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

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 X Oiipingg District Paracentral Region Tombes Department' Ucayali Department Etenin « Xai-Xai District X Mura If District French Guiana Département de TAdanttque '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 non précise) Baja Verapaz Department Anzodtegut State Département de VAtacora Chtmakenango Department Apure State Département de Borgou 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 Huekuexenango Department ‘ - " - Federal District Bolivia • Bolivie Izabal Department Guanco State Burundi Manhica District Bern Department Bubanza Province City Jalapa Department Menda State Chuquisaca Department Juaapa Department Bubanza Arrondissement X Matunune District Miranda State Cochabamba Department Petén Department 7_ Cibitoke Arrondissement ^ Monagas State El Alto Department Quetzakenango Department Nueva Esparta State Bujumbura Province La Paz Department Bujumbura Arrondissement Quiche Department Sucre State Oruro Department Retalhuleu Department Burun Province Tachira State Potosi Department Sacatepéquez Department Makamba Arrondissement Beira City Zuha State Riberalta Department San Marcos Department Rumonge Arrondissement Santa Cruz Department Santa Rosa Department . K Asia • Asie Gitega Province Nhamaranda District Tanja Department Sololà Department Gitega Arrondissement Tuptza Department Suchuepéquez Department Bhutan • fam^mnn • CamCTOlU Moatizc District Toumicapân Department Mongar District Tete City Brazil • Brésil Province de l'Extrême-Nord Alagoas State Zacapa Department Pemagatse) District Diamare Departement Zambezia Province Phuntsholiog District Arnapa State Guyana Logone-ct-Chan Département Inhassungc District Punakha District Amazonas State Region I (Bartna/WamO Mayo-Dazuu Département Maganja da Costa District Samdrupjongkhar District Bahia State Region I I (Pomeroan/Supenaam). Mayo-Sava Departement Ceara State Tashigang District Mayo-Tsanaga Département Honduras Thimphu District Namacuixa District Maranhào State Province Littoral M ato Grosso State Choluteca Department Cambodia • Cambodge Moungo Département Cortes Department Quehmane District Para State Kompong Cham Provmce Woun Département Parodia State E l Parana Department rjtina « Province du Nard Niger Pernambuco State Francisco Morazan Department (Area not specified - Benoue Departement Dtffa Département Piaui State Santa Barbara Department Zone non précisée) Province de l'Ouest -Passa Département Valle Department Rio Grande do Norte State India « Inde Haut Nkam Departement Maradi Département Rondôma State Yoro Department Mifi Departement Niamey Département Andhra Pradesh State Sergipe State Mexico «Mexique Hyderabad District Province du Sud Tahoua Département rhîif • nuu Campeche State Océan Département Tülabery Département Visakhapatnam District Antofagasta Province Chiapas State Assam State Province du Sud-Ouest Zmder Departement Bernardo O'Higgtns Province Chihuahua Manyu Departement Xrnz* Delia Territory Nigeria • Nigeria Coqutmbo Province Gujarat State Même Départemenr Distrito federal PhaH • Tchad Abteja State Los Lagos Province Haryana State Aktua Ibom State Guanajuato **ri,f* Baûta Préfecture Osoroo Karnataka (Mysore) State Anambra State Santiago Province Guerrero State Bangalore District Bet Prefecture Baucht State Hidalgo State Bdtme Prefecture Tarapacd Province Bidar District Bendel State Jahsco State Chitradurga District Chan Baguants Préfecture rolrnnhin • Benue State Mexico State Guera Préfecture Amazonas Department Gulburga District Borna State Michoacan State Hassan District Kanem Préfecture Anaoquta Department Morelos State Lac Prefecture Gongola State Allongea Department Kolar District lino Suite Neuvo Leon State Mandya District Logone Occidental Préfecture Bohvar Department Kaduna State Oaxaca State Raichar District Logone Oriental Préfecture Boyaca Department Puebla State T n m lc ii r District Njamena