Jaipur, Sept. 21 -- Rajasthan will begin systematic monitoring of students' weight, height and waist circumference in schools to identify obesity and metabolic health risks early, as part of a broader strategy to prevent and detect fatty liver disease. The state government will establish "W Zones" in schools and integrate the exercise with the Rashtriya Bal Swasthya Karyakram (RBSK) and Rashtriya Kishor Swasthya Karyakram (RKSK). Students will undergo the three measurements, with those identified as being at risk referred for further assessment. The initiative is part of Rajasthan's expanding programme for screening and early detection of fatty liver disease, with the government planning to bring screening, lifestyle interventions, treatment and referral services under a coordinated framework. Principal secretary, medical and health, Gayatri Rathore said fatty liver screening was being undertaken on a large scale and had been incorporated systematically into the state's non-communicable disease programme. She said the government was strengthening early identification, diagnostic testing and referral mechanisms under "Mission Liver Smile" so that people diagnosed or suspected of having fatty liver could be connected with appropriate treatment. The announcements were made during a meeting on "Mission Fatty Liver", chaired by Dr Shiv Sarin, director of the Institute of Liver and Biliary Sciences (ILBS), New Delhi. The meeting discussed screening, treatment, training and the next phase of the state's action plan. The state will also launch "Mission Ovy Loss" under the Eat Right campaign to address obesity. The initiative will promote balanced diets, regular physical activity and weight management. Officials said measuring waist circumference, along with height and weight, would provide a broader picture of children's health and potential metabolic risk. The health department is also working on an online liver disease registry through a dashboard to track patient information and treatment status. It is examining the possibility of establishing a biobank in the state. Rajasthan currently has "Liver Smile" clinics at all 63 district hospitals, offering fatty liver screening, medical advice and referrals. The clinics operate every Tuesday and Friday. Around 150 nodal officers and healthcare workers have received specialised training, while nearly 10,000 medical officers and community health officers have been trained online. According to the health department, 26.1 million people were screened for fatty liver disease in 2025-26, of whom 3.1 million were identified as suspected cases. In 2026-27, 13.2 million have been screened so far. At primary and community health centres, 2,654,556 people have been screened in 2026-27. Rathore said preventing fatty liver required sustained attention to diet, physical activity and weight control, alongside early detection and timely treatment....