Analyze Diet
Zoonoses and public health2008; 55(6); 291-298; doi: 10.1111/j.1863-2378.2008.01136.x

Hepatitis E virus infection among domestic animals in eastern China.

Abstract: Hepatitis E virus (HEV) is a zoonotic pathogen of which several species of animal were reported as reservoirs. Antibodies to HEV and HEV RNA have been detected in some Chinese population and swine groups but few other domestic animals. In this study, to investigate the HEV prevalence, we tested sera from 788 pigs, 100 cows, 50 goats, 49 horses, 101 pet dogs, 105 chickens, 47 duck and 45 pigeons in eastern China for anti-HEV immunoglobulin G (IgG). We also tested 50% of the swine sera, all of sera from the other domestic animals and 13 Shanghai human sera which were positive for anti-HEV immunoglobulin M (IgM) for HEV RNA using reverse transcriptase-polymerase chain reaction. Our results indicated that 82.5% (222/269) of the sows, 53.9% (104/193) of the 4- to 6-month-old swine, 63.4% (168/265) of the 1- to 3-month-old swine, 55.7% (34/61) of the slaughterhouse swine, 24% (12/50) of the goats, 16.3% (8/49) of the horses, 17.8% (21/101) of the pet dogs, 6% (6/100) of the cows, 12.8% (6/47) of the ducks, 4.4% (2/45) of the pigeons and 1.9% (2/105) of the chickens exhibited positive for anti-HEV IgG. Inhibition assay confirmed the infection with HEV or HEV-like viruses in these domestic animals except pigeons and chickens. From the sera, we isolated 18 swine HEV strains, one horse HEV strain and two human HEV strains. Sequence analysis showed that the horse HEV isolate and one swine isolate belonged to genotype 3. The other isolates belonged to genotype 4. The two human isolates were phylogenetically closely related to eight of the swine isolates. In short, the presence of anti-HEV antibody had been confirmed in several species of domestic animals in eastern China and HEV RNA has been identified in swine, human and horse. This suggested that the authorities should pay more attention to the prevalence of HEV in eastern China.
Publication Date: 2008-07-22 PubMed ID: 18638181DOI: 10.1111/j.1863-2378.2008.01136.xGoogle Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research paper explores the prevalence of Hepatitis E virus (HEV) among various domestic animals in Eastern China. The study demonstrates a significant presence of anti-HEV antibodies in these animals, indicating that HEV or HEV-like viruses infect them.

HEV Prevalence and Testing

  • The study involved testing various domestic animals in Eastern China, including pigs, cows, goats, horses, pet dogs, chickens, ducks, and pigeons. The study’s purpose was to ascertain the presence of anti-HEV immunoglobulin G (IgG).
  • Furthermore, they also tested for the presence of HEV RNA using reverse transcriptase-polymerase chain reaction in 50% of the swine sera, all other animal sera, and 13 human sera positive for anti-HEV immunoglobulin M (IgM).

Results and Findings

  • A significant fraction of the tested animals exhibited positivity for anti-HEV IgG, especially pigs. This included 82.5% of the sows, 53.9% of the 4- to 6-month-old swine, 63.4% of the 1- to 3-month-old swine, and 55.7% of the slaughterhouse swine.
  • Other animals testing positive for anti-HEV IgG included 24% of the goats, 16.3% of the horses, 17.8% of the pet dogs, 6% of the cows, 12.8% of the ducks, 4.4% of the pigeons, and 1.9% of the chickens.
  • Inhibition assays confirmed the presence of HEV or HEV-like viruses in all these animal groups, except pigeons and chickens.

Virus Strains and Genotypes

  • Furthermore, the researchers managed to isolate different strains of HEV, including 18 swine HEV strains, one horse HEV strain, and two human HEV strains.
  • Genotypic analysis revealed that the horse HEV isolate and one swine isolate belonged to genotype 3, whereas the others belonged to genotype 4.
  • The study pointed out that the two human isolates were genetically closely related to eight of the swine isolates, hinting at the zoonotic nature of HEV transmission.

Conclusion and Suggestions

  • In conclusion, the research highlighted the substantial prevalence of HEV among various domestic animals in Eastern China, affirming their role as HEV reservoirs.
  • The discovery of HEV RNA in swine, human, and horse, along with the genetic similarities between human and swine isolates, raises public health concerns over the zoonotic transmission of this virus.
  • Consequently, the authors suggest increased attention from authorities towards the prevalence and spread of HEV in the region, to prevent and manage possible outbreaks effectively.

