WEEKLY EPIDEMIOLOGICAL RECORD, No. 27, 5 JULY 1996 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, No 27, 5 JUILLET 1996

At this point in the investigation it is not possible to A ce stade de l’enquête, il n’est pas possible d’établir le degré de establish the degree of relatedness of the bat paramyxovi- relation entre le paramyxovirus de la chauve-souris et le MVE qui rus to the EMV which has been shown to infect horses and s’est avéré avoir infecté des chevaux et des êtres humains. Pour humans. To do this it will be necessary to isolate the bat cela, il faudra isoler le paramyxovirus de la chauve-souris et le paramyxovirus and compare it with EMV. comparer avec le MVE. Flying foxes are abundant in Australia, Indonesia and Les roussettes sont très répandues en Australie, en Indonésie et Papua New Guinea, as well as in islands of the Western en Papouasie-Nouvelle-Guinée, ainsi que dans les îles du Pacifique Pacific and the Indian Ocean and in tropical areas. As only occidental et de l’Océan indien et dans les zones tropicales. Etant 2 outbreaks of EMV infection have been recorded it ap- donné que seules 2 flambées de cas dus au MVE ont été enregis- pears that spill-over of this virus from a natural host to trées, il semble que ce virus passe rarement d’un hôte naturel à other species is a rare event. d’autres espèces. Even if the bat paramyxovirus is shown to be the same Même si le paramyxovirus de la chauve-souris s’avère analogue as EMV, it is likely that flying foxes do not pose a signifi- au MVE, il est probable que les roussettes ne représentent pas un cant risk to people. Until more is known about this bat risque important pour l’être humain. Tant qu’on ne sera pas mieux paramyxovirus it would be advisable for those handling renseigné sur ce paramyxovirus de la chauve-souris, il est recom- flying foxes to observe normal good hygiene and care mandé aux personnes qui sont en contact avec les roussettes de practices. respecter les pratiques normales en matière d’hygiène et de soins. Future studies by the DPI will look more closely at this A l’avenir, le DPI se propose d’étudier de plus près ce para- newly detected bat paramyxovirus. myxovirus de la chauve-souris nouvellement décelé. (Based on: An information sheet from the Animal and (D’après: Une fiche d’information de l’Animal and Plant Health Plant Health Service, Queensland Department of Primary Service, Queensland Department of Primary Industries, mai 1996.) Industries, May 1996.)

Influenza Grippe

Chile (26 June 1996).1 Influenza A was diagnosed during Chili (26 juin 1996).1 La grippe A a été diagnostiquée au cours de outbreaks among the general population in Santiago which flambées parmi la population générale de Santiago qui ont com- started in early May. Three isolates were typed as influenza mencé au début mai. Trois isolements ont été caractérisés comme A(H1N1) in the first half of June. Cases of influenza A étant des virus A(H1N1) pendant la première quinzaine de juin. have also been detected during outbreaks in the region of Des cas de grippe A ont aussi été décelés au cours de flambées dans Valparaiso and among cases in the central region. la région de Valparaiso et parmi des cas survenus dans la région du centre.

1 See No. 24, 1996, p. 187. 1 Voir No 24, 1996, p. 187.

Infected areas as at 4 July 1996 Zones infectées au 4 juillet 1996 For criteria used in compiling this list, see No. 24, 1996, p. 188. Les critères appliqués pour la compilation de cette liste sont publiés dans le No 24, 1996, p. 188. X - Newly reported areas X - Nouvelles zones signalées

