There is a strong association between 2 SEN virus (SENV) variants (SENV-D a
nd SENV-H) and transfusion-associated non-A-E hepatitis. In total, 200 subj
ects from a Japanese region where hepatitis C virus (HCV) is highly endemic
and 194 persons from a contiguous area where HCV is not endemic were teste
d for SENV-D and SENV-H DNA by polymerase chain reaction. SENV DNA was dete
cted equally in subjects from each area (56% prevalence in the area of high
endemicity vs. 61% in the nonendemic area). Age-specific prevalence of SEN
V was similar to that of TT virus, with equal distribution at all ages in b
oth areas; HCV was predominant in the elderly population. Alanine aminotran
sferase levels were significantly associated with HCV viremia but not with
SENV viremia. SENV is a common infection that appears to have transmission
routes and age-related prevalence that are distinct from those of HCV. No e
vidence was found that SENV caused hepatitis or worsened the course of hepa
titis C.