Weekly Epidemiological Record, 1969, vol. 44, 29 [full issue]

Relevé épidém. ftebd. 4 1969, 44, 461-468 Wldy epidem. Rec. /

N° 29 WORLD HEALTH ORGANIZATION GENEVA

ORGANISATION MONDIALE DE LA SANTÉ GENÈVE

RELEVÉ É P I D É M I O L O G I Q U E HEBDOMADAI RE WEEKLY E P I D E M I O L O G I C A L RECORD Notifications et informations se rapportant à l’application du Règlement sanitaire international et notes relatives à la fréquence de certaines maladies Service de la Surveillance épidémiologique et de la Quarantaine Adresse télégraphique: EPIDNATIONS GENÈVE Télex 22335

Notifications under and information on the application of tbe International Sanitary Regulations and notes on current incidence of certain diseases Epidemiological Surveillance and Quarantine Unit Telegraphic Address: EPIDNATIONS GENÈVE Telex 22335

18 JUILLET 1969

44e ANNÉE

—

44“ YEAR

18 JULY 1969

LE CHOLÉRA PENDANT LE PREMIER SEMESTRE DE 1969 — CHOLERA DURING THE FIRST HALF OF 1969 Fig, I C ase s

Incidence mondiale du choléra par périodes de quatre semaines: 1966-1969 World Incidence of Cholera by Four-Week Periods during 1966-1969

Au 14 juin 1969, TOMS avait reçu notification de 8 716 cas de choléra, chiffre inférieur à ceux de la période correspondante des trois années précédentes (fig. 1), mais il ne s’agit que'de valeurs provisoires qui peuvent encore se modifier notablement. Si l ’on constate une régression par rapport à 1968 dans le cas de l ’Inde, du Pakistan occidental, des Philippines et de la République du Suite page 468 Informations épidémiologiques contenues dans ce numéro:

Up to 14 June 1969, 8 716 cases o f cholera had been reported to WHO. In the previous three years, the number o f cases reported was higher for the corresponding period (Figure 1), but the pro­ visional figures for this year may change significantly. India, Pakistan (West), the Philippines and the Republic of Viet-Nam have reported fewer cases than in 1968. The number of cases Continued on page 468 Epidemiological notes contained in this number:

Choléra, encéphalite, grippe, peste.

Cholera, Encephalitis, Influenza, Plague.

Liste des Territoires infectés, p. 462.

List of Infected Areas, p. 462.

462

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ENCEPHALITE EQUINE DU VENEZUELA — VENEZUELAN EQUINE ENCEPHALITIS A m é r iq u e c e n t r a l e . — Des chercheurs du Département de microbiologie de l ’Ecole de médecine de l ’Université Cornell, New York, Etats-Unis d ’Amérique, et du Département de méde­ cine préventive de l’Ecole de médecine de l ’Université de San Carlos, Guatémala, ont soumis au Comité consultatif de la Recherche médicale de l ’OPS un rapport exposant les résultats des enquêtes qu’ils ont faites de 1965 à 1968 au Guatémala, au Honduras et au Honduras Britannique pour étudier la distribution géographique du virus VEE dans la région des Caraïbes. Précédemment, d ’autres enquêteurs avaient trouvé ce virus dans les Etats de Campeche (Mexique) en 1962, de Veracruz (Mexique) en 1963 et de Floride (Etats-Unis d’Amérique) en 1962-1963. Le virus VEE a maintes fois provoqué des épidémies et des épizooties équines dans le nord de l’Amérique du Sud; la littérature décrit en outre une épi­ zootie équine observée à Tampico, Mexique. Ce virus a été isolé sur des hamsters « sentinelles » exposés dans les plaines en bordure de l’Atlantique près de Puerto Barrios (une souche) et de Sayaxche (deux souches) au Guatémala en août 1968, près de Puerto Cortés au Honduras (cinq souches) en juilletoctobre 1967 et près de Belize au Honduras Britannique (deux sou­ ches) en juillet-août 1967. Sur la côte Pacifique du Guatémala, il a été isolé cinq fois dans le Département de Retalhuleu, et deux fois près C e n t r a l A m e r ic a . — Investigators from the Department of Microbiology, Cornell University Medical College, New York, U.S.A., and the Department o f Preventive Medicine, University of San Carlos Medical School, Guatemala, have submitted a report to the Advisory Committee on Medical Research of PAI-IO on the results o f their studies in Guatemala, Honduras and British Honduras during 1965-1968, to obtain information on the geogra­ phic distribution of VEE virus in the Caribbean region. Previously other investigators had found the virus in the States o f Campeche, Mexico, in 1962; Veracruz, Mexico, in 1963; and Florida, U.S.A., in 1962-1963. VEE virus has repeatedly caused epidemics and equine epizootics in northern South America, and an epizootic among horses at Tampico, Mexico, in 1966 is also described in the medical literature.

VEE virus was isolated from sentinel hamsters exposed on the Atlantic lowlands near Puerto Barrios (1 strain) and Sayaxche (2 strains) in Guatemala during August 1968, near Puerto Cortés, Honduras (5 strains) during July-October 1967, and near Belize, British Honduras (2 strains) during July-August 1967. On the Pacific lowlands of Guatemala, there were five isolations in the Department o f Retalhuleu and two near Avellana in the DepartContinued on page 465

Suite page 465

M ALADIES QUARANTENAIRES — QUARANTINABLE DISEASES Territoires infectés au 17 juillet 1969 — Infected areas as on 17 July 1969 Notifications reçues aux termes du Règlement sanitaire international concernant les circonscriptions infectées ou les territoires où la présence de maladies quarantenaires a été signalée (voir page 364). X

Notifications received under the International Sanitary Regulations relating to infected local areas and to areas in which the presence o f quarantinable diseases was reported (see page 364). X

= Nouveaux territoires signalés.

— Newly reported areas.

■ = Circonscriptions ou territoires notifiés aux termes de l’article 3 à la date donnée. Pour les autres territoires» la présence de maladies quarantenaires a été notifiée aux termes des articles 4, 5 et 9 a) p our la période se term inant à la date indiquée.

■ » Areas notified under Article 3 on the date indicated. F or the other areas, the presence o f quarantinable diseases was notified under Articles 4, 5 and 9 (a) for the period ending on the date indicated.

PESTE — PLAGUE Afrique — Africa CONGO, RÉP. D ÉM ./D EM . REP. Orientale, Province . . . 28.V

ÉTATS-UNIS D ’AM ÉRIQ U E U N ITED STATES O F AM ERICA New Mexico , State Bernalillo, County . . . X Sandoval, County . . .

CHOLÉRA — CHOLERA Asie — Asia

M uzaffarpur, D istrict . . Saharsa, District . . . . Santal Parganas, District Singhbhum, District . . Delhi, Territory . .

■ 14.0.68 ■ 21.IX.68 ■ 6.VÜ.68 «24.Vm.6I . 14.VI . 31.V ■ 16.VI

19.VI 7.VII

B IR M A N IE — BURM A Rangoon (PA) (excl. A) . Arakan, Division Akyab, D ............................ 12.VII 21.VI 28.VI

Gujarat, State Ahmedabad, District . . Kerala , State Kozhikode, District . . .

