Skip to main content
Log in

Seroprevalence of herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2) in former East and West Germany, 1997–1998

  • Article
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate the seroprevalence of herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2) in representative samples of the total former East German (FEG) and total former West German (FWG) populations. Type-specific testing with the HSV-1 (gG1) and HSV-2 (gG2) indirect ELISA was performed on an age- and sex-stratified random subsample of 3,792 sera collected during the 1997–1998 German National Health Survey. Weighted seroprevalence estimates were calculated for the total FEG and FWG populations. The overall age-standardised seroprevalence of HSV-1 was 82.6% in Germany, 85.5% (95%CI, 83.4–87.3%) in FEG and 81.8% (95%CI, 79.9–83.6%) in FWG. The overall seroprevalence of HSV-2 was 13.3% (95%CI, 11.8–14.9) in Germany, 16.5% (95%CI, 14.1–18.9) in FEG and 12.6% (95%CI, 10.7–14.5%) in FWG. The difference between FEG and FWG was largely due to the significantly higher age-adjusted seroprevalence of HSV-1 and HSV-2 in women (but not men) in FEG as compared to FWG. The HSV seroprevalence estimates in this study are consistent with results of previous less representative seroprevalence studies in Germany. Differences in HSV-2 seroprevalence between FEG and FWG suggest differences in sexual behaviour that warrant further investigation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Corey L (1994) The current trend in genital herpes: progress in prevention. Sex Transm Dis 21 (Suppl):S38–S44

    Google Scholar 

  2. Wald A, Link K (2002) Risk of human immunodeficiency virus infection in herpes simplex virus type 2-seropositive persons: a meta-analysis. J Infect Dis 185:45–52

    Article  PubMed  Google Scholar 

  3. Rabenau HF, Buxbaum S, Preiser W, Weber B, Doerr HW (2002) Seroprevalence of herpes simplex virus types 1 and type 2 in the Frankfurt am Main area, Germany. Med Microbiol Immunol (Berlin) 190:153–160

    Article  Google Scholar 

  4. Chenot JF, Rabenau HF, Doerr HW (1999) Virologie, Epidemiologie und Diagnostik des Herpes genitalis. Dtsch med Wschr 124:158–162

    Google Scholar 

  5. Bahrdt B, Rabenau B, Weber B, Eibner J, Doerr HW (1992) Prävalenz Herpes simplex-Virus-Typ-2-spezifischer Antikörper bei personen mit unterschiedlichem Infek tionsrisiko. Z Hautkr 67:56–58

    Google Scholar 

  6. Wutzler P (2000) Seroporevalence of herpes simplex virus type 1 and type 2 in selected German populations—relevance for the incidence of genital herpes. J Med Virol 61:201–207

    Article  Google Scholar 

  7. Pebody RG, Andrews N, Brown D, Gopal R, de Melker H, Francois G, Gatcheva N, Hellenbrand W, Jokinen S, Klavs I, Kojouharova M, Kortbeek T, Kriz B, Prosenc K, Roubalova K, Teocharov P, Thierfelder W, Valle M, Van Damme P, Vranckx R (2004) The seroepidemiology of herpes simplex virus type 1 and 2 in Europe. Sex. Transm. Infect 80:185–191

    Article  Google Scholar 

  8. Thefeld W, Stolzenberg H, Bellach B-M (1999) Bundes-Gesundheitssurvey: Response, Zusammensetzung der Teilnehmer und Non-Responder-Analyse. Gesundheitswesen 61 (Suppl 2):S57–S61

    PubMed  Google Scholar 

  9. Gopal R, Gibbs T, Slomka MJ, Whitworth J, Carpenter LM, Brown DW (2000) A monoclonal blocking EIA for herpes simplex virus type 2 antibody: validation for seroepidemiological studies in Africa. J Virol Methods 87:71–80

    Article  Google Scholar 

  10. Nahmias AJ, Lee FK, Nahmias BS (1990) Sero-epidemiological and -sociological patterns of herpes simplex infections in the world. Scand J Infect Dis 69 (Suppl.):19–36

    Google Scholar 

  11. Wutzler P, Färber I, Eichhorn U, Helbig B, Sauerbrei A, Brandstädt A (1999) Zur Seroprävalenz von Herpes simples-Virus Typ 2 (HSV-2) in Thüringen. Bundesgesundheitsbl—-Gesundheitsforsch—Gesundheitsschutz 42:776–782

