2019
DOI: 10.1038/s41598-018-37349-1
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Very low prevalence of anti-HAV in Japan: high potential for future outbreak

Abstract: Since the early 21st century, almost all developed countries have had a very low hepatitis A virus antibody (anti-HAV) sero-prevalence profile, as sanitation conditions and health care facilities have been optimized to a universal standard. There has not been a report on anti-HAV prevalence among a large scale population in Japan since 2003. Therefore, this study aimed to investigate the current HAV status among the general population in Hiroshima. From each age and sex specific group, a total of 1,200 samples… Show more

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Cited by 20 publications
(15 citation statements)
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“…In Japan, where no universal vaccination programs against HAV infection exist, 10–20% of those with HIV infection tested positive for immunoglobulin G (IgG) anti-hepatitis A (HA) antibodies [ 32 , 33 , 34 , 35 ]. This prevalence is similar to that of IgG anti-HA in those without HIV infection [ 36 , 37 ], although a higher prevalence area can also be observed in Japan [ 38 ]. In general, individuals of high-risk groups, such as healthcare workers, sewage workers, and drug addicts, have ~60% of IgG anti-HA worldwide [ 39 , 40 ].…”
Section: Coinfection Of Hav With Hivsupporting
confidence: 64%
“…In Japan, where no universal vaccination programs against HAV infection exist, 10–20% of those with HIV infection tested positive for immunoglobulin G (IgG) anti-hepatitis A (HA) antibodies [ 32 , 33 , 34 , 35 ]. This prevalence is similar to that of IgG anti-HA in those without HIV infection [ 36 , 37 ], although a higher prevalence area can also be observed in Japan [ 38 ]. In general, individuals of high-risk groups, such as healthcare workers, sewage workers, and drug addicts, have ~60% of IgG anti-HA worldwide [ 39 , 40 ].…”
Section: Coinfection Of Hav With Hivsupporting
confidence: 64%
“…Hepatitis E is one of five known human hepatitis viruses. Others are A [5], B [6], [7], C [8], [9], [10] and D [11]. The prevalence of HEV is very low compared with the others, especially hepatitis B virus (HBV).…”
Section: Introductionmentioning
confidence: 99%
“…After the country’s improvement in safe water and food supply, hygiene and good sanitation, the prevalence decreased over two decades. However, a reduced anti-HAV prevalence exposes to future epidemics due to the lack of herd immunity among population 13 . This situation is now occurring in the developed countries like Japan.…”
Section: Resultsmentioning
confidence: 99%