Wkly Eptdein. Rec No 45-6 November 1987 - 342 - Relevé eputem. hebd Nu 45 - 6 novembre 1987

Large cities typically bave infectious disease, rehabilitation, En général, les grandes villes ont des hôpitaux spécialisés dans les paediatric, or large medical school teaching hospitals. These need maladies infectieuses, la réadaptation ou la pédiatrie ou de grands hôpi­ to become better linked to EPI activities. Simple surveys such as taux universitaires. Il faut améliorer les liens entre ces établissements et le the one described above can help identify which hospitals may PEV. Des enquêtes simples comme celle qui est décrite ci-dessus aideront best serve as sentinel sites, to the mutual benefit of the EPI and of à recenser les hôpitaux les plus aptes à jouer le rôle de postes sentinelles the reporting institutions. dans l’intérêt à la fois du PEV et des établissements notificateurs. Of particular interest in this survey from the DMCH was the fact Il est particulièrement intéressant de noter que d'après cette enquête du that the majority of patients with diphtheria, tetanus, and neonatal DMCH, la majorité des malades atteints de diphtérie, de tétanos et de tetanus are transferred to a second institution. This clearly suggests tétanos néonatal sont transférés dans un second établissement qui pour­ that this other institution would itself be a logical sentinel site for rait logiquement jouer le rôle de poste sentinelle pour ces maladies. Il these diseases. Knowledge of patterns of hospitalizations, as illus­ importe de bien connaître les schémas d’hospitalisation, tels qu’ils res­ trated in this report, is necessary in order to select sentinel sur­ sortent de ce rapport, pour sélectionner les postes de surveillance senti­ veillance sites in large municipalities, as well as to interpret prop­ nelles dans les grandes communautés urbaines et pour interpréter cor­ erly data which have been collected. rectement les données recueillies.

INFLUENZA GRIPPE N ew Zealand (30 September 1987). - 1 The outbreak of N ouvelle-Zélande (30 septembre 1987). - 1 La poussée de grippe B a influenza B waned during September and was over by the end of décliné en septembre et était terminée à la fin du mois. Cependant, the month. However, several sentinel physicians reported a sharp plusieurs médecins sentinelles ont signalé en septembre une brusque increase of acute respiratory infections associated with influenza augmentation des infections respiratoires aiguës associées au virus A(H3N2) virus in September. grippal A(H3N2). 'See No. 41, 1987, p. 311 ' VouN°4l, 1987, p. 311.

Infected Areas as on 5 November 1987 — Zones infectées au 5 novembre 1987 For ernena used m compiling this list, see No. 39, page 296 - Les critères appliqués pour la compilation de celte liste sont publies dans le N°39, page 296 X Newly reported areas - Nouvelles zones signalées.

