Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population

Human hepatitis E virus (HHEV) spreads early in life among the population in areas endemic for genotype 1 and infects mainly adults in areas endemic for genotype 3, where it would be responsible for about 10% of cases of suspected acute viral hepatitis of unknown etiology and for a number of subclin...

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Main Author: José-Manuel Echevarría
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2014/481016
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author José-Manuel Echevarría
author_facet José-Manuel Echevarría
author_sort José-Manuel Echevarría
collection DOAJ
description Human hepatitis E virus (HHEV) spreads early in life among the population in areas endemic for genotype 1 and infects mainly adults in areas endemic for genotype 3, where it would be responsible for about 10% of cases of suspected acute viral hepatitis of unknown etiology and for a number of subclinical, unrecognized infections. The overall prevalence of antibody to HHEV is high in most of the former areas and low in most of the later ones, but wide regional differences have been recorded in both cases. “Hot spots” of HHEV infection would exist for both types of strains in particular regions or among particular populations of the world. Studies on pork derivatives, shellfish bivalves, and vegetables for HHEV contamination at the sale point need to be extended for evaluating the impact of the agent on food safety, and the meaning of the finding of HHEV genotype 1 genomes in urban sewage from developed countries should be established through active surveillance. Consensus about technical issues in regard to anti-HEV testing would improve the knowledge of the HHEV epidemiology. Studies in particular regions and populations, and introduction of molecular diagnosis in the clinical setting as a routine tool, would also be required.
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spelling doaj-art-a14db8e4121544d5a1bf04d77f70cdda2025-08-20T02:20:09ZengWileyScientifica2090-908X2014-01-01201410.1155/2014/481016481016Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General PopulationJosé-Manuel Echevarría0Department of Virology, National Centre of Microbiology, Instituto de Salud Carlos III, Road Majadahonda-Pozuelo, Km2, Majadahonda, 28220 Madrid, SpainHuman hepatitis E virus (HHEV) spreads early in life among the population in areas endemic for genotype 1 and infects mainly adults in areas endemic for genotype 3, where it would be responsible for about 10% of cases of suspected acute viral hepatitis of unknown etiology and for a number of subclinical, unrecognized infections. The overall prevalence of antibody to HHEV is high in most of the former areas and low in most of the later ones, but wide regional differences have been recorded in both cases. “Hot spots” of HHEV infection would exist for both types of strains in particular regions or among particular populations of the world. Studies on pork derivatives, shellfish bivalves, and vegetables for HHEV contamination at the sale point need to be extended for evaluating the impact of the agent on food safety, and the meaning of the finding of HHEV genotype 1 genomes in urban sewage from developed countries should be established through active surveillance. Consensus about technical issues in regard to anti-HEV testing would improve the knowledge of the HHEV epidemiology. Studies in particular regions and populations, and introduction of molecular diagnosis in the clinical setting as a routine tool, would also be required.http://dx.doi.org/10.1155/2014/481016
spellingShingle José-Manuel Echevarría
Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population
Scientifica
title Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population
title_full Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population
title_fullStr Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population
title_full_unstemmed Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population
title_short Light and Darkness: Prevalence of Hepatitis E Virus Infection among the General Population
title_sort light and darkness prevalence of hepatitis e virus infection among the general population
url http://dx.doi.org/10.1155/2014/481016
work_keys_str_mv AT josemanuelechevarria lightanddarknessprevalenceofhepatitisevirusinfectionamongthegeneralpopulation