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Epidemiology of hepatitis E in South-East Europe in the "One Health" concept

World Journal of Gastroenterology 2019年第25期25卷 3168-3182页

作者： Anna Mrzljak petra dinjar-kujundzic Lorena Jemersic Jelena Prpic Ljubo Barbic Vladimir Savic Vladimir Stevanovic Tatjana Vilibic-Cavlek Department of Medicine Merkur University HospitalSchool of MedicineUniversity of ZagrebZagreb 10000Grad ZagrebCroatia Department of Medicine Merkur University HospitalZagreb 10000Grad ZagrebCroatia Croatian Veterinary Institute Zagreb 10000Grad ZagrebCroatia Faculty of Veterinary Medicine University of ZagrebZagreb 10000Grad ZagrebCroatia Department of Virology Croatian Institute of Public HealthSchool of MedicineUniversity of ZagrebZagreb 10000Grad ZagrebCroatia

The significance of hepatitis E virus(HEV)as an important public health problem is *** a decade ago,cases of HEV infection in Eur-ope were mainly confined to returning travelers,but nowadays,hepatitis E represents an emerging zoonotic infection in many European *** aim of this manuscript is to perform a systematic review of the published literature on hepatitis E distribution in humans,animals and environmental samples("One Health"concept)in the South-Eastern European *** of the available data showed that the anti-HEV seroprevalence in the South-Eastern Europe varies greatly,depending on the population studied,geographical area and methods *** IgG seroprevalence rates in different population groups were found to be 1.1%-24.5%in Croatia,up to 20.9%in Bulgaria,5.9-%17.1%in Romania,15%in Serbia,up to 9.7%in Greece and 2%-9.7%in *** possible risk factors,older age was the most significant predictor for HEV seropositivity in most *** seroprevalence rates were found in *** IgG antibodies in domestic pigs were detected in 20%-54.5%,29.2%-50%,38.94%-50%and 31.1%-91.7%in Serbia,Bulgaria,Romania and Croatia,*** wild boars seroprevalence rates were up to 10.3%,30.3%and 31.1%in Romania,Slovenia and Croatia,respectively.A high HEV RNA prevalence in wild boars in some countries(Croatia and Romania)indicated that wild boars may have a key role in the HEV *** are very few data on HEV prevalence in environmental *** RNA was detected in 3.3%and 16.7%surface waters in Slovenia and Serbia,*** is no evidence of HEV RNA in sewage systems in this *** available data on genetic characterization show that human,animal and environmental HEV strains mainly belong to the genotype 3.

关键词： Hepatitis E virus "One-Health" Humans Animals Environment South-East Europe

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