This Scottish Health Protection Network (SHPN) guide should be used alongside the external guidance that it relates to.

This guide covers the UKHSA 'Public health operational guidelines for typhoid and paratyphoid (enteric fever)'.

This external guidance has been approved for use in Scotland by the SHPN Guidance Group (SHPN-GG).

Intended audience

This guidance is for health protection professionals only.

Other people who require advice should contact their local health protection team.

What the guidance covers

This guidance supports public health practitioners to:

  • identify the sources of typhoid or paratyphoid infection
  • reduce the risks of secondary transmission

Guide for use in Scotland

The following recommendations for using this guidance in Scotland were agreed by the SHPN through the agreed review and adoption process.

This guidance provides a very clear guide for the public health management of cases of typhoid and paratyphoid, their contacts and co-travellers, where appropriate.

It is an updated version of previous guidance issued by Public Health England (PHE) in 2012.

In Scotland, typhoid and paratyphoid are notifiable diseases/organisms under the Public Health etc. (Scotland) Act 2008.

Any necessary Exclusion or Restriction orders in Scotland should be undertaken in accordance with the Public Health etc. (Scotland) Act 2008.


As the guidance has been produced by PHE, there are a number of places in which the specific terminology is inappropriate for Scotland and some replacements or translations will be needed so as to avoid confusion in Scotland, including in sample letters.

There are references throughout the text and appendices to the following.

Public Health England (PHE)

In Scotland this refers to Public Health Scotland (PHS) and NHS board health protection teams.

PHE centres

In Scotland this refers to NHS board health protection teams.

PHE National Infections Service Gastrointestinal Bacteria Reference Unit, Salmonella Reference Service (SRS)

In Scotland this refers to the Scottish Salmonella, Shigella and Clostridium Difficile Reference Laboratory (SSSCDRL)

National Travel Health Network and Centre (NaTHNaC)

Travel and International Health Team (PHS) via the websites:

Detail can also be found in the Department of Health’s Green Book.


View the external guidance

This external guidance should be used together with the guide for use in Scotland provided on these pages.

Last updated: 21 March 2024
21 June 2023 - Version 1.0
  • Previously published on the Health Protection Scotland website on 1 May 2017.
  • This is the first publication on the Public Health Scotland website in a new HTML format.
  • There have been no changes to the recommendations.
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