Podcasts about hepatitis e

Hepatitis means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is often caused by a virus. In the United States, the most common types of viral hepatitis are hepatitis A, hepatitis B, and hepatitis C. ​Hepatitis D, also known as “delta hepatitis,” is a liver infection caused by the hepatitis D virus (HDV). Hepatitis D only occurs in people who are also infected with the hepatitis B virus. Hepatitis D is spread when blood or other body fluids from a person infected with the virus enters the body of someone who is not infected. Hepatitis D can be an acute, short-term infection or become a long-term, chronic infection. Hepatitis D can cause severe symptoms and serious illness that can lead to life-long liver damage and even death. People can become infected with both hepatitis B and hepatitis D viruses at the same time (known as “coinfection”) or get hepatitis D after first being infected with the hepatitis B virus (known as “superinfection”). There is no vaccine to prevent hepatitis D. However, prevention of hepatitis B with hepatitis B vaccine also protects against future hepatitis D infection. ​Hepatitis E is a liver infection caused by the hepatitis E virus (HEV). HEV is found in the stool of an infected person. It is spread when someone unknowingly ingests the virus – even in microscopic amounts. In developing countries, people most often get hepatitis E from drinking water contaminated by feces from people who are infected with the virus. In the United States and other developed countries where hepatitis E is not common, people have gotten sick with hepatitis E after eating raw or undercooked pork, venison, wild boar meat, or shellfish. In the past, most cases in developed countries involved people who have recently traveled to countries where hepatitis E is common. Symptoms of hepatitis E can include fatigue, poor appetite, stomach pain, nausea, and jaundice. However, many people with hepatitis E, especially young children, have no symptoms. Except for the rare occurrence of chronic hepatitis E in people with compromised immune systems, most people recover fully from the disease without any complications. No vaccine for hepatitis E is currently available in the United States. (credits CDC)

Es gibt bestimmte Risikogruppen, bei denen eine Hepatitis-Testung besonders sinnvoll ist, sagt Allgemeinmediziner Dr. Christoph Schuler. In seiner Hausarztpraxis mit infektiologischem Schwerpunkt betreut er Personen, die genau in diese vulnerablen Gruppen fallen. In dieser Folge berichtet er, welche Hinweise schon in der Anamnese zu finden sind und was bei der Therapie der virusinduzierten Formen beachtet werden muss.

Heiner Wedemeyer plaudert mit PD Dr. Sven Pischke über die häufigste akute Virushepatitis in Deutschland. Es werden diagnostische Schritte, Übertragungswege und extrahepatische Manifestation besprochen.

Columna de sociedad a cargo de la periodista Sol Clemente en "De lejos no lo ves" por Radio con Vos. Con la participación del periodista Lucas Fauno.

What is in the This Week in Science Podcast? This Week: Awakening Or Snore?, Island Rats, Null Result Rats, Healer Army, Bird Flu, Hepatitis E, Plastic Penis Problems, Cancer Sniffing Bees, Boring Urban Birds, Dwindling Arousal, And Much More Science! Become a Patron! Check out the full unedited episode of our science podcast on YouTube […] The post 20 June, 2024 – Episode 975 – Is This The Science Awakening? appeared first on This Week in Science - The Kickass Science Podcast.

In this episode, we review the high-yield topic of⁠ ⁠⁠⁠⁠Hepatitis E Virus⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Microbiology section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message

Dr. Sarah Robinson, a postdoctoral researcher at the University of Guelph, and Sarah Gregory discuss hepatitis E virus in Norway rats in Ontario, Canada.

