WEEKLY EPIDEMIOLOGICAL RECORD, Ho. 12,20 MUCH 1W2 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, » 12,20 MARS 1992

Influenza Grippe

A ustria (23 February 1992). The first signs of influenza A utriche (23 février 1992). Les premiers signes d'activité grippale activity were scattered localized outbreaks in mid-January. ont été des flambées locales disséminées à la mi-janvier. Des cas Cases of influenza-like illness were detected all over the d'affections de type grippal ont été décelés dans tout le pays en country during February and activity reached epidemic février et l'activité a atteint des proportions épidémiques à Vienne. proportions in Vienna. Influenza A has been implicated on La grippe A a été mise en évidence par sérologie mais ria pas encore serological evidence but has not yet been confirmed by virus été confirmée par isolement du virus. isolation.

Egypt (2 March 1992).* Additional cases of influenza Egypte (2 mars 1992).‘ Des cas supplémentaires de grippe A(H3N2) were diagnosed among cases of influenza-like A(H3N2) ont été diagnostiqués parmi des affections de type grippal illness investigated during December and January. étudiées en décembre et en janvier.

Hong Kong (2 March 1992).2 * Influenza A(H3N2) virus Hong Kong (2 mars 1992).2 Le virus grippal A(H3N2) a été isolé was isolated from a sporadic case in January. d'un cas sporadique en janvier.

Israel (28 February 1992).’ Influenza activity reached Israël (28 février 1992).’ L'activité grippale a atteint des niveaux epidemic levels in February. Cases have been seen in all age épidémiques en février. Des cas ont été observés dans tous les groups but most have been children. Influenza A(H3N2) groupes d'âge mais la plupart étaient des enfants. Le virus grippal has predominated among cases confirmed by virus isolation A(H3N2) a prédominé parmi les cas confirmés par isolement du but 1 case of influenza A(H1N1) and 2 of influenza B have virus, mais 1 cas de grippe A(H1N1) et 2 cas de grippe B ont aussi also been diagnosed this season. été diagnostiqués cette saison.

Poland (29 February 1992).‘ Notifications of cases of Pologne (29 février 1992).1 Les notifications de cas d'affections de influenza-like illness increased from around 1 000 during type grippal se sont accrues, passant d'environ 1000 cas pendant la the first half of January to 14 500 in the second half and première quinzaine de janvier à 14 500 la seconde quinzaine, et nearly 160 000 in February. The first influenza viruses atteignant près de 160 000 cas en février. Les premiers virus (influenza A(H3N2) from 4 cases and influenza B from grippaux (A(H3N2) chez 4 cas et B chez 1 cas) ont été isolés en 1 case) were isolated in February. Influenza A and B and février. Les virus grippaux A et B et d'autres virus respiratoires ont other respiratory viruses were also diagnosed by immuno­ aussi été diagnostiqués par immunofluorescence en janvier et en fluorescence test in January and February. février.

Rom ania (28 February 1992).4 Influenza A was diagnosed Roum anie (28 février 1992).4 Le virus grippal A a été diagnostiqué by serology in cases among schoolchildren and young adults en janvier par sérologie parmi des cas chez des écoliers et de jeunes in Moldavia (the north-eastern part of the country) during adultes en Moldavie (nord-est du pays). Tous les groupes d'âge ont January. All age groups were affected during outbreaks in été touchés au cours des flambées survenues dans cette région en this region in February and influenza A(H3N2) virus was février, et le virus grippal A(H3N2) a été isolé de 2 cas pendant la isolated from 2 cases in the second half of the month. seconde quinzaine du mois.

1 Sec No. 1/2, 1992, p. 5 1 Voir N* 1/2,1992, p. 5 2 See No. 46, 1991, p 344, s Voir N" 46, 1991, p. 344. 1 See No. 5, 1992, p. 31. * Voir N” 5,1992, p. 31. ‘ See No. 9, 1992, p. 63. 4 Voir N" 9,1992, p. 63.

