SOS Médecins National Newsletter, March 25, 2014

Trends in Overall ActivityAfter a month of continuous decline, the total activity of SOS Médecins associations has stabilized across all age groups, both nationally and regionally. A slight increase is observed among children aged 5 to 14 (+13%). The numbers are slightly higher than those observed in 2012 and 2013.

Trends in Seasonal Indicators Over the past week, asthma diagnoses have risen by 30% across all age groups (i.e., +159 cases). This increase particularly affects children aged 5 to 14, with a doubling of the number of cases (+83 cases), and to a more moderate extent children under 5 (+33%, or +44 cases) and adults under 75 (+19%, or +48 cases). It should be noted, however, that this trend is observed in a population that remains small, representing between 1% and 2% of total activity. Regionally, the increase in the number of asthma consultations is noted in the Northeast, Ile-de-France-Centre, North, and Southwest regions. The numbers observed are higher than those for the same period in 2012 and 2013, but this peak is of a similar magnitude to that noted in early April 2012. This trend is also observed in the emergency departments of the OSCOUR® network and coincides with the episode of air pollution that affected a large part of mainland France during week 12 and the beginning of week 13. Diagnoses of bronchitis are up 20% among children under 15 but remain stable among adults, with numbers close to those of 2012. Diagnoses of gastroenteritis are up 10% among children under 15, with numbers very close to those of 2012 and 2013. A sharp decrease in diagnoses of influenza/influenza-like illness was again observed over the past week at the national level and in the regions, across all age groups (-32%, -520 consultations) and for all age cohorts. Case numbers are comparable to those of 2013 and lower than those of 2012.All other seasonal indicators (ENT infections, isolated fever, and pneumonia) remained stable or declined over the past week, at levels comparable to those of 2012 and 2013. Note a slight increase in visits for ENT infections among children under 15 years of age.

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