Dr. Don and Professor Ben talk about the risks from eating mett, fresh from a butcher. Dr. Don - risky ☣️ Professor Ben - risky ☣️ haroldina on X: “@bugcounter @benjaminchapman I interact with some Germans who are awfully excited about spreading raw pork on bread and calling it food. https://t.co/bKS6hM3SAB You did this with beef before, but is there some way to not risky just because “it's fresh from a butcher”? https://t.co/tnuWlMPr5r” / X Mett - Wikipedia Joint FAO/WHO Expert Meeting on microbiological risk assessment of viruses in foods - Part 1: food attribution, analytical methods and indicators Hepatitis E virus and related viruses in wild, domestic and zoo animals: A review - Spahr - 2018 - Zoonoses and Public Health - Wiley Online Library Occurrence of Hepatitis E Virus in Pigs and Pork Cuts and Organs at the Time of Slaughter, Spain, 2017 - PMC Outbreaks attributed to pork in the United States, 1998–2015 - PMC X.J. Meng, MD, MS, PhD | Virginia-Maryland College of Veterinary Medicine | Virginia Tech

Hepatitis E is an inflammation of the liver caused by infection with the hepatitis E virus (HEV). HEV infections are among the most common causes of acute hepatitis worldwide.2 different settings:HEV genotypes 1 and 2 cause primarily in water-born outbreaks inn resource-limited settingsHEV genotypes 3 and 4 have emerged as porcine zoonoses in middle and high-income areas, including EuropeThis Studio focuses on Zoonotic Hep E, especially HEV Genotype 3 infection and discusses recent highlights as well as current challenges in basic, translational, and clinical research on Hepatitis E.Learn more about the viral and host determinants for the diverse clinical outcomes of HEV genotype 3 infections, the challenge of chronic Hepatitis E in immunocompromised patients, as well as the current state of vaccine development and other preventive measures.FacultyDarius Moradpour (Moderator)Patrick Behrendt (Faculty)Montserrat Fraga Christinet (Faculty)Eike Steinmann (Faculty)All EASL Studio Podcasts are available on EASL Campus.

Stupid News 4-27-2023 6am …Wanna know how to get Hepatitis E? (Yes, Hep E) …Does the Hotel routinely double book rooms? Just because the Landlord is Sunbathing Nude isn't a reason to not pay your rent

Kristin Lauria is likely the most highly skilled birth worker on the planet. She started in the U.S. as a traditional midwife, but, when her kids flew the coop, she joined Doctors Without Borders and has been attending to births in a variety of resource-poor settings, including Afghanistan and a refugee camp in South Sudan. Because surgery is hard to come-by in these locations, she has become highly skilled at facilitating vaginal birth - low-lying placenta, breech, TOLAC, etc. In this conversation, we talk about the de-skilling of obstetricians in the U.S. due to our low threshold for using our surgical steel. We also talk about her role as the caretaker of orphaned children resulting from maternal death in childbirth, hepatitis E, blood transfusions without a blood bank, and sitting with the death of a newborn. Kristine is a gift to the world of birthwork, and I am honored to call her my friend. Made possible by: BiOptimizers - 10% off Mag Breakthrough plus free gut health goodies! [00:09:00] Kristine has attended more births than most people in the world From home birth to Doctors Without Borders 25 breech births per month in Afghanistan South Sudan refugee camps are in desperate need of healthcare C-sections were rare because surgeons had to be flown in OBGYNs in the U.S. have been de-skilled [00:17:00] Kristine's c-section rate has always been

Why are children suddenly presenting with hepatitis of unknown cause? Find out about this and more in today's PV Roundup podcast.

