No. 20 WORLD HEALTH ORGANIZATION GENEVA
ORGANISATION MONDIALE DE LA SANTÉ GENÈVE
WEEKLY EPIDEMIOLOGICAL RECORD RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE Epidemiological notes on communicable diseases of international importance and information concerning the application of the International Sanitary Regulations Epidemiological Surveillance and Quarantine Unit Telegraphic Address: EPIDNATIONS GENÈVE Telex 22335
Notes épidémiologiques sur des maladies transmissibles d’importance internationale et informations concernant l ’application du Règlement sanitaire international Service de la Surveillance épidémiologique et de la Quarantaine Adresse télégraphique: EPIDNATIONS GENÈVE Télex 22335
15 MAY 1970
45th YEAR — 45e ANNÉE PERTUSSIS — COQUELUCHE Fig. 1
15 MAI 1970
Pertussis (Whooping cough) in Canada, 1939-1969 — La coqueluche au Canada, 1939-1969
Epidemiological notes contained in this number:
Informations épidémiologiques contenues dans ce numéro:
Diphtheria, Influenza, Pertussis, Shigella. List of Infected Areas, p. 228.
Coqueluche, diphtérie, grippe, shigella. Liste des Territoires infectés p. 228.
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226
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Fig. 2
PERTUSSIS (WHOOPING COUGH) -COQUELUCHE NUMBER OF REPORTED CASES PER 100,000 POPULATION. NOMBRE DE CAS SIGNALÉS POUR lOOpOO HABITANTS, NUM BER-N0M 8RE
1 9 5 9 -1 9 6 8
NUMBER OF REPORTED CASES PER 100.000 POPULATION. CANADA AND PROVINCES. NOMBRE DE CAS SIGNALES POUR 100,000 HABITANTS, CANADA ET PROVINCES, NUMBER-NOMBRE
NUMBER-NOMBRE
NUMBER OF REPORTED DEATHS, NOMBRE DE DECES, C A N A D A ,1 9 5 9 -1 9 6 8
NUMBER OF REPORTED CASES, BY FOUR-WEEK PERIODS,
JA N FEE MAR. APR. MAY JUNE JULY AUG SEPT. OCT. JANV. FTv. MAR 5 AVR. MAI J U IN J U I L A Ô ÏT PÉRIODE
NOV. NOV. DEC.
oTc.
FOUR-WEEK PERIOD ENDING DCOuirrsETmrfiïsSE TERMINANT t i
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227
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C anada. — Pertussis morbidity and mortality was declining in Canada even before the advent of vaccines in the early 1940’s. From a high of 19 878 cases in 1940, a low of 1 232 cases was reported in 1969. The high and low in pertussis fatalities was 1 374 in 1923 and 6 in 1966.
Figure 1 shows that the general decline in cases and deaths has been interrupted by epidemic peaks at two to five-year intervals. A plateau is evident in the morbidity trend between 1945 and 1955, but a sharp drop occurred subsequently. Figure 2 from the 1968 D.B.S. Annual Report of Notifiable Diseases shows widely differing case rates among the provinces and is probably largely due to reporting practices rather than variation in immunization programmes or prevalence of B. pertussis in the population. In the reports with age and sex breakdowns specified, 86.3% were in the 0 to 9 age group and another 10.8% were in the 10 to 14 age group.
It is understood that pertussis vaccines produced in Canada by Connaught Laboratories, Toronto, and the Institute of Micro biology and Hygiene, Montreal, contain all serotypes. (Epidemiological Bulletin, E ditorial N ote : The efficacy of current preparations of whoop ing-cough vaccines 1 needs to be assessed by continuing surveillance of the disease. The presence of cases in an apparently well pro tected community may be explained by a long interval since vacci nation, particularly if this was performed in early infancy, but it may also be due to a change in the prevailing serotypes of B. per tussis and B. parapertussis.
