Volume 27, Issue 11 pp. 1253-1260
ORIGINAL PAPER

Stable HEV IgG seroprevalence in Belgium between 2006 and 2014

Erwin Ho

Erwin Ho

Department of Gastroenterology and Hepatology, Antwerp University Hospital, Edegem, Belgium

Laboratory of Experimental Medicine and Paediatrics, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Julie Schenk

Julie Schenk

Interuniversity Institute for Biostatistics and statistical Bioinformatics, Data Science Institute, Hasselt University, Hasselt, Belgium

Centre for Health Economic Research and Modelling Infectious Diseases, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Veronik Hutse

Veronik Hutse

Scientific Directorate Infectious Diseases in Humans, National Reference Centre for Hepatitis Viruses, Sciensano, Belgium

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Vanessa Suin

Vanessa Suin

Scientific Directorate Infectious Diseases in Humans, National Reference Centre for Hepatitis Viruses, Sciensano, Belgium

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Amber Litzroth

Amber Litzroth

Scientific Directorate Epidemiology and Public Health, Sciensano, Belgium

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Stéphanie Blaizot

Stéphanie Blaizot

Centre for Health Economic Research and Modelling Infectious Diseases, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Sereina A. Herzog

Sereina A. Herzog

Centre for Health Economic Research and Modelling Infectious Diseases, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Vera Verburgh

Vera Verburgh

Scientific Directorate Infectious Diseases in Humans, National Reference Centre for Hepatitis Viruses, Sciensano, Belgium

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Marjorie Jacques

Marjorie Jacques

Scientific Directorate Infectious Diseases in Humans, National Reference Centre for Hepatitis Viruses, Sciensano, Belgium

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Abbas Rahman

Abbas Rahman

Centre for the Evaluation of Vaccination, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Peter Michielsen

Peter Michielsen

Department of Gastroenterology and Hepatology, Antwerp University Hospital, Edegem, Belgium

Laboratory of Experimental Medicine and Paediatrics, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Pierre Van Damme

Pierre Van Damme

Centre for the Evaluation of Vaccination, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Steven Van Gucht

Steven Van Gucht

Scientific Directorate Infectious Diseases in Humans, National Reference Centre for Hepatitis Viruses, Sciensano, Belgium

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Heidi Theeten

Heidi Theeten

Centre for the Evaluation of Vaccination, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Niel Hens

Niel Hens

Interuniversity Institute for Biostatistics and statistical Bioinformatics, Data Science Institute, Hasselt University, Hasselt, Belgium

Centre for Health Economic Research and Modelling Infectious Diseases, Vaccine & Infectious Disease Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

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Thomas Vanwolleghem

Corresponding Author

Thomas Vanwolleghem

Department of Gastroenterology and Hepatology, Antwerp University Hospital, Edegem, Belgium

Laboratory of Experimental Medicine and Paediatrics, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

Correspondence

Thomas Vanwolleghem, Department of Gastroenterology and Hepatology, Antwerp University Hospital, Edegem, Belgium.

Email: [email protected]

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First published: 21 June 2020
Citations: 8

Abstract

Recent European studies suggest an emergence of hepatitis E virus (HEV) infection. We evaluated trends in birth cohort-specific HEV seroprevalence and regional differences in Belgium. HEV IgG seroprevalence was analysed on national serum banks (1579 and 2087 samples for 2006 and 2014, respectively. Hepatitis E virus antigen was tested on positive samples. Observed data were modelled using a generalized additive model with a complementary log-log link. No significant differences between birth cohorts or sexes were found. Modelling identified the individual's age and province as relevant factors. The probability of HEV seropositivity increases significantly with age. An estimated total of 434 819 (yearly rate of 54,352) (sero-)infections were found between 2006 and 2014. Overall, HEV IgG seroprevalences were 4.1% (64/1579, 95% CI 3.1-5.1) and 5.8% (121/2087, CI 4.8-6.9) in 2006 and 2014, respectively. Observed HEV antigen seroprevalence was 0.027% (1/3666) for the entire cohort. These results show stable HEV IgG seroprevalence in Belgium.

CONFLICT OF INTEREST

The authors state no other conflict of interest.

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