Hepatitis E virus in professionally exposed: A reason for concern?

作     者：Anna Mrzljak Ivan Balen Ljubo Barbic Maja Ilic Tatjana Vilibic-Cavlek 

作者机构：Department of Gastroenterology and HepatologyUniversity Hospital Centre ZagrebZagreb 10000Croatia School of MedicineUniversity of ZagrebZagreb 10000Croatia Department of Gastroenterology and EndocrinologyGeneral Hospital“Dr.Josip Bencevic”Slavonski Brod 35000Croatia Faculty of Veterinary MedicineUniversity of ZagrebZagreb 10000Croatia Department of EpidemiologyCroatian Institute of Public HealthSchool of MedicineUniversity of ZagrebZagreb 10000Croatia Department of VirologyCroatian Institute of Public HealthSchool of MedicineUniversity of ZagrebZagreb 10000Croatia 

出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)

年 卷 期：2021年第13卷第7期

页      面：723-730页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

主　　题：Hepatitis E virus Zoonotic infection Occupational disease Veterinarians Farmers Butchers Slaughterhouse workers Forestry workers Hunters 

摘      要：The zoonotic risk of hepatitis E virus(HEV)is well *** HEV seroprevalence rates vary according to geographical region,assays used,and study *** infection is still underdiagnosed,implying the need to evaluate the disease s burden in the general population and specific risk groups,such as professionally *** contact with various animal reservoirs such as pigs,rabbits,sheep,dogs,wild boars,and deer has been associated with higher anti-HEV seroprevalence as a part of occupational *** exact transmission routes remain to be determined,some general preventive measures such as proper hand hygiene,the usage of personal protective equipment,and the thermal processing of food before consumption should be followed.A“One-Healthmultisectoral approach should be implemented to achieve optimal health and well-being outcomes,recognizing the interconnections between humans,animals,plants,and their shared environment,in which a vaccine against the zoonotic genotypes 3 and 4 and swine vaccination should be considered as a possible public health *** opinion review comprehensively addresses the HEV burden of professional exposure for butchers,slaughterhouse workers,veterinarians,farmers,hunters,and forestry workers delineates the current limits of protective work measures,and tackles future directions.