Schwartz E, Shlim D R
CIWEC International Clinic, Kathmandu, Nepal.
Isr J Med Sci. 1990 Jun;26(6):325-7.
Enteric fever is still an endemic disease in many developing countries. Most authorities recommend typhoid vaccination for travelers from developed countries to developing countries, particularly in the Indian subcontinent. The Ministry of Health in Israel, however, does not recommend typhoid vaccination to Israeli travelers going to any developing countries. In a study undertaken at a Western-run clinic in Kathmandu, Nepal, we found the rate of typhoid fever infection to be seven times higher among 243 Israeli travelers treated at the clinic for all causes than among 2,866 other Western tourists. The typhoid vaccination rate of the Israeli tourists was 6% compared with 91% for the other Western tourists. We could not detect any differences between the Israeli tourists and the others except for the vaccination status. We conclude that the high rate of enteric fever among Israelis is due to the lack of typhoid vaccination, and we recommend typhoid vaccine for all travelers to the Indian subcontinent.
伤寒热在许多发展中国家仍是一种地方病。大多数权威机构建议来自发达国家前往发展中国家的旅行者接种伤寒疫苗，特别是在印度次大陆。然而，以色列卫生部不建议前往任何发展中国家的以色列旅行者接种伤寒疫苗。在尼泊尔加德满都一家由西方经营的诊所进行的一项研究中，我们发现，在该诊所因各种原因接受治疗的243名以色列旅行者中，伤寒热感染率比2866名其他西方游客高7倍。以色列游客的伤寒疫苗接种率为6%，而其他西方游客为91%。除了疫苗接种状况外，我们未发现以色列游客与其他游客之间存在任何差异。我们得出结论，以色列人伤寒热发病率高是由于缺乏伤寒疫苗接种，我们建议所有前往印度次大陆的旅行者接种伤寒疫苗。
