WEEKLY EPIDEMIOLOGICAL RECORD, No. 15,9 APRIL 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, K" IS, 9 AVRIL 1993 Influenza Grippe

Czech Republic (30 March 1993).1 The incidence of acute République tchèque (30 mars 1993).1 L’incidence des affections respiratory diseases and influenza-like illness increased dur­ respiratoires aiguës et des syndromes grippaux a augmenté au cours ing the first 3 weeks of March, but has now decreased in all des 3 premières semaines de mars; elle diminue maintenant dans age groups and in all regions of the country. Of 58 influenza tous les groupes d’âge et toutes les régions du pays. Sur les 58 virus viruses isolated and identified this season, 55 were grippaux isolés et identifiés cette saison, 55 étaient des virus B et influenza B and 3 were influenza A(H3N2). 3 des virus grippaux A(H3N2). Greece (26 March 1993).2 Influenza B virus has been Grèce (26 mars 1993).2 Le virus grippal B a été isolé d’un cas à isolated from 1 case in Thessaloniki, where local outbreaks Thessalonique, où des flambées locales ont été signalées parmi la were reported among the general population from mid- population générale de la mi-janvier à la semaine s’achevant le January to the week ending 24 March. 24 m ars. H ungary (14 March 1993).1 The weekly number of cases of Hongrie (14 mars 1993).1 Le nombre hebdomadaire de syndromes influenza-like illness has decreased since mid-February and grippaux a diminué depuis la mi-février, et l’épidémie est considérée the epidemic is now considered over. Altogether 52 isolates comme terminée. Un total de 52 isolements de virus grippaux B of influenza B virus and none of influenza A were obtained (aucun de virus A) ont été obtenus cette saison. this season. Israel (21 February 1993).3 Influenza activity continued to Israël (21 février 1993).3 L’activité grippale a continué à s’accroître increase although it remained sporadic during February. bien qu’elle soit restée sporadique en février. Des cas ont été obser­ Cases have been seen in all age groups, but the majority were vés dans tous les groupes d’âge, mais la majorité étaient des enfants. among children. Influenza B has predominated and only La grippe B a prédominé, et seul 1 cas de grippe A(H3N2) a été 1 case of influenza A(H3N2) has been diagnosed. diagnostiqué. Norway (31 March 1993).4 The incidence of influenza-like Norvège (31 mars 1993).4 L’inddence des syndromes grippaux illness was 110 per 100 000 population during the first 3 était de 100 pour 100 000 habitants pendant les 3 premières semai­ weeks of March, but has since decreased slighdy. nes de mars, mais a légèrement diminué depuis. La grippe B a Influenza B predominated all through the season, but re­ prédominé pendant toute la saison, mais quelques cas de grippe A cently a few cases of influenza A were diagnosed in Oslo. ont été diagnostiqués récemment à Oslo. Deux virus A(H3N2) et Two have been further identified as influenza A(H3N2) 1 virus A(H1N1) ont été identifiés ultérieurement. and 1 as influenza A(H1N1). United Kingdom (30 March 1993).4 Indices of influenza Royaum e-Uni (30 mars 1993).4 Les indices d’activité grippale ont activity increased steadily during March and the increase régulièrement augmenté en mars, et cette augmentation a coïncidé coincided with reports on outbreaks of influenza and influ­ avec des rapports sur des flambées de grippe et de syndromes enza-like illness in the community. The number of cases of grippaux dans la communauté. Le nombre de syndromes grippaux influenza-like illness encountered by general practitioners vus par les médecins participant au programme de surveillance de la participating in the influenza surveillance programme has grippe est comparable à celui des saisons précédentes lors desquelles been comparable with that of previous seasons when no aucune épidémie majeure n’avait sévi. Le nombre d’isolements de major epidemics occurred. The number of influenza virus virus grippaux s’est aussi accru en mars et, bien que les virus B aient isolates also increased in March and although influenza B continué à prédominer, une augmentation du nombre d’isolements viruses continued to predominate, an increasing number de virus A, en particulier de virus A(H1N1), a été notée. of isolates have been influenza A, particularly influen­ za A(H1N1).

