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Typhoid fever is caused by Salmonella typhi bacteria.
Typhoid fever spreads through contaminated food and water or through close contact with someone who’s infected. Signs and symptoms usually include high fever, headache, abdominal pain, and either constipation or diarrhea.

Most people with typhoid fever feel better within a few days.

HOW IS TYPHOID SPREAD?
Persons with typhoid fever carry the bacteria in their bloodstream and intestinal tract.

In addition, a small number of persons, called carriers, recover from typhoid fever but continue to carry the bacteria. Both ill persons and carriers share it in their feces (stool).

You can get typhoid fever if you eat food or drink beverages that have been handled by a person who is shedding Salmonella Typhi or if sewage contaminated with Salmonella Typhi bacteria gets into the water you use for drinking or washing food.

Therefore, typhoid fever is more common in areas of the world where handwashing is less frequent and water is likely to be contaminated with sewage.

Once Salmonella Typhi bacteria are eaten or drunk, they multiply and spread into the bloodstream.

CAUSES OF TYPHOID
Drinking contaminated water.
Eating fresh fruits or vegetables that have been washed with contaminated water.
Eating food prepared by someone who has not washed their hands thoroughly.
Touching your mouth after going to the washroom, before you wash your hands.
Eating seafood harvested from a contaminated body of water (lake, ocean, river).
Having oral or anal sex with someone who is infected with the bacteria.
Exposing your food at the mercy of houseflies.
Not washing your hands frequently with soap under running water.

SIGNS AND SYMPTOMS OF TYPHOID
Symptoms usually appear 1 or 2 weeks after infection but may take as long as 3 weeks to appear.
Typhoid usually causes a high, sustained fever, often as high as 40°C (104°F), and extreme exhaustion.
Other common symptoms include:
Constipation
Cough
Headache
Loss of appetite
Stomach pains
Sore throat
Bleeding from the rectum
Diarrhea
Fatigue
Shortness of breath
Irregular heartbeat
Vomiting blood
Blood in stools (stools appear dark and tar-like)
Severe abdominal pain
Nausea
Vomiting

COMPLICATIONS OF TYPHOID
Serious complications of typhoid fever usually occur only in people who have not been treated or are treated late in the illness.

Complications tend to develop during the third week of infection.

The two most serious complications of typhoid fever are intestinal bleeding and intestinal perforation.

Without treatment the bacteria continue to multiply in the intestines.

HEALTH TIPS TO PREVENT TYPHOID
Wash your hands. Frequent hand-washing in hot, soapy water is the best way to control infection. …

Avoid drinking untreated water. Contaminated drinking water is a particular problem in areas where typhoid fever is endemic. …

Avoid raw fruits and vegetables. …

Choose hot foods.

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