article about typhoid in REAL

Typhoid Fever Outbreak in Real, Quezon (Philippines)

I’ve just seen on TV Patrol the news about a possible typhoid fever outbreak in Real, Quezon, Philippines. The number of suspected cases in of typhoid fever in Real, Quezon is 84 as of this writing. The suspected source of this outbreak is the spring in the place which is the people’s primary source of drinking water.
Typhoid fever or “tipus” is a common illness in the Philippines and is commonly caused by ingesting contaminated food or water. The most common sources of contamination are human stool and chicken stool. Like other common diseases and illnesses in the Philippines during the rainy season, the best way to prevent typhoid fever is to make sure that the food and water that you take in are clean.
According to wikipedia,
Typhoid fever also known as enteric fever, or commonly just typhoid, is an illness caused by the bacterium Salmonella enterica serovar Typhi. Common worldwide, it is transmitted by the ingestion of food or water contaminated with feces from an infected person. The bacteria then perforate through the intestinal wall and are phagocytosed by macrophages. Salmonella Typhi then alters its structure to resist destruction and allow them to exist within the macrophage. This renders them resistant to damage by PMN’s, complement and the immune response. The organism is then spread via the lymphatics while inside the macrophages. This gives them access to the reticuloendothelial system and then to the different organs throughout the body. The organism is a Gram-negative short bacillus that is motile due to its peritrichous flagella. The bacteria grows best at 37 °C/99 °F – human body temperature.
In addition, the signs and symptoms of typhoid fever include the following:
1. High fever
2. Pallor/Pale Skin
3. Lack of appetite/anorexia
4. Diarrhea
According to the record of the Department of Health (DOH), the highest number of confirmed cases of typhoid fever outbreak was in Laguna with 400 cases and 7 deaths.
Prevention of typhoid fever include, but is not limited to, the following:
1. Frequent handwashing with antibacterial soap
2. Environmental sanitation especially proper waste disposal
3. Boiling of unsanitary water for at least 2 minutes