TY - JOUR AU - Jeon, Hyon Jin AU - Marks, Florian AU - Sugimoto, Jonathan AU - Im, Justin AU - Kang, Sophie S.Y. AU - Haselbeck, Andrea AU - Rakotozandrindrainy, Raphaël T1 - Surge of Typhoid Intestinal Perforations as Possible Result of COVID-19–Associated Delays in Seeking Care, Madagascar T2 - Emerging Infectious Disease journal PY - 2021 VL - 27 IS - 12 SP - 3163 SN - 1080-6059 AB - During the coronavirus disease pandemic, we observed a 6.4-fold increase in typhoid intestinal perforation incidence in Antananarivo, Madagascar. Thirteen perforations occurred within 6 months (February 2020–July 2020), compared with 13 perforations during the previous 41 months (August 2016–January 2020). The increase may be attributable to delayed healthcare seeking during the pandemic. KW - typhoid KW - surveillance KW - Salmonella enterica serovar Typhi KW - Madagascar KW - intestinal perforations KW - COVID-19 KW - coronavirus disease KW - SARS-CoV-2 KW - severe acute respiratory syndrome coronavirus 2 KW - viruses KW - respiratory infections KW - zoonoses DO - 10.3201/eid2712.210516 UR - https://wwwnc.cdc.gov/eid/article/27/12/21-0516_article ER - End of Reference