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8.1.3 Policy integration recommendations Cross-sectoral coordination mechanisms: Establish standing committees or task forces bringing together representatives from health, agriculture, environment, commerce, and labor ministries, charged with: Harmonizing food safety standards with environmental quality standards and occupational exposure limits Coordinating surveillance and monitoring programs to share data and analytical capacity Jointly developing public education campaigns addressing multiple risk dimensions Aligning enforcement mechanisms and penalty structures across sectors Integrated risk assessment frameworks: Adopt exposure assessment methodologies that characterize total carcinogenic burden from all pathways (dietary, environmental, occupational) rather than evaluating sources in isolation

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Although the liver is exceptionally regenerative because it evolved to manage toxins and viruses, modern diets and alcohol have overwhelmed its ability to heal, causing an epidemic of liver damage

doi: 10.1007/s00011-025-02025-4 158 JuXChenZGaoLChenMWangQJiangZ