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the last use of an antimicrobial, including antimalarials, Bibliography
as these agents may inhibit growth of the strain after American Academy of Pediatrics. Salmonella infections. In
administration. Pickering LK, Baker CJ, Kimberlin DW, Long SS, editors.
Red Book: 2012 Report of the Committee on Infectious Dis-
Importance in a Deployed Setting eases. Elk Grove Village, IL: American Academy of Pediatrics;
2012:635–640.
It is estimated that more than 20 million cases of Sal-
monella serotype Typhi and 6 million cases of paraty-
phoid disease occur worldwide annually, with typhoid Recommended Internet Links
disease alone causing more than 200,000 deaths. All http://www.cdc.gov/nczved/divisions/dfbmd/diseases
U.S. Forces deployed to the developing world should be /typhoid_fever
immunized and promptly reimmunized as indicated. As http://www.who.int/topics/typhoid_fever/en/
noted earlier, however, vaccination is not foolproof. It is
best to follow the old traveler’s adage: “Boil it, cook it, For more information about “Typhoid Mary,” go to
peel it, or forget it.” http://www.pbs.org/wgbh/nova/typhoid/

Disclaimer
The views expressed in this publication are those of the COL Burnett is the chief of Pediatric Infectious Disease and
author and do not reflect the official policy or position Travel Medicine at Tripler Army Medical Center in Hawaii.
of the Department of the Army, Department of Defense, A congenital Green Bay Packers fan, he has served overseas
or the U.S. Government. in Korea, Germany, Kosovo, Iraq, Afghanistan, and most re-
cently as the JSOTF-P Surgeon in the Philippines. He is a grad-
uate of the University of Wisconsin-Madison and the Medical
Disclosure College of Wisconsin.
The author has nothing to disclose.

98 Journal of Special Operations Medicine Volume 14, Edition 1/Spring 2014