Health Surveillance in the Aquitaine Region. Epidemiological Update as of December 5, 2013.

Mortality
: Mortality rates recorded from vital statistics data, across all age groups, remain stable, with figures slightly lower than those of previous years during this period.

Emergency department visits by vulnerable populations
A moderate increase in emergency department visits by children under 1 year of age, with figures consistent with those typically observed during this period. No significant changes for those over 75 years of age.

Notifiable Diseases (ND)
No new cases of IIM C in the region.

Virology and enterovirus meningitis
Current circulation of seasonal respiratory viruses according to Bordeaux University Hospital; persistent circulation of enteroviruses correlated with observed enterovirus meningitis cases.

Acute gastroenteritis (AGE)
Activity slightly up in Aquitaine according to SOS Médecins and Oscour®. In France, activity is rising among those under 15, though overall lower than in previous seasons.

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

Bronchiolitis:
Start of the epidemic observed in Aquitaine and France according to SOS Médecins and Oscour® activity. Increase in AquiRespi cases (114 children on 11/30 and 12/1).

Vector-borne diseases
End of the 2013 enhanced surveillance for chikungunya and dengue in Lot-et-Garonne. In total, 2 imported cases of dengue were confirmed by the CNR.

Mushroom
poisoning cases Continue to decline in Aquitaine, with a total of 73 cases reported by CAPTV and 22 by Oscour® since July 2013.

Carbon monoxide poisoning
Since September 2013, 4 incidents involving 7 people, 5 of whom were transported to the emergency room (national level: 312 incidents, 940 people exposed, and 7 deaths).

School
Absenteeism: An upward trend, with a few reported cases of gastroenteritis and flu-like symptoms.

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