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Just when you thought Typhoid was near extinct.............

by Tony Holmes / August 13, 2010 6:37 AM PDT
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It's only extinct in the developed world ...
by Bill Osler / August 13, 2010 9:49 AM PDT

And as your link shows, it isn't quite extinct here either. I saw several cases in Ghana when I visited a couple of years ago, and there are other places where Typhoid is moderately common. We still recommend Typhoid vaccine for travelers in Central America and a lot of other places.

There are a lot of diseases like that (polio, malaria cholera, yellow fever, diphtheria, whooping cough) that are rare in the US only because we immunize everybody against them (polio, diphtheria, whooping cough) or we have worked hard to control their spread (malaria, typhoid, yellow fever).

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Understood Doc,what I find concerning is the fact.....
by Tony Holmes / August 13, 2010 9:05 PM PDT

that it appears the pathogen was not passed on by a "human host" such as a typhoid Mary.It appears to be entirely food born in it's transmission.

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Typhoid Mary was a food handler
by James Denison / August 13, 2010 9:58 PM PDT

That's how she passed it along to so many others, the germs from her ended up on or in the food.

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Humans probably were involved at some point ...
by Bill Osler / August 14, 2010 10:24 AM PDT

Typhoid is usually transmitted by fecal contamination:
Typhoid fever - Wikipedia, the free encyclopedia
Typhoid fever, also known as typhoid, is a common worldwide illness, transmitted by the ingestion of food or water contaminated with the feces of an infected person, which contain the bacterium Salmonella typhi.
In some cases the fecal contamination comes via contaminated food or drinking water due to poor food processing/manufacturing, in other cases it comes from people who have the disease who fail to wash their hands before they handle your food or beverage.
One way or the other the necessary ingredient is fecal contamination. What an appetizing thought.

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And it was held in check by vaccination the use of which has
by Ziks511 / August 13, 2010 11:17 AM PDT

fallen off substantially, because of peculiar "folk wisdom" which has argued that vaccinations of some types cause autism.

Now I will agree with James Dennison on one thing and one thing only. Britain has very poor compliance with vaccination, and the connection of vaccination to a variety of issues is taken to extremes. They also have epidemics of whooping cough, measles originated encephalitis, and mumps which, when analyzed by statisticians, have caused far more deaths than cases of autism or whatever other disabilities are alleged. But like most "folk wisdom" its proponents are immune to reasonable argument or careful statistics.

Rob

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just my 2 cents worth...

this is one of the major reasons we need to control people crossing our borders illegally. We have no way to check and make sure they are not bringing deadly diseases into the USA. Our children have to be immunized to go to school, how many illegals can prove their children are?

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I think that was attempted once on a place called
by Steven Haninger / August 18, 2010 5:36 AM PDT
Ellis Island

"...before ever reaching Ellis Island, the immigrant ships were stopped in the Narrows off Staten Island at the U.S. Coast Guard Quarantine Station. Quarantine officers boarded the ships to check for disease, particularly signs of epidemic disease. If a ship passed this first inspection, its first- and second-class passengers were then examined and if approved released upon docking."
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(NT) I have no problem with that.
by oldie and goody / August 18, 2010 6:22 AM PDT
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At NM schools vaccine records are
by drpruner / August 25, 2010 7:50 AM PDT

required for admission, no matter from what parts they come. Unvaccinated kids can get vaccinated free easily enough, without risk of cross-checking with Immigration.

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how much the added cost
by James Denison / August 25, 2010 9:01 AM PDT

of schooling the illegal alien children?

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(NT) How much the cost of leaving them ignorant?
by drpruner / September 15, 2010 11:03 AM PDT
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(NT) Same in NC
by Bill Osler / August 25, 2010 9:06 AM PDT
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