Typhoid
Typhoid
immunity.
• Environmental factors-
• Season- occur throughout the year but peak in the month of august, july
and september.
• Ice- freezing does not destroy the bacilli. They may survive over a
month.
• Soil- salmonella persist in soil even more than 70 days.
• Flies- it carry the bacilli from feces to food
• Milk – the baccilli grow rapidly in milk without altering the taste or
appearance.
• Vegetables- these grow on sewage farms may be infected with typhi and
enter the host, if eaten raw.
Mode of transmission-
• 1) vehicle transmission- typhoid fever spreads chiefly
through the medium of contaminated water, food, milk
and vegetables. The disease is endemic where
sanitation is poor.
• 2) direct contact- hand which is exposed to infected
clothes, excreta of patients.
• 3) flies
• Incubation period- 10 to 15 days with a range of 5 days to 3
weeks. Incubation period is longer in waterborne infection
than in food borne infection.
• Clinical features-
• Prolonged fever with chills
• Malaise
• Headache
• Cough
• Sore throat
• Swelling occurs in the lymph gland of small intestine
• Splenomegaly
• Bradycardia
• Rose spot on chest wall
• Abdominal pain
• constipation
Prevention and control