Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Hepatitis E Virus Seroprevalence and Associated Risk Factors in Pregnant Women Attending Antenatal Consultations in Senegal

Version 1 : Received: 6 June 2022 / Approved: 7 June 2022 / Online: 7 June 2022 (08:06:52 CEST)

How to cite: Diouara, A.A.M.; Lo, S.; Nguer, C.M.; Senghor, A.; Diop Ndiaye, H.; Manga, N.M.; Danfakha, F.; Diallo, S.; Faye Dieme, M.E.; Thiam, O.; Biaye, B.; Manga, N.M.P.; Thiam, F.; Sarr, H.; Lo, G.; Ndour, M.; Manga, S.P.; Diaby, N.; Dieng, M.; Diop, I.; Dieye, Y.; Toure Kane, C.; Peeters, M.; Ayouba, A. Hepatitis E Virus Seroprevalence and Associated Risk Factors in Pregnant Women Attending Antenatal Consultations in Senegal. Preprints 2022, 2022060096. https://doi.org/10.20944/preprints202206.0096.v1 Diouara, A.A.M.; Lo, S.; Nguer, C.M.; Senghor, A.; Diop Ndiaye, H.; Manga, N.M.; Danfakha, F.; Diallo, S.; Faye Dieme, M.E.; Thiam, O.; Biaye, B.; Manga, N.M.P.; Thiam, F.; Sarr, H.; Lo, G.; Ndour, M.; Manga, S.P.; Diaby, N.; Dieng, M.; Diop, I.; Dieye, Y.; Toure Kane, C.; Peeters, M.; Ayouba, A. Hepatitis E Virus Seroprevalence and Associated Risk Factors in Pregnant Women Attending Antenatal Consultations in Senegal. Preprints 2022, 2022060096. https://doi.org/10.20944/preprints202206.0096.v1

Abstract

In West Africa, research on the hepatitis E virus (HEV) is barely covered despite the recorded outbreaks. The still low level of access to safe water and adequate sanitation is one of the main factors of HEV spread in developing countries. HEV infection induces acute or sub-clinical liver diseases with a mortality rate ranging from 0.5 to 4%. The mortality rate is more alarming (15 to 25%) among pregnant women, especially in the last trimester of pregnancy. Here, we conducted a multicentric socio-demographic and seroepidemiological survey of HEV in Senegal among pregnant women. A total of 1,227 consenting participants attending antenatal clinics responded to our questionnaire. Plasma samples were collected and tested for anti-HEV IgM and IgG by using the WANTAI HEV-IgM and IgG ELISA assay. HEV global seroprevalence was 7.9% with 0.5% and 7.4% for HEV IgM and HEV IgG, respectively. One participant's sample was IgM/IgG positive, while four were declared indeterminate to anti-HEV IgM as per the manufacturer's instructions. From one locality to another, the seroprevalence of HEV antibodies varied from 0 to 1% for HEV IgM and from 1.5 to 10.5% for HEV IgG. The data also showed that seroprevalence varied significantly by marital status (p<0.0001), by the regularity of income (p=0.0043) and by access to sanitation services (p=0.0006). These data could serve as a basis to setup national prevention strategies focused on socio-cultural, environmental and behavioral aspects for a better management of HEV infection in Senegal.

Keywords

Hepatitis E; Associated risk factors; Pregnant women; Environment; Prevention; Senegal

Subject

Biology and Life Sciences, Virology

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