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  1. PHILIP CB, TRAUB R, SMADEL JE
    Am J Hyg, 1949 Jul;50(1):63-74.
    PMID: 18135592
    Matched MeSH terms: Typhus, Epidemic Louse-Borne/epidemiology*
  2. Tappe D, Gross Y, Ngui R, Rauch J, Tay ST, Lim YAL
    Vector Borne Zoonotic Dis, 2019 05;19(5):323-327.
    PMID: 30540546 DOI: 10.1089/vbz.2018.2391
    Rickettsioses of the typhus group (TG) and spotted fever group (SFG) are emerging bacterial infections worldwide, especially in the tropics. Only a few studies on these pathogens and their respective clinical diseases have been conducted in Malaysia. Here, we performed a seroprevalence study among 544 healthy, afebrile indigenous people (Orang Asli) from peninsular Malaysia for TG and SFG rickettsioses in nine rural and peri-urban settlements. The study population encompassed children, adolescents, and adults. The overall seroprevalence of rickettsiosis in the Orang Asli was 48.5%, with 27.9% seroprevalence against TG rickettsiae and 20.6% seroprevalence against SFG rickettsiae. In 7.9% of the study participants, antibodies against both rickettsial groups were found. The highest seropositivity rates against TG and SRG rickettsiae were detected in young children and adults. Overall, there were no gender differences. Seroprevalences were similar among inhabitants of different settlements, except for two localities. More studies are needed to shed more light on the ecology and risk factors for TG and SFG rickettsioses in Malaysia.
    Matched MeSH terms: Typhus, Epidemic Louse-Borne/epidemiology*
  3. Sekhar WY, Devi S
    Singapore Med J, 2000 May;41(5):226-31.
    PMID: 11063173
    A seroepidemiology study was done in response to the recent increase of Endemic Typhus cases diagnosed at University Hospital. The serosurvey was based on doctors' request for the Weil Felix (WF) or the Indirect Immunoperoxidase (IIP) test in Pyrexia of Unknown Origin (PUO) patients for the years 1991 to 1997. Over the 7 years, we found that the incidence of Endemic typhus is increasing with gender (male:female = 2:1), age (20-40 years) and race distribution (Indians > Malay > Chinese) that reflects socioeconomic circumstances. A commercially available ELISA dot assay [INDX (E2R3) Dip-S-Ticks], for the detection of antibodies against R. typhi was compared with the indirect immunoperoxidase test (IIP). The ELISA assay was done against 219 IIP tested sera. The Dip-S-Ticks was found to be comparable to the IIP with a sensitivity of 91.7% and specificity of 92.8% at cut-off titres of > 1:80 IIP.
    Matched MeSH terms: Typhus, Epidemic Louse-Borne/epidemiology*
  4. Sagin DD, Ismail G, Nasian LM, Jok JJ, Pang EK
    PMID: 11414421
    People in 5 Orang Ulu villages in Sarawak, Malaysia were tested for rickettsial infection by Weil-Felix reaction and by indirect immunoperoxidase reaction. Of those surveyed 9.6% were positive for typhus. Of the positives, 3.8% were positive for tick typhus (7/11), scrub typhus (4/11) or endemic typhus (1/11). The incidence of typhus was higher among semi-nomadic Penans compared with the settled Kayans.
    Matched MeSH terms: Typhus, Epidemic Louse-Borne/epidemiology*
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