The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa

There is paucity of data regarding the geographical distribution, incidence, and phylogenetics of multi-drug resistant (MDR) Salmonella Typhi in sub-Saharan Africa. Here we present a phylogenetic reconstruction of whole genome sequenced 249 contemporaneous S. Typhi isolated between 2008-2015 in 11 s...

Full description

Bibliographic Details
Main Authors: Park, SE, Pham, DT, Boinett, C, Wong, VK, Pak, GD, Panzner, U, Espinoza, LMC, Von Kalckreuth, V, Im, J, Schütt-Gerowitt, H, Crump, JA, Breiman, RF, Adu-Sarkodie, Y, Owusu-Dabo, E, Rakotozandrindrainy, R, Soura, AB, Aseffa, A, Gasmelseed, N, Keddy, KH, May, J, Sow, AG, Aaby, P, Biggs, HM, Hertz, JT, Montgomery, JM, Cosmas, L, Olack, B, Fields, B, Sarpong, N, Razafindrabe, TJL, Raminosoa, TM, Kabore, LP, Sampo, E, Teferi, M, Yeshitela, B, Tayeb, MA, Sooka, A, Meyer, CG, Krumkamp, R, Dekker, DM, Jaeger, A, Poppert, S, Tall, A, Niang, A, Bjerregaard-Andersen, M, Løfberg, SV, Seo, HJ, Jeon, HJ, Deerin, JF, Park, J, Konings, F, Ali, M, Clemens, JD, Hughes, P, Sendagala, JN, Vudriko, T, Downing, R, Ikumapayi, UN, Mackenzie, GA, Obaro, S, Argimon, S, Aanensen, DM, Page, A, Keane, JA, Duchene, S, Dyson, Z, Holt, KE, Dougan, G, Marks, F, Baker, S
Format: Journal article
Language:English
Published: Springer Nature 2018
_version_ 1797077965964574720
author Park, SE
Pham, DT
Boinett, C
Wong, VK
Pak, GD
Panzner, U
Espinoza, LMC
Von Kalckreuth, V
Im, J
Schütt-Gerowitt, H
Crump, JA
Breiman, RF
Adu-Sarkodie, Y
Owusu-Dabo, E
Rakotozandrindrainy, R
Soura, AB
Aseffa, A
Gasmelseed, N
Keddy, KH
May, J
Sow, AG
Aaby, P
Biggs, HM
Hertz, JT
Montgomery, JM
Cosmas, L
Olack, B
Fields, B
Sarpong, N
Razafindrabe, TJL
Raminosoa, TM
Kabore, LP
Sampo, E
Teferi, M
Yeshitela, B
Tayeb, MA
Sooka, A
Meyer, CG
Krumkamp, R
Dekker, DM
Jaeger, A
Poppert, S
Tall, A
Niang, A
Bjerregaard-Andersen, M
Løfberg, SV
Seo, HJ
Jeon, HJ
Deerin, JF
Park, J
Konings, F
Ali, M
Clemens, JD
Hughes, P
Sendagala, JN
Vudriko, T
Downing, R
Ikumapayi, UN
Mackenzie, GA
Obaro, S
Argimon, S
Aanensen, DM
Page, A
Keane, JA
Duchene, S
Dyson, Z
Holt, KE
Dougan, G
Marks, F
Baker, S
author_facet Park, SE
Pham, DT
Boinett, C
Wong, VK
Pak, GD
Panzner, U
Espinoza, LMC
Von Kalckreuth, V
Im, J
Schütt-Gerowitt, H
Crump, JA
Breiman, RF
Adu-Sarkodie, Y
Owusu-Dabo, E
Rakotozandrindrainy, R
Soura, AB
Aseffa, A
Gasmelseed, N
Keddy, KH
May, J
Sow, AG
Aaby, P
Biggs, HM
Hertz, JT
Montgomery, JM
Cosmas, L
Olack, B
Fields, B
Sarpong, N
Razafindrabe, TJL
Raminosoa, TM
Kabore, LP
Sampo, E
Teferi, M
Yeshitela, B
Tayeb, MA
Sooka, A
Meyer, CG
Krumkamp, R
Dekker, DM
Jaeger, A
Poppert, S
Tall, A
Niang, A
Bjerregaard-Andersen, M
Løfberg, SV
Seo, HJ
Jeon, HJ
Deerin, JF
Park, J
Konings, F
Ali, M
Clemens, JD
Hughes, P
Sendagala, JN
Vudriko, T
Downing, R
Ikumapayi, UN
Mackenzie, GA
Obaro, S
Argimon, S
Aanensen, DM
Page, A
Keane, JA
Duchene, S
Dyson, Z
Holt, KE
Dougan, G
Marks, F
Baker, S
author_sort Park, SE
collection OXFORD