TANZANIE, RÉP.-U N IE D E TANZANIA, U N ITED REP. OF Tanganyika Arusha, R e g i o n .................... 18.V

Asie — Asia

Irrawaddy, Division Myaungmya, D .................. HONG KONG Hong Kong (PA) (excl. A) 2.II.68 IN D E — IN D IA ■

Madhya Pradesh, State Indore, District . . . . ■ 5.VII Raipur, District . . . . ■ 14.VI Maharashtra , State Ahmednagar, D istrict . . Amravati, D istrict . . . Buldhana, District . . . Jalgaon, D istrict . . . . Nagpur, D istrict . . . . Poona, D is tric t................. Sangli, District . . . . Thana, D is tric t................. W ardha, District . . . . Mysore, State Bangalore, District . . . Belgaum, District . . . . Chitradurga, D istrict . . Hassan, District . . . . K olar, D is tr ic t................. M andya, District . . . . Tumkur, District . . . . Orissa, State Balasore, District . . . . Cuttack, District . . . . Puri, D is tric t..................... Punjab, State Amritsar, District Bhatinda, District . . . . . . ■ ■ ■ ■ . ■ ■ ■ ■ ■ . « ■ ■ « ■ 7.V1 12.IV 12.IV 31.V 14.V I 28.VI 14.V I 10.V 21. V I S,IV 19.1V 26.IV 7.VI 15.11 3.V 5.IV

NÉPAL — NEPAL Seti, Zone Bajhang, D is tr ic t....................

6. VII

Amérique — America VIET-NAM, REP. BOLIVIE — BOLIVIA La Paz, Dep. Caupolican, Province . . D anang ( P ) ............................ 12. VII N hatrang (PA) .................... 24.V Saigon (excl. P A ) .................... 21.VI 28.Ill Hau-Nghia, Province. BRÉSIL — BRAZIL Alagoas, State 16.XII.68 Campo Grande, Mun. Santana do Ipanema, M un......................................... 27.Xn.68 Ceara, State Guaraciaba do Norte, M un......................................... Lam-Dong, Province Dilinh, D is tric t........................ 24. V Tay-Ninh, Province . 12.VII Tayninh, D is tr ic t.................... 28.VI Thua-Thien, Province H u é ......................................... 12.VII

Calcutta (PA) (excl. A) . Delhi (excl. A ) ................. H yderabad ( A ) ................. Jodhpur(A ) ..................... Lucknow (A) ................. M adras (PA) (excl. A) . . Nagpur ( A ) ..................... Andhra Pradesh, State Guntur, District . . . . X Hyderabad, District . . . M ahbubnagar, District Assam, State D arrang, District Goalpara, D istrict. K am rup, District Nowgong, District . . . . . . . . . . . .

■ ■ ■ ■ ■ ■ ■

17.III.56 25.IV 22.III 27.VI 24.V 12.VI.65 l.II

26.IV ■ 7.VI ■ 22.Ill ■ 15.Ill 3.V ■ 8.III ■ 7. VI ■ 27.Vn.68 ■ 20.VII.68

« io .v m .(! ■ 18.V .68 ■ 29.VI.68 . 24.V . 17,V

1.XII.68

Bihar, State Hazaribagh, District . . Monghyr, D istrict . . .

-

463

-

Rajasthan, State Churu, D is tric t................. Jaipur, D is tric t................. Tamil Nadu (ex Madras) , State Chingleput, D istrict . . . Madurai, District . . . . Ramanathapuram, D. . . Salem, D is tr ic t................. South Arcot, District . . Thanjavur, District . . . Tiruchirapalli, D istrict . Uttar Pradesh, State Agra, D i s t r i c t ................. Banda, D is tric t................. Faizabad, District . . . Fatehpur, District . . . Kanpur, District . . . . Lucknow, District . . . West Bengal, State Burdwan, District . . . Howrah, District . . . . Malda, D istric t................. Midnapur, District . . . 24-Parganas, District . .

31.III ■ 31.V

Mindanao, Group Cotabato, Prov. : Cotabato Visayas, Group Samar, Prov,: Calbayog .

■ 17.V ■ 24.V

Trakanphutphon, District Ubonratchthani, D . . . . Warinchamrap, D . . . . VIET-NAM , REP. Saigon (PA) (excl. A) . , An-Giang, Province Longxuyen, District . . . Thotnot, District . . . . Cantho, Province . . Gia-Dinh, Province Hau-Nghia, Province Lam-Dong, Province . Long-An, Province X Hué Phong-Dinh, Province Thua-Thien, Province ................................. .

. 5.VII . 28.VI . 28.VI

■ 10.VIII.68 ■ 12.XII.64 ■ 26.IV ■ 16.VII.66 ■ 16.XI.68 ■ 16.XI.68 ■ 24.V ■ ■ ■ ■ ■ 3.V 21.VI 7.VI 26.IV 7.VI 31.V 19.IV 25.11.67 24. V 22.III 26.IV

. 12.VII . 14. VI . 14. VI . 14.VI . 12.VII . 28.VI . 5.VII . 12.VII . 12.VU

Transvaal, Province Bethaï, D is tric t........................23.VI Middleburg, District . . . 5.III Nigel, D i s t r i c t ............................. 5.V Pietersburg, District . . . 24.1 Springs, D i s t r i c t .................... 31.III BURU N D I Ruyigi, Province X Ruyigi, Sect, méd..................... 7.VI CONGO, RÉP. D ÉM ./DEM . REP. Kinshasa ( P A ) ........................ 3.V Bandundu, Province . . , 24. V Kasai oriental, Province . 17.V Katanga, Province . . . . 14.VI Kivu, P r o v i n c e .................... 7.VI Kongo central, Province . 7.VI Orientale, Province . . . . 14.VI ÉTHIOPIE — ETHIOPIA ■ 21.V.57

TH A ÏLA N D E — TH A ILA N D Bangkok (excl. PA) . . . 5. VII Bangkok (Phranakhon)t Province . 5.VII Bangkapi, D istrict. . . . . 5.VII Bangkhen, District . . . . 28.VI Latkrabang, District . . Chachoengsao, Province Bangkhla, District . . . Bangnamprieo, District . Bangpakong, District . . Chachoengsao, District . Phanomsarakham, District Chonburi, Province Banbung, District . , . Chumphon, Province Chumphon, District . . Lopburi, Province Lopburi, District . . . . . 7.VI . 7.VI . 31.V . 31.V . 7.VI . 14.VI . 7. VI

■ ■ ■ ■ ■

Vinh-Long, Province Giaoduc, District . . . . Sadec, D is tr ic t.................

