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Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action
The burden of enteric fever caused by Salmonella enterica serovars Typhi and Paratyphi is substantial and has high impact in toddlers and young children. This burden is relatively well documented in Asia, and this supplement provides new data on the substantial burden in several sub-Saharan African...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772836/ https://www.ncbi.nlm.nih.gov/pubmed/26933019 http://dx.doi.org/10.1093/cid/civ976 |
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author | Steele, A. Duncan Hay Burgess, Deborah C. Diaz, Zoey Carey, Megan E. Zaidi, Anita K. M. |
author_facet | Steele, A. Duncan Hay Burgess, Deborah C. Diaz, Zoey Carey, Megan E. Zaidi, Anita K. M. |
author_sort | Steele, A. Duncan |
collection | PubMed |
description | The burden of enteric fever caused by Salmonella enterica serovars Typhi and Paratyphi is substantial and has high impact in toddlers and young children. This burden is relatively well documented in Asia, and this supplement provides new data on the substantial burden in several sub-Saharan African countries. Challenges in standardized surveillance and imperfect diagnostic tools have resulted in patchy local disease data, which are not well acknowledged or integrated into local country evidence and health awareness for decision making. There is a need to strengthen diagnostics for the generation of burden data in country. Furthermore, the guidelines and training for treatment of enteric fever cases in Africa are sorely needed to help mitigate the inappropriate use of antimicrobial treatment. Classic water safety and access to sanitation development remain powerful tools for the control of typhoid fever, yet the huge economic costs and long timelines are unlikely to provide a short- to middle-term solution. Emerging threats, including multidrug resistance and increasing urbanization in regions such as sub-Saharan Africa, warrant focused attention to shorter-term interventions including immunization, and must include vaccine strategies with the new typhoid conjugate vaccines. |
format | Online Article Text |
id | pubmed-4772836 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-47728362016-03-01 Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action Steele, A. Duncan Hay Burgess, Deborah C. Diaz, Zoey Carey, Megan E. Zaidi, Anita K. M. Clin Infect Dis Typhoid Fever Surveillance in Africa Program (Tsap) The burden of enteric fever caused by Salmonella enterica serovars Typhi and Paratyphi is substantial and has high impact in toddlers and young children. This burden is relatively well documented in Asia, and this supplement provides new data on the substantial burden in several sub-Saharan African countries. Challenges in standardized surveillance and imperfect diagnostic tools have resulted in patchy local disease data, which are not well acknowledged or integrated into local country evidence and health awareness for decision making. There is a need to strengthen diagnostics for the generation of burden data in country. Furthermore, the guidelines and training for treatment of enteric fever cases in Africa are sorely needed to help mitigate the inappropriate use of antimicrobial treatment. Classic water safety and access to sanitation development remain powerful tools for the control of typhoid fever, yet the huge economic costs and long timelines are unlikely to provide a short- to middle-term solution. Emerging threats, including multidrug resistance and increasing urbanization in regions such as sub-Saharan Africa, warrant focused attention to shorter-term interventions including immunization, and must include vaccine strategies with the new typhoid conjugate vaccines. Oxford University Press 2016-03-15 2016-03-01 /pmc/articles/PMC4772836/ /pubmed/26933019 http://dx.doi.org/10.1093/cid/civ976 Text en © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, contact journals.permissions@oup.com. |
spellingShingle | Typhoid Fever Surveillance in Africa Program (Tsap) Steele, A. Duncan Hay Burgess, Deborah C. Diaz, Zoey Carey, Megan E. Zaidi, Anita K. M. Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action |
title | Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action |
title_full | Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action |
title_fullStr | Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action |
title_full_unstemmed | Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action |
title_short | Challenges and Opportunities for Typhoid Fever Control: A Call for Coordinated Action |
title_sort | challenges and opportunities for typhoid fever control: a call for coordinated action |
topic | Typhoid Fever Surveillance in Africa Program (Tsap) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772836/ https://www.ncbi.nlm.nih.gov/pubmed/26933019 http://dx.doi.org/10.1093/cid/civ976 |
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