1 See No 12, 1993, p. 87. ' VoirN“ 12, 1993, p. 87 ! See No 11, 1993, p. 78. ! Voir N° 11, 1993, p. 78. 1 See No 7, 1993, p. 42 5 Voir N" 7, 1993, p. 42, * See No. 10, 1993, p 70. 4 Voir N" 10, 1993, p. 70.

Infected areas as at 8 April 1993 Zones infectées au 8 avril 1993 For cntena used in compiling this list, see No 10, p 72 Les cnteres appliques pour la compilation de cette liste sont publiés dans le N° 10, p 72 X - Newly reported areas X - Nouvelles zones signalées

Remvohitra S. Préf. Fianaranisoa II. $ Préf Feira de Santana Mumcipio Ptura Department Plague • Peste Soavtnandnana S. Préf Andoharanomaitso Dismet Iraquara Mumcipio Ayabaca Province Africa • Afrique Ambatoasana Centre Fianaranisoa Q Dismet Irecê Mumcipio Canales Dismet Tsiroanoinanduiy S. Pref Manadnana S. Pref. Itaberaba Mumcipio Lagunas District M a d a g a sca r Antsmmana Province Mahajunga Province Jussara Mumcipio Moncero District Anumananuo Province Andapa S Préf. Toamastna Province Retirolândia Mumcipio Paimas Dism et Ambohuixammo S. Préf. < Doany District Maramanga S. Préf. Riachâo do Jacuipe Mumapio Sapühca District Ancatumarwo-Avgradranç S. Préf. Fianarantsaq Pravmce Tanzania» United Rep. of Scnhor do Bonfim Mumcipio Suyo Dismet Ambalolampy S. Préf Ambatofinandrahana S Préf Semnha Mumcipio Huancabamba Province Tanzanie, Rép.-Unie de Anjazveobe S. Pref Ambondromisptra Dism et Tcoûlandia Mumcipio C, de la Froncera District Antananarivo S. Pré/. Anrjrtrfamhnhirra D istrict Tanga Region Paratba State Canchaque Dismet Antananarivo District Bcvonotany District Lushoto Dtstncc Araba Municipio Huancabamba District Antan/otsy S. Pré/. Soamherenana District Tanga Dismet Barra de S. Rosa Mumcipio Piura province Antsirabe IS Préf Ambohtmahasoa S. Préf. Zaire • Zaïre Cuban Mumcipio Las Lomas Dismet Antsirabe IIS Préf Manandroy Dismet Haut Zaïre Province Oüvedos Mumcipio Ambodiala District Ambosttra S. Pref. Mahagi Administrative Zone Queimadas Mumcipio Asia «Asie Ambohîtsimanova District Ambatomanna Dismet Remigio Municipio V ier N a m Apihnhimahayq Ampasatancty Dism et Solânea Municipio Gta-Lai-Công Turn Province Manandona District Ambovombe Centre America • Amérique lâm Dông Province Soanindrarmy District Andina District Peru • Pérou Bolivia • Bolivie Phu Khan Province Tsarofar D istrict Anjoma N ’Ankona Dismet La Paz Department Cajamarca Department Vinanmkarena Dismer A njnm a Navona Dismet Franz Tamayo Province Chota Province Anvommamo S. Préf Ankazoambo District Sud Yungas Province Llama Dismet Choiera • Choléra Betafo S. Préf Ivato District Valle Grande Province Mirscosui District Alakamisy-Ananvato District Ivony District Tocmoche District FamwdrtanaS. Préf Tfllara-Vnhiw|iMia D istrict Brazil • Brésil San Miguel Province Africa • Afrique Farawiio SP ref Tsarasaotra Dism et Bahia State Nanchoc Dismet A n g o la M aitjakandnana S-. Préf Fandnana S. Préf. Bintmga Mumapio San Gregono Dismet Bertgo Province Miarmanvo S Préf Fiadanana District Candeal Mumapio San Miguel District Benguela Provence Analavory Dism et Fianaranisoa IS Préf Central Mumcipio San Pablo Province Huambo Province Anosibe Ifanja District Mahatsinjo District Conceiçio Municipio San Louis District Huila Province