. 14.VI . 5.VII

KENYA Kisumu (PA) (excl. A) . . 22.III Eastern Province Meru, C o u n t y ........................... 22.111 Nyanza , Province Kisii, C o u n t y ........................... 22.111 MALAWI Central R eg io n ........................17.V Southern R e g i o n .................... 5.VII N IG ER Zinder, Dép. Gouré, Arr. . . N IG ÉR IA — N IG ER IA • 28.VI 6.U.S7

INDONÉSIE — INDONESIA Sulawesi-SelatanjTenggara, Province ................. ■ 21. VI LAOS Savarmakhet, Province . ■ I4.VI

FIÈVRE JAUNE — YELLOW FEVER . 21 . VI Afrique — Africa A N G O L A ......................... ■ 27.V.59

Nakhon Pathom , Province Samphran, District . . . . 21. VI Nakhon Phanont, Province M ukdahan, District . . . . 21.VI Nakhon Ratchsima , Province Nakhon Ratchsima, D i s t r i c t ......................... . 5.VII Nonsung, District . . . . 14.VI X Pakchong, District . . . . 28.VI Nakhon Sawan, Province N akhon Sawan, District . . 14.VI Nakhon Srithamrat, Province Chauat, District . . . . . 31.V Nontburi, Province Bangkruai, District . . . Bangyai, District . . . . Nontburi, District . . . Pakkret, District . . . . Pathumthani, Province Klongluang, District . . Lamlukka, District . . . Pathumthani, District . . Thanyaburi, District . . Pattani, Province X Yarang, District . . . . Samut Prakan, Province Phrapradaeng, District . Samut Prakan, District . Samut Sakhon, Province Samut Sakhon, District . 5.VII 28.VI 21.VI 14.VI 21. VI 14. VI 21.VI 21. VI 24 .V 14. VI 28.VI 5.VII

MALAISIE — MALAYSIA West Malaysia Kelantan, State Kota Bharu, HIth. D. Machang, HIth. D. . . . Pasir Mas, HIth. D. . . . Pasir Puteh, HIth. D . . Tumpat, HIth. D . . . . NÉPAL — NEPAL Katmandu ( A ) ................. Bheri, Zone Bardia, District . . . . . 20.VII.6S . 27.X.68 . 27.X.68

CONGO, RÉP. D ÉM ./DEM . REP. Territoire situé au nord du 10° S. — Territory North o f 10° S................................• 11.X1I.56 G H A N A ......................... N IG ÉR IA — N IG ER IA SIERRA LEONE . . . ■ • 1.X.56 1.X.56

■ . ■ ■ ■

19.IV 17.VI 12.IV 19.VI 5.V

■ 1.X.56

SO U D A N — SUDAN Territoire situé au sud du 12° N. — Territory South o f 12° N ..............................

O U G A ND A — UGANDA - 17.Xn.56 Northern Region Acholi, D i s t r i c t .................... 3I.V RHODÉSIE D U SUD SO UTHERN RHODESIA 28.V.68 28.V.68 26.1.68 1. 11.68

Amérique — America BOLIVIE — BOLIVIA La Paz, Dep. Larecaja, Province . . N or Yungas, Province Sud Yungas, Province . Santa Cruz, Dep. Ichilo, Province . . . Wames, Province . . .

Sagarmatha," Zone Sihra, D i s t r i c t ................. PAKISTAN Chaîna ( P ) ......................... Lyallpur (A) ................. East Pakistan Chittagong, Division Sylhet, District . . . . Dacca, Division Dacca, D. (excl. Dacca (A)) Faridpur, District . . . Mymensingh, District . . Khulna, Division Bakerganj, District . Iessore, District . . Khulna, District . . Khulna, D. : K hulna Patuakhali, District . . . . . . . . . . .

Manicaland (ex Eastern), Province X Mclsetter, District . . . Umtaii, D. : Umtaii . . SIERRA LEONE Freetown (PA) (excl. A) Western Area (excl. Bonthe (P)) . . . Eastern Province . . . . Northern Province (excl. Freetown airport) Southern Province . . . SOUDAN — SUDAN

. .

9.VII 8.VU

. 21 .VI . 31.V

28.IIL68

■ 15.IV.67 ■ 22.IV.67 ■ 11.XII.65 ■ 15.X.66 a 15.IV.67

. 24.V . 24.V . 26.IV . 17.V . . . . . . 24. V 26.1V 17. V 3.V 24. V 3.V

COLOMBIE — COLOMBIA Bolivar, Dep.

Simiti, Mun.............................4.IV Boyaca, Dep. Otanche, Mun. . . Santander, Dep. Jesu Maria, Mun. Lebrija, Mun. . . Rionegro, M un. . PÉRO U — PE RU Huanuco, Dep. X Leoncio Prado, Province . 14. VI . 26.XII.68 . 26.XI.68 . 28.XI.68 . 23.XII.68

Samut Songkhram, Province Samut Songkhram, District 7.VI Srîsaket, Province X K anthararom , District . 21. VI 14.VI 14.VI 28. VI

Khartoum ( A ) ......................21.Ill Malakal ( A ) ..........................26.IV Bahr el Ghazal, Province Yîrrol, R un C................................ 5.IV Blue Nile , Province Northern Division . . . 21.III el Dueim, M un. C .................... 3.II el Managil, Rur. C................... 10.11 Southern Division . . . 8.V1 Sennar, Rur. C..........................8.VI Equatoria, Province Juba, Rur. C ...................... Tumbura, Rur. C .............. Upper Nile, Province Bor, Rur. C........................ Nasir, Rur. C ..................... Renk, Rur. C ..................... Sobat, Rur. C .................... Zeraf, Rur. C..................... . . . . . . . . 8.VÏ 8.VI 8.VI 26.IV 20.1 20.1 9.II 5.1V

Rajshahi, Division Pabna, D istric t................. PHILIPPINES Butuan ( P ) ..................... Manila (PA) (excl. A) Luzon, Group Pasay................................. Quezon............................. Bulacan, Province . . , Camarines Sur, Prov, . . <Cavite, Province . . . . Laguna, Province . . . . Rizal, Prov. (excl. Manila airpo rt)......................... Rizal, Prov.: Caloocan .

Suratthani, Province Kanchanadit, District . . Phunphin, District . . . Suratthani, District . . . Thonburi, Province

« 22.III . 11.VII.63 ■ 24.V

X Bangkokyai, District . . 5.VII Nongkhaem, District . . 28.VI Talingchan, District . . . 28.VI T h o n b u r i ................................ 28. VI Ubonratchthanî, Province Amnatcharoen, District . Detudom, D istrict.................... Khemarat, District . . . Khongchiam, District . . X Khuangnai, District . . . Mahachanachai, D istric t. X Muangsamsip, District . Phibunmangsahan, D. . .

Junin, Dep. XJauja, P rovince........................ 16.IV

VARIOLE — SMALLPOX 28.VI 28.VI 14. VI 28.VI 14.VI 14.VI 21. VI 21. VI Afrique — Africa AFRIQ U E D U SUD SOUTH AFRICA Orange Free State, Province Verde, D is tr ic t........................5.III

■ lû.v ■ ■ ■ ■ ■ ■ 14.VI 29.VI.68 7.VI 24. V 1.VII.67 2.IIL68

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464

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TANZANIE, RÉP.-U N IE DE TANZANIA, U N ITED REP. OF Tanganyika Iringa, R e g i o n ................. Kigoma, Region . . . . M twara, Region . . . . Tabora, Region . . . . 31.V 24.V 21.VI 14.VI

G aro Hills, District . . Goalpara, District . . . K am rup, District . . . Lakhimpur, District . . Nowgong, District . . . Bihar, State Bhagalpur, District . . . Champaran, District . . Darbhanga, District . . D hanbad, D istrict . . . G aya, D i s t r i c t ................. H azaribagh, District . . Monghyr, District . . . Muzaffarpur, District . . Palamau, D istrict . . . . Patna, D i s t r i c t ................. Pumea, District . . . . Ranchi, D istrict................. Saharsa, District . . . . Santal Parganas, District Saran, D i s t r i c t ................. Singhbhum, District . . Delhi, Territory . .

