Hepatitis A and E Viruses in Wastewaters, in River Waters, and in Bivalve Molluscs in Italy
FOOD AND ENVIRONMENTAL VIROLOGY
Authors: Iaconelli, M.; Purpari, G.; Della Libera, S.; Petricca, S.; Guercio, A.; Ciccaglione, A. R.; Bruni, R.; Taffon, S.; Equestre, M.; Fratini, M.; Muscillo, M.; La Rosa, Giuseppina
Abstract
Several studies have reported the detection of hepatitis A (HAV) and E (HEV) virus in sewage waters, indicating a possibility of contamination of aquatic environments. The objective of the present study was to assess the occurrence of HAV and HEV in different water environments, following the route of contamination from raw sewage through treated effluent to the surface waters receiving wastewater discharges . Bivalve molluscan shellfish samples were also analyzed, as sentinel of marine pollution. Samples were tested by RT-PCR nested type in the VP1/2A junction for HAV, and in the ORF1 and ORF2 regions for HEV. Hepatitis A RNA was detected in 12 water samples: 7/21 (33.3 %) raw sewage samples, 3/21 (14.3 %) treated sewage samples, and 2/27 (7.4 %) river water samples. Five sequences were classified as genotype IA, while the remaining 7 sequences belonged to genotype IB. In bivalves, HAV was detected in 13/56 samples (23.2 %), 12 genotype IB and one genotype IA. Whether the presence of HAV in the matrices tested indicates the potential for waterborne and foodborne transmission is unknown, since infectivity of the virus was not demonstrated. HEV was detected in one raw sewage sample and in one river sample, both belonging to genotype 3. Sequences were similar to sequences detected previously in Italy in patients with autochthonous HEV (no travel history) and in animals (swine). To our knowledge, this is the first detection of HEV in river waters in Italy, suggesting that surface water can be a potential source for exposure .
Genetic analysis of HAV strains isolated from patients with acute hepatitis in Korea, 2005-2006
JOURNAL OF MEDICAL VIROLOGY
Authors: Yun, Haesun; Kim, Soyeon; Lee, Hyeokjin; Byun, Kwan Soo; Kwon, SoYoung; Yim, Hyung Joon; Lim, Young-Suk; Jeong, Sook-Hyang; Jee, Youngmee
Abstract
Hepatitis A virus (HAV) is a causative agent of acute viral hepatitis, which represents a significant public health problem. HAV is usually transmitted by oral-fecal route and prevalent not only in developing countries but also in developed countries worldwide. To characterize the HAV wild type strains circulating in Korea, the VP3/VP1 and VP1/P2A junction regions were detected by RT-PCR from HAV IgM positives during 2005 and 2006. Among 160 HAV IgM positive sera, 30% (n = 48) were positive for HAV RNA. Additionally, the VP3/VP1 junction regions were detected all six stools, which collected from outbreak in Gyeonggi province. Phylogenetic analysis of the sequences obtained from 54 distinct HAV isolates revealed that most of the strains (n = 45) belonged to genotype IA and the others including nine strains belonged to genotype IIIA. Interestingly, a Q --> S amino acid change was dominantly observed at position 810 of the VP1/P2A junction region in 14 isolates. The molecular epidemiology of HAV infection in Korea has changed with the co-circulation of at least two genotypes and 810Q --> S amino acid substitutions were found to be prevalent. These results strongly suggest that various HAV strains, including genotype IIIA, might be imported from high-endemic countries into Korea. J. Med. Virol. 80:777-784,2008. (C) 2008 Wiley-Liss, Inc.