Hepatitis means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is often caused by a virus. In the United States, the most common types of viral hepatitis are hepatitis A, hepatitis B, and hepatitis C. ​Hepatitis D, also known as “delta hepatitis,” is a liver infection caused by the hepatitis D virus (HDV). Hepatitis D only occurs in people who are also infected with the hepatitis B virus. Hepatitis D is spread when blood or other body fluids from a person infected with the virus enters the body of someone who is not infected. Hepatitis D can be an acute, short-term infection or become a long-term, chronic infection. Hepatitis D can cause severe symptoms and serious illness that can lead to life-long liver damage and even death. People can become infected with both hepatitis B and hepatitis D viruses at the same time (known as “coinfection”) or get hepatitis D after first being infected with the hepatitis B virus (known as “superinfection”). There is no vaccine to prevent hepatitis D. However, prevention of hepatitis B with hepatitis B vaccine also protects against future hepatitis D infection. ​Hepatitis E is a liver infection caused by the hepatitis E virus (HEV). HEV is found in the stool of an infected person. It is spread when someone unknowingly ingests the virus – even in microscopic amounts. In developing countries, people most often get hepatitis E from drinking water contaminated by feces from people who are infected with the virus. In the United States and other developed countries where hepatitis E is not common, people have gotten sick with hepatitis E after eating raw or undercooked pork, venison, wild boar meat, or shellfish. In the past, most cases in developed countries involved people who have recently traveled to countries where hepatitis E is common. Symptoms of hepatitis E can include fatigue, poor appetite, stomach pain, nausea, and jaundice. However, many people with hepatitis E, especially young children, have no symptoms. Except for the rare occurrence of chronic hepatitis E in people with compromised immune systems, most people recover fully from the disease without any complications. No vaccine for hepatitis E is currently available in the United States. (credits CDC)

The South Sudan National Police warns citizens not to participate in anti-government protests scheduled for the end of the month; the family of a journalist killed in South Sudan establishes a writer's prize in honor of his work; and Doctors Without Borders expresses concern over the increase in patients suffering from Hepatitis E.

The 28th of July is recognized as World Hepatitis Day. With the ongoing pandemic that began in 2020, our whole focus has been on Covid-19, and we have somehow overlooked the threat and mishaps that Hepatitis can cause. “Hepatitis can't wait!” is the theme for World Hepatitis Day 2021. To make us all well aware about this condition, we have Dr Lovkesh Anand - Consultant – Gastroenterology of Manipal Hospitals. Question: What is Hepatitis and what are its forms? Answer: The term Hepatitis comes from two words, “Hepa” meaning liver and “it is” meaning inflammation. Thus, any inflammation or swelling of the liver is called as Hepatitis. The various causes and forms are: Alcoholic, Non-alcoholic, Drug induced liver injury, and Viral Hepatitis Question: Which kind or type of Hepatitis is more prevalent in kids? Answer: Hepatitis is broadly classified as Acute Hepatitis & Chronic Hepatitis. In Acute Hepatitis, the condition flares up suddenly and goes away. But in some rare cases it can also lead to either chronic hepatitis or can cause acute liver failure. In Chronic Hepatitis, the condition is of long-term and might lead to permanent scaring , liver failure or even liver cancer. Question: If a child is suffering from Hepatitis what are the symptoms? Answer: There are 5 major types of Viral Hepatitis: Hepatitis, Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Out of these A & E are more commonly seen in children. B & C are chronic forms which can also be seen in both adults and kids but in severe cases. HAV infection in children is typically an acute, self-limited illness, but this does not develop jaundice at all. It is present as fever, vomiting, nausea, abdominal pain, discomfort, and diarrhea. Learn about the Chronic Hepatitis and the importance of Hepatitis vaccination in children. Also find out if there is any link present between Covid-19 and Hepatitis.Support the show: https://www.patreon.com/chimesradioSee omnystudio.com/listener for privacy information.

Listen as Dr. London Smith (.com) and his producer Cameron discuss Hepatitis E with Kathy Kent (Chase O'Donnell). Not so boring! https://www.patreon.com/join/jockdocpodcast Hosts: London Smith, Cameron Clark. Guest: Chase O'Donnell. Produced by: Dylan Walker Created by: London Smith

Nais ng Panginoon na mabuhay tayo na masaya at malusog kaya ibinigay nya ang alintuntunin tungkol sa pagkaing pangkalusugan.

Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E review for your Pance, Panre, and Eor’s. --- Support this podcast: https://anchor.fm/scott--shapiro/support

Die Wêreldgesondheidsorganisasie het befondsing ontvang van die regering van Japan om die Namibiese regering te ondersteun om sy reaksie te versterk teen die uitgerekte Hepatitis E virus uitbreking. Die doel van die projek is om die implementering van 'n omvattende Hepatitis E virus uitbreking reaksie te versterk onder die leierskap van die Ministerie van Gesondheid in samewerking met ander belanghebbers. Dit sal ook die kapasiteit versterk van dokters en verpleërs in pasiënt bestuur en infeksie-voorkoming en beheer op hospitaal- en kliniek vlakke. Celia Kaunatjike, die plaaslike Gesondheid Bevordering Beampte het met Kosmos 94.1 Nuus gepraat.

