| Titre : | Outbreak of typhoid fever in vaccinated members of the French Armed Forces in the Ivory Coast. (2005) |
| Auteurs : | Rémy MICHEL ; Jean-Paul BOUTIN ; Eric GARNOTEL ; Marc Morillon ; SALIOU (Pierre) : FRA. Laboratoire du Val de Reuil. Aventis Pasteur. Lyon. ; André SPIEGEL ; Hôpital d'Instruction des Armées Alphonse Laveran. Service de biologie clinique. Marseille. FRA ; Institut de Médecine Tropicale du Service de Santé des Armées. Département d'épidémiologie et de santé publique. Marseille. FRA |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 20, n° 7, 2005) |
| Pagination : | 635-642 |
| Langues: | Anglais |
| Mots-clés : | Intoxication alimentaire ; Epidémie ; Typhoïde ; Salmonellose ; Bactériose ; Infection ; Afrique ; Pathologie ; Bactérie ; Vaccin ; Prévention santé ; Homme ; Epidémiologie ; Appareil digestif [pathologie] ; Côte d'Ivoire |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xH25wt. Diffusion soumise à autorisation]. In 2001, an outbreak of typhoid fever occurred among the members of the French Armed Forces. All had received a typhoid vaccination as per the immunization schedule practiced in the Armed Forces (every 5 years). A retrospective cohort study was conducted in 94 personnel. The objectives were to confirm the diagnosis, determine the source of contamination and identify the factors associated with defective vaccinal efficacy. Twenty-four cases were clinically identified. A cucumber salad was identified as the contaminating dish (Risk Ratio=3.6 ; 95% CI 1.5-8.9). Only one factor was related to defective vaccinal efficacy ; the risk of typhoid fever was twofold higher in people vaccinated more than 3 years previously (Risk Ratio=2.2 ; 95% CI, 1.1-4.2). Compliance with food hygiene rules could have prevented 24 cases of typhoid fever. Nevertheless, repeat vaccination against typhoid fever is now conducted every 3 years in the French Forces, in compliance with the manufacturers'recommendations. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact