OSCOUR National Newsletter, December 8–14, 2014

Trends in Overall Activity: The number of visits and hospitalizations has risen slightly among children under 2 years of age (+6%, or 1,300 more visits; +9%, or 359 more hospitalizations) and among adults over 75 years of age (+7%, or 2,662 more visits; +9%, or 1,403 more hospitalizations).

Trends in Major ConditionsThe most common conditions seen in the emergency department remain stable among children aged 2 to 14 and adults aged 15 to 74. Of note, among children under 2 years of age, there was an increase in visits for pneumonia, bronchitis, urinary tract infections, and gastroenteritis, and among adults over 75 years of age for heart failure/arrhythmias and conduction disorders, as well as for pneumonia.

Trends in Seasonal Indicators Among children under 2 years of age, emergency department visits for bronchiolitis began to stabilize over the past week, with an 8% increase in visits (+252 visits) and a 20% increase in hospitalizations (+200 hospitalizations). With 3,156 weekly visits, national figures are very close to those of previous years, though regional trends remain variable. While the epidemic peak has passed in the Île-de-France region—with higher figures than in the two previous years—case numbers are still rising in the western and southern regions of France. Emergency department visits for influenza/flu-like illness are stable or declining among children under 15 but are rising sharply among adults (+44%, or +100 visits among those aged 15–74). With 498 weekly visits, case numbers remain low, consistent with a pre-epidemic period and following a trend similar to that of 2012 and 2013. The trend is the same at this stage across all regions. Emergency department visits for gastroenteritis are up by 10 to 20% across all age groups. With 1,824 weekly visits, the numbers are very close to those of 2012 and 2013. Emergency room visits for bronchitis and pneumonia are up by 15 to 20% among children under 2 years of age and adults aged 15–74, with weekly numbers exceeding those of 2012 and 2013 for pneumonia.Emergency department visits for asthma are up 26% (an increase of 20 visits) among adults over 75, but remain stable in other age groups. The number of visits for this condition remains significantly higher than in the two previous years during this period.

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