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Table II.

Cases of zoonotic HEV transmission through consumption of contaminated foodstuffs.

No. of cases/incubation time Animal species Cooking/recipe Genotype Elements in favor of a zoonotic transmission Reference country
Confirmed
4 40 days Sika deer Slice of raw meat (sushi) 3 100% of sequence homology between patient and meat (frozen). 105 GE/g meat [138] Japan
1 60 days Wild boar Grilled 3 Almost 100% (99.95) of sequence homology between patient and meat (frozen). [76] Japan
Putative
2 30 to 60 days Wild boar Raw liver 4 Share and consumption of the same meal. 2 patients IgM and IgG positive and one of the two patients was HEV RNA positive. [85] Japan
5 39 days Wild boar Grilled (Barbecue) 3 On 12 persons attending the same meal: 8/12 IgM +, 11/12 IgG + and 2/12 RNA + [137] Japan
1 59 days Wild boar Grilled marinated meat (Barbecue) 3 The patient was IgM, IgG and HEV RNA positive and 1 person with high anti-HEV IgM had shared the same meal. [83] Japan
10 14 to 60 days Pork Grilled liver, undercooked, rare 3, 4 9/10 patient had consumed raw or undercooked pig liver earlier. [149] Japan