Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T02:59:16.988Z Has data issue: false hasContentIssue false
  • English
  • Français

Restaurant-associated outbreak of Salmonella Typhi in Nauru: an epidemiological and cost analysis

Published online by Cambridge University Press:  05 February 2002

S. J. OLSEN ,
B. KAFOA ,
N. S. S. WIN ,
M. JOSE ,
W. BIBB ,
S. LUBY ,
G. WAIDUBU ,
M. O'LEARY  and
E. MINTZ
S. J. OLSEN
Affiliation:
Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, Mailstop A-38, Atlanta GA 30333, USA Epidemic Intelligence Service, Division of Applied Public Health Training, Epidemiology Program Office, CDC
B. KAFOA
Affiliation:
Fiji School of Medicine, Suva, Fiji
N. S. S. WIN
Affiliation:
Nauru General Hospital, Nauru
M. JOSE
Affiliation:
Nauru General Hospital, Nauru
W. BIBB
Affiliation:
Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, Mailstop A-38, Atlanta GA 30333, USA
S. LUBY
Affiliation:
Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, Mailstop A-38, Atlanta GA 30333, USA
G. WAIDUBU
Affiliation:
Nauru General Hospital, Nauru
M. O'LEARY
Affiliation:
Western Pacific Region of the World Health Organization, Suva, Fiji
E. MINTZ
Affiliation:
Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, Mailstop A-38, Atlanta GA 30333, USA
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Typhoid fever is endemic in the South Pacific. We investigated an outbreak in Nauru. Through interviews and medical records, we identified 50 persons with onset between 1 October 1998 and 10 May 1999, of fever lasting [ges ]3 days and one other symptom. Salmonella Typhi was isolated from 19 (38%) cases. Thirty-two (64%) patients were school-aged children, and 17 (34%) were in four households. Case-control studies of (a) culture-confirmed cases and age- and neighbourhood-matched controls; and (b) household index cases and randomly selected age-matched controls implicated two restaurants: Restaurant M (matched OR [MOR] = 11, 95% confidence interval [CI] = 1·3–96) and Restaurant I (MOR = 5·8, 95% CI = 1·2–29). Food-handlers at both restaurants had elevated anti-Vi antibody titres indicative of carrier state. The annual incidence was 5·0/l000 persons. Outbreak-associated costs were $46000. Routine or emergency immunization campaigns targeting school-aged children may help prevent or control outbreaks of typhoid fever in endemic disease areas.

Type
Research Article
Information
Epidemiology & Infection , Volume 127 , Issue 3 , December 2001 , pp. 405 - 412
Copyright
2001 Cambridge University Press