WEEKLY EPIDEMIOLOGICAL RECORD, No. 1 5 ,1 4 APRIL 1995 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N* 1 5 ,1 4 AVRIL 1995 to Ae vaccination and die dry weather which reduced the vaccination et l’arrivée de la saison sèche qui a réduit la densité vector density. However, dine could be an increase in vectorielle. Toutefois, il se peut que l’on assiste à une augmenta­ yellow fever in April 1995 when the rains start, particularly tion du nombre de cas de fièvre jaune en avril 1995, quand in villages not affected by the present epidemic. The commenceront les pluies, notamment dans les villages non touchés following action should be taken to prevent this: par l’épidémie actuelle. Pour l’éviter, il conviendrait de prendre les mesures suivantes: (1) Yellow-fever vaccination must continue. This 1) Il feut étendre la vaccination anti-amarile. Cette stratégie strategy should be actively pursued from village to doit être activement poursuivie de village en village pour village to ensure the inclusion of young children. que les jeunes e n f a n t s soient vaccinés. Des fiches de vacci­ Immunization cards should be given to all vaccin­ nation doivent être remises à toutes les personnes vacci­ ated persons. nées. (2) Early case detection and reporting are extremely 2) Le dépistage précoce et la notification sont extrêmement important The health facilities are not familiar importants. Les services de santé ne sont guère au courant with the reporting system, and training on disease du système de notification, et il faut préparer à la surveil­ surveillance and notification must be given to lance et à la notification des maladies le personnel des health facility workers from the area and from adja­ services de santé de la zone ainsi que des LGA limitrophes cent yellow-fever endemic LG As. où la fièvre jaune est endémique. (3) Reporting forms must be distributed to all health 3) Des formulaires de notification doivent être distribués à facilities during training. tous les établissements de santé à l’occasion des stages de form ation. (4) If only 1 out of 10 cases of yellow fever visited a 4) S'il s'avère que seul 1 malade souffrant de fièvre jaune sur health facility, die reasons for this should be deter­ 10 s’est rendu dans un établissement de santé, il convien­ mined and corrected if possible. drait de déterminer les raisons d’un tel comportement et, si possible, d’y remédier.

Tcble 2 Distribution of yellow fever coses by age and sex io Orse LGA Tableau 2 Répartition des cas de fièvre jaune par âge et par sexe dons les LGA (including Obibi vdlage) and adjacent LGAs, Imo State, d'Orsu (notamment village d'Obibi) et adjoceotes, Etat d'Imo, Nigeria, September-December 1994 Nigeria, septembre-décembre 1994

Age group Number of cases- -Nombre de cas (in years] Total Groupe d'âge Males-Hommes Females-Femmes (en année)

04 10 7 17 5-9 7 2 9 10-14 4 7 U 15-19 5 7 12 20-24 2 7 9 25-29 10 2 12 30-34 9 4 13 35-39 3 5 8 4044 5 5 10 4549 6 2 8 5Qt 5 2 7

Total 66 5 0 1 1 6 '

u 4 cases were subtracted from the total for Obibi village since the same coses are included in hospital data - 4 cas ont ete retianchês du total pour le village d'Obibi étant donné qu'ils étaient indus dans les statistiques hospitalières

(Based on: A report from the Epidemiology Division of the (D’après: Un rapport de la Division d’Epidémiologie du Ministè­ Federal Ministry of Health and WHO, Lagos, December re fédéral de la Santé et de l’OMS, Lagos, décembre 1994.) 1994.) '

Infected areas as at 13 April 1995 Zones infectées au 13 avril 1995 For criteria used in compiling this hsc, see No. 13, 1995, p 95 Les. entires appliqués pour la compilation de cette liste sont publiés dans le N® 13,1995, p. 95 X - Newly reported areas X - Nouvelles zones signalées