Audible Article by Aradhna Seth and Kenneth E. Sherman

Audible Article by Aradhna Seth and Kenneth E. Sherman

On today's episode we had an Interractive session with Dr. Simon Ereh on a very important topic: "Hepatitis E Virus ". Dr. Simon Ereh is a Senior Registrar in Infectious Diseases at the University of Calabar Teaching Hospital, Nigeria. A research assistant at the Institute of Health and Medical Research (INSERM), Unit of Morphogenesis and Antigenicity of HIV and the Hepatitis Viruses in France. He is an Erasmus Mundus Scholar for Infectious Disease and One Health. Connect with him via Twitter: @Donereh and LinkedIn: Simon Ereh.

Inhalt Die Bedeutung von Hepatitis E, Yersinien und Protozoen als lebensmittelassoziierte Erreger steigt bzw. bleibt auf hohem Niveau. Erfahren Sie, wie Übertragungswege identifiziert werden sowie Ansätze für eine wirkungsvolle Prävention. Zusätzlich wird in dieser Folge die Bedeutung der Richtlinie VDI 6022 "Raumlufttechnik, Raumluftqualität" für die Lebensmittelindustrie beschrieben. Ihre Experten  Dr. Anselm Lehmacher Mikrobiologe aus Hamburg Jörg Schönfelder Geschäftsführer Kontaktdaten Gesec Hygiene + Instandhaltung GmbH + Co. KG Gubener Straße 32 86156 Augsburg Tel.: +49 821 79015-112 E-Mail: joerg.schoenfelder@gesa.de Weiter Informationen zum Thema dieser Folge Wir freuen uns immer über ein Feedback. Schreiben Sie uns Ihre Meinung an podcast@behrs.de. Links Kostenfreie Informationen zu Hygiene und Recht BEHR’S…SHOP BEHR’S…AKADEMIE BEHR’S…ONLINE BEHR’S…e-Learning QM4FOOD HACCP-Portal Unsere Bitte: Wenn Ihnen diese Folge gefallen hat, hinterlassen Sie bitte eine 5-Sterne-Bewertung, ein Feedback auf iTunes und abonnieren diesen Podcast. Sie können diesen auch mit Ihren Freunden und Bekannten teilen. Hinterlassen Sie uns hier Ihre Bewertung Dadurch helfen Sie uns die Podcast immer weiter zu verbessern und Ihnen Inhalte zu liefern, die Sie sich wünschen.

Das Hepatitis E Virus (HEV), ein kleines ssRNA-Virus, kommt weltweit vor. Genotyp (GT) 1 & 2 v.a. in Afrika und Asien, GT3 in Nordamerika und EUropa, GT4 in Asien. GT1&2 werden durch Trinkwasser, GT3&4 durch Fleisch übertragen. Till Koch und Sven Pischke erläutern u.a. Epidemiologie, Klinik und Therapie der Hepatitis E. PD Dr. Sven Pischke … „Infektiopod#11 – Hepatitis E“ weiterlesen

