Typhoid in Tajikistan
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Investigation of an outbreak of several thousand cases of typhoid fever in Dushanbe, Tajikistan in 1997 that resulted from inadequately maintained public water supply.
After completing this case study, the student should be able to:
- List health problems common in countries with economic hardships, deteriorating infrastructure, and displaced populations;
- Discuss the steps typically used to develop hypotheses on the source of an infectious disease outbreak;
- Interpret the results of a matched case-control study;
- List activities that should be included in the evaluation of a public water system associated with an outbreak;
- Define surface water and groundwater;
- List the steps in collecting water samples from a point-of-use water tap;
- Describe point-of-use water disinfection and give examples of proven approaches; and
- Describe the clinical features, epidemiology, and control of typhoid fever.