WEEKLY EPIDEMIOLOGICAL RECORD, No. 8, 23 FEBRUARY 1996 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, No 8, 23 FÉVRIER 1996

Spain (9 February 1996).1 Influenza activity has de- Espagne (9 février 1996).1 L'activité grippale a diminué, jusqu'à creased to below the epidemic level after a peak in the un niveau se situant au-dessous du seuil épidémique après un pic la second half of December and first half of January. The deuxième quinzaine de décembre et la première quinzaine de season was described as milder than usual in the Madrid janvier. La saison a été considérée comme moins sévère que d'ha- region. All influenza viruses isolated this season have been bitude dans la région de Madrid. Tous les virus grippaux isolés influenza A and the large majority were further identified cette saison étaient des virus A et la grande majorité d'entre eux ont as influenza A of H3N2 subtype. A few cases of influenza encore été identifiés comme étant des virus A du sous-type H3N2. A(H1N1) were diagnosed in Bilbao on the north coast in Quelques cas de grippe A(H1N1) ont été diagnostiqués à Bilbao, January. sur la côte nord, en janvier. United States of America (9 February 1996).2 Influenza Etats-Unis d'Amérique (9 février 1996).2 L'activité grippale a activity has decreased across the country, but morbidity diminué à travers le pays, mais la morbidité due au syndrome from influenza-like illness remained above the baseline grippal est restée au-dessus des niveaux de base dans 19 Etats au levels in 19 states in the week ending 4 February. The cours de la semaine qui s'est terminée le 4 février. Le nombre des number of deaths from pneumonia and influenza-like décès par pneumonie et syndrome grippal a décliné après un pic la illness has declined after a peak in the third week of troisième semaine de janvier, mais s'est maintenu jusqu'au January, but remained above the expected level for the 4 février au-dessus de niveau escompté pour la huitième semaine eighth consecutive week up to 4 February. Of the nearly consécutive. Sur les 20 000 spécimens environ étudiés pour le 20 000 specimens processed for influenza virus diagnosis, diagnostic du virus grippal, 15% étaient positifs. Presque tous 15% were positive. Nearly all were influenza A. Of the étaient des virus A. Sur les 1 803 isolements étudiés de manière 1 803 isolates further subtyped, 1 188 were influenza plus approfondie, 1 188 étaient des virus grippaux A(H1N1) et A(H1N1) and 615 influenza A(H3N2). Influenza 615 des virus A(H3N2). Les virus grippaux A(H1N1) ont prédo- A(H1N1) viruses have predominated in 6 of 9 regions, miné dans 6 régions sur 9, tandis que le virus grippal A(H3N2) while influenza A(H3N2) was the most common subtype était le sous-type le plus fréquent en Nouvelle-Angleterre et dans in New England, the Mountain and Pacific regions. New les régions des montagnes Rocheuses et du Pacifique. Comme le England, like the rest of the country, had predominantly reste du pays, la Nouvelle-Angleterre a observé principalement la influenza A(H1N1) throughout December but experi- grippe A(H1N1) pendant tout le mois de décembre, mais a connu enced increasing influenza A(H3N2) activity in January. une activité accrue du virus grippal A(H3N2) en janvier.

1 See No. 3, 1996, p. 23. 1 Voir No 3, 1996, p. 23. 2 See No. 6, 1996, p. 48. 2 Voir No 6, 1996, p. 48. Cholera Choléra

Ecuador (8 February 1996). A new outbreak of cholera Equateur (8 février 1996). Une nouvelle flambée de choléra a été was recently detected in Imbabura Province which is décelée récemment dans la province d'Imbabura, à 100 km de la 100 km from the Colombian border. A total of 416 cases frontière colombienne. Un total de 416 cas et 4 décès ont été with 4 deaths were reported between 1 and 31 January. signalés entre le 1er et le 31 janvier. La majorité de ces cas (71%) The majority of these cases (71%) occurred in the Otovalo sont survenus dans la communauté indigène d'Otovalo. indigenous community. Due to the difficulty in access to health services of the Etant donné la difficulté de la population de cette zone à population in this area special measures have been under- accéder aux services de santé, le Ministère de la Santé a pris des taken by the Ministry of Health to ensure greater distribu- mesures spéciales afin d'assurer une distribution plus large des sels tion of oral rehydration salts and control of the outbreak. de réhydratation orale et de maîtriser la flambée. Un groupe d'ex- A group of national experts together with a WHO/Pan perts nationaux ainsi qu'un épidémiologiste de l'OMS/Organisa- American Health Organization epidemiologist are co- tion panaméricaine de la Santé coordonnent ces activités. ordinating these efforts.

