Rhiza Labs FluTracker Forum

Isn't that a high proportion of ICU cases?

In week 50 (of the 7 at December 13, 2009), the circulation of the virus has (H1N1) 2009 is stabilized with an elevated level on the whole of the territory.
● the networks Grog and Sentinelles show a stabilization of the consultations to an elevated level.
► 722.000 consultations for acute respiratory infections related to the influenza has (H1N1) 2009 (unconsolidated data) estimated by the Network of Grog.
● For network S.O.S Doctors, the activity decreases in the majority of the areas.
● At the hospital, for the same week, one notes a reduction in the number of passages to the urgencies for influenza in the majority of the areas.
● the weekly numbers of serious cases and death seem to be stabilized.
► 41 serious cases hospitalized for influenza in week 50, is a total of 804 since the beginning of the epidemic.
► At December 15, 24 deaths related to the virus has (H1N1) 2009 since the last bulletin, that is to say a total of 150 deaths since the beginning of the epidemic, including 25 without known risk factor.
● the virus has (H1N1) 2009 is found in 54% of the whole of the taking away carried out by the Network of Grog. It represents the quasitotality of the isolated grippaux viruses these last weeks.
● Three new cases of resistance to oseltamivir it (Tamiflu®) were detected in Metropolitan France, which changes the full number to 5.
Occurred of sporadic cases of resistance to oseltamivir it is not an unexpected event.
French territories ultramarins
● In the majority of these territories, the epidemic seems finished.
International
● In the Northern hemisphere, pandemia continues its decrease, in particular in America and Europe.
● In the world, nearly 1.080 additional deaths related to the virus has (H1N1) 2009 were brought back, increasing the cumulated number of deaths confirmed and notified since the beginning of the epidemic with nearly 11.000.

Metropolitan France
After a peak in weeks 48 and 49, we observed a marked decrease in the number of consultations for influenza. However, the circulation of influenza A(H1N1)2009 is still high in metropolitan France, the number of consultations remaining above the epidemic threshold.
► 593,000 visits for acute respiratory infections due to influenza A (H1N1)2009 (unconsolidated) estimated by the Regional Flu Observation Groups (GROG) Network in week 51, against 794,000 in week 50.

● We observed a reduction in the number of trips to hospital emergency rooms because of flu. The number of severe cases and deaths seem to have decreased.
► 42 cases were hospitalized with severe influenza in week 51, for a total of 935 since the beginning of the epidemic.
► On December 22, 26 deaths had occurred related to influenza A(H1N1)2009 since the last bulletin, for a total of 176 deaths since the beginning of the epidemic, of which 28 occurred in people without known risk factors.

● The rate of positivity for influenza A(H1N1)2009 in samples taken by the GROG Network remains high. Influenza A(H1N1)2009 represents almost all influenza viruses isolated in recent weeks.

● Seven cases of resistance to oseltamivir (Tamiflu ®) have been detected in mainland France. The occurrence of sporadic cases of resistance to oseltamivir is not an unexpected event.

Territory French overseas
● In most of these territories, the epidemic appears to be over.

International
● In Europe, transmission of influenza A(H1N1)2009 is lower except in Bulgaria, Hungary and Romania.
● Worldwide, nearly 1,200 additional deaths related to influenza A(H1N1)2009 were reported, bringing the cumulative number of confirmed and reported deaths since the epidemic began more than 12,000.

Epidemiological situation of bronchiolitis in metropolitan France

Item, 23 December

The data transmitted by the 146 hospitals participating in the surveillance system show that the epidemic of bronchiolitis seems to have stalled in Ile de France. The epidemic peak appears to have been reached in week 49 in this region. Elsewhere in metropolitan France, the epidemic continues to spread, particularly in the southern part of France, where the peak is usually reached in late December or early January.

The school holidays may help reduce transmission of the disease in the coming weeks (1). Meteorological factors, including temperature very close to 0 ° C, also contribute to reducing the transmission of the disease (2).

Infants under 6 months represent 50% of cases of bronchiolitis and boys are more often affected than girls (59% vs. 41%). Since 1 September 2009, 59% of infants under 3 months old were hospitalized after emergency action, against 26% of infants over three months old.

Data shows swine flu decline in France
December 31, 2009

Flu patients and death cases on A/H1N1 epidemic were both declining in recent weeks, France's Institute for Public Health Surveillance (InVS) said Wednesday in its weekly report.

The H1N1 influenza has caused 198 death cases since it debuted mainland France, among which 24 cases were children under 15 years old, InVS said, but adding that the weekly death number decreased for the third consecutive week.

According to data of Sentinelles, an official communicable diseases network, the rate of flu sufferers needing doctor treatment declined to 3.2 permillage last week, fewer than the level of 4.0 permillage in the previous week.

Over 6.1 million French people have infected with A/H1N1 virus after the epidemic attacked France, data of the Regional Groups of Flu Observation showed.

Major French flu monitor organizations forecasted that the activity of the A/H1N1 flu was going down which mirrors the Health Minister Roselyne Bachelot's early remark that France "has probably gotten through the first peak of the epidemic."

However, the minister also warned that the virus circulation still need precaution and many epidemiologists remained "prudent" about the possible serious situation in coming months. 　

Current Situation as of 29 December 2009

Metropolitan France
● The decrease in the number of consultations for influenza observed after the peak in weeks 48 and 49 continues. However, the circulation of influenza A (H1N1) in 2009 persists in metropolitan France and the number of consultations remains above the epidemic threshold.
►The Network of Regional Flu Observation Groups (RFOG) estimated 406,000 visits (unconsolidated) for acute respiratory infections due to influenza A(H1N1)2009 in week 52 against 632,000 in week 51.

● We observed a decrease in the number of emergency room visits for flu, thus numbers of severe cases and deaths.
► 30 cases have been hospitalized with severe influenza in week 52, for a total of 1,015 since the beginning of the epidemic.
► By December 29, 22 deaths had occurred related to influenza A(H1N1)2009 since the last bulletin, for a total of 198 deaths since the beginning of the epidemic, of which 32 occurred in people without known risk factors.

● The proportion of samples positive for influenza A(H1N1)2009 conducted by the RFOG Network remains high. The influenza A(H1N1)2009 represents almost all influenza viruses isolated in recent weeks.

● No new resistance to oseltamivir (Tamiflu ®) has been detected in mainland France.

Overseas French Territories
● In most of these territories, the epidemic appears to be over.

International
● In Europe, transmission of influenza A(H1N1)2009 is lower except in Bulgaria. The number of confirmed deaths has increased over the previous week.
● Worldwide, nearly 1000 additional deaths related to influenza A(H1N1)2009 were reported, bringing the cumulative number of confirmed, reported deaths since the epidemic began to nearly 13,000.