6 June 2025

*CARPA