Do you know how you get Hepatitis? Do you like to travel? Have you been considering getting a tattoo overseas? Do you know if you have Hepatitis? Do you work with patients in a healthcare environment? Are you the type of person that if you witnessed an accident you would step in to try to help someone in need? I know I would answer ''yes'' to some of these questions mentioned above. If you also found yourself also saying ''yes'' to a few of these questions too then take a minute out of your day or night and educate yourself and listen to this podcast on hepatitis. In 15 mins learn from a leading Hepatolgist about Hepatitis A-B-C. According to Hepatitis Victoria, ''500 000 Australians are living with Hep C and B''. Shockingly, 65% of us don't know that we have it. Diagnosing and managing a disease is about educating ourselves about it. Did you know there was for instance, different types of Hepatitis - Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D and Hepatitis E. You can listen on the go to MeditalkPodcast on iTunes, SoundCloud and your trusty Podcasts App. Meditalk provides medical information in a way that you can understand and I interview well respected medical specialists and health professionals on health & medical topics we should know more about so, we can make more informed decisions about our health and the health of our family. This MediTalk podcast is on 'Hepatitis' and I speak with A/Prof Lindsay Mollison a Gastroenterologist and Hepatologist as well as, having qualifications in Infectious Diseases. Dr Mollison consults at Riverview Endoscopy. Find out more about Dr Mollison and his A-B-C Liver Clinic: www.riverviewendo.com.au For further information and support about Hepatitis: WA listeners can contact Hepatitis WA www.hepatitiswa.com.au Australia wide Hepatitis Association contact: www.hepatitisaustralia.com For American listeners - Hepatitis Support liverfoundation.org In major cities around the world there are often excellent Hepatitis-Liver Foundations to provide education and support - search online to find an association near you. Listening and learning more about Hepatitis via this podcast is a great start and always reach out and speak with your doctor if you are concerned and need medical help.

It was a huge news week in infectious disease and we cover some of the biggest stories here on the show today. I go over the odd report on a father-to-son HIV transmission in a very atypical way. The study was published in the journal, AIDS Research and Human Retroviruses. Another unusual report came from researchers from the University of Hong Kong, who for the first time, reported rat Hepatitis E virus (HEV) infection in a human being. This "wake up call" reminds us of the continuous threat of zoonotic infections. A 29-year-old New Jersey man died from the "brain-eating amoeba", Naegleria fowleri, reportedly linked to a Waco, TX wave pool. In the second half, I go over some health policy and a fantastic article by economist John C. Goodman of some free market alternatives for health care that employers should consider. I also play an audio clip of a conversation I had with Surgery Center of Oklahoma CEO, Keith Smith, MD on my obscenely overpriced hospital surgery bill.

Meer dan de helft van de Nederlandse varkens is besmet met het Hepatitis E-virus.27% van de Nederlanders heeft het virus bij zich of heeft het ooit gehad. Gelukkig merken de meeste mensen er weinig van. In de afgelopen 5 jaar werden er alleen al in het Erasmus MC 200 mensen opgenomen met ernstige ziekteverschijnselen. Daar overlijden elk jaar 1 of 2 mensen daadwerkelijk aan de gevolgen van de ziekte.In Europa is het aantal ziektegevallen de laatste tien jaar vertienvoudigd.De ziekte gaat van varkens naar mensen maar niemand weet zeker hoe. Het meest waarschijnlijk is dat het verloopt via het eten van rauw varkensvlees of bloed in worstjes.De vergelijking met de Q-koorts dringt zich op. Hoe groot is de kans dat volksgezondheidsbelang deze keer wel als het belangrijkste wordt gezien? En niet de grote economische belangen?Een debat met Hans Zaaijer, van bloedbank Sanquin, Dé van de Riet van de vee- en vleessector en Floor Haalboom, onlangs gepromoveerd op historisch onderzoek naar de tegenstelling tussen landbouw- en gezondheidsbelang.

Meer dan de helft van de Nederlandse varkens is besmet met het Hepatitis E-virus.27% van de Nederlanders heeft het virus bij zich of heeft het ooit gehad. Gelukkig merken de meeste mensen er weinig van. In de afgelopen 5 jaar werden er alleen al in het Erasmus MC 200 mensen opgenomen met ernstige ziekteverschijnselen. Daar overlijden elk jaar 1 of 2 mensen daadwerkelijk aan de gevolgen van de ziekte.In Europa is het aantal ziektegevallen de laatste tien jaar vertienvoudigd.De ziekte gaat van varkens naar mensen maar niemand weet zeker hoe. Het meest waarschijnlijk is dat het verloopt via het eten van rauw varkensvlees of bloed in worstjes.De vergelijking met de Q-koorts dringt zich op. Hoe groot is de kans dat volksgezondheidsbelang deze keer wel als het belangrijkste wordt gezien? En niet de grote economische belangen?Een debat met Hans Zaaijer, van bloedbank Sanquin, Dé van de Riet van de vee- en vleessector en Floor Haalboom, onlangs gepromoveerd op historisch onderzoek naar de tegenstelling tussen landbouw- en gezondheidsbelang.

