Which statement about Hepatitis E and Influenza in swine is accurate?

• A. Only Hepatitis E is transmitted by swine.
• B. Neither virus is transmitted by swine.
• C. Both Hepatitis E and Influenza can be transmitted by swine.
• D. Only Influenza is transmitted by swine.

Answer: (C)

Both Hepatitis E and Influenza have zoonotic potential in swine. Pigs can carry Hepatitis E virus (HEV genotypes 3 and 4) and shed it in their feces; humans can become infected through handling pork products, especially when they are undercooked, or via exposure to pig waste-contaminated environments. Swine-origin influenza A viruses circulate in pig populations and can spill over to humans through close contact with infected pigs or exposure to respiratory aerosols; the 2009 H1N1 pandemic highlighted this swine-linked transmission. Because both viruses have documented routes from swine to humans, the statement that both can be transmitted by swine is accurate. The other options inaccurately limit transmission to just one virus or to neither.