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Prevalence and Transmission Routes of H. pylori

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Abstract

To establish health policies for the prevention of Helicobacter pylori (H. pylori)-related diseases, observation of prevalence trends and confirmation of risk factors for H. pylori infection are important. Prevalence of H. pylori has been falling due to improved sanitation and better living conditions over the decades. However, its prevalence has been reported to be still higher than 50 % in 2013 in Africa, Central/South America, Asia, and South/East Europe and at least twofold higher in countries with high gastric cancer incidence. In contrast, in Northern Europe and North America, about one-third of adults are infected. However, even in these countries, H. pylori remains highly prevalent in the immigrants coming from countries with high prevalence of H. pylori. The lower prevalence of infection in the younger generations even in the presence of high prevalence in adults suggests a further decline of H. pylori prevalence in the coming decades. Low socioeconomic conditions in childhood are the most important risk factors for H. pylori infection. Although the way of transmission is still unclear, interpersonal transmission appears to be the main route, especially, in the developed countries.

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Kim, N. (2016). Prevalence and Transmission Routes of H. pylori . In: Kim, N. (eds) Helicobacter pylori. Springer, Singapore. https://doi.org/10.1007/978-981-287-706-2_1

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