Typhoid
Individual Documents
Description:
In September 2000, an outbreak of typhoid fever was reported in a rural village of Central Myanmar.
The authors investigated the outbreak in the affected village. A suspected case was a person suffering from
fever with either constipation, abdominal pain, diarrhoea / bloody diarrhoea. A probable case was a suspected
case who had positive result on the diazo urine test or widal test. Based on probable cases, the authors
conducted a case-control study comparing history of contact with the cases, water source, and personal
hygiene. Control was a person living in the village was not ill and having a negative result for diazo urine
test. Among 49 suspected cases, 33 were probable. Attack rate was 1.2%. Three cases had a positive culture
for Salmonella typhi and were not drug resistant. The following risk factors were identified: drinking
unboiled river water (adjusted OR 12.5, 95%CI 2.8-75.3), history of contact with other patients before the
illness (adjusted OR 22, 95%CI 3.5-76.2), no hand washing with soap after defecation (adjusted OR 0.15,
95% CI 0.03 - 0.81). Environmental investigation result showed that most of the households had unsanitary
latrine and some latrines were constructed near the edge of a river. The outbreak subsided quickly after
intervention.
Keywords : Typhoid fever, Outbreak, Myanmar
Tin Tin Aye, Potjaman Siriarayapon
Source/publisher:
The Medical Association of Thailand
Date of publication:
2004-00-00
Date of entry/update:
2010-11-03
Grouping:
Individual Documents
Category:
Typhoid
Language:
English
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