WEEKLY EPIDEMIOLOGICAL RECORD, No. 28,10 JULY 1992 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, H' 28,10 JUILLET 1992

This recommendation was strongly endorsed by the Cette recommandation a été chaudement approuvée par le Global Advisory Group (GAG) of the EPI in 1987, 1989, Groupe consultatif mondial (GAG) duPEY en 1987, 1989, 1990 1990 and 1991. The GAG has called for all countries with et 1991. Le Groupe a demandé à tous les pays où la prevalence an HBV carrier prevalence of 8% or greater to have national des porteurs du VHB dépasse 8% de mettre en place d'ici à 1995 immunization programmes in place by 1995, and for all un programme national de vaccination, tous les pays devant disposer countries to have such programmes by 1997.1 d'un tel programme d'ici à 1997.1 However, although the cost of HB vaccine has fallen Toutefois, bien que le coût du vaccin anti-hépatite B ait diminué dramatically during the past few years, it is several times de façon spectaculaire au cours de ces dernières années, il reste higher than that of the other EPI antigens, and cost has beaucoup plus élevé que celui des autres vaccins du PEV et fait served a$ an impediment to HB immunization in many encore obstacle à la vaccination dans nombre de pays en dévelop­ developing countries. In an attempt to overcome this pement. Pour tenter de surmonter cette difficulté, on a mis au point obstacle, a scheme was developed and implemented in un système qui fonctionne maintenant dans 7 pays du Pacifique 7 countries in the South Pacific whereby locally collected Sud et qui consiste à recueillir sur place des plasmas de titre élevé high titred HBsAg plasma is sent to the Kitasato Institute, en HBsAg que l'on envoie ensuite à l'Institut Kitasato de Tokyo où Tokyo, and processed intp HB vaccine. This scheme has s'effectue la préparation du vacdn. Ce système a permis à Tonga allowed Tonga to achieve universal infant HB immuniza­ d'obtenir un taux de couverture élevé dans la vaccination des nou­ tion with high coverage, and to serve as a model for other veau-nés contre l'hépatite B et de servir d'exemple aux autres pays countries in the area. de la zone.

See No. 3, 1992, p 13. 1 Voir N“ 3, 1992, p. 13.

Safe food for travellers Conseils aux voyageurs sur la sécurité alimentaire

The Italian version of the leaflet entitled A guide on safe food Le dépliant intitulé Guide de la sécurité alimentaire à l'usage des voya­ for travellers1 has just appeared. geurs1 vient de paraître dans sa version italienne. It can be obtained, free of charge, from: Segreteria H est disponible gratuitement à l'adresse suivante: Segre­ S.I.M A , Via Novara 89, 20153 Milan, Italy (telephone teria S.I.M.A., Via Novara 89, 20153 Milan, Italie (téléphone 02-48 701 031, fax 02-40 090 010). 02-48 701 031, fax 02-40 090 010).

1 See No. 28, 1991, p 205. 1 Voir N" 28, 1991, p. 205.

Yellow-fever vaccinating centres for Centres de vaccination contre la fièvre jaune pour international travel les voyages internationaux Amendments to 1991 pubhcatum Amendements à la publication de 1991

TURKEY/TURQUIE

Replace complete entry by: - Remplacer tom les renseignements par: Ankara • Health Control Centre, Esenboga Airport • Refîk Saydam Hygiene Insatute Antalya Coastal Health Control Centre Istanbul • Health Control Centre, Istanbul Airport • Karakôy Coastal Health Control Centre ÎTinir Coastal Health Control Centre Mersin Coastal Health Control Centre

Infected areas as at 9 July 1992 Zones infectées au 9 juillet 1992 For criteria used in compiling this list, see No 25, p. 191 Les cnteres appliques pour la compilation de erne liste sont publiés dans le N* 25, p. 191 X - Newly reported areas X - Nouvelles zones signalera

