Clinical Gastroenterology Vol.21 No.5(4-1)

Theme Update on Hepatitis E
Title Hepatitis E as a Zoonotic Disease : Hepatitis E Virus Infection among Pigs
Publish Date 2006/05
Author Masaharu Takahashi Division of Virology, Department of Infection and Immunity, Jichi Medical University School of Medicine
Author Hiroaki Okamoto Division of Virology, Department of Infection and Immunity, Jichi Medical University School of Medicine
[ Summary ] Infection with the hepatitis E virus (HEV) is highly prevalent among domestic pigs in many countries around the world including Japan, where genotype 3 and 4 HEVs circulate. Although there has been no direct evidence indicating HEV transmission from pigs to humans, experimental infection with HEV revealed that HEV from swine is transmissible to a chimpanzee. Furthermore, swine HEV strains with a nucleotide sequence identity of 100 % to human HEV strains have been recognized ; the majority of hepatitis E patients in Hokkaido reported a history of ingesting uncooked or undercooked pig liver 0.5 - 2 months before the onset of the disease ; and HEV RNA was detected in 1.9 % (7/363) packages of raw pig liver sold in grocery stores as food in Hokkaido. Therefore, it is beyond doubt that hepatitis E is transmitted by ingestion of uncooked or undercooked meat or viscera from pigs infected with HEV.
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