C anada. — La morbidité et la mortalité dues à la coqueluche ont diminué au Canada, même avant l’emploi de vaccins, depuis le début des années 1940. On avait enregistré 19 878 cas en 1940, contre 1 232 seulement en 1969. Les chiffres maximum et minimum de mortalité par coqueluche ont été respectivement de 1 374 en 1923 et de 6 en 1966. La figure 1 montre que la baisse générale des taux de morbidité et de mortalité a été interrompue, à des intervalles de deux à cinq ans, par des poussées épidémiques. Entre 1945 et 1955, la courbe de morbidité est demeurée stationnaire, mais une nette régression s’est manifestée ultérieurement. La figure 2 (Rapport annuel sur les maladies à déclaration obligatoire, 1968, du Bureau fédéral de la Statistique) reflète des différences considérables entre les chiffres de morbidité selon les provinces; ces écarts sont probablement dus en grande partie au mode de déclaration, plutôt qu’à des variations dans les pro grammes de vaccination ou dans la prévalence réelle des infections à B. pertussis parmi la population. On note, dans les rapports qui spécifient pour chaque cas le sexe et l’âge, que la répartition des malades est la suivante: 86,3% dans le groupe d’âge de 0 à 9 ans et 10,8% dans le groupe d ’âge de 10 à 14 ans. On sait que les vaccins anti-coquelucheux fabriqués au Canada par les Laboratoires Connaught, à Toronto, et par l’Institut de Microbiologie et d’Hygiène de Montréal, contiennent tous les sérotypes. Canada, Vol. 14, No. 3.) N ote de la rédaction : Il convient de vérifier l’efficacité des vaccins anticoquelucheux couramment utilisés1 en exerçant une surveillance permanente sur la maladie. L ’apparition de celle-ci dans une collectivité apparemment bien protégée peut s’expliquer par l’ancienneté de la vaccination, surtout quand elle a été prati quée pendant la première enfance; mais il se peut aussi qu’elle soit due à une modification des principaux sérotypes de B. pertussis et B. parapertussis. 1 Voir N« 50, 1969, p. 664.
1 See No. 50, 1969, p. 664.
SHIGELLA U nited K ingdom . — During the first week of April 1970 a number of cases of diarrhoea occurred in a male and a female ward of a large psychiatric hospital in Scotland. These wards are situated almost half a mile apart, and do not share any staff; the only link between them is that both receive food from the main hospital kitchen.
SHIGELLA
R oyaume-U ni . — Au cours de la première semaine d ’avril 1970, un certain nombre de cas de diarrhée se sont produits dans deux salles, l’une d’hommes, l’autre de femmes, d’un grand hôpital psychiatrique d ’Ecosse. Ces salles sont séparées par une distance d’environ 800 mètres et n ’ont pas de personnel commun; le seul lien entre elles est que, dans les deux cas, les repas viennent de la cuisine principale de l’hôpital. Sh. sonnei was isolated from the faeces of a number of these On a isolé Sh. sonnei dans les matières fécales de plusieurs des cases and since then other patients have been affected in some malades. Par la suite, d’autres personnes ont été atteintes dans neighbouring wards; there are now 40 bacteriologically confirmed quelques salles voisines. Actuellement, le total des cas confirmés cases in a group of adjacent male and female wards. Two members par examen bactériologique s’élève à 40 pour un groupe de salles ' of the staff have also been infected. adjacentes, tant d’hommes que de femmes. En outre, deux membres du personnel ont été infectés. A number of patients are being isolated in the hospital and others Un certain nombre de malades sont isolés à l’hôpital même; are in hospitals for infectious diseases. Because of the geogra d’autres se trouvent dans des hôpitaux pour malades infectieux. phical situation of the infected wards, it is suspected that infection Etant donné l’emplacement des salles touchées, on soupçonne que has been spread by some article of food from the main kitchen. l’infection a été propagée par un aliment provenant de la cuisine Faecal specimens are being examined bacteriologically from all centrale. Des échantillons de selles de tous les membres du personnel members of the kitchen staff. de la cuisine font actuellement l’objet d’examens bactériologiques. {Communicable Diseases Scotland, 70/16, 20 April 1970.)
INFLUENZA Fui (situation on 18 April 1970). — 1 In Rewa Province, an outbreak of influenza-like illness in the general population started on 16 April. In Tailevu Province, an outbreak of influenza occurred in a boarding school from 26 March to 2 April (19 cases); serolo gical evidence of infection with virus A was obtained. The disease, generally, has been mild. 1 See No. 3, p. 28.
GRIPPE F id j i (situation au 18 avril 1970). — 1 Dans \z. Province de Rewa, une épidémie d ’affections d ’allure grippale a commencé le 16 avril. Dans la Province de Tailevu, une épidémie de grippe s’est produite dans un internat scolaire du 26 mars au 2 avril (19 cas); l’infection à virus A a été mise en évidence par les examens sérologiques. L ’affection est généralement bénigne. ■Voir N» 3, p. 28.