Infected areas as at 22 February 1996 Zones infectées au 22 février 1996 For criteria used in compiling this list, see No. 45, 1995, p. 323. Les critères appliqués pour la compilation de cette liste sont publiés dans le No 45, 1995, p. 323. X - Newly reported areas X - Nouvelles zones signalées

Plague • Peste Renivohitra S. Préf. Fianarantsoa I. S. Préf. America • Amérique Peru • Pérou Soavinandriana S. Préf. Mahatsinjo District Cajamarca Department • Ambatoasana Centre Fianarantsoa II. S. Préf. Bolivia - Bolivie Chota Province Africa Afrique La Paz Department Tsiroanomandidy S. Préf Andoharanomaitso District Llama District Madagascar Franz Tamayo Province Antsiranana Province Fianarantsoa II District Miracosta District Antananarivo Province Manandriana S. Préf. Sud Yungas Province Tocmoche District Ambohidratrimo S. Préf. Andapa S. Préf. Mahajanga Province Valle Grande Province San Miguel Province Antananarivo-Avaradrano S. Préf. Doany District Toamasina Province Brazil • Brésil Nanchoc District Ambatolampy S. Préf. Fianarantsoa Province Ambatofinandrahana S. Préf. Moramanga S. Préf. Bahia State San Gregorio District Anjozorobe S. Préf. Biritinga Municipio Antananarivo S. Préf. Ambondromisotra District Mozambique San Miguel District Candeal Municipio San Pablo Province Antananarivo District Andrefambohitra District Tete Province Central Municipio Antanifotsy S. Préf. Bevonotany District Mutarara District San Louis District Conceição Municipio La Libertad Department Antsirabe I S. Préf. Soaniherenana District Tanzania, United Rep. of Feira de Santana Municipio Antsirabe II S. Préf. Ambohimahasoa S. Préf. (Area not specified – Zone non Tanzanie, Rép.-Unie de Iraquara Municipio précisée) Ambodiala District Manandroy District Tanga Region Irecê Municipio Lambayeque Department Ambohitsimanova District Ambositra S. Préf. Lushoto District Itaberaba Municipio Ampasatanety District (Area not specified – Zone non Ambatomarina District Tanga District Jussara Municipio précisée) Manandona District Ambohimahazo District Retirolândia Municipio Soanindrariny District Uganda • Ouganda Riachão do Jacuipe Municipio Piura Department Ambovombe Centre Ayabaca Province Tsarofar District Andina District Western Region Senhor do Bonfim Municipio Vinaninkarena District Nebbi District Serrinha Municipio Canales District Anjoma N’Ankona District Lagunas District Arivonimamo S. Préf Anjomà Navona District Zaire • Zaïre Teofilandía Municipio Betafo S. Préf. Montero District Ankazoambo District Haut Zaïre Province Paraiba State Alakamisy-Anativato District Araba Municipio Paimas District Ivato District Ituri Sub-Region Sapillica District Fanandriana S. Préf. Mahagi Administrative Zone Barra de S. Rosa Municipio Faratsiho S. Préf. Ivony District Cubati Municipio Suyo District Manjakandriana S. Préf. Talata-Vohimena District Zimbabwe Olivedos Municipio Huancabamba Province Miarinarivo S. Préf. Tsarasaotra District Matabeleland North Queimadas Municipio C. de la Frontera District Analavory District Fandriana S. Préf. Lupane District Remigio Municipio Canchaque District Anosibe Ifanja District Fiadanana District Nkayi District Solânea Municipio Huancabamba District

