Mortality
During week 28, a slight increase in deaths was observed, particularly among people aged 75 and older. Mortality trends in week 29 remain within the ranges typically observed during this period; these data will need to be consolidated in the coming weeks.

Emergency room visits by vulnerable populations
No significant changes were noted in emergency room visits for children under 1 year of age and adults over 75 years of age.

Notifiable Diseases (ND)
Note the persistently high incidence of meningococcal IIM in the region, particularly in the Pyrénées-Atlantiques.

Chickenpox:
The use of SOS Médecins services for chickenpox remains within the levels typically observed during this period.

Acute gastroenteritis (AGE) Both
nationally and regionally, the number of AGE-related visits to hospital emergency departments and private practices is low but increasing, in line with expected levels for this time of year.

Vector-borne diseases
In Lot-et-Garonne, since the resumption of enhanced surveillance for chikungunya and dengue, one imported case of dengue has been confirmed by the National Reference Center for Arboviruses.

Asthma and Allergies Asthma
activity is stable or even declining in Aquitaine as well as in France. Emergency department visits for allergies are increasing moderately in Aquitaine, while they remain stable at the national level.

Heat-related illnesses
In Aquitaine, a downward trend has been observed since Week 28 for all indicators monitoring heat-related illnesses. However, values remain high, exceeding those observed during the same period last year. Météo France forecasts a heat wave lasting 1 to 3 days across all of Aquitaine beginning Wednesday, July 31, 2013.

Enterovirus
meningitis Since Week 22, the number of enterovirus isolates reported by the Bordeaux University Hospital has remained stable, consistent with the number of enterovirus meningitis cases reported by the Oscour® network. Nationally, the trend reported by Oscour® is consistent with that of 2012 and 2011.

Jellyfish stings (indicator not detailed in the body of the document)
Jellyfish have been observed along the entire Aquitaine coast. A few cases of minor stings have been reported. The ARS urges caution.