Plague > P este Feraisiho S. Pré/ Anjoms Navona Duma Barra de S. Kosa Muniapio Manjakandnana S, Pre/ Ankazoambo Dis ma America •Amérique Cuban Muniapio Afnco • Afrique Mxannanvo S, Pré/. Ivato Distria Bolivia - Bolivie Olivedot Muniapio Aaalavory District Ivony Dismct Queimadas Muniapio Madagascar La Paz Department Anosibe Ifanja Dismet Tfllflra.Vfth i rtfgna Dl8tTia Franz Tamayo Province Remigio Muniapio Asnamiuimo Province Remvoktra S. Pré/ Tsarasaotra Distria Solânea Muniapio Ambakidrammo S Pré/ Sud Yimgas Province Scavmandrtam S, Pré/. Fandnana S. Préf. Valle Grande Province Péru «Pérou Antananarwo-Avaradrano 5. Pré/ Ambataasana Centre Fiadanana Disma Ambatolampy S Préf Cajamarca Department Taroanomanduiy S. Pré/ Fumarantsoa 1 S. Préf. • Brésil Anjozorobe S . Pref. Chous Province Antstronana Province Mahatsnjo District Bahia State Antananarivo S Pré,/ I Jama Distna Andopa S. Pré/ fumarantsoa 11. S. Préf Biriringa Muniapio Miraco&m Dismct Antananarivo District Doany Distria Andoharanomaitso District Candcal Muniapio Tocmoche Disma Antant/otsy S . Pré/ Fianaraïusoa Province Flanaramsoa II Dismet Central Muniapio San Miguel Province Antsirabe I S Pré/ Ambatojmandrahana S.. Préf. Maruidruma S. Pré/ Conceiçâo Muniapio Nanchoc Disma AntstrabélIS Pré/ Ambondxomisotra District Mahtyanga Province Fern de Santana Municipal San Gregono Disma Ambodiala District Andrcfamhohitra District Toamastm Promee Iraquara Muniapio San Miguel Disma Ambohnsunanova District Bevonotany District Moramanga S Préf, Irccê Muniapio San Pabb Promue Ampasatanecy District Soaruherenana District Itaberaba Muniapio Tanzania, United JRep< of San Louis Disma Manandona District Ambohimahasoa S Préf Jussara Muniapio Putra Department Tanzanie, Rép.-Unic de Soanindranny District Maaandroy District Retirolândia Muniapio Ayabaea Promue Tanga Region Tsaroûr Dismet Ambasnra S Préf. Riachâo do Jacuipe Muniapio Canales Disma Vmamnkarena District Ambatomarma District Lushoto Distria Scnhor do Bonfim Muniapio Lagunas Disma ArivommamoS Pré/ Ambchimahnzn District Tanga Duma Semnha Muniapio Montera Disma Betafo S. Pré/. Ambovombe Centre Zaire * Zaire Teofilandia Muniapio Paimas District Alakamisy-Aaanvato Dismet Andma Dismet Haut Zaire Province Parasha State Sapillica Duma Panandmna S. Préf Anjozna NAakona Dismet Mahagi Administrative Zone Araba Muniapio Suyo D uma

2 1 0 WEEKLY EPIDEMIOLOGICAL RECORD, No. 28, ID M Y 1992 • &ELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE H* 28,10 JUIUET 1992