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Piura Province Eastern Region Tanzania, United Rep. of Ecuador • Equateur Peru • Pérou Las Lomas District Upper East Region Tanzanie, Rép.-Unie de Azuay Province Amazonas Department Volta Region Arusha Region Bolivar Province Ancash Department Asia • Asie Western Region Dar es Salaam Region Cañar Province Apurimac Department Viet Nam Guinea • Guinée Ilala District Carchi Province Arequipa Department Gia-Lai-Công Tum Province Kinondoni District Chimborazo Province Ayacucho Department Lâm Dông Province Conakry Province Forécariah Préfecture Kilimanjaro Region Cotopaxi Province Cajamarca Department Phù Khán Province Mara Region El Oro Province Callao Province Guinea-Bissau Mtwara Region Esmeraldas Province Cuzco Department • Guinée-Bissau Rukwa Region Galapagos Province Huancavelica Department Cholera Choléra (Area not specified – Zone non Shinyanga Region Guayas Province Huanuco Department Africa • Afrique précisée) Tanga Region Imbabura Province Ica Department Kenya Loja Province Junin Department Angola Togo (Area not specified – Zone non Los Rios Province La Libertad Department Bengo Province Golfe District Benguela Province précisée) Manabi Province Lambayeque Department Kloto District Morona Province Lima Department Cabinda Province Liberia • Libéria Kozah District Huambo Province Napo Province Loreto Department Bong County Lacs District Huila Province Pastaza Province Madre de Dios Department Montserrado County Ogou District Kuando-Kubango Province Pichincha Province Moquegua Department Sotouboua District Kunene Province Malawi Sucumbios Province Pasco Department Kwanza-Norte Province Northern Region Vo District Tungurahua Province Piura Department Kwanza-Sul Province Chitipa District Yoto District Zamora-Chinchipe Province Puno Department Karonga District • San Martin Department Luanda Province Uganda Ouganda El Salvador Luanda, Cap. Southern Region Kasese District Tacna Department Central Region Tumbes Department Malanga Province Mali • Metropolitan Region Namibe Province Zaire Zaïre Ucayali Department Kayes Région Haut Zaïre Province Occidental Region Uige Province Suriname Kayes Cercle Kivu Province Oriental Region Zaire Province Marowijne District Koulikoro Région Shaba Province Paracentral Region • Nara Cercle Benin Bénin • Venezuela Département de l’Atlantique Mopti Région Zambia Zambie French Guiana Guyane française Anzoátegui State S. Préf. d’Allada Ségou Région Central Province Apure State Circ. de Cotonou Tombouctou Région Lusaka Guatemala Aragua State Copperbelt Province S. Préf. de Toffo Mauritania • Mauritanie Alta Verapaz Department Barinas State Eastern Province Département de l’Atacora Nouakchott District Baja Verapaz Department Carabobo State Département de Borgou 1re Région Luapula Province Chimaltenango Department Delta Amacuro State Département de Mono Hodh el Chargui Northern Province Chiquimula Department Federal District Département de Zou 2e Région Southern Province El Progreso Department Guarico State Burkina Faso Hodh el Gharbi • Escuintla Department Merida State Boulgou Province 3e Région America Amérique Guatemala Department Miranda State Soum Province Assaba et Guidimakha Argentina • Argentine Huehuetenango Department Monagas State 4e Région Jujuy Province Izabal Department Nueva Esparta State Burundi Gorgol Mendoza Province Jalapa Department Sucre State Bubanza Province 5e Région Salta Province Jutiapa Department Tachira State Bubanza Arrondissement Brakna Tucuman Province Petén Department Zulia State Cibitoke Arrondissement 6e Région Quetzaltenango Department • Bujumbura Province Trarza Belize Quiché Department Asia Asie Bujumbura Arrondissement Cayo District Mozambique Retalhuleu Department Afghanistan Bururi Province Toledo District Sacatepéquez Department Cabo Delgado Province Badakhshan Province Makamba Arrondissement San Marcos Department Ancuabe District Bolivia • Bolivie Baghlan Province Rumonge Arrondissement Santa Rosa Department Chiure District Beni Department Balkh Province Gitega Province Sololá Department Gitega Arrondissement Sofala Province Chuquisaca Department Helmand Province Beira City Cochabamba Department Suchitepéquez Department Herat Province Cameroon • Cameroun El Alto Department Totonicapán Department Kabul Province Province de l’Extrême-Nord Niger La Paz Department Zacapa Department Kandahar Province Diamare Département Diffa Département Oruro Department Guyana Kapisa Province Logone-et-Chari Département Dosso Département Potosi Department Region I (Barina/Waini) Kunduz Province Mayo-Danai Département Maradi Département Riberalta Department Region II (Pomeroon/Supenaam) Nangarhar Province Mayo-Sava Département Niamey Département Santa Cruz Department Zabul Province Mayo-Tsanaga Département Tahoua Département Honduras Tarija Department Bhutan • Bhoutan Province