SOS Médecins National Newsletter, November 17–23, 2014
Trends in Overall Activity: Overall activity at SOS Médecins clinics remained stable among those under 15 years of age but declined among those aged 15–74 (down 9%, or 3,032 visits) and those over 75 (down 12%, or 1,175 visits) compared to the previous week. The comparison with Week 46, which included the long weekend of November 11, explains the decline among adults; however, the stability of activity among children must be viewed in context, as it remains strong despite this factor. The numbers (58,136 weekly visits across all age groups) are slightly higher than those in 2012 and 2013 for this time of year.
Trends in Major Conditions Overall, the causes of visits among those over 15 years of age are stable or declining. However, among children under 2 years of age, there continues to be an increase in visits for bronchiolitis (+25%, +70 visits), bronchitis (+16%, +43 visits), and pneumonia (+90%, +18 visits). Among children aged 2–14, the sharpest increases are observed for ENT conditions, bronchitis, viral syndromes, and acute abdominal pain. Among those over 15, all causes of medical visits are declining.
Seasonal trends The rise in consultations for gastroenteritis stabilized this week across all age groups except for children under 2 years old, where a slight decrease was observed (-18%, or -81 visits). With 4,080 weekly visits across all age groups, the numbers remain higher than those in 2012 and 2013. Among children under 15, consultations for bronchitis continue to rise (+12%, or +146 visits), and for influenza, a sharp increase is observed (+41%, or +51 visits), though within ranges consistent with previous years. Among those over 15, the number of consultations has remained stable or declined over the past week for these two indicators. Consultations for pneumonia are decreasing across all age groups except for children under 2 years of age, where an increase is noted but with low numbers (+90%, or +18 visits). The numbers remain higher than those in 2012 and 2013. Among children under 2 years of age, visits for bronchiolitis are still up by 25% (+70 visits), within the expected range for this period. This increase is evident in the northern half of the country. Consultations for ear infections are on the rise among children under 15 years of age (+19%, or +416 visits). The numbers are within expected ranges and slightly higher than those of 2012 and 2013. Consultations for asthma remained stable over the past week, but the number of visits (893 visits) is higher than in the two previous years.
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