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Abstract

Hepatitis E virus (HEV) is a common cause of acute hepatitis worldwide. In Europe, HEV is a zoonosis transmitted via contaminated pork meat or other pork food products. Genotype 3 is the most prevalent HEV type in the animal reservoir, as well as in humans. Despite an increased incidence of hepatitis E across Europe, much remains unknown about its spread, sources and transmission routes. A One Health approach is crucial to better understand the (molecular) epidemiology of HEV. HEVnet was established in April 2017 as a network and database for sharing sequences and accompanying metadata collected from human, animal, food and environmental sources. HEVnet members working in the public health, veterinary health, food, environmental and blood safety sectors have submitted 1,615 HEV sequences from nine countries as at January 2019. Most are from humans (89%), and sequences of animal (5%), food (6%) or environmental (0.3%) origin are rare. Metadata for human sequences capture mostly sex (93%), year of birth (92%) and sampling (100%); data on region of sampling (37%) and clinical information (hospitalisation 27%, symptoms 20% or mortality 8%) are limited. HEVnet aims to expand into a global network capable of performing cross-sectoral and supranational studies, with a joint repository of molecular and epidemiological data on HEV.

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/content/10.2807/1560-7917.ES.2019.24.10.1800407
2019-03-07
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2019.24.10.1800407
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References

  1. Kamar N, Izopet J, Pavio N, Aggarwal R, Labrique A, Wedemeyer H, et al. Hepatitis E virus infection. Nat Rev Dis Primers. 2017;3:17086.  https://doi.org/10.1038/nrdp.2017.86  PMID: 29154369 
  2. Ricci A, Allende A, Bolton D, Chemaly M, Davies R, Fernandez Escamez PS, et al. Public health risks associated with hepatitis E virus (HEV) as a food‐borne pathogen. EFSA J. 2017;15(7)4886.
  3. Colson P, Borentain P, Queyriaux B, Kaba M, Moal V, Gallian P, et al. Pig liver sausage as a source of hepatitis E virus transmission to humans. J Infect Dis. 2010;202(6):825-34.  https://doi.org/10.1086/655898  PMID: 20695796 
  4. Hawkes N. Pork is UK’s main source of hepatitis E infection, briefing hears. BMJ. 2014;349(nov11 11):g6779.  https://doi.org/10.1136/bmj.g6779  PMID: 25391551 
  5. Riveiro-Barciela M, Mínguez B, Gironés R, Rodriguez-Frías F, Quer J, Buti M. Phylogenetic demonstration of hepatitis E infection transmitted by pork meat ingestion. J Clin Gastroenterol. 2015;49(2):165-8.  https://doi.org/10.1097/MCG.0000000000000113  PMID: 24637729 
  6. Said B, Ijaz S, Chand MA, Kafatos G, Tedder R, Morgan D. Hepatitis E virus in England and Wales: indigenous infection is associated with the consumption of processed pork products. Epidemiol Infect. 2014;142(7):1467-75.  https://doi.org/10.1017/S0950268813002318  PMID: 24054519 
  7. Said B, Ijaz S, Kafatos G, Booth L, Thomas HL, Walsh A, et al. Hepatitis E outbreak on cruise ship. Emerg Infect Dis. 2009;15(11):1738-44.  https://doi.org/10.3201/eid1511.091094  PMID: 19891860 
  8. European Centre for Disease Prevention and Control (ECDC). Hepatitis E in the EU/EEA, 2005-2015. Stockholm: ECDC; 2017. Available from: https://ecdc.europa.eu/en/publications-data/hepatitis-e-eueea-2005-2015
  9. Pavio N, Doceul V, Bagdassarian E, Johne R. Recent knowledge on hepatitis E virus in Suidae reservoirs and transmission routes to human. Vet Res (Faisalabad). 2017;48(1):78.  https://doi.org/10.1186/s13567-017-0483-9  PMID: 29157309 
  10. Van der Poel WHM, Dalton HR, Johne R, Pavio N, Bouwknegt M, Wu T, et al. Knowledge gaps and research priorities in the prevention and control of hepatitis E virus infection. Transbound Emerg Dis. 2018;65(Suppl 1):22-9.  https://doi.org/10.1111/tbed.12760  PMID: 29318757 
  11. Aspinall EJ, Couturier E, Faber M, Said B, Ijaz S, Tavoschi L, et al. Hepatitis E virus infection in Europe: surveillance and descriptive epidemiology of confirmed cases, 2005 to 2015. Euro Surveill. 2017;22(26):30561.  https://doi.org/10.1016/j.jcv.2016.06.010  PMID: 27393938 
  12. Adlhoch C, Avellon A, Baylis SA, Ciccaglione AR, Couturier E, de Sousa R, et al. Hepatitis E virus: Assessment of the epidemiological situation in humans in Europe, 2014/15. J Clin Virol. 2016;82:9-16.  https://doi.org/10.1016/j.jcv.2016.06.010  PMID: 27393938 
  13. Kroneman A, de Sousa R, Verhoef L, Koopmans MPG, Vennema H, On Behalf Of The HAVNet Network. Usability of the international HAVNet hepatitis A virus database for geographical annotation, backtracing and outbreak detection. Euro Surveill. 2018;23(37):1700802.  https://doi.org/10.2807/1560-7917.ES.2018.23.37.1700802  PMID: 30229723 
  14. Niesters HG, Rossen JW, van der Avoort H, Baas D, Benschop K, Claas EC, et al. Laboratory-based surveillance in the molecular era: the TYPENED model, a joint data-sharing platform for clinical and public health laboratories. Euro Surveill. 2013;18(4):20387.  https://doi.org/10.2807/ese.18.04.20387-en  PMID: 23369392 
  15. van Beek J, de Graaf M, Al-Hello H, Allen DJ, Ambert-Balay K, Botteldoorn N, et al. Molecular surveillance of norovirus, 2005-16: an epidemiological analysis of data collected from the NoroNet network. Lancet Infect Dis. 2018;18(5):545-53.  https://doi.org/10.1016/S1473-3099(18)30059-8  PMID: 29396001 
  16. European Commission. Commission Regulation (EC) No 2016/679 of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 04.05.2016:L 119. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=OJ%3AL%3A2016%3A119%3ATOC
  17. Smith DB, Simmonds P, Izopet J, Oliveira-Filho EF, Ulrich RG, Johne R, et al. Proposed reference sequences for hepatitis E virus subtypes. J Gen Virol. 2016;97(3):537-42.  https://doi.org/10.1099/jgv.0.000393  PMID: 26743685 
  18. Kroneman A, Vennema H, Deforche K, v d Avoort H, Peñaranda S, Oberste MS, et al. An automated genotyping tool for enteroviruses and noroviruses. J Clin Virol. 2011;51(2):121-5.  https://doi.org/10.1016/j.jcv.2011.03.006  PMID: 21514213 
  19. Tulen AD, Vennema H, van Pelt W, Franz E, Hofhuis A. A case-control study into risk factors for acute hepatitis E in the Netherlands, 2015-2017. J Infect. 2019;S0163-4453(19)30036-2.  https://doi.org/10.1016/j.jinf.2019.02.001  PMID: 30738918 
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