Hepatitis outbreak

2022 - 4 - 30

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Image courtesy of "Hindustan Times"

Origin of hepatitis outbreak in kids is still unknown (Hindustan Times)

Doctors are puzzled by an unknown strain of hepatitis presenting in children, which has in some cases caused liver failure. But they are learning more.

Researchers and doctors with knowledge about the situation believe that as awareness of the outbreak increases, case numbers will rise as well. The symptoms are similar to those in a common adenovirus infection, Ammon said. The UK report seemed to show strong evidence that the adenovirus, a common childhood virus, may play a role in this outbreak of hepatitis. Once that alert was triggered by UK health officials, more cases started coming in. Between November 2021 and March 2022, approximately 200-300 cases of adenovirus were reported per week. The hospital later identified four additional pediatric patients with hepatitis and adenovirus infections going back to October 2021.

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Image courtesy of "Forbes"

Hepatitis Outbreak: Alabama Cases Linked To Common Virus May ... (Forbes)

All nine Alabama children infected in the ongoing hepatitis outbreak have recovered or are recovering—including two who underwent liver transplants, ...

Since then, cases have been reported across Europe, in Japan and the U.S. Cases have been identified in Alabama, North Carolina, Illinois and Wisconsin. At least one death has been reported in the international outbreak so far, the WHO said. However, the hepatitis viruses have not been linked to the outbreak of hepatitis disease. Because adenovirus is not known to cause hepatitis in otherwise healthy children, its possible link to the outbreak has puzzled scientists.

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Image courtesy of "WalesOnline"

Hepatitis outbreak in children: All you need to know about the likely ... (WalesOnline)

Seventeen kids have needed a liver transplant, and one child has died of liver failure.

Because of the number of cases and the severity of the disease in children, scientists are urgently investigating the cause of the outbreak. However, none of the cases reported in the UK had received a COVID vaccine and the COVID vaccines that do use adenoviruses use an unrelated virus that cannot multiply. Sampling the population (both adults and children) to get an idea of how prevalent adenovirus 41 is in these reporting areas versus other areas of low to no incidence would help firm up the link. Early in the outbreak, epidemiologists sought to identify contact links with these cases and, of course, to identify what the cause of the viral hepatitis was. Subtype 41 belongs to the adenovirus clustering that is typically associated with mild-to-moderate gastroenteritis; essentially a stomach bug with symptoms of diarrhoea, vomiting and abdominal pain. A recent spate of severe liver inflammation (hepatitis) has been reported in previously healthy children.

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Image courtesy of "CNBC"

CDC says adenovirus may have caused Alabama outbreak of ... (CNBC)

The CDC published its most detailed findings so far about nine children in Alabama who developed severe hepatitis, after issuing a health alert last week.

The children all tested negative for hepatitis viruses A, B and C, according to the CDC. None of them had a history of Covid-19 infection. Eight of the patients had scleral icterus, a yellowing of the white of the eye. The public health agency told physicians to be aware that whole blood tests, rather than plasma, might be better at detecting the presence of adenovirus. All of the children tested positive for adenovirus, a common infection that can cause respiratory illnesses, an upset stomach, pink eye and bladder inflammation or neurological disease in rarer cases. The WHO has identified 169 cases worldwide so far, with the overwhelming majority of them in the U.K. "At this time, we believe adenovirus may be the cause for these reported cases, but other potential environmental and situational factors are still being investigated," the CDC said in a statement.

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Image courtesy of "IFLScience"

Second Child Death Linked To Mysterious Worldwide Hepatitis ... (IFLScience)

If the Wisconsin cases are indeed connected to the larger outbreak, the illness will have resulted in the deaths of at least two children and left many mor.

With these new cases under investigation, Wisconsin joins at least seven US states that have seen outbreaks of unexplained hepatitis in children. Usually, this virus is little more than a tummy bug in children and isn’t commonly associated with hepatitis at all, so the fact that more than three-quarters of UK cases tested positive for the strain is something that raises its own questions. If the Wisconsin cases are indeed connected to the larger outbreak, the illness will have resulted in the deaths of at least two children and left many more with severe outcomes rarely seen in healthy kids.

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Image courtesy of "Globalnews.ca"

U.K. reports spike in child hepatitis cases amid global outbreak (Globalnews.ca)

The increase in infections comes after the European Centre for Disease Prevention and Control reported around 190 unexplained cases of severe hepatitis in ...

According to the World Health Organization, 17 children have needed liver transplants as a result of the recent cases, and one has died. The agency said 10 children had received liver transplants but none had died. The UK Health Security Agency has identified 34 confirmed hepatitis cases in children since Monday, bringing the total number to 145 amid a series of unexplained cases among children around the world.

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Image courtesy of "The Guardian"

Number of UK children suffering from hepatitis rises to 145 (The Guardian)

Concerns rise about surge as scientists say lack of exposure to viruses during Covid restrictions could be factor.

The UK has centralised liver treatment centres, meaning that milder cases could be picked up quickly. Scientists believe there could be a link to adenovirus infection, which has been detected in the majority of cases, but are continuing to investigate the cause. “They also had a surge in hepatitis, which is fascinating,” Kelly said.

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Image courtesy of "ZME Science"

There's a mysterious hepatitis outbreak in children. It's not clear ... (ZME Science)

Countries with reported cases as of 21 April (more cases have been reported since). Image credits: World Health Organization (WHO). Contents. 1 When and why ...

