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Editorial
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Volume 361:403-405 July 23, 2009 Number 4
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Typhoid Vaccines Ready for Implementation
Myron M. Levine, M.D., D.T.P.H.

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 by Sur, D.
-PubMed Citation
Enteric fevers encompass typhoid fever caused by Salmonella enterica serotype Typhi (S. Typhi) and paratyphoid fever caused by serotype Paratyphi A or B (S. Paratyphi). These human-restricted pathogens are acquired by ingesting contaminated water or food, and in the individual patient, one cannot differentiate clinically which agent is causing illness. S. Typhi expresses a capsular "Vi" (for virulence) polysaccharide, whereas S. Paratyphi A and B cannot synthesize Vi.

Before the use of antibiotics, typhoid fever had a case fatality rate of 10 to 20%. Transmission of enteric fever is minimized or eliminated if populations . . . [Full Text of this Article]


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From the Center for Vaccine Development, University of Maryland School of Medicine, Baltimore.


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