Article: Bacteremic typhoid fever in children in an urban slum, Bangladesh.(Dispatches)

We confirmed a bacteremic typhoid fever incidence of 3.9 episodes/1,000 person-years during fever surveillance in a Dhaka urban slum. The relative risk for preschool children compared with older persons was 8.9. Our regression model showed that these children were clinically ill, which suggests a role for preschool immunization.

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Typhoid fever is a major cause of illness; the global incidence in 2000 was an estimated 21,650,974 cases with 216,510 deaths (1). The cause of typhoid fever, Salmonella enterica subspecies enterica serotype Typhi (S. Typhi), is both waterborne and foodborne, with an annual incidence approaching 1% in disease-endemic ...

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