Littoral Tillabéry Département Tupiza Department Camayagua State Moungo Département Zinder Département Choluteca Department Mongar District • Cortes Department Pemagatsel District Wouri Département Nigeria • Nigéria Brazil Brésil El Paraiso Department Phuntsholing District Province du Nord Abuja State Acre State Benoué Département Alagoas State Francisco Morazan Department Punakha District Akwa Ibom State Samdrupjongkhar District Province de l’Ouest Amapá State Omoa State Anambra State Tashigang District Haut Nkam Département Amazonas State Santa Barbara Department Bauchi State Thimphu District Mifi Département Valle Department Bendel State Bahia State Province du Sud Ceará State Yoro Department Cambodia • Cambodge Océan Département Benue State Kampot Province Distrito Federal State Mexico • Mexique Province du Sud-Ouest Borno State Kompong Cham Province Gongola State Espírito Santo State Campeche State Manyu Département Maranhão State China • Chine Mémé Département Imo State Chiapas State Kaduna State Mato Grosso State Chihuahua State (Area not specified – Cape Verde • Cap-Vert Kano State Minas Gerais State Colima State Zone non précisée) Pará State Boa Vista Island – Ile de Boa Vista Katsina State Distrito federal • Paraíba State India Inde Brava Island – Ile de Brava Kwara State Guanajuato State Andhra Pradesh State Fogo Island – Ile de Fogo Lagos State Paraná State Guerrero State Pernambuco State Hyderabad District Maio Island – Ile de Maio Niger State Hidalgo State Visakhapatnam District Porto Novo Island – Ile de Porto Ogun State Piaui State Jalisco State Rio de Janeiro State Assam State Novo Ondo State Mexico State Delhi Territory Sal Island – Ile de Sal Rio Grande do Norte State Oyo State Michoacan State Gujarat State Santiago Island – Ile de Santiago Rondônia State Plateau State Morelos State Haryana State São Nicolau Island – Ile de São São Paulo State Rivers State Neuvo León State Karnataka (Mysore) State Nicolau Sokoto State Sergipe State Oaxaca State São Vicente Island – Ile de São Bangalore District Colombia • Colombie Puebla State Bidar District Vicente Rwanda Querétaro State Cyangugu Préfecture Amazonas Department Chitradurga District Chad • Tchad Quintana Roo State Gulburga District Gisenyi Préfecture Antioquia Department Batha Préfecture Atlantico Department San Luis Potosi State Hassan District Bet Préfecture Sao Tome and Principe Bolivar Department Sonora State Kolar District Biltine Préfecture São Tomé-et-Principe Boyaca Department Tabasco State Mandya District Chari Baguirmi Préfecture Lemba District Caldas Department Tamaulipas State Raichar District Guera Préfecture São Tomé Caqueta Intendency Tlaxcala State Tumkur District Kanem Préfecture • Cauca Department Veracruz State Kerala State Lac Préfecture Senegal Sénégal Yucatan State Madhya Pradesh State Région de Dakar Cesar Department Logone Occidental Préfecture Choco Department Zacateca State Maharashtra State Logone Oriental Préfecture Département de Dakar Cordoba Department Nicaragua Akola District Njamena Préfecture Département de Pikine Amrawati District Cundinamarca Department Boaco Department Ouaddaï Préfecture Département de Rufisque Nagpur District Guajira Department Carazo Department Tandjile Préfecture Région de Diourbel Nandad District Huila Department Chinandega Department Département de Mbacke Osmanabad District Côte d’Ivoire Magdalena Department Chontales Department Département de Touba Parbhani District Département du Centre Meta Department Esteli Department Pune District Bouaké District Sierra Leone Narino Department Granada Department Sangli District Département du Nord Northern Province Norte de Santander Department Jinotega Department Thane District Touba Sous-Préfecture Kambia District Puntumayo Department Léon Department Manipur State Département de l’Ouest Western Province Quindio Department Madriz Department Punjab State Giuglo District Freetown Risaralda Department Managua Department Tamil Nadu State Man Sous-Préfecture Somalia • Somalie San Andres Intendency Masaya Department Département du Sud San José del Guaviare Department Anna District Baidoa District Matagalpa Department Chingleput District Tabou District Bardera District Santa Fe de Bogota Department Nueva Segovia Department Santander Department Madras District Djibouti Belet Uen District Rio San Juan Department Madurai District Bossaso District Sucre Department Rivas Department Ghana Tolima Department North Arcot District Kismayo District Panama Pudukkottai District Accra Region Mogadishu District Valle Department Accra District Colon Province Thanjavur District Greater Accra District Swaziland Costa Rica Comarca de San Blas Tiruchirapalli District Ashanti Region (Area not specified – Zone non Limon Province Darien Province Tirunelvelli District Central Region précisée) San José Province Panama Province Vellore District