Plague • Peste Ambositra S. Préf. America • Amérique Lambayeque Department Burkina Faso Ambatomarina District (Area not specified – Zone non Boulgou Province Ambohimahazo District Bolivia - Bolivie précisée) Soum Province Africa • Afrique Ambovombe Centre La Paz Department Piura Department Andina District Franz Tamayo Province Ayabaca Province Burundi Madagascar Anjoma N’Ankona District Sud Yungas Province Canales District Antananarivo Province Anjomà Navona District Valle Grande Province Lagunas District Bubanza Province Ambohidratrimo S. Préf. Ankazoambo District Montero District Bubanza Arrondissement • Antananarivo-Avaradrano S. Préf. Ivato District Brazil Brésil Paimas District Cibitoke Arrondissement Ambatolampy S. Préf. Ivony District Bahia State Sapillica District Bujumbura Province Anjozorobe S. Préf. Talata-Vohimena District Biritinga Municipio Suyo District Bujumbura Arrondissement Antananarivo S. Préf. Tsarasaotra District Candeal Municipio Huancabamba Province Bururi Province Antananarivo District Fandriana S. Préf. Central Municipio C. de la Frontera District Makamba Arrondissement Antanifotsy S. Préf. Fiadanana District Conceição Municipio Canchaque District Rumonge Arrondissement Antsirabe I S. Préf. Fianarantsoa I. S. Préf. Feira de Santana Municipio Huancabamba District Gitega Province Antsirabe II S. Préf. Mahatsinjo District Iraquara Municipio Piura Province Gitega Arrondissement Ambodiala District Fianarantsoa II. S. Préf. Irecê Municipio Las Lomas District Ambohitsimanova District Andoharanomaitso District Itaberaba Municipio Cameroon • Cameroun Ampasatanety District Fianarantsoa II District Jussara Municipio • Province de l’Extrême-Nord Retirolândia Municipio Asia Asie Manandona District Manandriana S. Préf. Viet Nam Diamare Département Mahajanga Province Riachão do Jacuipe Municipio Soanindrariny District Gia-Lai-Công Tum Province Logone-et-Chari Département Tsarofar District Toamasina Province Senhor do Bonfim Municipio Mayo-Danai Département Serrinha Municipio Lâm Dông Province Vinaninkarena District Moramanga S. Préf. Phù Khán Province Mayo-Sava Département Arivonimamo S. Préf Teofilandía Municipio Mayo-Tsanaga Département Betafo S. Préf. Mozambique Paraiba State Province Littoral Alakamisy-Anativato District Tete Province Araba Municipio Moungo Département Fanandriana S. Préf. Mutarara District Barra de S. Rosa Municipio Cholera • Choléra Wouri Département Faratsiho S. Préf. Cubati Municipio Province du Nord Olivedos Municipio • Manjakandriana S. Préf. Tanzania, United Rep. of Africa Afrique Benoué Département Queimadas Municipio Angola Province de l’Ouest Miarinarivo S. Préf. Tanzanie, Rép.-Unie de Remigio Municipio Analavory District Bengo Province Haut Nkam Département Tanga Region Solânea Municipio Benguela Province Anosibe Ifanja District Lushoto District Mifi Département Cabinda Province Renivohitra S. Préf. Tanga District Peru • Pérou Province du Sud Soavinandriana S. Préf. Huambo Province Océan Département Cajamarca Department Huila Province Ambatoasana Centre Uganda • Ouganda Chota Province Province du Sud-Ouest Tsiroanomandidy S. Préf Kuando-Kubango Province Manyu Département Western Region Llama District Kunene Province Antsiranana Province Nebbi District Miracosta District Mémé Département Andapa S. Préf. Kwanza-Norte Province Tocmoche District Kwanza-Sul Province Doany District Zaire • Zaïre • San Miguel Province Luanda Province Cape Verde Cap-Vert Fianarantsoa Province Haut Zaïre Province Nanchoc District Boa Vista Island – Ile de Boa Vista Ambatofinandrahana S. Préf. Ituri Sub-Region Luanda, Cap. San Gregorio District Malanga Province Brava Island – Ile de Brava Ambondromisotra District Mahagi Administrative Zone San Miguel District Fogo Island – Ile de Fogo Andrefambohitra District Namibe Province San Pablo Province Uige Province Maio Island – Ile de Maio Bevonotany District Zimbabwe San Louis District Zaire Province Porto Novo Island – Ile de Porto Soaniherenana District Matabeleland North La Libertad Department Novo Ambohimahasoa S. Préf. Lupane District (Area not specified – Zone non Benin • Bénin Sal Island – Ile de Sal Manandroy District Nkayi District précisée) Département de Borgou Santiago Island – Ile de Santiago

