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I can confirm that HEV is self-limiting and in most cases, no treatment is required. HEV is always transmitted by the faecal-oral route via contaminated water, shellfish or via contact with various animal species such as certain primates. rodents, goats, sheep, pigs and sometimes, chickens. In areas of poor sanitation, the risk of contracting HEV is increased manyfold. Regretfully though, it’s not unknown for a patient to have contracted HEV in countries where sanitation is not generally a problem as HEV can be detected at low levels throughout the population globally. HEV is not contracted via blood or sexually transmitted.
Nowadays, most laboratories use a technique known as RT-PCR to diagnose HEV. The problem with RT-PCR is that there are relatively few facilities in the UK with the necessary equipment and protocols in place to conduct this test. RT-PCR is what is known as a molecular amplification technique that is conducted in molecular biology laboratories with state-of-the-art facilities that are designed to prevent contamination of the sample under test. For various reasons, these laboratories have a huge workload and results do sometimes take weeks to return to the requesting clinician or hospital laboratory. The facility at my university currently has a 9 day turnaround period, which is regarded as “rapid”
Transmission of HEV via person to person contact has occurred extremely rarely but is uncommon. The disease has recently been classified into four distinct genotypes based upon the area of the world in which the infection was contracted.
As HEV is self-limiting, no medication has any effect on the course or severity of t