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An increase in typhoid infection has been reported in Kelantan state in the northeast of peninsular Malaysia. A total of 151 typhoid cases have been recorded, as of 31 October 2015; this compares with 35 cases during the same time period of 2014.
Contaminated water is thought to have contributed to the increase in cases as Salmonella typhi has been confirmed in at least 4 wells during the investigation. Less than 70% of the local population in the state use treated water and chose to use water from wells.
Control measures have been initiated and include: case detection, health education, food and water sampling including ice and inspections of premises; 119 000 wells have been chlorinated as of 31 October 2015.
(Via The Sun Daily - accessed 10/11/15)
Typhoid vaccine is sometimes advised for travellers to Malaysia. See country record for further information on who to vaccinate. Travellers should also take precautions with food, water and personal hygiene.
