A mathematical model for developing hepatitis E virus infection in human population

Hepatitis E is an acute viral infectious disease transmitted by fecal-oral route mainly through fecally contaminated drinking water, with cyclic outbreaks and frequent development of acute hepatic encephalopathy in pregnant women. Hepatitis E epidemic outbreaks occur in Central Asia, Africa and Lati...

Full description

Bibliographic Details
Main Authors: N. A. Kontarov, N. V. Yuminova, G. I. Alatortseva, L. N. Lukhverchik, Z. Sh. Nurmatov, I. V. Pogarskyia
Format: Article
Language:Russian
Published: Sankt-Peterburg : NIIÈM imeni Pastera 2019-07-01
Series:Инфекция и иммунитет
Subjects:
Online Access:https://www.iimmun.ru/iimm/article/view/657
_version_ 1797973040638722048
author N. A. Kontarov
N. V. Yuminova
G. I. Alatortseva
L. N. Lukhverchik
Z. Sh. Nurmatov
I. V. Pogarskyia
author_facet N. A. Kontarov
N. V. Yuminova
G. I. Alatortseva
L. N. Lukhverchik
Z. Sh. Nurmatov
I. V. Pogarskyia
author_sort N. A. Kontarov
collection DOAJ
description Hepatitis E is an acute viral infectious disease transmitted by fecal-oral route mainly through fecally contaminated drinking water, with cyclic outbreaks and frequent development of acute hepatic encephalopathy in pregnant women. Hepatitis E epidemic outbreaks occur in Central Asia, Africa and Latin America, whereasChina,India,Turkmenistan,Kazakhstan,Tajikistan,Uzbekistan,Kyrgyzstan,Bolivia,Mexico, andTaiwanrepresent endemic geographic regions. Hepatitis E in the structure of acute viral hepatitis morbidity during outbreaks ranges from 64.7% to 80%, whereas sporadic morbidity may be up to 10 to 18.8%. In contrast, percentage of hepatitis E in acute viral hepatitis varies from 0.5% to 12.6% in European countries and some territories of theRussian Federation. The latent active virus circulation was confirmed in various regions of theRussian Federation. All introduced cases were related to recent traveling to the regions with high incidence of hepatitis E, which course clinically did not differ from standard hepatitis E infection, but no cases of infection were recorded after exposure. Lack of contact transmission in this case was associated with low virus survival in environment. Patients with any clinical form including anicteric serve as a source of infection. An increased risk of hepatitis E infection is typical for livestock workers dealing with pigs, employe es of meat processing plants engaged in primary meat carcass processing and working at slaughterhouse. According to the World Health Organization, 20 million cases of hepatitis E virus infection are recorded annually, among which 3 million cases account for acute hepatitis E and related 70 000 lethal outcomes. Chronic liver disorders comprising up to 70% followed by death of pregnant women (40%) as well as acute liver and kidney failure reaching as low as 4% result in lethal outcome in hepatitis E patients. Creating a mathematical model for development of hepatitis E infection could allow to predict changes in its morbidity rate at controlled area. Here, for the first time we propose a mathematical model for developing hepatitis E in human population based on disease course, which may potentially predict an incidence rate for the most dangerous icteric hepatitis E as well as assess amount of individuals susceptible to it at morbidity rise in the geographic region.
first_indexed 2024-04-11T03:57:50Z
format Article
id doaj.art-d519de86529143ef8d71273ac70626eb
institution Directory Open Access Journal
issn 2220-7619
2313-7398
language Russian
last_indexed 2024-04-11T03:57:50Z
publishDate 2019-07-01
publisher Sankt-Peterburg : NIIÈM imeni Pastera
record_format Article
series Инфекция и иммунитет
spelling doaj.art-d519de86529143ef8d71273ac70626eb2023-01-02T00:08:19ZrusSankt-Peterburg : NIIÈM imeni PasteraИнфекция и иммунитет2220-76192313-73982019-07-019238138410.15789/2220-7619-2019-2-381-384743A mathematical model for developing hepatitis E virus infection in human populationN. A. Kontarov0N. V. Yuminova1G. I. Alatortseva2L. N. Lukhverchik3Z. Sh. Nurmatov4I. V. Pogarskyia5I.M. Sechenov First Moscow State Medical University; I.I. Mechnikov Research Institute of Vaccines and SeraI.I. Mechnikov Research Institute of Vaccines and SeraI.I. Mechnikov Research Institute of Vaccines and SeraI.I. Mechnikov Research Institute of Vaccines and SeraSPS “Preventive Medicine”I.I. Mechnikov Research Institute of Vaccines and SeraHepatitis E is an acute viral