Basic sanitation is the cornerstone of HEV prevention in resource-poor countries; however standard interventions in recent outbreaks have not been successful, highlighting the need for more specific preventative measures such as vaccination.^[34] Travellers to endemic areas should practise preventive measures, such as avoiding drinking water of unknown purity, eating uncooked shellfish and uncooked fruits or vegetables. In developed countries an approach to contain infection in animals, especially pigs, would seem logical but has not yet gained acceptance