Public Health Surveillance in the Aquitaine Region. Epidemiological Update as of October 16, 2014.

Mortality: The mortality rates recorded by civil registry offices are in line with expected levels for this time of year.

Emergency room visits by vulnerable populations: Emergency room visits by people aged 75 and older and those under 1 year of age are close to expected levels for this time of year.

Reportable Diseases (MDO)No unusual situation.

Chikungunya and dengue: enhanced surveillanceSince May 1, 152 suspected cases have been reported. Among them, 57 cases of chikungunya, 26 cases of dengue, and 3 confirmed co-infections, all imported. As of October 10, 2014, 4 locally acquired cases of dengue fever have been identified in mainland France: 2 in the Var department (unrelated cases) and 2 in the Bouches-du-Rhône department (related cases constituting an outbreak). No new locally acquired cases have been reported since October 3, 2014.

Acute Gastroenteritis (AGE)The number of emergency room visits for AGE is stable and in line with expectations in Aquitaine but slightly increasing in France. According to SOS Médecins, visits for AGE are on the rise, especially among children, in Aquitaine and in France.

BronchiolitisVisits by SOS Médecins for bronchiolitis account for approximately 4% of cases among children under 2 years of age, slightly above expected levels for this season. Nationally, visits to Oscour® emergency departments and SOS Médecins visits are on the rise.

Asthma and AllergiesAccording to SOS Médecins and Oscour®, visits for asthma in Aquitaine are stable but remain at a high level. Nationally, visits to Oscour® emergency departments are on the rise. Few visits for allergies and the end of the pollen season in Aquitaine.

Enterovirus Meningitis and Virology: Seasonal respiratory viruses have begun circulating, according to the Bordeaux University Hospital, and a correlation has been observed between enterovirus circulation and enterovirus meningitis cases recorded by the Oscour® network.

Mushroom poisoning (indicator not detailed in the body of the document) Since July, in Aquitaine, 31 cases according to CAPTV and 5 according to Oscour® (566 and 225 in France).

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