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Clinical Microbiology Reviews, January 2006, p. 63-79, Vol. 19, No. 1
0893-8512/06/$08.00+0 doi:10.1128/CMR.19.1.63-79.2006
Guoliang Xia,1*
Gilberto Vaughan,1,2 and
Harold S. Margolis1,3
Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333,1 Institute of Diagnosis and Epidemiologic References, Mexico City 11340, Mexico,2 Pediatric Dengue Vaccine Initiative, International Vaccine Institute, Seoul, Korea3
Current serologic tests provide the foundation for diagnosis of hepatitis A and hepatitis A virus (HAV) infection. Recent advances in methods to identify and characterize nucleic acid markers of viral infections have provided the foundation for the field of molecular epidemiology and increased our knowledge of the molecular biology and epidemiology of HAV. Although HAV is primarily shed in feces, there is a strong viremic phase during infection which has allowed easy access to virus isolates and the use of molecular markers to determine their genetic relatedness. Molecular epidemiologic studies have provided new information on the types and extent of HAV infection and transmission in the United States. In addition, these new diagnostic methods have provided tools for the rapid detection of food-borne HAV transmission and identification of the potential source of the food contamination.
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