Cite This Article

APA
Zhang W, Shen Q, Mou J, Gong G, Yang Z, Cui L, Zhu J, Ju G, Hua X. (2008). Hepatitis E virus infection among domestic animals in eastern China. Zoonoses Public Health, 55(6), 291-298. https://doi.org/10.1111/j.1863-2378.2008.01136.x

Publication

ISSN: 1863-1959
NlmUniqueID: 101300786
Country: Germany
Language: English
Volume: 55
Issue: 6
Pages: 291-298

Researcher Affiliations

Zhang, W
  • Shanghai Key Laboratory of Veterinary Medicine, School of Agriculture and Biology, Shanghai JiaoTong University, 800 Dongchuan Road, Shanghai, China.
Shen, Q
    Mou, J
      Gong, G
        Yang, Z
          Cui, L
            Zhu, J
              Ju, G
                Hua, X

                  MeSH Terms

                  • Animals
                  • Animals, Domestic
                  • Antibody Specificity
                  • Base Sequence
                  • Cattle
                  • Chickens
                  • China / epidemiology
                  • Columbidae
                  • Disease Reservoirs / veterinary
                  • Disease Reservoirs / virology
                  • Dogs
                  • Ducks
                  • Goats
                  • Hepatitis Antibodies / blood
                  • Hepatitis Antibodies / immunology
                  • Hepatitis E / epidemiology
                  • Hepatitis E / transmission
                  • Hepatitis E / veterinary
                  • Hepatitis E virus / genetics
                  • Hepatitis E virus / immunology
                  • Hepatitis E virus / isolation & purification
                  • Horses
                  • Humans
                  • Molecular Sequence Data
                  • RNA, Viral / chemistry
                  • RNA, Viral / genetics
                  • Sequence Homology, Nucleic Acid
                  • Seroepidemiologic Studies
                  • Swine
                  • Zoonoses / epidemiology

