A member asked:

Why is typhoid vaccine not routinely given in the u.s.?

10 doctors weighed in across 3 answers

Minimal risk: Typhoid is not a prominent illness in the US.

Answered 10/22/2017

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Minimal benefit: The available vaccines (live oral or injected polysaccharide) have a limited benefit (2-5 yrs) before they must be repeated. The most common use is for international travel in endemic areas where drinking water supplies may be suspect. In the US ~400 cases per year are diagnosed & spread is relatively easy to prevent by maintaining proper hygienic practices.

Answered 10/22/2017

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Dr. Jay Park answered

Extremely rare: Almost all cases of typhoid fever in U.S. Contracted the infection abroad. Therefore, typhoid vaccine is recommended only to the travelers to the endemic area.

Answered 3/22/2012

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