■ ■ ■ ■ ■

17.V I9.X.68 29.III 12.X.68 17.V

Punjab, State Bhatinda, District Gurdaspur, District Patiala, District . Sangrur, District .

. . . .

. . , , . . . .

■ 13.XII.68 a 19.VI . 3. V ■ 4. VII ■ 23.XII.67 . 26.IV ■ I4.XII.68 B 17. V ■ 22.11 ■ 18.XI.67 a31.VIII.68 a 4.XI.67 ■ 22.11 ■ 16.XI.68 a 22.III ■ 12.X.68 ■ 23.XI.68 ■ 26.IV ■ 21.IX.68 ■ 12.IV ■ 9.XI.68 a 3.V ■ 7.XII.68 ■ 31.V a 7.VI a 30.XI.68 a 16.XII.67 ■ 31.V • 15.111 a 1.V.65 a 5.IV a 22.m a 21.IX.68 ■ 29.III a 16.XII.67 a 10.V . 7. VI a 8.III ■ 12.IV a 31.V a 12.IV a 5.IV a 21.IX.68 a 31.V ■ 19.IV a 15.V.65

Lahore (excl. A) . . . . Peshawar (excl. A) . . . Quetta ( A ) ......................... East Pakistan Chittagong, Division Chittagong, D . (excl. Chittagong (PA)) . . Commilla (Tippera), D . . Noakhali, District . . . Sylbet, District . . . . Dacca, Division Dacca, D is tric t................. Faridpur, District . . . Mymensingh, District . . Khulna, Division Jessore, District . . . . x Kushtia, District . . . . Patuakhali, District . . Rajshahi, Division Bogra, D is tr ic t................. X Dinajpur, District . . . X Pabna, D is tric t................. Rajshahi, District . . . . Rangpur, Di st r i ct . . . . West Pakistan Bahawalpur, Division Bahawalnagar, District . Bahawalpur, District . . Rahim Y ar K han, District Hyderabad, Division D adu, D i s t r i c t ................. Hyderabad, D is tric t. . . H yderabad, D .: H yderabad ................. Sanghar, District . . . . Khairpur, Division K hairpur, District . . . Sukkur, District . . . . Lahore, Division G ujranwala, District . . Lahore, District . . . . Sialkot, D . (excl. Sialkot) Multan, Division D era Ghazi K han, District M ultan, District . . . . Sahiwal, District . . . . Peshawar, Division Peshawar, District . . . Quetta, Division Sibi, D istrict ................. Rawalpindi, Division Campbellpur, District Gujrat, D i s t r i c t .................... Jhelum, D istrict........................ Rawalpindi, D. (excl. Rawalpindi (A) & I s l a m a b a d ) ........................ Sargodha, Division Lyallpur, D . (excl. Lyallpur ( A ) ) .................... Mianwali, District . . . Sargodha, D . (excl. Sargodha ( A ) ) ....................

. 5.VII . 21.VI . 14.VI

TOGO Région centrale Sokodé, Cire..................... Région maritime Anécho, Cire...................... Lomé, Cire. (excl. Lomé ( P A ) ) ............................. Tabligbo, Cire.................... ll.V 18.V l.V I l.V I

. 22.11 ■ 18.1.65 ■ 3.IV.65 ■ 2.II.63 • 6.VIII.66 ■ 11.IX.61 • 8.1.66 ■ 4.XH.65 ■ 3.XU.66 ■ 19.III.66 ■ 22.IV.67 • 6.XI.65 ■ 12.XII.64 . 4.1 ■ I I . 11.67 ■ 28.V1U.66 . 24.V

Rajasthan , State Ajmer, D is tric t................. Bliilwara, District . . . Chittorgarh, District . . Churu, D is tric t................. D ungarpur, District . . . Gaüganagar, District . . Jaipur, D is tric t................. Jhalawar, District . . . Jhundjhunu, D istrict . . Jodhpur, District . . . . Kotah, D is tric t................. Nagaur, District . . . . Pali, District ................. Sikar, D i s t r i c t ................. Sirohi, D is tr ic t................. Tonk, D i s t r i c t ................. Uttar Pradesh, State Agra, D i s t r i c t ................. Allahabad, District . . . Azamgarh, District . . . Banda, D is tric t................. Bahraich, District . . . Basti, D i s t r i c t ................. Bijnor, D is tric t................. Bulandshahr, District . . D ehra D un, District . . Deoria, District . . . . Etah, D i s t r i c t ................. Etawah, District . . . . Farrukhabad, District . . Garhwal, District . . . . G orakhpur, District . . Jhansi, D is tric t................. X K anpur, District . . . . Lucknow, District . . . Meerut, District . . . . M oradabad, D istrict. . . Muzaffarnagar, District . N ainital, District . . . . Rae Bareli, District . . . Sitapur, District . . . . Sultanpur, District . . . West Bengal, State Burdwan, District . . Cooch Behar, District . Howrah, District . . . . M idnapur, District . . M urshidabad, D is tric t. Nadia, District . . . . 24-Parganas, District . West Dinajpur, District . . . . . .

. 10.V . 24.V . 10.V 17.V . 24.V 24.V . 3.V . 26.IV . 24.V . 26.IV 24.V 24.V 24.V 3.V . 24.V

Amérique — America BRÉSIL — BRAZIL Brasilia ( A ) ..................... Recife ( P A ) ..................... Santos ( P ) ......................... Sao Paulo ( A ) ................. Vitoria ( P ) ......................... Bahia, State . . . . Distrito Federal. . . Espirito Santo, State Maranhao , State . . Mato Grosso, State . Parana, State . . . Rio Grande do Norte , State ..................... Roraima, Terr. . . . Santa Catarina, State Sao Paulo, State . . 17.V 15.III 23.III I2.IV 2 9 .m 17.V I7.V 10.V I9.IV 31.X.68 24.V 28.XII 30.XI.68 26.IV ■ 3.V

Gujarat, State Ahmedabad, District . . Bhavnagar, District . . Broach, District . . . . Bulsar, D is tric t................. Jamnagar, District . . . Kutch, D is tric t................. M ehsana, District . . . Panch Mahals, District . Rajkot, District . . . . Sabarkantha, District . . Haryana, State Gurgaon, District . . . Hissar, D is tric t................. K arnaî, District . . . .