                  Citations

                  This article has been cited 52 times.
                  1. Tsachev I, Gospodinova K, Pepovich R, Takova K, Kundurzhiev T, Zahmanova G, Kaneva K, Baymakova M. First Insight into the Seroepidemiology of Hepatitis E Virus (HEV) in Dogs, Cats, Horses, Cattle, Sheep, and Goats from Bulgaria. Viruses 2023 Jul 21;15(7).
                    doi: 10.3390/v15071594pubmed: 37515279google scholar: lookup
                  2. Santos-Silva S, da Silva Dias Moraes DF, López-López P, Rivero-Juarez A, Mesquita JR, Nascimento MSJ. Hepatitis E Virus in the Iberian Peninsula: A Systematic Review. Food Environ Virol 2023 Sep;15(3):193-211.
                    doi: 10.1007/s12560-023-09560-5pubmed: 37434079google scholar: lookup
                  3. Chen Y, Zhang M, Chen T, Wang J, Zhao Q, Zhou EM, Liu B. Development and Application of a Nanobody-Based Competitive ELISA for Detecting Antibodies against Hepatitis E Virus from Humans and Domestic Animals. Microbiol Spectr 2023 Aug 17;11(4):e0360722.
                    doi: 10.1128/spectrum.03607-22pubmed: 37347160google scholar: lookup
                  4. Xiang K, Zhuang H. Liver Organoid Potential Application for Hepatitis E Virus Infection. Adv Exp Med Biol 2023;1417:133-139.
                    doi: 10.1007/978-981-99-1304-6_9pubmed: 37223863google scholar: lookup
                  5. Santos-Silva S, López-López P, Gonçalves HMR, Rivero-Juarez A, Van der Poel WHM, Nascimento MSJ, Mesquita JR. A Systematic Review and Meta-Analysis on Hepatitis E Virus Detection in Farmed Ruminants. Pathogens 2023 Apr 2;12(4).
                    doi: 10.3390/pathogens12040550pubmed: 37111437google scholar: lookup
                  6. Batmagnai E, Boldbaatar B, Sodbayasgalan A, Kato-Mori Y, Hagiwara K. Hepatitis E Virus (HEV) Spreads from Pigs and Sheep in Mongolia. Animals (Basel) 2023 Mar 1;13(5).
                    doi: 10.3390/ani13050891pubmed: 36899748google scholar: lookup
                  7. Wielick C, Ludwig-Begall L, Faes C, Ribbens S, Saegerman C, Thiry E. A Randomized Large-Scale Cross-Sectional Serological Survey of Hepatitis E Virus Infection in Belgian Pig Farms. Microorganisms 2023 Jan 4;11(1).
                  8. Sayed IM, Abdelwahab SF. Is Hepatitis E Virus a Neglected or Emerging Pathogen in Egypt?. Pathogens 2022 Nov 12;11(11).
                    doi: 10.3390/pathogens11111337pubmed: 36422589google scholar: lookup
                  9. Di Profio F, Sarchese V, Palombieri A, Fruci P, Lanave G, Robetto S, Martella V, Di Martino B. Current Knowledge of Hepatitis E Virus (HEV) Epidemiology in Ruminants. Pathogens 2022 Sep 29;11(10).
                    doi: 10.3390/pathogens11101124pubmed: 36297181google scholar: lookup
                  10. Bernardini A, Pacini MI, Fonti N, Forzan M, Marchetti V, Mazzei M. Serological, Virological Investigation and Hepatic Injury Evaluation for Hepatitis E Virus in Hunting Dogs. Pathogens 2022 Sep 29;11(10).
                    doi: 10.3390/pathogens11101123pubmed: 36297180google scholar: lookup
                  11. Capozza P, Decaro N, Beikpour F, Buonavoglia C, Martella V. Emerging Hepatotropic Viruses in Cats: A Brief Review. Viruses 2021 Jun 17;13(6).
                    doi: 10.3390/v13061162pubmed: 34204394google scholar: lookup
                  12. Ouoba JB, Traore KA, Rouamba H, Setondji KV, Minoungou GL, Ouoba BL, Ouedraogo A, Moctar S, M'Bengue AK, Kakou SN, Doumbia M, Traore AS, Roques P, Barro N. Prevalence of anti-hepatitis E virus antibodies in domestic animal from three representative provinces of Burkina Faso. Vet Anim Sci 2019 Jun;7:100059.
                    doi: 10.1016/j.vas.2019.100059pubmed: 32734080google scholar: lookup
                  13. Li Y, Qu C, Spee B, Zhang R, Penning LC, de Man RA, Peppelenbosch MP, Fieten H, Pan Q. Hepatitis E virus seroprevalence in pets in the Netherlands and the permissiveness of canine liver cells to the infection. Ir Vet J 2020;73:6.
                    doi: 10.1186/s13620-020-00158-ypubmed: 32266057google scholar: lookup