Punakha District C de la Fromcra Dismct Lilongwe Dismct Zaire * Zaïre Occidental Region Cuchiquc Diana Southern Regum Haut Zaire Province Oriental Region Samdiupjongkhar District Huanrahamha DlStHCt Tashigang District Mali Kivu Province Paracentral Begum Ptura Province Kayes Région Shaba Province French Guiana Thimphu District Las Lomas Distnec Kayes Cercle 7 q«whin • 7 aml>i> Guyane française India * Asia «Asie Kouhkoro Region Central Provtnce Andhra Pradesh State Nara Cercle T iw alra Aka Vcrapaz Department Hyderabad District Viet Nam Copperbeh Province Vkalfhftpamatn District Gut-Lat-Câng Turn Province Mauritania •Mauritanie Baja Veropaz Department Luopula Province Assam State Lâm Dông Pmvmce Nouakchott Dismet Chquvrtula Department Northern Province Delh Territory P hi Kkàn Promue Ire Région Ckmtakenango Department Hodh el Southern Province E l Progreso Department Gujarat Slate Escumtla Department Haryana State Cholera • Choléra 2e Région Hodh el Ghaihi America • Amérique Karnataka (Mysore) State Africa «Afrique 3e Région Argentina - Argentine Huekuerenango Deportment Bangalore District Assaba et Guidimakha Formosa Provtnce Bidar District Angola 4e Région Jiqtty Province Junapa Department Chitradurga District Bengo Province Gorgol Salta Province Paén Department Gulburga District Benguda Provtnce Qurfvphmtmtgn fh^uirrmfnit Hassan District Se Région Belize Huambo Provtnce Qfuché Department Kolar District Brakna Toledo District HuQa Prowtce 6e Région Reuütuleu Department Mandya District Kuando-Kubango Pmvmce Trama Bolivia • Bolivie Sacatepéquez Department Raichar District Kunene Province Bent Department Sax Marcos Department Tumknr District Mozambique Kwanza-Norte Province Chuqtasaca Department Santa Rasa Départaient Kerala State Gaza Provtnce Kwanza-Std Province Cochabamba Department Sololà Department Bili«r>t> DiBrirr Madhya Pradesh State Luanda Province La Pas Department Suchtiepéquez Department Jlfiiiqnnttow! S t o t f Chibuto District T Q ap Oruro Department Toionicapan Department Akola District Malanga Province Chokwe District Potost Department Zacapa Department Maria District Amrawan District Namibe Province Kmtrn Cruz Department Nagpur District Uige Provtnce Manjacaze District Tanja Department Nandad District Zorn Province Xai-Xai District Chobaeea Department Maputo Province Brazil • w»Agi Francisco Morazan Department Osmanabad District Rwiin o RAnln Boane District Alagoas State Valle Department Parbharu District Département de PAÜanüque Manhica District Amapa State Pune Dismct S. Prc£ d'AUada Mexico • Mexique Maputo City Amazonas State Sangh District Cue de Cotonou Campeche State Marracuene District Bahia State Thaoe Dismct S. Prêt de Tofib Ceara State Chapas State Manipur State M animint* le a n e r Cohma Suits Département de l'Alacora Maraohâo State Punjab State Département de Borgou Moamba District Distrito federal Sofala Province Mato Grosso State Tamil Nadu State Département de Memo Guanajuato State Bora Caty Paré State Anna Dismct Département de Zou Parodia State Guerrero State Chingfgppr Thgfncr Buzi District Hidalgo State Burkina Faso Pernambuco State Madras District Dondo District M e a n Stats Bouigou Province \Hiamatamfa DiSCOCt Rio Grande do Norte State Madurai TVucrmrr Rondôma State Mickoacan State Burundi Zambezia Provtnce Morelos State North Arcot Dismct PmbiÜDttai ThtTper Bubanza Provtnce Mocuba District fillip, f f*hiü Neuoo Leon State Bubanza ArrrmHisspmpnr Namaçuna Distria Antofagasta Province Oaxaca State Thanjavux District Cibitoke Arrondissement Nicoadala District Bernardo O'Htggms Province pneUtt S t/bx TimrhirapaDi Démet Bujumbura Province Quelimane Dismct Coquvnbo Province Tabasco State "nrunelvelh Dismct Los Lagos Provence Vellore Dismct Bujumbura Arrondissement Niger Tamauhpas State Osomo VUlipuram Distria Burun Provtnce Dtffa Département Veracruz State Santiago Province Uttar Pradesh State Makamba Arrondissement Dosso Département Yucatan ■^r'ifg Tarapacà Provtnce West Bengal State Rumonge Arrondissement M anuk Département ZocdfrtQ State Gttega Province fjilftmhîa « fVlftmM» Calcutta Niamey Department Gitega Arrondissement Tahoua Département Amazonas Department Caraso Department • Indonésie Cameroon • Cameroun Tdlabery Département Anaoqma Department Chaiandega Department Java Barat Province Province de l‘Extrêtœ-Nard Ztnder Département Adanuco Department Tangerang Regency Bolivar Department Diamare Departement Nigeria • Nigeria Kahmanum Sdaian Province Logone-et-Chan Département Bcyaca Department Léon Department Bandar Regency Abuja State Caldas Department Mayo-Danai Département Akwa Ibom State Department Ranjannaein Mnninpality Mayo-Sava Département Caqueta buendency HoluSungai &*!