WEEKLY EPIDEMIOLOGICAL RECORD, N o .tt,2 7 l«W E ttB IIM W 2 . KELEVE EPWEMMIOGIQUE HEBDOMADAIRE, H* 4S, 27 NOVEMBRE1992 a wound on the forehead, witnesses did not observe any les témoins n'ayant pas observé de morsures ou léchage, aucun trai­ bites or licking and no antirabies treatment was given, tement antirabique riavait été pratiqué. L'enquête épidémiologique, A posteriori epidemiological investigation revealed, that the. a posteriori, a révélé que le chien en cause était mort (ou avait été dog in question died (or was killed by the family) soon . rué par la famille) peu après cet épisode. Ce chien a pu également thereafter. This dog may also have been the cause of the . être à l'origine de la mort d'un autre enfant décédé fin avril avec des death of another child at the end of April with symptoms symptômes compatibles avec le diagnostic de rage. compatible with a diagnosis of rabies.

Comments Commentaires No cases of human rabies had been observed in France since Depuis la réintroduction de la rage vulpine en 1968, aucun cas de vulpine rabies was reintroduced in 1968. It thus appears rage humaine n'a été observé en France. La prophylaxie de la rage that preventive treatment of human rabies is being satis­ humaine s’effectue donc de manière satisfaisante du point de vue factorily carried out. thérapeutique. In 1991, 5 005 of the 9 661 treatments (61%) were, En 1991, 5 005 traitements sur 9 661 (61%) ont été débutés initiated because of suspicions of infection from domestic -pour des suspicions de-contamination par des carnivores domes­ carnivores which could not be put under veterinary obser­ tiques qui n'ont pas pu faire l'objet d'un examen vétérinaire, et vation, and 361 treatments were initiated because of sus­ -361 traitements ont été débutés pour des suspicions de contami­ picion of infection from rodents, in spite of the fact that nation par des rongeurs alors que ces animaux ne sont pas impliqués rodents are not implicated in the rabies cycle in France. dans le cycle de la rage en France. Indications for preventive antirabies vaccination, which Les indications de la vaccination antirabique à titre préventif, is normally reserved for professionals exposed to the risk classiquement réservée aux professions exposées au risque rabique of rabies (veterinary personnel, gamekeepers, etc.) need to (vétérinaires, gardes-chasse, etc.) doivent être étendues aux voya­ be extended to long-stay travellers to areas where canine geurs se rendant, pour un séjour long, dans des zones d'endémie rabies is endemic, principally in the tropics. People travel­ rabique canine, principalement dans les régions tropicales. Les ling to these areas for short periods should receive advice voyageurs se rendant dais ces mêmes zones pour un court séjour including recommendations on what to do if bitten; the doivent bénéficier de conseils incluant la conduite à tenir en cas de need for this is illustrated by the case of human rabies in morsure; le cas de rage humaine survenu au Mexique en est la Mexico. meilleure preuve. (Based on: Bulletin épidémiologique hebdomadaire No. 30/ (D'après: Bulletin épidémiologique hebdomadaire N° 30/1992; 1992; Direction générale de la Santé.) Direction générale de la Santé.)

Influenza Grippe

France (20 November 1992).1 Additional sporadic cases France (20 novembre 1992).1 D'autres cas sporadiques de of influenza B have been diagnosed since the first 2 cases grippe B ont été diagnostiqués depuis les 2 premiers cas rapportés reported in October. During the week ending 15 November, en octobre: Le virus grippal A(H3N2) a été identifié pour la pre­ influenza A(H3N2) was identified for the first time. mière fois au cours de la semaine se terminant le 15 novembre.

T hailand (October 1992).2 Influenza A virus was isolated T h a ï l a n d e (octobre 1992).2 Le virus grippal A a été isolé de 23 cas from 23 cases and influenza B from 1 case during October. et le vims B d'un cas pendant le mois d'octobre. L'âge des cas se The cases ranged in age from 19 days to 36 years; 16 were situait entre 19 jours et 36 ans; 16 cas avaient moins de 13 ans. below 13 years of age.

