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Epidemiological update (UK): Hepatitis of unknown aetiology in children - 11 May 2022 - ECDC

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  • Epidemiological update (UK): Hepatitis of unknown aetiology in children - 11 May 2022 - ECDC

    Epidemiological update
    11 May 2022

    The aetiology and pathogenetic mechanisms of disease are still under investigation. A possible association with current adenovirus infection has been found in cases in the UK in particular but other hypotheses and possible co-factors are under investigation. Most cases continue to be reported as sporadic un-linked cases.

    This report presents an update of probable cases identified in the European Union/European Economic Area (EU/EEA) and worldwide. Whereas cases detected in the EU/EEA have been reported according to the ECDC/WHO case definition, worldwide cases are collected through screening of official websites and media sources and therefore different case definitions could have been used.

    Case definition used in EU/EEA:
    • Confirmed: N/A
    • Probable: A person presenting with an acute hepatitis (non-hepatitis viruses A, B, C, D and E*) with aspartate transaminase (AST) or alanine transaminase (ALT) over 500 IU/L, who is 16 years old or younger, since 1 October 2021.
    • Epi-linked: A person presenting with an acute hepatitis (non-hepatitis viruses A, B, C, D and E*) of any age who is a close contact of a probable case since 1 October 2021.
    Cases of hepatitis with known aetiology such those due to specific infectious diseases, drug toxicity, and metabolic hereditary, or autoimmune disorders should not be reported under this protocol.

    In EU/EEA countries, approximately 105 cases have been identified in 13 EU/EEA countries as of 10 May 2022.
    Table 1. Number of identified cases by country, EU/EEA, 10 May 2022 ...

    Since the first alert launched by the United Kingdom (UK) on 5 April 2022, probable cases of hepatitis of unknown aetiology in children have been reported from several countries worldwide.


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