I would
NEVER travel outside the US/Canada/Western Europe/Japan/Australia or New Zealand without a current typhoid vaccination.
It is a life threatening disease.
Lotion and wipes may keep you clean but will
NOT prevent you from consuming contaminated food or drink.
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From the US Centers for Disease Control (CDC) web site.
Source:
Health Information for Indonesia | CDC Travelers' Health
Vaccination is Recommended for all unvaccinated people traveling to or working in Southeast Asia, especially if visiting smaller cities, villages, or rural areas and staying with friends or relatives where exposure might occur through food or water.
Source:
Disease Listing, Typhoid Fever, General Information | CDC Bacterial, Mycotic Diseases
Typhoid fever is a
life-threatening illness caused by the bacterium
Salmonella typhi. In the United States about 400 cases occur each year, and 75% of these are acquired while traveling internationally. Typhoid fever is still
common in the developing world, where it affects about 21.5 million persons each year.
Typhoid fever can be prevented and can usually be treated with antibiotics. If you are planning to travel outside the United States, you should know about typhoid fever and what steps you can take to protect yourself.
How is typhoid fever spread?
Salmonella typhi lives only in humans. Persons with typhoid fever carry the bacteria in their bloodstream and intestinal tract. In addition, a small number of persons, called carriers , recover from typhoid fever but continue to carry the bacteria. Both ill persons and carriers shed
S. typhi in their feces (stool).
You can get typhoid fever
if you eat food or drink beverages that have been handled by a person who is shedding S. typhi or if sewage contaminated with
S. typhi bacteria gets into the water you use for drinking or washing food. Therefore, typhoid fever is more common in areas of the world where handwashing is less frequent and water is likely to be contaminated with sewage.
Once
S. typhi bacteria are eaten or drunk, they multiply and spread into the bloodstream. The body reacts with fever and other signs and symptoms.
Where in the world do you get typhoid fever?
Typhoid fever is common in most parts of the world except in industrialized regions such as the United States, Canada, western Europe, Australia, and Japan.
Therefore, if you are traveling to the developing world, you should consider taking precautions. Over the past 10 years, travelers from the United States to
Asia, Africa, and Latin America have been especially at risk.
