YeNow-fever vaccinating centres for international travel Centres de

WEEKLY EPIDEMIOLOGICAL RECORD, No. 26, 30 JUNE 190S • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N* 2 6 ,3 0 JUIN 1995
YeNow-fever vaccinating centres for
international travel
Centres de vaccination contre la fièvre jaune pour
les voyages internationaux
A m endm ents to 1991 publication
A m endem ents a la publication de 1991
CANADA
CANADA
Insert —
In sérer
D elete - Supprim er •;
A lberta
A lberta
Calgary
Calgary
The University of Calgary, Faculty of Medicine» Department of
Community Health Sciences, 3330 Hospital Drive, N.W.
International Travel Immunization Clinic, Health Services Centre
B ritish Colum bia
Surrey
• Dr David Scheifele, Travel Health Chrnc
• International Traveler’s Medical Chnic
, Travel Medicine & Vaccination Centre, Suite 304, 13798 94A Avenue
Victoria
Zone Director, Medical Services, Health and Welfare Canada
Newfoundland
M anitoba
Cornerbrook
Winnipeg
Western Regional Health Umt, Communicable Diseases Control,
Dept, of Health .
Director, Medical Services, Health and Welfare Canada
Nova Scotia
N ewfoundland
Bedford
St. John's
International Travel Clinic, Halifax Region Health Umt
Officer-in-Charge, .Medical Services, Health and Welfare Canada
H alifav
O ntario
Dr Paul Doane, 6169 Quinpoll Rd
O ntario
B ram pton
Dr Peter Couroux, Brampton Travel Chrnc
Nepean
Hamilton
Tropical Medicine Clinic, 106 Centrepoint Dnve
Stonechurch Family Health Centre, 549 Stonecburch Road, East
Ottawa
North York
International Medical Services and Missionary Health Institute,
4000 Leslie St
• Director, National Capital Clinic Medical Services, Health & Welfare Canada
• D r Peter Teitelbaum, I9J9 Riverside Dnve
• D r Victor Marchessault, Pediatnc Ambulatory Care, Children’s Hospital of
Eastern Ontano
Thornhill
The Travel Clinic, Dr Mark Wise, Bishop’s Cross, Medical Centre
T hornhill
Medcare Health Centre
Prince Edw ard Island
Charlottetown
Travel Clime Polyclinic, 199 Grafton Street, Suite 308
Canadian National Railways Medical Department
Québec
Willowdale
International Medical Service, Missionary Health Institute
Québec
Clinique Santé-Voyage de Québec, 1000 chemin Sainte-Foy
P rin ce Edw ard Island
Rouyn-Noranda
C.L.S.C. Le Fartage des Eaux, 19 rue Perrault Ouest
Charlottetow n
Division of Nursing, Department of Health and Social Sciences
Sainte-Foy
Clinique Saute-Voyage, Centre de Santé publique de Québec
Yukon T erritory
S aint-L aurent
Clinique Santé au Travail, Air Canada
W hitehorse
Whitehorse Medical Services lim ited, 406 Lambert Street
Viral encephalitis
Encéphalite virale
India. An outbreak of viral encephalitis has been reported
in Muzaffarpur District, Bihar State. From 6 to 28 June,
466 cases with 167 deaths had occurred, mainly in chil­
dren. The clinical picture includes fever, convulsions and
unconsciousness. In fatal cases, death occurred 1-2 days
after admission to the hospital. Cases who recovered did so
early in the illness and with minimal residual effects. Most
cases were seeking care in 3 primary health care centres.
All cases were referred for treatment to the S. K. Medical
College and Hospital, Muzaffarpur.
Although the diagnosis is viral encephalitis it is not yet
certain to be Japanese encephalitis (JE). However, JE ha$
been reported in the affected district every year from 1978
to 1982 and from 1985 to 1987, but not in the last 4 years.
Cases of viral encephalitis have also been reported in
neighbouring districts and 5 villages have reported 3 to
9 cases each this year. Experts from the National Institute
of Communicable Diseases in Delhi and Pama are assist­
ing the local health authorities in controlling the outbreak.
In d e. Une flambée d ’encéphalite virale a été signalée dans le
distria de Muzaffarpur (Etat du Bihar). D u 6 au 28 juin, 466 cas,
dont 167 mortels, se sont déclarés - principalement chez des
enfants. Le tableau clinique associait fièvre, convulsions et perte de
conscience. Dans les cas mortels, le décès est intervenu dans les 1 à
2 jours suivant l’hospitalisation. Chez ceux qui se sont rétablis, la
guérison est intervenue tôt dans le cours de la maladie et avec un
minimum de séquelles. La plupart des malades sont venus
consulter dans 3 centres de santé primaires et tous ont été dirigés
sur le S. K. Medical College and Hospital de Muzaffarpur.
Bien qu’il s’agisse d’encéphalite virale on n ’est pas encore
certain que ce soit l’encéphalite japonaise. La présence de
l’encéphalite japonaise a cependant été signalée dans le d istria en
cause chaque année entre 1978 et 1982 et entre 1985 et 1987, mais
pas durant ces quatre dernières années. On a également fait état de
cas d ’encéphalite virale dans les districts voisins et 5 villages en ont
chacun déclaré 3 à 9 cas cette année. Des experts du National
Institute of Communicable Diseases de Delhi et de Patna aident les
autorités sanitaires locales à circonscrire la flambée.
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