WEEKLY EPIDEMIOLOGICAL RECORD, No. 6, S FEBRUARY 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N- 6 ,5 FEVRIER 1993 Yellow fever Fièvre jeune

K e n y a . An outbreak of yellow fever has just been reported K e n y a . Une flambée de fièvre jaune vient d'être signalée par le by the Ministry of Health, Nairobi. This outbreak occurred Ministère de la Santé à Nairobi. La flambée s'est produite dans le in the Baringo District of the Kerio Valley in Rift Valley district de Baringo dans la vallée de Kerio, province de la Vallée du Province. Confirmation of the diagnosis was made by the Rift. Le diagnostic a été confirmé par les Centers for Disease Control, Centers for Disease Control, United States of America. Etats-Unis d'Amérique. Les précisions quant au nombre et à la date Details of numbers of cases and dates of occurrence have de survenue des cas n'ont pas encore été communiquées. not yet been communicated. All travellers to Kenya are advised to be vaccinated H est conseillé à tous les voyageurs se rendant au Kenya de se against yellow fever. faire vacciner contre la fièvre jaune.

Yellow-fever vaccinating centres for Centres de vaccination contre la fièvre jaune pour international travel les voyages internationaux Amendments to 1991 publication Amendements a la publication de 1991

CANADA GERMANY/AUEMAGNE

In s e r t - In sé re r. Insert - Insérer;

O n ta r io Neubrandenburg N orth York H. Medizinische Klimk des Klimkums Neubrandenburg Sunnybrook Travel Medicine Clinic, University of Toronto, (Yellow-Fever Vaccinating Centre No. 5) Bayview Avenue S traletim i Gesundheitsamt der Hansestadt Stralsund CZECH REPUBLIC/REPUBUQUE TCHÈQUE (Yellow-Fever Vaccinating Centre No. 6)

Insert — Insérer: NORWAY/NORVÈGE

Praha (Prague) In s e r t - In sé re r: Yellow Fever Vaccination Centre, University Hospital, Clinic of Geographic Medicine A lgarheim Medical Staff FDI 4/IR 4 (Norwegian Army) FRANCE Ver dal Municipal Health Centre Insert - Insurer.

P aris Aéroport Roissy-Charles de Gaulle L aon Centre hospitalier général infected areas as at 4 February 1993 Zones infectées au 4 février 1993 For cnima used in compiling this list, see No 25, p 191 Les cnteres appliques pour la compilation de cette liste sont publiés dans le N" 25, p. 191 X - Newly reported areas X - Nouvelles zones signalées

