scholarly journals Editorial Commentary:The Mystery of Hepatitis E Seroprevalence in Developed Countries: Is There Subclinical Infection due to Hepatitis E Virus?

2008 ◽  
Vol 47 (8) ◽  
pp. 1032-1034 ◽  
Author(s):  
Mohamed T. Shata ◽  
Udayakumar Navaneethan
Keyword(s):  
Hepatitis E Virus ◽  
Hepatitis E ◽  
Developed Countries ◽  
Subclinical Infection

scholarly journals Identification and genetic diversity of hepatitis E virus in domestic swine from Slovakia

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Anna Jackova ◽  
Katarina Dudasova ◽  
Slavomira Salamunova ◽  
Rene Mandelik ◽  
Jaroslav Novotny ◽  
...  
Keyword(s):  
Genetic Diversity ◽  
Hepatitis E Virus ◽  
Hepatitis E ◽  
Developed Countries ◽  
European Countries ◽  
Major Clade ◽  
Information Gap ◽  
Production Stages ◽  
Suckling Piglets ◽  
Domestic Swine

Abstract Background Hepatitis E virus (HEV) is agent causing hepatitis worldwide. Originally considered to be limited to developing countries, this virus was also detected in developed countries. In recent years an increasing number of reports indicate that farmed domestic pigs are widely infected with HEV in several European countries. The HEV status in Slovakia is still missing. Results In this study, the circulation of HEV among domestic swine in Slovakia and genetic diversity of the virus was studied. Overall HEV RNA was detected in 53/388 (13.7, 95% CI: 10.40–17.48%) pig rectal swabs in five production stages (age categories) with statistically significant differences among all the stages. The highest HEV prevalence was observed in weaners 24/81 (29.6, 95% CI: 19.99–40.81%) and then significantly declined in growers and fatteners. No HEV was detected in suckling piglets and sows. Twenty-eight partial sequences of ORF1 (242 bp) and seventeen of ORF2 (304 bp) were analysed. Phylogenetic analysis and p-distance comparisons confirmed in both ORFs that all Slovak HEV sequences belong to the genotype HEV-3, major clade 3abchij with higher identity to 3a and 3i subtypes. Three sequences were outside of all lastly updated HEV-3 subtypes. Conclusion This is the first report to fill the information gap about HEV infection in pigs in Slovakia. The results suggested a lower prevalence of HEV in Slovak pig farms than observed in other European countries. While most HEV isolates were typed as HEV-3 clade 3abchij, three sequences were unclassified.

scholarly journals First Report of Hepatitis E Virus in Shellfish in Southeast Italy

2020 ◽  
Vol 11 (1) ◽  
pp. 43
Author(s):  
Gianfranco La Bella ◽  
Maria Grazia Basanisi ◽  
Gaia Nobili ◽  
Valentina Terio ◽  
Elisabetta Suffredini ◽  
...  
Keyword(s):  
Real Time ◽  
Hepatitis E Virus ◽  
Potential Role ◽  
Hepatitis E ◽  
Developed Countries ◽  
Rt Pcr ◽  
Viral Pathogens ◽  
Apulia Region ◽  
Causative Agents

Hepatitis E virus (HEV) represents one of the principal causative agents of hepatitis globally. Among the five HEV genotypes affecting humans, genotypes 3 and 4 are zoonotic and are the main source of hepatitis E in developed countries. HEV has been detected in several foods. The present work investigated the presence of this virus in shellfish sold at retail in the Apulia region of Italy. The presence of HEV RNA was assessed by real-time RT-PCR in 225 shellfish samples collected during 2018. Overall, two (0.89%) of these samples tested positive for HEV RNA. To our knowledge, this is the first notification of the detection of HEV in mussels sold at retail in the Apulia region. These data highlight the potential role of shellfish as a vehicle for the transmission of viral pathogens.

scholarly journals Viral hepatitis E: A disease of humans and animals

2012 ◽  
Vol 66 (5-6) ◽  
pp. 449-462
Author(s):  
Branislav Kureljusic ◽  
Vojin Ivetic ◽  
Bozidar Savic ◽  
Jasna Kureljusic ◽  
Nemanja Jezdimirovic
Keyword(s):  
Viral Hepatitis ◽  
Hepatitis E Virus ◽  
Clinical Signs ◽  
Hepatitis E ◽  
Developed Countries ◽  
Animal Origin ◽  
Oral Transmission ◽  
Source Of Infection ◽  
Pig Farms ◽  
The Usa