Infected areas as at 19 March 1992 Zones infectées au 19 mars 1992 For entons used m compiling this list, see No 5, p. 32 Les cnieres appliqués pour la compÜaDon de cette liste sont publiés dans k N* 5, p. 32 X ■ Newly repotted areas X - Nouvelles zoae& signalées

Plague • Peste Fianaranisoa Province Zaire • Zaire Chota Province Province Ambatofmandrahana S. Préf, Haut Zone Province llama District Province Africa «A frique Ambondromisotra Dismet Mahagi Adnmustrauvc Muacosta Disma Huda Province Andrefamhnhirra Dismrî Tocmoche Duma Kuando-Kubango Province Province Bevonotany District America «Amérique San Migud Province Kunene Province Ambofadratrmo S Bref Soaruherenana Dismet Nanchoc District Kuumza-None Province - Bolivie Anumananvo-Avaradram S. Préf. Ambchimahasoa S. Pref. San Gregorio Duma Ksmnza-Sul Province La Paz Department Amhatolampy S, Pié£ Manandroy District San Miguel D um a I n n n A a PtOVUlCC S. Préf. Ambosura S, Préf Franz Tamayo Province San Pablo Province T Jianfiüj Cap. Antananarivo S Préf Amharnmanna District Sud Yungas Province San Louis Dum a Valle Grande Province Maianga Province Antananarivo District AmKohimahaTn District Piura Department Natrabe Province AnUmxfotsy S. Préf Ambovombe Centre Brazü «Brésil Ayabaca Province Uige Province I S. Préf And ma D um a Bahia State Canales Duma Anmrabe U S. Préf Anjoma N'Ankona District Bintwga Muxuapio Lagunas Distha Benm«Béain Amhodiala Dismet Anjoma Navona District Candeal Muniripio Montera Duma Département de l'Aüanaque Ambohitsimanova Dismet Ankazoambo Dis ma Central Munidpio Paimas Duma S Prêt d'AUada Ampasatanety Dismet Ivato Dismcc Conceiçào Munidpio Sapillica Distna Cire, de Cotonou Manandoaa District Ivony Duma Fetra de Santana Miinicipio Suyo Duma S. Préf de Tcf&o Soanindranny Dismet Talata-Vohimcna District Iraquara .Munidpio Tsaroiar District Tsarasaotra District Irecê Muniapio C. de la Fromera District Département de TAtacora V1nflninlraw»nfl DlSBlCt Fcmdriana S. Préf. Iiaberaba Muniapio Canchaque District Département de Borgou Département de Mono Anvommamo S. Préf Fiarinnana District Jussara Munidpio Huancabamba Duma Renrolândia Muniapio Département de Zou S. Préf. Fumarantsoa ï S. Préf. Paera Province Alakamuy-Ananvato Dismet Mahatsmjo Duma Riachâo do Jacuipe Munidpio Burkina Faso Senhor do Fnnfim Muniapio Las Lomas Disma Fanandnana S\ Préf Fianaranisoa II, S Préf, Bouigou Province Farautho S. Préf AnrinharannmaiTRO DutnCt Serrinha Muniapio Asia • Asie Manjakandnana S Préf Teofilandia Muniapio Burundi Fianaranisoa U Duma Paraiba State Viet Nam Bubanza Province Mtarmanw S. Préf Manadnana S. Préf, Araba Muniapio Gia-Lai-Côug Turn Province Bubanza Arrondissement Analavory D um a Ano&ibe Ifanja Disma Barra de S. Rosa Muniapio Ldm Dong Province Cibitoke Arrondissement Toanuuuia Province Cuban Muniapio Phil Khan Province Bujumbura Promu» Remvohitra S Préf, Morumanga S. Préf Soavttuatàrma S; Préf, Olivedos Muniapio Bujumbura Arrondissement Amh&toasana Centre Tanzania, United Rep. of Quamadas Muniapio Cholera • Choléra Burun Province Tstroanomandufy S Préf Tanzanie, Rép.-Uaie de Renugio Munidpio Makamha Arrondissement Aiasuranam Prownce Tanga Région Solânca Munidpio Africa • Afrique Rumopge Arrondissement Andapa S Préf Iiishoto Dum a • Pérou Gitego Prpvmee Doany District Tanga Duma Cajamrca Department Gitega Arrondissement

