Population seroprevalence of hepatitis E virus antibodies in rural Bangladesh

Am J Trop Med Hyg. 2009 Nov;81(5):875-81. doi: 10.4269/ajtmh.2009.09-0352.

Abstract

Hepatitis E virus (HEV) causes a substantial burden of sporadic and epidemic disease worldwide. HEV infections result in serious morbidity and mortality, especially among pregnant women, and have significant economic costs. Few population-based studies have characterized the epidemiology of HEV. A rural Bangladeshi population was studied to determine the age- and gender- specific population seroprevalence of antibodies to HEV. Of 1,134 specimens tested from a representative, random population sample, 255 (22.5%) were anti-HEV IgG seropositive. Seroprevalence was lower among women (19.7%) than among men (25.8%). We found anti-HBc (hepatitis B core) in 380 of 1080(35.2%) tested, anti-HCV (hepatitis C) in 14 of 917(1.5%) tested, and anti-HAV (hepatitis A) in 116 of 124(93.5%) tested individuals. Our data suggest that viral hepatitis, especially HEV, remains an under-recognized and significant public health problem in rural Bangladeshi populations, warranting further attention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Bangladesh / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Hepatitis E / epidemiology*
  • Hepatitis E / immunology*
  • Hepatitis E virus / immunology*
  • Humans
  • Immunoglobulin G / blood
  • Infant
  • Male
  • Middle Aged
  • Pregnancy
  • Risk
  • Rural Population
  • Seroepidemiologic Studies
  • Sex Characteristics
  • Young Adult

Substances

  • Immunoglobulin G