WklyEpldem Xa. N a 2 7 -5 July 1985 - 210 - Keteyé epidém hebd N» 27 - 5 juillei 1985

Harare and Bulawayo. In addition to information on lmmumza- Outre les renseignements obtenus sur les vaccinations, on a pu expliquer lions received, reasons for partial or non-participation were also les cas de participation partielle ou nulle. obtained. Table 1. Results of national immunization coverage surveys, children 12-23 months of age, rural areas, Zimbabwe, 1982 and 1984 Tableau 1. Résultats des enquêtes portant sur la couverture vaccinale, enfants âgés de 12 à 23 mois, zones rurales, Zimbabwe, 1982 et 1984

Percentage of children — Pourcentage «Tentants No. of Fully duldreo in BCG DPT - DTC OPV-VPO immunized Year the survey With Vaccination complete Année Nombre records Measles dVnfânts Avec Rougeole Record and enquêtes carnet de Record history vaccination scar Scar 1 2 3 1 2 3 Carnet ou Cicatnce Carnet Camel el cicatnce ^namnptf

1982 217 71 59 53 57 45 32 58 48 31 51 25 1984 210 81 87 76 76 74 66 78 73 61 53 42 52

...Data not available. — Pas de donnera

Table 2. Results of inamnniMtimi coverage surveys, children 12-23 months of age, urban areas, Zimbabwe, 1982-1984 Tableau 2. Résultats des enquêtes portant sur la couverture vaccinale, enfants âgés de 12 à 23 mois, zones urbaines, Zimbabwe, 1982-1984

Percentage of children — Pourcentage d’enfants No. of phiMiffl BCG OPV - VPO Fully in the With DPT - DTC Area Year records immu­ survey nized Zone Année Nomhre Avec carnet Rougeole Vaccina­ d’enfhnis tion enquêtés de vac­ Record Scar 1 2 3 l 2 3 cination Camel Cicatnce complete

1982 214 90 93 85 76 65 86 76 65 72 61 Bulawayo 1984 214 92 94 79 94 90 80 95 95 85 80 79

1982 206 82 75 74 70 66 57 70 66 58 65 48 Harare 1983 234 89 83 79 77 77 76 77 76 75 71 56 1984 219 88 92 69 84 80 77 84 80 75 71 60

. Data not available. — Pas de données.

The survey results show a significant increase of immunization Les résultats de l’enquête montrent une augmentation sensible de la coverage for BCG, DPT and OPV (Table 1). Drop-out rates couverture vaccinale par le BCG, le DTC et le vaccin antipoliomyèlitique between the first and third doses of DPT and OPV decreased from buccal (VPO) (Tableau 1). Les taux de défection entre les première et 44% and 47% in 1982 to 13% and 22% in 1984. The figure for troisième doses de DTC et de VPO sont passés de 44% et 47% en 1982, à measles vaccine, however, shows practically no change from 1982. 13% et 22% en 1984. En revanche, le chiffre pour le vaccin antirougeoleux The record holding rate o f 81% is a significant gain over 1982. reste pratiquement inchangé par rapport à 1982. La proportion de carnets However, every fifth child still does not have an immunization de vaccination (81%) consume un gain important par rapport à 1982. Il record. On the basis ofimmunization records, 42% of children are reste tout de même qu'un enfant sur 5 n’a pas de carnet Ces dossiers fully immunized, as against 25% in 1981 On the basis of records révèlent que 42% des enfants sont complètement vaccinés, contre 25%en and history the result is 52% for 1984. 1982. Sur la base de carnets de vaccination et de l’anamnèse, le résultat s'établit à 52% pour 1984. Reasons for partial or non-participation were: Raisons d’une pamcipauon partielle et d’une non-participation: Lack of information: 17% Défaut d'information: 17% Lack of motivation: 21% Absence de motivation: 21% Obstacles: 62% Empêchements: 62% Surveys in Bulawayo and Harare confirm the overall improve­ Les enquêtes menées à Bulawayo et à Harare confirment l'amélioration ment of immunization coverage in the country (Table 2). générale de la couverture vaccinale dans le pays (Tableau 2). From the results of the surveys, an action plan has been pro­ Sur la foi des résultats précités, il a été proposé d’établir un plan posed to direct the further activities of the national EPI towards d’action visant à concentrer les activités futures du programme élargi de the target of fully immunizing all children by 1990. vaccination national sur l’objectif d’une couverture vaccinale totale des enfants d’ici 1990. (Based on/D’après: Zimbabwe Epidemiological Bulletin, No. 11, February/fëvner 1985.)

