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Infected Areas As at 7 January 1993 Zones Infectées Au 7 Janvier 1993

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Infected Areas As at 7 January 1993 Zones Infectées Au 7 Janvier 1993 WEEKLY EPIDEMIOLOGICAL RECORD, Mo. 1/2,8 JANUARY 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N* 1/2,8 JANVIER 1991 on specific formal courses. Such supervision and training en cours d'emploi plutôt qu'à des cours théoriques. Cet encadrement should* emphasize a problem-solving approach and chal­ et cette formation devraient insister sur la solution des problèmes lenge workers to improve the immunization and disease et encourager les agents de santé à améliorer les systèmes de vacci­ control systems. nation et de lutte contre la maladie. Research and development Recherche et développement Research and development have played a critical role in the La recherche et le développement ont été déterminants pour le success of the EPI. Although it may be difficult in times of succès du PEV. Il est parfois difficile, en période de crise écono­ limited resources to invest in research, such investments will mique, d'investir dans la recherche, mais ce genre d'investissement be essential to further improve prevention of infectious est indispensable si l'on veut améliorer encore la prévention des diseases. Research priorities for the future must include maladies infectieuses. Entre autres priorités de recherche pour developing and improving disease control strategies, im­ l'avenir figurent la mise au point et l'amélioration des stratégies de proving diagnostic techniques for EPI target diseases, lutte contre la maladie, l'amélioration des techniques de diagnostic enhancing surveillance and programme monitoring tools, des maladies cibles du PEV, le renforcement de la surveillance et augmenting cold chain and logistic support and developing des outils pour le suivi des programmes, l'amélioration de la chaîne new and improved vaccines. du froid et de l'appui logistique et, enfin, la mise au point de vaccins nouveaux et améliorés. Influenza Grippe Belgium (20 December 1992). The first sign of influenza Belgique (20 décembre 1992).,Le premier signe d'activité grippale activity this season Was the isolation of an influenza B cette saison a été l'isolement d'un virus B d'une femme de 32 ans virus from a 32-year-old woman in the week ending au cours de la semaine s'achevant le 20 décembre. Tous les autres 20 December. All other indices of influenza activity re­ indices d'activité grippale sé sont maintenus à un bas niveau en mained low during December. décembre. China (28 December 1992). An outbreak of influenza has Chine (28 décembre 1992). Une flambée de grippe sévit dans la occurred in the Beijing area since mid-December. All age région de Beijing depuis la mi-décembre. Tous les groupes d'âge groups are affected but schoolchildren more than others. sont touchés, mais surtout les écoliers. Plusieurs virus grippaux ont Several influenza viruses have been isolated and, so far, été isolés et, jusqu'ici, 4 ont été identifiés comme étant des virus B. 4 have been further identified as influenza B. Japan (17 December).1 Influenza outbreaks spread among Japon (17 décembre 1992).1 Des flambées de grippe se sont schoolchildren in several parts of the country during propagées parmi des écoliers dans plusieurs régions du pays en November and December. All cases confirmed in the novembre et en décembre. Tous les cas confirmés au laboratoire laboratory during November were associated with in­ en novembre était associés au virus B, mais en décembre des virus fluenza B, but in December influenza A(H3N2) viruses grippaux A(H3N2) ont été isolés dans plusieurs localités. were isolated in several localities. Rom ania (20 December 1992). Influenza B virus has been Roumaine (20 décembre 1992). Le virus grippal B a été isolé de isolated from 3 sporadic cases in children. 3' cas sporadiques chez dès enfants. United States of America (31 December 1992)/ In­ Etats-U nis d'Am érique (31 décembre 1992).2 Le virus grippal B fluenza B virus was confirmed during outbreaks causing a été confirmé au cours de flambées provoquant de 12% à 32% from 12% to 32% absenteeism in some schools in d'absentéisme dans certaines écoles de l'Etat de Washington en Washington State during December. This virus has now décembre. Ce virus a maintenant été signalé dans 15 Etats et la been reported in 15 States and influenza A in 7. Two grippe A dans 7 Etats. Deux virus grippaux A ont été identifiés influenza A viruses have been further subtyped as in­ comme appartenant au sous-type H1N1. fluenza A(H1N1). ' See No 47, 1992, p. 356. 1 Voir N“ 47, 1992, p. 356. 