This case shows how you can catch hepatitis E rats



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The list of diseases that you can catch in the rat seems to have increased by one. (Photo: Getty Images)

Rats. Here is another disease that you could possibly contract.

A 56-year-old man in Hong Kong apparently caught a version of the hepatitis E virus (HEV) in rats, reported by Elizabeth Cheung for the South China Morning Post. The patient had a liver transplant in May 2017 due to liver damage caused by the chronic hepatitis B virus. infection. However, the doctors had noticed that the liver function tests of the man did not seem to improve after the transplant. The tests then revealed the culprit: the hepatitis E virus, not the human form, but the form of the virus in the rat.

How did the man catch the virus of a rat? The proof was garbage. Further investigation revealed rat feces in the trash cans outside his place of residence and a rat in the neighborhood that had tested positive for hepatitis E. The man finally cured the infection after taking antiviral drugs.

In case you do not want to spend time with rats this weekend, review the list of diseases that you can contract. This list includes diseases that you can get directly from the rat, such as hantavirus pulmonary syndrome, leptospirosis, salmonellosis and rat bite as well as diseases transmitted by insects such as the plague, the Spend time with rats, whether it's human rats or rats, may not be good for you.

Hepatitis E Virus (Photo BSIP / UIG Via Getty Images)

Looks like you can now add hepatitis E to this list. It may not yet be common for the virus to pass from rats to humans. In fact, this is the first case reported in a human infected with the HEV of the rat. Whatever the case may be, whenever a virus causing a disease passes from a rat to a human for the first time, there is reason to worry. You can not always tell what a virus can do to humans who are not used to being exposed to the virus. In addition, rats may look like filthy Ubers carrying dirty-coat viruses that may further facilitate the spread of HEV in the human population.

According to the World Health Organization (WHO), about 20 million human HEV infections occur each year in the world. Somewhere between 7.6% and 50% of those infected will eventually have symptoms. Symptoms include enlarged liver (because the virus attacks the liver), fever, fatigue, joint pain, loss of appetite, nausea, vomiting, abdominal pain, jaundice, dark urine or stool color of clay. Symptoms tend to last between 1 and 6 weeks. Most recover fully, but as indicated by the Centers for Disease Control and Prevention (CDC), 1% of people infected during epidemics die. Pregnant women have a higher probability of death: 10% to 30% in the third trimester. In 2015, HEV infection resulted in 44,000 deaths worldwide, or about 3.3% of all deaths due to viral hepatitis.

On September 28, 2018, a woman walks past a block away from the public housing estate of Choi Wan, Hong Kong, where there were signs of rat infestation in front of the home of a 56-year-old man who has developed the world's first human case of the hepatitis E virus version in rats, according to a new study from one of the largest universities in the city. – Until now, there was no evidence that the disease could pass from rats to humans, announced the Hong Kong University on September 28, warning that the discovery was of "major importance to public health". (Photo: ANTHONY WALLACE / AFP / Getty Images)

The hepatitis E virus usually spreads fecally-oral, which means shit to the mouth. Of course, you can pretend that you do not eat poop. Yet you can without knowing it. People who do not wash their hands thoroughly after venturing near the chute may have their hands full. Plus, poo can end up in the water you drink or in the food you eat.

The disease begins between 2 and 10 weeks (on average 5 to 6 weeks) after exposure to the virus. You can start eliminating the virus a few days after your infection and up to 3 to 4 weeks after the onset of the disease.

Having a weakened immune system (for example, when you are taking medications that suppress your immune system after a liver transplant) can make you more vulnerable to HEV infection and subsequently , to worse results. Although most cases go away without treatment, if you have a weakened immune system, you can benefit from it. ribavirin, an antiviral drug or, in some cases, interferon.

Obviously, the first reported human case of hepatitis E in rats is not good news. Some humans may be rats, but that does not necessarily mean that they can be infected with the HEV of the rat. This case suggests the opposite. Time and future research will tell how this development affects both the spread and the impact of HEV.

