Some 5000 cases of acute jaundice syndrome reported since July 2012 in 4 South Sudan refugee camps have been attributed to hepatitis E virus (HEV) infection.
Many of the refugees had fled armed violence in Sudan only to arrive at the camps in late 2011 as heavy rains and flooding set in. Conditions in the camps created an acute humanitarian emergency in which diarrheal disease was a leading cause of sickness and death. Transmission of HEV is fecal-oral, with an incubation period of 2 to 8 weeks.
HEV Is Implicated in South Sudan Acute Jaundice Syndrome
Cases. JAMA. 2013;310(11):1115. doi:10.1001/jama.2013.276922