Plague • Peste Bevonotany District Brazil * Brésil Huancabamba Province Burkina Faso Sftaniherpnanfl DlSttlCt psiht/i State C de la Frontera Distna Boulgou Provtnce Rinnnga MumdpiO Ambohunahasoa S Pré/ fhmçhaqng DlStna Burundi Africa • Afrique Manandroy Dismet Candcal Muniopio Huancabamba D istna Bubanza Province M adagascar Ambosttra S. Préf. Central Muniopio Puera Provtnce Bubanza Arrondissement Antananarivo Province Amharnmanna DlStüCt Conceiçào Mumopio I an T umas DlSttlCt Amhfthimaham Pjffpw Fora de Santana Mumopio Cibitoke Arrondissement Ambohtdratnmo S. Pré/. Bujumbura Province Ambovombe Centre haquara Mumopio Antanananvo-Avaradrano S Préf. Asia • Asie Bujumbura Arrondissement Ambatolampy S. Prêt Andina Dismet Irecê Mumopio Itaberaba Mumopio Burun Province Anjozorobe S Pré/ Anjoma N'Ankona District Viet Nam Jussara Mumopio Gia-Lat-Công Turn Provtnce Makamba Arrondissement Antananarivo S. Pré/ Anjomà Navona District Rumooge Arrondissement Anlfaynamhn DlStTlCt Reorolândia Mumopio L dm D ông Province Antananarivo District Guega Province Ivato Dismet Riachâo do Jacuipe Mumopio Antam/otsy S. Pre/ Phu Khan Province GltCga ArmndKMinenr Ivony District Swihnf dû Rnnfim MimiOpiO Antsirabe I S. Pre/ Talara-Vnhimena Dismet Semnha Mumopio ram M im n • ramoitMin Antsirabe U S. Pre/ Tsarasaotra Dismet Teofilandia Mumopio Choiera • Choléra Province de l'Exzrême-Nord Ambodiala Dismet Fandnana S Préf Paratba State Diamare Département Ambohitsunanova District Fiadanana District Araba Muniopio Africa • Afrique Logone-ct-Chan Département Ampasatanety District Fianarantsoa I S> Préf Barra de S. Rosa Mumopio Mayo-Danai Departement Manandona District Cuban Mumopio Angola Mahatsmjo District Bengo Province Mayo-Sava Departement Soanindranny District Fianarantsoa II S. Pré/ Olivedos Mumopio Mayo-Tsanaga Departement Tsarofar District Queimadas Mumopio Benguela Province Andobaranomaitso Dismet Huambo Provtnce Provtnce Lateral Vinamnkarena Dismet Fiai^aranrgna H DlSttlCt Remigio Muniopio Huila Province Moungo Département Anvommamo S. Pré/ Solânca Mumopio Manadnaua S . P re/ Kuando-Kubango Province Woun Département Beta/o S. Pre/ Makajanga Province Peru • Pérou Provtnce du Nord Kunene Province Alakamisy-Ananvdio District Toamasma Provtnce Cajamarca Department Kxuanza-Norte Provtnce Benoué Département FanandnanaS Pré/ Moramanga S. Pre/ CÜoto Province Province de l’Ouest T lama District Kwanza-Sul Provtnce Faratstho S Pré/ Tanzania, United Rep. of Haut Nkam Departement Margakandrtana S. Pré/ Miracosta Dismet Luanda Province Mifi Departement Tanzanie, Rcp.*Uuic Hi» Tocmocbe Dismet Luanda^ Cap Miartnanvç S. Pre/ Tanga Région Province du Sud Aaalavoiy Dismet San Miguel Province Malanga Province Ocean Departement Lusboto Dismet Nanchoc Dismet Namtbe Provtnce Anosibe Ifanja Dismet Tanga Dismet Provtnce du Sud-Ouest Renevohura S . Pre/. San Grcgono Dismet Utge Province Manyu Departement Soaxnnandnana S Pré/ Zaire • Zaïre San Miguel Distria Zaïre Province Meme Departement San Pablo Province Ajnbatoasana Centre H a u t S b ire Province Benin • Bénin Mahagt Administrative Z o n e San Louis Dismet • Tchad Tstroanomandtdy S » P ré/ Puera Department Département de l'Atlantique Batha Pré/ecture Antsiranana Provtnce S Préf. d'Allada Bet Pré/ecture • Ayabaca Provtnce Andapa S. Pré/ America Amérique Canales District Cire de Cotonou Bdtme Prefecture Doany Dismet Bolivia - Bolivie Lagunas Distna S Préf de Toffo Chan Bagutrmi Prefecture Fianarantsoa Province La Paz Department Montera D istna Département de l'Atacora Guera Pré/ecture Ambaiofinandrahana S Pré/. Franz Tamayo Province Paunas Distna Departement de Borgou Kanem Prefecture Ambondromisotra Dismet Sud Yungas Province Sapilbca Distna Département de Mono Lac Préfecture Andrefambohitra District Valle Grande Province Suyo Distna Département de Zou Logone Occidental Préfecture

38 WEEKLY EPIDEMIOLOGICAL RECORD, No. 6 ,5 FEBRUARY 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N ' i , S FEVRIER. 1993