Sat, 6 Feb 2016 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/19214/ https://edoc.ub.uni-muenchen.de/19214/1/Dallmayr_Carina.pdf Dallmayr, Carina

Cervical screening in older women has hit the headlines, but reports have not explained whether these women being diagnosed after 65 have attended screening. Concerns about an outbreak of Hepatitis E in Nepal that could kill pregnant women; A new technique being trialled in the UK to treat enlarged prostate; and Dr Margaret McCartney on statistical significance.

Don and Ben start the show by talking about the drastic weather in Raleigh, NC and Freehold, NJ. They quickly changed topics to beverage preferences, including Starbucks and eggnog. Ben notes he is not a fan of eggnog although his grandparents used to drink consistently. Ben also reminisces about other old-timey eating habits including pickled beets, and buttermilk. Don will stick with eggnog plus whiskey during the holiday season. Ben shared his excitement about a Sloan concert that he recently attended with his wife. Ben also mentioned a thoughtful gift that he received from his wife: a poet (Matthew) wrote a poem for Ben on the topic of barf and Ben was very thrilled. Don also shared his excitement as well as he recently celebrated his birthday, and Merlin gave him a shout out on his podcast. Twenty minutes in, food safety talk officially began and Ben commented on a blog post where the interviewed the research chief of ABC Research laboratories. She was interviewed about raw honey and recommended honey pasteurization to prevent infant botulism. Ben disagreed with her statement, and noted that pasteurization does not destroy the spores present in honey. Don supported Ben and added that pasteurization is even less effective in low water activity foods like peanut butter or honey. According to this fact sheet, honey is pasteurized to reduce the likelihood of fermentation and crystallization over time. Don turned the topic to Ebola in the US, and mentioned Peter Sandman’s post on The public health establishment and the quarantine debate. Sandman complained about how the US handled the Ebola issue. Ben agreed with some (not all) of the post and concluded that risk talk should always be frank. From Ebola the topic turned to Hepatitis E as an emerging foodborne disease. A UK article stated, 1 in 10 sausage carries the risk of Hepatitis E, which seems high to Ben and Don. Don thought that Hepatitis E in the UK might be a worker sanitation issue. Both guys were intrigued by the apparent low risk of Hepatitis E in the US. Peer reviewed research published in Epidemiology and Infection states that Hepatitis E is associated with unprocessed sausage, and 90% of British pigs have exposed to Hepatitis E and produce antibodies. Cooking suggestion including cooking for 20 min at 70 °C or better yet, using a thermometer. Don mentioned a recent contact by a local company asking about safe practices for cooked brown rice preparation. Although the company had a detailed and meticulous workflow, additional information (like product time and temperature) would be needed to insure control of Bacillus cereus, according to Ben. The show concluded with talk about the Month-Long Poop Cruise, the verdict in the Peanut Corporation of America case and the food safety mess in Pro Sports.

Richard Tedder discusses the prevalence and transmission of hepatitis E in blood donors and recipients in south-east England.

