African Journal of Microbiology Research Vol. 3(9) pp. 533-536 September, 2009
Available online http://www.academicjournals.org/ajmr
ISSN 1996-0808 ©2009 Academic Journals
Full Length Research Paper
Anti hepatitis E virus antibodies in sick and healthy
Individuals in Ekiti State, Nigeria
O. A Adesina
1,2
*, M. O Japhet
1,2
, E. Donbraye
1,3
, T. E. Kumapayi
2
, and A. Kudoro
2
1
Department of Virology, University College Hospital, Ibadan, Nigeria.
2
Department of Microbiology, Obafemi Awolowo University, Ile-Ife, Osun, State, Nigeria.
3
Department of Medical Microbiology and Parasitology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife,
Osun State, Nigeria.
Accepted 9 July, 2009
A cross-sectional serosurvey of 186 healthy and sick individuals between ages 3 and 72 years in Ekiti
State, Nigeria was conducted for the presence of antibodies to hepatitis E virus (HEV) using a
commercial enzyme immunoassay kit. Antibody to HEV was detected in 25(13.4%) of the samples
analyzed. The prevalence of antibodies was greater among males (20%) than among females (11.3%)
and increased with age for both sexes from 7.8% among subjects 11-20 years to 20% among subjects
61-70 years old. Five pregnant women (8.3%) and 4 (22.22%) children also had detectable anti HEV
antibodies in them. Five (8.3%) healthy and 20(15.9%) sick individuals had detectable anti – HEV
antibodies in them. There is a dearth of information about HEV infection in Ekiti State and in Nigeria as
a whole thus making it difficult to compare with other states. HEV is likely to be endemic in the study
areas as there are no portable water and good toilet facilities in most of the places. The pregnant
women and the healthy but anti – HEV antibodies positive individuals suggest that HEV had been in the
study area before the study was conducted.
Key words: Hepatitis E Virus (HEV), seroprevalence, antibodies, endemic, immunoassay.
INTRODUCTION
Hepatitis E virus (HEV) is an enterically transmitted virus
implicated in the cause of viral hepatitis alongside hepa-
titis A Virus (HAV) and other percutaneously transmitted
viruses like hepatitis B, C, D and G. HEV is the only
member of the genus Hepesvirus of the family Hepeviri-
dae. It is a non-enveloped, single stranded, positive
sense RNA virus (Purcell and Emerson, 2001). HEV
infections have been known to produce self-limiting acute
hepatitis with mortality as low as 1-3%. Case fatality rate
in pregnant women is as high as 20% (Emerson and
Purcell, 2004) while Yuel and Kaut (2006) placed it at 20-
30% especially those in the third trimester and it can
cause premature birth (Vasickova et al., 2007).
Hepatitis E is the only hepatitis virus that apparently
*Corresponding author. E-mail: Adesinafat@yahoo.co.uk. Tel:
+234 803 413 5898.
has this virulent impact on pregnant women. Based on its
mode of transmission, HEV infections have been found to
mostly affect young adults.
Poor hygienic conditions as a result of poor environ-
mental sanitation facilities have been implicated in the
wide distribution of HEV infections in Africa and Asia.
This condition has made some developing countries of
Asia and Africa and Mexico endemic for the virus and its
infections (Smith, 2001). The spread of HEV to the Indus-
trialized countries had been made possible via travelers
to and from endemic regions (Piper-Jenks et al., 2000;
Dawson et al., 1992). Sporadic cases of acute hepatitis E
without an implicated travel history have also been
reported in Europe and the United States (Dawson et al.,
1992; Heath et al., 1995).
The sequence analyses of HEV isolates obtained from
sporadic cases in the US, Europe, Taiwan and Japan in
people who had not traveled to countries where HEV is
endemic revealed genetically divergent isolates