Epidemiology, Experimental Models, and Prevention: Zoonotic Aspects of Hepatitis E
Subrat Kumar Panda
All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
Search for more papers by this authorSatya Pavan Kumar Varma
All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
Search for more papers by this authorSubrat Kumar Panda
All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
Search for more papers by this authorSatya Pavan Kumar Varma
All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
Search for more papers by this authorHoward C. Thomas BSc, PhD, FRCP, FRCPath, FMedSci
Emeritus Professor of Hepatology, Department of Medicine, Imperial College London, London, UK
Search for more papers by this authorAnna S.F. Lok MD
Alice Lohrman Andrews Research Professor in Hepatology, Director of Clinical Hepatology, Professor of Internal Medicine, Associate Chair for Clinical Research, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA
Search for more papers by this authorStephen A. Locarnini MBBS, BSc(Hons), PhD, FRCPath
Head, Research & Molecular Development, Victorian Infectious Diseases Reference Laboratory, Melbourne, VIC, Australia
Search for more papers by this authorArie J. Zuckerman MD, DSc, FRCP, FRCPath, FMedSci
Emeritus Professor of Medical Microbiology, Formerly Principal and Dean, Royal Free Hospital School of Medicine
Search for more papers by this authorSummary
Hepatitis E virus (HEV) is a positive-stranded RNA virus causing epidemic and sporadic acute hepatitis. It is now an established zoonotic agent with a global footprint. While the Old World HEV genotypes 1 and 2 are associated with large waterborne anthroponotic epidemics, the more recent genotypes 3 and 4 are responsible for the zoonotic burden. HEV isolates from pigs, wild boars, and deer closely resemble autochthonous human strains of HEV; they are found circulating rampantly all through the Western Hemisphere and parts of Asia, causing high seroepidemiological prevalence in their handlers and consumers. Animal experiments and cell culture systems have demonstrated the successful cross-species transmission of HEV. Chickens, rats, rabbits, mongoose, and cattle form an ever increasing list of animals associated with HEV. With no available vaccine, changes in food habits, hygiene, awareness, and rigorous surveillance backed with reliable diagnosis are the only reprieve.
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