Health protection – collection

Typhoid and paratyphoid: guidance, data and analysis

The symptoms, diagnosis, management, surveillance and epidemiology of of typhoid and paratyphoid (enteric fever).

Typhoid and paratyphoid (also known as enteric fever) are diseases caused by Salmonella enterica serovar Typhi (typhoid) or Paratyphi A, B and C (paratyphoid). Classic typhoid fever is a serious disease. It can be life-threatening unless treated promptly with antibiotics. The disease lasts several weeks and convalescence takes some time. Paratyphoid is typically milder than typhoid and of shorter duration.

Typhoid and paratyphoid are almost exclusively acquired abroad through the ingestion of heavily contaminated food and water. These diseases are prevalent in regions of the world where sanitation is poor. For symptoms and general information on typhoid and paratyphoid, visit NHS Choices.

Typhoid and paratyphoid are notifiable diseases in England and Wales. Health professionals must inform local health protection teams of suspected cases.

Diagnosis and management

  1. Typhoid and paratyphoid: public health operational guidelines

    • Guidance
  2. GBRU: reference and diagnostic services

    • Detailed guide

Data collection

  1. Typhoid and paratyphoid: enhanced surveillance questionnaire

    • Form


For earlier data, see the archive of older reports.

  1. Enteric fever surveillance 2016 to 2017: quarterly reports

    • Research and analysis
  2. Enteric fever surveillance 2014 to 2015: quarterly reports

    • Research and analysis
  3. Enteric fever surveillance 2013 to 2014: quarterly reports

    • Research and analysis
  4. Typhoid and paratyphoid: laboratory confirmed cases in England, Wales and Northern Ireland

    • Research and analysis


  1. Typhoid: the green book, chapter 33

    • Guidance