infectious disease transmitted by fecal-oral route mainly through fecally contaminated drinking water, with cyclic outbreaks and frequent development of acute hepatic encephalopathy in pregnant women. Hepatitis E epidemic outbreaks occur in Central Asia, Africa and Latin America, whereasChina,India,Turkmenistan,Kazakhstan,Tajikistan,Uzbekistan,Kyrgyzstan,Bolivia,Mexico, andTaiwanrepresent endemic geographic regions. Hepatitis E in the structure of acute viral hepatitis morbidity during outbreaks ranges from 64.7% to 80%, whereas sporadic morbidity may be up to 10 to 18.8%. In contrast, percentage of hepatitis E in acute viral hepatitis varies from 0.5% to 12.6% in European countries and some territories of theRussian Federation. The latent active virus circulation was confirmed in various regions of theRussian Federation. All introduced cases were related to recent traveling to the regions with high incidence of hepatitis E, which course clinically did not differ from standard hepatitis E infection, but no cases of infection were recorded after exposure. Lack of contact transmission in this case was associated with low virus survival in environment. Patients with any clinical form including anicteric serve as a source of infection. An increased risk of hepatitis E infection is typical for livestock workers dealing with pigs, employe es of meat processing plants engaged in primary meat carcass processing and working at slaughterhouse. According to the World Health Organization, 20 million cases of hepatitis E virus infection are recorded annually, among which 3 million cases account for acute hepatitis E and related 70 000 lethal outcomes. Chronic liver disorders comprising up to 70% followed by death of pregnant women (40%) as well as acute liver and kidney failure reaching as low as 4% result in lethal outcome in hepatitis E patients. Creating a mathematical model for development of hepatitis E infection could allow to predict changes in its morbidity rate at controlled area. Here, for the first time we propose a mathematical model for developing hepatitis E in human population based on disease course, which may potentially predict an incidence rate for the most dangerous icteric hepatitis E as well as assess amount of individuals susceptible to it at morbidity rise in the geographic region.https://www.iimmun.ru/iimm/article/view/657hepatitis e virusicteric and anicteric hepatitismathematical modelinfection doubling timetransmission numberpopulation
spellingShingle N. A. Kontarov
N. V. Yuminova
G. I. Alatortseva
L. N. Lukhverchik
Z. Sh. Nurmatov
I. V. Pogarskyia
A mathematical model for developing hepatitis E virus infection in human population
Инфекция и иммунитет
hepatitis e virus
icteric and anicteric hepatitis
mathematical model
infection doubling time
transmission number
population
title A mathematical model for developing hepatitis E virus infection in human population
title_full A mathematical model for developing hepatitis E virus infection in human population
title_fullStr A mathematical model for developing hepatitis E virus infection in human population
title_full_unstemmed A mathematical model for developing hepatitis E virus infection in human population
title_short A mathematical model for developing hepatitis E virus infection in human population
title_sort mathematical model for developing hepatitis e virus infection in human population
topic hepatitis e virus
icteric and anicteric hepatitis
mathematical model
infection doubling time
transmission number
population
url https://www.iimmun.ru/iimm/article/view/657
work_keys_str_mv AT nakontarov amathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT nvyuminova amathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT gialatortseva amathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT lnlukhverchik amathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT zshnurmatov amathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT ivpogarskyia amathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT nakontarov mathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT nvyuminova mathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT gialatortseva mathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT lnlukhverchik mathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT zshnurmatov mathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation
AT ivpogarskyia mathematicalmodelfordevelopinghepatitisevirusinfectioninhumanpopulation