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DISEASES SUBJECT TO THE INTERNATIONAL HEALTH REGULATIONS. CHOLERA, YELLOW FEVER, AND PLAGUE CASES AND DEATHS REPORTED IN THE REGION OF THE AMERICAS UP TO 31 DECEMBER 1980

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Diseases Subject to the International

Health Regulations

Cholera, yellow fever, and plague cases and deaths reported

in the Region of the Americas up to 31 December 1980

Yellow fever

Country and adminis- Cholera Plague

trative subdivision Cases Cases Deaths Cases

BOLIVIA Cochabamba La Paz Santa Cruz Tarija BRAZIL Bahía Ceará Goiás Maranháo Pernambuco Rondónia CANADA

Quebec Saskatchewan COLOMBIA

Cesar Guaviare Meta

Norte de Santander Putumayo ECUADOR

Napo PERU

Ayacucho Junin San Martín

UNITED STATES California Florida Maryland Nevada New Mexico Pennsylvania VENEZUELA

Mérida Sucre

3

1

2

9

6 1 1

1

46

12 32

1

1 26

21 4

7 I

1 1 1 3

2

2

25 8

9

7

1

4 3

1

-None.

... Data not available.

Toxic-Shock Syndrome

The United States and Canada have reported a large number of cases of a newly recognized disease known as toxic-shock syndrome (TSS).

Although some cases of this disease were recognized since 1975, between January and October 1980, 408 were reported in the United States; 394 (96.5 per cent)

oc-curred in menstruating women, and the case fatality ra-tio was 9.8 per cent. As of 27 November, 22 cases had been reported in Canada, of which 17 were confirmed. Only one suspected case died.

The syndrome is characterized by sudden onset of high fever with vomiting and profuse watery diarrhea,

some-6

23

23

91

6 78

7

18 3

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