106 WEEKLY EPIDEMIOLOGICAL RECORD, No. 15,9 APRIL 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N» 15,9 AVRIL 1993

Kuando-Kubaugo Province Chokwe District Mashonaland Central French Guiana Apure State Kunetie Province Guija District Mashonaland East Guyane française Aragua State Kwanza-Norte Province Macia District Mashonaland West Province Baruias State Kuianza-Sul Province Masvmgo Province G u a te m a la Carabobo State Luanda Province Xai-Xai District M idlands Province Aha Verapaz Department Delta Amacuro State Luanda, Cap Inhambam Province. Baja Verapaz Department Federal District Malanga Province Chtmaltenango Department Guanco State Narnibe Province loharnme District America • Amérique Chtqutmula Department Merida State Uige Provtnce Maxixc District E l Progreso Departmeru Miranda State Zaïre Province Morrumbene Distnct A r g e n tin a Escumda Department Monagas State Jujuy Province Guatemala Department R>nin • Rgnin Nueva Esparto State Zavala Distnct X Mendoza Province Huehuetenango Department Sucre State Département de l ’Adantique Salta Provtnce Izabal Departmeru Tachira State S . P rèf. d’A liada M onica Province Chunoio Distnct X Tucuman Promues Jalapa Department Z u k a S ta te Cure, de Cotonou Jutiapa Department Guro Distnct B e liz e S Pre£ de Toffo Petén Department Département de 1‘Atacora Tambara Distnct Cayo District M aputo Province Quetzaltenango Department Asia • Asie Département de Borgou Toledo Distnct Boane Distnct Quiche Departmeru RhuTan • Bhoutan Département de Mono Bolivia • Bolivie Retalhuleu Department Département de Zou Manhica Distnct Mongar Distnct City Bern Departmeru Sacatepequez Department Burkina Faso San Marcos Departmeru Pemagatsel Distnct Matu ruine Dism et Chuqutsaca Department Phuntsholing Distnct Boulgou Province Moamba Distnct Cochabamba Departmeru Santa Rosa Department Solola Department Punakha Distnct B u r u n d i El Alto Department , Samdrupjongkhar Distnct Beira C ity La Paz Department Suchuepequez Departmeru Bubanza Province T ash ig a n g D istrict Buzi Distnct Oruro Department Totonicapan Department Bubanza Arrondissement T h im p h u D istrict Poiosi Department Zacapa Departmeru Cibitoke Arrondissement Riberaha Department Camhndia • Cambodge Bujumbura Province G u y a n a Chiuta Distnct Santa Cruz Department Region I (Barma/W atni) Kompong Cham Province Bujumbura Arrondissement Tanja Department Bururt Province Region II (PomerooiJSupenaam) rhina • Piling Tuptza Department Mutarara Distnct (Area not specified - Makamba Arrondissement T e te C ity H o n d u r a s Rumonge Arrondissement Brazil • Brésil Zone non précisée) Zarnbezia Province Choluteca Department Guega Provtnce Alagoas State Inhassunge Distnct Cortes Departmeru Initia • Inrig Gicega Arrondissement Arnapà State Maganja da Costa Distnct El Paratso Departmeru Andhra Pradesh State Cameroon • Cameroun Amazonas State Francisco M orazan Department Mocuba Distnct Bahia State Hyderabad Distnct Province de l‘Extrême-Nord Santa Barbara Department Visalchapamam DiStOCt Ceard State Valle Department Diamarc Département Namacurra Distnct Maranhào State Assam State Y oto D ep o rtm en t Delhi Territory Logone-er-Chan Département M ato Grosso State Gujarat State Mayo-Danai Département