63 WEEKLY EPIDEMIOLOGICAL RECORD, No. 8, 23 FEBRUARY 1996 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, No 8, 23 FÉVRIER 1996

Villipuram District Region 8 Sinoe County Colombia · Colombie Maranura District Uttar Pradesh State Leyte North Province Greenville Antioquia Department Santa Ana District West Bengal State Leyte South Province Nigeria • Nigéria Anori Municipio Huanuco Department Taraza Municipio Calcutta Samar Western Province Anambra State Huamalies Province Yondo Municipio Region 9 Bauchi State Monzon District Iraq Zamboanga City Arauca Intendencia Leoncio Prado Province Bendel State Al-Basra Governorate Zamboanga Norte Province Arauca Municipio Alonia Robles District Benue State Al-Anbar Governorate Region 11 Saravena Municipio Aucayacu District Cross River State Al-Mathna Governorate Davao City Boyaca Department J.C. Castello District Kaduna State Al-Najef Governorate Gen. Santos City Chita Municipio Leoncio Prado District Al-Qadisiya Governorate Region 12 Kwara State Puerta Boyaca Municipio Monzon District Arbil Governorate Cotabato City Imo State Caquetá Intendencia P. Luyando District Babil Governorate Lagos State Belén de los Andaquiés Viet Nam Rupa Rupa District Baghdad Governorate Niger State Municipio Binh Tri Thiên Province Marañon Province Dohuk Governorate Ogun State El Doncello Municipio Nghia Binh Province Cholon District Dyala Governorate Ondo State San Vicente de Caguán Phú Khánh Province Junin Department Karbala Governorate Oyo State Municipio Chanchamayo Province Mesan Governorate Europe Plateau State Casanare Intendencia Chanchamayo District Nineveh Governorate Sierra Leone Hato Corozal Municipio Perene District Salah El-Din Governorate Republic of Moldova Eastern Province Tamara Municipio San Luis Sevaro District Sulaimaniyah Governorate République de Moldova Kenema District Yopal Municipio Viloc District Tamim Governorate Chisinev Raion (region) Cesar Department • Satipo Province Tikar Governorate Slobozajskiy Raion (region) Sudan Soudan Valledupar Municipio Coviriali District Wasit Governorate Stefan-Voda Raion (region) Territory South of 12° N. Choco Department Mazamari District Tiraspol Raion (region) Territoire situé au sud Rio Sucio Municipio Pangoa District Lao People's Democratic du 12° N. Cundinamarca Department Pichanali District Republic Russian Federation Fédération de Russie Zaire • Zaïre Maya Municipio Rio Negro District République démocratique Guaviare Intendencia Rio Tambo District populaire lao Autonomous Rep. of Dagestan Territory North of 10° S. Rép. autonome de Dagestan Territoire situé au nord Miraflores Municipio Satipo District Attapue Province du 10° S. San Juan del Guaviare Loreto Department Bokeo Province Ukraine Municipio Ucayali Province Kahammouane Province Cherson Meta Intendencia Contamana District Luangnamtha Province Nicolaev Region America • Amérique Cabuyaro Municipio Purus District Louangprabang Province Odesskaya Region Bolivia • Bolivie La Primavera Municipio Madre de Dios Department Ouodomxay Province Republic of Crimea Beni Department San Carlo de Guaroa Manu Province Saravanne