TYPHOID FEVER

It’s caused by Salmonella typhi

• bacteria carried in bloodstream and intestinal tract

I’m no fun to play with!

but I am!

S. typhi spreads through fecal-oral transmission Contaminate

d food or water

Poor sanitation

Poor hygiene

Flies

I didn’t wash my hands…

Then I don’t want to buy your bagels

http://en.wikipedia.org/wiki/File:ForskeligeVeje_ad_hvilkenBroen_kan_inficeres_medTyfusbaciller.png

This water isn’t

clean…

http://www.treehugger.com/files/2007/06/rivers_of_sewag.php

Serious symptoms present themselves within the first two weeks 1st & 2nd weeks:

Fever Fatigue Headaches Leukopenia Bradycardia

phil.cdc.gov… img ID #2215

The same symptoms worsen over the 3rd and 4th weeks

3rd & 4th weeks: High fever Delirium Dehydration

http://www.worldortho.com/dev/index.php?option=com_content&task=view&id=1800&Itemid=420

Typhoid fever thrives in regions lacking good sanitation

http://www3.chu-rouen.fr/Internet/services/sante_voyages/pathologies/typhoide/

Accurate diagnostic tests are widely unavailable in 3rd world countries Blood samples Stool cultures Widal test

http://ptmarensamedikautama.itrademarket.com/trade

Prevention is the key!

Water chlorination Sewage treatment Good hygiene Vaccines

Modern sanitation – not vaccines! – prevents most cases of typhoid fever

“It is well known that typhoid and cholera are both due to sewage-contaminated food or water. By means of sanitary improvements, Britain got rid of all of its cholera and most of its typhoid without any vaccines; and officials who now recommend their use must be suspected of having dirty, stupid and slipshod minds and dealt with accordingly.” – Lionel Dole, The Blood Prisoners

Treatment is similar to other diarrheal diseases

Oral Rehydration Therapy

Antibiotics

Typhoid Mary… had S. typhi… but was an ASYMPTOMATIC CARRIER

I infected

47 people!