Spillover of a hepatitis A outbreak among men who have sex with men (MSM) to the general population, the Netherlands, 2017

Euro Surveill. 2018 Jun;23(23):1800265. doi: 10.2807/1560-7917.ES.2018.23.23.1800265.

Abstract

Since 2015, outbreaks of hepatitis A among men who have sex with men (MSM) have been reported worldwide. To examine the impact of these MSM outbreaks in the Netherlands, we combined notification and epidemiological data with sequence analysis. Our results show the hazards of outbreaks within risk-groups spilling over into the largely susceptible general population. One third of the outbreak-related hepatitis A virus genotypes were detected in non-MSM cases.

Keywords: MSM; hepatitis A; outbreaks; spillover; surveillance.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • DNA, Viral / genetics
  • Disease Notification / statistics & numerical data
  • Disease Outbreaks / statistics & numerical data*
  • Female
  • HIV Infections / epidemiology
  • Hepatitis A / diagnosis
  • Hepatitis A / epidemiology*
  • Hepatitis A / transmission
  • Hepatitis A Virus, Human / classification
  • Hepatitis A Virus, Human / genetics*
  • Hepatitis A Virus, Human / isolation & purification
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Incidence
  • Infant
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Sequence Analysis, DNA
  • Seroepidemiologic Studies
  • Young Adult

Substances

  • DNA, Viral