Hepatitis A virus strains identified in jogaejeot associated with outbreaks in Seoul, South Korea

Lett Appl Microbiol. 2021 Jul;73(1):107-112. doi: 10.1111/lam.13482. Epub 2021 May 5.

Abstract

Jogaejeot, seasoned Venerupis philippinarum, is a traditional Korean fermented food, and hepatitis A virus (HAV) can be transmitted through contaminated food, especially bivalve shellfish, causing acute gastroenteritis worldwide. Here, we carried out a phylogenetic analysis to identify and characterize HAV strains in jogaejeot samples associated with hepatitis A (HA) outbreaks in Seoul, South Korea, in 2019. The HAV strains were identified using blast and molecular analysis of the amplified HAV VP1-P2B genome region. The HAV strains identified in the five jogaejeot samples shared at least 99% sequence identity, were all classified as genotype IA and were most closely related to strains that are widespread in East Asia. These results support a link between the consumption of jogaejeot and the HA outbreaks observed in 2019 in Seoul. In addition, they indicate a need for more stringent enforcement of food safety regulations for the shellfish industry, especially against HAV, and the value of widespread vaccination.

Keywords: VP1-P2B amplicon sequencing; genotype IA; hepatitis A; hepatitis A virus; jogaejeot.

MeSH terms

  • Animals
  • Bivalvia / virology*
  • Disease Outbreaks*
  • Fermented Foods / virology*
  • Food Safety
  • Genotype
  • Hepatitis A / epidemiology
  • Hepatitis A / prevention & control
  • Hepatitis A / virology*
  • Hepatitis A virus / classification*
  • Hepatitis A virus / genetics
  • Humans
  • Phylogeny*
  • RNA, Viral / genetics
  • Seoul / epidemiology
  • Shellfish / virology*
  • Vaccination

Substances

  • RNA, Viral