title: Hepatitis a and e infection in international travellers.
abstract: Hepatitis A is the most common vaccine-preventable infection in travellers. The incidence of hepatitis A for travellers ranges from 3.0 to 11.0 per 100,000 person-months and the case-fatality rate is as high as 2 per 100,000 in non-immune travellers. Hepatitis A vaccine is highly effective in preventing infection, significantly reducing the incidence of hepatitis A in travellers, and an important preventative intervention for the "last-minute" traveller. Hepatitis E virus is an important cause of enterically transmitted hepatitis in developing countries. The overall risk of hepatitis E in travellers visiting endemic countries is relatively low compared to hepatitis A. The majority of cases have been reported from the Indian subcontinent. The case fatality rate for hepatitis E is 1.2%, although this is substantially higher in pregnant women. A vaccine for hepatitis E is not available, and therefore travellers must be made aware of preventative measures to reduce their risk of infection.
authors.affiliation: Department of Infectious Diseases, Austin Center for Infection Research, Austin Hospital, Level 7, Harold Stokes Building, 145 Studley Road, Heidelberg, Victoria, 3084, Australia, josepht@unimelb.edu.au.
authors.forename: Joseph
authors.initials: J
authors.lastname: Torresi
authors.forename: Douglas
authors.initials: D
authors.lastname: Johnson