Salmonellosis Epidemiology

Salmonella typhi and Salmonella paratyphi, which cause typhoid fever, have high host specificity for humans. In the United States, typhoid fever has become less prevalent and is associated primarily with international travel, especially to developing countries. Nontyphoidal Salmonella are important causes of reportable food-borne infection. There are an estimated 1.4 million cases of nontyphoid Salmonella illness an-

nually in the United States. The highest incidence is in those younger than 1 year of age and older than 65 years of age or in those with HIV/AIDS. Outbreaks of intestinal salmonellosis have been associated with unpasteurized orange juice, tomatoes, cantaloupe, alfalfa sprouts, and cilantro, among others. Exotic pets, especially reptiles (e.g., snakes, turtles, and iguanas), are an increasing source of human salmonellosis, accounting for 3% to 5% of all cases.

Risk factors for salmonellosis include extremes of age, alteration of the endogenous bowel flora of the intestine (e.g., as a result of antimicrobial therapy or surgery), diabetes, malignancy, rheumatologic disorders, HIV infection, and therapeutic immunosuppression of all types.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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