Can You Get Hepatitis From Seafood?

Concerns about food safety often arise with seafood. Many wonder if consuming this popular and nutritious food can lead to infections like hepatitis. This article clarifies the connection between hepatitis and seafood, detailing how contamination occurs and outlining practical steps to reduce your risk.

Hepatitis A and E: The Seafood Connection

Hepatitis A (HAV) and Hepatitis E (HEV) are the primary types of viral hepatitis transmitted through contaminated food, including seafood. These viruses spread via the fecal-oral route, meaning they are ingested through food or water contaminated with infected feces. Unlike Hepatitis B, C, or D, which transmit via blood or other bodily fluids, HAV and HEV are not spread this way.

Shellfish, particularly bivalve mollusks (oysters, clams, mussels, cockles), are often implicated in foodborne hepatitis A outbreaks. As filter feeders, these organisms draw large volumes of water through their bodies to extract food. If water is contaminated with HAV or HEV, shellfish can accumulate and concentrate the viruses within their tissues. Consuming contaminated shellfish, especially raw or undercooked, can transmit the virus to humans.

Pathways of Contamination

Seafood can become contaminated with hepatitis viruses through several pathways, primarily from environmental sources. A significant route is contamination of aquatic environments, such as coastal waters where shellfish are harvested, by sewage containing the viruses. This can occur due to inadequate wastewater treatment, coastal runoff, or ship discharges, allowing viruses to enter seafood habitats.

Beyond environmental exposure, contamination can also happen during post-harvest handling and processing. If an infected individual with poor hygiene handles seafood, the virus can transfer to the product. This post-harvest contamination poses a risk, particularly if seafood is consumed raw or without sufficient cooking to inactivate viral particles. Contaminated shellfish can retain the virus for several weeks, prolonging transmission risk.

Reducing Your Risk When Eating Seafood

Several measures can significantly lower the risk of contracting hepatitis from seafood. Thorough cooking is one of the most effective ways to inactivate hepatitis viruses in seafood. For shellfish, boil for at least five minutes or cook to an internal temperature of 85°C (185°F) for at least one minute to destroy the virus. If shells open during cooking, continue heating for an additional 3 to 5 minutes to ensure full cooking.

Sourcing seafood from reputable suppliers who adhere to strict food safety standards is an important preventive step. These suppliers often obtain seafood from monitored waters and maintain hygienic practices during processing and distribution. Practicing good personal hygiene, such as washing hands thoroughly with soap and water for at least 20 seconds before and after handling raw seafood, helps prevent cross-contamination. Preventing raw seafood from contacting ready-to-eat foods or surfaces is also important.

Individuals, especially those in vulnerable populations, may consider avoiding raw or undercooked shellfish to minimize risk. Vaccination against Hepatitis A is available and can provide long-term protection, particularly for individuals at higher risk due to travel or consumption habits.