Salmonella enterica serovar Typhi is a clone with a low level of variation. We developed a molecular typing method for serovar Typhi using 38 genome-wide single-nucleotide polymorphisms (SNPs) as markers detected by PCR-restriction enzyme digestion. The 73 worldwide serovar Typhi isolates studied were separated into 23 SNP profiles and four distinct genetic groups. Serovar Typhi isolates expressing the unique flagellar antigen z66 were found to cluster together and branch off from the ancestral group, suggesting that serovar Typhi was initially monophasic with only an H1 antigen and subsequently gained the z66 antigen. Typing using the 38 SNPs gave a discriminatory power of 0.87, and a minimum of 16 SNPs may be used to achieve the same level of differentiation. The SNP typing method we developed will be a valuable tool for global epidemiology studies of serovar Typhi.Typhoid fever, a serious systemic disease, is caused by Salmonella enterica serovar Typhi and is endemic in countries where problems of hygiene and sanitation remain unresolved. Annually, there are more than 17 million cases of typhoid fever, with around 600,000 deaths (41). Genetic diversity among serovar Typhi strains has been studied extensively using molecular techniques such as pulsed-field gel electrophoresis (14,16,20,35,36), ribotyping (7,17,22), IS200 typing (37), amplified fragment length polymorphism analysis (21), and random amplification of polymorphic DNA analysis (26, 33). A major drawback of these techniques is that the relationships derived from the data they provide do not necessarily reflect the true evolutionary relationships of the isolates.Two population genetics studies showed that serovar Typhi is a highly homogenous clone. Multilocus enzyme electrophoresis of 24 metabolic enzymes revealed only two major electrophoretic types (27), and multilocus sequence typing (MLST) of seven housekeeping genes found only three base substitutions in a total of 3,336 bp analyzed and divided 26 serovar Typhi isolates into four sequence types (13). Therefore, there is insufficient variation for either multilocus enzyme electrophoresis or MLST to be useful for the determination of relationships among isolates or for global epidemiological studies.To facilitate global epidemiology studies and to establish the evolutionary relationships within the serovar Typhi clone, there is a need for a molecular method that is cheap, discriminative, simple, and reproducible for the large-scale typing of isolates. Single-nucleotide polymorphisms (SNPs) are potential markers and have been used to type several pathogens, including Escherichia coli O157:H7 (42), Bacillus anthracis (25), Mycobacterium tuberculosis (8, 11), and Yersinia pestis (1). The discovery of SNPs is facilitated by the sequencing of more than one genome from the same clone. The completed genome sequences of serovar Typhi strains CT18 and Ty2 (4, 24) allowed us to explore the differences between them and to identify SNPs suitable for typing. We selected 37 SNPs that could be differentiated by ...