Logone Ormuai Prefecture Benue State fh iU • CMli Mexico • Mexique India • Indi» Njamena Prefecture Borno State Antofagasta Province Campeche State Andhra Pradesh State Ouaddaï Préfecture Gongola State Bernardo O'Higgms Promue Chiapas State Hyderabad Dismct Tandtjde Préfecture Im o S ta te Coqwmba Province Chihuahua State Visakhapatnam Distna Côte d'ivoire Kaduna State Los Lagos Province Cobnut State Assam State Département de l'Ouest K a ra S ta te Osomo D tstrao federal Delhi Territory Man Sous Prefecture Katsxna State Santiago Province Guanajuato State Gujarat State Kviara State Tarapaca Province Guerrero State Haryana State flhana Lagos State Colombia • Colombie Hidalgo State Karnataka (Mysore) State Accra Region Niger State Amazonas Department Jalisco Slate Bangalore Dismct Accra District Ogun S ta te Anaoqusa Department Mexico State Bidar Distna Greater Accra District Ondo S ta te Atlanaco Department Mtchoacan State Chitradurga District Ashanti Region Oyo S ta te Bolivar Department Morelos State Gulburga Distna Central Region Plateau State Boyaca Department Neuvo Leon State Hassan Dismct Upper E a st Region Rmers State Caldas Department Oaxaca State Kolar Dismct Volta Region Sokoto State Caqueta Intendency Puebla State Mandya Dismct Guinea • Guinée Rwanda Cauca Department Queretaro State Raichar D istna Conakry Province Cyangugu Prefecture Cesar Department Quintana Roo State Tumkur Dismct Forécahah Prefecture Gisenyi Préfecture Choco Department San Luis Potosi State Kerala State Kenya Cordoba Department Somra State Madhya Pradesh State Sao Tome and Principe Tabasco State (Area not specified - Zone non Cundmamarca Department Maharashtra State S&o Tom é-et-Principe Tamauhpas State précisée) Lemba District Guctjtra Department Akala Dismct Huila Department Tlaxcala State Amrawan Dismct Liberia • Libéria Séo Tome Magdalena Department Veracruz State Nagpur Dismct Bong County Swaziland Meta Department Yucatan State Nandad Distna Montserrado County (Area not specified - Zone non Narmo Department 7.nmti>rn S ta le Osmanabad Distna Malawi précisée) None de Santander Department Nicaragua Parbhani D istna Central Regan Tanzania, United Rep. of Putuumayo Department Boaco Department Pune Distna Lilongwe District Tanzanie, Rép.-Unie de Quuidw Department Carazo Department Sangli Dismct Southern Regan Arusha Region Risaralda Department Chnandega Department Thane Dismct Mali Kütmatqato Region San Andres Intendency Chômâtes Department Manipur State Kayes Region Mara Region San Jose del Guavtare Department Esteb Department Punjab Slate Kayes Cercle Mtsoara Regan Santa Fe de Bogota Department Granada Department Tamil Nadu State Koultkoro Regan Rukwa Region Santander Department Léon Department Anna Dismct Nara Cercle Tanga Regan Sucre Department Managua Department Chingleput Dismct Tohma Department Masaya Department Madras D istna Mauritania • Mauritanie Togo Valle Department Matagalpa Department Madurai D istna Nouakchott District Golfe Distna Rivas Department North Arcot Dism a Ire R egan Kioto Dismct Costa Rica Limon Province Panam a Pudukkottai Dismct Hodh el Chargui Kozah Dismct Thaajavur Disma 2e R egan Lacs Dismct San José Prowice Chepo Provmce Tiruchirapalb Dismct Hodh el Gharbi Ogou District Ecuador • Equateur Chiman Provmce Colon Provmce Tirunelvelli D ism a 3e R egan Sotouboua District Azuay Province Comarca de San Bias Vellore Dism a Assaba et Gmdimakha Vo District Bolivar Province Danen Provmce Villipuram District 4e R egan Yoto Distna CaAar Province Gorgol Panama Provmce Uttar Pradesh State Uganda • Ouganda Carchi Province 5e R egan Peru • Pérou West Bengal State Kase.se District Chtnborazo Province Calcutta Brakna Cotopaxi Province Amazonas Department 6e R egan Zaire • Zaïre El Oro Province Ancash Department Indonesia • Indonésie Trarza Haut Zaïre Province Esmeraldas Province Apunmac Department East Nusa Tenggara Provmce Kivu Province Galapagos Province Arequipa Department Sumba Barat Regency Shaba Province Guayas Provtnce Ayacucho Department Lampung Provmce Zambia • Zambie Imbabura Province Cajamarca Department Lampung Barat Regency Chokwe District Central Province Loja Provmce Callao Provmce