Crump JA, Luby SP, Mintz ED, 2004. The global burden of typhoid fever. Bull World Health Organ 82: 346–353.
Klugman KP, Koornhof HJ, Robbins JB, Le Cam NN, 1996. Immunogenicity, efficacy, and serological correlate of protection of Salmonella Typhi Vi capsular polysaccharide vaccine three years after immunization. Vaccine 14: 435–438.
Crump JA, Ram PK, Gupta SK, Miller MA, Mintz ED, 2008. Part 1: analysis of data gaps pertaining to Salmonella enterica serotype Typhi infection in low and medium human development index countries 1984–2005. Epidemiol Infect 136: 436–448.
Reddy EA, Shaw AV, Crump JA, 2010. Community-acquired bloodstream infections in Africa: a systematic review and meta-analysis. Lancet Infect Dis 10: 417–432.
Brent A, Ahmed I, Ndiritu M, Lewa P, Ngetsa C, Lowe B, Bauni E, English M, Berkeley JA, Scott JA, 2006. Incidence of clinically significant bacteraemia in children who present to hospital in Kenya: community-based observational study. Lancet 367: 482–488.
Berkley JA, Lowe B, Mwangi I, Williams T, Bauni E, Mwarumba S, Ngetsa C, Slack MP, Njenga S, Hart CA, Maitland K, English M, Marsh K, Scott JA, 2005. Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med 352: 39–47.
Rowe B, Ward LR, Threlfall EJ, 1997. Multi-drug resistant Salmonella typhi: a worldwide epidemic. Clin Infect Dis 24 (Suppl 1): S106–S109.
Weill FX, 2010. Typhoid fever: facing the challenges of resistant strains. Med Sci (Paris) 26: 969–975 [English abstract].
Ordinioha B, Onvenaporo C, 2010. Experience with use of community health extension workers in primary care in a private rural health care institution in South South-Nigeria. Ann Afr Med 9: 240–245.
Damien P, Nabure C, Barden F, Kwara E, Apanga S, Etego-Amengo S, 2011. How are surgical theatres in rural Africa utilized? A review of five years of services at a district hospital in Ghana. Trop Doct 41: 91–95.
Thriemer K, Ley B, Ame S, von Seidlein L, Pak GD, Chang NY, Hashim R, Schmied WH, Busch CJ, Nixon S, Morrissey A, Puri MK, Ali M, Ochiai RL, Wierzba T, Jiddawi MS, Clemens JD, Ali SM, Deen JL, 2012. The burden of invasive bacterial infections in Pemba, Zanzibar. PLoS ONE 7: e30350.
World Health Organization, 2009. Initiative for Vaccine Research. Diarrhoeal Diseases. Available at: http://www.who.int/vaccine_research/diseases/diarrhoeal/en/index7.html. Accessed July 1, 2011.
USAID, 2009. Infectious Diseases, Surveillance Types. Available at: http://www.usaid.gov/our_work/global_health/id/surveillance/overview.html. Accessed July 1, 2011.
U.S. Department of State, 2011. Bureau of African Affairs, Background Note: Tanzania. Available at: http://www.state.gov/r/pa/ei/bgn/2843.htm. Accessed June 28, 2011.
The World Bank, 2011. GNI per capita, Atlas method (current US$). Available at: http://data.worldbank.org/indicator/NY.GNP.PCAP.CD. Accessed June 28, 2011.
The United Republic of Tanzania, 2006. National Bureau of Statistics, Analytical Report. Available at: http://www.nbs.go.tz/pdf/2002popcensus.pdf. Accessed June 28, 2011.
Revolutionary Government of Zanzibar, Ministry of Health and Social Welfare, 2006. Zanzibar Health Sector Reform, Strategic Plan II. 2006/7–2010/11. Accessed at: http://www.healthresearchweb.org/files/Zanzibar%20Health%20Sector%20Reform%20Strategic%20Plan%20II%202007-2011.pdf. Accessed July 6, 2011.
