Page last updated
15 September 2023
Typhoid is spread by sewage contamination of food or water, or through person-to-person contact. People who are infected with typhoid pass the Salmonella typhi bacteria in their faeces and occasionally in their urine. You can get typhoid if you eat food or drink a beverage that has been touched by a person who is infected with the typhoid bacteria and has not washed their hands properly after going to the bathroom. Contamination can also occur when changing the nappy of a child with the infection.
Water sources that are contaminated with infected faeces are another common way typhoid is transmitted.
Without treatment, about 1 in 20 people who recover from typhoid become ‘carriers’. Typhoid carriers have no symptoms of the illness, but still excrete the Salmonella typhi bacteria in their faeces and urine. This means they can go on to infect others for an extended period of time after having the illness. It is estimated that between 2% and 5% of carriers are permanently infectious.