Wkly Epidem. Rec.: No. 48-2 Dec. 1977 — 386 — Releve epidem. hebd.. N° 48 - 2 déc. 1977

SHIGELLA SURVEILLANCE SURVEILLANCE DES SHIGELLA

Spa in . — An epidemic of gastro-enteritis associated with Shigella E spagne. — Une épidémie de gastro-entérite associée à Shigella sonnei broke out in two localities in the Province of Navarre on sonnei s’est produite dans deux localités de la Province de Navarre 14 and 15 August 1977, affecting a total of 54 persons in the first les 14 et 15 août 1977, affectant un total de 54 personnes dans la pre­ and 250 in the second, most of them children. The epidemic follow­ mière et 250 dans la seconde, en majorité des enfants. La marche ed a very rapid course, reaching its peak 48 hours after its onset. de l’épidémie fut rapide et elle atteignit son sommet 48 heures après The symptoms improved rapidly with chemotherapy. The enquiry le début. Les symptômes ont cédé rapidement à la chimiothérapie. demonstrated that there was no free chlorine in the water in either L’enquête a montré l’absence de chlore libre dans les eaux des deux locality. Steps were taken immediately and the two epidemics localités. Des mesures furent prises immédiatement et les deux épi­ declined appreciably from 17 August onwards as a result of the démies déclinèrent nettement dès le 17 août grâce aux mesures prises measures instituted (all doctors concerned were informed of the (information de tous les médecins impliqués au sujet de l’antibio­ antibiogram of the Sh. sonnei strain; the chlorination plant was re­ gramme de la souche Sh. sonnei, révision de l’appareillage de paired and the chlorination titre was increased). chlorination et renforcement du taux de chlorination). (Based on/D’après: Boletin Epidemiolôgico Semanal, No. 1291, August-September 1977/août-septembre 1977, Secciôn de Epidemiologia e Informaciôn Sanitaria.)

E ditorial N ote: This report shows how the rapid detection of the N ote d e la R édaction: Cette information montre comment la source of an epidemic of shigellosis can make possible its immediate mise en évidence rapide de la source d ’une épidémie de shigellose containment. peut permettre de l’endiguer immédiatement.

YELLOW-FEVER VACCINATING CENTRES CENTRES DE VACCINATION CONTRE LA FIÈVRE JAUNE FOR INTERNATIONAL TRAVEL POUR LES VOYAGES INTERNATIONAUX Amendment to 197S publication Amendement à la publication de 1976 Canada D elete: | Supprimer: Toronto B, Ont, : Toronto General Hospital, Tropical Disease Unit Insert: \ Insérer: Toronto: Toronto General Hospital, Travel and Inoculation Clinic

VACCINATION CERTIFICATE REQUIREMENTS CERTIFICATS DE VACCINATION EXIGÉS FOR INTERNATIONAL TRAVEL DANS LES VOYAGES INTERNATIONAUX Amendment to 1977 publication Amendement

Vaccination against Vaccination contre

Choléra Yellow fever Smallpox Choiera Fièvre jaune Variole Germany, Federal Republic of Allemagne, République fédérale d’ Delete all information and insert: © Smallpox. And from air passengers who, within the 14 days pre­ ceding arrival, have been in Ethiopia or Somalia. Supprimer tous les renseignements et insérer: Variole.—Et des passagers d'avion qui, au cours des 14 jours pré­ cédant leur arrivée, se sont trouvés en Ethiopie ou en Somalie.