World Health Organization, n.d. Environmental and Social Health Determinants of Zanzibar. Available at: http://www.who.int/social_determinants/country_action/Zanzibar%20Presentation%20Dr%20JUMA.pdf. Accessed July 6, 2011.
Kaljee L, Pham V, Son ND, Hoa NT, Thiem VD, Canh DG, Thoa LTK, Ali M, Ochiai RL, Danovaro-Holliday C, Acosta C, Stanton B, Clemens J, 2007. Trial participation and vaccine desirability for polysaccharide Vi typhoid fever vaccine in Hue City, Viet Nam. Trop Med Int Health 12: 25–36.
Sur D, Manna B, Chakrabarty N, Kaljee LM, Riel R, Pach A, Kanungo S, Deen J, Ochiai RL, Clemens J, Bhattacharya SK, 2009. Vaccine desirability during an effectiveness trial of the typhoid fever polysaccharide Vi vaccine, Kolkata India. Hum Vaccin 5: 614–620.
Young SL, 2002. Listen, Without Blood There Is No Life: An Ethnography of Anemia during Pregnancy in Pemba, Zanzibar. Available at: http://amma.socsci.uva.nl/theses/young.pdf. Accessed June 15, 2011.
Treetop-ics, 2008. Available at: http://treetop-ics.blogspot.com/2008/11/mwarubaini.html. Accessed June 15, 2011.
Neuwinger Dieter H, 1994. African Ethnobotany: Poisons and Drugs: Chemistry, Pharmacology, Toxicology [English translation by Aileen Porter and H. Dieter Neuwinger]. Weinheim, Germany: Chapman and Hall.
Stoner BP, 1986. Understanding medical systems: traditional, modern and syncretic health care alternatives in medically pluralistic societies. Med Anthropol Q 17: 44–48.
Kaljee L, Anh DD, Minh TT, Tho LH, Batmunkh N, Kilgore P, 2011. Rural and urban Vietnamese mothers utilization of biomedical and traditional healthcare resources for infants and young children with pneumonia and associated symptoms. J Behav Med 34: 254–267.
Amin R, Shah NM, Becker S, 2010. Socioeconomic factors differentiating maternal and child health-seeking behavior in rural Bangladesh: a cross-sectional analysis. Int J Equity Health 3: 9.
DeRoeck D, Clemens JD, Nyamete A, Mahoney RT, 2005. Policymakers views regarding the introduction of new generation vaccines against typhoid fever, shigellosis and cholera in Asia. Vaccine 23: 2762–2774.
DeRoeck D, Jodar L, Clemens JD, 2007. Putting typhoid vaccination on the global health agenda. N Engl J Med 357: 1069–1071.
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Salmonella enterica serotype Typhi (S. Typhi) was estimated to cause over 200,000 deaths and more than 21 million illnesses worldwide, including over 400,000 illnesses in Africa. The current study was conducted in four villages on Pemba Island, Zanzibar, in 2010. We present data on policy makers', health administrators', and village residents' and leaders' perceptions of typhoid fever, and hypothetical and actual health care use among village residents for typhoid fever. Qualitative data provided descriptions of home-based treatment practices and use of western pharmaceuticals, and actual healthcare use for culture-confirmed typhoid fever. Survey data indicate health facility use was associated with gender, education, residency, and perceptions of severity for symptoms associated with typhoid fever. Data have implications for education of policy makers and health administrators, design and implementation of surveillance studies, and community-based interventions to prevent disease outbreaks, decrease risks of complications, and provide information about disease recognition, diagnosis, and treatment.
Financial support: This work was supported by a grant from the Swedish International Development Cooperation Agency (SIDA) to the International Vaccine Institute (IVI), Seoul, Korea.
