Typhoid versus typhus fever in post-earthquake Nepal


Buddha Basnyat


A few months after the 7·8 magnitude earthquake in Nepal on April 25, 2015, and the subsequent strong aftershocks, outbreaks of scrub typhus were reported from various parts of the country, especially from districts affected by the earthquake. These outbreaks were thought to be due to people and rodents (which carry mites with the bacterium Orientia tsutsugamushi, the infective microbe in scrub typhus) living in close proximity in temporary shelters after the earthquake. Although typhus in Nepal has been well reported in large studies, the earthquake posed problems in diagnosis and treatment of the outbreaks, primarily because of poor awareness of the disease.

Click here to view the article, published in The Lancet