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Infected Areas As at 8 July 1993 Zones Infectées Au 8 Juillet 1993 for Catena Used in Compiling This List, See No- 10, P

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Infected Areas As at 8 July 1993 Zones Infectées Au 8 Juillet 1993 for Catena Used in Compiling This List, See No- 10, P WEEKLY EPIDEMIOLOGICAL RECORD, Ns. 28, 9 JULY 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N» 28,9 JUILLET 1993 ing for 17.1% of all PYLL-65, followed by m alignant neo­ tent 17,1% du total, suivies par les tumeurs malignes (15,2%), les plasms (15.2%), suicide/homicide (12.7%), and diseases of suicides/homicides (12,7%) et les cardiopathies (11,3%). Le VIH/ die heart (11.3%). HTV/AIDS, which accounted for 6.3% of SIDA, responsable de 6,3% de l’ensemble des APVP-65, a rempla­ all PYLL-65, replaced congenital anomalies as the fifth cé les anomalies congénitales à la cinquième place. leading cause of PYLL-65. MMWR Editorial Note: Leading causes of death in the Note de la Rédaction du MMWR: Les causes principales de décès United States are ranked by using absolute counts of death aux Etats-Unis d’Amérique sont classées suivant le nombre absolu for selected causes, thus giving each death a weight of 1.0. In de décès pour chaque cause, dormant ainsi à chaque décès un poids comparison, PYLL gives a weight to each death propor­ de 1,0. En revanche, les APVP donnent à chaque décès un poids tionate to its distance from the arbitrarily designated age of proportionnel au délai qui le sépare de l’âge arbitrairement désigné 65 years. PYLL-65 emphasizes deaths at early ages in de 65 ans. Les APVP-65 font ressortir les décès prématurés de 2 ways: 1) by not including deaths occurring at ages beyond 2 façons: 1) en n’incluant pas les décès survenant à des âges supé­ the cut-off, and 2) by giving greater computational weight to rieurs à l’âge limite et 2) en donnant un poids plus important dans le deaths among younger persons. calcul aux décès chez les jeunes. Provisional mortality estimates for selected conditions Les estimations provisoires de la mortalité pour des maladies are based on a 10% sample of death certificates and are données sont établies à partir d’un échantillon de 10% des certificats adjusted for reporting biases (e.g., provisional reporting of de décès et sont corrigées pour tenir compte des biais de déclaration cause of death). Because 1991 data are provisional, PYLL (par exemple, déclaration provisoire de la cause de décès). Comme estimates based on 1990 final mortality data are not com­ les données pour 1991 sont provisoires, les estimations des APVP pared with 1991 data. basées sur les données de mortalité définitives pour 1990 ne sont pas comparées avec les données pour 1991. The 12.7% increase in PYLL-65 for HTV/AIDS corres­ L’augmentation de 12,7% des APVP-65 pour le VIH/SIDA ponds to increases in the annual number' of deaths from correspond à l’accroissement du nombre annuel de décès dus au AIDS. Prevention programmes for communities and indi­ SIDA. Les programmes de prévention aux niveaux communautaire viduals are crucial for reducing behaviours that lead to et individuel sont d’une importance capitale si l’on veut limiter les transmission of HIV. The 6.5% increase in PYLLr65 for comportements favorables à la transmission du VIH. L’augmenta­ suicide/homicide reflects, 1.8% and 10.8% increases in tion de 6,5% des APVP-65 pour les suicides/homicides reflète une PYLL-65 for suicide and homicide, respectively. Several augmentation de 1,8% pour les suicides et de 10,8% pour les factors may have contributed to these changes, including homicides. Plusieurs facteurs peuvent avoir contribué à cette évolu­ increases in substance abuse, access to handguns, poverty, tion, dont la progression des toxicomanies, l’accès aux armes à feu, urbanization and crowding, and family disruption and disor­ la pauvreté, l’urbanisation et le surpeuplement, ainsi que la dés­ ganization. For prevention of suicide/homicide, CDC has union et la désintégration des familles. Pour prévenir les suicides/ recommended interventions that can be incorporated in homicides, les CDC ont recommandé des interventions pouvant être community programmes. These include use of school cur­ intégrées dans des programmes communautaires, tels que: pro­ ricula based on nonviolent conflict-resolution skills; peer­ grammes scolaires enseignant à régler les conflits par des moyens counselling programmes; enforcement or enactment of local non violents; programmes de conseil par des pairs; application ou drinking and firearms-control regulations; crisis-interven­ promulgation des réglementations locales concernant, la boisson et tion services; and improved recognition and comprehensive les armes à feu; services d’intervention en cas de crise; et meilleur treatment of persons with mental disorders. dépistage et traitement plus exhaustif des personnes présentant des troubles mentaux. The 9.2% decrease in PYLL-65 for