Epidemiology of hepatitis E in South-East Europe in the "One Health" concept : = Epidemiology of hepatitis E in South-East Europe in the "One Health" concept
The significance of hepatitis E virus(HEV) as an important public health problem is rising. Until 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 countries. The 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 countries. Comparison 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 used. The 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 Albania. Among possible risk factors, older age was the most significant predictor for HEV seropositivity in most studies.Higher seroprevalence rates were found in animals. HEV 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, respectively. In 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 somecountries(Croatia and Romania) indicated that wild boars may have a key role in the HEV epidemiology. There are very few data on HEV prevalence in environmental samples. HEV RNA was detected in 3.3% and 16.7% surface waters in Slovenia and Serbia, respectively. There is no evidence of HEV RNA in sewage systems in this region. The available data on genetic characterization show that human, animal and environmental HEV strains mainly belong to the genotype 3..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019-07-07 2019 |
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| Erschienen: |
2019-07-07 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2019 |
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| Enthalten in: |
World journal of gastroenterology - (2019), 25 vom: 07. Juli, Seite 3168-3182 Original Letters: Enthalten in (DE-576)276271955 (DE-576)276271955 |
| Reihe: |
China Academic Journals (CAJ), E, 医药卫生科技 = Medicine & Public Health |
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| Sprache: |
Chinesisch |
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| Weiterer Titel: |
Epidemiology of hepatitis E in South-East Europe in the "One Health" concept |
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| Beteiligte Personen: |
Anna Mrzljak [VerfasserIn] |
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| Links: |
oversea.cnki.net [lizenzpflichtig] |
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| Anmerkungen: |
Author info:Anna Mrzljak;Petra Dinjar-Kujundzic;Lorena Jemersic;Jelena Prpic;Ljubo Barbic;Vladimir Savic;Vladimir Stevanovic;Tatjana Vilibic-Cavlek;Department of Medicine,Merkur University Hospital; School of Medicine,University of Zagreb;Croatian Veterinary Institute;Faculty of Veterinary Medicine,University of Zagreb;Department of Virology,Croatian Institute of Public Health; School of Medicine,University of Zagreb |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
CAJ635276488 |
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| 520 | |a The significance of hepatitis E virus(HEV) as an important public health problem is rising. Until 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 countries. The 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 countries. Comparison 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 used. The 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 Albania. Among possible risk factors, older age was the most significant predictor for HEV seropositivity in most studies.Higher seroprevalence rates were found in animals. HEV 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, respectively. In 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 somecountries(Croatia and Romania) indicated that wild boars may have a key role in the HEV epidemiology. There are very few data on HEV prevalence in environmental samples. HEV RNA was detected in 3.3% and 16.7% surface waters in Slovenia and Serbia, respectively. There is no evidence of HEV RNA in sewage systems in this region. The available data on genetic characterization show that human, animal and environmental HEV strains mainly belong to the genotype 3. | ||
| 610 | 2 | 4 | |a Department of Medicine,Merkur University Hospital |
| 610 | 2 | 4 | |a School of Medicine,University of Zagreb |
| 610 | 2 | 4 | |a Croatian Veterinary Institute |
| 610 | 2 | 4 | |a Faculty of Veterinary Medicine,University of Zagreb |
| 610 | 2 | 4 | |a Department of Virology,Croatian Institute of Public Health |
| 650 | 4 | |a 传染病 | |
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