PLAGUE - PESTE Palmacia Mumcipio Bujumbura Province Katsina Africa — Afrique Redençto Mumcipio Bujumbura Arrondissement Malumiashi MADAGASCAR Sào fienedito Mumcipio Bururi Province Zana Tiangua Mumcipio Makamba Arrondissement RWANDA Antananarivo Province Paraiba State Rumonge Arrondissement Antsirabe II S Pref Gisenyi Région Barra de S. Rosa Municipio CAMEROON - CAMEROUN Ambohmimanova District Cubali Mumcipio SIERRA LEONE Manandona District Province Exiréme-Nord North West Area OUvedos Mumcipio Mayo-Sawa Departement Soanmdranny District Remigio Mumcipio Kambia Distnct Vinaninkarena District Solanea Mumcipio Province Littoral Port Loko District Miarinanvo S Pref Mungo Département TonkoUU District Anosîbe Ifanja District ECUADOR - ÉQUATEUR Woun Departement Western Area Soavtnandriana £ Prèf Chimborazo Province Province Ouest Freetown Ambatoasana Centre Alaust Canton Bambouto Département Loja Province TANZANIA, UNITED REP. OF Fianarantsoa Province Menoua Département TANZANIE, RÉP.-UNIE DE Ambohimahasoa £ Prèf Macara Canton Province Sud-Ouest Fako Département Dar es Salaam Region Manandroy District PERU - PÉROU Mala Distnct Amhositra S. Prèf Cajamarca Department Meme Département Ambaiomanna District Kinondom District Chota Province CÔTE D’IVOIRE Dodoma Region Ambohimahazo Distnct Llama District Département de TOuest Ambovombe Centre Mpwapwa Distnct Miracosta Distnct Man S. Préfecture Irtnga Region An dîna District Tocmoche Distnct Anjoma N*Ankona District EQUATORIAL GUINEA Innga Distnct San Miguel Province Ktgoma Region Anjomà Navona District Nanchoc Distnct GUINÉE ÉQUATORIALE Anltazoambo District Bioko Island Kigoma Distna San Gregono District Kilimanjaro Region Wain District San Miguel District GHANA ivony Distnct Moshi District San Pablo Province Central Region Mara Region Talaia-Vohimena Distnct San Luis Disinct Breman Asikuma District Tsarasaotra District Tanme Distnct Piura Department Mfanisunan Distnct Mbeya Region Fianarantsoa / £ Prèf Ayabaca Province Mahatsinjo District GUINEA-GUINÉE Mbcya Distnct Canales Distnct Morogoro Region Fianarantsoa U £ Prèf Lagunas District Conakry Province Andoharanomaitso District Forécanah Préfecture Kilombera District Montero Disinct Kilosa District Fianarantsoa U Distnct Paimas District GUINEA-BISSAU - GUINÉE BISSAU Toamasma Province Tanga Region Sapillica Distnct Bissau, C d Deleg. £ Muheza Distna Moramanga £ Prèf Suyo Distnct Moranmo Distnct Bissau, Cap. (PA) Pangam Distna Huancabamba Province Sào Domingos. C d Deleg. £ Tanga Distna TANZANIA, UNITED REP. OF C de la Fromera District Cache u, Cooc. TANZANIE, REP.-UNIE DE Huancabamba District ZAIRE-ZAÏRE LIBERIA - LIBÉRIA Tanga Region Piura Province Haut Zaire Province I.ushnto Distnct Las Lomas District Bong County Kivu Province Montserrado County Shaba Province Tanga District Asia - Asie MALI UGANDA - OUGANDA VIETNAM Asia - Asie Western Région Kayes Région Gia-Lai-Công Turn Province Kayes Cercle INDU - INDE Nebbi Distnct Làm Dông Province Kouhkoro Région Andhra Pradesh State ZAÏRE-ZAÏRE Phu Khanh Province Nara Cercle Hyderabad Distnct Haut-Zaïre Province MAURITANIA - MAURITANIE Viralfhapalnsm P, Mahagi Z Administrative Delhi Territory CHOLERA - CHOLÉRA Nouakchott Distnct Karnataka (Mysore) State America - Amérique Africa - Afrique l v Région Bangalore Distna Hodh d Chaigui Bellary Distna BOLIVIA - BOLIVIE ANGOLA 2e Région la Paz Department Bijapur Distna Luanda Province HodhelGharbi Oiibmagaliir DlSUKt Franz Tamayo Province Luanda. Cap. y Régton Sud Yungas Province Chitradurga Distna Zaïre Province Assaba Gulbaxga Distna BRAZIL - BRÉSIL Soyo Municipality 4e Région Hassan Distna Bahia State BENIN - BÉNIN Gorgol Kolar Distnct Central Mumcipio Atlantique Province 5e Région Mandya Distna Concetçào Mumcipio Brakna BURKINA FASO Mysore Distna Feira de Santana Mumcipio 6eRégion Maharashtra State Reurolandia Mumcipio Don Province (es Sahel) Trarza Bhandara Distna Riachâo do Jacuipe Mmucipio Kadiogo Province NIGERIA - NIGERIA Kolhapur Distna Semnha Mumcipio Kossi Province Seno Province Bendel State Nagpur Distna Teofilândta Mumcipio Bomadi Osmanabad Distna Ceara State Soum Province Rivers Stale Raigarh Distnct Bammé Mumcipio BURUNDI Yenogoa Tamil Nadu State Guaraciaba do None Mumcipio Bubanza Province Kaduna State Chingleput Distna J pu Mumcipio Bubanza Arrondissement Duisw-Ma Dharatapun Distna Pacou Mumcipio Cibitoke Arrondissement Funtua Madras Corporation Wk!v Epuletn Rec No. 45-6 November J987 - 343 Relevé epuiem hebd * Nü 45 - 6 novembre 1987

