ArticlemedRxiv : the preprint server for health sciences2026
Estimating enteric fever seroincidence in Bangladesh using rapid serosurveys.
Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Enteric fever, caused by Methods: School-based surveys (January-June 2022) were conducted in Chattogram, Dinajpur, Sylhet, Satkhira, and Faridpur, and community-based surveys (July 2019-November 2021) were conducted in Dhaka and Mirzapur. Blood samples (dried blood spots or venous blood) were collected and tested for anti-Hemolysin E IgG responses using a kinetic Enzyme-linked Immunosorbent Assay. Seroincidence was estimated using a maximum likelihood approach based on peak antibody titers and decay rates, modelled from blood-culture confirmed enteric fever cases in Bangladesh. Findings: A total of 2,969 participants aged 0-22 years were enrolled, with 75.5% aged 5-15 years. Seroincidence rates (per 100 person-years) were highest in Dhaka (33.1; 95% confidence interval [CI], 29.0-37.9), followed by Mirzapur (19.5; 95%CI, 17.4-21.7) and Chattogram (17.1; 95% CI, 15.0-19.4), and the lowest in Faridpur (11.1; 95%CI, 9.6-12.7). The under 5 age group exhibited higher rates in Dhaka (40.3; 95%CI, 32.1-50.7) and Mirzapur (26.1; 95%CI, 21.0-32.4) compared to older age groups. Seroincidence was elevated in areas with higher population density. Conclusions: This study highlights a substantial burden of enteric fever infections across Bangladesh. These provide important evidence to guide post-introduction monitoring and optimization of the typhoid conjugate vaccine program in the national immunization schedule.
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