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Hepatitis E viruses in humans and animals

Published online by Cambridge University Press:  28 February 2007

S. Denise Goens
Affiliation:
Environmental Microbial Safety Laboratory, Agricultural Research Service, Beltsville Agricultural Research Center, US Department of Agriculture, Beltsville, Maryland, USA
Michael L. Perdue*
Affiliation:
Environmental Microbial Safety Laboratory, Agricultural Research Service, Beltsville Agricultural Research Center, US Department of Agriculture, Beltsville, Maryland, USA
*
*USDA, ARS, EMSL, Bldg. 173 Powder Mill Road, Beltsville, Maryland 20705, USA E-mail: mperdue@anri.barc.usda.gov

Abstract

Hepatitis E virus (HEV) is an emerging pathogen belonging to a newly recognized family of RNA viruses (Hepeviridae). HEV is an important enterically transmitted human pathogen with a worldwide distribution. It can cause sporadic cases as well as large epidemics of acute hepatitis. Epidemics are primarily waterborne in areas where water supplies are contaminated with HEV of human origin. There is increasing evidence, however, that many animal species are infected with an antigenically similar virus. A recently isolated swine virus is the best candidate for causing a zoonotic form of hepatitis E. The virus is serologically cross-reactive with human HEV and genetically very similar, and the human and swine strains seem to be cross-infective. Very recent evidence has also shown that swine HEV, and possibly a deer strain of HEV, can be transmitted to humans by consumption of contaminated meat. In this review, we discuss the prevalence, pathogenicity, diagnosis and control of human HEV, swine HEV, the related avian HEV and HEV in other hosts and potential reservoirs.

Type
Research Article
Copyright
Copyright © CAB International 2004

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