prematurity from La diminution de 9,2% des APVP pour la prématurité entre 1989 to 1990 reflects a 1.2% increase in PYLL-65 for 1989 et 1990 se décompose en une augmentation de 1,2% pour les disorders related to short gestation and unspecified low troubles liés à une période de gestation écourtée et à un faible poids birfhweight and a 21.5% decrease in PYLL-65 for respira­ de naissance (sans précision) et une diminution de 21,5% pour le tory distress syndrome. Recent improvements in medical syndrome de détresse respiratoire. Les récentes améliorations du management of respiratory distress syndrome may have traitement médical du syndrome de détresse respiratoire peuvent contributed to this trend. avoir contribué à cette évolution. (Based on: Mordibity and Mortality Weekly Report, 42, (D’après: Morbidity and Mortality Weekly Report, 42, N“ 13,1993; No. 13, 1993; US Centers for Disease Control and Pre­ US Centers for Disease Control and Prevention.) vention.) Infected areas as at 8 July 1993 Zones infectées au 8 juillet 1993 For catena used in compiling this list, see No- 10, p. 72 Les crueres appliques pour la compilation de cette liste sont publies dan* le K® 10, p. 72 X - Newly reported areas X - Nouvelles zones signalées Plague • Peste Anosibe Uanja Dismet Fianarantsoa IS Pré/ Brazil • Brésil Tocmochc Dismet Remvohüra S , P ré/ Mahatsinjo Dismet Bahut State San Miguel Province Afnco • Afrique Soavtnandnana S Pre/ Fianarantsoa U $. Pré/ Binonga Mumcipio Nanchoc Dismet Arnharnaeana Centre Andoharanomaitso Dismet Candeal Mumcipio San Gregono Dismet M adagascar Tsuoanomandtdy S Pre/ Fianarantsoa n Dismet Central Mumapio San Miguel Dismet Antananarivo Province Antstranana Province Manadnana S. Pré/. Concciç&o Mumapio San Pablo Province Ambohtdrammo S. Pré/ Andapa S. Préf Mahajanga Province Feira de Sanrana Mumcipio Antananarivo-Avaradrano S Pre/ San Louis District Doany District Toamastna Province Iraquara Mumcipio Puera Department Ambaiolampy S Pré/ Fianarantsoa Province Moramanga S. Pré/. Irecê Mumcipio Ayabaca Province Anjozorobe S. Pré/. Ambatofinandrahana S. Pré/ Tanzania, United Rep. of Itaberaba Mumcipio Canales Dismet Antananarivo S Pre/. Ambondromisotra District Tanzanie, Rép.-Unle de Jussara Mumcipio Antananarivo District Andrefambohitra Dismet Refirolândin Munieipm Lagunas Dismer Antani/otsy S Pre/ Bevonotany Dismet Tanga Région Momero Dismet Lushoto Dismet Riachâo do Jacuipe Mumcipio Patinas Dismet Antsirabe IS Pre/ Soanihcrenana Dismet Tanga Dismet Senhor do Bonfim Mumcipio Antsirabe U S. Pre/ Ambohimahasoa S. Pre/ Semnha Mumcipio Sapillica Dismet Ambodiala Dismet Manandroy Dismet Uganda • Ouganda Tcofilandia Mumcipio Suyo Dismet Ambohnsimanova Dismet Ambosura S. Pré/. Western Region Parodia State Huancabamba Province Ampasatanery Dismet Ambatomanna District Ncbbi Dismet Aruba Mumcipio C de la Froncera District Manandona District Ambohnnahazo Dismet Barra de S Rosa Mumcipio Canchaque District Zaire * Zaïre Huancabamba District Soanindranny Dismet Ambovombe Centre Haut Zaire Province Cuban Mumcipio Tsarofar Dismet Andina Dismet Mahagi Administrative OUvedos Mumcipio Piura Province Vinflnmlfar«»na DlSOlCt Anjoma N ’Ankona Dismet Qucimadas Mumcipio Las Lomas District Anvommamo S Pre/ Anjoma Navona Dismet Remigio Mumcipio Betafo S Pré/ America • Amérique Ankazoambo Dismet Solânea Mumcipio Asm • Asie Alakamisy-Anativato District Xvato District Bolivia • Bolivie Peru • Pérou Fanandnana S Pré/ Ivony Dismet La Paz Department Viet Nam Faraisiho S. Pré/ Talara-Vnhimena DlStnCC Franz Tamayo Province Cajamarca Department Gta-Lat-CÔng Turn Province Manjakanànana S Pré/ Tsarasaotra Dismet Chota Province Làm Dông Province Sud Yungas Province Uama Dismet Miarmanvo S Pré/ Fandnana S Pre/ Valle Grande Province Pfiu Khân Province Analavory Dismet Fiadanana Dismet Miracosta Dismet 2 0 6 WEEKLY EPIDEMIOLOGICAL RECORD, No. 28,9 JULY 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N» 28, 9 JUILLET 1943 5* R ég io n Belize Jutsapa Department Asia «Asie Cholera • Choléra Brakna Cayo District Peten Department 6e R ég io n Toledo District Quetzaltenaugo Department Bhutan * Bhoutan Africa• Afrique -, Trarza Quiche Department Mongar District Bolivia • Bolivie Angola M ozambique Retalhuleu Department Pemagatsel District Bengo Provmce Bern Department Inhambane Provmce Sacatepéquez Department Phumsholing District Benguela Provmce Chugutsaca Department San Marcos Department Punakha District Maxixc District Cochabamba Department Huâmbo Provmce Momimbene District Santa Rosa Department Samdrupjongkhar District Hioia Provmce E l A lto D e p a rtm e n t M onica Provmce Solold Department Tashigang District Kuando-Kubango Provmce La Paz Department Suchuepéquez Department Thimphu District Chimoio District Oruro Department Kunene Provmce SiiaainHwiga DlStTlCt Totorucapan Department ramhiwtia • Cambodge Ktuanza-Norte Provmce Potass Department M aputo Provmce Zacapa Department K w a n z a -S u l P
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