Hepatitis A and E among immigrants and refugees in Central Brazil

ABSTRACT OBJECTIVE To estimate the prevalence of hepatitis A virus (HAV) and hepatitis E virus (HEV) among immigrants and refugees in Goiás, Central Brazil. METHODS Overall, 355 individuals were interviewed, and blood samples were tested for anti-HAV and anti-HEV IgG. Anti-HEV-positive samples w...

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Main Authors: Grazielle Rosa da Costa e Silva, Thaynara Lorrane Silva Martins, Carla de Almeida Silva, Karlla Antonieta Amorim Caetano, Megmar Aparecida dos Santos Carneiro, Bruno Vinicius Diniz e Silva, Leonora Rezende Pacheco, Livia Melo Villar, Vanessa Salete de Paula, Regina Maria Bringel Martins, Sheila Araújo Teles
Format: Article
Language:English
Published: Universidade de São Paulo 2022-04-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100224&tlng=en
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author Grazielle Rosa da Costa e Silva
Thaynara Lorrane Silva Martins
Carla de Almeida Silva
Karlla Antonieta Amorim Caetano
Megmar Aparecida dos Santos Carneiro
Bruno Vinicius Diniz e Silva
Leonora Rezende Pacheco
Livia Melo Villar
Vanessa Salete de Paula
Regina Maria Bringel Martins
Sheila Araújo Teles
author_facet Grazielle Rosa da Costa e Silva
Thaynara Lorrane Silva Martins
Carla de Almeida Silva
Karlla Antonieta Amorim Caetano
Megmar Aparecida dos Santos Carneiro
Bruno Vinicius Diniz e Silva
Leonora Rezende Pacheco
Livia Melo Villar
Vanessa Salete de Paula
Regina Maria Bringel Martins
Sheila Araújo Teles
author_sort Grazielle Rosa da Costa e Silva
collection DOAJ
description ABSTRACT OBJECTIVE To estimate the prevalence of hepatitis A virus (HAV) and hepatitis E virus (HEV) among immigrants and refugees in Goiás, Central Brazil. METHODS Overall, 355 individuals were interviewed, and blood samples were tested for anti-HAV and anti-HEV IgG. Anti-HEV-positive samples were similarly tested for HEV RNA. RESULTS All participants were from Latin American countries, most of whom, young adult males. The overall anti-HAV IgG prevalence was 87.4% (95%CI: 83.5–90.4), of whom 94.9%, 75.6%, and 60% were from Haiti, Venezuela, and other Latin American countries, respectively (p < 0.001). Age above 19 years and more than 36 months residing in Brazil were associated with a higher prevalence of previous HAV and HEV infection, respectively. Of the children eligible for HAV vaccination according to the National Immunization Program, only eight (44%) had been vaccinated. The overall anti-HEV IgG prevalence was 6.5% (95%CI: 4.4–9.5). All anti-HEV IgG-positive individuals were Haitians, including a child born in Brazil. HEV RNA was detected in two of the anti-HEV IgG-positive samples. CONCLUSION The survey detected a high prevalence of anti-HAV and anti-HEV IgG among immigrants and refugees, and active HEV infection among some Haitian participants. Prevention measures are urgently required to interrupt enteric virus transmission in this emergent and vulnerable population.
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spelling doaj.art-938fa2540a164ff19e4a495c5e47d7b42022-12-22T01:53:31ZengUniversidade de São PauloRevista de Saúde Pública1518-87872022-04-015610.11606/s1518-8787.2022056003839Hepatitis A and E among immigrants and refugees in Central BrazilGrazielle Rosa da Costa e Silvahttps://orcid.org/0000-0003-3462-8050Thaynara Lorrane Silva Martinshttps://orcid.org/0000-0001-9949-0473Carla de Almeida Silvahttps://orcid.org/0000-0002-7225-6502Karlla Antonieta Amorim Caetanohttps://orcid.org/0000-0003-4818-4753Megmar Aparecida dos Santos Carneirohttps://orcid.org/0000-0003-0569-477XBruno Vinicius Diniz e Silvahttps://orcid.org/0000-0002-6477-9733Leonora Rezende Pachecohttps://orcid.org/0000-0001-6048-3911Livia Melo Villarhttps://orcid.org/0000-0001-7644-8969Vanessa Salete de Paulahttps://orcid.org/0000-0002-6314-754XRegina Maria Bringel Martinshttps://orcid.org/0000-0001-8941-8531Sheila Araújo Teleshttps://orcid.org/0000-0002-7059-4241ABSTRACT OBJECTIVE To estimate the prevalence of hepatitis A virus (HAV) and hepatitis E virus (HEV) among immigrants and refugees in Goiás, Central Brazil. METHODS Overall, 355 individuals were interviewed, and blood samples were tested for anti-HAV and anti-HEV IgG. Anti-HEV-positive samples were similarly tested for HEV RNA. RESULTS All participants were from Latin American countries, most of whom, young adult males. The overall anti-HAV IgG prevalence was 87.4% (95%CI: 83.5–90.4), of whom 94.9%, 75.6%, and 60% were from Haiti, Venezuela, and other Latin American countries, respectively (p < 0.001). Age above 19 years and more than 36 months residing in Brazil were associated with a higher prevalence of previous HAV and HEV infection, respectively. Of the children eligible for HAV vaccination according to the National Immunization Program, only eight (44%) had been vaccinated. The overall anti-HEV IgG prevalence was 6.5% (95%CI: 4.4–9.5). All anti-HEV IgG-positive individuals were Haitians, including a child born in Brazil. HEV RNA was detected in two of the anti-HEV IgG-positive samples. CONCLUSION The survey detected a high prevalence of anti-HAV and anti-HEV IgG among immigrants and refugees, and active HEV infection among some Haitian participants. Prevention measures are urgently required to interrupt enteric virus transmission in this emergent and vulnerable population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100224&tlng=enRefugeesLatin AmericaHepatitis A, epidemiologyHepatitis E, epidemiologySeroepidemiologic Studies
spellingShingle Grazielle Rosa da Costa e Silva
Thaynara Lorrane Silva Martins
Carla de Almeida Silva
Karlla Antonieta Amorim Caetano
Megmar Aparecida dos Santos Carneiro
Bruno Vinicius Diniz e Silva
Leonora Rezende Pacheco
Livia Melo Villar
Vanessa Salete de Paula
Regina Maria Bringel Martins
Sheila Araújo Teles
Hepatitis A and E among immigrants and refugees in Central Brazil
Revista de Saúde Pública
Refugees
Latin America
Hepatitis A, epidemiology
Hepatitis E, epidemiology
Seroepidemiologic Studies
title Hepatitis A and E among immigrants and refugees in Central Brazil
title_full Hepatitis A and E among immigrants and refugees in Central Brazil
title_fullStr Hepatitis A and E among immigrants and refugees in Central Brazil
title_full_unstemmed Hepatitis A and E among immigrants and refugees in Central Brazil
title_short Hepatitis A and E among immigrants and refugees in Central Brazil
title_sort hepatitis a and e among immigrants and refugees in central brazil
topic Refugees
Latin America
Hepatitis A, epidemiology
Hepatitis E, epidemiology
Seroepidemiologic Studies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100224&tlng=en
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