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Typhoid Fever and Paratyphoid Fever
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Preventing Typhoid Fever and Paratyphoid Fever


Key points
 You can take steps to stay safe when traveling to countries where these diseases are common.
Before travel: Get vaccinated against typhoid fever.
During travel: Practice safe eating and drinking habits.
 A hand holding a passport and pink suitcase with a hat on top. The person is standing outside watching a plane in the sky.
 Overview Travel Health Notice‎ 
 Read the notice
 Typhoid fever and paratyphoid fever are common in many countries. These countries can have poor sanitation and unsafe water and food. Many of these countries are in: South Asia (especially Pakistan, India, and Bangladesh)
East Asia
Africa
Latin America Two basic steps can help keep you safe. Get a typhoid vaccination before your trip.
Practice safe eating and drinking habits during your trip.
 Vaccination **Vaccination can help prevent typhoid fever.** Find out if you need a typhoid vaccine at www.cdc.gov/travel.
Visit a doctor or travel clinic**at least 4 weeks** before you travel. Two typhoid vaccines are available in the United States, an oral vaccine and an injectable vaccine. Oral vaccine People who are 6 years or older
 4 pills taken by mouth
 1 pill every other day
 At least 2 weeks before travel
 Every 5 years
 Injectable vaccine People who are 2 years or older
 An injection (shot)
 One time
 At least 2 weeks before travel
 Every 2 years
 Boosters ****Typhoid vaccines lose effectiveness (strength) over time. If you were vaccinated in the past, ask your doctor if you need a booster vaccine. Keep Reading: In-depth information on typhoid fever vaccines
 Safe eating and drinking habits Always practice safe eating and drinking habits during travel. Following these habits is important because: Typhoid vaccines are not 100% effective.
Available vaccines do not protect against paratyphoid fever. Safe eating and drinking habits also help protect you from other illnesses, including travelers' diarrhea, cholera, and hepatitis A. Wash your hands **Wash hands thoroughly** with soap and water, especially after using the bathroom and before preparing food or eating.
**Use hand sanitizer** with at least 60% alcohol if soap and water are not available. Keep Reading: About Handwashing
 Boil it, cook it, peel it, or forget it **Drink bottled water**or boil water for at least 1 minute before using it.Bottled and canned carbonated water is safer than non-carbonated water.
**Avoid ice, popsicles, and flavored ices** unless they are made from bottled or boiled water.
**Eat only well-cooked foods** that are still hot and steaming.
**Avoid raw vegetables and fruits** that can't be peeled.Lettuce and other greens can stay contaminated even if washed.
**Avoid food and drinks from street vendors** unless they are steaming hot.
**Drink pasteurized milk** from a sealed bottle. Keep Reading: More tips on safe eating and drinking during travel
 Resources CDC Fact Sheet for Travelers: Typhoid and Paratyphoid Fever
 May 17, 2020 Download
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 CDC Website: Travelers' Health
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 National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)


Typhoid Fever Typhoid fever and paratyphoid fever are life-threatening illnesses. Learn about how they spread, risk factors, and how you can prevent infections. View All
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Contact Us Contact Us  Call 800-232-4636
						Contact CDC
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