WklyEpidem Rec ‘ No 3 3 - 17 August 1990 - 255 - Relevé éptdém hobd N° 33 - 17 août 1990

2 newborns, 8 children and 1 adult. Overall, 72% of suspect cases 1 adulte. Dans l’ensemble, 72% des cas suspects ont été diagnostiqués were diagnosed among individuals of less than 20 years. This chez des moins de 20 ans. Ce tableau épidémique est d'autant plus epidemic pattern is of concern as Pacific island countries may préoccupant que les îles du Pacifique risquent désormais d’être confron­ now be facing simultaneous transmission of different serotypes in tées à la transmission simultanée de différents sérotypes lors de flambées more frequent outbreaks with an increasing proportion of severe plus fréquentes, avec une proportion croissante de cas hémorragiques haemorrhagic cases. graves. (Based on/D’après: A report from the South Pacific Commission/Un rapport de la Commission du Pacifique Sud.)

Infected Areas as on 16 August 1990 — Zones infectées au 16 août 1990 For criteria used in compiling this list, see No 27, page 212 — Les critères appliqués pour la compilation de cette liste sont publiés dans le N° 27, page 212. X Newly reported areas - Nouvelles zones

PLAGUE - PESTE BRAZIL-BRÉSIL BURUNDI Dutsin-Ma Africa — Afrique Bahia State Bubanza Province Funtua Bubanza Arrondissement K aisin a MADAGASCAR Birtunga Mumcipio Candeal Mumcipio Cibitoke Arrondissement Malumfashi Antananarivo Province Bujumbura Province Zana Ambatolampy £ Pré/. Central Mumcipio Coneeiçâo Mumcipio Bujumbura Arrondissement SAO TOME AND PRINCIPE Anjozorobe £ Pré/. B ururi Province SÂO TOMÊ-ET-PRINCIPE Antananarivo £ P ré/ Feira de Santana Mumcipio Iraquara Mumcipio Makamba Arrondissement SIq Tomé Antananarivo Distria Rumongc Arrondissement Antani/otsy £ P ré/ Irecê Muniapio TANZANIA, UNITED REP. OF Itaberaba Mumcipio Guega Province Antsirabe I £ P ré/ TANZANIE, RÉP.-UNIE DE Jussara Mumcipio Gitega Arrondissement Antsirabe U £ P réf Kilimanjaro Region Reurolandia Mumcipio Ambodiala District . CAMEROON - CAMEROUN Mosbi Distria Riachâo do Jacuipe Mumcipio Ambohitsjmanova District Prvtnce de TExtrémeSord Mwanga Disma Senhor do Bonfim Mumcipio Ampasatanety District Logone-et-Chari Dépanement Same Dismet Serrinba Muniapio Manandona District Province Littoral Smgida Region Teofilindia Muniapio Soamndranny District Moungo Dépanement Singida District Paraiba State Woun Département Tsarofara District ZAÏRE-ZAÏRE Vinamnkarena Distria Araba Muniapio CÔTE D’IVOIRE Haut Zaïre Province Anvontm am o £ P ré/ Barra de S. Rosa Mumcipio Département de l’Ouest Kivu Province BearfoS.Pré/ Cubati Muniapio Man Sous Préfecture Shaba Province Alakamisy-Anativato Olivedos Mumcipio GUINEA-GUINÉE Faraisiho S, Pré/ Qucimadas Muniapio ZAMBIA-ZAMBIE M iarinanvo £ P ré/ Remigio Muniapio Conakry Province Central Province' Analavory Distria Solânea Mumcipio Forécariah Préfecture Lusaka Anosibe Ifanja District PERU - PÉROU KENYA Copperbeh Province Soavinandriono £ P réf Cajamarca Department Coast Province Southern Province Ambatoasana Centre Chota Province Kihfi Disma Tsiroanomandidy £ Préf Llama Disma Kisumu Distria Asia - Asie Anuiranana Province Miracosta District Kwale District