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Africa • Afrique America •Amérique WEEKLY EPIDEMIOLOGICAL RECORD, Ho. 43,25 OCTOBER 1991 • RELEVE HHDEMIOIOGIQUE HEBDOMADAIRE, If 43,25 OCTOBRE 1991 as unspecified hep arms. The number of cases reported as l'hépatite sans précision. Le nombre de cas signalés comme hépatite unspecified hepatitis continued to decrease in 1988, as sans précision a continué de diminuer en 1988 du fait que les méde­ physicians utilize more complete serological testing. cins ont recours à des épreuves sérologiques plus complètes. Fig. 1 Incidence of viral hepatitis, by year, United States af America, Fig. 1 Incidence de l'hépatite virale, par année, Etats-Unis d'Amérique, 1952-1988 1952-1988 Y e a r - Année Historically the incidence of hepatitis A in the United L'incidence de l'hépatite A aux Etats-Unis a connu des pointes States has had recurring peaks, with nationwide epidemics périodiques puisque des épidémies se produisent dans tout le pays spaced roughly 7 to 10 years apart. After 1971, the reported à peu près tous les 7 à 10 ans. A partir de 1971, l'incidence signalée incidence declined steadily until 1984, when cases began a diminué régulièrement Jusqu'en 1984, année où il y a eu recru­ again to increase (Fig. 1). By the end o f1988, a 10% increase descence des cas (Fig. 1). A la fin de 1988, on a noté une augmen­ in the incidence rate over that reported in 1987 was evident, tation de 10% du taux d'incidence par rapport à celui qui avait été with an overall increase of 32% since 1983. While the signalé en 1987, l'augmentation globale étant de 32% depuis 1983. nationwide incidence has not reached the level of 1971, Alors que l'incidence sur le plan national n'a pas atteint le niveau epidemic activity has been increasing, particularly in de 1971, l'activité épidémique a augmenté, en particulier dans western states. Comparison of state incidence rates for l'ouest du pays. La comparaison des taux d'incidence de l'hépatite hepatitis A between 1987 and 1988 shows an increase in A dans les différents Etats entre 1987 et 1988 montre qu'il y a eu high-incidence states from west to east. Incidence rates for augmentation dans les Etats à forte incidence dans le sens ouest- hepatitis A have slowly increased since the mid-1980s in est. Les taux d'incidence de l'hépatite A ont lentement augmenté most regions; the most dramatic increases occurred in the depuis 1985 dans la plupart des régions; les augmentations les plus Mountain and Pacific regions, followed by slight declines spectaculaires concernaient la région des montagnes Rocheuses et in 1987-1988. la région du Pacifique, où il y a eu par la suite une légère diminurion en 1987-1988. The highest rates ofhepatitis A were observed in persons C'est dans les groupes d'âge des 20 à 29 ans que l'on a relevé le in the 20-29-year age groups. Children younger than plus grand nombre de cas d'hépatite A. Chez les enfants de moins 15 years of age had rates as high as a decade earlier; those de 15 ans, les taux étaient aussi élevés que 10 ans plus tôt; chez les younger than 10 years of age had rates higher than in 1980. enfants de moins de 10 ans, ces taux étaient plus élevés qu'en 1980. From 1975 to 1985, the incidence for the 20-24-year age De 1975 à 1985, l'incidence pour le groupe d'âge 20-24 ans a chuté, group dropped, then increased to current levels. In addition, puis est remontée au niveau actuel. De plus, on a signalé une aug­ increases in incidence were reported across all other age mentation de l'incidence pour tous les autres groupes d'âge. groups. (Based on: Hepatitis Surveillance Report No. 53, Dec. (D'après: Hepatitis Surveillance Report N° 53, Déc. 1990; US 1990; US Centers for Disease Control.) Centers for Disease Control.) Infected areas as at 24 October 1991 Zones infectées au 24 octobre 1991 For criteria used m compiling this lise, see No 16,1991, pp, 115-116 Les cmeres appliqués pour la compflanon de certe liste sont publies dans le N" 16, 1991, pp 115-116 X - Newly reported areas X - Nouvelles signalées Vinamnkarcna D u m a Bevonotany District Plague • Peste Andoharanomauso Dismet Brazil • Bré&il Anvomnamo S Préf Soamherenana District Fianarantsoa ïï Dismet Bahia State Betafo S. Pref Ambohonahasoa S. Pref M anadham S. Préf Binunga Mumcipio Africa • Afrique Alakamisy-Ananvato District Manandroy District M ahajanga Province Candea] Mumapio Famndnana S . P r é f Ambositra S , P r é f Toamasma Province M adagascar Central Mumcipio Faratsûio S Pref Ambaromanna District Moramangu S , P r e f Aniarutnanva Province Coneeiçào Mumcipio Manjakandnana S Pref Amhnhimal-iayri District Ambohidratnmo S Préf Tanzania, United Rep. of Feira de Santana Mumcipio Miannanvo S Pref Ambovombe Centre Antanananvo-Avaradrano S , P r e f Tanzanie, Rép.