TYPHOID REVIEW, ENGA-PROVINCE, FROM 1986 TO 1991

A typhoid epidemic in Enga Province between early 1986 and mid-1991 is reviewed, Initially 849 cases (46.9/10000 population) were diagnosed clinically in 1986, rising gradually to 2332 cases (122.2/10000 popula tion) in 1990, The case fatality rate fell from 5.5% in 1986 to 2.7% i n 1990, which can probably be explained by earlier diagnosis and over- diagnosing of cases as the epidemic progressed, The key factor in the transmission seems to have been a low level of personal hygiene with a n increased transmission risk during public gatherings, Recommendation s for the strengthening of the control program are made, based on impr oved diagnosis and patient management, health education about personal hygiene and the provision of public sanitary facilities.