Volume 27, Number 12—December 2021
Dispatch
Surge of Typhoid Intestinal Perforations as Possible Result of COVID-19–Associated Delays in Seeking Care, Madagascar
Figure

Figure. Typhoid intestinal perforation cases and number of patients screened in hospitals participating in the Severe Typhoid Fever Surveillance in Africa Program (SETA), Madagascar, July 2016–September 2020. A) Intestinal perforation cases recorded by SETA at 3 hospitals, by age of patient and date of hospitalization. B) Number of patients screened monthly by SETA at Hospital Joseph Ravoahangy Andrianavalona, the largest hospital in the capital city of Antananarivo, and its tertiary care center, and at the Centres Santé de Bases II, a primary care facility in the town of Imerintsiatosika in the rural region west of Antananarivo. Vertical purple lines indicate date first case of COVID-19 reported in Africa. CSB-II, Centres Santé de Bases II; HJRA, Hospital Joseph Ravoahangy Andrianavalona.
1These authors contributed equally to this article.