Typhoid in Tajikistan

Date published
Jeanette Stehr-Green


Investigation of an outbreak of several thousand cases of typhoid fever in Dushanbe, Tajikistan in 1997 that resulted from inadequately maintained public water supply.  

Learning Objectives:

After completing this case study, the student should be able to:

  1. List health problems common in countries with economic hardships, deteriorating infrastructure, and displaced populations;
  2. Discuss the steps typically used to develop hypotheses on the source of an infectious disease outbreak;
  3. Interpret the results of a matched case-control study;
  4. List activities that should be included in the evaluation of a public water system associated with an outbreak;
  5. Define surface water and groundwater;
  6. List the steps in collecting water samples from a point-of-use water tap;
  7. Describe point-of-use water disinfection and give examples of proven approaches; and        
  8. Describe the clinical features, epidemiology, and control of typhoid fever.
Author type
FETP affiliate
Resource type
Case Study
Outbreak response
Country or Area