There have been more than 712 typhoid cases in Krishna district, Andhra Pradesh in the two weeks to 21 October 2017. Reports are increasing daily due to poor food and water hyigene. Local health authorities advise against consumption of street food or drink during the whole of the monsoon season.
Advice to travellers
Typhoid is spread by the faecal oral route, precautionary measures should therefore be taken to avoid consumption of potentially contaminated drinks, drinking water and ice and to ensure food is uncontaminated or cooked thoroughly.
Personal hygiene when eating and drinking is also important including hand washing prior to eating and using clean plates, cups and utensils.
When to consider vaccination
Vaccination is recommended for travellers to high risk areas where food and water may be contaminated.
Travel to low risk areas - vaccination may be recommended only to those staying in conditions with poor sanitation and unable to maintain their own hygiene precautions e.g. hand hygiene and water purification.
For further information see Typhoid.