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. Read more about the symptoms and general information on typhoid and paratyphoid on the NHS website.

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

Diagnosis and management


For earlier data, see the archive of older reports.



Updates to this page

Published 1 August 2014
Last updated 22 December 2017 + show all updates
  1. Antibiotic Resistance Alert on Salmonella Typhi resistant to third-generation cephalosporins added under Diagnosis and Management.

  2. Added enteric fever surveillance quarterly reports 2016 to 2017 under epidemiology.

  3. First published.