Plague • Peste Anvomtnamo S Préf Ambasùra S. Prif.. M ozam b iqu e Betafo S. Bref Amhatomnnna DlSBlCt Tete Province America • Amérique Alakanusy-Ananvato District Ambohlmahazo District Mutarara District Bolivia - Bolivie Fanandnana S Pref Ambovombe Centre La Pax Department Africa • Afrique Faratstho S Pref. Franz Tamayo Province Andina District Tanzania, United Rep. of Alaujakandrtana S Préf Sud Y ungas Province Anjoma N’Ankona District Tanzanie, Rép.-Uoie de Mmrmanva S. Préf. Valle; Grande Province Antananarivo Province Anjomà Navona District Tanga Region Analavory District Ankazoamho District Ambcfndratnmo S Préf Anosibe Ifanja District Lushoto District Antanananvo-Avaradrano S. Prtf Ivato District Tanga District Brazil • Brésil Remvchura S. Pref Ivony District Boko State Ambatalampy S. Pr$f Soavtnandnana S. Préf AiyezorobeS. Préf. Talatn-Vahpmena District Uganda • Ouganda Binunga Mumapio Ambatoa&ana Centre Tsarasaotra Dismet Candcai Mumapio Antananarivo S. Préf Tamanonuindidy S. Pref Western Region Antananarivo Dismet FandruaaS. Préf Nebbi District Central Mumapio Antsiranano Province Conceiçâo Municipio Antansfoisy S Préf. Andapa S Préf Fiadanana District Antsirabe I S Préf. Ftanaratusoa I S Pref Fora de Santana M unicipio Doacy District Zaire • Zaire Iraquara Mumapio Anütrabe II S. Préf Fianarantsoa Province Mahatsiajo District Haul Zaire Province Arr.hodiala Dismet Fianaranisoa II. S. Pref Irecê Mumapio Ambatofinandrahana S. Pref. Itun Sub-Region luberaba Mumapio Ambohitsunanova Dismet Ambondronusotra District Andoharaaomaitso District Mahagi Administrative Zone Jussara Municipio Ampasatanety Dismet Andrefambohitra District Fianarantsoa II District Renrolândia Municipio Manandona District Bevoaotany District ManamkumaS. Pref Z im babw e Soaaindxanny District Rlachfio do Jacuipe Municipio Soyiibcxcnana District Mahtyanga Province Matabeleland North Senbor do Bfinfim Mumapio Tsarofar Dismet Ambohimahasoa S Préf Toamasma Province Lupane District Serrinha Municipio Vinaninkarena Dismet Manandroy District Moramanga S. Préf Nkayi District TcoBiandia Mumapio n o WEEKLY EPIDEMIOLOGICAL RECORD, No. 1 5 ,1 4 APRIL 199S * RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, H * 1 5 ,1 4 A V R IL1995