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DIPHTHERIA U n it e d K in g d o m . — During 1969, a total of 17 cases of diphthe ria, with no deaths, was recorded in the Registrar General’s Weekly Returns for England and Wales, compared with 17 in 1968 and 9 in 1967; there were no cases notified in Scotland in 1969, 7 in 1968 and 12 in 1967. Only 2 cases of diphtheria in which virulent strains of Corynebacterium diphtheriae mitis were isolated, were reported by laboratories in 1969.1 Laboratories also reported 7 cases in which Corynebacterium ulcerans were detected.2 No case of diphtheria was recorded by the Registrar General for England and Wales or Scotland in the first quarter of this year. Recently a London laboratory reported the isolation of Coryne bacterium diphtheriae mitis, virulent type, from the throat of a 39-year-old woman who attended a hospital outpatient depart ment with a complaint of recurrent sore throats. Her sevenyear-old son was carrying the organism; extensive swabbing (520 persons) revealed six other members of the family or school contacts of the child who were also carriers. None had clinical features of diphtheria. All child contacts were immunized.
DIPHTÉRIE R oy a u m e - U n i . — En 1969, les relevés hebdomadaires du Registar General ont fait état de 17 cas de diphtérie au total, sans décès, pour l’Angleterre et le Pays de Galles; il y en avait eu 17 en 1968 et 9 en 1967; aucun cas n ’a été notifié en Ecosse en 1969 (7 cas en 1968 et 12 en 1967). En 1969, les laboratoires n ’ont signalé que 2 cas de diphtérie pour lesquels ils avaient isolé des souches virulentes de Corynebacterium diphtheriae mitis. 1 Les laboratoires ont mentionné en outre 7 cas d’infection à Corynebacterium ulcerans. 2 Pendant le premier trimestre de 1970, le Registrar General n ’a été informé d’aucun cas de diphtérie en Angleterre, au Pays de Galles ou en Ecosse. Un laboratoire londonien a récemment annoncé l’isolement d ’un type virulent de Corynebacterium diphthe riae mitis dans un prélèvement fait chez une femme de 39 ans qui s’était présentée à la consultation externe d’un hôpital en se plai gnant de maux de gorge répétés. Son fils, âgé de sept ans, était également infecté. Des prélèvements opérés sur un nombre élevé de personnes (520) ont permis de constater que six autres membres de la famille ainsi que des écoliers ayant été en contact avec l’en fant étaient porteurs du germe. Aucun des sujets examinés ne manifestait de symptômes cliniques de la diphtérie. Tous les enfants faisant partie du groupe des contacts ont été immunisés. 1 British Medical Journal, 1969,1, 830 et 1970,1, 371. 5 British Medical Journal, 1969, 2, 246 et 1970,1, 371.
1 British Medical Journal, 1969,1, 830 and 1970,1, 371. ! British Medical Journal, 1969, 2, 246 and 1970,1, 371.
(Public Health Laboratory Service and — et British Medical Journal.)
QUARANTINABLE DISEASES — MALADIES QUARANTENAIRES Infected Areas as on 14 May 1970 — Territoires infectés au 14 mai 1970 For criteria used in compiling this list, see page 171 — Les critères appliqués pour la compilation de cette liste sont publiés à la page 171. X Newly reported areas — Nouveaux territoires signalés.