Préfecture Kano State Caldas Department Kaisma State Queretarv State Kerala State OuaddaS Préfecture Caqueta Intendency Quintana Roo Suite Kxuara State Madhya Pradesh State Tarufyle Préfecture Cauca Department San Luts Potosi State Lagos State Maharashtra State Cesar Department Sonora State Côte d'ivoire Niger State Akola District Choco Department Tabasco State Département de l'Ouest Ogun State Amrawao District Man Sous Préfecture Cordoba Department Tamauhpas State Otido State Cundmamarca Department Nagpur District fîh a n a Tlaxcala State Oyo State Guajaa Department Nandad District Accra Region Veracruz State Osmanabad.Dismct Plateau State Hilda Department Yucatan State Accra District Parbham District Revers State Magdalena Department Zacateca State Greater Accra District Sokoto State Meta Department Pune District Ashana Region Norma Department Sangfi District General Region Rwanda, - - Cyangugu Préfecture None de Santander Department Thane District ' Upper East Region Gisetiyi Prefecture Puntumqyo Department Mampur State Volta Region Qvntdto Department Chmandega Department Punjab State Guinea * Sao Tome and Principe Rtsaralda Department Choncales Department Tamil N adu State Conakry Province Sâo Tome-et-Principe San Andres Intendency Esiek Department Anna District Forccanah Prefecture Lemba Dismet San José del Guavtare Department Chingleput District Kenya Sâo Tome Santa Fe de Bogota Department Léon Department Madras District Tanzania, United Rep. of Santander Department Madurai District (Area not specified - Zone non précisée) Tanzanie, Rép.-Unie de Sucre Department North Arcot District Pudukkonai District Liberia • Libéria Arusha Region Tohma Department Valle Department Rivas Department Thanjavur District , Bong County Kihmanjaro Region Mara Region Panam a Tiruchirapalh District Montserrado County Costa Rica Chepo Province TiruneivelU District Muuara Region Lemon Province Malawi Chunan Provmce Vellore District Rukuta Region San José Province Central Region Tanga Region Colon Provmce Villipuram District Lilongwe District Ecuador * Comarca de San Bias Uttar Pradesh State Southern Region Togo A zu a y Province Darien Province West Bengal State Mali Golfe District Bohvar Province Panama Provmce Calcutta Kioto District Kayes Region Conor Province Peru • Pérou Indonesia « Indonésie Kozah District Carcht Province Kayes Cercle Amazonas Department East Nusa Tenggara Provmce Lacs District Chimborazo Province Koubkoro Région Ancash Department Sumba Barat Regency Nara Cercle Ogou District Cotopaxi Province Sotouboua District Apunmac Department Lampung Province Mauritania • Mauritanie E l Ora Province Vo District Arequipa Department Lampusg Barat Regency Nouakchott District Esmeraldas Provmce Ayacucho Department Yoto District North Sulawesi Provmce Ire Region Galapagos Province Cajamarca Department Bolaang Mongondow Regency Hodh el Chargui Uganda * Ouganda Guayas Province Callao Provmce 2e Région Kasese District Imbabura Province Cuzco Department Iran, Rep. of Hodh ei Gharbi Loja Provmce I n n , Rép. «lam iqim d ’ Zaire • Zaire Huancavchca Department 3e Région Las Rios Provmce Isfahan Province. H aut Zaire Province Huanuco Department Assaba et Guidimakha Martabi Provmce lea Department XKermanshahtm Provmce 4e Région Kxau Province Morona Provmce Khuzestan Provmce Shaba Province Jurtin Department Gorgol Napo Province La lshertad Department Kurdistan Province Se Région Zambia • Zambie ' Pastaza Provmce Lambayeque Deportment Sistan & Bahtehestan Provmce Brakna Central Province Pichmcha Provmce Lima Department Iraq 6e Région T u c a lfQ Sucumlnos Provmce Loreto Department Al-Basra Govemorate Trarza Copperbek Province Tungurahua Provmce Madré de Dws Department Al-Anbar Govemorate Luapula Province Zamora-Chsnchtpe Province Moquegua Department AJ-Mathna Govemorate G osa Province Northern Province El Salvador Pasco Department Al-Najef Govemorate Chibuio District Southern Province Central Region Ptura Department Al-Qadnaya Govemorate