Authors' addresses: Linda M. Kaljee, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI, E-mail: lkaljee@med.wayne.edu. Alfred Pach, Mahesh Puri, Leon Ochiai, and Thomas Wierzba, International Vaccine Institute, Seoul, South Korea, E-mails: pach3rd@aol.com, mkpuri@ivi.int, rlochiai@ivi.int, and twierzba@ivi.int. Kamala Thriemer, Institute for Tropical Medicine, Antwerp, Belgium, E-mail: kthriemer@itg.be. Benedikt Ley, University of Vienna, Biocenter, Vienna, Austria, E-mail: ley.benedikt@gmail.com. Said M. Ali, The Public Health Laboratory, Ivo de Cameri, Pemba Island, Zanzibar, E-mail: saidmali2003@yahoo.com. Mohamed Jiddawi, Ministry of Health of Tanzania, E-mail: m_jiddawi@hotmail.com. Lorenze von Seidlein and Jacqueline Deen, Menzies School of Health Research, Casuarina NT, Australia, E-mails: lseidlein@gmail.com and deen.jacqueline@gmail.com. John Clemens, University of California Los Angeles, Jonathan and Karin Fielding School of Public Health, Department of Epidemiology, Los Angeles, CA, E-mail: jdclemens@ucla.edu.
Crump JA, Luby SP, Mintz ED, 2004. The global burden of typhoid fever. Bull World Health Organ 82: 346–353.
Klugman KP, Koornhof HJ, Robbins JB, Le Cam NN, 1996. Immunogenicity, efficacy, and serological correlate of protection of Salmonella Typhi Vi capsular polysaccharide vaccine three years after immunization. Vaccine 14: 435–438.
Crump JA, Ram PK, Gupta SK, Miller MA, Mintz ED, 2008. Part 1: analysis of data gaps pertaining to Salmonella enterica serotype Typhi infection in low and medium human development index countries 1984–2005. Epidemiol Infect 136: 436–448.
Reddy EA, Shaw AV, Crump JA, 2010. Community-acquired bloodstream infections in Africa: a systematic review and meta-analysis. Lancet Infect Dis 10: 417–432.
Brent A, Ahmed I, Ndiritu M, Lewa P, Ngetsa C, Lowe B, Bauni E, English M, Berkeley JA, Scott JA, 2006. Incidence of clinically significant bacteraemia in children who present to hospital in Kenya: community-based observational study. Lancet 367: 482–488.
Berkley JA, Lowe B, Mwangi I, Williams T, Bauni E, Mwarumba S, Ngetsa C, Slack MP, Njenga S, Hart CA, Maitland K, English M, Marsh K, Scott JA, 2005. Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med 352: 39–47.
Rowe B, Ward LR, Threlfall EJ, 1997. Multi-drug resistant Salmonella typhi: a worldwide epidemic. Clin Infect Dis 24 (Suppl 1): S106–S109.
Weill FX, 2010. Typhoid fever: facing the challenges of resistant strains. Med Sci (Paris) 26: 969–975 [English abstract].
Ordinioha B, Onvenaporo C, 2010. Experience with use of community health extension workers in primary care in a private rural health care institution in South South-Nigeria. Ann Afr Med 9: 240–245.
Damien P, Nabure C, Barden F, Kwara E, Apanga S, Etego-Amengo S, 2011. How are surgical theatres in rural Africa utilized? A review of five years of services at a district hospital in Ghana. Trop Doct 41: 91–95.
Thriemer K, Ley B, Ame S, von Seidlein L, Pak GD, Chang NY, Hashim R, Schmied WH, Busch CJ, Nixon S, Morrissey A, Puri MK, Ali M, Ochiai RL, Wierzba T, Jiddawi MS, Clemens JD, Ali SM, Deen JL, 2012. The burden of invasive bacterial infections in Pemba, Zanzibar. PLoS ONE 7: e30350.
World Health Organization, 2009. Initiative for Vaccine Research. Diarrhoeal Diseases. Available at: http://www.who.int/vaccine_research/diseases/diarrhoeal/en/index7.html. Accessed July 1, 2011.