North Sulawesi Province Guija District Lusaka Los Rios Provtnce Cuzco Department Bolaaog Mongondow Regency Maaa Distna Copperbelt Province Manabi Provmce Huancavehca Department Iran, Islamic Rep. of Luapula Province Morona Provmce Huanuco Department Iratij R ép. hlam tqna (J1 Xai-Xai District Northern Province Napa Province lea Department Isfahan Provmce Southern Province Pastaza Province Jumn Department Kermanshahan Provmce Zimbabwe Piehituha Provmce La Ubertad Department Kkuzesian Provmce Inhammc District Mantcaland Province Sucumbios Provmce Lambayeque Department Kwrdestan Provmce Mamxe District Chimammani Dismct Tungurahua Provtnce Lima Department Satan &• Bahichestan Provmce Chipmge Dismct Zatnora-Chmchtpe Province Loreto Department Madré de Dios Department Iraq Mutare D istna El Salvador Moquegua Department Al-Basra Govemorate Mashonaiand Central Central Region Mamca Province Pasco Department Al-Anbar Govemorate Mukumbura D istna Metropolitan Region Chimoio District Ptura Department Al-Mathna Govemorate X Mashonaiand East Occidental Region Guro District Puno Department Al-Najef Govemorate Masvmgo Province Oriental Region Tambara D ism a San Moron Department Al-Qadisiya Govemorate (Dismct not specified - Distna P aracentral Region Province non précise) Tacna Department A rbi Govemorate French Guiana Tumbes Department Babil Govemoraie Manhica District Guyane française Ucayah Department Baghdad Govemorate Maputo City America • Amérique Dohuk Govemoraie Guatemala Surinam e Macutuine District Argentina Dyala Govemorate Aha Verapaz Deportment Marotvtjne District Jujuy Province Karbala Govemorate Baja Verapaz Department Saha Province Chunahenango Department Venezuela Mesan Govemorate Anzoalegui State Cfuquanula Department Nineveh Govemorate Belize Apure State Cayo District El Propeso Department Salah El-Din Govemorate Bcira City Aragua State Escumtla Department Siilaimajiiyah Govemorate Bun District Toledo Dismct Bannas State Guatemala Department Tamim Govemorate Bolivia • Bolivie Carabobo State Huehuetenango Department Tikar Govemorate Tele Province Bern Department Delta Amacuro State Izabal Department Wasit Govemorate Chuqutsaca Department Federal District Jalapa Department Mutarara Dis ma Cochabamba Department Guanca State Malaysia • Malaisie Juttapa Department Kedah State Tete Guy E l A lto D epartm ent Merida State Zambezia Province La Paz Department Petén Department Kubang Pasu D ism a Çhtetzahenango Department Miranda State lnhassungc D istna Oruro Department Penang State Qmché Department Monagas State Maganja da Costa Distna Potosi Department Timor Laut Disma Retalhuleu Department Nueva Esparto State Mocuba Dismct Riberalta Department Sabah Sacatepéquez Department Sucre State Mopcia D istna Santa Cruz Department Tawau District San Marcos Department Tachira State Namacumi D istna Tanja Department Zulia State S araw ak Nicoadala Distna Tupiza Department Santa Rosa Department Simunjan Distna Quehmane D istna Solola Department Brazil • Brésil Suchuepequez Department Asia • Asie Nepal • Népal Niger Baitadi District Alagoas State Totomcapdn Department Bhutan • Rhnntan Dtffa Département Amapa State Zacapa Department Jhapa Distna Passa Département Amazonas State Mongar Dismct Kharmanfhi DiStnCt Guyana Pemagatsel District Maradt Departement B a h a S ta te Vim Nam Niamey Departement Cearâ State Regum I (Banna/Waan) PhuntshoUng Dismct Region I f (Pomeraon/Supenaam) Punakha D u m a Bmh Tn Then. Provmce Tahoua Département Maranhâo State Ngkta Bmh Provmce Tülabery Département Samdrupjoogkhar Distna Mato Grosso State Honduras Phu RJifrih Provmce Zinder Département P ara S ta te Choluteca Department Tashigang D istna Nigeria • Nigeria Paraiba State Cortes Department Thimphu Distna Abuja State Pernambuco State El Paraiso Department Cambodia • Cambodge Europe Akwa Ibom State Piaui State Francisco Morazan Department Kompong Cham Provmce Ukraine Anambra State Rio Grande do Norte State Santa Barbara Department rh in n • <7hin«* Mariupole Baucfu State Rondôma State Valle Department (Area not specified - Ntcolaev Region Bendel State Sergipe State Y oto D epartm ent Zone non précisée) Odesskaya Region

