Public Health Surveillance in the Aquitaine Region. Epidemiological Update as of September 26, 2013.

Mortality: The number of deaths recorded from civil registry data over the past few weeks is in line with expected levels for this time of year.

Emergency room visits by vulnerable populationsNo significant changes in emergency room visits for children under 1 year of age and adults aged 75 and older.

Notifiable Diseases (ND)Note the persistently high incidence of IIM in the region, particularly in the Pyrénées-Atlantiques, but no new cases in September.

Enterovirus meningitisNationally, according to the Oscour® network, the number of emergency department visits for viral meningitis is close to that observed in previous years. In Aquitaine, activity is low according to Oscour® and the virology department at Bordeaux University Hospital.

Acute Gastroenteritis (AGE)In Aquitaine, AGE activity in hospital emergency departments and primary care is stable, close to the expected level for this time of year. According to SOS Médecins, an upward trend is observed nationally.

Bronchiolitis In Aquitaine, activity reported by SOS Médecins and Oscour® for bronchiolitis (children under 2 years of age) has increased compared to week 37 (rising from 2.2% to 4.0% for SOS Médecins and from 2.0% to 5.1% for Oscour®), without exceeding the epidemic threshold.The number of cases observed is similar to that of the same period last year. Nationally, the number of emergency room visits for bronchiolitis is also on the rise, according to Oscour®. Viral circulation data from the Grog network and the virology department at Bordeaux University Hospital indicate current circulation of rhinovirus, which is generally responsible for about 25% of bronchiolitis cases.

Vector-borne diseasesIn Lot-et-Garonne, since the resumption of enhanced surveillance for chikungunya and dengue, two imported cases of dengue have been confirmed by the CNR for arboviruses.

Asthma and AllergiesIn Aquitaine, as in France, asthma activity remains high, with trends similar to those of previous years. No significant changes in allergy cases.

Mushroom poisoning (indicator not detailed in the body of the document)Since July, in Aquitaine, 11 cases of poisoning from mushroom ingestion have been observed, including 2 new cases reported in S38 (Oscour® data).

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