Hepatitis E virus in pigs and environment and its public health
concerns: An updated review
Abstract
Hepatitis E virus (HEV) is an important public health problem and
responsible for both acute and chronic viral hepatitis. The HEV
transmission usually occurs through the fecal-oral route, and public
health implications of its water-borne and food-borne transmissions
along with environmental contamination raise high concerns towards its
zoonosis. Apart from affecting developing countries, this virus is
causing a rising number of cases in the developed countries. The spread
of HEV particles to the environment can pollute surface waters, which
could be an HEV infection source for humans and animals. HEV has also
been identified in urban sewage samples in various countries. HEV virus
quite frequently infects the European community and some animal species
and identification of virus in polluted animal products suggest the
circulation of HEV from water to food chain. Several studies indicating
high seroprevalence and circulation of HEV in pigs as well as in
environmental samples warrants to investigate the role of trade in
carrier pigs, elucidate HEV virulence maintenance in the environment and
meat supply chain to throw light on the possible sources of infection in
humans and the degree of occupational risk, and zoonosis. The purpose of
this review is to discuss the HEV infections and associated risk factors
with an emphasis on pigs, presence in environment, food-borne,
water-borne, and zoonotic transmissions.