The hepatitis E virus is ubiquitous in all parts of the world where pig production exists. The infection occurs in several animal species and its course is mostly asymptomatic. Viral strains isolated from pigs and humans are genetically similar, which indicates a potential zoonotic nature of the disease, and the possibility that pigs, and perhaps also other species of animals diseased with viral hepatitis E are a source of infection to humans. The pig hepatitis E virus, which is similar to the hepatitis E virus in humans, was isolated and described for the first time in the USA in 1997. The infection of pigs with hepatitis E virus occurs through faeco-oral transmission, by ingestion of feed and water contaminated with the virus, or through direct contact between infected and healthy animals. The pathogenesis of this infection in pigs differs from its pathogenesis in humans and it has not been sufficiently examined in all its aspects. Even though viral hepatitis E in pigs has been described as a subclinical disease, some authors describe changes in the concentration of certain biochemical parameters in blood serum of the infected pigs. Histologically, a mild to moderate lymphotic-plasma cellular infiltration is observed in livers of infected pigs, as well as focal areas of hepatocyte necrosis. Viral hepatitis E is an endemic disease of humans in Asia, Africa, and Latin America. In developed countries, hepatitis E sporadically occurs in humans, but it is becoming of increasing importance in particular in Japan, North America, and Europe, because the populations of these areas travel extensively to the endemic regions or as a result of the consumption of thermally untreated meat of wild boar and products made from thermally untreated meat. Pork products can be contaminated with hepatitis E virus. Further proof that indicates the zoonotic potential of this virus and places this diseases among the group of professional diseases of farmers and veterinarians is the finding of antibodies to hepatitis E virus in farmers and veterinarians who work on pig farms without showing any clinical signs of the disease. Having in mind the fact that viral hepatitis E has been proven in pig farms in Serbia and neighboruign countries, there should be strict respect of biosecutiry measures from the episootiological and epidemiological aspects, and the principle of good production and hygiene practice should be adhered to on pig farms. This disease should in future also be included in the legal regulations of our country in order to ensure the production of products of animal origin that are safe from the aspect of hygiene.

Hepatitis E virus: zoonotic and foodborne transmission in developed countries

2018 ◽  
Vol 13 (9) ◽  
pp. 657-670 ◽  
Author(s):  
Tuija Kantala ◽  
Leena Maunula
Keyword(s):  
Hepatitis E Virus ◽  
Hepatitis E ◽  
Developed Countries

Serological and Molecular Investigation of Swine Hepatitis E Virus in Pigs Raised in Southern Italy

2015 ◽  
Vol 78 (11) ◽  
pp. 2099-2102 ◽  
Author(s):  
NICOLA COSTANZO ◽  
ELEONORA SARNO ◽  
VINCENZO PERETTI ◽  
LUCIA CIAMBRONE ◽  
FRANCESCO CASALINUOVO ◽  
...  
Keyword(s):  
Hepatitis E Virus ◽  
Southern Italy ◽  
Age Groups ◽  
Hepatitis E ◽  
Developed Countries ◽  
Oral Route ◽  
Enzyme Linked Immunosorbent Assay ◽  
Viral Genomes ◽  
Reverse Transcription Pcr ◽  
Significant Difference

Hepatitis E virus (HEV) infection is a common acute hepatitis transmitted by the fecal-oral route. In developed countries, the virus has a zoonotic potential, and domestic pigs and wild boars are considered main reservoirs. To assess the prevalence of HEV-positive animals in the Calabria region (southern Italy) on a serological and molecular level, a total of 216 autochthonous healthy pigs (Apulo-Calabrese breed) were sampled. Both sera and feces were collected. Pigs were grouped based on age: 117 pigs <6 months and 99 pigs >6 months. By using a commercial enzyme-linked immunosorbent assay system, a total of 173 (80%) of the 216 pigs tested seropositive. In all sampled farms (n = 8), pigs with antibodies (immunoglobulin G) against HEV were detected at a level higher than 60%, with a significant difference among age groups (P < 0.0001). Moreover, 16 fattening pigs were found to be nested reverse transcription PCR positive and thus to shed viral genomes in their feces. These positive findings resulted in a prevalence of 48.4% on the farm level (16 of 35 pigs) and an overall prevalence of 7.4% at the animal level (16 of 216 pigs). Based on the present study, HEV seems to circulate among the autochthonous domestic pig population of southern Italy with a low sharing rate. Further studies exploring the origin of infection are needed to minimize the risk of human exposure and to reduce consequences for public health.