                  14. Iaconelli M, Bonanno Ferraro G, Mancini P, Suffredini E, Veneri C, Ciccaglione AR, Bruni R, Della Libera S, Bignami F, Brambilla M, De Medici D, Brandtner D, Schembri P, D'Amato S, La Rosa G. Nine-Year Nationwide Environmental Surveillance of Hepatitis E Virus in Urban Wastewaters in Italy (2011-2019). Int J Environ Res Public Health 2020 Mar 20;17(6).
                    doi: 10.3390/ijerph17062059pubmed: 32244915google scholar: lookup
                  15. Corneillie L, Banda DH, Meuleman P. Animal Models for Hepatitis E virus. Viruses 2019 Jun 18;11(6).
                    doi: 10.3390/v11060564pubmed: 31216711google scholar: lookup
                  16. Primadharsini PP, Nagashima S, Okamoto H. Genetic Variability and Evolution of Hepatitis E Virus. Viruses 2019 May 18;11(5).
                    doi: 10.3390/v11050456pubmed: 31109076google scholar: lookup
                  17. Kenney SP. The Current Host Range of Hepatitis E Viruses. Viruses 2019 May 17;11(5).
                    doi: 10.3390/v11050452pubmed: 31108942google scholar: lookup
                  18. Li S, Liu M, Cong J, Zhou Y, Miao Z. Detection and Characterization of Hepatitis E Virus in Goats at Slaughterhouse in Tai'an Region, China. Biomed Res Int 2017;2017:3723650.
                    doi: 10.1155/2017/3723650pubmed: 29379797google scholar: lookup
                  19. Salines M, Andraud M, Rose N. From the epidemiology of hepatitis E virus (HEV) within the swine reservoir to public health risk mitigation strategies: a comprehensive review. Vet Res 2017 May 25;48(1):31.
                    doi: 10.1186/s13567-017-0436-3pubmed: 28545558google scholar: lookup
                  20. La Rosa G, Della Libera S, Brambilla M, Bisaglia C, Pisani G, Ciccaglione AR, Bruni R, Taffon S, Equestre M, Iaconelli M. Hepatitis E Virus (Genotype 3) in Slurry Samples from Swine Farming Activities in Italy. Food Environ Virol 2017 Jun;9(2):219-229.
                    doi: 10.1007/s12560-016-9270-4pubmed: 27853931google scholar: lookup
                  21. Chen Y, Zhao Q, Liu B, Wang L, Sun Y, Li H, Wang X, Syed SF, Zhang G, Zhou EM. A Novel Blocking ELISA for Detection of Antibodies against Hepatitis E Virus in Domestic Pigs. PLoS One 2016;11(3):e0152639.
                    doi: 10.1371/journal.pone.0152639pubmed: 27023902google scholar: lookup
                  22. Lee GY, Poovorawan K, Intharasongkroh D, Sa-Nguanmoo P, Vongpunsawad S, Chirathaworn C, Poovorawan Y. Hepatitis E virus infection: Epidemiology and treatment implications. World J Virol 2015 Nov 12;4(4):343-55.
                    doi: 10.5501/wjv.v4.i4.343pubmed: 26568916google scholar: lookup
                  23. Tian H, Fu X, Li W, Huang Y, Sun J, Zhou G, Zhou C, Shen Q, Yang S, Zhang W. Genotype 4 Hepatitis E Virus Prevalent in Eastern China Shows Diverse Subtypes. Hepat Mon 2015 Jun;15(6):e25367.
                    doi: 10.5812/hepatmon.25367v2pubmed: 26288632google scholar: lookup
                  24. Wang H, Ji F, Liang H, Gu H, Ning Z, Liu R, Zhang G. A Proline-Rich Domain in the Genotype 4 Hepatitis E Virus ORF3 C-Terminus Is Crucial for Downstream V105DLP108 Immunoactivity. PLoS One 2015;10(7):e0133282.
                    doi: 10.1371/journal.pone.0133282pubmed: 26177202google scholar: lookup
                  25. McElroy A, Hiraide R, Bexfield N, Jalal H, Brownlie J, Goodfellow I, Caddy SL. Detection of Hepatitis E Virus Antibodies in Dogs in the United Kingdom. PLoS One 2015;10(6):e0128703.
                    doi: 10.1371/journal.pone.0128703pubmed: 26076364google scholar: lookup
                  26. Thiry D, Mauroy A, Pavio N, Purdy MA, Rose N, Thiry E, de Oliveira-Filho EF. Hepatitis E Virus and Related Viruses in Animals. Transbound Emerg Dis 2017 Feb;64(1):37-52.
                    doi: 10.1111/tbed.12351pubmed: 25919649google scholar: lookup
                  27. Liang H, Chen J, Xie J, Sun L, Ji F, He S, Zheng Y, Liang C, Zhang G, Su S, Li S. Hepatitis E virus serosurvey among pet dogs and cats in several developed cities in China. PLoS One 2014;9(6):e98068.