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Cameroon • Cameroun Bomo State Norte de Santander Department San Martm Department Sarawak Prom et de l'Exaéme-Ncrd Gongola State Qumdio Department... Tama Department Simunjan Distna Diamare Département Imo State Rtsandda Department Tumbes Department Nepal • Népal Logcne-et-Chari Département Kaduna State San Andres Intendency UcayaH Department Rfliffldi Disma Mayo-Danai Departement Kano State San José del Guaviore Department Suriname Khatmandu Disma Katsma State Santa Fe de Bogota Department MayoSava Département Maroaqtu District Viet Nam Mayo-Tsanaga Département Ksoara State Santander Department Venezuela Bmh Tn T h a i Province Provma Littoral Lagos State Sucre Department Niger State Toima Department XAragua State N gha BsnkProvoce Moungo Département XCaraboto State Phil Khank Province Woun Département Ogun State Valle Department X Federal District Prom et du Nord Ondo State « Equateur Oyo State Tacktra State Europe Bcnouc Département Azuay Province Zuha State Province de l'Ouest Plateau State Bobvar Province Ukraine Haut Nkam Département Riven State Cahar Province Manupole Prom et du Sud Sokoto State Asia • Asie Nicolaev Region Carch Province Bhutan • Bhoutan Océan Departement Rwanda Chimborazo Province Odcsskaya Region Cyangugu Préfecture Cotopaxi Province Monger Disma piiftj • Tchad Pemagatsel Disma Gisettyi Préfecture El Oro Province Balha Préfecture PhuntshoUng Disma Yelow fever • F ièvre joe ne Sao Tome and Principe Esmeraldas Province Bes Préfecture Punakha Disma Sâo Tomé-et-Principe Galapagos Province Africa «Afrique Bibme Préfecture Samdrupjcngkhai Disma Chan Bagubm Préfecture Lemba District Guayas Province Angola Sâo Tomé Tashigang Disaia Guera Préfecture Imbabura Province Thimphu Disma Bcngo Province K am a Préfecture Tanzania) United Rep. of Lofa Province Province Tanzanie) Rép.-Unie de Las Rios Province Trtftia « TnHi» Lue Préfecture Cameroon • Cameroun Arusha Region Manabi Provtnce Andhra Pradesh State Logone Occidental Préfecture Province de VExtrinwNord Kshmanjaro Region Morona Province Hyderabad Disma Logon* Orientai Préfecture Mayo Sava Departement Njamena Préfecture Mara Region Pastaza Province Vjsfllfhapamam District MayoTsanaga Département Ouaddaï Préfecture Mtwara Region Puhmcha Province Assam State Tandjik Préfecture Rukwa Region Sucumbws Province Delhi Territory Gambia • Gambia Gujarat State Côte d'ivoire Tanga Region Tungurahua Province Upper River Division Haryana State Département de l'Ouest Togo Zamora-Chmchpe Province El Salvador Karnataka (Mysore) State Guinea « Guinée Man Sous Prefecture Golfe Dismct Bangalore Disma Sigutn Région OKann Kioto Dismct Central Region Metropolitan Region Bidar Disma Mali Accra Région Kozah Disma f^hurarinrga DlSQlCt Lacs Dismct Occidental Regum Kayes Région Accra District Gulburga Disma Ogou Disma Oriental Region Kita Cercle Greater Accra District Hassan Disma Central Région Sotouboua Disma Paracentral Region Kouhkoro Région Kalar Disma Dioïla Cerde Upper East Région Vo Disma Guatemala Mandya Disma Vcba Region Yoto Disma Aba Veropas Department Kangaba Cercle Rsachsr Disma Kan Cerde Uganda * Ouganda Baja Verapaz Department Tumkur Di«nfr Guinea • Guinée Kolokam Cerde Conakry Province (Area not specified - Zone non Chtqumtula Department Kerala State Forccanah Préfecture précisée) Chimabenango Department Madhya Pradesh State Nigeria «Nigeria El Progreso Department Maharashtra State Anambra State Liberia • Libéria Zaire «Zaïre Esciunda Department Bong County H aut Zaïre Province Akola Disma Bauch State Guatemala Department Amrawaa Disma Bendel State Moncserrado County Kivu Province Huehuetenango Department Shaba Provtnce Nagpur Disma Benue State Malawi Izabol Department Cross River State Central Région Nandad Distna Zambia • Zambie Junapa Department Osmanabad Distna Kaduna State Lilongwe District Quetzahenango Department Central Provtnce Farbham Disma K am a State Southern Region J jiaakn Qttiche Deparanaù Pune Disma Lagos Suite Mali Copperbek Province ReiaBiulm Department Sangh Disma Niger State Kayes Région Luapula Province Sacatepequez Department Thane Distna Ogun State Kayes Cercle Northern Province San Marcos Department M anipur Slant Ondo Su?