Wkly Epidem. Rec No. 14-5 ApnJ 1985 106 - Relevé èptdém. hebd. . N° 14 - 5 avril 1985

/^LACTAMASE-PRODUCING NEISSERIA NEISSERIA GONORRHOEAE PRODUCTRICES DE GONORRHOEAE (P P N G ) /«LACTAMASE (NGPP) Venezuela. — Following the recommendations of a WHO Venezuela. — A la suite des recommandations d’un groupe scienti­ Scientific Group, surveillance activities for penicillin-resistant fique de l’OMS, on a développé ces 5 dernières années des activités de Neisseria gonorrhoeae were developed over the past 5 years. surveillance des Neisseria gonorrhoeae résistantes à la pénicilline. Entre Between 1980 and 1983, gonococcal strains remained relatively 1980 et 1983, les souches gonococciques sont restées relativement sensi­ susceptible to penicillin, with 89% of strains being sensitive to bles à la pénicilline et 89% d’entre elles l’étaient à des concentrations concentrations below 0.6 pg/ml. All strains examined during that inférieures à 0,6 pg/ml. Toutes les souches examinées pendant cette penod were sensitive to penicillin levels of 1.5 pg/ml. pénode étaient sensibles à la concentration de 1,5 pg/ml. In October and November 1984, the identification of the first 2 C’est en octobre et en novembre 1984 que les autorités sanitaires ^-lactamase-producing gonococcal strains was reported by the nationales ont signalé l'identification des 2 premières souches gonococ­ national health authorities. ciques productrices de /Mactamase. (Based on/D’après: Boletin Epidemiolôgico Semanal, No. 44, 1984; Mimsterio de Santdad y Asistencia Social.)

Editorial Note : The emergence of gonococcal strains totally Note de la Rédaction : L’apparition de souches gonococciques rigou­ resistant to therapeutic doses of penicillin has led many countries reusement résistantes aux doses thérapeutiques de pénicilline a conduit to discontinue the use of penicillin regimens for the treatment of de nombreux pays à interrompre l’utilisation de ce médicament pour le gonorrhoea because of an unacceptably high level of treatment traitement des gonococcies, en raison d’un nombre d’échecs thérapeuti­ failures. It is therefore important to do the utmost to delay the ques inadmissible. Il importe donc de faire le maximum pour retarder la spread of ^-lactamase-producing strains in order to safeguard the dissémination des souches productrices de /Mactamase de façon à efficacy of penicillin regimens which, in addition to being inex­ garantir l’efficacité des schémas thérapeutiques utilisant la pénicilline pensive, often succeed in curing a syphilitic infection acquired qui, en plus d’être bon marché, guérissent souvent une infection syphi­ concurrently. litique contractée en même temps. To date, penicillinase-producing N. gonorrhoeae strains have J usqu’ici, on a identifié des souches de N. gonorrhoeae productrices de been identified in the following countries of the Americas: Argen­ pémcillinase dans les pays suivants des Amériques: Argenune, Canada, tina, Canada, Chile, Colombia, Costa Rica, El Salvador, Jamaica, Chili, Colombie, Costa Rica, H Salvador, Etats-Unis d’Amérique, Mexico, Panama, Suriname, the United States of America and Jamaïque, Mexique, Panama, Suriname et Venezuela. Venezuela.

INFLUENZA GRIPPE Belgium (27 March 1985). — 1 Influenza A(H3N2) virus has Belgique (27 mars 1985). — 1 On a isolé le virus gnppal A(H3N2) sur 2 been isolated from 2 children during local outbreaks in Brussels. enfants au cours de flambées locales ayant éclaté à Bruxelles. Tous les All other confirmed cases of influenza reported during this season autres cas confirmés de grippe signalés au cours de cette saison étaient have been influenza A(H1N1). imputables au virus A(H1N1).

Czechoslovakia (17 March 1985). — 1 Further strains of Tchécoslovaquie (17 mars 1985). — 1 D’autres souches de grippe influenza A(H3N2) have been isolated in different localities of the A(H3N2) ont été isolées dans différentes localités du centre, de l’ouest et central, western and southern parts of the country. Two were from du sud du pays. Deux de celles-ci provenaient d’une flambée qui s’était a local outbreak in a home for the elderly ; the others were isolated déclarée dans une maison de personnes âgées, les autres ayant été isolées from sporadic cases discovered through intensive surveillance of sur des cas sporadiques à l’occasion d'une intense activité de surveillance influenza activity in the country. de la grippe dans tout le pays.

G reece (26 March 1985) — 2 Cases of influenza A and B were Grèce (26 mais 1985). — 2 Des cas de gnppe A et B ont été confirmés à confirmed in Athens during March. A few strains of influenza A Athènes au cours du mois de mars. Quelques souches de virus grippal A virus were also isolated during an outbreak in a military college in ont été également isolées dans un foyer situé dans une école militaire de Thessaloniki in February. The outbreak, which lasted a week, Thessalomque, en février. Cette flambée, qui s’est prolongée une affected about 10% of the students. semaine, a touché environ 10% des elèves.

H ungary (15 March 1985). — 3 Influenza activity has increased Hongrie (15 mars 1985). — 5 L’activité grippale s’est accrue modéré­ moderately and local outbreaks have been report»! in almost all ment et des foyers ont été signalés dans la plupart des régions du pays. parts of the country. Most cases have been influenza A(H3N2) but Dans la plupart des cas il s’agissait de grippe A(H3N2) mais on a égale­ some influenza A(H1N1) and influenza B have also been con­ ment confirmé l’existence de quelques cas de gnppe A(H 1N 1) et de grippe firmed. Over 40% of the cases were in children under 14 years of B. Dans plus de 40% des cas, il s’agissait d’enfants de moins de 14 age. ans.

Portugal (22 March 1985). —4 Influenza A(H1N1) virus has Portugal (22 mars 1985). —4 Le virus gnppal A(H INI) a été isolé sur been isolated from a sporadic case in Lisboa un cas sporadique à Lisbonne. ‘ Sec No 11, 19SS, p, B3. 1 Voir N° 11, 1985, p. 83. 2 See No 8, 1985, p 59 ! Voir N» 8, 1985, p. 59. > See No 12, 1985, p. 91. ‘ Voir N» 12, 1985, p. 91. 4 Sec No. 8, 1985, p, 60. 4 Voir N® 8,1985, p. 60.

Infected Areas as on 3 April 1985 — Zones infectées au 3 avril 1985 For entena used in compiling lins Ust, sec No 5, page 35 - 1rs critères appliques pour la compilation de celle liste sont publiés dans le N° 5. page 35 X Newly reported areas - Nouvelles zones signalées.

PLAGUE - PESTE Fianarantsoa Province Tsarasaoira Distna zaire - Zaïre Africa — Afrique Ambatofinandrahana S. Pref Fandnana S. Pref Haut-Zaïre Province Ambaiomifaaomtia District A nian am ah n a DlSlTlCt MADAGASCAR Soavma District Fandnana Distna America - Amérique Antananarivo Province Ambohunahasoa S Pref Miannavaratra Distna BOLIVIA - BOLIVIE Anianüruinvu’Rü/uvohttru S Pref Ambohimahasoa District Tsaraza/a District La Paz Department Firaisana 1 District Ambosiira S. Pref Maheyanga Pronnce Franz Tamayo Province Antsirabe S Pref Amhatonanna Distna Mandrusara S. Prèf Ambohidanandnana District Ambohipo District AmbanJtorana Distna BRAZIL - BRÉSIL X Anisenaltely District Ambovombe Centre Tamulave Province Bahia Suite Miarmarivo S Prèf Andina District Ambatondrazaka S Pref Pocoes Munmpio Maoazary District Anjnmanamfihiyana DlSUlCl Soala/ainn Distna Santa Luz Munnpio Soavinandrumü S. Pré/ Ankanambo District Semnba Mumcipto Ampcfy District Ankijana District TANZANIA, UNITED REP. OF Cearâ State Ankaranana District Ivaio District TANZANIE, RÉPAJN1E DE Ouaractaba do Norte Mumapio Amancube District Ivony District Tanga Reg n Ipu Mumapio Mahavelona District x Taneube District Lushoio Distna ipuerns Mumapio Wkty Epidem Rec N a 14-5 ApnJ 1985 - 107 - Relevé èpidèrn hebd N° 14 - 5 avril 1985