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The list of diseases that you can catch in the rat seems to have increased by one. (Photo: Getty Images)

Rats. Here is another disease that you could possibly contract.

A 56-year-old man in Hong Kong apparently caught a version of the hepatitis E virus (HEV) in rats, reported by Elizabeth Cheung for the South China Morning Post. The patient had a liver transplant in May 2017 due to liver damage caused by the chronic hepatitis B virus. infection. However, the doctors had noticed that the liver function tests of the man did not seem to improve after the transplant. The tests then revealed the culprit: the hepatitis E virus, not the human form, but the form of the virus in the rat.

How did the man catch the virus of a rat? The proof was garbage. Further investigation revealed rat feces in the trash cans outside his place of residence and a rat in the neighborhood that had tested positive for hepatitis E. The man finally cured the infection after taking antiviral drugs.

In case you do not want to spend time with rats this weekend, review the list of diseases that you can contract. This list includes diseases that you can get directly from the rat, such as hantavirus pulmonary syndrome, leptospirosis, salmonellosis and rat bite as well as diseases transmitted by insects such as the plague, the Spend time with rats, whether it's human rats or rats, may not be good for you.

Hepatitis E Virus (Photo BSIP / UIG Via Getty Images)

Looks like you can now add hepatitis E to this list. It may not yet be common for the virus to pass from rats to humans. In fact, this is the first case reported in a human infected with the HEV of the rat. Whatever the case may be, whenever a virus causing a disease passes from a rat to a human for the first time, there is reason to worry. You can not always tell what a virus can do to humans who are not used to being exposed to the virus. In addition, rats may look like filthy Ubers carrying dirty-coat viruses that may further facilitate the spread of HEV in the human population.

According to the World Health Organization (WHO), about 20 million human HEV infections occur each year in the world. Somewhere between 7.6% and 50% of those infected will eventually have symptoms. Symptoms include enlarged liver (because the virus attacks the liver), fever, fatigue, joint pain, loss of appetite, nausea, vomiting, abdominal pain, jaundice, dark urine or stool color of clay. Symptoms tend to last between 1 and 6 weeks. Most recover fully, but as indicated by the Centers for Disease Control and Prevention (CDC), 1% of people infected during epidemics die. Pregnant women have a higher probability of death: 10% to 30% in the third trimester. In 2015, HEV infection resulted in 44,000 deaths worldwide, or about 3.3% of all deaths due to viral hepatitis.

On September 28, 2018, a woman walks past a block away from the public housing estate of Choi Wan, Hong Kong, where there were signs of rat infestation in front of the home of a 56-year-old man who has developed the world's first human case of the hepatitis E virus version in rats, according to a new study from one of the largest universities in the city. – Until now, there was no evidence that the disease could pass from rats to humans, announced the Hong Kong University on September 28, warning that the discovery was of "major importance to public health". (Photo: ANTHONY WALLACE / AFP / Getty Images)

The hepatitis E virus usually spreads fecally-oral, which means shit to the mouth. Of course, you can pretend that you do not eat poop. Yet you can without knowing it. People who do not wash their hands thoroughly after venturing near the chute may have their hands full. Plus, poo can end up in the water you drink or in the food you eat.

The disease begins between 2 and 10 weeks (on average 5 to 6 weeks) after exposure to the virus. You can start eliminating the virus a few days after your infection and up to 3 to 4 weeks after the onset of the disease.

Having a weakened immune system (for example, when you are taking medications that suppress your immune system after a liver transplant) can make you more vulnerable to HEV infection and subsequently , to worse results. Although most cases go away without treatment, if you have a weakened immune system, you can benefit from it. ribavirin, an antiviral drug or, in some cases, interferon.

Obviously, the first reported human case of hepatitis E in rats is not good news. Some humans may be rats, but that does not necessarily mean that they can be infected with the HEV of the rat. This case suggests the opposite. Time and future research will tell how this development affects both the spread and the impact of HEV.

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