Province République de Crimée Ballivian Province Municipio Madre de Dios District Savannakhet Province Simferopol Itenez Province Villavicencio Municipio Manu District Simferopol Oblast Phine District Cochabamba Department Vista Hermosa Municipio Tambopata Province Sayaboury Province Ayopayo Province Norte de Santander Department Inambari District Sekong Province Yellow fever ••• Fièvre jaune Carrasco Province Cucuta Municipio Las Piedras District Tibu Municipio Tambopata District Myanmar • Chapare Province Africa Afrique La Paz Department Cucuta Intendencia Pasco Department Yangon Division Angola Toledo Municipio Puno Department Yangon Larecaja Province Bengo Province Murillo Province Putumayo Intendencia Sandia Province Puerto Asis Municipio Nepal • Népal Luanda Province Nor Yungas Province San Juan del Oro District Santander Department Baitadi District Cameroon • Cameroun Quinuni Province San Roman District Bucaramanga Municipio Vilcabamba District Jhapa District Province de l’Extrême-Nord Sud Yungas Province Cimitarra Municipio San Martín Department Khatmandu District Mayo Sava Département Santa Cruz Department El Carmen Municipio Huallaga Province Mayo Tsanaga Département Andrés Ibañez Province Vichada Department Bellavista District Philippines Cordillera Province National Capital Region Gabon Puerto Trujillo Municipio Saposoa District Florida Province Lamas Province Region 4 Province Ogooué-Ivindo Gutièrrez Province Ecuador • Equateur Aurora Province Makouko Lamas District Ichilo Province Morona-Santiago Province Tabalazos District Cavite Province Gambia • Gambie Napo Province Mindoro Province Brazil • Brésil Mariscal Caceres Province Upper River Division Humayacu District Campanilla District Palawan Province Amapá Territory Pastaza Province Rizal Province Ghana Macapá Municipio San Martín Province Sucumbios Province Juan Guerra District Region 5 Upper West Region Amazonas State Zamora-Chinchipe Province Jiripa District Careiro Municipio Sauce District Albay Province • • Maranhaõ State Peru Pérou Tocache Province Camarines Norte Province Guinea Guinée Amazonas Department La Polvora District Camarines Sur Province Siguiri Région Barra do Corda Municipio Mirador Municipio Ancash Department Nuevo Progreso District Catanduanes Province Liberia • Libéria Ayacucho Department Tocache District Masbate Province Pará State Bassa County Agua Azul do Norte Huanta Province Uchiza District Sorsogon Province Buchanan District Municipio San Josè Santillana District Ucayali Department Region 6 Bomi County Alenquer Municipio Cusco Department Coronel Portillo Province Iloilo Province Tubmanburg São Felix do Xingú La Convencion Province Calleria District Region 7 Bong County Municipio Echarate District Padre Abad Province Cebu Province Salala Tucumá Municipio Kitani District Padre Abad District

Notifications reçues du 16 au 22 février 1996

Cholera ••• Choléra Oceania • Océanie CD • Guam 3.I Africa Afrique ...... 1 0 CD Zambia – Zambie 29.I-13.II ...... 49 12

Asia • Asie CD China – Chine 1.VIII-31.XII.95 ...... 7 703 76

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