“…Since within the past decades HEV infection has been increasingly identified in developed countries, where the prevalent strains are HEV-3 and HEV-4, this section will focus mainly on these two genotypes. In Japan, subtypes 3b, 3a and 3e within HEV-3 and subtypes 4c and 4i within HEV-4 are predominant and indigenized, since they have been recovered from both hepatitis E patients and animals including domestic pigs and/or wild boars [128,129,130,131,132,133,134,135,136,137,138,139]. Although the global circulation of HEV-3 subtypes suggests that there are no clear regional demarcations, with subtypes no longer limited to their regions of origin [140], subtype 3b is indigenous to Japan, and no 3b strains have thus far been identified in other countries.…”