Pakistan is facing world’s largest extremely drug resistant (XDR) typhoid outbreak. More than 5,000 cases were reported from Hyderabad and Karachi in the first phase.
Some 11 cases were reported in 2016, 730 in 2017 and 4,533 cases in 2018.
The intensity was initially high at Hyderabad, but due to mass vaccination with a new WHO-prequalified conjugate vaccine, it was managed much better. Karachi, the nearest metropolitan centre, is facing a far more intense outbreak right now and needs immediate treatment and preventive measures.