Madurai District Rat Burana Distnct Dan Khun Thoi Distna Sing Bun Disma Pudukkottai District Samphamawong Disinci Kham Sakae Saeng Distnct Songkhla Province Ramanathapuram Dismet Taling Chan Distna Kham Thaïe So Distna Bang Khlum sub*Distna Tbanjavur District Thon Bun Distnct X Nakhon Ratchasima Disuia Chana Distna Tiruchirapalh District Yan Nawa Disinci Non Thai Distna Hat Yai Disinci TinineWdk Distnct Bun Ram Province Pak Chong Distna Ranot Dismci Vellore Distna Krasang Distna Pak Thong Chai Distna Rattapbum Distna VUlipuiam Distnct Lam Plai Mat Distna Pbunai Distna Sadao Dismct INDONESIA - INDONÉSIE Chachoengsao Province Phra Thai Dismct Saihing Phra Disma Jakarta Autonomous Capital Area Bang Kbla Distna Sikiuu Distna Songkhla Distna Jakarta Barat (West) Municipality Bang Nam Pneo District Sung Noen Distna Suphan Bun Province Jakarta Pusal (Central) Municipality Chachoengsao Distnct Nakhon Sawan Province X Bang Pla Ma Distna (excl. Kemayoran auport) Plaeng Yao sub* Distnct Nakhon Sawan Distna Song Phi Nong Disma Aceti Autonomous Area Sanam Chai KJbet Distna X Takhli Disma Suphan Bun Dismci Aceh Ëarat Regency Chat Nat Province Nakhon si Thammarat Province U Thong Disma Aceh Besar Regency Han Kha Distna Cha Nat Distna Surat Tham Province Aceh Tenggara Regency Wat Sing Distna Chawang Distna Ban Na San Disma Aceh Timur Regency Chaiyaphum Province Chiang Yai Disma Chaiya Dismct Aceh Dura (P) Regency x Chaiyaphum Disuia Khanom Distnct Kanchanadit Distna Banda Aceh Municipality Kaeng Khlo Distna Lan Saka Distna KJun Ratthaukom Disma Pidie Regency X Khon Sawan Distna Nakhon si Thammarat Distnct Kian Sa Distnct Jam Barat Province Phu Khieo Distnct Pak Phanang Distna Ko Phangan Distna Cirebon Regency Chanthaburi Province Ron Phibun Distna Ko Samui Dismct Purwakarta Regency Chanthabun Distnct Si Chon Distna Phanom Distnct Serang Regency Khlung Distnct Nan Province Pbunphin District Sumedang Regency X Laem Sing Disma Chiang Klang Distnct Surat Tham Distnct Jam Tengah Province Pong Nam Ron Distnct Nan Dismct Tha Chang Dismct Banjamegaza Regency Tha Mai Distna Narathiwat Province Wiang Sa District Banyumas Regency Chiang Mai Province Narathiwai District Sunn Province Brebes Regency X Chiang Mai Distnct Sungai Kalok Disma X Chumphon Bun Distna Cilacap Regency X Doi Saket Disma Tak Bai Dismct Sunn Dismct Demak Regency X Fang Distna Yi*ngo Dismct Tak Province Jepara Regency X Mae Chaem Distnct Nonthaburi Province Tak Distnct Pekalongan Regency X Samoeng Disma Bang Bua Thong Dismct Trang Province Pemalang Regency X San Sai Dismct Bang Kruai Distna Huai Yot Distnct Semarang Mumcipality Chon Bun Province X Bang Yai Dismct Kantang Dismct Semarang Regency X Ban Bung Dismct Nonihabun Dismct X Pahan Dismct Tegal Municipality Bo Thong Dismct Pak Kiri Dismct Sikao Dismct Tegal Regency X Chon Bun Distnct Sat Noi Disma Trang Disma Ja m Timur Province X Ko Sichang Dismct Pathum Thant Province Trot Province Gresik Regency X Nong Yai Distna Khlong Luang Distna Bo Rai Distna Lamongan Regency X Phanat Ntkhom Disma Lam Luk Ka Disma Khao Saming Disma Tulungagung Regency X Phan Thong Dismct Lat Lum Kaeo Distna Klong Yai Distna Surabaya Municipality Sattahip Distna Nong Sua Disuia Laem Ngop Disma Kalimantan Tengah Province Si Radia Disma Pathum Tham Distna Trat Disma Barito Hulu Regency Churnphcn Province Sam Khok Dismct Ubon Ratchatham Province Bamo Utara Regency Phato Disma Thanyabun Disma Muang Samsip Distna Gunung Mas Regency Kalastn Province Paltani Province X Ubon Raichathani Disma Kotawanngin Timur Regency Kamalasai Disma Kho Pho Disma Udon Tham Province Kalimantan Timur Province Tha Khamo Disma X Nong Chik Disuia Ban Phu Dismct Samannda Mumapality Kamphaeng Phet Province Pattani Distna Non Sat Distna Maluku Province Kamphaeng Phet Disma Yarang Distna Si Bun Ruaog Distna Maluku Tengah Regency Kanchanaburi Province Phangnga Province Udon Tham Distna Maluku Tenggara Regency Kanchanabun Distna X Takuai Thung Distna Uthai Tham Province Maluku Utara Regency (cxri. port) Lao