La Louisiane stretched from the mouth of the Mississippi River to present-day Canada, and approximately covered the present-day U.S. states of Louisiana, Mississippi, Arkansas, Oklahoma, Missouri, Kansas, Nebraska, Iowa, Illinois, Indiana, Michigan, Wisconsin, Minnesota, North Dakota and South Dakota.
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.
Typhoid and paratyphoid fever are most often acquired through consumption of water or food that has been contaminated by feces of an acutely infected or convalescent person or a chronic, asymptomatic carrier. Transmission through sexual contact, especially among men who have sex with men, has been documented rarely.yphoid fever is a potentially severe and occasionally life-threatening febrile illness caused by the bacterium Salmonella enterica serotype Typhi. Paratyphoid fever is a similar illness caused by S. enterica serotype Paratyphi A, B (tartrate negative), or C.