Mortality: Mortality rates (all ages and those aged 75 and older) recorded during the first week of November (Week 45) are just above the thresholds. These data will be finalized next week.

Emergency room visits by vulnerable populationsEmergency room visits by people aged 75 and older and those under 1 year of age remain close to expected levels for this time of year.

Notifiable Diseases (ND)3 cases of Hepatitis A in a long-term care facility in the region.

Chikungunya and dengue: enhanced surveillance in Gironde and Lot-et-GaronneSince May 1, 178 suspected cases have been reported. Among them, 62 cases of chikungunya, 27 cases of dengue, and 3 co-infections have been confirmed, all of which were imported.

Acute gastroenteritis (AGE) In Aquitaine, activity is stable and close to expected levels. In France, activity is on the rise, particularly among children under 15 years of age.

Influenza and influenza-like illnessesActivity remains stable in mainland France. No new severe cases hospitalized in intensive care.

Bronchiolitis: A sharp increase in emergency department visits (7.5% of cases among children under 2 years old, compared to 4.2% in Week 45). Activity continues to rise according to SOS Médecins and AquiRespi, with a trend comparable to the previous year.

Enterovirus meningitis and virology: Circulation of seasonal respiratory viruses according to the Bordeaux University Hospital, particularly rhinovirus.

Mushroom poisoning (indicator not detailed in the body of the document) Since July, in Aquitaine, 87 cases according to CAPTV and 15 according to Oscour® (1,104 and 442 in France).

Carbon monoxide poisoning (as of 11/20/14) Since September 2014, 8 episodes of CO poisoning affecting 20 people in Aquitaine. Nationally, reports have continued to rise since mid-October, including 7 deaths from accidental poisoning.