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Typhoid fever in Fiji: a reversible plague?
[typhoid]
The
country
of
Fiji
,
with
a
population
of
approximately
870
000
people
,
faces
a
growing
burden
of
several
communicable
diseases
including
the
bacterial
infection
typhoid
fever
.
Surveillance
data
suggest
that
typhoid
has
become
increasingly
common
in
rural
areas
of
Fiji
and
is
more
frequent
amongst
young
adults
.
Transmission
of
the
organisms
that
cause
typhoid
is
facilitated
by
faecal
contamination
of
food
or
water
and
may
be
influenced
by
local
behavioural
practices
in
Fiji
.
The
Fijian
Ministry
of
Health
,
with
support
from
Australian
Aid
,
hosted
a
meeting
in
August
2012
to
develop
comprehensive
control
and
prevention
strategies
for
typhoid
fever
in
Fiji
.
International
and
local
specialists
were
invited
to
share
relevant
data
and
discuss
typhoid
control
options
.
The
resultant
recommendations
focused
on
generating
a
clearer
sense
of
the
epidemiology
of
typhoid
in
Fiji
and
exploring
the
contribution
of
potential
transmission
pathways
.
Additionally
,
the
panel
suggested
steps
such
as
ensuring
that
recommended
ciprofloxacin
doses
are
appropriate
to
reduce
the
potential
for
relapse
and
reinfection
in
clinical
cases
,
encouraging
proper
hand
hygiene
of
food
and
drink
handlers
,
working
with
water
and
sanitation
agencies
to
review
current
sanitation
practices
and
considering
a
vaccination
policy
targeting
epidemiologically
relevant
populations
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated