Sero-Detection of HEV in Cancer Patients and Healthcare Workers, Sudan

Background: Sudan, as a developing country, suffers from most of the risk factors related to the transmission of the hepatitis E virus (HEV). Objective: This study aimed to determine the sero-frequency of HEV in cancer patients and healthcare workers and its associated risk factors. Methods: A descriptive cross-sectional design was followed, recruited populations were 120 cancer patients and 120 healthcare workers. Sociodemographic data and risk factors of the study subject were collected using a questionnaire and patient records. HEV-specific anti-HEV IgM and IgG antibodies screened by a competitive ELISA technique. A Chi-square test was determined for the association between HEV IgG sero-positivity andsubject information. Results: The percentage of cancer patients positive for anti-HEV IgG and IgM antibodies was 50% (60/120) and 6.7% (8/120) while for the healthcare workers group was 25.8% (31/120) and 4.2% (5/120) respectively. The most documented risk factors for HEV among cancer patients were consumption of raw meat 94.2% (113/120), contact with animals 88.3% (106/120), and history of blood transfusion 81.7% (98/120) while raw meat consumption was commonly found in 94.2% (113/120) of healthcare workers group. A significant association was observed between IgG sero-positive healthcare workers and consumption of raw meat (p-value = 0.005). Conclusion: The HEV sero-positivity was found at a high rate in both study groups, which requires further studies on its prevalence, epidemiology, and prevention.