Winter Outbreaks in Normandy. 2022–2023 Report. Public Health Bulletin, October 2023.

Key points

Bronchiolitis

  • An early outbreak, beginning in mid-September and unusually long (lasting 14 weeks).

  • An intense outbreak, similar to the 2018–2019 season, with a peak in activity in early November in primary care and in late November in emergency departments.

  • An outbreak characterized by low RSV circulation at the start of the outbreak and, overall, lower than in previous seasons.

Influenza

  • An early epidemic, beginning in mid-November and lasting a long time (23 weeks).

  • A double epidemic wave due to the successive circulation of two different influenza viruses: predominantly type A H3N2 during the first wave and type B during the second.

  • The first wave was very intense and severe in terms of hospitalizations and mortality.

  • The second wave was less severe but longer, particularly in community practice.

COVID-19

  • Three successive waves of decreasing intensity.

  • Exclusive circulation of the Omicron variant and its subvariants.

  • More frequent infections and severe cases among people over 75 years of age.

Acute gastroenteritis

  • Emergency department activity remained at baseline levels.

  • An increase in activity in primary care beginning in early 2023, with an epidemic peak in early February.

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