USAID, 2009. Infectious Diseases, Surveillance Types. Available at: http://www.usaid.gov/our_work/global_health/id/surveillance/overview.html. Accessed July 1, 2011.
U.S. Department of State, 2011. Bureau of African Affairs, Background Note: Tanzania. Available at: http://www.state.gov/r/pa/ei/bgn/2843.htm. Accessed June 28, 2011.
The World Bank, 2011. GNI per capita, Atlas method (current US$). Available at: http://data.worldbank.org/indicator/NY.GNP.PCAP.CD. Accessed June 28, 2011.
The United Republic of Tanzania, 2006. National Bureau of Statistics, Analytical Report. Available at: http://www.nbs.go.tz/pdf/2002popcensus.pdf. Accessed June 28, 2011.
Revolutionary Government of Zanzibar, Ministry of Health and Social Welfare, 2006. Zanzibar Health Sector Reform, Strategic Plan II. 2006/7–2010/11. Accessed at: http://www.healthresearchweb.org/files/Zanzibar%20Health%20Sector%20Reform%20Strategic%20Plan%20II%202007-2011.pdf. Accessed July 6, 2011.
World Health Organization, n.d. Environmental and Social Health Determinants of Zanzibar. Available at: http://www.who.int/social_determinants/country_action/Zanzibar%20Presentation%20Dr%20JUMA.pdf. Accessed July 6, 2011.
Kaljee L, Pham V, Son ND, Hoa NT, Thiem VD, Canh DG, Thoa LTK, Ali M, Ochiai RL, Danovaro-Holliday C, Acosta C, Stanton B, Clemens J, 2007. Trial participation and vaccine desirability for polysaccharide Vi typhoid fever vaccine in Hue City, Viet Nam. Trop Med Int Health 12: 25–36.
Sur D, Manna B, Chakrabarty N, Kaljee LM, Riel R, Pach A, Kanungo S, Deen J, Ochiai RL, Clemens J, Bhattacharya SK, 2009. Vaccine desirability during an effectiveness trial of the typhoid fever polysaccharide Vi vaccine, Kolkata India. Hum Vaccin 5: 614–620.
Young SL, 2002. Listen, Without Blood There Is No Life: An Ethnography of Anemia during Pregnancy in Pemba, Zanzibar. Available at: http://amma.socsci.uva.nl/theses/young.pdf. Accessed June 15, 2011.
Treetop-ics, 2008. Available at: http://treetop-ics.blogspot.com/2008/11/mwarubaini.html. Accessed June 15, 2011.
Neuwinger Dieter H, 1994. African Ethnobotany: Poisons and Drugs: Chemistry, Pharmacology, Toxicology [English translation by Aileen Porter and H. Dieter Neuwinger]. Weinheim, Germany: Chapman and Hall.
Stoner BP, 1986. Understanding medical systems: traditional, modern and syncretic health care alternatives in medically pluralistic societies. Med Anthropol Q 17: 44–48.
Kaljee L, Anh DD, Minh TT, Tho LH, Batmunkh N, Kilgore P, 2011. Rural and urban Vietnamese mothers utilization of biomedical and traditional healthcare resources for infants and young children with pneumonia and associated symptoms. J Behav Med 34: 254–267.
Amin R, Shah NM, Becker S, 2010. Socioeconomic factors differentiating maternal and child health-seeking behavior in rural Bangladesh: a cross-sectional analysis. Int J Equity Health 3: 9.
DeRoeck D, Clemens JD, Nyamete A, Mahoney RT, 2005. Policymakers views regarding the introduction of new generation vaccines against typhoid fever, shigellosis and cholera in Asia. Vaccine 23: 2762–2774.
DeRoeck D, Jodar L, Clemens JD, 2007. Putting typhoid vaccination on the global health agenda. N Engl J Med 357: 1069–1071.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1836 | 1677 | 54 |
Full Text Views | 521 | 11 | 0 |
PDF Downloads | 115 | 12 | 0 |