    Article  Google Scholar 

  12. Enders G, Risse B, Zauke M, Bolley I, Knotek F (1998) Seroprevalence study of herpes simplex virus type 2 among pregnant women in Germany using a type-specific immunoassay. EJCMID 17:870–872

    Article  Google Scholar 

  13. Bundeszentrale für gesundheitliche Aufklärung (2002) Jugendsexualität. Wiederholungsbefragung von 14- bis 17-Jährigen und ihren Eltern. Ergebnisse der Repräsentativbefragung aus 2001. Bundeszentrale für gesundheitliche Aufklärung, Köln

  14. Wald A, Langenberg AGM, Link K, Izu AE, Ashley R, Warren T, Tyring S, Douglas JM, Corey L (2001) Effect of condoms on reducing the transmission of herpes simplex virus type 2 from men to women. JAMA 285:3100–3106

    Article  Google Scholar 

  15. Statistisches Bundesamt (2000) Statistik der Meldepflichtige Erkrankungen—Geschlechtskrankheiten. Metzler Poeschl, Wiesbaden

    Google Scholar 

  16. Vyse AJ, Gay NJ, Slomka MJ, Gopal R, Gibbs T, Morgan-Capner P, Brown DW (2000) The burden of infection with HSV-1 and HSV-2 in England and Wales: implications for the changing epidemiology of genital herpes. Sex Transm Infect 76:183–187

    Article  CAS  PubMed  Google Scholar 

  17. Mertz GJ, Benedetti J, Ashley R, Selke SA, Corey L (1992) Risk factors for the sexual transmission of genital herpes. Ann Intern Med 116:197–202

    Google Scholar 

  18. Langenberg AGM, Corey L, Ashley RL, Leong WP, Straus SE, for the Chiron HSV Vaccine Study Group (1999) A prospective study of new infections with herpes simplex virus type 1 and type 2. N Engl J Med 341:1432–1438

    Article  Google Scholar 

  19. Ross JDC, Smith IW, Elton RA (1993) The epidemiology of herpes simplex types 1 and 2 infection of the genital tract in Edinburgh 1978–1991. Genitourin Med 69:381–383

    Google Scholar 

  20. Nilsen Q, Myrmel H (2000) Changing trends in genital herpes simplex virus infection in Bergen, Norway. Acta Obstet Gynecol Scand 79:693–696

    Article  Google Scholar 

  21. Löwhagen GB, Tunbäck P, Andersson K, Bergström T, Johannisson G (2000) First episodes of genital herpes in a Swedish STD population: a study of epidemiology and transmission by the use of herpes simplex virus (HSV) typing and specific serology. Sex Transm Infect 76:179–182

    Article  Google Scholar 

  22. Wolff MH, Schmitt J, Rahaus M, Dudda H, Hatzmann W (2002) Clinical and subclinical reactivation of genital herpes virus. Intervirology 45:20–23

    Article  Google Scholar 

  23. Thierfelder W, Bergmann KE, Hellenbrand W, Seher C, Tischer A, Thefeld W (2002) Laboruntersuchungen im Kinder- und Jugendgesundheitssurvey. Gesundheitswesen 64 (Suppl 1):S23–29

    Article  Google Scholar 

Download references

Acknowledgements

We thank Mrs. Ingrid Gabriel for performing the serological testing at the Robert Koch-Institute and Dr. Robin Gopal for completing the in-house-testing at the Enteric, Respiratory, and Neurological Virus Laboratory, Central Public Health Laboratory, London. We thank Dr. Eckard Bergmann from the Robert Koch-Institute for advice on the statistical analysis and Dr. Richard Pebody from the Communicable Disease and Surveillance Centre, London, for his role as coordinator of the EU project to which this study contributed. The MRL Diagnostics test kits were supplied by Glaxo-Wellcome, UK, as part of the funding for a European study on HSV seroprevalence.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to W. Hellenbrand.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hellenbrand, W., Thierfelder, W., Müller-Pebody, B. et al. Seroprevalence of herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2) in former East and West Germany, 1997–1998. Eur J Clin Microbiol Infect Dis 24, 131–135 (2005). https://doi.org/10.1007/s10096-005-1286-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-005-1286-x

Keywords

Navigation