                    doi: 10.1371/journal.pone.0098068pubmed: 24896257google scholar: lookup
                  28. Yugo DM, Meng XJ. Hepatitis E virus: foodborne, waterborne and zoonotic transmission. Int J Environ Res Public Health 2013 Sep 25;10(10):4507-33.
                    doi: 10.3390/ijerph10104507pubmed: 24071919google scholar: lookup
                  29. Sanford BJ, Emerson SU, Purcell RH, Engle RE, Dryman BA, Cecere TE, Buechner-Maxwell V, Sponenberg DP, Meng XJ. Serological evidence for a hepatitis e virus-related agent in goats in the United States. Transbound Emerg Dis 2013 Dec;60(6):538-45.
                    doi: 10.1111/tbed.12001pubmed: 22909079google scholar: lookup
                  30. Zhu Y, Si F, Cao D, Yu X, Yu R, Dong S, Huang F, Zhang Y, Li Z. Molecular epidemiology of hepatitis E virus infections in Shanghai, China. Virol J 2011 Dec 15;8:541.
                    doi: 10.1186/1743-422X-8-541pubmed: 22168371google scholar: lookup
                  31. Zhang W, Hua X, Shen Q, Yang S, Yin H, Cui L. Identification of genotype 4 Hepatitis E virus binding proteins on swine liver cells. Virol J 2011 Oct 27;8:482.
                    doi: 10.1186/1743-422X-8-482pubmed: 22029540google scholar: lookup
                  32. Dong C, Meng J, Dai X, Liang JH, Feagins AR, Meng XJ, Belfiore NM, Bradford C, Corn JL, Cray C, Glass GE, Gordon ML, Hesse RA, Montgomery DL, Nicholson WL, Pilny AA, Ramamoorthy S, Shaver DD, Drobeniuc J, Purdy MA, Fields HA, Kamili S, Teo CG. Restricted enzooticity of hepatitis E virus genotypes 1 to 4 in the United States. J Clin Microbiol 2011 Dec;49(12):4164-72.
                    doi: 10.1128/JCM.05481-11pubmed: 21998412google scholar: lookup
                  33. Meng XJ. From barnyard to food table: the omnipresence of hepatitis E virus and risk for zoonotic infection and food safety. Virus Res 2011 Oct;161(1):23-30.
                  34. Purdy MA, Khudyakov YE. Evolutionary history and population dynamics of hepatitis E virus. PLoS One 2010 Dec 17;5(12):e14376.
                    doi: 10.1371/journal.pone.0014376pubmed: 21203540google scholar: lookup
                  35. Wang H, Zhang W, Ni B, Shen H, Song Y, Wang X, Shao S, Hua X, Cui L. Recombination analysis reveals a double recombination event in hepatitis E virus. Virol J 2010 Jun 14;7:129.
                    doi: 10.1186/1743-422X-7-129pubmed: 20546601google scholar: lookup
                  36. Fu H, Li L, Zhu Y, Wang L, Geng J, Chang Y, Xue C, Du G, Li Y, Zhuang H. Hepatitis E virus infection among animals and humans in Xinjiang, China: possibility of swine to human transmission of sporadic hepatitis E in an endemic area. Am J Trop Med Hyg 2010 May;82(5):961-6.
                    doi: 10.4269/ajtmh.2010.09-0689pubmed: 20439982google scholar: lookup
                  37. Pavio N, Meng XJ, Renou C. Zoonotic hepatitis E: animal reservoirs and emerging risks. Vet Res 2010 Nov-Dec;41(6):46.
                    doi: 10.1051/vetres/2010018pubmed: 20359452google scholar: lookup
                  38. Zhang W, Yang S, Ren L, Shen Q, Cui L, Fan K, Huang F, Kang Y, Shan T, Wei J, Xiu H, Lou Y, Liu J, Yang Z, Zhu J, Hua X. Hepatitis E virus infection in central China reveals no evidence of cross-species transmission between human and swine in this area. PLoS One 2009 Dec 7;4(12):e8156.
                    doi: 10.1371/journal.pone.0008156pubmed: 19997619google scholar: lookup
                  39. Zhao K, Liu Q, Yu R, Li Z, Li J, Zhu H, Wu X, Tan F, Wang J, Tang X. Screening of specific diagnostic peptides of swine hepatitis E virus. Virol J 2009 Nov 4;6:186.
                    doi: 10.1186/1743-422X-6-186pubmed: 19887014google scholar: lookup
                  40. Inoue J, Ueno Y, Nagasaki F, Akahane T, Fukushima K, Kogure T, Kondo Y, Kakazu E, Tamai K, Kido O, Nakagome Y, Ninomiya M, Obara N, Wakui Y, Takahashi M, Okamoto H, Shimosegawa T. Sporadic acute hepatitis E occurred constantly during the last decade in northeast Japan. J Gastroenterol 2009;44(4):329-37.
