Typhoid Fever & Typhoid Vaccine Presentation Tuv Version.pptx

Typhoid Vaccine Campaign carried out in Tuvalu, one of the Pacific Islands.
This PowerPoint Presentation was provided by WHO as a Tuvalu version for the people of Tuvalu.

1. Module 1: Key Facts on Typhoid Fever ( Akoakoga 1: Fakamatalaga kiluga ki te Typhoid Fever

2. What is Typhoid Fever ? ( Sea te maski ko te Typhoid fever Typhoid fever is a life-threatening disease caused by a bacterial infection ( Typhoid Fever se masaki e fakamataku tela mafua ne te manu fakamafua neia te masaki ko te Typhoid.) Severe cases may lead to serious complications or even death ( Latou e pokotia malosi ne te masaki tenei e mafai o oko kise tulaga faigata io me afaina olotou ola . Fatality rates in typhoid fever range from 1-4% in treated cases and 10-20% in untreated cases .( Te fakamataku o te masaki Typhoid fever e maua o nofo ki te 1-4% mafai e talavai kae 10-20% mafai se talavai fakalei The highest fatality rates are reported in children < 4 & 5 -15 years of age ( Ko tausaga e lasi te pokotia io me lasi te fakamataku mafai ko poko nete masaki tenei ko laua kola ko nofo ki te 4 tausaga ki lalo mo te 5 tausaga ki te 15 tausaga te matua .

3. Salmonella Typhi Salmonella enterica s erovar Typhi, also called Salmonella Typhi, is a bacterium which causes typhoid fever ( Te igoa o te manu tenei e fakamafua neia te masaki ko te typhoid fever ko te Salmonella typhi . Salmonella Typhi only lives in humans ( Te manu tenei (Salmonella typhi e maua sale e nofo iloto I tino ) People with typhoid fever carry the bacteria in their bloodstream and intestinal tract ( Laua kola e pokotia nete masaki tenei e m aua ne laua te manu tenei iloto I alaga toto ote foitino mo alaga gakau o tatou tino .

4. Signs and Symptoms of Typhoid Fever ( Fakaasiga o te masaki ko te Typhoid People with typhoid can have several symptoms including one or more of the following: ( Konei fakaasiga e masani o sae I latou kola e poko ne te masaki ko te typhoid, Persistent high fever ( Vela malosi ) Fatigue ( Fita te foitino ) Headache ( Mae te ulu ) Nausea ( Tai tai lua io me lua ) Abdominal discomfort ( Logologo sale te tinae ) Constipation or diarrhoea ( Taepilitia io me sana ) Rash (less common ) ( Sae a kili iluga I te foitino )

5. Complications ( Pokotiaga ) Some common life-threatening complications include intestinal bleeding, intestinal perforation, and brain injury ( Nai fakamatakuga o te masaki tenei e masani sale o sae i alaga gakau ote foitino , mafai o toto iloto I alaga gakau mo pokotiaga kiluga kite faiai o te tino . People with some forms of immunosuppression are at increased risk of severe disease ( latou kola se malosi olotou manu teke o te foitino e nofo kise tulaga fakamataku kii mafia ko poko ne te typhoif fever) Complications occur in 10-15% of hospitalized patients and are more frequent among untreated patients whose disease has persisted for 2 weeks or more ( Te lasiga o te fakamataku o te masaki tenei e mafai o nofo kise 10-15% o latou e faulu kiloto ite fakaimasaki mafai latou e nofo mo te masaki ki se leva e 2 vaiaso io me fanatu kae se talavai .

6. Who is Most at Risk for Typhoid Fever ? ( Laua e Pokotia malosi ) Most at risk are : ( laua e pokotia malosi nete masaki typhoid fever ) People lacking access to safe water and adequate sanitation ( Latou kola se tausi fakalei io me se lei a kogakoga e tuku iei a vai mo vai inu . Children between 4 and 15 years of age ( Latou e nofo I te vaisia o te 4 tausaga ki te 15 tausaga te matua .) Elderly and immuno-compromised individuals ( Tino matua kola ko se malosi olotou manu tena , maise laua e maua ne masaki se pisi ) (NCD)

7. How is Typhoid Fever Spread ?( Pisi pefea te Typhoid Fever) Typhoid fever is transmitted through the faecal-oral route ( Typhoid fever e mafai o pisi mai luga I fekau o te tino ) Typhoid fever is highly contagious ( Typhoid fever se masaki e pisi vave ) Infected individuals can pass the bacteria out of their body through their faeces ( Latou e pokotia ne te masaki e mafai o fakapisi te manu o te masaki ki te sua tino auala mai luga I fekau o latou ) Transmission can occur through ( Te pisiga e mafai o salalau mafai ) The consumption of contaminated food or water because of inadequate hygiene and sanitation measures ( A vai inu io meko meakai e se tunu fakalei io me fakapuna fakalei . Contamination of the broader environment when water sources are polluted by sewage, piped water is treated inadequately or when crops are fertilised by human faeces ( E pisi mafai a kona e tausi iei a vai se lei io meko paipa vai se fulu fakalei ke maa io me pisi foki mafai e fakaaoga ne tatou tino a fekau o tino mo faka kaiao kiei a fatoaga .