PLAGUE — PESTE Africa — Afrique CONGO, DEM. REP./RÉP. DÉM. Kivu, Province < Orientale, Province
PERU — PÉROU Piura, Dep. Ayabaca, Province Huancabamba, Province
Phuoc-Tuy, Province Phu-Yen, Province Quang-Nam, Province Quang-Ngai, Province Quang-Tri, Province Tay-Ninh, Province Thua-Thien, Province
Tenasserim, Division Moulmein, District
INDIA — INDE Calcutta (P) (excl. A) Hyderabad (A) Lucknow (A) Madras (P) (excl. A) Nagpur (A) Pondicherry (P) Visakhapatnam (P) Andhra Pradesh, State Hyderabad, District Visakhapatnam, District Bihar, State Ch&mparan, District Darbhanga, District Gaya, District Hazaribagh, District Monghyr, District Muzaffarpur, District Saharsa, District Santal Parganas, District Shahabad, District Singhbhum, District Maharashtra, State Aurangabad, District Nagpur, District Nanded, District Mysore, State Chitradurga, District X Dharwar, District Orissa, State Balasore, District Cuttack, District
Asia — Asie America — Amérique BOLIVIA — BOLIVIE La Paz, Dep. Caupolican, Province Apolo, Canton BRAZIL — BRÉSIL Bahia, State Cordeiros, Mon. Itaberaba, Mun. Ceara, State Guaraciaba do Norte, Mun. Ipu, Mun. Minas Gerais, State Almenara, Mun. Paraiba, State Princeza Isabel, Mun. Pernambuco, State Exu, Mun. ECUADOR — ÉQUATEUR Chimborazo, Province Chunchi, Canton Guayas, Province Milagro, Canton BURMA — BIRMANIE Mandalay, Division Mandalay, D. : Mandalay Myingyan, District Pegu, Division Insein, D. : Inseln INDONESIA — INDONÉSIE Djawah-Tengah, Province Bojolali, Regency VIET-NAM, REP. Danang (P) Nhatrang CPA) Saigon (excl. PA) Bien-Hoa, Province Binh-Dinh, Province Binh-Duong, Province Binh-Thuan, Province Darlac, Province. Dinh-Tuong, Province Gia-Dinh, Province Hau-Nghia, Province Khanh-Hoa, Province Kon-Tum, Province Lam-Dong, Province Long*An, Province Ninh-Thuan, Province Phu-Bon, Province Phuoc-Long, Province . Asia — Asie CHOLERA — CHOLÉRA
BURMA — BIRMANIE Moulmein (P) Rangoon (P) (excl. A) Irrawaddy, Division Maubin, D. : Maubin Myaungmya, District Pyapon, District Kawthooiai, State Pa-an, District Pegu, Division Hanthawaddy, District Insein, District Pegu, District
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Pondicherry, Territory Pondicherry, District Tamil Nadu (ex Madras), State Chingleput, District Coimbatore, District Dharmapuri, District Madurai, District North Arcot, District Salem, District South Arcot, District Thanjavur, District Tiruchirapalli, District Tirunelveii, District Uttar Pradesh, State Lucknow, District West Bengal, State Midnapur, District
Tay-Ninh, Province Thua-Thien, Province Vinh-Long, Province
PERU — PÉROU Junin, Dep. Satipo, Province Tarma, Province Pasco, Dep. Oxapampa, Province
Upper Nile, Province Bor, Rur. C. Nueir, Rur. C.
UGANDA — OUGANDA Northern Region West Nile, District
YELLOW FEVER — FIÈVRE JAUNE Africa — Afriqae ANGOLA SMALLPOX — VARIOLE CONGO, DEM. REP./RÉP. DÉM. Africa — Afrique BURUNDI Kitega, Province Kitega, Arr. X NIGERIA — NIGÉRIA CONGO, DEM. REP./RÉP. DÉM. SIERRA LEONE Kinshasa (PA) Bandundu, Province Equateur, Province Kasai oriental, Province Katanga, Province Kivu, Province Kongo central, Province Orientale, Province Asia — Asie AFGHANISTAN Kunar, Province Logar, Province Paktia, Province Ngozi, Province America — Amérique BRAZIL — BRÉSIL X Manaus (PA) Porto Alegre (PA) Sao Paulo (A) Bahia, State Minas Gerais, State Parana, State Rio Grande do Sul, State Santa Catarina, State Sao Paulo, State
INDONESIA — INDONÉSIE Djakarta-Raya, Aut. Terr. (excl. PA ) XDjakarta-Barat (West), Regency xDjakarta-Pusat (O utrai), Regency xDjakarta-Timur (East), Regency Djawa-Tengah, Province XSemarang (P), Regency Sulawesi-SeîatanJTenggara, Province Makasar (P), Regency Takalar, Regency
Territory North of 10° S. Territoire situé au nord du 10° S.
GHANA
SUDAN — SOUDAN NEPAL — NÉPAL Katmandu (A) Bagamati, Zone Bhaktapur, District TOGO Région centrale Bassari, Cire. & Subdiv. san. Région des Plateaux Palimé (KJouto), Cire. & Subdiv. san. Territory South of 12° N. Territoire situé au sud du 12° N.
