France - suivi de la grippe 2012-2013

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 1 du 31/12/2012 au 06/01/2013

<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 3 semaines d'?pid?mie 464 000 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 297 cas pour 100 000 habitants (soit 190 000 nouveaux cas), au-dessus du seuil ?pid?mique (179 cas pour 100 000 habitants). Cette 3?me semaine au dessus du seuil est marqu?e par un renforcement de l'intensit? de l'?pid?mie, qui s'installe progressivement en France.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Auvergne (597 pour 100 000 habitants), Champagne-Ardenne (466), Rh?ne-Alpes (438), Languedoc-Roussillon (336), Poitou-Charentes (266), Midi-Pyr?n?es (261), Aquitaine (239) et Ile-de-France (213). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 38 ans (6 mois ? 94 ans ); les hommes repr?sentaient 45% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : aucune hospitalisation pour syndrome grippal rapport?e la semaine derni?re.
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], le niveau d?activit? des syndromes grippaux devrait continuer d?augmenter cette semaine.

Estimation de la part attribuable ? la Grippe
D?autres virus que la grippe peuvent ?tre responsables de syndromes grippaux. Gr?ce ? un mod?le de r?gression p?riodique appliqu? aux donn?es historiques de surveillance, le r?seau Sentinelles estime, pour chaque semaine, la part attribuable ? la grippe parmi les consultations pour syndromes grippaux. Ce nombre de consultations correspond ? l?exc?s de consultations pour syndromes grippaux observ? par rapport ? ce qui serait attendu ? cette p?riode de l?ann?e en l?absence d??pid?mie de grippe (d?tail du calcul sur la page M?thodes du site Sentinelles : www.sentiweb.fr/?page=methodes).
Ainsi pour la semaine 2013s01, le nombre de consultations attribuables ? la grippe parmi les consultations pour syndromes grippaux est estim? ? 121 000 [intervalle de pr?diction ? 90% : 75 000 ; 167 000]. En trois semaines d??pid?mie, le nombre de consultations pour grippe a ?t? estim? ? 264 000 [127 000 ; 400 500].
Cette estimation prend en compte les cas de grippe vus en m?decine g?n?rale r?pondant ? la d?finition du r?seau Sentinelles. Elle ne prend pas en compte les cas de grippe ne r?pondant pas ? cette d?finition ou non vus par les m?decins g?n?ralistes.
[1] Viboud C, et al. Prediction of the spread of influenza epidemics by the method of analogues. Am J Epidemiol. 2003 Nov 15;158(10):996-1006.

<abbr class="tip-rel" rel="#definition-3">*Voir la d?finition de l'indicateur</abbr> Plus d'information sur cette surveillance
</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr><td valign="top" width="100%"> <table bgcolor="black" border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr> <td> <table border="0" cellpadding="2" cellspacing="1" width="100%"> <tbody><tr> <td bgcolor="#0087E0">Bulletin GROG : 2013/2 du 07/01/2013 au 13/01/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : ?pid?mie atypique
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</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 02, du lundi 7 janvier 2013 au dimanche 13 janvier 2013

- Le nombre de d?tections de virus grippaux dans les pr?l?vements faits par les vigies GROG est toujours ?lev? (proche de 40%).

- Les trois virus A(H1N1)pdm09, A(H3N2) et B continuent de co-circuler, sans dominance nette de l?un ou l?autre de ces virus.

- La situation observ?e actuellement ressemble plus ? la superposition de trois vagues modestes de grippe plut?t qu?? une ?pid?mie classique. Cela entra?ne des h?t?rog?n?it?s r?gionales et locales.

- Les tableaux cliniques sont parfois trompeurs : la fi?vre peut ?tre discr?te, le d?but progressif et les signes respiratoires moins intenses.

- Durant la semaine 02/2013
La grippe a ?t? responsable d?environ 540.000 recours aux m?decins g?n?ralistes et p?diatres.



<center> </center>

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Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 2 du 07/01/2013 au 13/01/2013

<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 4 semaines d'?pid?mie 642 600 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 317 cas pour 100 000 habitants (soit 202 600 nouveaux cas), au-dessus du seuil ?pid?mique (180 cas pour 100 000 habitants). Il s?agit de la quatri?me semaine cons?cutive de hausse de l?activit? ?pid?mique en France.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Nord-Pas-de-Calais (650 pour 100 000 habitants), Bretagne (649), Provence-Alpes-C?te-d?Azur (534), Rh?ne-Alpes (505), Auvergne (431), Languedoc-Roussillon (428), Limousin (351), Champagne-Ardenne (306), Alsace (305) et Ile-de-France (262). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 33 ans (6 mois ? 89 ans ); les hommes repr?sentaient 49% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : aucune hospitalisation pour syndrome grippal rapport?e la semaine derni?re.
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], le niveau d?activit? des syndromes grippaux devrait continuer d?augmenter cette semaine.