. ■ ■ ■ a ■ a a . ■

14.VI 5.11.66 J4.XII.68 28.Xn.68 18.1 30.XI.68 17 V 11.1 24.V 28.IX.68

14.VI 7.VI 3.V 26.IV 7.VI 10.V 26.IV 19.IV 12.IV 12.IV 7.VI 14. VI 26.IV 14.VI 24.V 31.V 31.V 17.V 14.VI 5,1V 29.m

. 5.VII ■ 16.X1.68 a 28.VI

Jammu & Kashmir, State Jamm u, District . . . . . 22.III U dhampur, District . . . . 4.1 Kerala, State Kozhikode, District . . . Madhya Pradesh, State Bastar, D is tric t................. Bhilsa, District . . . . B hind, D is tr ic t................. Bilaspur, District . . . . Chhindwara, District . . Damoh, District . . . . Dewas, District . . . . D har, D i s t r i c t ................. East-Nimar, District . . G una, D i s t r i c t ................. Gwalior, District . . . . Jabalpur, District . . . . Jhabua, District . . . . Morena, District . . . . Raipur, District . . . . Rewa, D i s t r i c t ................. Satna, D i s t r i c t ................. Surguja, District . . . . Maharashtra, State Ahmednagar, District . . x Amravati, District . . . Buidhana, District . . . Dhulia, District . . . . Poona, D is tric t................ x Ratnagiri, District . . . Sangli, District . . . . Sholapur, District . ; . Thana, D is tric t................ Mysore, State Belgaum, District . . . . Bijapur, District . . . . Chitradurga, District . . Dharwar, District . . . Orissa, State Balasore, District . . Cuttack, District . . Ganjam, District . . Keonjhar. District. . K oraput, District . . Mayurbhanj, District Sambalpur, District . Sundergarh, District

■

3.IV

Asie — Asia AFGHANISTAN X Kabul ( A ) ......................... Parwan, Province . . . . 11.VII 4.VII

BIRM ANIE — BURMA Arakan, Division Akyab, District . . . . Sagaing, Division Mawlaik, District . . . . 3.IV 7.VI

■ « . • . a . • ■ ■ a • ■ . a ■ ■ ■

25.IV 12.VI 3.V 27.VI 19.IV 28.V 2 9 .m 27.V 3.V 24.1 17.V 18.1 15.V 17. V 5.IV 26.VI 3,1V 15.III

■ 7.IV.66 ■ 20.1.66 ■ 23.XII.62 a 12.IV a 29.III a 26.IV . U II

IN D O N ÉSIE — INDONESIA Djakarta-Raya (PA) . . . 24.V . 18.V.68 . 11.1 . 14. VI . 7.VI Atjeh, Province . . . Djambi, Province . . Djawa-Barat, P rovince ................ Djawa-Tengah, P rovince ................. Djawa-Timur, P rovince ................. Jogjakarta, Aut. Terr. Kalimantan-Barat, P rovince ................. Lampung, Province . Riau, Province . . . Sulawesi-Seiatanl Tenggara, Province Sumatera-Bwat, P rovince ................. Sumatera-Seiatan, P rovince ................. Sumatera-Utara, P rovince ................. NÉPAL — NEPAL (excl. Biratnagar (A) & Katm andu ( A ) ) ................. Katmandu ( A ) ................ PAKISTAN Dacca (excl. A) . . . . Karachi (PA) (excl. A) . . 3I.V . 5.VII

19.IV 29.m 14,VI

. 12.IV . 8.II . 10.V . 24. V . 7.IX . 7.VI

INDE — IND IA

Ahmedabad (A) . . . . Bombay (PA) (excl. A) . Calcutta (PA) (excl. A) . Kanpur ( A ) ................... Lucknow (A) ............... Andhra Pradesh , State

■ ■ ■ ■ ■

14.XII.68 23.XI.68 2.X I.68 7.VI 17.V 29.III 2.XI.68 13.XII.59 3.VII.60 4.1 4.III.67 25.IV.64 12.III

■ a a ■ ■ a • ■ .

17.V 28.VI 7. VI 26.IV 1.II.65 14.VI 30.XI.68 7.X.64 26.IV

YÉM EN — YEM EN Sana, P ro v in c e ........................ 30.V Taiz, P r o v in c e ........................ 22.V

. 24.V . 24.V . 3.V

TYPHUS À POUX t LOUSE-BORNE TYPHUS FEVER) Afrique — Africa A FR IQ U E D U SUD SOUTH A FRICA Cape o f Good Hope, Province Engcobo, D is tric t................... 7.VII Glen Grey, District . . . 7. VII Mqanduli, District . . . 5.Ill Queenstown, District . . 23.X,68 Saint-Marks, District . . 31.Ill Wodehouse, District . . 3.VI t Deux cas ou plus au cours d’une période de quatre semaines. — Two or more cases during a four-week period.

Chittoor, District . . . . East Godavari, District . Guntur, District . . . .

■ a ■ ■

14.XII.68 14.XII.68 15.VI.68 27.VII.68

Krishna, District . . . . Medak, District . . . . Srikakulam, District . . Visakhapatnam, District . Warangal, District . . . Assam, State

■ ■ ■ ■ ■ ■

Darrang, District

. . .

■ 15.III

. . . . . . . . . . . .

. . . .

B 7.X II.68 a 2.IX .67 a 26.VIII.67 a 26.IV a 9.IX .67 a 2.IX.67 a I0.V a 21.XII.68

. 6.V ■ 22.V.63

—

465

—

BURUNDI Bujumbura, Province (excl. Bujumbura ( P A ) ) ..................... Bururi, Province . .

Addis Ababa (A) . . . . 3.V Asmara ( A ) .............................3.V . . . . . . 7. VI 7.VI 7.VI 7.VI ÉQ U A TEU R — ECUADOR 7 .VI 7. VI Bolivary Province G uaranda, Canton . . . . 17.V Amérique • — America

FIÈVRE RÉCURRENTE À PO U X f t LOUSE-BORNE RELAPSING FE V ER ft Afrique — Africa ÉTH IO PIE — ETHIOPIA ■ 17.IX.60 (excl. Addis A baba, Asmara, Assab & Massawa) Addis A baba (A) . . . . 17.V

Blue Nile, Province Northern Division W ad Medani, Mun. C. Southern Division Sennar, R ur. C .............................26.IV Kassala, Province Gedaref, M un. C ...................... 19.IV . . 10.V

Kitega, Province. . . Muhinga, Province .

Muramvya, Province Muramvya, A rr.................. Mwaro,Arr...................... Ngozi, Province . . Kayanza, A rr...................... Ruyigi, Province R uyigi, Sect, m éd...............

