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In Mexico, according to fficial epidemiological cases report, infections by Salmonella continue to pose an important threat to public health, although mortality due to diaruheal illness (including salmoneLlosis) has steadily diminished during the last 30 years. In 1994, these mortality rates were lI3 and 72 per 100,000 inhabitants, in chiàren less than 5 years old and in the eLderly, respectively. Between 1990 and 1994, deaths due to intestinal infections diminished 59Vo, and mortality rates due to ialmoneLlosis decreasedfrom 0.64 to 0.3 per 100,000, at aII ages. This was probabLy due to the intense campaigns promoting health measure, to reduce the incidence of cholera. Typhoid fever and other salmonellosis , including paratyphoid, are most prevalent in the 25-44 year-old age group, and happen mainly during the warm and rainy months of March to August. The present inciàence rate for typhoid fever is 9.8 per i00,000; on incidence that has been steadily declining since 1988, whenitwas 17 per 100,000. In contrast, the present ratefor paratyphoid and other salmonellosis of 163 per 100,000, represents an increase since 1988, when it was 102 per 100,000. Aside from S.typhi, the main serotypes isolatedfrom34 outbreaks,between 1982 and 1993, have been: S. typhimurium, S. enteitidis, S. Newport, and.S. paratyphiA.

Country report: Typhoid fever and other Salmonellosis in Mexico