Abstract
This paper examines changes in liver cirrhosis death rates in 29 countries between 1974 and 1983 or the latest year available. Seven couuntries show a decline in death rates, six an increase, and the remaining 17 show no clear significant trends. Changes were more common among countries with high rates of alcohol consumption and high rates of liver cirrhosis deaths. Limited evidence for a widespread amelioration in liver cirrhosis seems to exist.

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