Key indicators

Individual Monitoring

• As of April 23, 2020 (12:00 p.m.), 2,761 confirmed cases of COVID-19 have been reported by hospital and private laboratories to the ARS Pays de la Loire since the start of the outbreak

Community-based surveillance

• SOS Médecins: 728 cases of suspected COVID-19 per 10,000 cases in week 16 (1,023 in week 15)

• LABM (network of 3 labs): 8.5% positive test results in week 16 (4.5% in week 15)

Surveillance in long-term care facilities, including nursing homes

• 1,859 cases (possible or confirmed) among residents, including 156 deaths in long-term care facilities and 46 in hospitals reported as of April 21, 2020

• 1,123 cases (possible or confirmed) among staff reported as of April 21, 2020

Hospital surveillance

• Oscour® Network: 812 emergency department visits for suspected COVID-19 per 10,000 visits in Week 16 (1,213 in Week 15)

• Hospital laboratories: 12.5% of tests positive in week 16 (16% in week 15)

• SI VIC data: 747 people hospitalized for COVID-19 (including 107 in intensive care) as of April 22

• Sentinel intensive care units: Among the 243 reported ICU admissions, 51% of patients were aged 65 and older, and 58% had at least one risk factor

Mortality surveillance

• Moderate excess mortality from all causes and across all age groups observed in the region during week 14 (March 30 to April 5), primarily in Maine-et-Loire and Sarthe

• A moderate but significant excess in all-cause mortality across all age groups was observed in Loire-Atlantique during week 15 (April 6–12)