Review Article

Hepatitis E Virus in Industrialized Countries: The Silent Threat

Table 2

Risk groups reported in Europe with increased HEV seroprevalence when compared to a control group. Only studies that analyze a control group are included in the table.

Risk factorRisk groupCountrySeroprevalenceReference
Risk groupControl group

Contact with animalsPig farm workersFrance44%26% [41]
Forestry workers36%
Forestry workersFrance31.2%19.2%[42]
Swine veterinariansNetherlands11%2% [43]
Nonswine veterinarians6%
FarmersDenmark50.3%32.9%[44]
Swine farmersSweden13%9%[45]
Swine farmersMoldova51.1%24.7%[46]
Animal breedersItaly25.6%0%[47]
SlaughterersGermany41.7%15.5%[48]
Forestry workersGermany18%11%[49]

Contact with sewageAgricultural workersTurkey34.8%4.4%[50]

ImmunosuppressionHIV patientsItaly6.7%2.7%[51]
HIV patientsSpain9.2%3.5% [52]
HIV patients with cirrhosis22.7%
HIV patientsSpain23.5%12% [53]
HIV + HCV patients40%ā€‰
Autoimmune hepatitis patientsGermany7.7%2.0%[54]
Hemodialysis patientsItaly6%2.7%[55]
Hemodialysis patientsUK36.8%18.8%[56]
Post-liver transplant cirrhosisSpain32.1%3.5%[52]
Heart transplantGermany11.3%2%[57]

Preexisting liver diseasesHCV patientsSpain23.5%12%[53]
Chronic liver disease patientsAlbania36.6%12.1%[58]

No significant difference found.