««« Regency Anambra State Panama Mayo-Tsanaga Département Coûta Department Hulu Sungai Tcngah Regency Bauchi State Colon Province Province Littoral Cesar Department Hulu Sungai Utaia Regency Rttidpl State Danen Province Moungo Dépanement Chaco Department Tabalong Regency Benue State Cordoba Department Panama Pmvmce Woun Departement Borna State Maluku Province Province du Nord Cundmamarca Department Peru • Pérou Gongola State Maluku Tengah Regency Beaoué Département Guqjira Department Amazonas Department 1'mo State Sumatera Barat Provtnce Province de l'Ouest Huila Department Ancash Department Kaduna State Solok Regency Haut Nkam Département Mngjnhmn Department Apunmac Department Provuve du Sud Kano State Meta Department Axequtpa Department Iraq Océan Département Katsma State Narm o Departm ent Ayacucho Department Al-Basra Govemoxate Kviara State None de Santander Department Al-Anbar Govemorate • Tchad Cajamarca Department Lagos State Quauho Department CaBao Prowtce Al-Marhna Govemorate Balha Préfecture Niger State Rnaraldn Department Al-Najef Govemorate B u Préfecture Cusco Department Ogun State San Andres Intendency Huaneavekca Department Al-Qadi&iya Govemorate Biltvie Prefecture Ondo State San Jose del Guavutre Department ArbU Goverooraie Chan Bagurnm Préfecture Huanuco Department Oyo Suite Santa Fe de Bogota Department Babil Govemorate Guera Préfecture lea Department Plateau State Santander Department Jiaun Department Govemorate Kansm Préfecture Rivers State Suae Department Lac Préfecture La Libertad Department Dohuk Govemorate Sokoto Sane Tobma Department Lambayeque Department Dyala Govemorate Logons Occidental Préfuture VaBe Department Logent Oriental Préfecture Rwanda Lima Department Karbala Govemorate Njamena Préfecture Cyangugu Préfecture PiiH> Loreto Department Mesan Govemorate Ouaddai Préfecture Gisenyi Préfecture San José Province Madré de Dun Department Nineveh Govemorate TandfiLs Prêfuture Sao Tome and Principe F.wiaHAf • PyifllwiF Moqjiegua Deportment Sal ah El-Din Govemorate Sào Tomé-et-Principe Pasco Department Sulaunaniyah Govemorate Côte d'ivoire Asuay Provtnce Piura Department Lemba District Bobvar Provoue Tamiin Govemorate Département de l'Ouest Puno Department Sào Tomé CaBar Province Tikar Govemorate Man Sous Préfecture San Manm Department Carclu Provtnce Wasit Govemorate fth a n a Tanzania, United Rep. of Taata Department Chimborazo Province Malaysia * Malaisie Accra Region Tanzanie, Rép.-Unie de Tombes Department Cotopaxi Province Sabah Accra District Arusha Region UcayaU Department Kilimanjaro Regum El Oro Province Tawau District Greater Accra District Esmeraldas Province Suriname X Ashana Région Mara Region Sarawak Galapagos Promote Maroutjne D tstna Central Region Mtwara Region Rimnnjan DlSttlCt Rukvia Region Guay as Province Venezuela Upper East Region Imbabura Province Nepal «Népal Tanga Region Apure State Volta Region Loja Province Baitadi Dismct Aragua State Khatmandu Dismct Guinea * Guinée Togo Los Rios Province Carabobo State Conakry Province Golfe District Manabi Province Federal Dismct Viet Nam Forccanah Prefecture Kioto District Mororta Province Miranda Both Tn T h in Province Kenya Kozah District Napo Province Tachra State N ghaBtnh Province Lacs District Pasmza Province Zulta State Pfiu Khanh Province (Area not specified - Zone non Ogou District Ptchmdta Provtnce précisée) Sotouboua District Suaonbùn Province Liberia • Libéria Vo District Tungurahua Provoice Asia «Asie Europe Bong County Yoto District Zamora-Chatchtpe Province Bhutan * Bhoutan Ukraine Montserrado County Uganda * Ouganda El Salvador Mongar District Manupole Malawi (Area not specified - Zone non Central Region Pcmagatsel District Ntcelaev Region Central Region précisée) Metropolitan Région Phumsholing District Odesskaya Region