Quelimane District M inas Gerais State M exico • Mexique Mayo-Sava Dépanement N ig e r P a ra S ta te Campeche State Haryana State Karnataka (Mysore) State Mayo-Tsanaga Dépanement Parasha State Chiapas State Diffa Departemeni Bangalore Distnct Province Littoral Pernambuco State Chihuahua State Dosso Département Bidar Distnct Moungo Dépanement P u n a S ta te Colima State Woun Département M aradi Departement Chitradurga District Niamey Departement Rio de Janeiro State Distrito federal Provtnce du Nord Rio Grande do Norte State G u a n a ju a to Gulburga Distnct Benoué Dépanement Tahoua Departement Hassan Dismet Tillabery Département Rondôma State Guerrero State Province de l'Ouest Kolar Distnct Zinder Departement Sergtpe State Hidalgo State Haut Nkam Dépanement Mandya Distnct Phil, • Phlll Jalisco State Mifi Dépanement Nigeria ■ Nigéria Mexico State Raichar District Province du Sud Abuja State Antofagasta Provtnce Michoacan State Tumkur Distnct Bernardo O ’Higgins Province Océan Depanement AJnua Ibom State Morelos State Kerala State Province du Sud-Ouest Anambra State Coquimbo Province Neuvo Leon State M adhya Pradesh State Manyu Dépanement Baucfn State Los Lagos Province Oaxaca State M aharashtra State Memé Dépanement Bendel Slate O som o Puebla State Akola Distnct pharf • Tchad Benue State Santiago Provtnce Queretaro State Amrawau Distnct B o m o S ta te Tarapaca Province Quintana Roo State Nagpur Distnct Batha Préfecture Nandad District Bet Prefecture Gougola State Colombia • Colombie San Luis Potou State Im o S ta te Osmanabad Distnct Bünne Préfecture Amazonas Department Sonora State Kaduna State Parbham Distnct Chah Bagumm Préfecture Anuoquia Department Tabasco State K a n o S ta te Pune Distnct Guera Préfecture Adanttco Department Tatnaulipas State Katstna State Tlaxcala State Sangh Distnct Kanem Prefecture Bolivar Department Thane Distnct Kioara State Boyaca Department Veracruz State Lac Préfecture M anipur State Lagps State Caldas Department Yucatan State Logons Occidental Préfecture Punjab State Logons Oriental Prefecture Niger State Caqueta Intendency Zacateca State O gun S ta te Tamil Nadu State Njainena Prefecture Cauca Department O n do S ta te N ic a r a g u a Anna Distnct Ouaddaï Prefecture Cesar Department Boaco Department Chingleput Distnct O yo S ta te Choca Department Tandjüe Préfecture Carazo Department Madras Distnct Plateau State Cordoba Department Côte d’ivoire Rivers State Chmandega Department Madurai Distnct Cundmamarca Department } Chômâtes Departmeru North Arcot District Depanement de l'Ouest Sokoto State Guapru Department Man Sous-Préfecture I EsteE Department Pudukkottai District R w a n d a HuUa Department I Granada Department Thanjavur Distnct Cyangugu Prefecture Magdalena Department Léon Departmeru TirudiirapaUi District Accra Région Gtsenyi Prefecture M eta Department Managua Department TirunelveUi Distnct Accra District Narmo Department Sao Tome and Principe M asaya Department Vellore District Greater Accra District Norte de Santander Department Sâo Tom é-et-Principe M atagalpa Departmeru Villipuram Distnct Ashanti Region Puntumayo Department X Nueva Segovia Department U tta r P ra d esh S ta te Central Region Lemba District Qumdto Department Sâo T om e X Rio San