ETHIOPIA — ÉTHIOPIE
INDIA — INDE Ahmedabad (A) Allahabad (A) Bombay (P) (excl. A) Calcutta (P) (excl. A) Delhi (excl. A) Jodhpur (A) Kanpur (A) Lucknow (A) Andhra Pradesh, State East Godavari, District Guntur, District Mahbubnagar, District Nalgonda, District Nellore, District Srikakulam, District Visakhapatnam, District Assam, State Cachar, District Goalpara, District Nowgong, District Bihar, State Bhagalpur, District Champaran, District Darbhanga, District Dbanbad, District Gaya, District Hazaribagh, District Monghyr, District Muzaffarpur, District Palamau, District Patna, District Purnea, District Ranchi, District Saharsa, District Santal Parganas, District Saran, District Shahabad, District Singhbhum, District Delhi, Territory Gujarat, State Ahmedabad, District Banas Kantha, District Bhavnagar, District Bulsar, District Dangs, District Jamnagar, District Junagadh, District Kaira, District Kutcb, District
PAKISTAN Chaîna (P) Chittagong (PA) Dacca (excl. A) East Pakistan Chittagong, Division Commilla (Tippera), D. Sylhet, District Dacca, Division Dacca, District Faridpur, District Mymensmgh, District Khulna, Division Bakerganj, District Jessore, District Kushtia, District Rqjshahi, Division Bogra, District Pabna, District Rajshahi, District
NIGERIA — NIGÉRIA Kwara, State Kabba, Province North-Central, State Kaduna, Capital North-Western State Niger, Province Western State Oyo, Province
UPPER VOLTA — HAUTE VOLTA Kombissiri, Cercle Manga, Cercle Sapone, Cercle Ziniaré, Cercle
America — Amérique BRAZIL — BRÉSIL Amazonas, State Itacoatiara, Mun. Para, State Itaituba, Mun. Roraima, Terr, Boa Vista, Mun.
RWANDA Byumba, Secteur Kigali, Secteur
SOUTH AFRICA AFRIQUE DU SUD Transvaal, Province Amersfoort, District Ermelo, District Pietersburg, District Potgietersrust, District Pretoria, District Waterberg, District
PHILIPPINES Cebu(P) Luzon, Group
COLOMBIA — COLOMBIE Antioquia, Dep. Puerto Berrio, Mun. Remedios, Mun. Bolivar, Dep.
Quezon
Rizal, Prov. (excl. Manila airport)
SUDAN — SOUDAN Bahr El Ghazal, Province Yîrrol, Rur. C. Blue-Nile, Province Southern Division Sennar, Rur. C. Equatoria, Province Juba, Rur. C. Khartoum, Province Omdurman, Mun. C.
VIET-NAM, REP. Nhatrang (PA) Saigon (P) (excl. A) Bmh-Dinh, Province Darlac, Province Gia-Dinh, Province Hau-Nghia, Province Xhanh-Hoa, Province Long-An, Province Fbong-Dinh, Province
Simiti, Mun. Boyaca, Dep. Paz de Ariporo, Mun. Meta, Intendencia Villavicenrio, Mun. Santander, Dep. Landazuri, Mun. Lebrija, Mun. San Vicente de Chucuri, Mun.
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Panch Mahals, District Rajkot, District Sabarkantha, District Surendranagar, District Haryana, State Ambala, District Gurgaon, District Hissar, District Karnal, District Mohindergarh, District Rohtak, District Himachal Pradesh, Territory Simla, District Kerala, State Ernakulam, District Kozhikode, District Madhya Pradesh, State Bhind, District Bilaspur, District Dewas, District Dhar, District East-Nimar, District Gwalior, District X Indore, District Jhabua, District Morena, District Raipur, District Rewa, District Shajapur, District Shivpuri, District Maharashtra, State Bhir, District Dhulia, District Jalgaon, District Ratnagiri, District Thana, District Yeotmal, District Mysore, State Bijapur, District X Dharwar, District X Mandya, District Orissa, State Balasore, District Keonjhar, District X Mayurbhanj, District Puri, District Punjab, State Amritsar, District Bhatinda, District Ferozepur, District Gurdaspur, District Hoshiarpur, District Patiala, District Ropar, District X Sangrur, District Rajasthan, State Ajmer, District Alwar, District Banswara, District Bhilwara, District Bikaner, District Chittorgarh, District Churu, District Dungarpur, District Ganganagar, District Jaipur, District Jaisalmer, District Jhalawar, District Jhundjhunu, District Jodhpur, District Kotah, District Nagaur, District Pali, District Sikar, District Strohi, District Tonk, District Udaipur, District Uttar Pradesh, State Agra, District Aligarh, District Allahabad, District Azamgarh, District Bareilly, District Bijnor, District Budaun, District Bulaodshahr, District Garhwal, District Jaunpur, District Jhansi, District Kanpur, District Lucknow, District Mirzapur, District Muzaffarnagar, District