Infected Areas as on 4 July 1985 — Zones infectées au 4 juillet 1985 For catena used in compiling du* list, see No. 16, page 123 - La emeres applique» pour la compila turn de cette liste som-publies dans le N° 16, page 123. X Newly reported areas - Nouvelles zones signalées.

PLAGUE - PESTE Soavinandnana S Prèf Ambovombe Centre Fandnana Distna Antanetibe D u m a Anduu Dutnci Africa - Afrique X Malalrialtna DuinCl Mahavetona D u m a Anjomanaiulthiyana DlStRCl Miannavaraira D utna MADAGASCAR Fiunaranlsoa Province Ankanambo District Tsanmi/a Duma Antananarivo Province Ambaiofinuruirahana S Prèf Ankjjana D u m a Mahujanga Province Antananarivo-Ranivohuru S. Pré/ AmbaiomiÊtsomira District lvato Duma Mandfilsura S. Prèf Finissait l Duma Soavma D u m a Ivooy D u m a Ambankorana Duma Antsirabe S Pref, Ambohunahasoa S Prèf Taiata-Va-Lunena D um a Toamastna Province Amhohidanandnana District Ambohimahason District Taoeubc Duma Ambatondrazaka S Pref x Ambohitnanavoaa Duma Ambosura S Pref Tsarasaotn Duma X Soala/aina D u m a Auseaalcely District Arobatofiiorahana District fandriana S Pref » TANZANIA, UNITED REP. OF Miartnmvo S. Prèf Ambatomanna Duma Ambaranu Duma TANZANIE, RÉP.-UN1E DE Ambohipo D u m a Aflümamahflfl D istna Manazary Dismet Tanga Région lushoto D istna Wkly Epidem Rec No, 2 7 -5 July 1985 - 211 - Relevé épidém. hebd. : N® 27 - 5 juillet 1985