Khwan Dismci Phauatung Province Ban Rai Distna Nusaienggara Barat Province Phanom Thuan Distria Khuan Khanun Distna Lan Sak Disma. Lombok Barat Regency' X S&i Yok Distna Pa Mon sub-Distna Sawaqg Aram Distna Nusatenggara Timur Province Tha Maka Distna Phelchabun Province Yaia Province Belu Regency Tha Muang Distna Chao Yoi Disma Banang Sata Dismci Flores Timur Regency Khon Kaen Province Phitsanulok Province Belong Distna Sulawesi Tenggara Province Ban Fang Distna Phitsanulok Distna Yaia Distna Buton Regency Ban Phai Disma Pkuket Province Yasothon Province Kolaka Regency Chonnabot Distnct Phuket Distna X Kham Khuan Kaeo Distna Muna Regency Khon Kaen Distna Thalang Distna Yasothon Distna Prachin Buri Province IRAN, ISLAMIC REP. OF Kranuan Distnct VIETNAM Mancha Khin Disma Prachin Bun Disinci Bmb Tn Thien Province IRAN, RÉP. ISLAMIQUE D’ Nam Phong Dismct Ranong Province Baluchistan <£ Sisian Province Nghia Binh Province Nong Rua Disma Kra Bun Dtstria Phu KMnh Province Zabol Distnct Nong Song Hong Distna Ratchaburi Province Mazandaran Province Pbon Disma Ban Pong Disma Gilan Province Phra Y un Disma Raichaburi Distna Khuzestan Province Phu Wiang Distna Rayong Province YELLOW FEVER - FIÈVRE JAUNE Tehran Province Puai Noi sub-Distria X Ban Khai Dismct Africa-Afrique MALAYSIA - MALAISIE Si Chompbu Disma X Kiaeng Province Sabah Ubol Ratana Dismct X Rayong District BURKINA FASO Lahad Datu Distnct Waeng Yai Dismct Roi Et Province Bagrè Tawau Distnct Krabi Province x Phanom Phrai Disma Banfora Khao Phanom Disuia Roi El Distnct Bittou THAILAND - THAÏLANDE Khlong Thom Dismct Thawatchabun District Bousse Ayutihaya Province Ko Lanta Dismct Sakhon Nakhon Province Comy-Yanga Ayutthaya Distnct Lampang Province Phama Nikhon Distnct Fada N’Gounna Cercle Bang Ban District Lampang Distnct Sawang Daen Dm Distnct Hounde Bang Pahan Distnct Lamphun Province Samut Prakan Province Koupela Bang Pa-in District Lamphun Dismct Bang Bo Distnct Manga Cercle Bang Sai Distnct Loei Province Bang Phit Dismct Mauakoah Lai Bua Lang Distnct X Pak Chom Dismct Phra Pradaeng Dismct Ouargaye Subdivision Nakhon Luang Distnct Lop Bun Province Phra Samuichedi sub Dismct Tenkodogo Cercle Phachi District Ban Mi Distna Sarout Prakan District GAMBIA - GAMBIE Phak Hai Distnct Khok Samrong Dismct Samut Sakhon Province Upper River Division Tha Rua Distnct Lop Bun Dismct Ban Phaeo Distnct Uthai Province Phatthana Nikhom Dismct Kraihum Baen Distnct GHANA Wang Noi Distnct Tha Wung Distna Samut Sakhon Dismct Northern Region Bangkok Metropolis Maha Sarakham Province Umphawa Dismct Bole Dismct Bang Kapi Distnct Borabu District Samut Songkhram Province West Gonja Distnct Bang Khen Distnct Chiang Y un Dismet Amphawa Dismct MALI Bang Khun Thtan Distnct Kosum Phisai Distnct X Bang Khonthi Distna Kayes Région Bangkok Noi Distnct Maha Sarakham District Samui Songkhram District Kita Cercle Bangkok Yai Disinci Nakhon Nayok Province Saraburi Province JCouhkoro Region Bang Rak District Nakhon Nayok Distna Ban Mo Disinci Pak Phli Distna X Dioila Cercle Dusit Distnct Kaeng Khai Distna Kangaba Cercle Huai Kwang Distnct Nakhon Pathom Province Phra Phuttabut Disuia Kan Cercle Khlong San Disinci Bang Lem Distna Sarabun Distna Kolokam Cercle Lai Krabang District X Kamphaeng Saen Disma Satun Province Min Bun Disinci Nakhon Chaisi Distnct Khuan Don sub-Distna MAURITANIA - MAURITANIE Nong Chok Distnct Nakhon Pathom Distna Khuan Ka Long Disma 6 * Région Nong Khaem Distna Sam Phran Distna Langu Distnct X Trarza Pathum Wan Distnct Nakhon Ratchasima Province Satun Distna NIGERIA - NIGERIA Phasi Chaioen Distna Ban Uian Distna Tha Phae sub Disma Benue Slate Phaya Thai Distnct Bua Yai Disma Thung Wa Dismci Cross River Slate Phra Khanong Distnct Chakkarat District Sing Bun Province Kaduna State Phra Nakhon Distna Chok Chai Dismci Bang Rachan Distna Kwaia State Pom Prep Saury Phai Dismet Chum Pbuang Dismct in Bun Dismci Lago$ Stale Wkly Eptdem Rec No 45-6 November 1987 - 344 - Relevé epidenv hebd N® 45 - 6 novembre 1987