1 See No. 46, 1992, p. 348. J Voir N" 46, 1992, p. 348. ! See No. 41, 1992, p. 306. ■ Voir N“ 42, 1992, p. 306.

Infected areas as at 26 November 1992 Zones infectées on 26 novembre 1992 For criteria used in compiling this list, see Ko 25, p. 191 î « cmérrn appliqués pOUT la «unphnnn g le N* 2?) p. 191 X - Newly reported areas X - Nouvelles zones signalées

Remvohura S. Pref Andoharannmaiiso District Plague • Peste Itaberaba Muniapio Montera District Soavmandriana $. Prif. Fianaramsoa n District Jus&ara M umopio Faunas District Ambatoasana Centre ManadnanaS. Pryf PmwnlânHia MuDlCqilO Africa «Afrique Tstroanomandufy $. Prif Mahafanga Province Riachâo do Jacuipe Munidpio M adagascar Antm anana Provmce Toamaana Pmtunce SenbOrdO Bonfim Miintnpio Antananarivo Province Anetapa $. Pref Moramanga S. Pref. Srranha Mnmcipw C. de la Frauen D iana Doany District Ambohidratnmo S. Prif. Tanzania, United Rep. of Teofifanriia Municipal Canchaqne District Fumarantsoa Province ATUanananvo-Avarodruno $ Prif Tanzanie, Rép.-Unie de Panaba State Huancabamba District Ambatolampy S. Pref. Ambatojmandrahana S. Prif. Tanga Regan Azaba Muniapio Ptura Provmce Anjozorobe $ . Pref. Ambondromisotra District Faery de S> Bmy Miiniftpift Las Lomas Distna AnHr^fiimhfthirra D istrict Lushpto District Antananarivo S Pref. Tanga District Cuban Muniapio Antananarivo Disnact Bevoaotaay District Obvcdos Muniapio Zaire • Zaire Asia «Asie Antantfolsy S. Prif. Soanibereaaaa District Quamadas Muniapio Haut Zaire Promue Amsirube ISPréf Ambohmahatoa S. Prif. Remigio Muniapio V iet Nam Mahagi Administrative Zone Antsirabe II S, Préf Manandroy Discnct Soiâpci Muniapio Gta-Lae-Cang Turn Province Ambcsura S. Préf. Lâm Dông Province Ambodiala District Pent • Pérou Ambaiomarina District Amenta «Amérique Phü Khân Provmce Ambohitsunanova District AmKAhimahavA D istrict Cajamarca Department • Bolivie Ampasatanety District Ambovombe Centre Choia Province Manandona District Aadioa District La P as Department Llama District Cholera • Choléra Soamndranny District Anjoma.NAnkpoa District Muacosta District Tsarofar Dum a Anjomà Navona District Sod Yungas Province Tocmoche District Africa «Afrique Via&Biakarena District Ankazoambo Distncr Valle Grande Province San M tgud Province Anvowiwno S. Pref Ivaio District Brazil • Brésil Nanchoc District A ngola Betafo S. Préf Ivoay District Bahti State San Gregorio District Benge Province Alalfcamisy-Ananvato D ismet Talata-Vohimctia D um a Btfitmp Mnniripift San Miguel District Benguda Provmce F a rm d rm ta S . Pref. Tsar&saozn District Candçal Mumapio San Pablo P ro m u Huambo Province Parauiho S Préf Pandnana S Prif, Central Mumnpio San Louis District Huila Province Maryakandnana S. Prif Fiadanana District ConcàçSo Muniapio Pntra Department Kuando-Kubango Provmce Miannanvo S. Prif Piamramsoa IS . P jif Fora de Santana Mumopto . Kunene Province Anaiavory District Mahatsinjo District Iraquara Muniapio Canales District Kwanza-Noru Province Anosibe I&nja District Futttararma U S. Prif Irccc Muniapio Lagunas District KmnzthSid'Provmce