                    doi: 10.1007/s00535-009-0012-3pubmed: 19271116google scholar: lookup
                  41. Zhang W, Yang S, Shen Q, Liu J, Shan T, Huang F, Ning H, Kang Y, Yang Z, Cui L, Zhu J, Hua X. Isolation and characterization of a genotype 4 Hepatitis E virus strain from an infant in China. Virol J 2009 Feb 16;6:24.
                    doi: 10.1186/1743-422X-6-24pubmed: 19220877google scholar: lookup
                  42. Chen Y, Lin H, Xu S, Nie L, Tang Y, Li X, Zhaxi D, Zhang C, Zhao Q, Zhou EM, Liu B. Serological and molecular survey of hepatitis E virus in pets in shaanxi, China. BMC Vet Res 2025 Jul 3;21(1):434.
                    doi: 10.1186/s12917-025-04898-3pubmed: 40611210google scholar: lookup
                  43. Elois MA, Pavi CP, Jempierre YFSH, Pilati GVT, Zanchetta L, Grisard HBDS, García N, Rodríguez-Lázaro D, Fongaro G. Trends and Challenges in the Detection and Environmental Surveillance of the Hepatitis E Virus. Microorganisms 2025 Apr 26;13(5).
                  44. Wielick C, Ludwig-Begall L, Ribbens S, Thiry É, Faes C, Saegerman C. Biosecurity Risk Factors and Predictive Index for Hepatitis E Virus Serological Status in Belgian Pig Farms: Conventional and Free-Range Systems. Viruses 2025 Mar 18;17(3).
                    doi: 10.3390/v17030432pubmed: 40143359google scholar: lookup
                  45. He Z, Liu D, Liu B, Zhang P, Wang X, Wang G, Huang Y, Chen J, Cai R. Prevalence of hepatitis E virus in swine in China: a systematic review with meta-analysis (2004-2023). Front Vet Sci 2024;11:1472658.
                    doi: 10.3389/fvets.2024.1472658pubmed: 40084118google scholar: lookup
                  46. Zahmanova G, Takova K, Lukov GL, Andonov A. Hepatitis E Virus in Domestic Ruminants and Virus Excretion in Milk-A Potential Source of Zoonotic HEV Infection. Viruses 2024 Apr 26;16(5).
                    doi: 10.3390/v16050684pubmed: 38793568google scholar: lookup
                  47. Shun EH, Situ J, Tsoi JY, Wu S, Cai J, Lo KH, Chew NF, Li Z, Poon RW, Teng JL, Cheng VC, Yuen KY, Sridhar S. Rat hepatitis E virus (Rocahepevirus ratti) exposure in cats and dogs, Hong Kong. Emerg Microbes Infect 2024 Dec;13(1):2337671.
                    doi: 10.1080/22221751.2024.2337671pubmed: 38551320google scholar: lookup
                  48. Kanda T, Arima S, Sasaki-Tanaka R, Totsuka M, Honda M, Masuzaki R, Matsumoto N, Ogawa M, Takahashi M, Okamoto H, Kogure H. Severe hepatitis E virus genotype 3b in a patient with alcohol‑associated liver disease: A case report. Med Int (Lond) 2024 May-Jun;4(3):22.
                    doi: 10.3892/mi.2024.146pubmed: 38550575google scholar: lookup
                  49. Caballero-Gómez J, Rivero-Juárez A, Cano-Terriza D, Fajardo T, Buono F, Jose-Cunilleras E, García J, Alguacil E, Rivero A, García-Bocanegra I. Epidemiological survey and risk factors associated with Paslahepevirus balayani in equines in Europe. One Health 2023 Dec;17:100619.
                    doi: 10.1016/j.onehlt.2023.100619pubmed: 38024277google scholar: lookup
                  50. Salgado CRS, Silva ADNE, Arruda IF, Millar PR, Amendoeira MRR, Leon LAA, Teixeira RBC, de Lima JTB, Chalhoub FLL, Bispo de Filippis AM, Fonseca ABM, de Oliveira JM, Pinto MA, Figueiredo AS. Serological Evidence of Hepatitis E Virus Infection in Brazilian Equines. Microorganisms 2023 Nov 10;11(11).
                  51. Pischke S, Knoop EV, Mader M, Kling L, Wolski A, Wagner A, Mueller K, Horvatits T, Stiller J, Wisnewski K, Kohn B, Schulze Zur Wiesch J, Groschup MH, Eiden M. Anti-HEV seroprevalence and rate of viremia in a German cohort of dogs, cats, and horses. Sci Rep 2023 Nov 7;13(1):19240.
                    doi: 10.1038/s41598-023-46009-ypubmed: 37935733google scholar: lookup
                  52. Turlewicz-Podbielska H, Augustyniak A, Wojciechowski J, Pomorska-Mól M. Hepatitis E Virus in Livestock-Update on Its Epidemiology and Risk of Infection to Humans. Animals (Basel) 2023 Oct 17;13(20).
                    doi: 10.3390/ani13203239pubmed: 37893962google scholar: lookup