DISEASES SUBJECT TO THE REGULATIONS MALADIES SOUMISES AU RÈGLEMENT Notifications Received from 25 November to 1st December 1977 ■ Notifications reçues du 25 novembre au Ie1 décembre 1977 C Cases — Cas ... Figures not yet received — Chiffres non encore disponibles D Deaths — Décès i Imported cases — Cas importés P Port r Revised figures — Chiffres révisés A Airport — Aéroport s Suspected cases — Cas suspects PLAGUE — PESTE CHOLERA - CHOLÉRA C D America — Amérique INDIA (coud) — INDE (suite) 23-29X Asia — Asie C D ...... 133 5 BOLIVIA — BOLIVIE n x C D Chuquisaca Department 6-12 XI — MALAISIE 1J-19.XI Tomina Province . . 2 2 1118 14 ...... 1 0 Asia — Asie BURMA — BIRMANIE 13-19.XI 6-12X1 C D 50 0 ...... 5 0 BURMA — BIRMANIE 13-19DQ Kaya State INDIA — INDE 30.X-5.XI THAILAND — THAÏLANDE 13-19X1 Loikaw ...... 6 0 105 3 ...... 14 1 Wklj Epiclem, Rec.. No. 48 - 2 Dec. 1977 — 387 — Relevé épidem. hebii, ■ N° 48 - 2 déc, 1977

Infected Areas as on Ist Décembre 1977 — Zones infectées au 1er décembre 1977

For criteria used in compiling this list, see No 47, page 380 — Les critères appliqués pour la compilation de cette liste sont publiés dans le N° 47, à la page 380. X Newly reported areas — Nouvelles zones signalées.

PLAGUE — PESTE District Rajasthan State GHANA District Dungarpur District Africa — Afrique Central Region Jaipur District Eastern Region Kotah District LESOTHO Greater Accra (excl. PA) Region 1 Excluding in Dacca the airport and the Udaipur District Volta Region Mohale*s Hoek District controlled area established to accommodate Western Region those persons proceeding on 1977/1978 pilgrimage to Mecca / Non compris l’aéro­ Tamil Nadu State LIBERIA — LIBÉRIA port et la zone contrôlée de Dacca réservée Chingleput District Fianarantsoa Province aux personnes qui participent au pèlerinage Coimbatore Distnct Maryland County de la Mecque de 1977/1978. Ambohimahasoa 5. Bref, Montserrado County Dbarmapuri District Madras Corporation Ahimahasoa Canton Madurai District Befeta Canton MALAWI BURMA — BIRMANIE North Arcot District Ambositra S. Bref. Southern Region Rangoon (PA) (excl. airport) Salem District South Arcot District Ilaka-Centre Canton Kasupe District Magyte Division Thanjavur D.: Thanjavur Mangochi District Fandrlana S. Prèf Nsaoje District Pakôkku D.: Pakôkku Imito Canton Zomba District Uttar Pradesh State Mandalay Division Fianarantsoa S. Prèf Mandalay D.: Mandalay Varanasi District Fianarantsoa Canton NIGERIA - NIGERIA Bendel State Sagaing Division Tananarive Province West State Warn X Monywa District Calcutta Corporation Antanifotsy 5, Prèf Monywa D.: Monywa Canton Kaduna State Sagaing District Katsina Province Shwebo District Antsirabe S. Préf. Katsma Prov.: Funtua Shwebo D. : Shwebo INDONESIA — INDONÉSIE Antsirabe Canton Zaria Province Jakarta Autonomous Capital Area Bclazao Canton Ogun State Manadona Canton INDIA — INDE Ijebu-lgbo Province Jakarta Barat (West) Municipality S. Préf. : Cuttack (P) Jakarta Pusat (Central) Municipality Ondo