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São Nicolau Island – Ile de São Ondo State Bahia State Valle Department Tashigang District Nicolau Oyo State Ceará State Yoro Department Thimphu District São Vicente Island – Ile de São Plateau State Distrito Federal State • Cambodia • Cambodge Vicente Rivers State Espírito Santo State Mexico Mexique Campeche State Kampot Province Chad • Tchad Sokoto State Maranhão State Kompong Cham Province Mato Grosso State Chiapas State Batha Préfecture Rwanda Minas Gerais State Chihuahua State China • Chine Bet Préfecture Cyangugu Préfecture Colima State (Area not specified – Biltine Préfecture Gisenyi Préfecture Pará State Paraíba State Distrito federal Zone non précisée) Chari Baguirmi Préfecture Sao Tome and Principe Guanajuato State Guera Préfecture Paraná State • São Tomé-et-Principe Pernambuco State Guerrero State India Inde Kanem Préfecture Lemba District Piaui State Hidalgo State Andhra Pradesh State Lac Préfecture Hyderabad District São Tomé Rio de Janeiro State Jalisco State Logone Occidental Préfecture Visakhapatnam District • Rio Grande do Norte State Mexico State Logone Oriental Préfecture Senegal Sénégal Michoacan State Assam State Njamena Préfecture Région de Dakar Rondônia State São Paulo State Morelos State Delhi Territory Ouaddaï Préfecture Département de Dakar Sergipe State Neuvo León State Gujarat State Tandjile Préfecture Département de Pikine Oaxaca State Haryana State Département de Rufisque Colombia • Colombie Côte d’Ivoire Puebla State Karnataka (Mysore) State Région de Diourbel Amazonas Department Querétaro State Bangalore District Département du Centre Département de Louga Antioquia Department Bidar District Bouaké District Quintana Roo State Département de Mbacke Atlantico Department San Luis Potosi State Chitradurga District Département du Nord Département de Touba Bolivar Department Gulburga District Touba Sous-Préfecture Sonora State Région de Fleuve Boyaca Department Hassan District Département de l’Ouest Tabasco State Département de St.-Louis Caldas Department Tamaulipas State Kolar District Giuglo District Région de Thiès Caqueta Intendency Mandya District Man Sous-Préfecture Tlaxcala State Département de Thiès Cauca Department Veracruz State Raichar District Département du Sud Région de Siné-Saloum Cesar Department Tumkur District Tabou District Yucatan State Département de Fatick Choco Department Zacateca State Kerala State Djibouti Sierra Leone Cordoba Department Madhya Pradesh State Cundinamarca Department Nicaragua Maharashtra State Ghana Northern Province Kambia District Guajira Department Boaco Department Akola District Accra Region Huila Department Carazo Department Amrawati District Accra District Western Province Freetown Magdalena Department Chinandega Department Nagpur District Greater Accra District Meta Department Chontales Department Nandad District Ashanti Region Somalia • Somalie Narino Department Esteli Department Osmanabad District Central Region Baidoa District Norte de Santander Department Granada Department Parbhani District Eastern Region Bardera District Puntumayo Department Jinotega Department Pune District Upper East Region Belet Uen District Quindio Department Léon Department Sangli District Volta Region Bossaso District Risaralda Department Madriz Department Thane District Western Region Johar District San Andres Intendency Managua Department Manipur State Guinea • Guinée Kismayo District San José del Guaviare Department Masaya Department Punjab State Conakry Province Merca District Santa Fe de Bogota Department Matagalpa Department Tamil Nadu State Forécariah Préfecture Mogadishu District Santander Department Nueva Segovia Department Anna District Swaziland Sucre Department Rio San Juan Department Chingleput District Guinea-Bissau Tolima Department (Area not specified – Zone non Rivas Department Madras District Guinée-Bissau Valle Department (Area not specified – Zone non précisée) Panama Madurai District Costa Rica North Arcot District précisée) Tanzania, United Rep. of Colon Province Limon Province Pudukkottai District Kenya Tanzanie, Rép.