** Koubkora Région Southern Province Santa Rosa Department Punjab State Oyo State Nara Cercle Sololà Department Tamil Nadu State Pinrenti Strnra Mauritania * Mauritanie America •Amérique Suchuepequez Department Anna Disma Sudan • Nouakchott Dismet Argentina - Argentine Totomcapan Department Chinglcpui Disma Ire Région Saba Provtnce Zacapa Department Territory South of 12° N. Madras Disma Temtoire situé au sud Hodh el Chargiu Honduras Belize Madurai Distna du 12° N 2e Region Toledo District Chobaeca Department North Arcot Distna Hodh cl Gharbi Zaire • Zaïre Bolivia • Bolivie Valle Department pudukkonai Disma 3e Région Than^vur Disma Temtory North of 10° S. Assaba et Guidimaldia X Chuqutsaca Department Mexico «Mexique Territoire situé au nord "X. Department Tirudurapalli Disma 4e Région Campeche State du 10e S. La Paz Department Chiapas State Tirunrivdh Distna Gorged Vellore Distna Se Région X Oruro Department Cobma Stale XPotost Department Distrito federal Villipuram Disma America •Amérique Brakoa Uttar Pradesh State 6e Région X Santa Cruz Department Guenao State Bolivia «Bolivie Hidalgo State West Bengal State Bern Department Trarza X Tarifa Department Mexico State Calcutta Ballivian Province MiwatTihiijn» Brazil • Brésil Mirhoacan State Indonesia * Iteaez Province Cabo Delgado Province Amapà State Morelos State Java Barat Province Chiure District Amazonas State Oaxaca State Tangerang Regency Ayopayo Province Pcmba City XMaranhSo State Puebla Kalimantan Selatan Province Carrasco Province Gaza Prom et Mato Grosso Tabasco State Banjar Regency Chokwe District Para State Veracruz State RanjatmaitiB Municipality La Paz Department X Parodia State XaiOCai District Yucatan State Hulu Sungai Selatan Regency Larecaja Province Maputo Province X Pernambuco State Zacateca Hulu Sungai Tengah Regency Munllo Province Boane Distncr X R io Grande do Norte State Nicaragua Hulu Sungai Utara Regency Nor Yungas Province Manhica Disma Rondoma State (Area not specified - Zone non Tabaloog Regency Quinuni Province Maputo Cuy Phil»» • PlitK précisée) Maluku Province Sud Yungas Province X M afun n n e Dismct Antofagasta Province Maluku Tengah Regency Santa Cruz Department Moamba District Bernardo O'Higgins Province Colon Province Sumatera Barat Province Andrés Ibaüez Province Namaacha Dismet Coqumbo Province Darien Province Solok Regency Cordillera Province Sofala Province Los Lagos Province Panama Provtnce Florida Province Bcira City Iraq Osomo Peru «Pérou Gtinérrez Province Zambezia Provtnce Al-Basra Govemorate Santiago Province Amazonas Department Ichüo Province Mopeia Dismct AKAnbar Govemorate Tarapacà Provma Ancash Department Al-Mathna Govemorate Namacurra Distna BnzQ «Brésil rnlnwiMa • ftJiMwMe Apunmoc Department Al-Na)ef Govemorate Amapà Temtory Nanadala D iana Arsqiapa Department Quelimane Distnct Amazonas Department Al-Qadisiya Govemorste Macapà Mumapio Annoqum Department Ayaeucho Department Arbil Govemorate Amazonas State Niger Atlanaco Department Cajamarca Department Babil Govemorate Callao Province Canurama Mumocpio Diffa Département Bobvar Department Baghdad Govemorate Joâo Figueiredo Mumapio Cuzco Department Dosso Département Boyaca Department Dohuk Govemorate Mnnaqiim Muniripia Marack Département Huoncavdsca Department Dyala Govemorate Caldas Department Huanuco Department Manaus Mumapio Niamey Département Caqueta Intendency Karbala Govemorate M aab Mumapio Tahoua Département lea Department Mesan Govemorate Cauca Department Junm Department Nova Olmda do None Tûlabèry Département Cesar Department Nineveh Govemorate Mumapio Zmder Departement La Ubenad Department Choco Department Lambayeque Department Salah El-Din Govemorate Novo Airafl Mumapio Nigeria • Nlgéria Cordoba Department Lima Department Sulaunamyah Govemorate Tefe Muniapio Abiqa State Cundmamarça Department Loreto Department Taimm Govemorate Urucara Mumapio Ahma Lbam State Gucgtra Department Madré de Durs Department Tikar Govemorate Gmas State Anambra State Huda Department Moquegua Department Wasit Govemorate Alto Paraiso Mumapio Bauch State Magdalena Department Pasco Department M ala y sia m M u h i d e Bela Vista Mumapio

