The European Centre for Disease Prevention and Control (ECDC) has reported an increase in extensively drug-resistant (XDR) typhoid imported into several European countries (Ireland, Denmark and the UK) and also into countries outside Europe (Australia, Canada, Taiwan and USA) by travellers returning from Pakistan.
Pakistan has been reporting experiencing a continuous surge of XDR S. typhi since 2016. As of August 2019, there have been 10,365 cases in Sindh province, with the Karachi district most affected.
Healthcare professionals should consider vaccinating travellers to areas with a risk of typhoid, dependent on individual risk assessment. Further details are available on the individual country pages of the TRAVAX and fitfortravel websites.
Travellers are also advised to practise food, water and personal hygiene when travelling, especially to areas with a risk of typhoid infection.
Further advice relating to typhoid can be found on the TRAVAX (for health professionals) and fitfortravel (for the general public) websites.
Source: TRAVAX, 10 October 2019