-Unie de Comarca de San Blas San José Province Darien Province Thanjavur District (Area not specified – Zone non Arusha Region Panama Province Tiruchirapalli District précisée) Dar es Salaam Region Ecuador • Equateur Tirunelvelli District • • Ilala District Azuay Province Peru Pérou Vellore District Liberia Libéria Kinondoni District Bong County Bolivar Province Amazonas Department Villipuram District Kilimanjaro Region Ancash Department Montserrado County Cañar Province Uttar Pradesh State Mara Region Carchi Province Apurimac Department West Bengal State Malawi Mtwara Region Chimborazo Province Arequipa Department Calcutta Northern Region Rukwa Region Cotopaxi Province Ayacucho Department Chitipa District Shinyanga Region El Oro Province Cajamarca Department Iraq Karonga District Tanga Region Esmeraldas Province Callao Province Al-Basra Governorate Al-Anbar Governorate Southern Region Togo Galapagos Province Cuzco Department Al-Mathna Governorate Golfe District Guayas Province Huancavelica Department Mali Imbabura Province Huanuco Department Al-Najef Governorate Kayes Région Kloto District Al-Qadisiya Governorate Kozah District Loja Province Ica Department Kayes Cercle Arbil Governorate Lacs District Los Rios Province Junin Department Koulikoro Région Manabi Province La Libertad Department Babil Governorate Nara Cercle Ogou District Baghdad Governorate Sotouboua District Morona Province Lambayeque Department Mopti Région Napo Province Lima Department Dohuk Governorate Ségou Région Vo District Dyala Governorate Yoto District Pastaza Province Loreto Department Tombouctou Région Pichincha Province Madre de Dios Department Karbala Governorate • Mesan Governorate • Uganda Ouganda Sucumbios Province Moquegua Department Mauritania Mauritanie Kasese District Tungurahua Province Pasco Department Nineveh Governorate Nouakchott District Salah El-Din Governorate re Zaire • Zaïre Zamora-Chinchipe Province Piura Department 1 Région Sulaimaniyah Governorate Haut Zaïre Province Puno Department Hodh el Chargui El Salvador San Martin Department Tamim Governorate 2e Région Kinshasa Province Central Region Tikar Governorate Barumbu District Tacna Department Hodh el Gharbi Metropolitan Region Wasit Governorate e Kinshasa District Tumbes Department 3 Région Occidental Region Ucayali Department Assaba et Guidimakha Limete/Kingaba District Oriental Region Lao People’s Democratic 4e Région Lingwala District Paracentral Region Suriname Republic Gorgol Kivu Province Marowijne District République démocratique 5e Région Shaba Province French Guiana populaire lao Brakna Zambia • Zambie Guyane française Venezuela Attapue Province 6e Région Anzoátegui State Bokeo Province Central Province Guatemala Trarza Apure State Kahammouane Province Lusaka Alta Verapaz Department Copperbelt Province Aragua State Luangnamtha Province Mozambique Baja Verapaz Department Barinas State Louangprabang Province Eastern Province Chimaltenango Department Cabo Delgado Province Luapula Province Carabobo State Ouodomxay Province Ancuabe District Chiquimula Department Delta Amacuro State Saravanne Province Northern Province El Progreso Department Chiure District Southern Province Federal District Savannakhet Province Sofala Province Escuintla Department Guarico State Phine District Beira City • Guatemala Department Merida State Sayaboury Province America Amérique Huehuetenango Department Miranda State Sekong Province Niger • Argentina Argentine Izabal Department Monagas State Diffa Département Jujuy Province Jalapa Department Nueva Esparta State Myanmar Dosso Département Mendoza Province Jutiapa Department Sucre State Yangon Division Maradi Département Salta Province Petén Department Tachira State Yangon Niamey Département Tucuman Province Quetzaltenango Department Zulia State Nepal • Népal Tahoua Département Belize Quiché Department Tillabéry Département Retalhuleu Department Baitadi District Cayo District • Zinder Département Sacatepéquez Department Asia Asie Jhapa District Toledo District San Marcos Department Afghanistan Khatmandu District Nigeria • Nigéria Bolivia • Bolivie Santa Rosa Department Badakhshan Province Abuja State Philippines Beni Department Sololá Department Baghlan Province Akwa Ibom State Chuquisaca Department Suchitepéquez Department Balkh Province National Capital Region Anambra State Region 4 Cochabamba Department Totonicapán Department Helmand Province Bauchi State El Alto Department Zacapa Department Herat Province Aurora Province Bendel State La Paz Department Kabul Province Cavite Province Benue State Mindoro Province Oruro Department Guyana Kandahar Province Borno State Potosi Department Region I (Barina/Waini) Kapisa Province Palawan Province Gongola State Rizal Province Riberalta Department Region II (Pomeroon/Supenaam) Kunduz Province Imo State Region 5 Santa Cruz Department Honduras Nangarhar Province Kaduna State Tarija Department Zabul Province Albay Province Kano State Tupiza Department Camayagua State Camarines Norte Province Katsina State Choluteca Department Bhutan • Bhoutan Camarines Sur Province Kebbi State Brazil • Brésil Cortes Department Mongar District Catanduanes Province Kwara State Acre State El Paraiso Department Pemagatsel District Masbate Province Lagos State Alagoas State Francisco Morazan Department Phuntsholing District Sorsogon Province Niger State Amapá State Omoa State Punakha District Region 6 Ogun State Amazonas State Santa Barbara Department Samdrupjongkhar District Iloilo Province

