Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach

Background: Hepatitis E virus (HEV) is recognized as a cause of acute viral hepatitis, particularly in low-resource and humanitarian settings, although its burden varies across different populations and geographic areas. Internally displaced persons (IDPs) are at high risk due to inadequate sanitati...

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Autores principales: Osman, H.A., Bakr, W.M.K., Hashish, M.H., Elkhidir, I.M., Bedri, S., Oyola, Samuel O., Norder, H., El-Wahab, E.W.A.
Formato: Journal Article
Lenguaje:Inglés
Publicado: BioMed Central 2025
Materias:
Acceso en línea:https://hdl.handle.net/10568/178832
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author Osman, H.A.
Bakr, W.M.K.
Hashish, M.H.
Elkhidir, I.M.
Bedri, S.
Oyola, Samuel O.
Norder, H.
El-Wahab, E.W.A.
author_browse Bakr, W.M.K.
Bedri, S.
El-Wahab, E.W.A.
Elkhidir, I.M.
Hashish, M.H.
Norder, H.
Osman, H.A.
Oyola, Samuel O.
author_facet Osman, H.A.
Bakr, W.M.K.
Hashish, M.H.
Elkhidir, I.M.
Bedri, S.
Oyola, Samuel O.
Norder, H.
El-Wahab, E.W.A.
author_sort Osman, H.A.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Hepatitis E virus (HEV) is recognized as a cause of acute viral hepatitis, particularly in low-resource and humanitarian settings, although its burden varies across different populations and geographic areas. Internally displaced persons (IDPs) are at high risk due to inadequate sanitation and contaminated water. This study aimed to characterize the molecular epidemiology and genotypes of HEV among IDPs in Al-Azaza Camp, Blue Nile State, Sudan. Methods: A cross-sectional study was conducted from August to December 2021 during the rainy season. Serum samples from 1,078 participants were screened for anti-HEV IgM and IgG antibodies. A subset of 20 IgM-positive samples was selected for molecular analysis using real-time RT-PCR. Eighteen high-quality RNA-positive samples were sequenced, and genotyping was performed based on the ORF2 region. Phylogenetic analysis was conducted using the HEV Genotyping Tool and Geneious Prime software. Results: Overall, 75.6% of participants tested positive for IgG antibodies. All sequenced isolates (n = 18) were classified as genotype 1, subtype 1e (HEV-1e), closely related to <i>Paslahepevirus balayani</i>. The isolates clustered with reference strains from Chad and Nigeria, indicating regional circulation and genetic conservation of HEV-1e in sub-Saharan Africa. Conclusion: Despite the single-site scope and low RNA yield limitations, the study findings align with regional HEV-1e circulation patterns and emphasize the need for sustained surveillance and consideration of cross-border transmission.
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spelling CGSpace1788322025-12-16T07:24:54Z Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach Osman, H.A. Bakr, W.M.K. Hashish, M.H. Elkhidir, I.M. Bedri, S. Oyola, Samuel O. Norder, H. El-Wahab, E.W.A. epidemiology health hepatitis Background: Hepatitis E virus (HEV) is recognized as a cause of acute viral hepatitis, particularly in low-resource and humanitarian settings, although its burden varies across different populations and geographic areas. Internally displaced persons (IDPs) are at high risk due to inadequate sanitation and contaminated water. This study aimed to characterize the molecular epidemiology and genotypes of HEV among IDPs in Al-Azaza Camp, Blue Nile State, Sudan. Methods: A cross-sectional study was conducted from August to December 2021 during the rainy season. Serum samples from 1,078 participants were screened for anti-HEV IgM and IgG antibodies. A subset of 20 IgM-positive samples was selected for molecular analysis using real-time RT-PCR. Eighteen high-quality RNA-positive samples were sequenced, and genotyping was performed based on the ORF2 region. Phylogenetic analysis was conducted using the HEV Genotyping Tool and Geneious Prime software. Results: Overall, 75.6% of participants tested positive for IgG antibodies. All sequenced isolates (n = 18) were classified as genotype 1, subtype 1e (HEV-1e), closely related to <i>Paslahepevirus balayani</i>. The isolates clustered with reference strains from Chad and Nigeria, indicating regional circulation and genetic conservation of HEV-1e in sub-Saharan Africa. Conclusion: Despite the single-site scope and low RNA yield limitations, the study findings align with regional HEV-1e circulation patterns and emphasize the need for sustained surveillance and consideration of cross-border transmission. 2025-12-16 2025-12-16T04:48:10Z 2025-12-16T04:48:10Z Journal Article https://hdl.handle.net/10568/178832 en Open Access BioMed Central Osman, H.A., Bakr, W.M.K., Hashish, M.H., Elkhidir, I.M., Bedri, S., Oyola, S.O., Norder, H. and El-Wahab, E.W.A. 2025. Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach. Tropical Medicine and Health 53 (1): 186.
spellingShingle epidemiology
health
hepatitis
Osman, H.A.
Bakr, W.M.K.
Hashish, M.H.
Elkhidir, I.M.
Bedri, S.
Oyola, Samuel O.
Norder, H.
El-Wahab, E.W.A.
Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach
title Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach
title_full Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach
title_fullStr Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach
title_full_unstemmed Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach
title_short Unveiling hepatitis E virus diversity in Sudan's internally displaced populations: a molecular epidemiology approach
title_sort unveiling hepatitis e virus diversity in sudan s internally displaced populations a molecular epidemiology approach
topic epidemiology
health
hepatitis
url https://hdl.handle.net/10568/178832
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