Transmission of Hepatitis E Virus.Adv Exp Med Biol. 2016; 948:89-112.AE
Transmission of hepatitis E virus (HEV) occurs predominantly by the fecal-oral route. Large epidemics of hepatitis E in the developing countries of Asia and Africa are waterborne and spread through contaminated drinking water. The reservoir of HEV in developed countries is believed to be in animals with zoonotic transmission to humans, possibly through direct contact or the consumption of undercooked contaminated meat. HEV transmission through blood and vertical transmission have also been reported.