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Region 7 Ghana La Paz Department San Juan del Guaviare Chanchamayo Province Cebu Province Upper West Region Larecaja Province Municipio Chanchamayo District Region 8 Jiripa District Murillo Province Meta Intendencia Perene District Leyte North Province Nor Yungas Province Cabuyaro Municipio San Luis Sevaro District Leyte South Province Guinea • Guinée Quinuni Province La Primavera Municipio Viloc District Samar Western Province Siguiri Région Sud Yungas Province San Carlo de Guaroa Satipo Province Region 9 Santa Cruz Department Municipio Coviriali District Liberia • Libéria Zamboanga City Andrés Ibañez Province Villavicencio Municipio Mazamari District Zamboanga Norte Province Bassa County Cordillera Province Vista Hermosa Municipio Pangoa District Region 11 Buchanan District Florida Province Norte de Santander Department Davao City Bomi County Gutièrrez Province Cucuta Municipio Pichanali District Gen. Santos City Tubmanburg Ichilo Province Tibu Municipio Rio Negro District Bong County Cucuta Intendencia Rio Tambo District Region 12 Brazil • Brésil Cotabato City Salala Toledo Municipio Satipo District Sinoe County Amapá Territory Putumayo Intendencia Loreto Department Viet Nam Greenville Macapá Municipio Puerto Asis Municipio Ucayali Province Binh Tri Thiên Province Amazonas State Nigeria • Nigéria Santander Department Contamana District Nghia Binh Province Careiro Municipio Bucaramanga Municipio Anambra State Purus District Phú Khánh Province Maranhaõ State Cimitarra Municipio Bauchi State Barra do Corda Municipio Madre de Dios Department Bendel State El Carmen Municipio Manu Province Mirador Municipio Vichada Department Benue State Madre de Dios District Europe Pará State Puerto Trujillo Municipio Cross River State Agua Azul do Norte Manu District Republic of Moldova Kaduna State Municipio Tambopata Province République de Moldova Ecuador • Equateur Kwara State Alenquer Municipio Morona-Santiago Province Inambari District Chisinev Raion (region) Imo State São Felix do Xingú Las Piedras District Slobozajskiy Raion (region) Napo Province Lagos State Municipio Humayacu District Tambopata District Stefan-Voda Raion (region) Niger State Tucumá Municipio Tiraspol Raion (region) Pastaza Province Pasco Department Ogun State Colombia • Colombie Sucumbios Province Puno Department Ukraine Ondo State Antioquia Department Zamora-Chinchipe Province Sandia Province Cherson Oyo State Anori Municipio San Juan del Oro District Nicolaev Region Plateau State Taraza Municipio Peru • Pérou San Roman District Yondo Municipio Amazonas Department Odesskaya Region Sierra Leone Vilcabamba District Republic of Crimea Arauca Intendencia Ancash Department San Martín Department Eastern Province Ayacucho Department République de Crimée Arauca Municipio Huallaga Province Kenema District Huanta Province Simferopol Saravena Municipio Bellavista District Boyaca Department San Josè Santillana District Simferopol Oblast • Saposoa District Sudan Soudan Chita Municipio Cusco Department Territory South of 12° N. Puerta Boyaca Municipio La Convencion Province Lamas Province • Territoire situé au sud Caquetá Intendencia Echarate District Lamas District Yellow fever Fièvre jaune du 12° N. Belén de los Andaquiés Kitani District Tabalazos District • • Municipio Maranura District Mariscal Caceres Province Africa Afrique Zaire Zaïre El Doncello Municipio Santa Ana District Campanilla District Angola Territory North of 10° S. San Vicente de Caguán Huanuco Department San Martín Province Territoire situé au nord Bengo Province Municipio Huamalies Province Juan Guerra District du 10° S. Luanda Province Casanare Intendencia Monzon District Sauce District Hato Corozal Municipio Leoncio Prado Province Tocache Province Cameroon • Cameroun • Tamara Municipio Alonia Robles District Province de l’Extrême-Nord America Amérique La Polvora District Yopal Municipio Aucayacu District Nuevo Progreso District Mayo Sava Département Bolivia • Bolivie Cesar Department J.C. Castello District Mayo Tsanaga Département Beni Department Valledupar Municipio Leoncio Prado District Tocache District Uchiza District Gabon Ballivian Province Choco Department Monzon District Itenez Province Rio Sucio Municipio P. Luyando District Ucayali Department Province Ogooué-Ivindo Cochabamba Department Cundinamarca Department Rupa Rupa District Coronel Portillo Province Makouko Ayopayo Province Maya Municipio Marañon Province Calleria District Gambia • Gambie Carrasco Province Guaviare Intendencia Cholon District Padre Abad Province Upper River Division Chapare Province Miraflores Municipio Junin Department Padre Abad District

DISEASES SUBJECT TO THE REGULATIONS MALADIES SOUMISES AU RÈGLEMENT

Notifications received from 28 June to 4 July 1996 Notifications reçues du 28 juin au 4 juillet 1996

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 – révisé, s – suspect

Cholera • Choléra

Africa • Afrique CD CD Niger 13-26.VI Togo 8.III-24.V ...... 327 11 ...... 49 7 Somalia – Somalie 16.III-15.VI Zambia – Zambie 20.IV-17.VI ...... 5 826 356 ...... 106 14

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