362 WEEKtif EPIOUIIOiÛOiCAL RECORD, Nou481^7 MOVUttUER 1992 B E E V t 1992

Luanda Provmu M ozam bique Bolivia • Bolivie Monagas State Luanda, Gaza Provmce Bern Department Juaapa Department Nueoa Espana State Malanga Province Chibuto District Chuquuaca Department Petén Department Sucre State Naitubt Provmas Chokwc District Cochabamba Department Queuolienango Department Tachtra State Uige Provm u Guija District El A lto Department Qusché Department Zuha Stntm Zaire Provmu Macia Distna Department Retalkuleu Department B^tiin t Benin Manjacaze D istna Oruro Department Sacatepéques Department Asia • Asie Département de l'Adanuque Xai-Xai Distna Potast Department Santa Rosa Department Bhutan • Bhoutan S. Prêt cfAllada Inhcmbane Provmce Rsberalta Department Solola Department Mongar D istna Cire. de Cotonou Morrumbene D istna Santa Cruz Department Suchtepcquez Department Pcmagatsel Dum a S. Prêt de Tafict Panda Distna Tartja Department Toumtcapan Department Phumsholiog Dum a Département de l'Atacora Maputo Province Tupiza Department Zaeapa Department Punakha Distna Département de Borgou Boane Distna Brazil • Brésil Manhica District Samdrupjoogkhar D istna Département de Mood Alagoas State G uyana Tashigang Dum a Département de Zou Maputo City Arrtapd State Barotta Region Moamba Distna Thimphu Dum a Amazonas State H onduras Burkina Faao Nutssa Promue Rn/nfl .Cf/ifg Cambodia * Cflirkfilp Boulgou Pravmce Mandimba Distna Choluteca Department Kampong Cham Provmu Cearà State Cortes Department B urundi Sofala Provmce flihlfl • Ptiinn Maranhao *t E l Panuso Department Bubanza Province Bara City (Area not specified - M ato Grosso State Francisco Morazan Department Bubanza ATTT>n^iy!WTtpnf Buzi Distna Para State Zone non précisée) Khamatanda District Santa Barbara Department Cibitoke Arrondissemem Parotba State In d ia * twHp Tete Province Valle Department Bujumbura Provmce Pernambuco State Andhra Pradesh State Moanze Distna Yoro Department Bujumbura Arrondusemenc Puna State Hyderabad D istna Burtm Provmce Tete C i^ Rio Grande do None State Mexico • Mexique VjsalrhflpflTnam D u m a Zdmbezta Provmu Campeche State Makamba Aixondusement Rondôma State Assam State I&hassuuge D istna Chiapas State Rmnonge Arrondissement S&gipe State Delhi Territory Gitega Provutu Maganja da Costa D istna Chihuahua State rn.iv «Chili Gujarat State (Ütrga Mocuba D istna Cohma State Hcoyana State Mopaa Distna ' Antofagasta Provmce Distnto federal Cameroon • Cameroun Kamacurra Dum a Bernardo O'Higgau Provmce Guanajuato State Karnataka (Mysore) State Provmce de FExtrême-Nord Coqutmbo Province Bangalore Dum a Kicoadala Distria Guerrero State Diamare Département Los Lagos Province Quebmane D istna Hidalgo State Bkiar D u m a U gm e^ t-Q ian Département Osomo Jahseo State Chitradutga D um a Mger Santiago Province Mayo-Danai Département - Mexico State Gulbuiga Dum a Mayo-Sava Département D tffa Département Tarapaca Province Hassan Dum a Passa Département Mtchoacan State Mayo-Tsanaga Departemaii rrtlnn^hin • rnlam hiii Morelos State Kolar Dism a Provmce Littoral Manuk Deportment Amazonas Department Neuvo Leon State Mandya Dum a Moungo Département Niamey Département Annoquta Department Oaxaca State Raichar D u m a Woun Depanrgncm Tahoua Departement Tumkur D u tn a Tillabery Département Atlanoco Department Puebla State Provmce du Nard Bobvar Department Kerala State Zmder Département Queretaro State Bcaouë Departement Boyaca Department Quintana Roo State Madhya Pradesh Slate Promce de l'Ouest Nigeria • Nigeria Caidas Department San Luis Potosi State Maharashtra State Haut Nkam Département Abuja State Intendency Sonora State A k o la D u tn a Mifi Département Akwa Bum State Cauca Department Tabasco State Amrawao Dum a Provmce du Sud Anambra State Cesar Department Tamaubpas State Nagpur Dutna Océan Departement Bauch State Chaco Department TIaxeala Sta te Nandad Dutna Provmce du Sud-Ouest Bendei State Cordoba Department Veracruz State Osmanabad D utna Manyu Departement Benue State Cundmamarca Deportment Yucatan State Parbham Dum a Meme Departement Borna State Guajva Department 7nrmern Situ* Pune Distna Saogb Distna • Tchad Gongola State Huda Department N icaragua Préfecture Into State Magdalena Department Thane Distna B et Prefecture Kaduna State Meta