INDIA-INDE Andapa £ Pré/ Mombasa District Tocmoche District Andhra Pradesh State Doany District Nyanza Province San Miguel Province Hyderabad Dismet Fianarantsoa Province Siaya Disma Nanchoc District Visakhapatnam P Ambatofitiandrakam S. Pré/ San Gregono District LIBERIA - LIBÉRIA Delhi Territory Ambondronu50tra District San Miguel District Bong County Karnataka (Mysore) State Andrefambohitra District San Pablo Province Montserrado County Bangalore Disma Bevonotany District San Luts Disma Chitradurga District Soamherenana District MALAWI Piura Department Gulbarga District Ambûhimahasoa £ Préf Central Région Ayabaca Province Hassan District Manandroy District Lilongwe District Canales District Kolar District Atnbosilra £ Pré/ Southern Région Lagunas District Maharashtra State Ambatomarina District Montero District MAU Ambohimahazo District Nagpur District Paimas Distria Kayes Région Tamil Nadu State Ambovombe Centre Sapiilica Disma Kayes Cercle Chmgleput District Andina District Suyo Disma Kcuhkoro Région Madras City Anjoma N'Ankona District Httancabamba Province Nara Cercle Madurai Dismet Anjomà Navona District C de la Frontera Disma MAURITANIA - MAURITANIE Pudukkottai District Ankazoambo District Canchaque Distria Ivaio District Nouakchott Dismet Thanjavur Dismet Huancabamba Disma V* Région Tiruchirapalli District Ivony Distria Piura Province Hodh el Chargui TirunelvelU Disma „Isiaw-yofcumejM. District Las Lomas Distria Tsarasaoira District 2 e Région Vellore District - VlUipuram Dismet Fandnana £ P ré/ A&ia - Asie Hodh el Gharbi 3 e Région West Bengal State Fiadanana DijStnçi VIETNAM Assaba.et Guidimakha Calcutta Fianarantsoa i S. Préf Gia-Lai-Công Turn Province Mahatsmjo District 4*Région INDONESIA - INDONÉSIE Iim Dông Province Gorgol Fianarantsoa U S Préf. Pbü Kbânh Province Java Bar at Province Andoharanomaitso District 5‘ Région Tanggcrang Regency Fianarantsoa II District Brakna Kalimantan Selatan Province 6 ' Région Manandriàna S préf CHOLERA - CHOLÉRA Banjar Regency Trarza Toamasina Province Africa - Afrique Banjarmasin Municipality Moramanga £ Préf. Hulu Sungai Selatan Regency ANGOLA MOZAMBIQUE Hulu Sungai Tengah Regency TANZANIA, UNITED REP. OF Bengo Province Sofala Province TANZANIE, RÉP.-UNIE DE Beira City Hulu Sungai Uiara Regency Benguela Province Tabalong Regency Tanga Region Huambo Province Tele Province Lusboto District Moatize District Maluku Province H uila Province Maluku Tengab Regency Tanga Disma Kuando-Kubango Province Tete City X Zambezia Province . Sumatera Boxât Province ZAÏRE-ZAÏRE Kunene Province Solok Regency Haut-Zaïre Province Kvumza-Noru Province NIGER Kmmza-Sul Province - MALAISIE Mahagi Zone Admmistrauve Maradi Département Luanda Province Peninsular Malaysia America - Amérique Luanda, Cap NIGERIA-NIGERIA Kelatuan State BOLIVIA - BOLIVIE Malange Province Bendel State La Paz Department Namibe Province Bomadi Franz Tamayo Province Uige Province Rivers State Tumpat Disma Sud Yungas Province Zaïre Province Yenogoa Puchang State Valle Grande Province Soyo Municipality Kaduna State Tcmerloh District Wkly Epidem Rec No 3 3 -1 7 August 1990 - 256 - Relevé épidém hebd N °3 3 - 17 août 1990