Juan Departmeru West Bengal State Upper Bast Region Risaralda Department i Rivas Departmeru C alcu tta Volta Region S w a z ila n d San Andres Intendency San José del Guatnare Department Panama Imiftnwiia • ImJnnAyi. Guinea * Guinée (Area not specified - Zone non p r e a se e ) Santa Fe de Bogota Department Chepo Province East Nusa Tenggara Provtnce Conakry Province Santander Department dam an Province Suznba Barac Regency Forecanab Prefecture Tanzania, United Rep. of Sucre Departmeru Colon Province Lamputtg Promnce K en ya Tanzanie, Rép.-Unie de Tohma Departmeru I Çomarca de San Bias Lampung Bam Regency (Area not specified - Zone non Arusha Region Valle Department Darien Province North Sulawesi Promnce Kilimanjaro Region Panama Province p récisée) C o sta R ic a Bolaang Mongondow Regency L ib e r ia • L ib é r ia M a m R egion \ Peru • Pérou Ir a q Muuara Region Lemon Provtnce Amazonas Department Bong County Ruktoa Region S a n J o sé P rovtn ce Al-Basra Govemorate Ancash Departmeru Montserrado County Tanga Region Al-Anbar Govemorate Ecuador * Apurtmac Department M a la w i Al-Mathna Govemorate T o g o Azuay Province Areqtupa Departmeru A l-N a jcf G ovem orate Central Region Golfe District Bolivar Province Ayacucho Department Al-Qadisiya Govemorate C a h a r P ro vin ce Lilongwe District Kioto Distnct Cqjamarca Department Arbil Govemorate Southern Region Kozah Distnct Carchi Province Callao Province Babil Govemorate Chimborazo Provtnce M a li Lacs Distnct Cuzco Department Baghdad Govemorate Cotopaxi Provtnce Kayes Région Ogou District Huancavehca Departmeru Dohuk Govemorate Sotouboua District El Oro Province Huanuco Departmeru Kayes Cercle Esmeraldas Provtnce Dyala Govemorate Kouhkoro Région V o D istn c t lea Departmeru Karbala Govemoraie Yoto Distnct Galapagos Provtnce Jurtai Departmeru Mesan Govemorate Nara Cercle Guayas Province La Ltbertud Department Nineveh Govemorate M auritania ■ M auritanie Uganda * Ouganda Imbabura Provtnce Lambayeque Department Salah El-Din Govemorate Nouakchott District Kasese District Loja Province Lana Department Sulaimamyah Govemorate l u R égion Los Rios Province Zaire * Zaire Loreto Department T a m im G ovem oraie Hodh el Chargui M anabi Provtnce H aut Zaire Provtnce Madré de Dun Department Tikar Govemorate 2e R égion Morona Province Moquegua Department Kivu Province Napo Province Wasit Govemoraie Hodh el Gharbi Pasco Department Shaba Province M alaysia • M alaisie 3* R egion Pastaza Province Pium Department Assaba et Guidunakha Zambia * Zambie Pichmcha Province Puna Department Kedah State 4* R egion Sucumbios Province Central Province San Moran Department Kubang Pasu Distnct G orgol Lusaka Tungiuahua Provtnce Tacna Department Penang State 5* R égion Copperbdt Province Zamora-Cfdnchtpe Province Tumbes Department Timor Laut Distnct Brakna Eastern Provtnce El Salvador Ucayali Department S a b a h 6* R egion Luapula Province Tawau Distnct Central Region Trarza Northern Province S u r in a m e S a ra w a k M etropolitan Region Southern Province Maromjne Distnct M o z a m b iq u e Occidental Regum Simunjan District Z im b a b w e Oriental Regain V e n e z u e la Nepal • Népal Chibuto D ismet M amcaland Provtnce Paracentral Region Anzoategui State Baitadi Distnct

