Public Health Surveillance in the Aquitaine Region. Epidemiological Update as of November 21, 2013.

Mortality: Since the moderate increase in S42 based on vital statistics data, mortality rates have remained at levels comparable to those typically observed during this period.

Emergency room visits by vulnerable populationsNo significant changes in emergency room visits for children under 1 year of age and adults over 75 years of age, with figures close to expected levels.

Reportable Diseases (MDO)No notable changes this week.

Enterovirus meningitis: Persistent circulation of the virus in Aquitaine, according to the virology department at Bordeaux University Hospital and emergency department visits for enterovirus meningitis.

Acute gastroenteritis (AGE) Activity for AGE in hospital and pre-hospital emergency departments is stable in Aquitaine as well as in France, with low case numbers similar to previous years.

Influenza and influenza-like illnesses: Influenza activity is comparable to the previous week.

Bronchiolitis: Activity is increasing in Aquitaine (without exceeding the threshold) and nationwide (see other news) according to SOS Médecins and Oscour®; 61 children were treated by AquiRespi for care on November 16–17, stable compared to the previous week.

Vector-borne diseases: In Lot-et-Garonne, under enhanced surveillance for chikungunya and dengue, no significant changes to report (total remains unchanged at 2 confirmed imported cases of dengue).

Mushroom poisoning cases are decreasing in France as well as in Aquitaine. Since July 2013, 72 cases according to CAPTV and 20 according to Oscour® in Aquitaine (1,165 and 399 in France). In total, 3 deaths in France (0 in Aquitaine).

Carbon monoxide poisoning: Since September 2013, two incidents and 3 people transported to emergency rooms in Aquitaine (163 incidents, 490 people exposed, and 4 deaths nationwide).

School AbsenteeismOverall absenteeism rate stable; no single health-related cause was predominantly reported.

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