31 MAY 1998. AMAZON: DISEASE (YELLOW FEVER) "Recently, several cases of yellow fever have been reported in Amazonian Brazil, and one in French Guiana. Now, ProMED-mail has heard of suspected cases in Suriname, the country bordered by French Guiana and Guyana. If yellow fever is indeed spreading, we may expect to see cases in Guyana also, and in neighboring areas of Venezuela, from which infected mosquitoes could carry it to Trinidad, as it has in the past, and threaten the Caribbean, where the urban yellow fever mosquito, _Aedes aegypti_, is widespread. So far the cases are reported from jungle areas in the interior, with no urban cases. But medical authorities in the towns of Guyana, French Guiana & Suriname should be looking for cases of clinical hepatitis with an eye to the possibility that they might in fact be yellow fever; medical laboratories in the capitals should make sure they can diagnose the disease rapidly; and health authorities should seriously consider the need to vaccinate in the towns and capitals."-- Jack Woodall woodall@wadsworth.org VIA ProMED http://www.healthnet.org/programs/promed.html.

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