title: Availability of clean tap water and medical services prevents the incidence of typhoid Fever.
abstract: OBJECTIVE
  In this study, the factors that induced a decrease in the incidence of typhoid fever were analyzed. Based on the study results, we propose a quantitative and concrete solution to reduce the incidence of typhoid fever.
  
  
  METHODS
  We analyzed the incidence and fatality rate of typhoid fever in Korea. Tap water service rate and the number of pharmacies, which affect the incidence rate of typhoid fever, were used as environmental factors.
  
  
  RESULTS
  To prevent typhoid fever in the community, it is necessary to provide clean tap water service to 35.5% of the population, with an individual requiring 173 L of clean water daily. Appropriate access to clean water (51% service coverage, 307 L) helped the population to maintain individual hygiene and food safety practices, which brought about a decrease in the incidence of typhoid fever, and subsequently a decrease in fatality rate, which was achieved twice. During the 8-year study period, the fatality rate decreased to 1% when the population has access to proper medical service.
  
  
  CONCLUSIONS
  The fatality rate was primarily affected by the availability of medical services as well as by the incidence of typhoid fever. However, an analysis of the study results showed that the incidence of typhoid fever was affected only by the availability of clean water through the tap water system.
authors.affiliation: Division of Enteric Diseases, Korea National Institute of Health, Osong, Korea.
authors.forename: Deog-Yong
authors.initials: DY
authors.lastname: Lee
authors.forename: Esther
authors.initials: E
authors.lastname: Lee
authors.forename: Hyemin
authors.initials: H
authors.lastname: Park
authors.forename: Seonghan
authors.initials: S
authors.lastname: Kim
keywords: fatality rate; incidence; medical service; typhoid fever; water service