Department Mampur State Bihuie Prefecture Kano Stale Narmo Department Chmandega Deporouem Punjab State Chan Bagutma Prefecture Kanina State None de Santander Department dummies Department Tonal Nadu State Guera Préfecture Kwara State Puntumayo Department Estât Department Anna D u m a Préfecture Lagos State Quouko Department Chmglcpui D istna Préfecture Niger State Risaralda Department Leon Department Madras District San Andres Intendency Logone Occidental Préfecture Ogun State Department Madurai Dutna Préfecture Ondo State San José del Guavutre Department M asaya Department North Azcot Distna Njamena Prefecture Oyo State Santa Fe de Bogota Department Matagfllpa Department Pudukkottai Dum a Ouaddai Préfecture Plateau Sup* Santander Department Thanjavur D u m a RruenSaue Sucre Department Tlcudurapalll ^«rrirr Tandjtle Préfecture Panam a Sokoto State Tolona Department TkunclveUi D istna Côte d'ivoire Valle Department Chepo Provmu Departement de l'Ouest R wanda Vellore Dum a daman Provmu Vfllipuram D utna Man Sous Préfecture Cyangugu Préfecture C osta R ica Colon Provmu U ttar Pradesh State Gtsenyi Prefecture Lanon Province Comarca de Sun Bias G hana San José Province West Bengal State Accra Region Sao Tome and Principe Danen Provmu Talnifra Accra District Sào Tomé-ct-Principe Ecuador • Pjy»atgnp Panama Provmu iiMinnwiiy • Indonésie Greater Accra District Lemba Distna Azuay Province • Pérou Askauu Region SkoT om e Bohvar Provmce Amazonas Department East Nusa Tenggara Provmu Conor Provtnu Suinba Bam Rcj^ncy Central Région Tanzania, United Rep. of Ancask Department Upper East Region Carchi Provtnu Apurrmac Department Lampung Provtnu | Tanzanie, Rép.-Unie de Chimborazo Province Lampung Barat Regency Volta Region ; Arusha Region Arequspa Department Cotopaxi Provtnu North Sulawesi Provutu G uinea * G uinée KHunargaro Region Ayacucho Department El Oro Provutu Cojamarca Department Bolaang Mongondow Regency Conakry Province M ara Regum Esmeialdas Provtnu Mtuara Région Callao Provutu Iran, Islamic Rep, of Forecanah Prefecture Galapagos Provtnu Rukwa Region Cuzco Department Iran, Rép. islamique d1 K enya Guayas Provmce Huancavehca Department Khuzestan Provutu Tanga Repeat Irnbabura Provtnu (Area not specified - Zone non Huemuco Department Kurdestan Provmu precisee) T ogo Loja Provtnu tea Department Golfe Distna Los Rios Province Jumn Department Iraq liberia • Libéria Kioto Duma Manabi Provtnu La Ubertad Department AWBasrs Govem orate Bong County Kozsh Duma Moronu Provtnu Lambayeque Department Al-Anbar Govemorate Montserrado County Lacs Distna Napo Provmu Luna Department AUMarhna Govemorate M alaw i Ogou Distna Pastaza Provtnu Loreto Department AFNajef Govemorate Central Region Socouboua Duma Pichmcha Provm u Madré de Dm Department Al-Qaduiya Govemorate Lilongwe District Vo Duma Suaimbios Provmu Moquegua Department Aiful Govemorate Southern Region Yolo Duma Tungurakua Provmu Pasco Department BabU Govemorate Zamora-Chnchpe Provmu RgghHari Govemoraic Uganda • Ouganda Piura Department Mali Dohuk Govemorate Kasese Duma El Salvador Puno Department Kayes Région Dyala Govemorate Kayes Cercle Central Region •Sou Moron Department Zaire «Zaire Metropolitan Region Tacna Department Kajbala Govemorate Kouhkoro Région Haul Zaire Province Mesan Govemorate Kara Cercle Occidental Region Tumbes Department Kwu Provmce Oriental Region Ucayak Department Nineveh Govemorate M auritania * M au ritanie Shaba Provmce Paracentral Region Salah El-Din Govemorate Nouakchott District S urinam e Sulaimaniyah Govemorate Zam bia * Z am bie Mawtnjue District I n Région F rench T amim Govemorate Central Provtnu Guyane française Hodh el Chargui V enezuela Ukar Govemorate 2e Regum Copperbelt Province friia^iniala Anzoategut State Wasit Govemorate Hodh el Gharbi Apure State Luapula Provmce Malaysia • M alaisie 3e Region Aragua Suite Northern Provmce Sabah As&aba et Gmdimakha Chmudteamgo Department Barmas State Southern Provmce TawauPutria 4e Région Chtquunula Department Carabffb^ Gorged Sarawak Delta Amacuro State Rimnnjnn 0 U g n a Se Region Amènes • Amérique Escumda Department Federal District Brakna B e liz e Department Guanco State Nepal • Népal 6e Region Coyo Distna Menda State Baiudi Dutna Tcarza Toledo Duma Miranda State JChatiwanriii p itfr |f f