. 7.VI . 31.III . 7.VI

SO U D A N — SU D A N K hartoum ( A ) ............................10.V M alakal ( A ) ................................10.V el Obeid ( A ) ..................................3.V Kordofan, Province Abu G u b c i h a .........................12.IV K a d u g li.....................................10.V

Carchi, Province Tulcan, C a n t o n .................... 10.V

M EX IQ U E — MEXICO ÉTHIOPIE — ETHIOPIA ■ I7.IX.60 (ucl, Addis Ababa» Asmara, Assab & M assawa) Veracruz, State Tuxpan» C i r c . ........................ I4.I f t Deux cas ou plus au cours d ’une période de trois semaines. — Two or more cases during a three-week period. Upper Nile, Province Renk, Rur. C . .........................10.V

Territoires supprimés de la liste des territoires infectés entre les 11 et 17 juillet 1969 Areas removed from the infected area list between 11 and 17 July 1969 CHOLÉRA — CHOLERA Asie — Asia IN D E — IN D IA Ahmedabad (A) Visakhapatnam (P) Uttar Pradesh, State Jaunpur, District Sitapur, District U nnao, District PAKISTAN East Pakistan Chittagong, Division Chittagong, District THAÏLANDE — THAILAND Bangkok (Phranakhon), Province M inburi, District Chonburi, Province Banglamung, District Phanatnikhon, District Nakhon Pathom, Province N akhon Chaisi, District Pathumthanl, Province Samkhok, District Phetchburi, Province Phetchburi, District Ratchburi, Province Dammoensaduak, District Samut Prakan , Province Bangbo. District Bangphli, District Samut Sakhon, Province Krathumbacn, District Asie — Asia IN D E — IN D IA Andhra Pradesh, State Hyderabad, District K arimnagar, District Nellore, District Nizamabad, District Maharashtra, State Nasik, District Amérique — America TYPHUS À POUX LOUSE-BORNE TYPHUS FEVER VARIOLE — SM ALLPOX Afrique — Africa TANZANIE, RÉP.-U N IE D E TANZANIA, U N ITED REP. O F Tanganyika Shinyanga, Region Mysore , State Bangalore, District Gulbarga, District K olar, District Shimoga, District

FIÈVRE JA U N E — YELLOW FEVER Amérique — America PÉ R O U — PERU Ayacucho, Dep. H uanta, Province

PÉROU — PERU PunOy Dep. Puno, Province

Suite de la page 462 d’Avellana dans le Département de Santa Rosa. On a constaté en outre que le sérum des habitants de ces régions contenait des anti­ corps antivirus VEE, D ’après les isolements sur les hamsters «sen­ tinelles », la distribution du virus est très focalisée et limitée à des marais et à des lieux à la fois boisés et humides. On n’a pas encore déterminé si le virus n’existe en Amérique centrale que depuis peu ou depuis de nombreuses années.

Continuation o f page 462 ment o f Santa Rosa. Studies o f human sera in these areas also revealed VEE virus antibody. The distribution o f the virus as manifested by isolations from sentinel hamsters was quite focal, and limited to marshes or wet forested localities. It has not yet been determined, if the virus has been present in Central America only recently, or for many years.

E q u a t e u r . — Au 17 mai, 100 cas d’encéphalite à virus VEE E cuador. — To 17 May, 100 cases of encephalitis due to VEE avaient été signalés. Après 2 cas survenus entre le 1er et le 29 mars, virus have been reported. Two of the cases occurred in the weeks il y a eu un cas mortel dans la semaine se terminant le 12 avril. Au ended 1 and 29 March, and were followed by a fatal case in the cours des semaines suivantes, le nombre des cas est passé de 7 week ended 12 April. The cases increased in the subsequent pendant la semaine se terminant le 19 avril, à 44 pendant la semaine weeks from seven in the week ended 19 April to 44 in the week se terminant le 17 mai. Depuis le 26 avril, des cas ont été observés ended 17 May. Since the week ended 26 April cases have occurred à Guayaquil ainsi que dans d’autres régions côtières. Pour lutter in Guayaquil as well as in other coastal areas. The Government contre cette épidémie, le Gouvernement des Etats-Unis a fourni of the United States has supplied 97 barrels of Malathion and other 97 fûts de malathion et a aidé à la réalisation de pulvérisations assistance in the aerial spraying for control o f the outbreak. par aéronef. {Inf. epidem. Sem. (W ash.), Vol. XLI, No. 25)

GRIPPE Chili (information en date du 30 juin 1969). —• A fin mai et début juin, des cas isolés de grippe se sont produits à Santiago et à Valparaiso. Cinq souches de virus grippal A2 ont été isolées et plusieurs cas ont été diagnostiqués par des examens sérologiques.

INFLUENZA C hile (information dated 30 June 1969). — During end of May and beginning o f June isolated cases o f influenza occurred in Santiago and Valparaiso. Five strains o f influenza A2 virus have been isolated and several cases were diagnosed serologically.

—

466

—

Notifications reçues du 11 au 17 juillet 1969 — Notifications received from 11 to 17 July 1969

■

Circonscription notifiée aux termes de l’article 3 du Règlement sanitaire international comme infectée à la date donnée. Area notified under Article 3 o f the International Sanitary Regulations as an infected local area on the date indicated.

... Chiffres non encore disponibles — Figures not yet received (A) Aéroport — Airport (P) Port i p r s Cas importés — Im ported cases Chiffres préliminaires — Preliminary figures Chiffres révisés — Revised figures Cas suspects — Suspected cases signifie la ville de Rangoon avec son port et son aéroport. means the city o f Rangoon with its port and its airport.

Q

Circonscription notifiée aux termes de l'article 6 du Règlement sanitaire international comme indemne à la date donnée. A rea notified under Article 6 o f the International Sanitary Regulations as free from infection on the date indicated. Ville X (A) City X (A) Ville Y (P) City Y (P) Ville X et l ’aéroport de cette ville. City X and the airport o f that city.

Rangoon (PA) Rangoon (PA)

Ex.: Ville Y et le port de cette ville. City Y and the port o f that city. Karachi (PA) (excl. A) signifie la ville de Karachi avec son port (mais sans son aéroport). Karachi (PA) (excl. A) means the city of Karachi with its port (but w ithout its airport).

PE STE — PLA G U E A m é riq u e — A m e ric a c ÉTATS-UNIS D 'A M ÉR IQ U E U N ITED STATES OF AM ERICA D 7.VII

C

D

c

D

c

D PAKISTAN (suite - conld)

c

D

c

D

IN D E (suite) 25-3l.V N D IA (continued) Andhra Pradesh State Districts M ahbubnagar . Ip Hyderabad ■ 7.VI Assam, State Districts Kam rup . . . . Ip Nowgong ................. Delhi, Terr. . 0

1-7.VI

8-14.VI

I1-17.V

18-24.V

Dacca, Division Districts 2P D a c c a (excl. D a c c a (A )) 4 0 M y m e n s in g h . . . . 10 4

New Mexico , State Sandoval, County J e m e z S p r in g s . . . . l 0

5

24 0

i 0

IP 0

33p 14

13/) 1

36p 19P 30/7

1p 15p IP

Khulna, Division Districts B a k e r g a n j .......................... K h u l n a (e x c l. C h a î n a (P )) .......................... P a t u a k h a l i ..................... 4 3 2 0 4 2 0 2

3 2

3 1

A sie — A sia C VIET-NAM, REP. D a n a n g ( P ) .................... D

6-12.VII

Madhya Pradesh, State Districts R aipur ..................... Indore ■ 5.VII Maharashtra, State Districts A h m e d n a g a r............. Amravati . . . 53p Buldhana . . . 2p Jalgaon . . . . 3p Nagpur . . . . 63p S a n g li......................... Thana ..................... Rajasthan, State Jaipur, D. . . . Ip

2p

lP PH ILIPPIN ES 1 B u t u a n ( P ) ..................... M a n il a ( P A ) (e x c l. A ) . 1-7.VI Is 7s 0 0 8-14.V 1 0 4s 0 0

4 1 5

0 0 0

Hau-Nghia, Province Tay-Ninh , Province .