description There is paucity of data regarding the geographical distribution, incidence, and phylogenetics of multi-drug resistant (MDR) Salmonella Typhi in sub-Saharan Africa. Here we present a phylogenetic reconstruction of whole genome sequenced 249 contemporaneous S. Typhi isolated between 2008-2015 in 11 sub-Saharan African countries, in context of the 2,057 global S. Typhi genomic framework. Despite the broad genetic diversity, the majority of organisms (225/249; 90%) belong to only three genotypes, 4.3.1 (H58) (99/249; 40%), 3.1.1 (97/249; 39%), and 2.3.2 (29/249; 12%). Genotypes 4.3.1 and 3.1.1 are confined within East and West Africa, respectively. MDR phenotype is found in over 50% of organisms restricted within these dominant genotypes. High incidences of MDR S. Typhi are calculated in locations with a high burden of typhoid, specifically in children aged <15 years. Antimicrobial stewardship, MDR surveillance, and the introduction of typhoid conjugate vaccines will be critical for the control of MDR typhoid in Africa.
first_indexed 2024-03-07T00:25:38Z
format Journal article
id oxford-uuid:7e090f2d-565e-4cb7-9711-2d96ae0f38b2
institution University of Oxford
language English
last_indexed 2024-03-07T00:25:38Z
publishDate 2018
publisher Springer Nature
record_format dspace
spelling oxford-uuid:7e090f2d-565e-4cb7-9711-2d96ae0f38b22022-03-26T21:08:00ZThe phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan AfricaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7e090f2d-565e-4cb7-9711-2d96ae0f38b2EnglishSymplectic Elements at OxfordSpringer Nature2018Park, SEPham, DTBoinett, CWong, VKPak, GDPanzner, UEspinoza, LMCVon Kalckreuth, VIm, JSchütt-Gerowitt, HCrump, JABreiman, RFAdu-Sarkodie, YOwusu-Dabo, ERakotozandrindrainy, RSoura, ABAseffa, AGasmelseed, NKeddy, KHMay, JSow, AGAaby, PBiggs, HMHertz, JTMontgomery, JMCosmas, LOlack, BFields, BSarpong, NRazafindrabe, TJLRaminosoa, TMKabore, LPSampo, ETeferi, MYeshitela, BTayeb, MASooka, AMeyer, CGKrumkamp, RDekker, DMJaeger, APoppert, STall, ANiang, ABjerregaard-Andersen, MLøfberg, SVSeo, HJJeon, HJDeerin, JFPark, JKonings, FAli, MClemens, JDHughes, PSendagala, JNVudriko, TDowning, RIkumapayi, UNMackenzie, GAObaro, SArgimon, SAanensen, DMPage, AKeane, JADuchene, SDyson, ZHolt, KEDougan, GMarks, FBaker, SThere is paucity of data regarding the geographical distribution, incidence, and phylogenetics of multi-drug resistant (MDR) Salmonella Typhi in sub-Saharan Africa. Here we present a phylogenetic reconstruction of whole genome sequenced 249 contemporaneous S. Typhi isolated between 2008-2015 in 11 sub-Saharan African countries, in context of the 2,057 global S. Typhi genomic framework. Despite the broad genetic diversity, the majority of organisms (225/249; 90%) belong to only three genotypes, 4.3.1 (H58) (99/249; 40%), 3.1.1 (97/249; 39%), and 2.3.2 (29/249; 12%). Genotypes 4.3.1 and 3.1.1 are confined within East and West Africa, respectively. MDR phenotype is found in over 50% of organisms restricted within these dominant genotypes. High incidences of MDR S. Typhi are calculated in locations with a high burden of typhoid, specifically in children aged <15 years. Antimicrobial stewardship, MDR surveillance, and the introduction of typhoid conjugate vaccines will be critical for the control of MDR typhoid in Africa.
