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Infected Areas As on 13 January 1972 — Zones Infectées an 13 Janvier 1972 Areas Removed from the Infected Area List Between 7

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Infected Areas As on 13 January 1972 — Zones Infectées an 13 Janvier 1972 Areas Removed from the Infected Area List Between 7 - 3 2 - Infected Areas as on 13 January 1972 — Zones infectées an 13 janvier 1972 For criteria used io compiling this list, see page IS — Lea entires appliqués pour la cornpilntion de cells lista sont publiés à la page 1S. Tbo complete list of infected areas was last published in WER No. 1, page 11. La hate complète des zones infectées a paru dans le REH N* 1, page U. It should bo brought up to by tho tdditioDil Pour sa mim à jour, S y a lieu de consulter les R elevé publiés depuis Ion, où subsequently in the WER. regarding areas to be added o r removed. The complete figurent les listes de zones à ajouter et é supprimer. La liste complète est lut u usually published once a month. gSnÂralamgnt mm foin par mnii. CHOLERA — CHOLERA INDONESIA — INDONÉSIE SMALLPOX — VARIOLE Haryana, State Ambaia, District Africa — Afrique Atjeh, Province Aines — Afrique Pîdie, Regency Madhya Pradesh, State SUDAN — SOUDAN Gwalior, District CAMEROON — CAMEROUN Djawa-Teugah, Province Bahr el Ghazal, Province Cameroun oriental Karanganjar, Regency Rumbeik, Rur. C, Mysore, State Logoné-et-Chan, Département Wonogiri, Regency Gulbarga, District Blue Nile, Province Lom-et-Djerem, Département Kalimantan-Timur, Province Mungo, Département Southern Division Uttar Pradesh, State Bcrau,Regency Woun, Département Sennar, Rur. C. Meerut, District Kmai, Regency Saharanpur, District NIGERIA — NIGERIA Sulawesi-SelatanITenggara, Sitapur, District A da — Asie North-Central, State Province Luwu, Regency PAKISTAN Funtua, Division AFGHANISTAN Maros, Regency West Pakistan Polewali/Mamasa, Regency Balkb, Province Selajar, Regency Kandahar, Province Baluchistan, Province Alia — Aile Kunar, Province Khairpur, District Kunduz, Province I nghatlHj D istrict Orozgan, Province INDIA — INDE Sind, Province INDIA — INDE Maharashtra, State lacobabad. District Bhandara, District Andhra Pradeh, State Karachi, District Jalgaon, District Nalgpnda. Distnct Larkana, District Areas Removed from the Infected Area list between 7 and 13 January 1972 Territoires supprimés de la liste des zones infectées entre les 7 et 13 janvier 1972 For criteria used in compiling tfait list, see page IS — Les entires appliqués pour la de cette liste sont publiés à la page 15. r u r » .un a _ CHOLÉRA Asia —Asia MALAYSIA — MALAISIE SMALLPOX — VARIOLE Sarawak Asm — A d * Africa — Afrique Kuching (1st), Division BURMA — BIRMANIE Kuching, District INDIA — INDE CHAD — TCHAD Tenasserim, Division Bihar, State Chari-Baguiimi, Préf. Thatftn, District OMAN Dhenbad, District EPIDEMIC KERATOCONJUNCTIVITIS KËRATO-CONJONCHV1TE ÉPIDÉMIQUE U n it e d S t a t e s o f A m e r ic a . — From 12 May to 12 August 1971, E t a t s -U n is d ’A m é r iq u e . — Du 12 mai au 12 août 1971, 132 cas 132 cases of epidemic keratoconjunctivitis (EKC) were reported from de kérato-conjonctivite épidémique ont été enregistrés à G adsden Gadsden, Alabama. All cases were associated with an industrial (Alabama). Les malades, tous employés d’une même usine, présen­ plant. Symptoms included eye pain, foreign body sensation, diffuse taient les symptômes suivants: douleur oculaire, sensation d’avoir un lacrimation and visual blurring. Early in the course of the illness, corps étranger dans l’œil, larmoiement abondant et vision brouillée. examination showed severe conjunctivitis, often follicular in nature, Au début de la maladie, l’examen a révélé une conjonctivite grave, chemosis and a watery discharge. After 10-15 days of illness, sub- souvent folliculaire, un chémosis ainsi qu’un écoulement aqueux. epithelial corneal infiltrates were seen in about 65% of the cases. Au bout de 10 à 15 jours, environ 65 % des cas présentaient des infil­ Adenovirus type 8 was isolated from conjunctival swabs and scrap­ trations coméennes sous-épithéliales. Chez neuf malades, on a pu ings from nine patients. Adenovirus type 8 infection was confirmed isoler l’adénovirus du type '8 à partir d’écouvillonnages et de serologically in 76 patients. raclages de la cornée. L’infection à adénovirus du type 8 a été con­ firmée sérologiquement chez 76 malades. All patients in the early part of the epidemic had been seen in the Tous les sujets atteints au début de l’épidémie s’étaient rendus au medical facility at the plant for eye complaints, such as dust or service médical de l’usine pour des problèmes oculaires (par «temple foreign body, 6-17 days (mean 10 days) prior to the onset of symp­ poussière ou corps étranger dans l’œil) 6 à 17 jours — en moyenne toms of EKC. Epidemiological and laboratory evidence suggested 10 jours— avant l’apparition des symptômes de kérato-conjonctivite that transmission occurred by both ophthalmic solutions and direct épidémique. L’enquête épidémiologique et les examens de labora­ hand-to-eye contact. Adenovirus type 8 was isolated from one toire donnent à penser que la m aladie a été transmise à la fois p a r des bottle of saline used as an eye wash. Control of the epidemic was solutions ophtalmiques et par contact direct de la main à l’œil. On a achieved by careful eye care. Widespread community involvement pu isoler l’adénovirus du type 8 dans une bouteille de soluté salin did n o t occur. utilisé pour le^ bains oculaires. Des soins oculaires méticuleux ont permis d'endiguer l’épidémie avant qu'elle ne se répande dans la collectivité. E d it o r ia l N o i e : EK C , th e “shipyard eye” of the 1940’s, is N o t e d e l a r é d a c t io n : La kérato-conjonctivite épidémique, bien caused by adenovirus, usually type 8. Epidemics are most often connue depuis les flambées des années 1940, est due à un adénovirus, traced to ophthalmologists’ offices or to eye hospital facilities. An généralement du type 8. Les épidémies ont le plus souvent leur epidemic of this size has not been reported recently in an industrial origine dans le cabinet d’un ophtalmologue ou dans un service setting, and isolation of the virus from ophthalmic solutions has not hospitalier d’ophtalmologie. H y avait longtemps que l’on n’avait been reported previously. pas enregistré d’épidémie de cette importance en milieu industriel, et jamais auparavant le virus n’avait été isolé de solutions oph­ talm iques. (Morbidity and Mortality, 1971,20, No, 42; US Center for Disease Control.).
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