scholarly journals Evaluation of High-Pressure Processing in Inactivation of the Hepatitis E Virus

2019 ◽  
Author(s):  
Neda Nasheri ◽  
Tanushka Doctor ◽  
Angela Chen ◽  
Jennifer Harlow ◽  
Alexander Gill
Keyword(s):  
High Pressure ◽  
Hepatitis E Virus ◽  
Foodborne Pathogen ◽  
Hepatitis E ◽  
Developed Countries ◽  
High Pressure Processing ◽  
Pathogen Inactivation ◽  
Genotype 3 ◽  
Similar Treatment ◽  
Log Reduction

Hepatitis E virus (HEV) causes acute hepatitis with approximately 20 million cases per year globally. While HEV is endemic in certain regions of Asia, Africa and South America, it is considered an emerging foodborne pathogen in developed countries. Based on genetic diversity, HEV is classified into different genotypes, with genotype 3 (HEV-3) being most prevalent in Europe and North America. The transmission of HEV-3 has been shown to be zoonotic and mainly associated with the consumption of raw or undercooked pork products. Herein, we investigated the efficacy of high-pressure processing (HPP) in the inactivation of HEV-3 using a cell culture system. HPP has been indicated as a promising nonthermal pathogen inactivation strategy for treatment of certain high-risk food commodities, without any noticeable changes in their nature. For this purpose, we treated HEV-3 in media as well as in artificially inoculated pork pâté, with different conditions of HPP: 400 MPa for 1 and 5 minutes, as well as 600 MPa for 1 and 5 minutes, at ambient temperature. In general, we observed approximately a 2-log reduction in HEV load by HPP treatments in media; however, similar treatment in the pork pâté resulted in a much lower reduction in viral load. Therefore, the efficacy of HPP treatment in the inactivation of HEV-3 is matrix-dependent.

scholarly journals High prevalence of anti-hepatitis E virus antibodies among blood donors in central Italy, February to March 2014

2016 ◽  
Vol 21 (30) ◽  
Author(s):  
Claudia Lucarelli ◽  
Enea Spada ◽  
Gloria Taliani ◽  
Paola Chionne ◽  
Elisabetta Madonna ◽  
...  
Keyword(s):  
Hepatitis E Virus ◽  
Blood Donors ◽  
Dietary Habits ◽  
Central Italy ◽  
Hepatitis E ◽  
Developed Countries ◽  
Genotype 3 ◽  
Recent Infection ◽  
Assay Sensitivity ◽  
Prevalence Rate Ratio

Prevalence of anti-hepatitis E virus (HEV) antibodies is highly variable in developed countries, which seems partly due to differences in assay sensitivity. Using validated sensitive assays, we tested 313 blood donors attending a hospital transfusion unit in central Italy in January and February 2014 for anti-HEV IgG and IgM and HEV RNA. Data on HEV exposure were collected from all donors. Overall anti-HEV IgG prevalence was 49% (153/313). Eating raw dried pig-liver sausage was the only independent predictor of HEV infection (adjusted prevalence rate ratio = 2.14; 95% confidence interval: 1.23–3.74). Three donors were positive for either anti-HEV IgM (n = 2; 0.6%) or HEV RNA (n = 2; 0.6%); they were completely asymptomatic, without alanine aminotransferase (ALT) abnormalities. Of the two HEV RNA-positive donors (both harbouring genotype 3), one was anti-HEV IgG- and IgM-positive, the other was anti-HEV IgG- and IgM-negative. The third donor was positive for anti-HEV IgG and IgM but HEV RNA-negative. HEV infection is therefore hyperendemic among blood donors (80% men 18–64 years-old) from central Italy and associated with local dietary habits. Nearly 1% of donors have acute or recent infection, implying potential transmission to blood recipients. Neither ALT nor anti-HEV IgM testing seems useful to prevent transfusion-transmitted HEV infection.

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