3 9 WEEKLY EPIDEMIOLOGICAL RECORD, Ho. 6, S FEBRUARY 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, H1 i, 5 FÉVRIER 1993

Nova Mannga Mumopio Choco Department Marathon Provmce Oceania • Océanie America • Amérique Placido de Castro Muniapio Rio Suoo Mumopio Cbolon Dismet Tuvalu Bolivia • Bolivie Pocone Muruapio Cundmomarca Department Juron Department Nanumea Island Bem Department Pontes e Lacerda Mumopio Maya Muniopio Chanchamayo Provmce Nuitao Island Ballivian Province Ribas do Rio Pardo Mumopio Guaxnare Intendenaa Chanchamayo District ïtenez Provmce Sidrolândia Mumopio Miraflores Mumopio Perçue Dismet Yellow fever • Fièvre jaune Cochabamba Department Sinope Mumopio San Juan del Guaviare San Luis Sevaro District Ayopayo Province Terenos Muniopio Mumopio Viloc Dismet Carrasco Province Mmas Gerais State Africa • Afrique Meta Intendenaa Sattpo Promue Chapare Province Bonünopolis Muniopio Cabuyaro Mumopio Covinab Dismet Francisco Dumont Mumopio Angola La Paz Department La Pnmavera Mumopio Mazaman Dismet Larecaja Provmce Mirabela Muniopio Beago Province San Carlo de Guaroa Pangoa Dismet Munllo Provmce Paracatu Mumopio Luanda Province Mumopio Pichanah Dismet Nor Yungas Provmce Unai Mumopio Cameroon • Cameroun Villavicenao Muniapio Rio Negro District Quinuni Provmce Para S ta te Vista Hermosa Mumopio Province de l'Extrême-Nord Sud Yungas Province Alenquer Mumopio Rio Tambo Dismet Mayo Sava Département Norte de Santander Department Sanpo Dismet Santa Cruz Department Almeinm Muniopio Cucuta Mumopio Mayo Tsanaga Département Loreto Department Andres Ibaflez Provmce Altamira Mumopio Tibu Mumopio Araguaia Mumopio Ucayali Province Gambia • Gambie Cordillera Provmce Cucuta Intendenaa Faro Muniopio Contamana District Upper River Division Florida Province Toledo Mumopio Monte Alegre Mumopio Purus District Guinea • Guinée Gutierrez Provmce Putumayo Intendenaa Ichilo Provmce Frainha Muniapio Madré de Dios Department Region Rendeaçâo Muniapio Puerto Asis Muniopio Santander Department Manu Promue Mali Brazil • Brésil Sâo Domingos do Capun Bucaramanga Mumopio Madré de Dios Dismet Kayes Région Amapa Territory Mumopio Macapa Mumopio Cimitarra Muniopio Manu Dismet Kita Cercle Sen. José Porfino Muniopio Tambopata Promue Amazonas State El Carmen Muniopio Kouhkoro Region Tailandia Mumopio Tnamban Dismet DioïLa Cercle Canutama Mumcicpio Tucurui Mumopio Vichada Department Puerto Trujillo Muniopio Las Piedras Dismet Kangaba Cercle Joào Figueiredo Mumdpio Xinguara Mumopio Manaquui Mumcipo Rondoma State Tambopata District KaQ Cercle Ecuador • Equateur Purto Department Kolokam Cercle Manaus Mumopio Cacoal Muniopio Morona-Sanaago Provmce Sandia Promue Maraâ Mumopio Roratma Territory Napo Provmce Kenya San Juan del Oro District Nova Olinda do Norte Bonfim Muniopio Humayacu Dismet Rsft Valley Provmce San Roman District Mumopio Garimpo Mutuxn Mumopio Pastaza Provmce X Bcnngo District Vilcabamba District Novo Airaô Mutudpio Maloca Caju Muniopio Sucumbtos Provmce San Martin Department Nigeria • Nigeria Tefe Mumopio Pnlnratiia « r^Urnhla Zamora-Chmchspe Provmce Anambra Siaie Urucara Mumopio Huallaga Provmce Anaoqma Department Peru • Pérou Bouche State Gotas State Anon Mumopio Bellavista District Ayacucho Department Bendel State Alto Paramo Mumopio Taraza Muniapio Saposoa District Benue State Bêla Vïsta Mumopio Huanta Province Lamas Promue Yondo Mumopio San José Santülana District Cross River State Caiapoma Mumopio Arauca Intendenaa Lamas District Kaduna State Damolândia Mumopio Arauca Muniapio Cusco Department Tabalazos Dismet La Convenaon Provmce Kicara State Fonnosa Mumopio Saravena Mumopio Manscal Caceres Provmce F-charaie District Lagos Stase Gotas Velho Muniapio Bayaca Department Campanula District Kuam District Niger State Mara Rosa Mumopio Chita Mumopio Son Martin Provmce Maranura Dismet O gun S ta te Nova Crucas Muniapio Puerta Boyaca Mumopio Juan Guerra Dtsmcr Planalnna Mumopio Sama Ana Dismet O ndo Sta te Caqueta Intendenaa Sauce Dismet Santa Cruz Mumopio Huanuco Department O yo Sta te Bclcn de los Aadaquiés Tocache Promue Maranhaô State Huamaltes Provmce Plateau State Mumopio La Polvora Dismet Grajau Mumopio Monzon Dismet Sudan • Soudan El Doncello Muniopio Nuevo Progreso Dismet Lago da Pedra Mumopio San Vicente de Caguàn Leonao Prado Provmce Territory South of 12° N* Tocache District Montes Altos Muniopio Mumopio Alorna Robles Dismet Territoire situe au sud Mata Grosso State Aucayacu District Uchiza Distnct du 12° N. Casanare Intendenaa Antonio Joâo Mumopio Hato Corozal Mumopio JC CastelloDismet Ucayali Department Zaire • Zaïre Camapua Mumopio Tamara Mumopio Leonoo Prado Dismet Coronel Portillo Promue Territory North of 10s S* Corgvunho Muniapio Yopal Mumopio Monzon Dismet Calkna Dismet Territoire situé au nord D ifliîiannnn MuniOpiO Cesar Department P. Luyando District Padre A b a d P ro m u e du 10e S jardim Mumopio Valledupar Mumopio Rupa Rupa District Padre Abad Dismet