8. Can Typhoid Fever be Prevented ? ( Puipui Pefea tatou mai te masaki ) Typhoid can be prevented and controlled by access to safe drinking water and adequate sanitation, health education, appropriate hygiene among food handlers, and typhoid vaccination ( Te masaki (Typhoid ) e mafai o puipuigina mafai tatou e tautali kiluga ki fakanofonofga taua o te tumaa kiluga ki faiga o meakai mo vai inu se fakapuna fakalei . The risk of typhoid fever can be reduced by improvements to water supplies, such as filtration and chlorination ( A pokotiaga o te typhoid e mafai o fakafoliki mafai e fai fakalei a koga e tuku iei a vai , fakaaoga a masini fulu vai (filter) ke fakamaa fakalei a vai . Typhoid immunization can greatly reduce typhoid burden ( Te faagata te typhoid e mafai foki o fesoasoani ki te fakafoliki te pokotiaga ote masaki .

9. Typhoid fever burden Typhoid 9 million cases/year, 110,000 deaths/year* Peak incidence 5 -19  yrs  of age** ~30% of typhoid cases in children <5 years occur in <2  yrs of age***

10. Typhoid Conjugate Vaccine ( TYPHIBEV ® ) Single dose (0.5 mL) or 5-dose liquid vaccine vial (2.5 mL ) ( E tasi te suki (dose) e ave tela se 0.5ml te aofaki e ave kae se 5 dose I te fagu faagata e tasi ) Route , Dose: intramuscular, 1 dose of 0.5 mL ( E tasi te suki faagata e ave kae suki iluga ite lima) Recommended storage temperature is 2 o - 8 o C ( Se 2 o - 8 o te moko e manakogina ke tuku iloto a fagu faagata konei )

11. Vaccination with TYPHIBEV ® 0.5 mL TYPHIBEV ® is licensed for infants, children, adolescents and adults from 9 months to 65 years ( Te faagata tenei e suki ki laua mai te 9 masina ki te 65 tausaga te matua ) WHO recommends routine programmatic administration of TYPHIBEV ® in typhoid endemic regions at the same time as other vaccine visits at 9 months of age, or in the second year of life ( WHO e fakamalosi ne latou ki sose fenua io meko matagluega e fakatele ne latou a polokalame o faiga suki ke suki te faagata tenei ite 9 masani pela mo nisi fagaata aka, kafai seki suki e mafai o suki ite sua taimi ) Catch-up vaccination up to 15 years of age is recommended when feasible . (burden of disease and programmatic feasibility are greater in this age range than in adults ) ( E tau toe fai sua sukiga mo laua kola ko nofo ki te 15 tausaga te matua mafai e manakogina , Ona ko laua konei ite 15 tausaga e lasi te pokotia malosi o latou ne te masaki tenei ) A booster dose is not recommended based on current data ( E se manakoniga se suki fakamalosi mo te masaki tenei pogai mai luga i fakamatalaga mai fakapotopotoga lasi ote ola lei ite lalolagi .)

12. Contraindications for TYPHIBEV ® Vaccine TYPHIBEV ® should NOT be given in individuals with : ( Konei latou kola e se mafai o ave te faagata tenei kiei ) Hypersensitivity to any constituent of the vaccine ( Latou e posini (allergic) ki sose faagata io meko te faagata tenei o te typhoid. Severe infection and high fever ( Latou kola e masaki kii io me maluga te vela o te foitino ) Pregnant and lactating women ( Fafine faitama mo faileele ( matua ) kola e fauu lotou peipi )

13. Administration of TYPHIBEV ® TYPHIBEV ® is given by intramuscular (IM) injection ( Faagata yenei e suki iluga ite lima) Infants and toddlers 9 months - < 2 years: Anterolateral (outer) thigh ( Laua mai te 9 masina ki te 2 tausaga ki lalo , e suki I lalo I olotou kauga ) Children 2 years and above, adolescents and adults: muscle of upper arm ( deltoid) ( Tamaliki mai te 2 tausaga kiluga e suki iluga I olotou lima) TYPHIBEV ® can safely be given along with other vaccines during the same immunization visit ( Te faagata tenei , e mafai o ave I te taimi e tasi ki te peipi mo nisi fagaata aka mai tafa .) When two injectable vaccines are given in the same visit they should be injected in different limbs. ( Kafai e lua faagata e suki I te taimi e tasi e mafai o suki ite sua lima ( kauaga ) kae suki sua faagata ite sua lima ( Kauaga )

14. Side Effects of TYPHIBEV ® Common side effects : ( Fakaasiga mafai kooti koe ne suki) Pain, swelling and erythema at injection site ( Mae,fula io me kulakula te koga ne suki iei tou lima io meko tou kauaga ) Fatigue and fever ( faka fita ( Vaivai te foitino ) te foitino io me fakavelavela tou foitino )

15. Site/Location for Typhoid Vaccination operation Location ( Kogakoga e fai iei te sukiga ) Lofeagai Clinic ( Kiliniki ) Kavatoetoe Clinic ( Kiliniki ) Princes Margaret Hospital ( Fakaimasaki lasi )

16. Vaccination Operation Commencing Date October 30 th or 1 st November 2023 Duration period of Operation ( Te leva te faiga sukiga ) 6 week vaccination operation. ( Se 6 vaiaso e fai iei te sukiga o te faagata tenei iluga I tou atufenua ) 1. TYPHIBEV (Typhoid vaccine) is a one off operation and TYPHIBEV vaccine protection can last on for 5 years period.

17. QUESTION & ANSWER

18. FAKAFETAI LASI