Risk of typhoid exposure when travelling?

That’s not completely off the table

Could you be at risk of typhoid fever?

Every year there are about 21 million cases of typhoid fever

resulting in
222,000 deaths worldwide

VIVOTIF® is not a treatment
for typhoid fever or its complications, including death.

Search the map to see if your travel
destination could put you at risk.

Areas where there is a risk of typhoid fever

Speak with your healthcare professional about whether vaccination is appropriate for you. Not all vaccinated persons will be fully protected against typhoid fever even after a full course of VIVOTIF. Always follow basic sanitation and food and water precautions whether or not you have been immunized against typhoid.

According to the 2023 Canadian Immunization Guide, a recent Quebec study showed more
than 90% of international travellers who contracted typhoid
fever were visiting friends or family living abroad.

What is typhoid fever?

Bacteria icon Bacteria icon

Typhoid fever is a potentially severe—and occasionally fatal—illness caused by a bacterium called Salmonella typhi (S. typhi).

Note—VIVOTIF is not a treatment for typhoid fever or its complications, including death.

Icon of ustencils and a full glass

It is transmitted generally
through
the consumption of contaminated food and water.

Situations where you might be exposed to S. typhi include:
  • Contact with a person carrying typhoid
  • Eating uncooked, contaminated foods, such as raw fruit without a peel
  • Drinking contaminated water or a drink with contaminated ice

What are the signs and symptoms of typhoid fever?

Icon of a magnifying glass
Common symptoms include:
  • Fever
  • Headache
  • Weakness
  • Loss of appetite
  • Vomiting
  • Stomach pain
  • Constipation or diarrhea
Warning sign icon
Severe cases may result in:
  • Perforated bowel
  • Swelling of the brain
  • Death*
If typhoid fever remains untreated, you may still be contagious
even after your symptoms are gone.

*VIVOTIF is not indicated to treat the symptoms or reduce consequences
of typhoid fever, including death.

If you or your child are infected, recovery can take weeks.

When is typhoid fever vaccination recommended?

Per both the Canadian Immunization Guide (CIG) and the Protocole d’immunisation du Québec (PIQ), most Canadian travellers visiting South Asia (including Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka) should be offered typhoid fever vaccination.
Help keep typhoid off your plate. Speak with your healthcare professional to see if your travel plans could expose you to typhoid fever and learn how you can reduce your risk of getting sick.

Important safety information

VIVOTIF is an oral vaccine for protection of adults and children older than 5 years against typhoid fever, a disease caused by bacteria called Salmonella enterica serovar Typhi (abbr. S. typhi). The final dose of VIVOTIF should be taken at least 1 week before travelling to an area where there is risk of exposure to S. typhi. Immunization may not be suitable for everyone and can be associated with adverse events. 100% protection cannot be guaranteed. VIVOTIF is not indicated to treat the symptoms or reduce consequences of typhoid fever, including death. The vaccine should not replace standard preventive measures such as handwashing and avoiding potentially contaminated food and water.

The most commonly reported side effects of VIVOTIF during clinical studies were: stomach pain, feeling or being sick (nausea and vomiting), diarrhea, fever, flu-like symptoms, headache, and rash.

Side effects that have been reported very rarely during normal use include skin irritation, rashes, red or lumpy raised rashes, itching and hives, severe allergic reactions with drops of blood pressure and loss of consciousness, weakness, generally feeling unwell, shivering, tiredness, pins and needles, dizziness, and joint and muscle pain.

These symptoms disappear spontaneously within a few days. This is not a complete list of side effects. For any unexpected effects while taking VIVOTIF, contact your healthcare professional.

Learn more about VIVOTIF by consulting the Medication Information. Ask your healthcare professional if VIVOTIF is suitable for you.

Consider other vaccines that may be recommended for you
and your family on a trip to your travel destination.
Learn more
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