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Formosa Mumapio Sen José Porfino Mumapio Maya Mumapio Cusco Department Purus Disma Goias Vclho Mumapio Tailandia Mumapio Guavtare buendenaa La Conwnaon Provmce Madré de Durs Department Man Rosa Muniapio Tucurui Mumapio Miraflores Muniapio Echaraie Dismet Manu Provmce Nova Cnstas Mumapio Xinguara Mumapio San Juan del Guaviare Kium District Madré de Dios Disma Planaltina MuiUCipiO Rondoma State Mumapio Maranura Dismet Manu Disma Santa Cruz Mumapio Cacoal Mumapio Meta Intendenaa Sanu Ana District Tambopata Provmce MaranhaB State Roraona Ternary Cabuyaro Mumapio Huanuco Department Inamban Distnct Grajau Muniapio Bonfim Mumapio La Pnmavera Mumapio ‘ Huamahes Province Las Piedras Disma Lago da Pedra Mumapio Ganmpo Munim Muniapio San Carlo de Guaroa Monzon District Tambopata Disma Montes Altos Munîcipio Maloca Caju Muniapio Mumapio Leonao Prado Provmce Puna Department Moto Grosso State Pislnmliig • Pnlnmhli» Villaviceaao Mumapio Aloma Robles Distnct Sandia Province Antôrno Joâc Mumapio Vista Hennosa Mumapio Aucayacu Dismct San Juan del Oro Disma Diamanano Mumapio Norie de Santander Department J C Castello Dismet San Roman Disma Jardim Mumapio Cucuta Muniapio Leoncio Prado District Vilcabamba District Nova Mannga Mumapio Tibu Muniapio Monzon District San Martin Department Placido de Castro Mumapio Cucuta In ten d en a a P Luyando District HuaUaga Province Sidrolândia Mumapio Toledo Mumapio Rupa Rupa District Bcllavists Disma Smope Mumapio Saravcna Mumapio Putumayo Intendenaa Marailon Province Saposoa Distnct Teranos Mumcipio Boyaca Department Puerto Asu Muniapio Cholon Dismet Lamas Province Matas Gerais Suite Chita Mumapio Santander Department Jurun Department Lamas Disma Boafinopohs Mumapio Puerta Boyaca Mumapio Bnraramanga Mumapio Chanchamayo Provmce Tabatoos Dumct Francisco Dumont Mumapio Caqueta Intendenaa Plimiraira M umcipin Chanchamayo District Monacal Caceres Provmce Mirabela Mumapio Belcn de los Andaquiés H Carmen Mnmnpift Perene Distnct Çampanilla Disma Paracacu Mumapio Mumapio Vkhada Department San t ins Sevaro Distnct Sun Maron Provmce Uaai Mumapio El Doncello Mumapio Puerto Trujillo Muniapio Viloc District Juan Guéna Disma Paré Suite Saapc Promue Saute Disma Alenquer Muniapio Covinali Dismet Tocache Provmce Morona-Sanüago Province Almeîrim Mumapio Casanare Intendenaa Mazaman Distnct La Polvora Disma Altamira Mumapio Hato Corozal Mumapio Pangoa Disma Nuevo Progreso Disma Araguâia Mumapio Tamara MumapiO P ic h a n a h District Tocache Distria Faio Mumapio Yopal Mumapio Rio Negro District Uchiza Distria Morne Alegre Mumapio Cesar Department Rio Tambo Disma Ucayah Department Prainha Mumapio Valledupar Mumapio Peru* Pérou Sanpo Disma Coronel Portdlo Provmce Rcndençào Mumapio Choco Department Ayacucho Department Loreto Department Callena Disma Sâo Domingos do Capim Rio Suao Muniapio Hmaaa Provmce Ucayah Provmce Padre Abad Promue Mumapio Cundutanusrea Department San José Sannllnna DlSttiCt C o n ta m a n a DlStDCt Padre Abad Disma