-Unie de Iraquara Mumcipio Analavory Dismet Andma Dismet Ambarolampy S Fret' Tanga Region lrccê Mumcipio Anosibe Itanja District Anjoma N'Ankona District Artjozorabe S Pref Lusboto Dismet ïtaberaba Mumcipio Remvohitra S. Pref Anjoma Navona District Antananarivo S, P r e f Tanga Dismet Jussard Mumcipio Soainnottdnana S Pref Ankazoambo Dismet Antananarivo District Reurolândia Mumcipio Ambatoasana Centre Ivato Dismet Zaïre • Zaïre Antatufotsy S Pref Riachâo do Jacuipe Mumcipio Tsuvanomandidy S. Préf Ivony Dismet H aut Zaïre Province Antsirabe IS Préf Secbor do Bonfim Mumcipio Antstranam Province Talata-Vohimena Dismet Mahagi Administrative Zone Antsirabe IIS Préf Scmnha Mumcipio Artdapa S. Pref Tsarasaotra Dismet Ambodiola District America •Amérique Teofilandia Mumcipio AmhohitKimannva DlSUlCt Do any District Fandnana S. Préf Bolivia - Bolivie Paraiba State Ampasacanety District Fumaranuca Province Fiadanana Dismet La Paz Department Araba Mumcipio Manandona District Ambaiofinandrahana S . P r é f Fxamranwa IS Pref Franz Tamayo Province Barra de S Rosa Mumcipio Scamndranny District Axnbondromisotra Dismet Mahatsmjo Dismet Sud Yungas Province Cuban Mumcipio Tsarofar District AnHrafamhnhirrn District Futnaratasoa II S. Pref Valle Grande Province Olivedos Mumcipio 318 WEEKLY EPtDEMKHOCKAl RECORD, No. 4 3,25 OCTOBER 1991 • RE1EVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N* 4 3 ,2S OCTOBRE 1991 Queuoadat» Mumapio Kozah Dismct Peru • Pérou Sulaimamyab Governorate Remigio Mumapio Accra Regum Lacs Dismct Amazonas Department Tamim Governorate Solâaea Mumapio Accra Dismet Ogou District Ancash Department Tikar Governorate Greater Accra Dismet Sotouboua Dismct Peru • Pérou Apunmac Department Wasit Governorate Central Région Cajamarca Department Vo Dismct Arzqutpa Department Malaysia • Malaisie Upper East Région Yoro Distnct Chota Promue Ayacucho Department Sabah Volta Regum TJama DlStOCt Zaire «Zaire Cajamarca Department X Tawau D istna Miracosta District G uinea * Guinée H aut Zaire Provmce Cusco Department S a r a w a k Tocmocbe Dismet Conakry Province Kivu Provmce Huancavehca Department X Sununjan D um a S a n M ig u e l P ro vin ce Forecanah Prefecture Shaba Provmce Huamico Department Nepal • Népal Naachoc District Liberia • Libéria Tamiiia «Zambie lea Department Baitadi D um a San Gregono District Junm Department Bong County Central Promue Khatmandu D istna San Miguel District La Ltbertad Department Montserrado County Lusaka M et N am San Pablo Provmce Lamboyeque Department M alawi Copperbelt Prom ue Both Tn Then Province San Louis District Luna Department Central Region Northern Luapula Provmce Ngfrn Buih Provmce Ptura Department Callao D u m a Lilongwe Dismet Southern Province PhuKhanh Promue Ayabaca Provmce Luna Dismct Southern Region Canales District Loreto Deportment Europe Lagunas District M ali America «Amérique M adré de Dus Department Montera District Kayes Region Maquegua Department Romania * Roumanie Plumas Dismet Kayes Cercle Bolivia • Bolivie Pasco Department Brada Distnct SapUlica District Koultkoro Région La Paz Department Piura Department Costantsa District Suyo District Nara Cercle Tulcea Dum a Brazil • B résil Puiu Department Huancabamba Provmce Mauritania oMasritanie Amazonas State San M aran Department Ukrainian SSR • C. de la Frontera District Nouakchott District M ato Grosso State Taena Department RSS d'Ukraine Canchaque Dismet I r e R égion S3o Paulo Department Tumbes Department Mattupole Huancabamba District Hodh el Chargui Ucayah Department Ntcolaev Region Chile • C hih Ptura Provmce 2 e R égion Odesskaya Region Las Lomas Dismet Hodh el Gharbi Antofagasta Province Asia «Asie 3 e R egion Bernardo Q'Htfgms Provmce Asia «Asie India • lnd> Yellow fever • Fièvre jaune Assaba et Giudimakha Coqutmbo Province VietNam Andhra Pradesh State 4 e R egion Los Lagos Province Afnca • Afrique Gia-Lai-Công Tum Provmce Osoroo Hyderabad D u m a Gorgol Angola Lâm Dông Promue Santiago Provmce Visakhapatnam District 5 e R eg u n Bengo Province Phû Khan Provmce Assam State Brakna Colom bia • Colom bie Luanda Provmce Della Territory 6 e R eg u n Amazonas Department Choiera • Choléra Gujarat State r.n«nwu>ii « Cameroon Trarza Anaoqiaa Department Haryana State Provmce de l'Extréme-Nord Africa • Afrique Bobvar Department M ozambique Karnataka (Mysore) State Mayo Sava Departement Angola Boyaca Department Cabo Delgado Promue Bangalore District Mayo Tsanaga Departement Bengp Provmce Caldas Department Pemba City Bidar Distnct frfutihiq e G am bie Benguela Promue Cauca Department Gaza Provmce Chitradurga D u m a Huambo Province Chaco Department Upper River Division M aputo Provmce Gulburga D u m a Huüa Promue Cordoba Department Guinea • Guinée Maputo City Hassan D u m a KuandthKubango Promue Cundmamarca Department Sigum Region Nampula Provmce Kolar District Huda Department Ktmene Provmce Malcma District Mandya District M ali M
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