Overview

• Provisional UKHSA data show an 8% increase in typhoid and paratyphoid cases to 702 in England, Wales and Northern Ireland during 2024.
• An extensively drug-resistant typhoid variant that emerged in Pakistan in 2016 has fueled the rise in imported infections.
• Health officials report most enteric fever cases are acquired abroad, particularly in South Asia regions with poor sanitation.
• GP surgeries offer a free typhoid vaccine for eligible travellers but no immunisation exists for paratyphoid.
• Imported malaria cases fell slightly to 1,812 in 2024 and dengue reports dropped in early 2025, yet both remain a concern for returning travellers.