HEV is transmitted primarily by the fecal-oral route and fecally contaminated drinking water is the most commonly documented vehicle of transmission. Virtually all cases of acute hepatitis E in the United States have been reported among travelers returning from high HEV-endemic areas. Outbreaks associated with contaminated water supply in other countries. Virtually all cases of acute hepatitis E in the United States have been reported among travelers returning from high HEV-endemic areas. May have none.
Some persons have mild flu-like symptoms, dark urine, light stools, jaundice, fatigue and fever.
Prevention of hepatitis E relies primarily on the provision of clean water supplies. HGV is transmitted through blood transfusions and intravenous drug users as well as body tattooing and piercing under non-sterile conditions. Borland Groover Articles. The ticking time bomb of Kentucky's prisons, LEO , January 31, 2001. Hepatitis D, Current Papers in Liver Disease .