Rae Bareli, District Saharanpur, District Sitapur, District Sultanpur, District West Bengal, State Midnapur, District 24-Parganas, District West Dinajpur, District
East Pakistan Chittagong, Division Chittagong, District (excl. Chittagong (PA)) Noakhali, District Sylhet, District Dacca, Division Faridpur, District Mymensingh, District Khulna, Division Jessore, District Khulna, D. (excl. Chaîna (P)) Kushtia, District Rqjshahl, Division Bogra, District Rangpur, District West Pakistan Bahawalpur, Division Babawalnagar, District Bahawalpur, District Rahim Yar Khan, District Hyderabad, Division Hyderabad, District Sanghar, District Tharparkar, District Kaiat, Division Kachhi, District Khairpur, Division Jacobabad, District Khairpur, District Larkana, District Nawabshah, District Sukkur, District Lahore, Division Lahore, District Sheikhupura, District Sialkot, D. (excl. Sialkot) Multan, Division Dera Ghazi Khan, District Multan, District Sahlwal, District Peshawar, Division Khyber, Agency Kurram, Agency Mardan, District Peshawar, District Quetta, Division Zhob, District Rawalpindi, Division Campbellpur, District Gujrat, District Sargodha, Division Mianwali, District Sargodha, D. (excl. Sargodha (A))
Bururi, Province Kitega, Province Muhinga, Province Muramvya, Province Muramvya, Arr. Mwaro, Arr. Ngozi, Province Kayanza, Arr. Ruyigi, Province Rutana, Ait . Ruyigi, Sect. méd.
INDONESIA — INDONÉSIE Djakarta-Raya (PA) Atjeh, Province Atjeh-Tengah, Regency Pidie, Regency Djambi, Province Batanghari, Regency X Sarolanun Bangko, Regency X Tandjung Djabung, Regency Djawa-Barat, Province Bandung, Regency Bekasi, Regency Bogor, Regency Indramaju, Regency Krawang, Regency Kuningan, Regency Lebak, Regency Madjalengka, Regency Pandcglang, Regency Purwakarta, Regency Sukabumi, Regency Sumedang, Regency Tanggerang, Regency Tasikmalaja, Regency Tjiandjur, Regency Tjirebon (P), Regency Djawa-Tengah, Province Brebes, Regency Kebumen, Regency Pemalang, Regency Tjilatjap, Regency Lampung, Province Lampung-Selatan, Regency Lampung-Utara, Regency Riait, Province Bengkalis-Dumai (P), Regency Sulawesi-SelatanjTenggara, Province Bone, Regency Enrekang, Regency Madjene, Regency Maros, Regency Pinrang, Regency Polewali/Mamasa, Regency Sumatera-Barat, Province Padangpariaman, Regency Pasaman-Padang (P), Regency Sumatera-Selatan, Province Lahat, Regency Musi Banjuasin, Regency Musi Rawas, Regency Ogan Komering UIu, Regency Palembang (7), Regency Sumatera-Utara, Province X Asahan, Regency Bindjai, Regency Deli Serdang, Regency X Pcmatangsiantar, Regency Tapanuli-Selatan, Regency Tapanuli-Tengah, Regency Tapanuli-Utara, Regency
ETHIOPIA — ÉTHIOPIE (excl. Addis Ababa, Asmara, Assab S Massawa) Addis Ababa (A)
SOUTH AFRICA AFRIQUE DU SUD Cape o f Good Hope, Province Eogcobo, District Glen Grey, District Queenstown, District Saint-Marks, District Wodehouse, District
America — Amérique ECUADOR — ÉQUATEUR Chimborazo, Province Riobamba, Canton
LOUSE-BORNE RELAPSING FEVERff FIÈVRE RÉCURRENTE A POTJXtt Africa — Afrique ETHIOPIA — ÉTHIOPIE (excl. Addis Ababa, Asmara, Assab & Massawa) Addis Ababa (A)
LOUSE-BORNE TYPHUS FEVER f TYPHUS A POUX f Africa — Afrique
SUDAN — SOUDAN Malakal (A) el Obeid (A) Blue Nile, Province Southern Division el Roseires, Rur. C. Sennar, Rur. C. Khartoum, Province
NEPAL — NÉPAL (excl. Biratnagar (A) & Katmandu (A))
BURUNDI Bubanza, Province
PAKISTAN Karachi (P) (excl. A) Lahore (excl. A) Multan (A) Peshawar (excl. A) Quetta (A)
Bujumbura, Province (excl. Bujumbura (PA))
t Two or more cases during a four* f t Two or more cases during a three* week period. — Deux cas ou plus au week period. — Deux cas ou plus ail cours d’une période de quatre semaines. | cours d’une période de trois semaines.