The latest addition to the burgeoning ranks of health magazines on the newsagent's shelves is called What Doctors Don't Tell You. The headlines on the front of this month's edition promise to help you sunbathe your diabetes away, end your child's wheezing without drugs, reverse bone loss for good, and avoid hysterectomy by changing your diet. Lynne McTaggart who edits the magazine with her husband responds to the views of Inside Health's resident GP, Dr Margaret McCartney. The commonest cause of hepatitis in the UK isn't A,B or even C - it's Hepatitis E. Although it may not have the profile of the better known strains it is causing more than its fair share of problems. Dr Harry Dalton who's a consultant gastroenterologist at The Royal Cornwall Hospital is a senior lecturer at the European Centre for Environment and Human Health and a world authority on Hepatitis E. He says we still don't fully understand what the long term effects of hepatitis E may be, particularly on the brain and nervous system. A listener contacted Inside Health about unpleasant dizziness that happens when she turns over in bed or straightens up after bending down. She wanted to know whether it was likely to be low blood pressure, or a problem with her ears. Dr Mike Jeffreys, a Consultant physician in the Department of Healthcare for Older People at the Royal Devon and Exeter Hospital explains how benign paroxysmal positional vertigo, or BPPV could be behind her symptoms. And how it can be effectively treated with a simple series of movements to the head called the Epley manoeuvre.

Background: The National Institutes of Health classified Hepatitis E as an emerging disease since Hepatitis E Virus (HEV) is the major cause of acute hepatitis in developing countries. Interestingly, an increasing number of sporadic cases of HEV infections are described in industrialized countries as zoonosis from domestic livestock. Despite the increasing relevance of this pathogen in clinical virology, commercial antibody assays are mainly based on fragments of HEV open reading frame (ORF) 2 and ORF3. The largest ORF1 (poly)protein, however, is not part of current testing formats. Methods: From a synthesized full length HEV genotype 1 cDNA-bank we constructed a complete HEV gene library consisting of 15 respective HEV ORF domains. After bacterial expression and purification of nine recombinant HEV proteins under denaturating conditions serum profiling experiments using 55 sera from patients with known infection status were performed in microarray format. SPSS software assessed the antigenic potential of these nine ORF domains in comparison to seven commercial HEV antigens (genotype 1 and 3) by performing receiver operator characteristics, logistic regression and correlation analysis. Results: HEV antigens produced with our method for serum profiling experiments exhibit the same quality and characteristics as commercial antigens. Serum profiling experiments detected Y, V and X domains as ORF1-antigens with potentially comparable diagnostic significance as the well established epitopes of ORF2 and ORF3. However no obvious additional increase in sensitivity or specificity was achieved in diagnostic testing as revealed by bioinformatic analysis. Additionally we found that the C-terminal domain of the potential transmembrane protein ORF3 is responsible for IgG and IgM seroreactivity. Data suggest that there might be a genotype specific seroreactivity of homologous ORF2-antigens. Conclusions: The diagnostic value of identified ORF1 epitopes might not necessarily improve sensitivity and specificity, but broaden the overall quality of existing test systems. ORF2 and ORF3-antigens are still commonly used in diagnostic assays and possibly hold the potential to serologically differentiate between genotype 1 and 3 infections. Our systematic approach is a suitable method to investigate HEV domains for their serologic antigenicity. Epitope screening of native viral domains could be a preferable tool in developing new serologic test components.

The frequency of intimate-partner violence towards pregnant women, and its effect on post-natal depression.

Reports on autochthonous Hepatitis E virus (HEV) infection in humans with genotype 3 assume a zoonotic transmission from domestic pigs. But for domestic pigs only limited information on the seroprevalence of HEV in Germany is available. The aim of this study was to develop an ELISA for the detection of anti-HEV IgG and IgM in porcine serum and meat juice, and furthermore asses the seroprevalence in domestic pigs from Bavaria, Germany. 516 serum samples from pigs and 198 corresponding meat-juice samples from 41 different fattening units were collected in four Bavarian slaughterhouses from august 2009 to february 2010. These samples were tested for anti-HEV antibodies using the newly developed recomWell HEV pig (Mikrogen GmbH, Neuried, Germany) with recombinantly produced antigens of genotype 1 and genotype 3 of HEV. The results were compared to a competitor ELISA (Axiom HEV Ab, Axiom GmbH, Bürstadt, Germany). The data were verified by a HEV line-immunoassay (recomLine HEV, Mikrogen), which also uses antigens of genotype 1 and genotype 3 of HEV. Compared to the line-immunoassay the Mikrogen / Axiom ELISA showed a sensitivity of 90.9% / 95.6% and a specificity of 94.0% / 80.8% respectively. The correlation of optical densities (ODs) between serum and meat-juice was 0.939. Taking all three antibody tests into account, we found an overall anti-HEV IgG seroprevalence of 68.60%. 7.0% of the pigs showed IgM antibodies against HEV. We found a significant difference for two slaughterhouses concerning the seroprevalence rates. One fattening unit was free of antibodies against HEV, nine fattening units showed significant influence on the overall seroprevalence rate. This is the first study showing a (very high) anti-HEV reactivity rate in meat-juice of domestic pigs, which corresponds to the seroprevalences measured consistently by three different assays. A positivity rate of 7.0% for IgM has also never been shown before. The used test-systems seem to be suitable for antibody-testing in blood and meat-juice samples from domestic pigs.