spellingShingle Park, SE
Pham, DT
Boinett, C
Wong, VK
Pak, GD
Panzner, U
Espinoza, LMC
Von Kalckreuth, V
Im, J
Schütt-Gerowitt, H
Crump, JA
Breiman, RF
Adu-Sarkodie, Y
Owusu-Dabo, E
Rakotozandrindrainy, R
Soura, AB
Aseffa, A
Gasmelseed, N
Keddy, KH
May, J
Sow, AG
Aaby, P
Biggs, HM
Hertz, JT
Montgomery, JM
Cosmas, L
Olack, B
Fields, B
Sarpong, N
Razafindrabe, TJL
Raminosoa, TM
Kabore, LP
Sampo, E
Teferi, M
Yeshitela, B
Tayeb, MA
Sooka, A
Meyer, CG
Krumkamp, R
Dekker, DM
Jaeger, A
Poppert, S
Tall, A
Niang, A
Bjerregaard-Andersen, M
Løfberg, SV
Seo, HJ
Jeon, HJ
Deerin, JF
Park, J
Konings, F
Ali, M
Clemens, JD
Hughes, P
Sendagala, JN
Vudriko, T
Downing, R
Ikumapayi, UN
Mackenzie, GA
Obaro, S
Argimon, S
Aanensen, DM
Page, A
Keane, JA
Duchene, S
Dyson, Z
Holt, KE
Dougan, G
Marks, F
Baker, S
The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa
title The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa
title_full The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa
title_fullStr The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa
title_full_unstemmed The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa
title_short The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa
title_sort phylogeography and incidence of multi drug resistant typhoid fever in sub saharan africa
work_keys_str_mv AT parkse thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT phamdt thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT boinettc thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT wongvk thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT pakgd thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT panzneru thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT espinozalmc thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT vonkalckreuthv thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT imj thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT schuttgerowitth thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT crumpja thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT breimanrf thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT adusarkodiey thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT owusudaboe thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT rakotozandrindrainyr thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT souraab thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT aseffaa thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT gasmelseedn thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT keddykh thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT mayj thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sowag thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT aabyp thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT biggshm thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT hertzjt thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT montgomeryjm thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT cosmasl thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT olackb thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT fieldsb thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sarpongn thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT razafindrabetjl thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT raminosoatm thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT kaborelp thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sampoe thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT teferim thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT yeshitelab thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT tayebma thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sookaa thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT meyercg thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT krumkampr thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT dekkerdm thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT jaegera thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT popperts thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT talla thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT nianga thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT bjerregaardandersenm thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT løfbergsv thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT seohj thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT jeonhj thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT deerinjf thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT parkj thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT koningsf thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT alim thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT clemensjd thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT hughesp thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sendagalajn thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT vudrikot thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT downingr thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT ikumapayiun thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT mackenziega thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT obaros thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT argimons thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT aanensendm thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT pagea thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT keaneja thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT duchenes thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT dysonz thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT holtke thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT dougang thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT marksf thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT bakers thephylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT parkse phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT phamdt phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT boinettc phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT wongvk phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT pakgd phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT panzneru phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT espinozalmc phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT vonkalckreuthv phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT imj phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT schuttgerowitth phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT crumpja phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT breimanrf phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT adusarkodiey phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT owusudaboe phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT rakotozandrindrainyr phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT souraab phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT aseffaa phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT gasmelseedn phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT keddykh phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT mayj phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sowag phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT aabyp phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT biggshm phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT hertzjt phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT montgomeryjm phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT cosmasl phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT olackb phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT fieldsb phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sarpongn phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT razafindrabetjl phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT raminosoatm phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT kaborelp phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sampoe phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT teferim phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT yeshitelab phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT tayebma phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sookaa phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT meyercg phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT krumkampr phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT dekkerdm phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT jaegera phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT popperts phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT talla phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT nianga phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT bjerregaardandersenm phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT løfbergsv phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT seohj phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT jeonhj phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT deerinjf phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT parkj phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT koningsf phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT alim phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT clemensjd phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT hughesp phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT sendagalajn phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT vudrikot phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT downingr phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT ikumapayiun phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT mackenziega phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT obaros phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT argimons phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT aanensendm phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT pagea phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT keaneja phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT duchenes phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT dysonz phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT holtke phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT dougang phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT marksf phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica
AT bakers phylogeographyandincidenceofmultidrugresistanttyphoidfeverinsubsaharanafrica