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231
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Notifications Received from 7 to 14 May 1970 — Notifications reçues du 7 au 14 mai 1970
B
Area notified as infected on the date indicated — Circonscription notifiée comme infectée à la date donnée. ... Figures not yet received — Chiffres non encore disponibles C Cases — Cas D Deaths — Décès City X (A) Ville X (A) City Y (P) Ville Y (P) City X and the airport of that city. Ville X et l ’aéroport de cette ville.
i Imported cases — Cas importés p Preliminary figures — Chiffres préliminaires r Revised figures — Chiffres révisés s Suspected cases — Cas suspects means the city of Rangoon with its port and its airport, signifie la ville de Rangoon avec son port et son aéroport. means the city of Karachi with its port (but without its airport), signifie la ville de Karachi avec son port (mais sans son aéroport).
Rangoon (FA)
• Ex. : City Y and the port of that city. Ville Y et le port de cette ville. Karachi (P) (excl. A)
PLAGUE — PESTE INDIA
C
D
SMALLPOX — VARIOLE Africa — Afrique C BURUNDI D 29.III-4.IV
Africa — Afrique Mysore, State CONGO, DEM. REP./RÉP. D É M .1 9.V
(contd.) — INDE (suite)
8-14.III
Orientale, Prorince Djugu, Terr.................. 1 Rodent plague/Peste des rongeurs.
present
Districts Chitradurga . . . . D h a r w a r ................... Uttar Pradesh, State Lucknow, D .................
11 3
4 3
5-11.IV
Provinces K itc g a 10 Ngozi .................................... . CONGO, DEM. REP./RÉP. DÉM.
0 10 19-25.IV
1
0
Asia — Asie C D
Kivu, Province INDONESIA — INDONÉSIE 26.IV-2.V
. . .
48
4
VIET-NAM, REP.
3-9.V
Provinces Binh-Duong................ Ninh-Thuan................ Phuoc-Long................
Djakarta-Raya, Aut. Terr. (excl. PA ) 0 0 0 Regencies Djakarta-Barat (West). \ Djakarta-Pusat (Cen-1 _ t r a l ) ....................... " 5V Djakarta-Timur (East) j Djawa-Tengah, Province Semarang (P), Regency ■ 5.V
SOUTH AFRICA AFRIQUE DU SUD
26.IV-2.V
2 1 4
Transvaal, Province Potgietersrust, D. . . 2 0 America — Amérique BRAZIL — BRÉSIL
2
0
11 0 1 0
CHOLERA — CHOLÉRA Asia — Asie C BURMA — BIRMANIE D 26.IV-2.V
C 5 -ii.r v 2 9 .m -4 .I V 5-11.V I 12-18.IV 1 1 17 39
D 0 0 0 0
13
3
Manaus (PA) . . . Bahia, State . . . Rio Grande do Sul, State ....................
PAKISTAN
12-18.IV
Moulmein (P) . . . . Rangoon (P) (excl. (A)) Pegu, Division Pegu, D ......................... C INDIA — INDE D
7 7 24 C
0 0 2 D
Chaîna (P). Dacca (excl. A)
13s .. . 12
0 0 Asia — Asie C AFGHANISTAN d
VIET-NAM, R E P .1
3-9.V
3-9.V
26.IV-2.V
3-9.V
Saigon (P) (excl. A). Gia-Dinh, Province 1 Cholera El Tor.
. .
3 1
0 0
Paktia, Province . . . c D
2 0 C D
Calcutta (P) (excl. A) . 68 Madras (P) (excl. A) . 3 Andhra Pradesh, State Hyderabad, D. . . . Maharashtra, State Districts Nagpur ....................... Nanded .......................
7 0
50 0
8 0
INDIA — INDE
26.IV-2.V
3-9.V
12-18.IV
7
0
YELLOW FEVER — FIÈVRE JAUNE Africa — Afrique
Ahmedabad (A) . . Allahabad (A) . . Bombay (P) (excl. A) Delhi (excl. A) . . . Lucknow (A) . . . . D
. 12 . 3 . 0 . 0 1
i
i i 0 i
6 3
o 0
2 42 7
0 2 1
C GHANA
Delhi, Terr. . . . . Gujarat, State Districts Ahmedabad . . . . Kaira .......................