Selangor S ta te America - Amérique Faro Mumcipio Maranura Distna Hulu Langat D istn a BOLIVIA - BOLIVIE Monte Alegre Mumcipio Santa Ana D istna Prainha Mumcipio Huanuco Department Terenggunu State Bau Department Rcndençâo Mumapio Huamahes Province Besit/Setiu D istna Balhvian Province Sio Domingos do Capun Mumcipio Monzon Distna Itenez Province Sen. José Porfiiio Mumcipio Leonao Prado Province Kenwgau Distna Cochabamba Department Xmguara Municipality Aloma Robles Dismet D istn a Ayopayo Province Rondoma State District Carrasco Province Aucayaai Distria Cacoal Mumcipio District Chapare Province JG Castcllo District Roraima Territory Labuk Sugut District La Paz Department Leoncio Prado Distna Larecaja Province Bonfim Mumcipio Monzon Distna Garimpo Mutum Mumcipio P. Luyando District District Murillo Province Maloca Caju Mumcipio Rupa Rupa District District Nor Yungas Province District Quinuni Province Maraüon Province COLOMBIA - COLOMBIE Scmporna District Sud Yungas Province Çholon District District Santa Cruz Department Anùoquia Department Junin Department Distria Andrés Ibanez Province Anon Municipio Chanchamayo Province Taraza Mumcipio Chanchamayo Distna NEPAL-NÉPAL Cordillera Province Yondo Mumcipio Perene Distna Kathmandu Distria Florida Province Arauca Jntendencia San Luis Sevaro District VIETNAM Guuérrez Province Icbilo Province Axauca M umapio Vüoc Dismet Bïnh Tri Thiên Province Saravena Mumcipio Satipo Promue Nghia Bmh Province Boyaca Department Covinali Distna Phù Khânh Province BRAZIL - BRESIL Chita Mumapio Mazaman Distna Oceania — Océanie Amapd Ternary Puerto Boyaca Mumcipio Pangoa Distria Macapa Mumapio Caquetd Intendenaa Pichanah District FEDERATED STATES OF MICRO­ Amazonas State Belén de los Andaquies Mumcipio Rio Negro D istn a NESIA Canutama Municipio El Doneeilo Mumcipio Rio Tambo District ÉTATS FÉDÉRÉS DE MICRONÉSIE Joâo Figueiredo Mumcipio San Vicente del Caguân M umapio Sanpo Disma Truk State Manaquiri Mumcipio Casanare Intendenaa Loreto Department Manaus Mumapio Hato Corozal M umapio YELLOW FEVER - FIÈVRE JAUNE Ucayali Province Maraâ Muqiapio Tamara Mumapio Comamana Distria Africa - Afrique Nova Oliuda do Norte Municipio Yopai M um apio Purus Distna ANGOLA Novo Airâo Municipio Cesar Department Madré de Dios Department Bengo Province Tefé Municipio Valledupar Mumapio Manu Province Luanda Province Urucara Mumcipio Choco Department Madré de Dios Distna GAMBIA - GAMBIE Goias State Rio Suao Mumcipio Manu Distna Upper River Division - Alto Parai so Municipio Cundmamarca Department Tambopata Province GUINEA - GUINÉE Bela Vista Mumcipio Maya Mumcipio Inamban Distna Caiaponia Mumapio Guaviare Intendenaa Siguin Région Las Piedras Damolândia Muxuapio Miraflorcs Mumcipio Tambopau Distna MAU Formosa Mumcipio San Juan del Guaviare Municipio Puno Department Kayes Région Goias VeLho Munîapio Meta Intendenaa Sandia Province Kita Cercle Mara Rosa Mumcipio Cabuyaro Mumcipio San Juan dd Oro Distna Kouhkoro Région Nova Cnxas Municipio La Pnmavera M umapio San Roman Distna Dioüa Cercle Planaluna Mumapio San Carlos de Guaroa Mumcipio Vilcabamba D istna Kangaba Cercle Santa Cruz Municipio Viilavicencio M umapio San Martin Department Kati Cercle Maranhâo State Vista Hermosa Mumapio Huaüaga Province Kolokaru Cercle Grajau Mumcipio Norte de Santander Department Beilavista District NIGERIA - NIGÉR1A Lago da Pedra Mumcipio Cucuta Mumapio Saposoa D istna Anambra State Moto Grosso State Tibu Mumcipio Lamas Province Bauchi State Amônio Joâo Mumcipio Cucuta intendenaa î-a m a s DlStna Bendel State Diamantino Mumcipio Toledo Mumapio T a h a la m s DlStna Benue State Jardim Mumcipio Putumayo Intendenaa Manscal Caceres Province Cross River State Nova Maringa Mumcipio Puerto Asis M umapio Campamlla DixiyicT Kaduna Suie Placido de Castro Mumcipio Santander Department San Martin Province Kano State Sidrolândia Mumcipio Bucaramanga Mumcipio Juan Guerra Distna Kwara State Sinope Mumcipio Cinutarra Mumcipio Sauce Distria Lagos State Teranos Municipio El Carmen Mumapio Tocache Province Niger State Minas Gerais State Vichada Department La Polvora D istria Ogun State Bonfinopolis Mumcipio Puerto Trujillo Mumapio Nuevo Progreso Distna Ondo State Francisco Dumont Mumcipio Progreso Disma PERU - PÉROU Oyo State Mirabela Mumcipio Tocache Distna Paracatu Mumcipio Ayacucho Department Uchiza Distna SUDAN - SOUDAN Unai Mumcipio Huanta Province Ucayali Department Territory South of 12° N* Para Sta te San José Santiliana. D istna Coronel Portillo Province Territoire situé au sud du 12° N. Aienquer Mumcipio Cuzco Department Callena Disma ZAÏRE-ZAÏRE Almemm Mumcipio La Convencion Province Padre Abad Province Territory North of 10° S* Altamira Municipio Echarate Distna Padre Abad D ism a Territoire situe au nord du 10° S. Araguaia Mumcipio Kuani District

DISEASES SUBJECT TO THE REGULATIONS - MALADIES SOUMISES AU REGLEMENT Notifications received from 10 to 16 August 1990 — Notifications reçues du 10 au 16 août 1990 C Cases - Cas Figures not yet received - Chiffres non encore disponibles . D Deaths - Décès i Imported cases - Cas importés P Port r Revised figures - Chiffres révisés A Airpon - Aéroport s Suspected cases - Cas suspects

CHOLERA - CHOBÉRA America - Amérique C D Africa - Afrique UNITED STATES OP AMERICA 7 VU C D ÉTATS-UNIS D'AMÉRIQUE MOZAMBIQUE 18 VII-4 VIII ...... 50 4 ...... li 0

There have been no notifications of areas removed Aucune notification de zones supprimées n’a été reçue. Price of the Weekly Epidemiological Record Pnx du Relevé épidémiologique hebdomadaire Annual subscription - Abonnement annuel ...... Fr. s-150,- 7 700 V1II.90 ISSN 0049-8114 PRINTED IN SWITZERLAND