Mortality: Mortality rates (all ages and those aged 75 and older) recorded by civil registry offices are below expected levels for this period.

Emergency room visits by vulnerable populations: The number of emergency room visits among children under 1 year of age is within expected ranges for this period; emergency room visits among those aged 75 and older are on the rise, but remain close to expected levels.

Reportable Diseases (MDO)No unusual situation; 5 cases of Legionnaires’ disease and 7 cases of foodborne illness reported in August.

Chikungunya and dengue: enhanced surveillance Since May 1, when enhanced surveillance began in Lot-et-Garonne and Gironde—where the Asian tiger mosquito (Aedes albopictus) is established—99 suspected cases have been reported.Among these, 38 cases of chikungunya, 16 cases of dengue, and 1 co-infection have been confirmed, all of which were imported. On August 20, 2014, the first case of locally acquired dengue was identified in the Var department.

Acute Gastroenteritis (AGE)Low activity in Aquitaine and nationwide.

Asthma and Allergies: Activity related to asthma and allergies is stable or declining according to SOS Médecins and Oscour®, both in Aquitaine and across France. Forecast: very low allergy risk in Aquitaine.

Heat-related illnesses: Low activity according to Oscour® and SOS Médecins in Aquitaine and nationwide. No heat wave forecast by Météo France.

Enterovirus meningitis: Circulation of the virus since week 26 in Aquitaine according to Oscour® and the virology department of the

Bordeaux University Hospital. Mushroom poisoning (indicator not detailed in the body of the document) Since July, in Aquitaine, 7 cases according to CAPTV and 2 according to Oscour® in total (281 and 147 in France).