Outbreak of Viral Hepatitis E in a Regimental Training Centre

Abstract

The outbreak of viral hepatitis E occurred due to sewage contamination of water pipelines.

Outbreak of hepatitis E with bimodal peak in rural area of Bhavnagar, India, 2010

“…[20,21] Results of the cohort study and the bacteriological examination of water revealed that the most likely source of this outbreak was contaminated water supplied through pipeline. Fecal contamination of piped water as a source of hepatitis E outbreak was reported in various studies across the India.…”

A study of Hepatitis A and E virus seropositivity profile amongst young healthy adults in India

“…Adding 5% for refusals, a total of 4275 participants were included. However, 06 (0.14%) participants in one of the centres gave a probable history of Hep A vaccination and 94 (4.13) were excluded either due to refusal to be part of the study (21) or filling up questionnaire but not providing blood sample (73). A total of 4175 participants were included in the study.…”

“…Outbreaks of HEV have been reported sporadically from various parts of the country. 21,22 Vaccine against HAV is available worldwide to immunize susceptibles and a vaccine against HEV has shown promising results in phase II and III trials. 23 Indian Armed forces comprise of men from all regions and socioeconomic status and data on seroprevalence of HAV from the whole country suggests heterogeneity regarding age, socioeconomic status and region while no data are available on HEV in our country so far.…”

Viral hepatitis in India: Armed Forces perspective

“…Person to person HEV transmission is less efficient than HAV, as indicated by low secondary attack rates and no cases occurred after the sewage-water contamination was eliminated. 13,14 Epidemiological investigations showed these to be due to sewage contamination of old and corroded water pipelines passing close to old leaking sewage lines. These findings should make us reflect on the fact that many military cantonments have buildings of the British era.…”

“…Replacement of these vintage water distribution and sewage systems should be advocated in a phased manner. 14 …”