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Burden of typhoid fever in Sulaimania, Iraqi Kurdistan.
[typhoid]
Typhoid
fever
imposes
a
high
disease
burden
worldwide
,
but
resource
limitations
mean
that
the
burden
of
typhoid
fever
in
many
countries
is
poorly
understood
.
The
authors
conducted
a
prospective
surveillance
study
at
the
adult
and
pediatric
teaching
hospitals
in
Sulaimania
,
Iraqi
Kurdistan
.
All
patients
presenting
with
an
undifferentiated
febrile
illness
consistent
with
typhoid
were
eligible
for
enrollment
.
Enrolled
patients
had
blood
cultures
and
Brucella
serologies
performed
.
Incidence
was
calculated
with
reference
to
census
data
.
Both
typhoid
fever
and
brucellosis
were
common
,
and
the
incidence
of
typhoid
fever
was
21
cases
/
100
000
patient-
years
.
Classic
disease
symptoms
were
uncommonly
observed
.
Cost-effective
surveillance
projects
to
calculate
disease
burden
of
typhoid
fever
are
practical
and
replicable
.
Typhoid
has
successfully
adapted
to
the
healthcare
environment
in
Sulaimania
.
Additional
work
in
the
region
should
focus
on
antibiotic
resistance
and
other
enteric
pathogens
such
as
Brucella
spp
.
Diseases
Validation
Diseases presenting
"but resource limitations mean that the burden of typhoid fever in many countries is poorly understood"
symptom
typhoid
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