How Do People Get Typhoid Fever?

Typhoid fever is contracted by drinking or eating the bacteria in

contaminated food or water. People with acute illness can contaminate the
surrounding water supply through stool, which contains a high concentration
of the bacteria. Contamination of the water supply can, in turn, taint the food
supply. The bacteria can survive for weeks in water or dried sewage.
About 3%-5% of people become carriers of the bacteria after the acute
illness. Others suffer a very mild illness that goes unrecognized. These
people may become long-term carriers of the bacteria -- even though they
have no symptoms -- and be the source of new outbreaks of typhoid fever for
many years.
How to avoid typhoid

Countries with less access to clean water and washing facilities typically
have a higher number of typhoid cases.
People traveling in Africa, South America, and Asia (India in particular) should
be vigilant.
Typhoid is spread by contact and ingestion of infected human feces. This can
happen through an infected water source or when handling food.
The following are some general rules to follow when traveling to help
minimize the chance of typhoid infection:
Drink bottled water (preferably carbonated)
If bottled water cannot be sourced, ensure water is heated on a rolling boil
for at least one minute before consuming
Be wary of eating anything that has been handled by someone else
Avoid eating at street food stands, and only eat food that is still piping hot
Do not have ice in drinks
Avoid raw fruit and vegetables and peel fruit yourself (do not eat the peel)