Op Op 0/> Op

3P 17P 46p

Op 1p Op

22p

Op L uzon, G roup Q u e z o n ...............................

65p i 2p 8/7 1P lip 5p

Is 0 Is

0

0

0

Provinces B u la c a n ■ 14.VI , . C a v ite ■ 7.VI . . L aguna ......................... R iz a l (ex cl. M a n il a J a i r p o r t ) .....................\ 0 Is 0 0 0 0 0

CHOLÉRA — CHOLERA A sie — A sia

Is 0 0 5 6s 1 1.Î

Op

c BIRM A N IE — BURM A R a n g o o n (P A ) (e x c l. A ) 2

D

6-12.V1I 0

Tamil Nadu (ex Madras), State Districts M adurai . . . 3p S a le m ......................... Uttar Pradesh, State Districts A g r a ................. 0 Lucknow . . . 3 Jaunpur ( Sitapur l □ 14.VI Unnao (

Is 0 35 0

0 1 ) 0 0 l » 0

Op

3p 1P

Op Ip

6p 4p

Op

R iz a l: C a l o o c a n

.

. < \

s

M in d a n a o , G r o u p 0 0 2p 1P C o t a b a t o , P r o v . : C o ta b a t o .............................. 0 0 0

HO N G K O N G 1 H o n g K o n g (P A ) (excl. A ) ...................................

6-12. VII

3

0

TH A ÏLA N D E 1 — THAILAND B a n g k o k (e x c l. P A ) : D u s i t, D . , ..................... P h y a th a i, D . . . .

29.VI-5, V II

C IN D E — IN D IA

D

c

D LAOS S a v a n n a k h e t, P r o v in c e 24-30.VI

29.VI-5.VII

6-12. VII

l l

0 0

C a l c u tta (P A ) (e x c l. A ) 27 3 D e lh i (e x c l. A ) . . . . 10 0 J o d h p u r ( A ) .....................1 0 L u c k n o w (A ) . . . . 0 0 M a d r a s (PA) (e x c l. A ) 58 1 N a g p u r ( A ) .....................2 7 0 A h m e d a b a d (A ) V is a k h a p a tn a m (P ) 1 Cholera F.l Tor. □ 12.VII n 9.VII

7

4

Bangkok (Phranakhon), Province Districts B a n g k a p i .......................... B a n g k h e n .......................... l l 0 0

2 27

6 "6 PAKISTAN E a s t P a k is t a n 11-17.V 18-24.V

Nakhon Ratchsima, Province N a k h o n R a t c h s im a , D . 10 10 2 1 Cholera El Tor. l 0 . 19

Chittagong, Division S y lh e t, D ........................

-

467

-

CHOLÉRA (suite) — CHOLERA (contd.) Asie (suite) — Asia (continued) THAÏLANDE1 suite) THAILAND1 (continued) C D 29.VI-5.VII

c PÉROU

D

c

D

C

D

C

D

1 (suite) — PE RU 1 (contd.)

Junin, Dep. Jauja, Province Satipo, D ...................8-16.IV

IN D E (suite) 25-3l.V IN D IA (continued) Gujarat, State Districts Ahmedabad . . Broach . . . . Jam nagar . . . Panch Mahals .

1-7.VI

8-14.VI

1

î

Nontburi, Province Bangkruai, D ................ Samut Sakhon, Province Sam ut Sakhon, D. . . Thonburi, Province Bangkokyai, D. . . . Ubonratchthani, Province Trakanphutphon, D. . Nakhon Ratchsima, Province Pakchong, D ................. Ubonratchthani, Province Districts Amnatcharoen . . . . Detudom.................... Ubonratchthani . . . Warinchamrap . . . Srisaket, Province Kanthararom, D. . . Ubonratchthani, Province Muangsamsip, D. . , Ubonratchthani, Province Districts Khuangnai................ Khemarat.................... Suratthani, Province Kanchenadit, D. . . Pottani, Province Yarang, D ..................... ‘Choiera El Tor. VIET-NAM, REP.

1 Fièvre jaune de brousse/Jungle Yellow Fever. 1 0

9p 4p lp ...

Up üp

3P "ip

2p 1P

IP

Op

1

0

VARIOLE — SMALLPOX 1 0 B U RU N D I

Afrique — Africa C

D

1

0

1-7. VI

Madhya Pradesh, Stale Districts Bastar ..................... B h ils a ......................... D h a r .................36p G u n a .................10p Jabalpur . . . 2p Jhabua . . . . 3p S a t n a ................. lp

ip 4P üp 2p Op 0p 3P 2p Up

Up 2p ”op 0p

'6/3 2p °P

3P

22-28.VI

Ruyigi, Province Ruyigi, Sect. méd. . . — N IG ERIA

10

0

i

1 N IG ÉRIA 1-7.VI

î

2 7 1

0 0 0 0

Kwara, State Ilorin, Prov................... RHODÉSIE D U SUD SOUTHERN RHODESIA

Maharashtra , State Districts Poona ..................... Sholapur . . . . 1p Qp Nasik □ 14.VI Amravati | 28.VI Ratnagiri | 14.VI Mysore, State Districts Bangalore \ Gulbarga 1 n Kolar ? u Shimoga j Punjab, State Bhatinda, D. . .

7P

lp

î

0

9.VII

15-21.VI

14V1 14,Vi

2 1

0

Manicaland (ex Eastern), Province Melsetter, D .................. SIERRA LEONE

î

0

I9p

lp

.y.

IP

Op

0 11-I7.V

8-14.VI

î î î

0 0

Western Area (excl. Bonthe (P) & Free­ town (PA)) . . . .

8

0

0

TANZANIE, RÉP.-U N IE D E TANZANIA, U N ITED REP. OF T a n g a n y ik a

15-21.VI

Uttar Pradesh, State Districts Allahabad . . . 5 B ijn o r ................. 3 Bulandshahr . . 2 Deoria . . . . 2 J h a n s i................. 4 Kanpur . . . . 0 Lucknow . . . 1 M oradabad . . 3 Sitapur . . . . 6

2 1 0 0 0 0 0 0 0

Op 2p *P IP

4P 2p lp IP 2p Op

18-24.V

î

0

Mtwara, Region . . .

1

0 PAKISTAN 22-28.VI 29.VI-5.VII

6-12. VII

Asie — Asia C

Karachi (PA) (excl. A) 10 Lahore (excl. A) . . 0 D 5-11. VII

3 0

5 5

1 0

Saigon (PA) (excl. A) . Gia-Dinh, Province . Long-An, Province .

4 S 2 1

0 0 0

A FG H A N ISTA N

1I-17.V E a s t P a k is t a n

18-24.V

Kabul (A)

................ C D

î C

0 D

Phang-Dinh, Province Cantho, D ..................... Thua-Thien, Province Hué...........................