Pacou Mumapio LIBERIA-LIBERIA TiruneiveUi District X Phasi Charoen Distna Palmaria M |intflPin Grand Basra County Uttar Pradesh State Phaya Thai District Minas Gerais State Mantserrado County Agra Dismet Phra Kbanoog Distria Phra Nakbon Distna Rubekta Mumapio MALI Aligarb Disma ECUADOR - ÉQUATEUR Allahabad Disma Pom Prap Sathru Phai Distna Gao Région Bara Barda Disma Rat Burana Distna Chimborazo Province Dire Cercle Bareüty Distna Samphamhawoog Distnct Alaua Canton Tombouctou Cercle Dheia Duo Distna Thon Bun Distna Loja Province Mopti Région Dcona Distnct Yan Nawa Disma Macara Canton Bandiagara Etawah Distna Bun Ram Province PERU-PÉROU Douentza Cercle Gonda Distna Bun Ram Disma Cajamarca Department Koro Cercle Gorakhpur Distna Province Ckota Province Mopü Cercle Jauopur Distna Chachoengsao District Llama District Niafimkc Cercle Kanpur Disma Choi Nat Province Miracosta District Ségou Région Lucknow Distna Sanphaya Distnct Tocmoche Duma Maana Cercle Mathura Disma Miguel Province Niono Cercle Mirzapur District X Mai Taeng Distna Nanchoc Distnct MAURITANIA - MAURITANIE Moradabad Distna Chon Bun Province San Girgono Distna 6* Région Muzzafaraagar Distna Ban Bung Distna San Miguel Disma Keur Macène Département Pratapgarb Distna JCanchanaburi Province San Pablo Province Nouakchott Distna Saharanpur Distna Tha Malta Distna San Luis Distna Unnao Distna Pmra Department MOZAMBIQUE Varanasi Distna Ban Phai Distna Ayobaca Province Sofala Province INDONESIA - INDONÉSIE Canales Duma X Beira City Jakarta Autonomous Capital Area Ao Luk Distna lagunas DlSUlCt NIGERIA - NIGERIA Khlong Thom Distna Montera Distna Jakarta Barat (West) Municipality Kaduna State Jakarta Pusai (Central) Municipality Paimas Distna Mae Tha Disma SapiUica Distna Dutsin-Ma (excL Kemayoran airport) Funtua Aceh Autonomous Area Suyo District Katsina Nakhon Nayok Distna Huancabamba Province Aceh Barat Regency Malumfashi Aceh Besar Regency Ongkharak Distna G de la Frontcra Distna Zana Nakhon Rotchosima Province Huancabamba Distna Aceh Tenggara Regency RWANDA Aceh Timur Regency BuaYai Distna Pmra Province Chakkarat Distna Las Lomas District Cyangugu Région Aceh Utara (P) Regency Banda Aceh Muaiapaiity Chum Phuang Disma Gisenyï Régioo Khon Bun Distna Asia-Asie Cnarama Région Ptdie Regency VIETNAM Kibuye Région Jawa Barat Province Nakhon Ratchasima Distna Cirebon Regency Non Sung Distna Dac Lac Province SENEGAL-SÉNÉGAL Non Thai Disma Gia-Lai-Cong Turn Province Purwakana Regency Cap-Vert Région Serang Regency Pak Thong Cbai Disma Um Dong Province Dakar Phimai Distna Fbu Kiunh Province Sumedang Regency Casamance Région Jawa Tengah Province Prathai Distna Ziguinchor Departement Banjarnegara Regency Sikhiu Distna Diourbel Région Banyumas Regency CHOLERA-CHOLERA Diouibel Département Brebes Regency Takhb Distna Africa-Afrique Louga Departement CUacap Regency Nakhon St Thammarat Province Fleuve Région Demafc Regency Cha uat Disma BENIN-BÉNIN Dagana Département Hua Sai Distna Atlantique Province Jepara Regency Smé-Saioum Région Pekalongan Regency Nakhon Si Thammarat Disma BURKINA FASO Fauck Departement Pemalang Regency Pak Phanang Disma Don Province (ex Sahel) Kaolack Département Semarang Mumapahty Sichon Distna BURUNDI Thtes Région Semaang Regency Tha Sala Distna Thies Département Tegal Mumapahty Bubanza Province Bang Yai District Cibitoke Arrondissement SOUTH AFRICA Tegal Regency AFRIQUE DU SUD Jawa Timur Province Nonthabun Distna Bujumbura Province Pak Kret Distna Bujumbura Arrondissement SWAZILAND Gresik Regency Laraongan Regency SaiNoi Disma Bururi Province South East Area Pathum Thant Province Rumonge Arrondissement Tulungagung Regency TANZANIA, UNITED REP. OF Surabaya Municipality Khlong Luang Disma CAMEROON - CAMEROUN TANZANIE, RÉP.