i WEEKLY. EPIDEMIOLOGICAL RECORD, No. 1 /% 8 JANUARY 1993 • RELEVE EPIDEBUOLOGIOUE HEBDOMADAIRE, N-1/2,8 JANVIER 1993

Arbil Govemoratc j Nigeria • Nigeria Caiapoma Mumopio Chira Mumopio Leonao Prado Province Babil Govemoratc Anambra State DamolÂndia Mumopio Puerta Boyaca Mumopio Alorna Robles Distqct Baghdad Govcmonuc Bauch State Formosa Mumopio Caqueta Intendenaa Aucayacu Distna Dobuk Govemoratc Bendel State Goias Velho Muniopio Bdca de los Andaquiés J.C Castello D istna Dyala Govemoratc Benue State Mara Rosa Mumopio Mumopio Leonao Prado Distna Karbala Govemoratc Cross River State Nova Cnxas Muxxiopio El Doncello Mumopio Monzon Disma Mesaa Govemoratc Kaduna State Planainna Mumcipin San Vicente di; Caguan P Luyando D istna Nineveh Govemoratc Kioara State - " Santa Cruz Mumopio Mumopio , , Rupa Rupa D ism a Sal ah El-Dux Govemoratc Lagos State Maranhaô State Cotation Intendenaa Maranon Province Sulaimaxnyah Govemoratc Niger State Grajau Mumopio Hato Corozal Mumopio Cholon Distna Tamxm Govemorate ' Ogun State Lago da Pedra Mumopio Tamara Mumopio Jimm Department Txkar Govemorate Ondo State Montes Altos Mumopio Yopal Mumopio Chanchamayo Province Wash Govemorate Oyo State M ato Grosso State Cesar Department Chanchamayo Dism a Perene D ism a Malaysia • Malaisie Plateau State Antômo Joâo Mumopio VaUedupar Mumopio Camapua Mumopio Choco Department San luis Sevaro D istna Sabah , S u d a n * Corgvûnho Mumopio Rio Suoo Mumopio .. Viloc Distna Tawau District Territory South of 12° N Diamanono Muniopio Cundmamarca Department Saiipo Province Sarawak . , Territoire situe au sud Jardim Mumopio Maya Mumopio Covimli Dismet Simunjan D u m a du 12° N Nova Mannga Mumopio Guavtan Intendenaa Mazaman Dismet Nepal «Népal Zaire • Zaire Plaodo de Castro Muniopio Miraflores Muxuopio Pangoa Dism a Rairnrli DlSGlCt Territory North of 10s $ Pocone Mumopio San Juan del Guaviare * Pichanali D istna Khatmandu Dxsmcc Territoire situé au nord Pontes e Laccrda Muniopio Mumopio Rio Negro Disma Viet Nam du 10° S Ribas do Rio Pardo Muniopio Meta Intendenaa ' Rio Tambo Dism a Both Tn Tfaên Province Sidrolândia Muniopio Cabuyaro Mumopio ^ Sanpo Dismet N g h a Bm h Province America • Amérique Suxope Muniopio La Pnmavera Mumopio ' Loreto Department Phil Khânh Province Bolivia • Bolivie 1 Terenos Muniopio San Carlo de Guaroa Ucayak Province C n n ra m a n a Dismet Bent Department Mxnas Genus State ' Mumopio ^ Europe Balhvian Province Bonfinopolis Muniopio Villavicenao Mumopio Purus D istna Itenez Province Francisco Dumont Mumopio Vista Hermosa Mumopio Madré de Dios Department Ukraine M anu Province Manupole Cochabamba Department Mxrabela Mumopio Norte de Santander Department Madré de Dios Dism a Ntcolaev Region Ayopayo Province Paracatu Mumopio Cucuta Mumcipio Carrasco Province Unai Mumopio Tibu Mumcipio ' Manu Distzia Odesskaya Region Tambopata Province Cbapare Province Para State Cucuta Intendenaa Oceanic • Océanie La Paz Department Alenquer Muniopio Toledo Mumopio Inamhan Disma Putumayo Intendenaa Las Piedras D ism a Tuvalu Larecaja Province Almexnm Muniopio Munllo Province Altamira Mumcipio Puerto Asis Muniopio Tambopata D istna Nanurma Island Puno Department Araguaia Muniopio Santander Department Niatao Island Nor Yungas Province Sandta Province Faro Mumopio Bucaramanga Mumopio Quinuni Province San Juan del Oro D istna Yellow fever • Fièvre jaune Sud Yungas Province Monte Alegre Muniopio Cimitarra Mumopio Pramha Mumopio El Carmen Mumopio San Roman Dism a Santa Crue Department Vilcabamba D ism a Andres Than«! Province Rcndençfio Mumopio Vichada Department Africa • Afrique San Martin Department S3o Domingos do Capun Puerto Trujillo Mumopio Cordillera Province Huaüaga Province Angola Mumopio Pi»nfl<4n> • PjyiafMW Florida Province Bellavxsta Dism a Bengo Province Sen. José Porfino Muniopio Gunèrrez Province Morona-Sanaago Province ' Saposoa Dismet Luanda Province Tailandia M un^pin Ichilo Province Napo Province Lamas Province Cameroon • Cameroun Brazil • Brésil Tucurui Mnnifflpio Humayacu Distnct T am av TYitfngt Provmce de l'Extrême-Nord Amapà Territory Xmguara Mumopio Pastaza Province Tabalazos D ism a Mayo Sava Departement Macapa Mumapio Rondoma State Sucumbios Province M anscal Caceres Province rpi»fmi Muniopio Mayo Tsanaga Departement Amazonas State Zamora-Chaichtpe Province Campanula Distna Canutama Mutuacpio Roraxma Territory Peru • Pérou San M artin Province Gambia • Gambie Rnnfim Mumcipio Upper River Division Joâo Figueiredo Mumapio Ayacucho Department Juan Guerra Disma Manaquin Mumcipio Ganmpo Mutum Mumopio H uanta Province Sauce Distna Guinea • Guinée Manaus Mumopio Maloca Caju Munîdpio San José Santillana District Tocache Province Stgum Région _ Mara5 Mumopio r.AlftmKin • Cusco Department La Polvora Dism a Mali Nova Olinda do Norte Annoquia Department La Convenaon Province Nuevo Progreso D istna Kayes Région Mumapio Anon Mnnit-ipip Echaratf Dismet Tocache D ism a Kua Cercle Novo AiraÔ Mumopio Taraza Muniopio Kitam Distnct Uchiza KouEkoro Region Tcfc Muniopto Yondo Mumopio Maranura D tstna Ucayah Department Dioïla Cercle Urucara Mumopio Arauca Intendenaa Santa Ana Dismet Coronel Portdh Province Kangaba Cercle Gotas State Arauca Mumcipio Huanuco Department Callena D istna Kan Cercle Alto Paraiso Mumopio Saravena Mumopio Huamaltes Province ■ Padre Abad Province Kolokany Cercle Bela Vista Mumopio Boyaca Department Modzod D istna Padre Abad D istna

