Health officials in the US have issued a travel alert for Pakistan following an outbreak of typhoid. The US Centers for Disease Control and Prevention (CDC) has said that anyone heading to Pakistan or anywhere else in South Asia should be vaccinated against typhoid and take extra care with food and water.
The level two alert was triggered by an ongoing outbreak of extensively drug-resistant (XDR) typhoid fever that does not respond to most antibiotics. It is resistant to five antibiotics and has caused the deaths of at least four people, while 800 have become ill. “All travellers to Pakistan are at risk of getting XDR typhoid fever. Those who are visiting friends or relatives are at higher risk than are tourists and business travellers,” the CDC said. Vaccination campaigns have been started by health officials in Pakistan, and US officials have increased efforts to quickly interview and test samples from patients with suspected typhoid fever.