0

IN D E — IN D IA

29.VI-5.VH

6 -12 .vn

3

1

Ahmedabad (A) . . . Bombay (PA) (excl. A) Delhi (excl. A ) . . . . Lucknow (A) . . . . 1 Transféré (Haryana). de/Transferred

4 2 11 0

0 1 0 0

1 1 ï

2 1 6

Chittagong, Division Districts Commilla (Tippera) 0 S y l h e t .................... . 10 Dacca, Division Districts Dacca (excl. Dacca (A)) F a r id p u r ....................

0 3

î

0

0 0

from:

Gurgaon,

D.

0 0

0 0

4 1

3 1

FIÈVRE JAUNE

— —

YELLOW FEVER America C D

Amérique PÉROU1 — PERU 1

C D 25-3 l.V Andhra Pradesh, State Districts East Godavari . 2p 0p G untur ................................ H yderabad \ Karim nagar 1 n , 4 V r Nellore I □ I4.VI Nizamabad )

C D 1-7. VI

c

D

8-14. VI

Khulna, Division Kushtia, D .................... . 13 Rajshahi, Division Districts B o g r a ......................... D in a jp u r .................... Pabna ......................... Rangpur ....................

3

19

9

Huamtco, Dep. Leoncio Prado, Province C respo Castillo, D. . 7-14.VI

.............. lp lp

4P

3P

1

1

1Fièvre jaune de brousse/Jungle Yellow Fever.

0 4 0 3

0 0 0 0

0 0 1 0

1 1 1 1

—

468

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TYPHUS À POUX LOUSE-BORNE TYPHUS FEVER Afrique — Africa C A FR IQ U E D U SUD SO UTH AFRICA D 7. VII

C BURUNDI

D B U R U N D I (suite — contd)

C

D

1-7.VI

1-7.VI

Bujumbura, Province (excl. Bujumbura ( P A ) .................... Bururi, Province . Kitega, Province . . 2 2 0 0 Muhinga, Province Suite de la page 461 21 20 695 181 0 0 6 0

Muramvya, Province Muramvya, Arr. . . . Mwaro, Arr.................. Ngozi, Province Ruyigi, Province Ruyigi, Sect. méd. . . 27 1 . . 212 41 546 1 0 3

Cape o f Good Hope, Province Districts E n g c o b o .................... Glen G r e y ................

Continuation o f page 461 reported by India and Pakistan (East) is, however, higher than in 1966 and 1967 for the same period (Table 1 ). Thailand, Malaysia and Singapore have been experiencing an increase over the past three years, and for the first time this year, Laos was reported to be infected. Both the increase in the number o f cases and the more extensive geographical distribution within and among the countries probably reflect improved surveillance and reporting due to changes in the attitude towards the disease rather than any real increase and spread o f the disease. It is significant to note that though the number o f cholera cases reported is showing a declining trend, the disease is widespread throughout Asia.

Viêt-Nam, en revanche les chiffres émanant de l’Inde et du Pakistan oriental sont supérieurs à ceux de 1966 et de 1967 pour la même période (tableau 1). En Thaïlande, en Malaisie et à Singapour, on a enregistré une incidence plus élevée de la maladie au cours des trois dernières années. D ’autre part, le Laos vient d’être déclaré infecté pour la première fois cette année. Il est toutefois probable que cette augmen­ tation des cas ainsi qu’une plus grande extension géographique traduisent une surveillance et une notification plus consciencieuses plutôt qu’une recrudescence réelle de la maladie. Bien que le nombre des cas déclarés de choléra tende à baisser, il importe de noter que la maladie reste répandue à travers toute l ’Asie.

Cas de choléra signalés à l’OMS pendant les six premières périodes de quatre semaines (jusqu’à mi-juin) des années 1966 à 1969 Cases of Cholera Reported to WHO in the First Six Four-Week Periods (Middle of June), 1966-1969 1966 1967 1968 1969

Birmanie — B u r m a ............................................................. Cambodge — C a m b o d ia ..................................................... Chine (Taïwan) — China (Taiwan) ................................. Inde — I n d ia ......................................................................... Indonésie — Indonesia ..................................................... L a o s ......................................................................................... Malaisie — Malaysia: Malaisie occidentale — West M alaysia........................ Népal — N e p a l..................................................................... Pakistan : dont — of which : Pakistan occidental — West P a k is t a n ........................ Pakistan oriental — East Pakistan ............................ P h ilip p ines............................................................................. Singapour — S in g a p o r e ..................................................... Thaïlande — T h a ila n d ......................................................... Viêt-Nam, Rép. du — Viêt-Nam, Rep. o f ........................ Total .....................................................................................

134 35 —

4316 139 —

5 4 1* 4 374 676 —

8 8 — — —

6 320 25 —

5 265 199 2 47 — 3 2 296 210 8 618 60 8 716

5 2 1 540 2 783 — 265 6 164 15 378 — 389 828 — 85 4 348 10 710 —

2 852 1 312 341 6 350 162 11 381

* Cas importé — Imported.

PESTE E tats-U nis. — Un second cas de peste associé à la présence de rongeurs et confirmé par des examens bactériologiques a été signalé le 11 juillet au Nouveau-Mexique.1 Il s’agit d’un garçonnet de trois ans habitant Jemez Springs, village du Comté de Sandoval situé à 80 km environ au nord-ouest de Placitas, où était survenu le premier cas de peste. L’enfant est tombé malade quelques jours après avoir joué avec un tamia mort. Il présentait des malaises, de la fièvre et fut hospi­ talisé le 30 juin. L’examen physique lors de l ’admission a révélé la présence d ’une lymphadénopathie dans la région inguinale gauche. Une méningite est apparue ensuite1et peut-être une pneu­ monie secondaire. Il est actuellement sous antibiothérapie. L ’aspect morphologique des cultures du.matériel prélevé sur la lésion était compatible avec Pasteurella pestis. Les tests par immuno­ fluorescence et par bactériophagie ont été également positifs. Des épreuves par inoculation à l ’animal sont en cours. On procède actuellement dans la région à des captures d’animaux. 1 Voir N° 28, page 455.

PLAGUE — Another bacteriologically confirmed case of rodent associated plague was reported on 11 July from New Mexico.1 The patient, a three-year-old boy, came from Jemez Springs, a village in Sandoval County, approximately 50 miles northwest of Placitas, where the first case of plague occurred. U n it e d S t a t e s .

A few days after having played with a dead chipmunk, the boy became ill with malaise and fever and was eventually hospitalized on 30 June. On admission, physical examination revealed lymphadenopathy in the left inguinal area. He subsequently developed meningitis and possibly secondary pneumonitis. He is receiving antibiotic therapy. Cultures of material from the lesion were morphologically com­ patible with Pasteurella pestis. Fluorescent antibody and phage tests were also positive. Animal inoculation is in progress. Collection of animals in the area is underway. » See No. 28, p. 455.

(Morbidity & Mortality , Vol. 18, No. 27, US National Communicable Disease Center)