Mortality: The mortality rate recorded in week 39 is below the expected levels for this time of year.

Emergency room visits by vulnerable populations: According to available data, emergency room activity among those aged 75 and older and those under 1 year of age is close to expected levels for this time of year.

Chikungunya and dengue: enhanced surveillance in Gironde and Lot-et-GaronneSince May 1, 124 suspected cases have been reported. Among them, 3 imported cases of dengue and 4 imported cases of chikungunya have been confirmed. In total, as of October 2, in the 22 metropolitan departments subject to enhanced surveillance, 91 imported cases of dengue and 25 imported cases of chikungunya have been confirmed. Six locally acquired cases of dengue have been confirmed in Nîmes (Languedoc-Roussillon region).

Notifiable Diseases (ND)Note: 3 cases of hepatitis A reported in the Landes department in September. Investigation underway to confirm whether or not this constitutes a cluster.

Acute Gastroenteritis (AG) In Aquitaine, activity remains low and stable compared to previous weeks. In France, there has been an increase in emergency room visits and hospitalizations for acute gastroenteritis among children under 15 years of age.

Influenza - Start of surveillanceA few sporadic cases in Aquitaine as well as in mainland France.

Bronchiolitis - Start of surveillanceOver the past 3 weeks, an increase in bronchiolitis activity has been observed. With 4% of SOS Médecins calls involving children under 2 years of age, activity is close to threshold levels. In emergency departments, the proportion of cases due to bronchiolitis is close to expected values.

Respiratory virology and enterovirus meningitisTwo reports of enterovirus meningitis and two cases according to the Oscour® network. Among the positive respiratory viruses (n=27), all are rhinoviruses.

Mushroom poisoning (indicator not detailed in the body of the document)Since June 29, 2015, 84 cases according to CAPTV and 40 according to Oscour® (721 and 358 in France) (data to be consolidated). One severe case reported in Aquitaine.