:- Ï -1 :

■■■■■■■ ■■ ■ ■ ■ . Notifications received from 13 to 19 March 1992 Notifications reçues du 13 au 19 mars 1992 C - cases, D - deaths, .. - data not yet received, C - cas, D - décès, .. - données non encore disponibles, l - imported, r - revised, s - suspect î - importé, r - révisé, s - suspect

C D • Cholera Choléra P a n a m a 23,n-7.in America • Amérique .. .. 18 0 C D Peru - Pérou 9-15.B Bolivia - Bolivie 1.I-27.II ...8 189 19 ...... 3 388r 117r Venezuela 8-15.0 Brazil - Brésil* is n -i4 .m ...... 100 2 ...... 1 113 30 nti fit» — failli i-7.ni Europe ...... 5(20 0 C D El Salvador i-i4 ,m Switzerland - Suisse i u n ...... 211 1 ...... Il 0 * Confirmed cases only/Cas confirmés seulement.

Areas removed from the infected area list Zones supprimées de la liste des zones infectées entre between 13 and 19 March 1992 le 13 et le 19 mars 1992 For amena used m compiling this list, see No. IS, p. 32 Les critères appliqués pour la compilation de cette liste sont publies dans le N u 5, p, 32

Choiera • Choléra Africa • Afrique Nampula Province Malema District Nampula District Niassa Province Mecauhelas District Te te Province Moauze Distnct Tete City

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