Notifications received from 18 December 1992 Notifications renies du 18 décembre 1992 au 7 janvier 1993 tO 7 JfflIUOry 1993 C -cas,D -décès, ...-données non encore disponibles, ^ t-x j l j . t - Importé, r - révisé, s - suspect ■ C - cases, D - deaths, ... - data not yet received, * i - im ported, r - revised, s - suspect

Cholera • Choléra C D P lague • Peste Brazil —Brésil 22. XI-19 XII Afnca • Afrique ...... 2 324 45 Africa • Afrique C D E l Salvador 6-26.XI3 C D K e n y a 12.V-25 X ...... ,...... 13 0 Madagascar 3-16.X I Anianananuo Province Mozambique 1 1.XI-2JCH Asia • Asie Antsirabe II S. P rêt ...... X 0 C D Betafo S. P rêt ...... — ...... 2 i 0 C h in a — Ch in e 1-31.X Z im b a b w e ...-13.XII Fianaranzsoa Province ...... 61 1 ...... 780 25 Am batofinandrahana S. Préf...... 3s 0 I ran, ï*i«Twir Rep. of 3-23.X I Ambositra S. Préf...... 1 0 Americo • Amérique Iran, Rép. islamique d* Fandnana S. Préf...... 0 C D ...... 61 3 Manandnana S. Pref...,.,...... 1 0 B o liv ia - B o liv ie 15.XI-5.XII I r a q 16.XI-15.XH Toamasma Province ...... 259 8 ...... , ...... 5 0 Moramanga S Préf ...... 1 0

Telex: 415416 Fax:788 0011 Télex: 415416 Fax: 788 00 11 (Attention EPIDNATIONS for notifications of diseases subject to the regulations) (A l'attention d'EPiDNAJIONS concernant les notifications des maladies soumises ou règlement) Autom atic telex reply service: ' Service automatique de réponse par télex: Telex 415768 Geneva followed by 2£ZC ENGL for reply in English Télex 415768 Genève suivi de ZCZC FRAN pour une réponse èn français Price of the Weekly Epidemiological Retord P r ix du Relevé épidémiologique hebdomadaire Annual subscription Sw. ft. 170.- Abonnement annuel Fr.s. 170-

7 600 1 93 ISSN 0049-8114 Printed in Switzerland

8