-UNIE DE Kalimantan Tengah Province Pathum Tham Distna Province Nord Ragera Region Banto Huiu Regency Sam Khok Disma Benoue Département MuJeba Distna Banto Utara Regency X Thanyabun District Garoua Arrondissement Rigcma Region Guaung Mas Regency Phangnga Province Logoné-et-Chari Departement Kigoma Distna Kotawanngm Timur Regency Phangnga Distna Goulfey Arrondissement Morogoro Region Kalimantan Timur Province Pheichabun Province Maltan Arrondissement Kilombero Distna Samannda Municipality Wichian Bun Distna Province Orientai Tabora Region Maluku Province Wouri Departement Urambo Disma Maluku Tengah Regency Klaeng Distna Douala Arrondissement Tanga Region Maluku Tenggara Regency Province Province Ouest Muheza Distna Maluku Utara Regency (excL port) Roi El District Haut-Nkam Département Tanga Disma Nusatenggara Barat Province Bang Bo Distna Ba&ng Arrondissement ZAÏRE -ZAÏRE Lombok Barat Regency Province Sud-Ouest Bang Phh Distna Shaba Province Nusatenggara Timur Province Meme Département Belu Regency Phra Pradaeng Distna Phra Samutchedi sub-Disina EQUATORIAL GUINEA Asû - Asie Flores Tunur Regency GUINÉE ÉQUATORIALE Sulawesi Tenggara Province Samut Prakan Disma INDIA-INDE Buton Regency Bioko Island Andhra Pradesh State Kolaka Regency Ban Phaeo Distna Hyderabad D am a Muoa Regency Samut Sakhon Distna GHANA Central Region Delhi Territory Malaysia - malaisie Haryana State Amphawa Distna Eastern Region Sabah Greater Accra (excL PA) Region Fandabad Distna BangKbontfu Distna Karnataka (Mysore) State Sandakan Distna Samut Songkhram Distna Volta Region X Kota Kinabalu Distna Western Region Bangalore Disma PHILIPPINES SaoHaiDistna IVORY COAST - COTE D’IVOIRE Bell&ry Distna Gmradmga District Aldan Province Sarabun Distna Département de l'Ouest Gurbanga Distna Cebu Province X Wihan Daeng Distna Man S. Prefecture Mysore Distna Coiabaio Province KENYA Madhya Pradesh State Davao City Sathing Phra Distna Bhopal Distna Iloilo Province Songkhla Distna Central Province Suphan Burt Province Kiambu Distna Indore Distna I a g n n a p r(w in p e Nyen Distna Raipur Distna Manila Metro X Song Phi Nong Disuia Coast Province Maharashtra State Mmamic OflCÜtâJ PrOVluCe Surat Thant Province KwaJc D um a Akola Distna Mountain Province Don Sak Distna Amravau Disma Kanchanadit Distna Mombasa Distna Palawan Province Khin Rauhamkhom Distna East Province Aurangabad Disma Quezon Province Bhandara District X Surat Thaoi Dtsma Isiolo Distna Samar Province Province Kiwi Distna Bulrihana Distna Sulu Province Chanderpur Distna Tpmhmnga del Norte Province Ubon Ratchathani Disma Macbakos Duma Wann Chamrap Disma Mere Distna Dhule Diana Nyanza Province Nagpur Distna - THAÏLANDE Nanded Distna Ayutthaya Province Kisumu Distna VIETNAM Suya Distna Sszara Distna Bang Pa-in Distna South Nyanza Distna Siadhudurga Distna X Tha Rua Distna fiinh Tn Tiuêa Province Rtji Valley Province Thana Distna Metropolis Hai Phong Province JUjudo District Wharda Distna Bang Kapt Distna Ho Chi Mmh Ville Nandi Distna Tamil Nadu State Bang Khen Distna Mich Hai Province Tuitana Distna Chugleput Distna Bangkok Not Distna Pbu Khanh Province Trans Nzota Co Madras Corporation Bang Rak Distna Quang Nrnh Province Kitale Distna Madurai District Dusit Disma Tien Giang Province Western Province North Arcot District Huai Kwang Distna Basis Distna Tiruchirapaiii Dismet Pathum Wan District Widy Epidem. Rec No, 14-5 April 1985 - 108 - Relevé éptdêm. hebd • N° 14 - 5 avnl 1985

