Key indicators

City-wide Monitoring

• SOS Médecins: In week 16 of 2020, Covid-19-related activity among SOS Médecins associations decreased for the third consecutive week: 408 consultations for suspected Covid-19, representing 10.3% of the total activity of the five SOS Médecins associations in the Grand Est region (compared to 664 consultations and 15.5% of activity in week 15 of 2020). However, the percentage of hospitalizations following a consultation has remained stable (6.9%) since the start of the epidemic.

• Sentinelles Network: 93 (tele-)consultations for acute respiratory infections (ARI) per 100,000 inhabitants in week 16 of 2020, compared to 187 per 100,000 in week 15 of 2020; down for the third consecutive week.

• Clinical laboratories (LBM) participating in the “3 Labs” surveillance network (Eurofins-Biomnis-Cerba): 15.6% of tests were positive in week 16 of 2020, compared to 20.0% in week 15 of 2020; this marks a decline for the fourth consecutive week.

• MBL (Surveillance of 12 laboratories outside the “3 Labs” surveillance network): 20.5% of tests were positive in week 16, compared to 25.6% in week 15. The proportion of positive tests has been steadily declining for 5 weeks (37.6% of tests were positive in week 12 (March 16–22).

Surveillance in social and medical-social facilities, including medical and non-medical facilities for the elderly

• Since the start of the epidemic, 8,825 confirmed or probable cases of COVID-19 have been reported among residents and 5,110 among staff. With 7,857 cases among residents and 3,922 among staff, respectively, medical and non-medical care facilities for the elderly have been the most affected.

Hospital-based surveillance

• Oscour® Network: In week 16 of 2020, 1,197 visits for suspected COVID-19 were recorded in emergency departments across the Grand Est region, representing 9% of total activity in these departments (compared to 1,837 visits and 13.7% of total activity in week 15 of 2020). Nearly half of these emergency department visits for Covid-19 led to hospitalization; this proportion has remained stable since the start of the epidemic.

• Healthcare facilities: In week 16 of 2020, the number of new hospitalizations, new admissions to intensive care units, and the number of patients discharged home decreased for the second consecutive week.

• Hospital laboratories: 17.7% of tests were positive in week 16 of 2020 (compared to 26.3% in week 15 of 2020), marking a decline for the third consecutive week.

• Sentinel intensive care units: 48% of severe COVID-19 cases admitted to intensive care were aged 65 and older. 58% of cases had at least one known risk factor (32% had a heart condition, 22% had a lung condition, and 22% had diabetes (type 1 or 2)). 21% of severe COVID-19 cases died.

Mortality Surveillance

• Since March 1, 2020, the weekly number of deaths in healthcare facilities has been decreasing (-32.7%) for the second consecutive week. These were primarily people aged 60 and older (96%); 85% were aged 70 and older.

• Since March 1, 2020, medical and non-medical facilities for the elderly have reported the deaths of 1,349 residents that occurred within these facilities. Other social and medical-social facilities have reported the deaths of 32 residents linked to COVID-19.

• Excess mortality, across all age groups, has been observed at the regional level since week 11 of 2020. In week 15 of 2020, particularly high excess mortality rates were observed in the departments of Haut-Rhin (+122%), Moselle (+97%), and Bas-Rhin (+78%).

• In week 15 of 2020, only the Haute-Marne department did not record excess mortality, unlike the Ardennes department, which recorded its first excess mortality.