Panttba Stau fth»H • Tchad Kismayo Disma Santa Fe de Bogota Department Rso San Juan Department Arabs Muniapio Batha Préfecture Mogadishu Distna Santander Department Bam de S. Rosa Muniapio Bel Prefecture Sucre Department Cuban Muniapio Sierra Leone Büsau Préfecture Northern Provence Tolsma Department Colon Province Ohvcdos Mumapjo Chart Baguxrmt Préfecture Valle Department Qucimadas Muniapio Kambis Distna Comarca de San Bias Guera Préfecture Western Province Remigio Miuucipio Kanem Préfecture C osta R ica Danen Province Solinea Muniapio Freetown Luzon Province Panama Province Lac Préfecture San José Province Peru • Pérou Lugone Occidental Préfecture Swaziland Peru* Pérou Cajamarca Department Logonc Orientai Préfecture (Area not specified - Zone non Ecuador * F^ni**"* Amazonas Department Chota Province Njamena Préfecture précisée) A zuay Province Ancash Department Liana Dismct Ouaddai Préfecture Tanzania, United Rep. of Bohvor Province Apurmac Department Miracosta D um a Tandjüe Préfecture Tanzanie, Rép.-Unic de Cahar Province Areqtapa Department Tocmocbe Dismet Côte d ’ivoire Arusha Region Cardu Province Ayacucho Department San Miguel Province Dor es Salaam Region Chimborazo Provmce Cajamarca Department Departement de l'Ouest Cotopaxi Province Callao Provmce Nanchoc D um a Man Sous-Préfecture Dala Distna Ssn Gregorio D um a Kinondom District El O n Provmce Cuzco Department San Miguel D um a Djibouti Kthman/aro Region Esmeraidas Province Huancavehca Department San Pablo Provoice Ghana Mara Region Galapagos Provmce Huamico Department San Louu D um a Accra Begum Muoara Region Guay as Provmce lea Department La Libertad Department Acas Distna Rukaa Region Imbabura Province Jumn Department (Area not specified - Zone non Greater Accra Distna Sktnyanga Region Loja Provmce La Ltbertad Department Los Rios Provmce Lambayeque Department prcascc) Ashana Region Tanga Region Lambayeque Department Centrai Region Mattabi Province Lana Department (Area not specified - Zone non Eastern Region Togo Morona Provmce Loreto Department précisée) Volta Region Golfe Disma Napo Provmce Madré de Dios Department Aura Department Western Regum Kioto Disma Pastaza Province Moquegua Department Ayabaca Province Kozah Dismct Puhmcha Province Pasco Department Canales Distna Guinea • Guinée Lacs Disma Sucumbias Province Piura Department Lagunas Distna Conakry Province Ogou Distna Tungurahua Province . 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Mato Grosso Stau Cobma Stau Zone non précisée) Nigeria • Nigeria Mutas Gerais Stau Distrito federal Burundi Abuja State Bubanza Province Para State Guanajuato Stau India • Tnilf Aktoa Ibom State Guerrero Stau Andhra Pradesh Stau Bubaoza Arrondissement Anambra State Paraiba Suae Cibitoke Arrondissement Parana Stau Hidalgo Stau Hyderabad Dismct Bujumbura Province Bauchi State Pernambuco Stau Jalisco Stau Visakhapatnam Distna Bendel State Bujumbura Arrondissement Ptaui State Mexico Stau Assam State Burun Province | Benue State Rio de Janeiro Stau Michoa&an Stau Delhi Territory Makamba Arrondissement \ Borna Stau Rio Grande do Norte Stau Mordes Stau Gujarat Stau I Gongola Stau Rondonta Stau Neuvo Lean Stau Haryana State Rumonge Arrondissement Karnataka (Mysore) Stau Guega Province hno State Sào Paulo State Oaxaca Stau Gitega Arrondissement Kaduna Stau Sergipe State Puebla Stau Bangalore Disma i Kano Stau Queretaro Stau Bidar Dismct Cameroon • Cameroun | Katstna State f^olnmhin • ftnlnmhif Qumtana Roe State Chitradurga Distna Promue de PExtrême’Nord i Kuara State Amazonas Department San Lius Potosi Stau Gulburga Dismct Diamarc Departement j Lagos State Andoquia Department Sonora State Hassan Dismct Logonc-et-Chan Département ! Niger Stau Atlantuo Department Tabasco State Kolar Distna Mayo*Danai Dépanemcnt ! Ogun Stau Bolivar Department Tamauhpas Stau Mandya Dismct Mayo-Sa va Dépanemcnt Ondo State Boyaca Department Tlaxcala Stau Raichar Distna Mayo-Tsanoga Département Oyo Stau Caldas Department Veracruz Stau Tumkur Disma Province Lmoral Plateau Stau Caqueta Intendency Yucatan Stau Kerala Stau Moungo Département Rivers State Cauca Department Zacateca S ta u Madhya Pradesh State Vouri Département Soboto State Cesar Department Maharashtra S ta u Province du Nord Choco Department N icaragu a Akola Disma Bcnoué Département | Rwanda Cordoba Department Axnrawan Disma Province de POuest i Cyangugu Préfecture Cundmamarca Department Nagpur Distna Haut Nkam Dépanemcnt \ Gisenyi Prefecture Guajtra Department Cfuuandega Department Nandad D um a Mifi Département ! Sao Tome and Principe Hurla Department Chontaies Department Osmansbad Disma Province du Sud j Sfto Tomé-et-Priacipc Magdalena Department Esteh Department Parbham D um a Océan Departement ! Lemba Dutria Meta Department Pune Distna Provmce du Su/^Ouest ! SSo Tomé Narmo Department Jtnouga Department Sang),i Dtstnct Manyu Depanement Norte de Santander Department Leon. Department Thane Dutria Même Département j Somalia *. Somalie PunttanayaD&artmetit M adriz Department _ Manipur Stau j Baidoa D utnct Quatdio Deportment Punjab Stau Cape Verde • Cap-Vert : Bardera Dtstnct Rxsaralda Department Department Tamil Nadu Stau Maki Island - He de Maio ; Belet Ucn District San Andres Inuudency Anna D um a Santiago Island-D e de Santiago ; Bossaso Disma San Jose del Guavtare Department Nueoa Segovia Department Chingleput Disma

