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Wednesday April 25 5:42 PM ET
Officials Document Typhoid Outbreak

By ERIN McCLAM, Associated Press Writer

ATLANTA (AP) - Health officials say they have documented the nation's first
sexually transmitted outbreak of typhoid fever, a rare disease usually spread
through tainted food and water.

A Cincinnati man passed typhoid to seven other men in the city who had sex
with him last summer, federal researchers said Wednesday. It is treatable
with antibiotics, but is occasionally fatal for victims who do not seek
treatment.

Typhoid is most often transmitted by swallowing food and water contaminated
with human feces, which harbors a type of salmonella that causes the disease.
But health officials found that none of the Cincinnati men shared food or
drink.

The disease likely circulated by highly risky oral-anal contact among the
men, said Megan Reller, an epidemiologist with the U.S. Centers for Disease
Control and Prevention (news - web sites).

The CDC labeled typhoid a sexually transmitted disease for the first time at
a conference in Atlanta this week, urging infected patients to stop all
sexual contact until they are clear of the disease.

Judith Wasserheit, STD prevention chief at the CDC, said the discovery was
disturbing but not necessarily surprising.

``We are seeing substantial increases in sexually transmitted diseases among
men who have sex with men in multiple locations across this country,'' she
said.

Typhoid is marked by high fever, weakness, headache and, in some cases, flat,
red spots on the skin.

About 400 cases are reported annually in the United States, four-fifths of
them traced to overseas travel. Typhoid is preventable by a vaccine
recommended to Americans who visit developing nations.

CDC investigators said the Cincinnati man spread typhoid last summer after
catching it during a visit to Puerto Rico in May. It is unclear how he
originally contracted the disease, Reller said.

The man then passed the disease to seven male sex partners, she said. An
eighth man from Indianapolis caught typhoid after visiting him for the
weekend, but said the two did not have sex. How he got typhoid is unclear.

The CDC alerted health departments nationwide of the outbreak in August. The
men were uncooperative with health officials, making it impossible to
estimate how many other men might have been exposed, Reller said.

``Getting the sexual histories from these patients was very difficult,'' she
said. ``What I am sure of is that I do not know the full story of how many
contacts the other patients had.''




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