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Enteric fever in Scotland 1975-1990

M R Braddick1, J C Sharp

  • 1Department of Public Health Medicine, Highland Health Board, Inverness.

Public Health
|May 1, 1993
PubMed
Summary

In Scotland, enteric fever incidence remained stable from 1975-1990, with most cases imported. Typhoid and paratyphoid A infections were more common in UK residents of Asian ethnicity returning from the Indian subcontinent.

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Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Typhoidal Salmonella infections, including typhoid and paratyphoid fever, pose a public health concern.
  • Understanding the epidemiology of these diseases is crucial for effective prevention and control strategies.

Purpose of the Study:

  • To analyze the incidence, sources, and demographic factors of typhoidal Salmonella infections in Scotland between 1975 and 1990.
  • To identify trends in indigenous versus imported cases and assess transmission risks.

Main Methods:

  • Retrospective analysis of reported cases of acute typhoidal Salmonella infections and identified chronic carriers in Scotland.
  • Data collection covered a 16-year period (1975-1990).
  • Analysis included case demographics, travel history, ethnicity, and acquisition source (indigenous vs. imported).

Main Results:

  • A total of 267 acute infections and 32 chronic carriers were reported.
  • Overall incidence remained stable, with a decrease in indigenous paratyphoid B and typhoid, but an increase in imported paratyphoid A.
  • The majority of infections (81%) were acquired overseas, with UK residents of Asian ethnicity returning from the Indian subcontinent disproportionately affected by typhoid and paratyphoid A.

Conclusions:

  • Indigenous transmission of enteric fever in the UK is low.
  • Imported cases, particularly among travelers from the Indian subcontinent, are a significant source of infection.
  • Traveler immunization is a key strategy to reduce typhoid incidence.

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