John McConnell discusses reviews on microbicides for HIV prevention, and Hepatitis E, and highlights the Nobel Prize for Medicine featured in this month's Leading Edge.

Ziel dieser Untersuchung war die vergleichende Bestimmung der Prävalenz von Antikörpern gegen Hepatitis E Virus in Seren von Blutspendern, Schlachthauspersonal, Schweinezüchtern und Schlachtschweine. Es wurden Blutproben von Schlachthauspersonal, Schweinezüchtern und Schlachtschweine, aus vier verschiedenen Provinzen in Nordgriechenland untersucht. Die Blutspenderproben, die als eine für die Wohnbevölkerung repräsentative Vergleichsgruppe dienen sollten, stammten von zwei Blutbanken in Thessaloniki. Alle Serumproben wurden im Max-von-Pettenkofer-Institut in München mit der Western Blot Methode auf Anti-HEV untersucht. Die Anti-HEV-Prävalenz der Blutspender betrug 15,7%. Dies liegt weit über der 1996 in Griechenland in einer Studie festgestellten Rate von 2,2%. Der Unterschied ist am wahrscheinlichsten durch die Verwendung des empfindlicheren Western Blots in dieser Studie bedingt. Die untersuchten Schweineseren waren zu 80% positiv auf Anti-HEV, was die Tatsache hervorhebt, daß auch in Griechenland, wie in vielen Ländern, ein sehr großer Anteil der Schweinepopulation mit dem HEV oder ein Schwein-HEV ähnliches Virus infiziert ist. Schlachthauspersonal, 22,2% positiv, und Schweinezüchter, 40% positiv, Berufsgruppen mit engem beruflichen Kontakt zu Schweinen, wiesen im Vergleich zu Blutspendern eine signifikant höhere Anti-HEV Prävalenz bzw. einen Trend zur höheren Anti-HEV-Prävalenz auf. Dieses unterstützt die Hypothese einer erhöhten Gefahr der Personen mit engem beruflichen Kontakt zu Schweinen, sich mit dem HEV oder einem HEV-ähnlichen Virus zu infizieren. So stellt sich auch für Griechenland die Frage ob mindestens ein Teil der HEV-Infektionen des Menschen im Sinn einer Zoonose vom Schwein auf den Menschen übertragen werden. Beim Schlachthauspersonal wurde ein nicht signifikanter Trend der Zunahme der Häufigkeit des Anti-HEV mit dem Alter und der Dauer der Berufstätigkeit festgestellt. Bei den Schweinezüchtern ist ein nicht signifikanter Trend der Zunahme der Häufigkeit des Anti-HEV mit dem Alter aber nicht mit der Dauer der Berufstätigkeit vorhanden. Sollten sich diese Trends in weiteren Untersuchungen bestätigen, so sprechen auch sie für eine HEV-Gefährdung beim Kontakt mit Schweinen. Bei Schweinen können prinzipiell Antikörper gegen die gleichen HEV-Peptide im Western Blot nachgewiesen werden gegen die auch das Immunsystem des Menschen reagiert. Antikörper gegen das O2M- und das O2C-Peptid werden bei Anti- HEV-positiven Schweinen jedoch signifikant häufiger gesehen.