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Hepatitis D is caused by the Hepatitis D virus (HDV) and requires co-infection with Hepatitis B. HDV is found worldwide but prevalence is highest in Italy, the Middle East, Central Asia, West Africa, and South America. HDV transmission occurs through the same routes as HBV, except it is not sexually transmitted. Infection depends on HBV replication as HBV provides the envelope for HDV. HDV infection is diagnosed through an HDV antibody test.




