State Visakhapatnam (P) (excl. Kemayoran airport) Ambalavato Canton Akure Jakarta Selatan (South) Municipality Ambohimanambola Canton Andhra Pradesh State (excl emergency quarantine station) Kaialao Canton Oyo State Anantapur District Jakarta Timur (East) Municipality Mandritsara Canton Ibadan Province (excl. Halim Perdana Kusuma airport) . Canton Chittoor District Oyo Prov.: Ikire Cuddappah District Jakarta Utara (North) Municipality Tntnva Canton (excl. seaports of Tanjungpnok, Sun- Plateau State Guntur District Hyderabad District dakeiapa & Kalibaru) MOZAMBIQUE Pankshin Karimnagar Distnct Tele District Kurnool District Aceh Autonomous Area Tete Deleg. S, SIERRA LEONE Warangal District Freetown, Cap. (PA) Aceh Timur Regency Assam State Aceh Utara (P) Regency America — Amérique Kamrup District TANZANIA. UNITED REP. OF Nowgong District Bali Province TANZANIE, RÉP.-UNIE DE BOLIVIA — BOLIVIE Dar es Salaam, Cap (PA) Bihar State Badung Regency (excl. Benoa seaport & Ngurah Rai airport) Chuquisaca Department Coast Region Hazanbagh Distnct Bangli Regency Shahabad D.: Robtas XTomjna Province Mafia District Buleleng Regency Rufiji District Delhi Territory Gianyar Regency Jembrana Regency Kilimanjaro Region Gujarat State Asia — Asie Karangasam Regency Mi war a Region Broach Distnct Klungkung Regency Kilwa District Bulsar District Tabanan Regency BURMA — BIRMANIE Kaira Distnct Fanch Mahals District Kachin State TOGO Jambi (Sumatera) Province Bhamo District Surat District Region maritime Batanghan Regency Kaya State Anécho Circonscription administrative Madhya Pradesh State Bungo Tebo Regency LoÜcaw Dhar District Jambi (P) Mumcipahty Tajung Jabung Regency Mandalay Division Asia — Asie Drug Distnct Indore District Mandalay District BANGLADESH Raipur District Jawa Barat (West Java) Province Sagaing Division Division Maharashtra State Bandung Municipality Shwebo District (excl. Chittagong Bandung Regency Hajl Camp) Ahmednagar District Bogor Regency Akola District Cianjur Regency VIET NAM Chittagong Hill Tract District Commilla (Tippera) District Aurangabad District Garut Regency Chanda District Ho Chi Minh City (excL PA) District Krawang Regency Dong Nûi Province Dhulia District Lebak Regency Dacca Division Kolaba District Majalenka Regency Dacca District1 Kolhapur District Pandeglang Regency Nagpur District Purwakarta Regency Mymenslngh District Nanded Distnct Serang Regency District Nasik District Subang Regency Osmanabad District CHOLERA — CHOLÉRA Division Parbhani Distnct Bakcrganj () District Poona District Jawa Tengah (Central Java) Africa — Afrique District Sangli District Province Khulna Distnct Satara District ANGOLA Banyumas Regency Distnct Sholapur District Batang Regency Luanda. Cap. (PA) Fatuakhali District Orissa State Cüacap (P) Regency Luanda District Demak Regency Grobogan Regency Bom Jesus Distnct Cuttack District Ganjam District Jepara Regency Tombo District Wkly Epidem. Rcc> No, 48-2 Dec. 1977 — 388 — Relevé épidém. h e b d N° 48-2 déc. 1977