Notifications received from 29 January to 4 February 1993 Notifications reçues du 29 janvier au 4 février 1993 C - cases, D - deaths,... - data not yet received» C - cas» D - décès» ... - données non encore disponibles, i - imported, r - revised, s - suspect i - importé, r - révise, s - suspect

Choiera • Choléra Yellow Fever • Fièvre jaune

Africa • Afrique America • Amérique Africa • Afrique C D C D C D Zimbabwe 11-311 Brazil - Brésil 27 XÜ-16 I N igeria - N igeria 28 J* ...... ,.....,...,....,..,.2 030 88 ...... 4 951* 33* Oyo S ia u n n a e - r 3-27 J Ogbomosho Local Government Area... 10 6 ...... 5 0 * Dace of notification. - Date de la notification. * Includes delayed reports for 1992. - Y compris lçs rapports reçus tardivement pour 1992,

Telex: 415416 Fax: 788 00 11 Télex: 415416 Fox: 788 00 11 (Attention EPIDNAIIONS for notifications of diseases subject to the regulations) (A l'attention d'EPIONATIONS concernant les notifications des maladies soumises au reglement) Automatic telex reply service: Service automatique de réponse par télex: Telex 415768 Geneva followed by ZGC ENGL for reply in English Télex 415768 Genève suivi de ZGC FRAN pour une réponse en François Price of the Weekly Epidemiological Record P rix du Relevé épidémiologique hebdomadaire Annual subscription Sw. fr. 170.- Abonnement annum Fr. s. 170.-

7 600 293 ISSN 0049-8114 Printed in Switzerland

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