Hepatitis E has a worldwide distribution and causes substantial morbid
ity and mortality in some developing countries, particularly among pre
gnant women. Hepatitis E virus (HEV) has recently been cloned and sequ
enced and new diagnostic tests have been developed; these tests have b
een used to begin to characterize the natural history and epidemiologi
c features of HEV infection. Experimental vaccines have also been deve
loped that offer the potential to prevent hepatitis E. However, to dev
elop effective strategies to prevent this disease, much remains to be
learned about HEV, including the vehicles of transmission, the reservo
ir(s) of the virus, and the natural history of protective immunity.