ZAÏRE-ZAÏRE East Province Madras Corporation Chachoengsao Province Haut-Zaïre Province Embu Distna Madurai D istna X Chachoengsao D istna l&iolo District North Arcot D istna Kalasin Province America - Amérique JCnui D istna South Arcot Distria Kalasin District BOLIVIA - BOLIVIE Ment District Thanjavur Distna Yang Talat D istna La Paz Department Nyanza Province Tmuelvelli Distna Kanchanabun Province Franz Tamayo Province Kisumu D istna Uttar Pradesh State Kanchanabun Distna Staya D istna Agra D istna Khon Kaen Province BRAZIL - BRÉSIL South Nyanza District Aligarh D istna Ban Phai D istna Bahia State Rift Valley Province Allahabad D istna Cbonnabot Distna Pocoes Muiuçipio Nandi D istna Bara Banki D istna Mancha Khin Distna Santa Luz Mumcipio Samburu District Bareilly D istna Puai Noi sub-Distnct Semnha Mumcipio Trans Nzoia Co. Dbera Dun Distna Ubol Ratana Distria Cearâ State Kitale Distnct Dcona Distna Krabi Province Guanunaba do Norte Mumcipio Western Province Euwah Dismct Ao Luk D istna Ipu Muuapio Busia D istna Gonda Distna Lampang Province Ipuaras Mumcipio LIBERIA - LIBÉRIA Gorakhpur Distna Lampang Distna Pacoti Mumcipio Loei Province Grand Bassa County Jaunpur D istna Palmàcia Mumcipio Wang Saphung District Mootserrado County Kanpur Distnct Minas Gérais State Lucknow D istna Maha Sarakham Province Rubeüta Mumcipio Mathura Distna Borabu D istna ECUADOR - ÉQUATEUR Koultkoro Région M im p u r D istna Nakhon Ratchasima Province X Moradabad Distna BuaYai Distna Chimborazo Province Nakhon Ratchasima D istna Alausi Canton Région Muzzafamagar D istna Nakhon Si Thammarat Province Loja Province Cercle Pratapgarb D istna Sicbon D istna Macara Canton Cercle Saharanpur Distna Nonthaburi Province PERU - PÉROU Djenné Cercle Unnao Distna Cercle Varanasi D istna Bang Kruai D istna Cajamarca Department Nonthabun Dutrkt Chota Province M opbCerde INDONESIA - INDONÉSIE Pak Kret D istna ! lama District Teûenkou Cercle Jakarta Autonomous Capital Area Phangnga Province Mnacosta District Cercle Tocmoche District Jakarta Barat (West) Municipality Phangnga D istna Segou Région Jakarta Pusat (Central) Municipality Takua Thung D istna San M iguel Province Nanchoc District (excL Kemayoran airport) Phetchabun Province Aceh Autonomous Area Ban Lat D istna San Grcgono District Segou Cercle San Miguel District Aceh Barat Regency Phuket Province Tombouctou Région Aceh Be&ar Regency X Pbuka D istna San P ath Province San Luis District Aceh Tcoggara Regency R ayo n g Province Rharaus Cercle Aceb Tunur Regency Ban Chang D istna Piura Department Tombouctou Cercle Ayabaca Province Aceh Utara (P) Regency Ban Khai D istn a Canales District MAURITANIA - MAURITANIE Banda Aceh Municipality Klaeog D istna I agunas District 3e Région Pidie Regency Rayong D ia n a Montera District Guidimaka Jawa Bonn Province Wang Chan sub»Distria Samut Prgkan Province Paimas District 4e Région Cuebon Regency Phra Pradaeng Distna Sapillica District Gorgol Cercle Purwakana Regency Suyo Disinct 6e Region Serang Regency Phra Samutchcdi sub-Distria Huancabamba Province Sumedang Regency Samut Prakan Distna C de la Frontera District MOZAMBIQUE Jawa Tengah Province Samut Sakhon Province Huancabamba Distna Sofaîa Province Baryarnegara Regency Krathum Ban D istna Puua Province BetraCny Banyumas Regency Samut Distna Samut Songkhram Province Las Lomas D istna NIGERIA - NIGERIA Brebes Regency Cdacap Regency . Atnphawa D istn a Asia - Asie Kaduna State Demak Regency Samut Songkhram D istna Duism-Ma VIETNAM Jepara Regency Sarabun Province Funtua Pekalongan Regency KaengKhoi Distna Dac Lac Province Kaisma Gia-Lai-Công Turn Province Pemalang Regency Nong Saeng D istna Malumfashi Scmarang Mumapabty SaoHai D istna Lâm Dôûg Province Zarta Pbû Khânh Province Semarang Regency Sarabun Distna SENEGAL-SÉNÉGAL Tegal Municipality Wihan Daeng D istria Cap■ Vert Région Tegal Regency Surat Thom Province CHOLERA - CHOLÉRA Dakar Jawa Timur Province Kanchanadit D istna Gresik Regency Phrasaeng E>istna Africa - Afrique F leuve Région Dagana Departement Lamongan Regency Phunphin Distna BENIN - BÉNIN Stué-Salotim Région Tulungagung Regency Surat Tham D istna Atlantique Province Fauck Departement Surabaya Municipality Tha Chang Distnct BURKINA FASO Kaolack Département Kalimantan Tengah Province Tak Province Don Province (ex Sahel) Thiès Région Banto Hulu Regency Tak Distna fiamo Utara Regency Gnangnan Province Tbies Oepancmem VIETNAM Namatenga Province SOMALIA - SOMALIE Gunung Mas Regency Bmh T n Thiên Province Seno Province Kotawanngin Timur Regency Hat Phong Province Hargnsa Region Kalimantan Timur Province Soum Province Ho Chi Minh Ville Lower Juba Region Samannda Mumapality BURUNDI SOUTH AFRICA Minh Hai Province Maluku Province Phu Khanh Province Bubanza Province AFRIQUE OU SUD Maluku Tengah Regency Quang Ninh Province Cibitoke Arrondissement SWAZILAND Maluku Tenggara Regency Bujumbura Province' Tien Giang Province South East Area Maluku Utara Regency (excL port) Bujumbura Arrondissement Nusatenggara Barat Province Bururi Province TANZANIA, UNITED REP. OF Lombok Barat Regency Rumonge Arrondissement TANZANIE, RÉP.-LNIE DE Nusatenggara Timur Province CAMEROON - CAMEROUN Kagem Region Belu Regency YELLOW FEVER - FIÈVRE JAUNE Muleba District Flores Tunur Regency Province Littoral Africa - Afrique Kigoma Region Sulawesi Tenggara Province Moungo Département Kigoma District Woun Departement Binon Regency BURKINA FASO Morogoro Region Kolaka Regency Bagre Province Orientale Kilombero D istna Bamboutos Departement Mima Regency Banfora Tabora Region Menoua Departement Bittou Urambo Dislnn MALAYSIA - MALAISIE Mill Departement Boussé Tanga Region Sabah Comy-Yanga DJIBOUTI Muheza D u m a Sandakan Distnct Fada N’Gourma Cercle EQUATORIAL GUINEA Tanga D u tn a Houndé ZAÏRE-ZAÏRE PHILIPPINES Koupela GUINÉE ÉQUATORIALE Shaba Province Aklan Province Manga Cercle Bioko Island Cebu Province Manakoali GHANA Asia - Asie Cotabato Province Ouargaye Subdivision Davao City Central Région INDU - INDE Tenkodogo Cerde Iloilo Province Eastern Région Andhra Pradesh State GAMBIA - GAMBIE Laguna Province Greater Accra (eid. PA) Region Hyderabad D istna Manila Metro Upper River Division Volta Region Delhi Territory Misamis Oriental Province GHANA Western Region Karnataka {Mysore) State Mountain Province Bangalore District Northern Region IVORY COAST - CÔTE D'IVOIRE Palawan Province Bole D istna Département de 1‘Ouest Bellary Distna Quezon Province Mandya Distna West Gonja D istna ManS Prefeaure Mysore Distnct Samar Province NIGERIA - NIGÉRIA Suiu Province KENYA Madhya Pradesh State Zamboanga del None Province Kaduna State Central Province Raipur District Lagos State Kiambu D istna THAILAND - THAÏLANDE Maharashtra State SUDAN - SOUDAN Kmnyaga District Amravau Distnct Bangkok Metropolis Nycn District Buldhana Distnct Bangkok Noi Distnct Temtory South of 12' N. Coast Province Nagpur D istna Bang Rak Distna Temtoire situé au sud du 12* N Kwale Dis in n Saura Distna Huai Kwang Distnct ZAÏRE-ZAÏRE Lamu D istna Tamil Nadu State Phra Khanong D istna Temtory North of 10* S. Mombasa D istna Chmgleput D u m a Taling Chan Distnct Territoire situe au nord du 10* S. Wkiy Eptdem. Rec No. 27 - 5 July J 985 - 212 - Relevé èpidém. hebd N° 27 - 5 juillet 1965

