Chapter

Epidemic and murine typhus

Emmanouil Angelakis and Didier Raoult

in Oxford Textbook of Zoonoses

Second edition

Published on behalf of Oxford University Press

ISBN: 9780198570028
Published online July 2011 | e-ISBN: 9780199697823 | DOI: http://dx.doi.org/10.1093/med/9780198570028.003.0012

Series: Oxford Textbooks

Epidemic and murine typhus

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Epidemic typhus is now a rare disease, but previously it was worldwide in distribution. Typically epidemic typhus occurred during instances in which humans were forced to live in crowded, cold and unhygienic conditions (eg aboard ships, in jails, and during military operations). Until recently man was considered to be the only reservoir for R.prowazekii, but in 1975 a new sylvatic cycle involving the flying squirrel and its ectoparasites was discovered in the eastern United States.

Murine typhys occurs throughout the world. Its epidemiology is primarily linked to the distribution of rats and the rat flea, Xenopsylla cheopis. However, recently both a new reservoir (opossums in southern California) and a new potential vector (the cat flea) have been discovered.

Control or avoidance of the vectors are the cornerstones of strategies to prevent morbidity and mortality.

Chapter.  5147 words.  Illustrated.

Subjects: Public Health and Epidemiology ; Infectious Diseases ; Epidemiology

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