Niger State Maranhâo State Guaviare Intendencia Satipo Distna Ogun State Gngau Mumapio Muaûores Mumapio La Libertad Department Ondo State Lago da Pcdra Mumapio San J. (tel Guaviare Mumapio Pataz Province Oyo State Halo Grosso State Meta Intendencia Ongoa Distna Loreto Department SUDAN - SOUDAN Anlômo Joào Mumapio Cabuyaro Mumapio Campo Grande Mumapio La Pnmavera Mumapio Alto Amazonas Province Territory South of 12* N Cuiaba Mumapio San Carlos de Guaroa Mumapio Morona Distna Territoire situé au sud du 12* R Diamantino Mumapio ViUavicencio Mumcipio Atalaya Province ZAÏRE-ZAÏRE Jardim Mumcipio Vis ta Hermosa Mumapio Raimondi Distna Territory North of 10* S. Nova Mannga Mumapio Norte de Santander Department Loreio Province Territoire situe au nord du 10* S. Sidrolândia Mumapio Cucuta Intendencia Tigre Distna Sinope Mumapio Toledo Mumapio Macat Castilla Province Teranos Mumapio Putumayo Intendencia Xaquerana Distna Para State Puerto Asis Mumapio Haynas Province America - Amérique Alenquer Mumapio Santander Department Napo Distna BOLIVIA - BOLIVIE Almcinm Mumcipio Bucaramanga Mumapio Ucayali Province Bei» Department Altamira Mumapio Clin Uarra Mumcipio P Abad Distna Balhvian Province Araguaia Mumcipio Madré de Dios Department PERU - PÉROU Manu Province Itériez Province Faro Mumcipio Ayacucho Department Cochabamba Department Monte Alegre Mumapio Madré de Dios Distna Huanta Province Manu Distna Carrasco Province Prarnha Mumcipio Huania District Chapare Province Sâo Domingos do Capun Mumapio Tambopaia Province La Mar Province lnamban Distria La Paz Department Sen. José Porfino Mumapio Ayna Distnct Larecaja Province Xinguara Municipality Tambo pata Distna La Mar District Pasco Department Munllo Province Rondoma State Tambo District Nor Yungas Province Cacoal Mumapio Oxapampa Province Roraima Territory Cuzco Department Pazuzo Distnct Quinum Province La Convenaon Province Sud Yungas Province Bonûm Mumapio Villa Rica Distna Echaraig District San Martin Department Santa Cruz Department Ganmpo Mutum Mumapio Santa Teresa Distnct Andrés Ibanez Province Maloca Caju Mumapio Hualloga Province Cordillera Province Huanuco Department Bellavista Distnct Florida Province Huamaites Province Sacanche Distna Monsôn Distnct San Pablo Distnct Gutiérrez Province COLOMBIA - COLOMBIE Ichilû Province Leoncio Prado Province San Pedro Distna Anuoquia Department Aucayacu District Saposoa Distnct * BRAZIL - BRÉSIL Anon Mumapio J G Castillo District Lamas Province Aniapa Territory Taraza Mumcipio Leoncio Prado Distnct Cayarachi Distnct Macapà Mumcipio Yondo Mumcipio MD. Berau District N. Celeodm Distnct Amazonas State Arauca Intendencia P. Luyando Distna San José de Sisa Distna Canutama Mumcipio Arauca Mumapio D A, Robles Distnct Joao Figueiredo Mumcipio Saravena Mumcipio Rupa Rupa Distna Manscal Caceres Province Manaus Mumcipio Boyaca Department Maranon Province Campanula Distnct Maraâ Mumcipio Chita Mumapio Cholon District Juanjui Distnci Nova Olinda do None Mumcipio Caqueta Intendencia Maranon Distnct Quiila Distnct Teie Mumcipio Beien de los Andaquies Mumapio Junin Department Moyobamba Province Unicara Mumapio El Doncello Mumapio Chanchamayo Province Jepelacto Distna C om State San Yicenie de! Caguao Mumcipio Chanchamayo Distna Moyobamba Distna Alto Paraiso Mumcipio Casanare Intendencia Perene Distna San Martin Province Bela Vista Mumcipio Tamara Mumcipio Pichanaki Distnct Tarapoto Dismet Formosa Mumcipio Yopal Mumapio San Luis Shuaro Distna Tmgo de Ponasa District Cotas Velho Mumcipio César Department Satipo Province Tocache Province Mara Rosa Mumcipio Vailedupar Mumcipio Covinali Distna La Polvora Distna Nova Cnxas Mumapio Cundinamarca Department Mazaman Distnct Progreso Distnct Planaitma Mumapio Maya Mumcipio Pangoa Distnct Tocache Distna

