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多吃肉,多患病:改变对戊型肝炎流行病学的认识。

Much meat, much malady: changing perceptions of the epidemiology of hepatitis E.

机构信息

Division of Viral Hepatitis, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA.

出版信息

Clin Microbiol Infect. 2010 Jan;16(1):24-32. doi: 10.1111/j.1469-0691.2009.03111.x.

DOI:10.1111/j.1469-0691.2009.03111.x
PMID:20002688
Abstract

Hepatitis E, which is caused by hepatitis E virus (HEV), may now be considered a zoonosis as well as an anthroponosis. Pigs, boars and deer have been identified as reservoirs, and their flesh and entrails--as meat and offal--as vehicles of HEV transmission. Shellfish also act as vehicles. Dietary, gastronomic and culinary preferences influence how extensively HEV conveyed by these vehicles can be inactivated before their ingestion by the host. Another route of infection is paved by HEV that is enterically shed by humans and by live animals into the environment. Although anthroponotic transmission of HEV is primarily environmental, zoonotic transmission may proceed along both foodborne and environmental routes.

摘要

戊型肝炎由戊型肝炎病毒(HEV)引起,现在可能被认为既是一种人畜共患病,也是一种动物传染病。猪、野猪和鹿已被确定为病毒的贮存宿主,其肉和内脏——作为肉和杂碎——是 HEV 传播的载体。贝类也充当载体。饮食、美食和烹饪偏好影响着宿主在摄入这些载体所携带的 HEV 之前,这些病毒的灭活程度。感染的另一种途径是人类和活体动物通过肠道将 HEV 排入环境。虽然 HEV 的人际传播主要是环境性的,但动物传染病的传播途径可能同时包括食源性和环境源性。

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