107 WEEKLY EPIDEMIOLOGICAL RECORD, No. 15,9 APRIL 1993 * RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N« 15,9 AVRIL1993

Jhapa District O n d o S ta te Maranhaô State San Vicente de Caguan J C. Castello District Khatmandu District O y o S ta te Grajau M umapio M u m ap io Leonao Prado Dismet Casanare Intendenaa. Monzon Dismet V ice N a m Plateau State Lago da Pedra Mumapio Montes Altos Mumapio Hato Corozal Mumapio P. Luyando District Bmh Tn Then Provmce Stiifa» • Sm iting M ato Grosso State Tamara Mumapio Rupa Rupa District Ngha Bmh Provmce Temtoiy South of 12° N. Antonio Joào Mumapio Yopai Mumapio Maxahon Provmce Phû Khànk Province Territoire situé au sud Camapua Mumapio César Department Cholon Distria d u 12e N . Corguinho Mumapio Valledupar Mumdpio Jttnm Department Europe Zaire * Zaïre Diamannno Munîapio Choco Department Chmchamayo Province U k r a in e Territory North o f 10s S. Jardim Murudpio Rio Suao Mumapio Chanchamayo D istna M an u pole Territoire situé au nord Nova Mannga Mumdpio Cwtdmamarca Department Perenc D istna Nicolaev Region du 10° S . Plaado de Castro Mumapio Maya Mumapio San Luis Sevaro Dismet Odesskaya Regum Pocone Mumapio Guaviare Intendenaa Viloc D istna Pontes e Lacerda Mumapio Miraflores Mumapio Saapo Provmce Oceania • Océanie Amenco* Aménque Ribas do Rio Pardo Mumdpio San Juan del Guaviare Covmah D istna T u v a lu Bolivia ■ Bolivie Sidrolândîa Mumapio M u m ap io Mazaman D ism a M eta Intendenaa Nanumea Island Bern Department Sinope Mumapio Pangoa D istna Nuitao Island Balhvian Province Terenos Mumapio Cabuyaro Mumapio Pichanali D ism a Itenez Province Mmas Gerais State La Pnmavera Mumapio Rio Negro Dism a Cochabamba Department Bonfinopolis Mumapio San Carlo de Guaroa Rio Tambo D istria Yellow fever • fièvre jaune Ayopayo Provmce Francisco Dumont Munidpio M u m ap io Sanpo Dism a Carrasco Province Mirabela Mumapio Villavicenao Muniapio Loreto Department Africa • Afrique Chapare Province Paracatu Mumapio Vista Hermosa Municipio Ucayah Provmce A n g o la La Paz Department Unaî Munîapio Norte de Santander Department Contamana D ism a Bengo Province Larecaja Province P a ra S ta te Cucuta Mumapio Purus D ism a Alenquer Mumapio Tibu Muniapio Luanda Province M unllo Province Madré deDios Department Nor Yungas Province Almemm Miinidpio Cucuta Intendenaa Manu Provmce Cameroon • Cameroun Quinum Province Altamira Mumdpio Toledo Mumapio Madré deDios D istna Province de l’Extrême-Nord Sud Yungas Province Araguaia Mumdpio Putumayo Intendenaa M anu D is m a Mayo Sava Département Santa Cruz Department Faro Mumapio Puerto Asis Mumdpio Tambopata Provmce Mayo Tsanaga Département Andres Ibaûez Province Monte Alegre Mumapio Santander Department TnamhflH D is m a Rnfaram anp MuiUCipiO Cordillera Province Prainha Mumapio Las Piedras D istna Gambia • Gambie Cimitazra Mumdpio Florida Provmce Rendençâo Mumapio Tambopata D ism a Upper River Division El Carmen M uniapio Gunérrez Province Sào Domingos do Capun Puno Department Vîchada Department Guinea • Guinée Ichilo Province M u m ap io Samba Province Puerto Trujillo Mumapio Siguin Région Sen. José Porfino Mumdpio San Juan de) Oro D ism a Brazil • Brésil Tailandia Muzudpio M a li San Roman D istria Arnapa Territory Tucurui Mumapio Pwaiiftr • Equatnir Kayes Region Macapa Mumdpio Manma-Sannago Province Vflcabamba D ism a Xinguara Muniapio San M artin Department Kita Cercle Amazonas State Rondoma State Napo Provmce Kouhkoro Région Canutama Munidcpio Humayacu Dismet Huallaga Provmce Cacoal Mumapio Bellavista D ism a Dioüa Cercle Joào Figueiredo Mumapio Rorauna Territory Pastaza Provmce Kangaba Cercle Manaquin Munidpio Rnnfim M u m ap io Suatmhos Provmce Saposoa D is m a K an C ercle Manaus Mumapio Zamora-Chnchpe Provmce Lamas Province Ganmpo Mutum Mumdpio T «mas D istna Kolokaxu Cercle Maraâ Munidpio Maloca Caju Muniapip Peru • Pérou Tabaiazos D ism a K en ya Nova Ohnda do Norte M u m ap io Colombia ■ Colombie Ayacucho Department M anscat Coures Provmce Rsfi Valley Province Novo Airaô Mumapio Antwquta Department Huanta Provmce Campamlla D istna Banngo Dismet Anon Mumapio San José S a n n llp n a D istrict San Marxm Province Elgeyo Marakwet Tefé Mumapio Urucara Mumapio Taraza Mumapio Cusco Department Juan Guerra D ism a Nigeria • Nigéria Goûts State Yondo Mumapio La Convention Provmce Sauce D istna Anambra State Alto Paraiso Municipio Arauca Intendenaa Echarate District Tocache Provmce Bauch State Bela Vista M uniapio Arauca Mumdpio Kitam Dismet La Polvora D ism a Bendel State Caiapoma Mumapio Saravena Mumapio Maranura District Nuevo Progreso D istna Benue State Damolândia Mumapio Boyaca Department Santa Ana District Tocache Distria Cross River State Formosa Mumapio Chita Mumapio Huanuco Department Uchiza Dism a K a d u n a ^ Tnr‘‘ Gaias Velho Mumapio Pucrta Boyaca Mumapio Huamahes Province Ucayah Department Ksuara State Mara Rosa Mumapio Caqueta Intendenaa Monzon Dismet Corond Portillo Province Lagos State Nova Crucas Mumapio Belén de los Andaquiés Leonao Prado Provmce Caliéna D ism a Niger State Planalnna Mumapio M u n icipio Aloma Robles District P a d re A b a d P rovm ce O gu n S ta te Santa Cruz Mumapio El Doncello Muniapio Aucayacu Dismet Padre Abad D ism a