DISEASES SUBJECT TO THE REGULATIONS - MALADIES SOUMISES AU RÈGLEMENT Notifications received from 30 October to 5 November 1987 Notifications reçues du 30 octobre au 5 novembre 1987

C Cases- Cas . Figures not yet recaved - Chiflres non encore disponibles D Deaths - Décès / Imported cases - Cas importes P Port r Revised figures - Chiffres révisés A Airport - Aéroport s Suspected cases - Cas suspectés

A s ia - Asie CHOLERA - CHOLÉRA C D INDU - INDE 27IX-3 X Africa - Afrique C D ...... 1736 20 CAMEROON - CAMEROUN 1-31 Vil IRAN, ISLAMIC REP. OF 19-25.X ...... 3 0 IRAN, RÉP. ISLAMIQUE D' 1-30 VI ...... 33 0 ...... 2 0 1-31 V THAILAND - THAÏLANDE 27JX-3.X ...... 21 0 ...... 303 5 20-26JX ...... 85 0 MAU 21-29.X ...... 51 18 YELLOW FEVER - FIÈVRE JAUNE Africa - Afrique America - Amérique C D C D MAU 21.1X-29 X UNITED STATES OF AMERICA 3Q.X Kayes Région ÉTATS-UNIS D’AMÉRIQUE Kouhkoro R égion ...... 290 137 ...... il 0 MAURITANIA - MAURITANIE1 IS-29.X 6e Région T raiz a...... 160 22

1 See note page 339/ Voir note page 339.

There have been no notifications of areas removed Aucune notification de zones supprimées n’a été reçue.