Of course, this doesn’t yet rule out the possibility of a yet-unknown pathogen being responsible for the surge in cases. Most kids have recovered from the disease, but doctors are still shocked by how severe this hepatitis appears to be. According to preliminary surveys, many of the children suffering from this unusual type of hepatitis test positive for adenovirus 41, which can cause gastroenteritis, especially in children. So instead, the UK Health Security Agency said it believes there may be a cofactor increasing the severity of the cases. Over 200 cases of hepatitis in children have been reported around the world. “Normally a paediatric haematologist in, say, Birmingham, at one of the big UK centres, might see one or two cases a month.

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Image courtesy of "Fox11online.com"

Wisconsin reports first death possibly linked to unusual hepatitis ... (Fox11online.com)

Dr. Emma Mohr, a pediatric infectious disease specialist with UW Health Kids calls hepatitis a broad medical term. "It means inflammation of the liver. And ...

"But I don’t think that those new numbers will really reflect the new cases that are happening immediately. That’s why it is our job to really report all the cases," Mohr said. Virus infections are one of the things that can cause hepatitis.

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Image courtesy of "Milwaukee Journal Sentinel"

State investigating mysterious hepatitis cases in four children ... (Milwaukee Journal Sentinel)

At least four children in Wisconsin, including one who died and one who required a liver transplant, have come down with mysterious hepatitis cases.

The symptoms to watch out for in severe hepatitis cases include nausea, vomiting, diarrhea, pain in the upper abdomen and yellowness of the skin or eyes, DeMuri said. ♦ Another factor affecting some children that is rendering normal adenovirus infections more severe, or causing them to trigger an inappropriate immune response. So far close to 200 cases — 114 of them in the United Kingdom — have been reported. Adenoviruses are one cause of the common cold. DeMuri recommended that parents make decisions about whether to have their children wear masks based on COVID-19 numbers in their community and not on the small number of hepatitis cases linked to Adenovirus 41. At least four children in Wisconsin, including one who died and one who required a liver transplant, have come down with mysterious hepatitis cases that appear to be part of a worldwide outbreak linked to an adenovirus.

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Image courtesy of "USA TODAY"

Wisconsin investigates mysterious hepatitis cases in 4 children ... (USA TODAY)

Four children in Wisconsin have come down with mysterious hepatitis cases. There's estimated to be a total of 19 cases in the U.S. and 200 worldwide.

The symptoms to watch out for in severe hepatitis cases include nausea, vomiting, diarrhea, pain in the upper abdomen and yellowness of the skin or eyes, DeMuri said. - Another factor affecting some children that is rendering normal adenovirus infections more severe, or causing them to trigger an inappropriate immune response. So far close to 200 cases – 114 of them in the United Kingdom – have been reported. Adenoviruses are one cause of the common cold. A CDC report Friday on the Alabama cases said none had compromised immune systems or tested positive for Hepatitis Viruses A, B or C. The CDC said the children's medical records did not indicate that any had been infected with the virus that causes COVID-19. While all the children in Alabama survived, three developed acute liver failure and two required liver transplants. DeMuri recommended that parents make decisions about whether to have their children wear masks based on COVID-19 numbers in their community and not on the small number of hepatitis cases linked to Adenovirus 41.

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Image courtesy of "CNA"

10-month-old boy found to have acute hepatitis with unknown cause ... (CNA)

MOH said that it had been notified on Friday of a case of acute hepatitis, or liver inflammation, in the infant. The case had presented at KK Women's and ...

The symptoms of hepatitis include: Normal hygiene measures such as handwashing and good respiratory hygiene help to reduce spread of many common infections, including adenovirus infection. Hepatitis can be caused by viral infections, alcohol use, toxins, medications, and certain medical conditions.

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Image courtesy of "Bloomberg"

Singapore Confirms Case of Acute Hepatitis in 10-Month Old Baby (Bloomberg)

Laboratory testing has determined the case to be negative for the common viruses that cause hepatitis -- type A, B, C and E viruses -- the city state's Ministry ...

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Image courtesy of "Daily Mail"

UK hepatitis outbreak: How worried should we be about mystery ... (Daily Mail)

One child has died, according to the World Health Organisation - it did not reveal in which country - while US health officials are investigating the death ...

Doctors say the chances of a child falling ill with the condition are vanishingly small. As a result, many children are only now contracting viruses they would normally have got as newborns. Just how worried should we be about the mystery virus giving children hepatitis? Experts say that one thing is for certain – the hepatitis cases are unconnected to the Covid vaccines, because none of the children hospitalised had been vaccinated. Scientists say a more intriguing theory is that the cases could be caused by a virus they have been unable to identify. This is due to the fact that the majority are under five, so not eligible for a Covid jab. (File image) Experts believe it is possible that Covid is also connected to the phenomenon, but the exact nature of that connection is still unclear. The majority of cases have been in the UK, but children in the US, Japan and Israel are now being affected. But they also say that, given how many of the patients appear to be carrying the pathogen, it is highly likely that adenovirus 41F is in some way connected to the outbreak. - Majority of cases have been in UK, but children in the US, Japan and Israel are now being affected Hepatitis is the term used to describe inflammation in the liver, an organ that helps filter toxins out of the body.

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