...... ^ s u t x r m s LJ:-.;

Notifications received from 2 to 8 April 1993 Notifications reçues do 2 au 8 avril 1993 C - cases, D — deaths ... — data not yet received, C - cas, D - décès,... — données non encore disponibles, l - unported, r - revised, s - suspect î - importé, r - révisé, s - suspect

Cholera • Choléra C D C D Chile -Chili 7-27.01 Panama 14.0-20.01 ...... 3 0 ...... 32 3 America •Amérique B Salvador 21-27.01 Venezuela 1-31.1 C D ...... 64 0 Argentina — Argentine 7 Ü-9.III Guatemala 1.0-6.10 ...... 163 0 ...... 414 1 Belize 1.H-13JQ1 Guyana 1-161 Europe ...... 7 0 ...... 24 0 C D Bolivia - Bolivie 24.1-27 Q N icaragua 1,11-20.111 Netherlands — Pays-Bas 2 8 Q-5.1H ...... 3180 63 ...... 204 23 ...... 2i 0

Telex: 415416 Fax: 788 0011 Tüex:415416 Fax:7880011 (Attention EP1QNAH0NS for notifications of diseases subject to the regulations) (A l'attention d'EPIDNATIONS concernant les notifications des maladies soumises au règlement) Automatic telex reply service: Service automatique de réponse par télex: Telex 415768 Geneva followed by ZCZC ENGL for reply in English Télex 415768 Genève suivi de ZCZC FRAN pour une réponse en français Price of the W eekly Epidemiological Retard Annualsub5a ip li0nSw.fr. 170.- Abonnement annuel Fr. s. 170.-

7.600 4.93 ISSN 0049-6114 Printed in Switzerland

108