211 WEEKLY EPIDEMIOLOGICAL RECORD, No. 28,10 JULY 1992 • KE1EVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N* 28,10 JUILLET 1992

Nova Mannga Munrapin Choco Department Maradon Provmce OceoniQ • Océome America • Amérique Placido de Castro Mumopio Rio Suoo Mumopio Cbolon District Tuvalu Bolivia • Bolivie Sidrolânda Muniapio Cundtnamarca Department Jwun Department Nanumea Island Bem Department Sinope Mumopio Maya Mumopio Chanchamayo Provmce Nialao Island Ballivian Province Teranos Mumopio Guavtare Intendenaa Phanrhamayn Tiitlnff Itenez Province Aimas Gênas State Mirafbres Mumopio Pcxcne Disma Cochabamba Department Bonfînopolis Muniapio San Juan del Guaviare San Luis Sevaro District Yelow fever • fièvre jaune Ayopayo Province Francisco Dumont Municipio Muniapio Vîloc Dismet Carrasco Province Mixabcla Muniapio Meta Intendenaa Sattpo Provmce Africa • Afrique Chaparc Province Paracam Mumopio Cabuyaro Mumopio Covmah Dismet Unai Mumopio La Pnmavera Mumopio Mazaman Dismet Angola La Paz Department San Carlo de Guaroa Pangoa District Bengo Province Larecais Province Para State Alenqucr Municipio Mumopio Pichanah Dismet Ijianda Province Murillo Province Nor Yuogas Province Almeinm Municipio Vdlancenao Municipio Rio Negro District Cameroon • Cameroun Qmnum Province Altamira Muqnpio Vista Hennosa Mumopio RioTambo District Promue de l'Extrême-Nord Sud Yungas Province Araguaia Mumopio Norte de Santander Department Saopo Distna Mayo Sava Département Santa Crue Department Faro Mumopio Cucuta Mumopio Loreto Department Mayo Tsanaga Département Andres IbaAez Province Monte Alegre Mumopio Tlbu Muniapio Ucayafs Province Prainha Mumopio Cucuta Intendenaa flrmtanmna District Gambia » Gambie Cordillera Province Rendençâo Mumopip Toledo Mumapjo Purus Distna Upper River Division Florida Province Guaèrrez Province Sâo Domingos do Capun Putumayo Intendenaa Madré de Dws Department Guinea • Guinée Idulo Province Muniapio Puerto Ans Muniapio Manu Provmce Stgmn Région Sem José Porfino Mumopio Santander Department Madré de Dios Distiia Brazü «Brésil Bucaramanga Municipio Mali Tailandia Municipio Manu District Amapa Territory Tucurui Municipio Cuxutarra Mumopio Kayes Région Tambopata Provmce Macapâ Mumopio Xmguars Muniapio H Carmen Mumopio Tnamhan DlStZlCt Kua Cercle Amazonas State Rondoma Vichada Department Las Piedras Disma Kouükoro Région Canurama Municicpio Cacoal Municipio Puerto Trujillo Mumopio Diaüa Cercle Joâo Figueiredo Mumopio Tambopata Distna Rorauna Territory • Pqiiat>iiy Kangaba Cercle Manaquin Mantapio Puno Department Bonfîm Muniapio Morona-Sanaago Province Sandsa Provmce Kan Cercle Manaus Municipio Garunpo Mutum Mumopio Nopo Province San Juan del Oro Duma Knlokam Cercle Maraâ Muniapio Maloca Caiu Mumopio Nova Olinda do None Humayacu