AN OUTBREAK OF TYPHOID FROM A WEDDING PARTY IN BACHOK DISTRICT, KELANTAN, 2003

  • Wan Mansor WH Epidemiology Unit, State Health Department, Kata Bharu, Kelantan.
  • Hamizah MS District Health Office, Kelantan.
  • Wan Sulaili WS Environmental Health Unit, State Health Department, Kata Bharu, Kelantan.
  • Jeriah I District Health Office, Kelantan.
  • Che Nok @ Nawi I District Health Office, Kelantan.
  • Noraini I District Health Office, Kelantan.
  • Norazmi A District Health Office, Kelantan.
  • Nordin S District Health Office, Kelantan.
  • Che Wil A District Hospital, Kelantan.
  • Zaini H Epidemiology Unit, State Health Department, Kata Bharu, Kelantan.
  • Che Kamaludin CA District Hospital, Kelantan.
  • Che Ghani CS District Health Office, Kelantan.
Keywords: Typhoid, food poisoning, common source outbreak, Salmonella typhii

Abstract

On March 17, 2003 the Kelantan Health Department was notified about a possible typhoid outbreak following a wedding party. An investigation was carried out to identiy the source and recommend control measures. Active case detection, field investigation and case-control study were conducted. Cases were symptomatic attendees with a stool or blood culture positive for Salmonella typhii. Each control had a negative culture and denied symptoms. Of the more than 1000 guests, 477 experienced fever; 152 met the case definition. The party hostess was found to be an Salmonella typhii carrier. Syrup prepared with untreated well water was identified as the most likely source for this outbreak, with an odds ratio 14 .0 (95% CI: 2 .9, 104. I). This was a common source outbreak of typhoid. We recommend that all food handlers at large parties be screened for typhoid and other foodborne diseases and samples of high--risk foods should be kept for few days after each event in case they are needed for testing.

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Published
2003-09-01
How to Cite
Wan Mansor WH, Hamizah MS, Wan Sulaili WS, Jeriah I, Che Nok @ Nawi I, Noraini I, Norazmi A, Nordin S, Che Wil A, Zaini H, Che Kamaludin CA, & Che Ghani CS. (2003). AN OUTBREAK OF TYPHOID FROM A WEDDING PARTY IN BACHOK DISTRICT, KELANTAN, 2003 . Malaysian Journal of Public Health Medicine, 3(2), 53-57. Retrieved from https://mjphm.org/index.php/mjphm/article/view/1309
Section
Articles