Kendal Regency tiamadam General Governorate VIET NAM America — Amérique Klatcn Regency Hamadam District Ho Chi Minh City (excl. PA) Kudus Regency Long An Province BRAZIL — BRÉSIL Pekalongan Regency Khorasan Province Golds State Purworcjo Regency Torbat-Jam District Sukoharjo Regency SRI Lanka Araguarins Municipio TcgaJ Regency Tocantinopolis Municipio West Azarbaldjan Province Jaffna Health Division Jawa Timur (Eabt Javaj Province Maku District Vavumya Health Division Para State Gresik Regency Altamira Municipio Probolinggo Regency Itupiranga Municipio SYRIAN ARAB REPUBLIC Maraba Municipio Surabaya Municipality (excl. Tanjuûg MALAYSIA - MALAISIE RÉPUBLIQUE ARABE SYRIENNE Perak seaport) Aleppo (A) COLOMBIA — COLOMBIE Kalimantan Selatan (South) Province Division Damascus (A) Latakia (P) Santander Department Banjar Regency Bau District Banjarmasin (P) Municipality San Vicente de Chucun Municipio Hulu Sungai Selatan Regency District Hulu Sungai Tengah Regency THAILAND — THAÏLANDE PERU — PÉROU Hulu Sungai Utara Regency Division Bangkok (excL FA) Ayacucho Department Tabalong Regency Huanta Province Tapm Regency Balmgian Subdistrict Chumphon Province fiintulu District Lang Suan District San José de Santiliana District Nusatenggara Barat (West) Province Phangnga Province Cuzco Department Lombok Barat (P) Regency La Convencion Province Lombok Teogab Regency Division Takua Pa District Thai Muang District Echarate Distnct Lombok Timur Regency Binatang District Phuket Province Huanuco Department Nusatenggara Timur (East) Province District Huamalles Province X Phuket Distnct Kupang (PA) Regency District Cholon District Matu Kanong Province Riau (Sumatera) Province District Leoncio Prado Province Kapoe District Bengkalis Regency (excl. Dumai seaport) District Padre Luyando District Indragin Hiiir (P) Regency Sibu District Ranong District Song Distnct Sanaa Prakan Province Junin Department Sulawesi Selatan (South) Province XBang Bo District Satipo Province Barru Regency Simanggang Division Samut Prakan District Rio Negro District Luwu Regency San Martin de Pangoa District Maros Regcncy(cxcl. Hasanudin airport) Saratok District Thon Burl Province Satipo District Pangkajene Regency Bangkok Noi District üjung Pandang (P) Municipality (excl. Sixth Division X Rat Burana Distnct Tanna Province Ujung Pandang seaport) District Chanchamayo District Sulawesi Tengah (Central) Province La Larced District Oceania — Océanie La Merced District Donggala (P) Regency NEPAL — NÉPAL Madré de Dios Department Sumatera Barat (West) Province GILBERT ISLANDS Tambopata Province Bagamati Zone ÎLES GILBERT Padang (P) Municipality Tambopata District Dhading District Abaiang Sumatera Selatan (South) Province Bhaktapur Distnct Tabiteuea San Martin Department Katmandu District Tarawa Mariscal Câceres Province Lematang llir Ogan Tengah Regency Lalitpur District Musi Banyuasin Regency Juanjui Distnct Musi Rawas Regency Koshi Zone Ogan Koroenng Ihr Regency San Martin Province Dhankuta Distnct M. Castilla District Ogan Komering Ulu Regency Sunsan District Palembang (PA) Municipality YELLOW FEVER - FIÈVRE JAUNE Sumatera Utara (North) Province Africa — Afrique PHILIPPINES Asahan Regency ANGOLA Deli Serdang (P) Regency Manila (PA) (excl. airport) SMALLPOX — VARIOLE Labuhanbaru Regency GHANA Langkat Regency Luzon Croup Africa — Afrique Nias (P) Regency Bulacan Province NIGERIA — NIGERIA Tanjung Balai Municipality Cavite Province ETHIOPIA — ÉTHIOPIE Tapanuli Selatan Regency Bak Région Laguna Province SUDAN — SOUDAN Tapanuli Tengah (P) Regency Pangasinan Prov.: Dagupan Hararghe Region Tapanuli Utara Regency Rizal Prov. (excl. Manila airport) Territory South of 12® N. Territoire situé au sud du 12° N. SOMALIA — SOMALIE Bay Region IRAN SAUDI ARABIA ZAÏRE-ZAÏRE Gedo Region East Azarbaijan Province ARABIE SAOUDITE Territory North of 10" S. Lower Shabelli Region Tabriz District Khaybar Territoire situé au nord du 10° S. Middle Juba Region

Areas Removed from the Infected Area List between 25 November and 1st December 1977 Zones supprimées de la liste des zones infectées entre les 25 novembre et 1er décembre 1977 For criteria used in compiling this list, see No. 47, page 380 — Les critères appliques pour la compilation de cette liste sont publiés dans le N ° 47, à la page 380,

CHOLERA - CHOLÉRA Haryana State Bharatpur District MALAYSIA — MALAISIE • Gurgaon District Bundi District Rohtak Distnct Chittoigarh District Sabah INDIA — INDE Maharashtra State Sawai Madhopur District Kota Kïoabalu District Bihar State Buldhana District Tamil Nadu State Labuan Distnct Ramanathapuram District Darbhanga D.: Samastipur Rajasthan State Sempoma Distria Patna Distnct Ajmer District Uttar Pradesh State Patna D.: Naianda Alwar Distria Bulandshahr Distria Pûmes D. : Katihar Banswara District Lucknow Distria

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