Indigenous hepatitis E virus infection in England and Wales

doi:10.1136/bmj.332.7556.1509-b

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Hannah Lewis, epidemiologist (hannah.lewis@hpa.org.uk),
Dilys Morgan, consultant epidemiologist,
Samreen Ijaz, clinical scientist,
Elizabeth Boxall, clinical scientist

Health Protection Agency, Centre for Infections, London NW9 5EQ
Health Protection Agency Heartlands Hospital, Birmingham B9 5SS
Health Protection Agency Heartlands Hospital, Birmingham B9 5SS

EDITOR—Palmer et al undertook a qualitative risk assessment of the emerging zoonotic potential of porcine hepatitis E virus (HEV).1 They recommended enhanced surveillance of non-A, non-B, non-C hepatitis after noting that sporadic cases of HEV may be missed in humans as testing is not routine in the UK without a history of foreign travel.

We investigated cases of HEV in England and Wales to describe the epidemiology and study possible risk factors for the acquisition of indigenous infection. …