Changing epidemiology of enteric fevers in Singapore
Annals of the Academy of Medicine, Singapore
; : 889-888, 2010.
Article
en En
| WPRIM
| ID: wpr-237370
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>We studied the epidemiological trends of enteric fevers (typhoid and paratyphoid fever) in Singapore from 1990 to 2009 and carried out a review of the current prevention and control measures.</p><p><b>MATERIALS AND METHODS</b>Epidemiological records of all reported enteric fevers maintained by the Communicable Diseases Division, Ministry of Health from 1990 to 2009 were analysed.</p><p><b>RESULTS</b>A total of 2464 laboratory confirmed cases of enteric fevers (1699 cases of typhoid and 765 cases of paratyphoid) were reported. Of these, 75% were imported, mainly from India and Indonesia. There had been a significant fall in the mean annual incidence rate of indigenous enteric fevers from 4.3 per 100,000 population in 1990 to 0.26 per 100,000 population in 2009 (P <0.005) with a corresponding increase in the proportion of imported cases from 71% between 1990 and 1993 to 92% between 2006 and 2009 (P <0.0005). Imported cases involving foreign contract workers increased significantly from 12.8% between 1990 and 1993 to 40.4% between 2006 and 2009 (P <0.0005).</p><p><b>CONCLUSION</b>Singapore has experienced a marked decline in the incidence of enteric fevers that is now comparable to that of other developed countries. Continued vigilance and proactive measures that address the changing epidemiology of enteric fevers in Singapore are necessary to sustain the milestone achieved in the past 2 decades.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Singapur
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Fiebre Tifoidea
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Estudios Epidemiológicos
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Vigilancia de la Población
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Epidemiología
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Incidencia
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Brotes de Enfermedades
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Fiebre Paratifoidea
Tipo de estudio:
Incidence_studies
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Observational_studies
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Prognostic_studies
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Screening_studies
Límite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
País/Región como asunto:
Asia
Idioma:
En
Revista:
Annals of the Academy of Medicine, Singapore
Año:
2010
Tipo del documento:
Article