12-18.IV 2 0
19-25.IV
Tamil Nadu (ex Madras), State Madurai, D ..................
Eastern Region West Akim, D. . . . 4 2
16 3
10 0
—
232
—
SMALLPOX (contd.) — VARIOLE (suite) INDIA (contd.) — INDE (suite)
C 8-I4.III
D PAKISTAN
C
D 6 0 0
Asia (continued) — Asie (suite) C INDIA (contd.) — INDE (suite) D
5-11.IV
West Bengal, State Midnapur, D ................
2
0
12-I8.IV INDONESIA — INDONÉSIE 26.IV-2.V
Karachi (P) (excl. A) . Lahore (excl. A) . . . Peshawar (excl. A) . .
16 2 2
Madhya Pradesh, State Dewas, D ...................... Maharashtra, State Yeotmal, D .................. Orissa, State Mayurbhanj, D. Punjab, State Sangrur, D.
32
7
7
1
Sumatera-Selatan, Province Ogan Komering Ulu, R e g e n c y ................ Djawa-Barat, Province Regencies Bandung .................... B o g o r ........................ Krawang .................... P u rw a k a rta ................ Sukabum i.................... T anggeran g................ T jia n d ju r.................... Tjirebon ( P ) ................ Sumatera-Selatan, Province Ogan Komering Ulu, R e g e n c y ................ Djawa-Barat, Province Regencies Bandung .................... K ra w a n g .................... P u rw a k a rta ................ Lampung, Province Lampung-Selatan, R e g e n c y ................ Sumatera-Utara, Province Regencies Asahan .................... Pematangsiantar . . . Tapanuli-Utara . . .
LOUSE-BORNE TYPHUS FEVER TYPHUS À POUX 12 3 BURUNDI
Africa — Afrique C Bururi, Province . . Kitega, Province . . Muhinga, Province . Muramvya, Province Muramvya, Arr. . . . Mwaro, Arr.................. Ngozi, Province . . 1 D 29.III-4.IV 0
19-25.IV
■ 25.IV
■ 24.iv
Uttar Pradesh, State Districts Allahabad ................ Bulandshahr . . . . Jaunpur .................... K a n p u r....................... Madhya Pradesh, State Districts I n d o r e ....................... S h iv p u r i.................... Mysore, State Mandya, D ................... Haryana, State Districts G u r g a o n .................... H i s s a r ....................... Rohtak .................... Rajasthan, State Districts C h itto rg arh ................ C h u r u ....................... G anganagar................ K o t a h ....................... Sikar ........................ U d a i p u r .................... Mysore, State Dharwar, D ..................
17 5 3 1 1 0 0 1 5-U.IV
20 60 8 4 9 1 5 9
3 5 1 0 2 0 0 0
60 6
0 0
1 2
0 0
339 2
0 0
41
7
12-18.IV
Ruyigi, Province Rutana, Arr.................
6 3
1 0
2 12 0
0 3 1
America — Amérique c ECUADOR ÉQUATEUR
D
15-21.11
C D 22-28.11
3
0
29.m-4.IV
13 5-ll.IV
2
Azuay, Province Cuenca, Canton Cuenca, Parr................ Carchi, Province Tulcan, Canton Tulcan, Parr.................
1
0
0
0
7 13 20
0 3 2
18 0 1
3 1 0
1
0
0
0
2 1 34 2 4 3
0 0 0 0 0 0
29.III-4.IV
Djawa-Barat, Province Bandung, Regency . . Djambi, Province Regencies B a ta n g h a r i................ Sarolanun Bangko . . Tandjung Djabung
Chimborazo, Province Riobamba, Canton Riobamba, Parr. . . . 1
0
1
0
26
0 Asia — Asie C CŸÎfctUS — CHYPRE D 1-31.Ill
22-28.III
15-21.IU
2
0
20 43 39
4 4 4
Larnaba, D .1 . . . . 1 See/Voir 199.
O r
0
YELLOW-FEVER VACCINATING CENTRES FOR INTERNATIONAL TRAVEL Amendment to 1970 publication
CENTRES DE VACCINATION CONTRE LA FIÈVRE JAUNE POUR LES VOYAGES INTERNATIONAUX Amendement à la publication de 1970
United Republic of Tanzania Insert: A. Government Vaccination Centres | Insérer:
République-Unie de Tanzanie
Arusha Region Mbulu