in W U U Y EPIDUUOLOGICAL RECORD, Mo. IS , 14 APRU.1995 • RELEVÉ EPIDEMIOLOGIQUE HEBDOMADAIRE, N* IS , 14 AVRIL 1995

Madras Difitoct Region 5 Guinea • Guinée Alcnqucr Mumcipio Maranura Districts MmHnrai niwnrr Albay Province Sigutn Region Sào Felix do Xingù Santa Ana Dîstnct North Arcoc District Camannes Norte Province Mumcipio Huanuco Department MaU Tucumâ Muniopio Pudukkonai District Camannes Sur Province Kayes Region Huamakes Province Tbaajavur District Catanduancs Province Kits Cercle Polftajihia • P-nlnm^jç Monzon District TiruchirapalH District Masbatc Province Kouhkoro Région Anaoqusa Department Leonao Prado Provtnce Tirunelvdh Dismet Sorsogoc Province Diolla Cercle Anon Muniopio Alooia Robles District Vellore District Region 6 Kangaba Cercle Taraza Muniopio Aucayacu Dismet Vîllipuram District Hollo Province J C Casteüo District Uaar Pradesh Stare Region 7 Kan Cercle Yondo Muniopio Kolokam Cercle Arauca Intendencta Leonoo Prado District West Bengal State Cebu Province Arauca Muniopio Monzon District Calcutta Region 8 Nigeria • Nigéria Saravena Muniopio P. Luyando District Leyte North Province Anambra State Boyaca Department Rupa Rupa Dismet Leyte South Province Bauch State East Nina Tenggam Provmce Chita Muniopio MaraAon Provence Samar Western Province Bendei State Puerta Boyaca Muniopio Snmha Barar Regency Region 9 Cholon District Lampung Provtnce Benue State Caqueta Intendencta Jumn Department Zamboanga City Cross River State Bden de los Andaquies Lampung fiarat Regency Zamboanga Norte Province Chanckamoyo Provtnce North SuUmest iVptiuiu Kaduna State Murucipio Region 11 Ksuara State Chanchamayo Dismet Rolaang Mongondow Regepcy £1 Doncdlo Mumcipio Perene Dismet Davao City Imo State San Vicente de Caguén Iraq Gen. Samos City Lagos State Mumcipio San Luis Sevaro District Al-Basra Govemorate Region 12 Niger State Casanare Intendenaa Viloc Distna Al-Anbar Govemorate Cotabaio City Ogun State Halo Corozal Muniopio Sanpo Province Covinah Dismet Al-Mathna Govemorate Viet Nam Ondo State Tamara MumapiO Al-Najcf Govemorate Both Tn T h in Province Oyo State Yopal Muniopio Mazaman District Al-Qadisiya Govemorate Nghta Both Provmce Plateau State Cesar Department Pangoa District Arbü Govemorate Phu Khanh Provmce Valledupar Mumcipio Pichanaü Distna Babil Govemorate Sudan * ^An

...... 1 s Notifications received from 7 to 13 April 1995 Notifications reçues du 7 au 13 avril 1995

C - cases, D - deaths,... - data not yet received, C - cas, D - décès,... - données non encore disponibles, i - imported, r - revised, s - suspect i - importés r - révisé, s - suspect

Cholera • Choléra Europe C D France 10.IV1 Africa • Afrique C D Cape Verde - C a p -V e rt 27 III-2.IV ...... 65 0 1 Date of notification. - Date de la notification.

w tam m /w ^m sssssam

Telex; 415416 Fax: 7914194 Télex: 415416 Fox: 791 41 94 (Attention EPIDNATIONSfor notifications of diseases subject to the Regulations) (A Taltention d'EPIDNATIONS concernant les notifications des maladies soumises au Règlement) Automatic telex reply service: Service automatique de réponse par télex: Telex 41S76B Geneva followed by ZQC ENGL fo r reply in English Télex 415768 Genève suivi de ZCZC FRAN pour une réponse en français Price of the Weekly [pkleaiahgiaJ Retard P rix d u Relevé épidémiologique hebdomadaire Annual subscription Sw. fr. 209.— Abonnement annuel Fr. s. 209.-

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