YELLOW FEVER - FIÈVRE JAUNE La Paz Department Rondoma State Leoncio Prado Province f ^iwal Mniyçipu> P Abad Distncl Africa-Afrique Larec^a Province Murillo Province Roratma Territory J C Castillo Disinct BURKINA FASO Nor Yungas Province BonJun Mumopio P Luyando District Bagre Quinuni Province Oanmpo Mutum Mumopio D A Robles District Banfora Sud Yungas Province Jumn Department Bittou Santa Cruz Department COLOMBU - COLOMBIE Chanchamayo Province Boussé Andres Ibaôez Province Arauca Intendenaa PifKanaln District Comy*Yanga Cordillera Province Saravena Mumopio Satipo Province Fada N*Gourma Code Florida Province Boyaca Department Covinah District Houndc Gutierrez Province Çtllta M nninpin Mara man Humet Koupela Idulo Province Caqueta Intendenaa Pangoa District Belén de los Andaquies Mumopio Manga Cercle BRAZIL - BRÉSIL Satipo Diana Mauakoali El Donccllo Mumopio Loreto Department Ouargayc Subdivision Amapà Territory San Vicente del Mimuipift Alto Amazonas Province Tenkodogo Code Mcapa Mumapio Casanare Intendenaa Morona DistnO Amazonas State Tamara Mumopio 11 Loreto Province GAMBIA - GAMBIE Joào Fïgueuedo Mumcipio Yopal Mumopio Tigre District Upper River Division Manaus Mumapio Cesar Department Macal Castüla Province GHANA Maraâ Munîcipio Valkdupar Mumopio Xaquerana Distna Northern Region Nova Oünda do None Mumopio Cundtnamarca Department Maynas Province Bole District Tele Mumcipio Maya Mumopio Napo District West Gonja District Urucara Mumcipio Meta Intendenaa Madré de Durs Department Maranhào State Cabuyaro Mumopio Manu Province NIGERIA • NIGÉRIA Grajau Mumcipio La Pnmavoa Mumopio Madré de Dios District Kaduna State i agft da Pedra Mmugipo San Carlos de Guaroa Mumopio Tambopata Province Lagos State Mato Grosso State Vülavicenoo Tambopata Distna SUDAN - SOUDAN Antôoio Joào Mumopio Norte de Santander Department San Martin Department Territory South of 12* N. Campo Grande Mumopio Cucuta Intendenaa Hualiaga Province Territoire situé au sud du 12* N, Cuiabà Mumopio Toledo Mumopio Bellavista Distna jardim Mumopio ZAÏRE - ZAÏRE Santander Department San Pedro Distna Sidrolândia Mumopio Ruraramanga MllOlOpiO Lamas Province Territory North of Iff S. Teranos Mumopio San José de Sisa Distna Territoire situé au nord du Iff S. Para State ECUADOR - ÉQUATEUR Manscai Coures Province America - Amérique Alenquer Mumopio Pastaza Province Juanjui Duma Altamua Mumopio Conoonaco Pansb TocacheDuma BOLIVIA-BOLIVIE Araguaia Mumopio Curaçay Parish San Martin Province Bem Department Faro Mumopio Tarapoto Distna BaUivian Province Monte Alegre Mumopio PERU - PÉROU Tingo de Pooasa Disuia Itcsez Province Prainha Mumopio Cuzco Department Ucayali Department Cochabamba Department Sào Domingos do Capim Mumopio Huanuco Department Malaya Province Carrasco Province Sen. José Porfino Mumopio Huamaltes Province Raymondi Distna Chapaie Province Xinguara MumopaJity Monson District

