ArticlePloS one2014
The prevalence of hepatitis E virus infections among swine, swine farmers and the general population in Guangdong Province, China.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Prevalence of hepatitis E virus in domestic animals in the Chinese mainland: a systematic review and meta-analysis.BMC veterinary research · 2025Pooled it
- Prevalence of hepatitis E virus in swine in China: a systematic review with meta-analysis (2004-2023).Frontiers in veterinary science · 2024Pooled it
- Global infectious disease risks associated with occupational exposure among non-healthcare workers: a systematic review of the literature.Occupational and environmental medicine · 2022Pooled it
- Hepatitis E in Wildlife: Emerging Threats to Human Health.Veterinary sciences · 2026Review
- Hepatitis E Virus in the Role of an Emerging Food-Borne Pathogen.Microorganisms · 2025Review
- Seroprevalence survey of Hepatitis E Virus in Domestic Pigs in Guangdong, China.Animals : an open access journal from MDPI · 2024Article
- Hepatitis E Virus Seroprevalence Indicated a Significantly Increased Risk Selectively in Patients with Gastric Cancer among 17 Common Malignancies.Journal of clinical medicine · 2023Article
- Prevalence of Hepatitis E Virus (HEV) in Feral and Farmed Wild Boars in Xinjiang, Northwest China.Viruses · 2022Article
- Hepatitis E virus in pigs and the environment: An updated review of public health concerns.Narra J · 2022Review
- An occupational risk of hepatitis E virus infection in the workers along the meat supply chains in Guangzhou, China.One health (Amsterdam, Netherlands) · 2022Article
- Optimization and Implementation of the Virus Extraction Method for Hepatitis E Virus Detection from Raw Pork Liver.Food and environmental virology · 2021Article
- First detection and phylogenetic analysis of porcine circovirus type 2 in raccoon dogs.BMC veterinary research · 2019Article
- Hiding in Plain Sight? It's Time to Investigate Other Possible Transmission Routes for Hepatitis E Virus (HEV) in Developed Countries.Food and environmental virology · 2018Review
- High seroprevalence of hepatitis E virus in the ethnic minority populations in Yunnan, China.PloS one · 2018Article
- Current Knowledge onFrontiers in veterinary science · 2018Review
- Clinical characteristics and molecular epidemiology of hepatitis E in Shenzhen, China: a shift toward foodborne transmission of hepatitis E virus infection.Emerging microbes & infections · 2017Article
- The Enigma of Hepatitis E Virus.Gastroenterology & hepatology · 2017Article
- From the epidemiology of hepatitis E virus (HEV) within the swine reservoir to public health risk mitigation strategies: a comprehensive review.Veterinary research · 2017Review
- Hepatitis E Virus in Pork and Variety Meats Sold in Fresh Markets.Food and environmental virology · 2017Article
- Hepatitis E virus as an emerging zoonotic pathogen.Journal of veterinary science · 2016Review
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hepatitis E virus (HEV) infection is widespread in China, but few studies have been carried out in Guangdong Province. This study aimed to characterize the prevalence of HEV infections among swine, swine farmers and the general population in Guangdong Province. We conducted an epidemiological study that included swine, swine farmers and health examination attendees in Guangdong from 2011 to 2013. The overall seroprevalence of anti-HEV antibodies in swine was 64.7%. The results revealed that growing pigs, sows and boars (OR ranges from 3.5 to 21.5) have a higher risk than nursery pigs. HEV RNA in swine bile showed that HEV is epidemic in swine in the Pearl River Delta, with the highest prevalence of 22.73% in Foshan. Some genomes of HEV strains from each district were sequenced. Phylogenetic analysis of partial open reading frame 2 (ORF2) shows that they belong to genotype IV and are most closely related to isolates from China. In total, 307 participants were enrolled in the study, including 114 swine farmers and 193 attendees from hospitals. IgG anti-HEV was detected in 48.25% of swine farmers and in 38.34% of the general population. Seroprevalence rates were almost stratified by age, with a higher positive rate for males compared to females across all age groups. Women on swine farms appeared to have a lower risk of infection compared to the general population, revealing that the risk factors for HEV infection are not unique. The results suggested that there were other risk factors for HEV infection. HEV infection is prevalent in Guangdong, but due to the small sample sizes, more investigations are needed to assess the potential impact of HEV infection, and many additional risk factors should be considered.
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