3 See No. 51/52, 1992, p. 388. --Voir N" 51/52, 1992, p. 388. Infected areas as at 7 January 1993 Zones infectées au 7 janvier 1993 For aitena used in compiling this list, see No 25, p 191 Leu enteres appliqués pour la compilation de cette Usee sont publies dans le N" 25, p 191 X - Newly reported areas X - Nouvelles zones signalées Jussara Mumapio Paimas Dismet Plague • Peste Soavtnandnana S. Pre/ Ftanarantsoa 11 Dismet Ambatoasana Centre Manadnana S. Pré/. Renrolândia Mumcipio Sapilüca District Tsiroanomandidy S Pre/ Mahajanga Province Riachâo do Jacuipc Mumcipio Suyo Dismet Africa • Afrique Antsiranana Province Toamastm Province Senhor do Bonfim Mumcipio Huancabamba Province MaHaperflp Andapa SP ré/ Moramanga S. Pré/ Scmnha Mumcipio C, de la Frontera District Antananarivo Province Doany Dismet Tanzania, United Rep. of Teohlandia Munidpio Canchaquc Dismet Ftanarantsoa Province Huanpabamba Dis ma Arnbohidratnmo S. Pré/ Tanzanie» Rép.-Unie de Paraiba State Antanananvo-Avaradrano S. Pré/ Ambatofinandrahana S: Pré/ Tanga Région Araba Munidpio Ptura Province Amhatolampy S. Pre£ Ambondromisotra Dismet Barra de S, Rosa Mumcipio T ag T nmas DlSIHCt AnHr^farphnbiyra DlSEDCt Lushoto District Anjozorobe S, Pré/ Tanga District Cuban Mumapio Antananarivo S Pré/ Bevonotany Dismet Olivedos Mumcipio Asia • Asie Antananarivo District £narpht»r*»nnna DlSEQCt Zaire • Zaïre Queimadas Mumcipio Viet Nam Antant/otsy S Pre/ Ambahimahasoa S Pré/. H aut Zaïre Province Remigio Mumcipio Gta-Lai-Câng Turn Province Antsirabe IS , Pré/ Manandroy District Mahagi Administrative Zone Solânea Mumcipio Antsirabe U S. Pre/ Ambostcra S Pré/, Lâm Dông Province Amhoriiala District Ambatomanna District America • Amérique Peru • Pérou Phû Khan Province Amhnhirsimannva Dl&triCC Amhnhimahnrzn DlSOTCt Cajamarca Department Bolivia - Bolivie Ambovombe Centre Choia Province Ampasatanecy District La Paz Department Choiera • Choléra Manandona District And ma District Llama Dismet Franz Tamayo Province Soanmdranny District Anjoma N'Ankona District Miracosta Dismet Sud Yungas Province Tsarolar District Anjoma Navona Dismet Tocmoche Dis met Africa • Afrique Valle Grande Province Vmanmkarena District Ankazoambo Dismet San Miguel Province Angola Anvommamo S. Pré/ Ivato Dismet Brazü • Brésil Nanchoc District Bengo Province Beta/a & Pré/ Ivosy District Bahut San Gregono District Benguela Province Alakamisy-Ananvato District Talata-Vohimem} Dismet Binonga Mumapio San Miguel District Huambo Province Fanandnana S Pré/ Tsarasaotra District Candeal Municipio San Pablo Province Huila Province Faratsxho S. Pré/ Fandnana S Pré/ Central Muwapio San Louis District Kmndo-Kubango P rom ue Manjakandnana S. Pré/, Fiadanana Dismet Conceiçâo Mumapio Piura Department Kunene Province Miarmanvo S. Pré/ Ftanarantsoa / S. Pré/ Feira de Santana Mumcipio Ayabaca Province K uanza-N one Province Analavory District Mahatsinjo Dismet Iraquara Mumcipio Canales Dismet K iuanzaSuI Province Aaosibe l&rnja District Ftanarantsoa U, S , Pré/. Irecê Mumcipio Lagunas Dismet Luanda Province Rentvahura S Pré/ Andoharanomaitso Dismet Itaberaba Mumcipio Montera Dismet Luanda, Cap 6 WEEKLY EPIDEMIOLOGICAL RECORD, No. 1/2, ft JANUARY 1993 • RELEVE mDEI(UOlO<yOUE HEBDOMAOAIRE/N* 1 /2 ,8JANViHt 1993 Malanga Province Chokwe District Zimbabwe < Metropolitan Region* Puna Department Nandbe Province Guija District' Mamcaland Province Occidental Region San Moron Department Urge Province Maoa District X Chimanimam District Oriental Region Tacna Department 2am Province Manjacaze District X Oiipingg District Paracentral Region Tombes Department' Ucayali Department Etenin « Xai-Xai District X Mura If District French Guiana Département de TAdanttque Inhambane'Province Mashonaland Central - Guyane française Surinam e X Mukumbura District S. Prêt d'AUada Homoine- District ' Maxowqne District Inhamme District Masvtngo Province' Guatemala Ore. de Cotonou (District not specified - District > Alta Verapaz Department Venezuela S. Préf de Tofib Mamxc District Morrumbene District non précise) Baja Verapaz Department Anzodtegut State Département de VAtacora Chtmakenango Department Apure State Département de Borgou Panda District Zavala District America • Amérique Chqumtula Department Aragua State Département de Mono E l Progreso Department Barmas State Département de Zou M amca Province X Chimoio District Cayo District Escumda Department Carabobo State Burkina Faso M aputo Province Toledo District Guatemala Department Delta Amaeum Stale Boulgou Province Boane District Huekuexenango Department ‘ - " - Federal District Bolivia • Bolivie Izabal Department Guanco State Burundi Manhica District Bern Department Bubanza Province Maputo City Jalapa Department Menda State Chuquisaca Department Juaapa Department Bubanza Arrondissement X Matunune District Miranda State Cochabamba Department Petén Department 7_ Cibitoke Arrondissement Moamba District ^ Monagas State El Alto Department Quetzakenango Department Nueva Esparta State Bujumbura Province Niassa Province La Paz Department Bujumbura Arrondissement Mandimba District Quiche Department Sucre State Oruro Department
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