363 WEEUYEP(KHIttOGlCAI,RKOSD/ Mo.49r 27N0VEMBER1992 « RBiVEEFiUMOLOGKKgHBDOMADAm, >f4^27>IOVE>ISm992

V ictNam Zaire • Zaïre Corguinho Mumapio Yopal Mumcipio Rupa Rupa D istna Both Trt Thên Proooue Territory North of 10° S Diamannno Mumapio Cesar Department Mararkm Provenu Nghta Bmh Province Territoire si me au nord Jardim Mumapio Vaüedupar Mumapio Cholon Distna Phü Khanh Ptovmce du 10° S. Nova Marmga Mumapu) Choco Department Junm Department Pîaado de Castro Mumapio Rio Suqo Muniapio Chanchamayo Provmce Europe America «Amérique POcozie Mumcipio ' Cundmamarca Department - Chanchamayo D istna U h a in r Bolivia • Bolivie Pontes e Lacerda Mumapio Maya Muniapio Perene Distria Mapupole Bern Department Ribas do Rio Pardo Mumapio Guavutre Intendenaa San Luis Sevan Distria Nicolaev Region Balliviaa Province SiJwilânifn Mimiapin Mirafioics Mumapio Viloc District San Juan d d flnm m» Odaskaya Region Iteaez Province Sinopr Mumapio Saopo Province Munmpin Cochabamba Department Terenos Muniapio Covinali Distria Meta Intendenaa Oceania • Océanie Ayopayo Province Mmas Gerais State Mazaman Distna Carrasco Province Bonfinopolis Mumcipio. Cabuyaro Mumapio Tuvalu La Pnmavera Mumapio Paugoa Distria Giapare Province Francisco Dumont Mumcipio Nimumea Island San Carlo de Guaroa Pichanali Distrin La Paz Department Muabda Mumcipio Nuuao Island Mumapio Rio Negro Distria • Larecaja Province Paracatu Mumcipio Unai Mumcipio Villavicenao Mumapio Rio Tambo Distna Yellow fever • Fièvre joene Munllo Proving: Saapo Distna Nor Yuqgas Province Para State Vista Henri osa Mumapio Norte de Santander Department Loreto Department Qumum Province Alenquer Mumapio Africa «Afrique Cucuta Mumapio Ucayah Provenu Sud Yuqgas Province Almeinm Muniapio Contains,na D isn ia Angola Santa Crus Department Altamira Mumapio Tibu Mumapio Bengo Province Cucuta Intendenaa Punis Distria Andrés Ibaôez Province Aragurn Mumcipio Toledo Muniapio LuandaProvmpe ' ' '■ CordQlcra Province Faro Mumapio Madré de Bios Department Putumayo Intendenaa . • Camarooo • Camecpuii. Florida Province Monte Alegre Mumapio M anu Province Puerto A ss Mumapio Pravmce de l'Extrâne-Nord Guncrrez Province' Prainha Mumapio Madré de Dios D iana Mayo Sava Département Ichilo Province Rendençào Mumapio Santander Department Manu Distna Bi|ffflramaqga Mlininpyn Mayo Tsanaga Dcpanyincnt Sâo Domingos do Capun TambopataPmance Brazil • Brésil Mumapio Pimiryrru MpOIOpiO Inamban Distna G am bia * Rar»l»ie Anutpâ Temtoty Sen. José Poifirio Mumcipio El Carmen Muniapio Las Piedras Distna Upper River Division Macspâ Mumapio Vichada Department Tailandia Municipio Tambopata D istna Guinea * Guinée Amazonas State Tucuxui Muniapio Puerto Trujillo Mumapio CamiTarpa MuOlCÎCplO Puno Department Sigum Région Xinguara Mumapio I«nnaH«w m Joâo Figueiredo Mumapio Samba Prononce MaU Randoma State Monma-Santtago Province San Juan del Oro D istna Kayes Région Manaquin Mumapio Cacoal Mumapio Manana Miminpin Napo Province San Roman Dismet Kita Cercle Rorasma Territory M acâ Mumapio Humayacu Discna Vilcabambs D istna Koulskoro Région Bonfim Mumapio Pastasa Province Nova Ohnda do None San Maxim Department D ioÜ£ Cercle Ganmpo Mumm Mumapio Sucumbios Province Huaüaga Promue Kangaha Cercle Mumapio Maloca Caju Mumapio Novo Airaô Mumapio Zamora-Chmdupe Province Bellavista D istna Kah Cercle rnlwnhia • rnloiwlrig Knlnkam Cercle Tefè Mumapio Peru ♦ Pérou Saposoa Distna Urucara Mumapio Anuoqum Department Ayacudio Department Lamas Provence Nigeria • Nigeria Gotas State Anon Mumcipio Huanta Province 1 amas OiaiMt Anambra State Alto Paraiso Mumapio Taraza Muniapio San José Santilla^ia DlSOlCt Tabalazos Dism a Bouda State Bêla Vis ta Muniapio Yondo Mumcipio Cusco Department Bendel State Martscal Coures Provmce Caiaponia Municpio Arauca Intendenaa La Convenaon Provence Campa «villa DlStna Benue State Damolàndia Mupidpîo Arauca Mumapio Echaratc District San Maron Province Cross River Stats Saravena Mumcipio Formosa Mumapio Kitam Dismet Juan Guéna Distna Kaduna State Boyaca Department Maranura District Goias Vdho Muruçtpio Sauce Distria Kzuara State Mara Rosa Mumcipio Chita Mumcipio Santa Ana District Tocadut Province Lagos State Nova Cnxas Mumapio Puerta Boyaca Municipio Huamtco Department N ig er S ta te Planalnna Mnmcipin /7/iijtteth bttendauûa Huamahes Province La Pohrora D istn a O gun S ta te Santa Cru? Mumapio M m de log Andaquiés Monzon Distna Nuevo Progreso Distna O ndo S ta te Maranhaà State M nm cipin Leonao Prado Province Tocache Distna O yo S ta te Grajau Mumcipio El DonceUo Municipio Alorna Robles District Uctnza Distna Plateau State Lago da Pedra Mumcîpu) San Vicente de Cqguàn i Aucayscu Distna Ucayah Department fc ifian » S niiH an Montes Altos Mumapio Mumcipio J.C. Castello D istna Corond PertSIo Provmce Territory South of 12° N M oto Grosso State Casanare Intendenaa Leonao Prado District Callena Dism a Territoire situé au sud Antonio Joâo Mumcipio Hato Corozal Municipio Monzon District Padre A bad Provmce du 129 N Pamapm Mnmctpto Tamara Mumeipin P. Luyando Distna Padre Abad D istna

