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Hong Kong healthcare and hospitals
Hong KongHealth & Environment

Canada reports world’s first case of rat-to-human hepatitis E infection outside Hong Kong

  • Patient, a middle-aged Canadian man, had previously been to Africa
  • HKU experts say latest infection highlights that even healthy adults can catch the rodent-borne disease

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It was previously not known that the disease could spread from rats to humans. Photo: Alamy
Elizabeth Cheung

A case of rat-to-human hepatitis E infection has been documented in Canada, the first to be reported outside Hong Kong.

The case, concerning a middle-aged Canadian man who had visited Africa, highlighted that even healthy adults could be at risk of catching the rodent-borne disease, said Professor Yuen Kwok-yung, the University of Hong Kong’s top infectious diseases expert.

Yuen’s team revealed the world’s first two rat-to-human infections in Hong Kong last year. Both patients had weak immune systems, and one of them lived on a public housing estate with a rat problem.

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The Canadian patient, who was otherwise healthy, was found to be carrying a strain of the hepatitis E virus that was “genetically distinct” from that discovered in the first Hong Kong patient.

Rat hepatitis E: a ‘wake-up call’ for Hong Kong to shape up on public hygiene
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“[The case shows that] even if you are healthy, with no immunosuppression, you can be very sick after having a rat hepatitis E infection,” said Yuen, who was not involved in the case in Canada.

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