Hepatitis A Virus

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Introduction:

Hepatitis A virus (formerly known as Enterovirus 72) has a long history and it still has a big impact on human populations in the modern world. From time of the ancient Greek doctor Hippocrates, Hepatitis A virus (HAV) was noted for causing jaundice. By the 8th century, it was realized that icteric disease was caused by an infectious agent. Later in the history, in 1885, it was discovered by scientists that hepatitis could be spread through blood transfusions. Now, it is well- known that the virus is mainly transmitted via fecal-oral route which results from contamination of food and water by fecal matter and direct contact with infected individuals. Initially another icteric agent, Hepatitis B virus, was isolated in 1973 by Robert H. Purcell. This is followed by isolation of HAV from marmoset liver explant cultures in 1979(5). Understanding of HAV had started after WWII because of its massive impact on the soldiers and civilians under the contamination favored conditions of war. HAV was first visualized under electron microscope at the National Institutes of Health in the feces of volunteers who have had HAV infection (1, 2).

Hepatitis A virus causes acute viral hepatitis which is one of the most common infectious diseases that is resulted from inflammation of liver. HAV is not the only infectious agent that causes acute viral hepatitis. Several different viruses, named hepatitis A, B, C, D and E cause inflammation of liver. Different hepatitis viruses belong to different virus families. HAV is a small, 27 nm cubically symmetrical single stranded RNA virus with positive (+) strand polarity and is classified as a member of picorna virus family. It has also been classified as the main virus of hepatovirus genus...

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... hygiene may be more common. In the general population, seroprevalence rate of anti-HAV antibodies varies from 15% to 100% in different countries of the world. In developing countries, most infections occur by 5 years of age and seroprevalence rates can become as high as 100%(7). North Europe has the lowest seroprevalence rate in the world. Decreased seroprevalence is problematic as it is indicating that most of the individuals in the defined population are susceptible to HAV infection which can result in outbreak of an epidemic. In 1988, an epidemic occurred due to ingestion of inadequately cooked bivalve mollusks from sewage polluted water in Shanghai and resulted in infection of approximately 300,000 people(1). In regions where majority of individuals are susceptible to HAV infection, routine vaccination is suggested for prevention of HAV epidemic outbreaks(7).

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