Notifications received from 20 to 26 November 1992 Notifications reçues du 20 au 26 novembre 1992 C - cases» D - deaths, ». - data not yet received, C - cas, D - décès,... - données non encore disponibles, i - imported, r - revised, s - suspect i - importe, r - révisé, s - suspect

Choiera • Choiera Plague • Peste America «Amérique C D Africa «Afrique C D Mexico - Mexique 11-31 JC c D Belize 27IX-24 X ...... 439 6 Zaire - Zaire 1-30.IX ...... 26 1 il JC-7.XI Haui-Zatre Provmce Bolivia - Bolivie 11-31.X ...... 626 10 lam Sub Region Peru-Pérou 30.VUI-31.X Mahagi Administrative Zone 11 2 Ecuador - Equateur 23.VBI-26 IX .... 9 498 37 ...... 419 2 20 IX-17.X America «Amérique Venezuela C D El Salvador 15-21JÜ ...... 248 5 United States of America 1-7.XI ...... 60 1 Etats-Unis d'Amérique Guatemala 4-31JC Oceania • Océanie Wyommg Siale ...... 420 4 C D Shcndan County...... 1* 1 Honduras 4-31.X Australia - Australie 20JÜ * Thu case of plague bat no significance for inier- ...... U 0 nanonal travel. - Ce cas de peste n'a pas de consequence sur les voyages internationaux.

Telex: 415416 Fox: 788 00 11 Télex:415416 Fax:7880011 (Attention EPIDNAJ10NS for nolifiadions of diseases subject to ihe regulations) (A l'attention d'EPIDNAÜONS concernant les notifications des maladies soumises au réglement) Automatic telex reply service; Service automatique de réponse par télex: Telex 415768 Geneva followed by ZQC ENGL for reply in English Télex 415768 Genève suivi de ZCZC FRAN pour une réponse en français Price of the Weekly Fpidemielegiad Reaxd Prix du Relevé épidémiologique hebdamodake Annual subscription Sw. ft. 170.- Abonnement annuel fr. s. 170.-

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