America - Amérique Campo Grande Muniapio Cesar Department Saitpo Province Cuiabà Muniapio BOLIVIA - BOLIVIE Vallcdupar Muniapio Covinali Distna Jardim Muniapio Cundinamarca Department Mazaman Distna Bern Department Sidmlfindia MlUUCipiO Maya Muniapio Pangoa D istna Balhvian Province Sinope Muniapio Guaviare Department Salipo D istna Itenez Province Teranos Muniapio San J. d d Guaviare Muniapio Loreto Department Cochabamba Department Para S ta te Meta Intendenaa Alio Amazonas Province Carrasco Province Aknqucr Muniapio Cabuyaro Muniapio Morooa Distna Chapare Province Altamira Mumcxpto La Pnmavcra Muniapio Loreto Province La Paz Department Araguaia Muniapio San Carlos de Guaroa Muniapio Tigre District larccaja Province Faro Muniapio ViUaviceoao Muniapio Macai Castilla Province Munllo Province Monte Akgre Muniapio Vista Hermosa Muniapio Xaqueiana Distna Nor Vungas Province Prainha Muniapio Sorte de Santander Department Maynas Province Quinum Province Sào Domingos do Capun Muniapio Cucuia Intendenaa Napo Distna Sud Yungas Province Sea. José Porfino Muniapio Toledo Muniapio Madré de Dias Department Santa Crus Department Xmguara Mumapality Santander Department Manu Province Andies Ibafiez Province Rondoma Stale Bucaramanga Muniapio Madré de Dios D istna Cordillera Provioce Cacoal Muniapio ECUADOR - ÉQUATEUR Tambopaia Province Florida Province Roraima Territory Tambopata D istna Gutierrez Province Banfim Muniapio Pastaza Province San Martin Department Conconaco Parish Ichilo Province Ganmpo Mutum Muniapio Huailaga Province BRAZIL- BRÉSIL Curaçay Parish Bellavista D istna Amapà Territory COLOMBU - COLOMBIE PERU - PÉROU San Pedro Distnct Mcapà Muniopto Antioquia Department Cusco Department Lamas Province A m azonas S ta te Anon Muiuapio La Convention Province San José de Sisa D istna Jofto Figueiredo Muniapio Arauca Intendenaa Huanuco Department M anscal Caceres Province Manaus Muniapio Saraveaa Muniapio Huamahes Province Juanjui Distna Marai Muniapio Boyaca Department Monson District Tocacbe D iana Nova OUnda do Norte Muniapio Chita Muniapio Leoncto Prado Province San Martin Province Tele Muniapio Caqueta Intendenaa P Abad District Tarapoio D iana Urucara Muniapio Belcn de los Andaqincs Muniapio J.C Castillo District Tingo de Ponasa D istna M aranhào S ta te El Doocdlo Muniapio P. Luyando District Tocache Province Grajau Muniapio San Vicente d d O p « Muniapio D A Robles District Ucayali Department Lago da Pedra Muniapio Casanare Intendenaa Jumn Department Aiaiaya Province Mato Grosso State Tamara Muniapio Chanchamayo Province Raymondi D istna Antonio Joio Muniapio Yopal Muniapio Pichanaki D isina

