Hepatitis E: The vaccine solution
Why we need a vaccine? More about HEV:
Infection with Hepatitis E virus causes acute sporadic and epidemic viral hepatitis. Symptomatic HEV infection is most common in adults aged 15-40 years. Although HEV infection is frequent in children, the course of the infection is mostly asymptomatic and anicteric.
Peak viremia and shedding of HEV into the faeces occurs during the incubation period and early acute phase of disease (1-3 weeks).
The clinical presentation of hepatitis E is comparable to hepatitis A and other similar enterically – transmitted infections. Occasionally, a severe form of hepatitis develops, with mortality rates ranging between 0.5% - 4.0% in the overall population of patients.
This severe form of hepatitis may reach a mortality rate of 20% during pregnancy in the 3rd trimester or cause fetal death or abortion. In disease-endemic areas, the early diagnosis is important for the establishment of the disease state and for providing efficient treatment.
In China, major waterborne epidemics of hepatitis E have occurred in Xinjiang between 1986-1988 with estimated cases of more than 120,000 infected and 707 dead (among them 404 pregnant women).
Since then, outbreaks have been reported from Beijing, Tianjin, Jiling, Liaolin, Shandong and Jiangsu. In 1992, massive seroprevalence studies were carried out to estimate the prevalence of the disease in China.
These studies covered 13 municipal sites with more than 30,000 samples tested for presence of antibodies to HEV. The observed antibody prevalence was 17.2%. In 2003, the Chinese Health Ministry reported that from 7 major pathogens infecting the gastroenterol tract, the incidents with HEV have increased with 43% compare to the previous year with decrease of othergastroenterol diseases.
Thus, HEV is a significant health-threatening problem with high prevalence in China.
Recent seroprevalence studies indicated a high prevalence of HEV infection among the healthy populations in some industrial countries with historically low occurrence of Hepatitis E including the US, Japan and Europe.
These studies list hepatitis E among the significant health-threatening problems worldwide and the increasing public health concern has lead to the development of HEV vaccines and antibody detection methods.