DISEASES SUBJECT TO THE REGULATIONS MALADIES SOUMISES AU REGLEMENT Notifications received from 29 March to 3 April 1985 — Notifications reçues du 29 mars au 3 avril 1985 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 suspectes

PLAGUE - PESTE C D C D 21-27J MOZAMBIQUE 10-I6.U Africa - Afrique C D Fianaramsoa Province 1 0 Ambositra S. Préf. MADAGASCAR 4-10II1 271-2.11 Ambovombe Centre ...... 2 0 Fianaramsoa Province Andina Distria ...... 1 1 2 0 Ambositra S. Préf. Ivato District ...... 1 0 Tanetibe District ...... 1 0 A s ia -Asie CHOLERA - CHOLÉRA C D 25.U-3UI Africa - Afrique INDU-INDE 6.X-31.XI1 Antananarivo Province C D 868 17 Antsirabe S. Préf. EQUATORIAL GUINEA 1S-24.U Antsenakely Distria ...... 1 0 GUINÉE ÉQUATORIALE JAPAN - JAPON 20.111 Fianaramsoa Province ...... 25 0 li 0 11-17 u Ambositra S. Préf MALAYSIA - MALAISIE 17-23 HJ Ambatomanna Disuia .... 1 0 38 1 1 0 Ambohipo Distria ...... 1 0 4-ian 45 0 THAILAND - THAÏLANDE 10-16.111 58 0

Areas removed from the infected area list between 29 March and 3 April 1985 Zones supprimées de la liste des zones infectées entre les 29 mars et 3 avril 1985 For cniena used m compiling this list, sec No. 5, page 35 - Les cnlércs appliqués pour la compilation dé cent listé sont publiés dans le N” 5, page 35

CHOLERA - CHOLÉRA Asia-Asie Burl Ram Province THAILAND - THAÏLANDE Lam Plai Mal Distna Prakhon Chai District Nakhon Raichasum Province PaMolt Distna Nong Ban Nak lub-Dulna Ayulthayo Province PhaJc Haï Distna

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