District San Roman Distna Nigeria • Nigéxia Mumopio f-niiwiKin • Colombie Pastaza Province Vilcabamba District Anambra State Novo AiraÔ Muniapio Anaoquta Department Zarnora-Ckmchtpe Province Sort Martin Department Bauch State Tefé Mumopio Aoon Mumopio Peru «Pérou Huailaga Provmce Bendd Smm Urucara Muniapio Taraza Mumopio Ayacucho Department Bella vista Disma Benue State Gouu State Yondo Municipio Huanta Provmce Saposoa Disma Cross River State Alto Paraiso Mumopio Arauca Inundenaa San José Sannllana District Lamas Province Kadmia State Bela Vista Mumopio Aiauca Mumopio Cusco Deportment T aniK Distna Ktoara State f!aiapftma MUÛlOplO Saravena Mumopio La Convention Province Tabalazos Disma Logos State Damolâodia Mumopio Boyaca Department Echarate District Manscal Caterer Province Niger State Formosa Mumopio Chita Municipio Kitam Campanula District Ogun State Goias Velho Mumopio Puerta Boyaca Mumopio Maranura Dismet San Martin Provmce Oudo State Mara Rosa Mumopio Caqueté Intendenaa Santa Ana District Juan Guerra Disma Oyo State Nova Ctutas Mumopio Belen de los Andaquiés Huanuco Department Sauce Disma Plateau State Planalnoa Mumopio Mumopio Huamabes Provmce Tocache Provmce Santa Cruz Mumopio El Doncello Mumopio Monzon Dismet La Polvora Distna gwdpn • gnii^g" Leonao Prado Provmce Nuevo Progreso Disma Temtory South of 12e N Maranhaô San Vicente de Caguan Alooia Robles District Tocache Distna Territoire situé au sud Grajau Mumopio Municipio Lago da Pedra Mumopio Casanare Intendenaa Aucayacu District Uchiza Disma du 12° N. Montes Altos Mumopio Hato Corozal Muninpio J C CasteUo District Ucayah Department Zaïre «Zaïre Mato Grosso State T a m a r a M n n if ip m Leonao Prado District Conmel Portillo Provmce Temtory North of 10° S Antôtuo Joâo Mumopio Yopal Municipio Monzon District CaUena Disma Territoire situé au nord D iamantinn MuOlCipiO Cesar Department P, Luyando District Padre Abad Provmce du 10° S. Jardim Mumopio Valledupar Mumopio Rupa Rupa Dismet Padre Abad Disnia

f N f t c a sjsac rm m ts m w s e r n r n m m . . -É S AU REGLEMENT

Notifications received from 3 to 9 July 1992 Notifications reçues du 3 au 9 juillet 1992 C - cases, D - deaths, . - data not yet received, C - cas, D - décès,. . - données non encore disponibles, î - imported, r - revised, s - suspect i - importé, r - révisé, s - suspect

Choiera • Choléra A m erica • A m érique Plague • Peste C D Africa • Afrique El Salvador 21-27 VI Africa e Afrique C D ...... 350 1 C D Angola 27.V-9 VI M adagascar 5-25.V Asia « A s ie ...... 144 3 Futnaramoa Provmce C D Ghana 1.I-19.V Ambositra S. Préf...... 3(1*) I ...... 201 16 Yemen-Yémen l.VQ1 ...... i i o Rwanda 1.IH-1S.V ...... 68 6 * Date cf aoüâcation'Daie de la aonficauon

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