Take on Typhoid June Newsletter

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In this issue:

WHO SAGE reviews typhoid vaccine policy, highlighting potential updates to TCV use

In March 2026, the World Health Organization’s (WHO) Strategic Advisory Group of Experts (SAGE) on Immunization reviewed the latest evidence on typhoid conjugate vaccines (TCV), including data on duration of protection and vaccination strategies.

Based on this review, SAGE emphasized the continued importance of introducing TCV in high-burden settings and discussed considerations for optimizing use, including the potential role of booster doses in populations at highest risk. These deliberations will inform future WHO policy updates and revisions to global guidance on TCV use.

Updated global guidance is evolving, and countries can begin considering how emerging evidence—particularly on duration of protection—may shape future vaccine strategies.

Momentum builds for typhoid prevention in 2026

From evolving global vaccine guidance to emerging evidence on cost, burden, and real-world impact, recent developments underscore growing global momentum and opportunity to accelerate progress against typhoid.

Global experts gather at the 14th International Conference on Typhoid & Other Invasive Salmonelloses

Photo: Attendees gather at the 14th International Conference on Typhoid & Other Invasive Salmonelloses. Credit: Sabin Vaccine Institute.

More than 250 researchers, policymakers, and health experts convened in March 2026 at the 14th International Conference on Typhoid & Other Invasive Salmonelloses, hosted by Sabin Vaccine Institute in Phnom Penh, Cambodia.

Discussions spanned:

    • Antimicrobial resistance trends
    • Advances in disease surveillance
    • TCV introduction and real-world impact
    • Strategies to improve equitable access

The conference theme—Innovation and Equity: Shaping the Future of Typhoid and Other Invasive Salmonelloses—highlighted the need to translate scientific advances into measurable gains for high-burden communities. “We have an effective vaccine against typhoid, and we have a growing set of complementary tools,” wrote Sabin Vice President of Vaccine Epidemiology Denise Garrett ahead of the conference. “The work now is to connect innovation with measurable, equitable impact for the communities that have carried the burden of typhoid and other invasive salmonellosis for far too long.”

Progress against typhoid will depend on integrating vaccines, surveillance, and innovation to reach the communities most affected.

New cost data from Burkina Faso informs vaccine delivery at scale

Photo: A young girl holds her vaccination card during Burkina Faso’s TCV introduction campaign in January 2025. Credit: TyVAC/Build Africa Communications.

A new analysis of Burkina Faso’s 2025 nationwide TCV campaign provides detailed insights into the cost of delivering vaccines at scale. Conducted by PATH in collaboration with the Burkina Faso Ministry of Health and Davycas International, the study examines both financial and economic costs across all levels of the health system.

The findings identify key cost drivers, particularly human resources and service delivery, and show how costs vary by geography, delivery strategy, and security context. This type of context-specific evidence is critical for planning future vaccination campaigns, and informs decision-making for TCV introductions across similar settings. Read the full manuscript here: Cost analysis of a nationwide typhoid conjugate vaccine campaign in Burkina Faso.

Practical cost data helps countries design smarter, more efficient TCV introduction strategies.

New global analysis confirms high typhoid burden

An updated systematic review and meta-analysis led by researchers at the University of Otago reaffirms that typhoid remains a significant public health challenge, particularly in Asia and Africa.

Drawing on 46 studies (including 14 new datasets), the analysis finds:

  • Persistently high incidence in multiple regions
  • The highest burden among young children aged 2 to <5 years

These findings reinforce earlier estimates while adding new geographic and age-specific insights.

Read the full article here: Global typhoid fever incidence: an updated systematic review with meta-analysis – The Lancet Infectious Diseases.

The sustained burden of disease underscores the urgency of expanding TCV use alongside improvements in water and sanitation.

Dr. Senjuti Saha recognized with Rising Star Award

The Sabin Vaccine Institute awarded its 2026 Rising Star Award to Dr. Senjuti Saha of Bangladesh for her pioneering work using genomics to inform public health action.

As Deputy Executive Director of the Child Health Research Foundation (CHRF), Dr. Saha helped build one of Bangladesh’s leading genomic research programs. Her work has contributed to major national immunization initiatives, including the country’s 2025 TCV introduction campaign, which reached more than 40 million children.

Learn more here.

Scientific leadership and local research capacity are critical to advancing evidence-based immunization programs.

Outbreak report

Stay engaged

As new evidence and policy guidance continue to emerge, staying informed—and sharing knowledge—remains essential to accelerating progress against typhoid.

Explore more resources: www.takeontyphoid.org

Share this newsletter with colleagues working in immunization and global health.

Scientific publications

Blogs
Predicting Salmonella Typhi incidence using prevalence metrics from sentinel studies of community-onset bloodstream infections: a secondary analysis of observational data

Cost analysis of a nationwide typhoid conjugate vaccine campaign in Burkina Faso

Estimating Enteric Fever Seroincidence in Bangladesh Using Rapid Serosurveys

Impact of the COVID-19 pandemic and typhoid conjugate vaccine introduction on typhoid fever in Nepal

AMRnet: a data visualization platform to interactively explore pathogen variants and antimicrobial resistance

The association between vaccine coverage and herd protection: exploratory analyses of a cluster-randomised trial of Vi conjugate vaccine

Advancing typhoid conjugate vaccine implementation in Asia: Regional policy priorities

Global typhoid fever incidence: an updated systematic review with meta-analysis

Complications and mortality of typhoid fever: an updated global systematic review and meta-analysis

A contemporary genomic snapshot of Salmonella Paratyphi A in Pakistan

Leveraging paired serology to estimate the incidence of typhoidal Salmonella infection in the STRATAA study

Complications and mortality of typhoid fever: an updated global systematic review and meta-analysis

Genomic analysis of Salmonella Typhi from a typhoid conjugate vaccine trial

Protecting the next generation: How typhoid conjugate vaccines changed the game

For every generation, vaccines work: The courage and commitment behind Kenya’s lifesaving immunization story

Four key insights from the 14th International Conference on Typhoid and Other Invasive Salmonelloses

World Health Day 2026: Standing with science to take on typhoid

Women drive typhoid prevention—one vaccine at a time

Flooding raises the urgency for typhoid prevention

A community-centered approach: Introducing TCV in Bangladesh

Supporting countries with TCV introduction decisions

A milestone year: Reaching 80 million children with typhoid conjugate vaccines