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Risk Factors for Typhoid Fever: Systematic Review
Portia Boakye Okyere1, Sampson Twumasi-Ankrah2, Sam Newton1
1School of Public Health, College of Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
JMIR Public Health and Surveillance
|August 28, 2025
Summary
Demographic and socioeconomic factors are key drivers of typhoid fever transmission. Targeted interventions, including improved sanitation and water infrastructure, are crucial for control.
Area of Science:
- Global Health
- Infectious Diseases
- Epidemiology
Background:
- Typhoid fever is a significant global health problem with complex transmission patterns.
- Understanding transmission drivers is critical for effective control strategies and resource allocation.
Purpose of the Study:
- To comprehensively synthesize evidence on risk factors associated with typhoid fever transmission.
- Review covers literature from 1928 to 2024.
Main Methods:
- Searched multiple databases (PubMed, Scopus, Google Scholar, Semantic Scholar).
- Used keywords related to typhoid fever risk, contributors, determinants, and causes.
- Followed a registered protocol and triangulated results.
Main Results:
- Reviewed 219 articles out of 1614 retrieved; 109 addressed multiple risk factors.
- Majority of studies (70.6%) originated from Asia and Africa.
- Key risk factors identified: demographic/socioeconomic (50.5%), foodborne (44%), waterborne (41.3%), sanitation/hygiene (31.2%), travel (17.4%), climate (13.8%), antimicrobial use (12.8%), typhoid carriers (10.1%).
Conclusions:
- Demographic and socioeconomic factors are primary drivers of typhoid transmission.
- Targeted interventions: street food regulation in urban Asia, water infrastructure in rural Africa.
- Integrated approach: water, sanitation, hygiene (WASH) interventions with typhoid vaccines.
- Prioritize strategies in schools and high-risk communities for sustainable control.
- Future research should focus on longitudinal studies for causality and vaccine impact.
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