INFLUENZA GRIPPE

T h a il a n d (20 June 1985). —1 An outbreak of acute respiratory T h a ïl a n d e (20 juin 1985). —1 Un foyer d’affections respiratoires infections and influenza-like illness has been occurring in Bangkok aiguës et de syndromes grippaux se manifeste à Bangkok depuis m al Le since May. Influenza A(H3N2) virus has been isolated from 10 of virus grippal A(H3N2) a été isolé sur 10 des 30 malades venus consulter à 30 patients seeking medical care in a hospital. l'hôpital.

' See No. 2, 1985, p. 10 1 Voir N° 2, 1985, p 10.

DISEASES SUBJECT TO THE REGULATIONS - MALADIES SOUMISES AU REGLEMENT Notifications received from 28 June to 4 July 1985 — Notifications reçues du 28 juin au 4 juillet 1985 Cases - Cas . . Figures ooi yet received - Chiffres non encore disponibles Deaths - Décès ( Imported cases - Cas importes Port r Revised figures - Chiffres révisés Airport - Aéroport s Suspected cases - Cas suspectés

PLAGUE - PESTE America - Amérique Asia - Asie C D C D Africa - Afrique UNITED STATES OF AMERICA 23V1‘ THAILAND - THAÏLANDE 16-22. VI C D ETATS-UNIS D’AMERIQUE Ma d a g a s c a r 3-9.V1 ...... 2 1 New Mexico State Antananarivo Province San Miguel County ..... 2 1 0 9-U. VI Antsirabe II S. Préf...... 3 0 1 Date of onset/ Date du début Ambohitnanavona 28,IV-4. V D istn ct...... 1 0 2 This case of plague is of no significance to international iravel/Ce cas de peste n’a pas de consequence sur les ...... 57 0 Fianarantsoa Province voyages internaiionam. Fandriana S. Préf. Europe Malakialina D istn ct...... 2 2 CHOLERA - CHOLÉRA C D NETHERLANDS 27 VI' 27.V-2.VI Africa - Afrique PAYS-BAS Toamasina Province ...... 2 1 0 Ambaiondrazaka S. Préf. C D BURUNDI 1-31.UI Soalazaina Distria ...... 1 1 1 Date of ickgram/Dar* du télégramme ...... 7 0 1 Laboratory case /Cas de iaboratom:.

MAU 10-16. VI UNITED KLNGDOM 29 V-9.VI 62 15 ROYAUME-UNI 2i 1 Areas removed from the infected area list between 28 June and 4 July 1985 Zones supprimées de la liste des zones infectées entre les 28 juin et 4 juillet 1985 For cniena used m compiling this list, sec No. 16, page 123 — Les en tacs appliqués pour la compilation de cale liste sont publiés dans le N° 16, page 123

PLAGUE - PESTE CHOLERA - CHOLÉRA THAILAND - THAÏLANDE Bangkok Metropolis Africa - Afrique Aula- Auk Bang Khen D istna SaaphanLhawong Distna MALAYSIA - MALAISIE MADAGASCAR Thon Bun Distna Antananarivo Province Sabah Chon Bun Province Soavinandruinu S. Préf Kota Kinabalu D u m a Bang Lamung Distna Ampcfy Dismet Maha Sarakham Province Ankaranana D istna *7 Na Chuak D istna Phayakkhaphum Phisai Distnct

Pncc of the Weekly Epidemiological Record Prix du Relevé épidémiologique hebdomadaire Annual subscnpuon - Abonnement annuel ...... Fr, s. 120.- 7 500 VIL85 ISSN 6049-8114 PRINTED IN SWITZERLAND