Estimation de la part attribuable ? la Grippe
D?autres virus que la grippe peuvent ?tre responsables de syndromes grippaux. Gr?ce ? un mod?le de r?gression p?riodique appliqu? aux donn?es historiques de surveillance, le r?seau Sentinelles estime, pour chaque semaine, la part attribuable ? la grippe parmi les consultations pour syndromes grippaux. Ce nombre de consultations correspond ? l?exc?s de consultations pour syndromes grippaux observ? par rapport ? ce qui serait attendu ? cette p?riode de l?ann?e en l?absence d??pid?mie de grippe (d?tail du calcul sur la page M?thodes du site Sentinelles : www.sentiweb.fr/?page=methodes).
Ainsi pour la semaine 2013s02, le nombre de consultations attribuables ? la grippe parmi les consultations pour syndromes grippaux est estim? ? 133 500 [intervalle de pr?diction ? 90% : 87 500 ; 179 500]. En quatre semaines d??pid?mie, le nombre de consultations pour grippe a ?t? estim? ? 372 500 [189 500 ; 555 500].
Cette estimation prend en compte les cas de grippe vus en m?decine g?n?rale r?pondant ? la d?finition du r?seau Sentinelles. Elle ne prend pas en compte les cas de grippe ne r?pondant pas ? cette d?finition ou non vus par les m?decins g?n?ralistes.
[1] Viboud C, et al. Prediction of the spread of influenza epidemics by the method of analogues. Am J Epidemiol. 2003 Nov 15;158(10):996-1006.

<abbr class="tip-rel" rel="#definition-3">*Voir la d?finition de l'indicateur</abbr> Plus d'information sur cette surveillance
</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table cellpadding="0" cellspacing="0" border="0" width="100%"> <tbody><tr><td valign="top" width="100%"> <table cellpadding="0" cellspacing="0" bgcolor="black" border="0" width="100%"> <tbody><tr> <td> <table cellpadding="2" cellspacing="1" border="0" width="100%"> <tbody><tr> <td bgcolor="#0087E0">Bulletin GROG : 2013/3 du 14/01/2013 au 20/01/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : toujours ?pid?mique
</td><td>
</td><td>
</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 03, du lundi 14 janvier 2013 au dimanche 20 janvier 2013

- Selon les crit?res d?finis par le R?seau des GROG, la grippe est actuellement ?pid?mique au niveau national et dans 17 r?gions m?tropolitaines.

- L?augmentation des consultations pour infection respiratoire aig?e ou grippe concerne surtout les enfants.

- Le nombre de d?tections de virus grippaux dans les pr?l?vements faits par les vigies GROG est proche de 50%.

- Les trois virus A(H1N1)pdm09, A(H3N2) et B continuent de co-circuler, sans dominance nette de l?un ou l?autre de ces virus.

- Rappelons que les tableaux cliniques de grippe sont parfois trompeurs : la fi?vre peut ?tre discr?te, le d?but progressif et les signes respiratoires moins intenses.

- Durant la semaine 03/2013
La grippe a ?t? responsable d?environ 560.000 recours aux m?decins g?n?ralistes et p?diatres.


<center> </center>

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Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 3 du 14/01/2013 au 20/01/2013


<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 5 semaines d'?pid?mie 841 600 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 347 cas pour 100 000 habitants (soit 222 000 nouveaux cas), au-dessus du seuil ?pid?mique (179 cas pour 100 000 habitants). Il s?agit de la cinqui?me semaine cons?cutive de hausse de l?activit? ?pid?mique en France.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Rh?ne-Alpes (666 pour 100 000 habitants), Nord-Pas-de-Calais (660), Limousin (592), Auvergne (450), Provence-Alpes-C?te-d?Azur (427), Champagne-Ardenne (418), Alsace (413), Centre (312), Pays-de-la-Loire (305) et Ile-de-France (293). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 26 ans (5 mois ? 89 ans ); les hommes repr?sentaient 50% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : le pourcentage d?hospitalisation a ?t? estim? ? 0,5% (IC ? 95% : [0% ; 1,1%]).
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], le niveau d?activit? des syndromes grippaux devrait continuer d?augmenter cette semaine.

Estimation de la part attribuable ? la Grippe
D?autres virus que la grippe peuvent ?tre responsables de syndromes grippaux. Gr?ce ? un mod?le de r?gression p?riodique appliqu? aux donn?es historiques de surveillance, le r?seau Sentinelles estime, pour chaque semaine, la part attribuable ? la grippe parmi les consultations pour syndromes grippaux. Ce nombre de consultations correspond ? l?exc?s de consultations pour syndromes grippaux observ? par rapport ? ce qui serait attendu ? cette p?riode de l?ann?e en l?absence d??pid?mie de grippe (d?tail du calcul sur la page M?thodes du site Sentinelles : www.sentiweb.fr/?page=methodes).
Ainsi pour la semaine 2013s03, le nombre de consultations attribuables ? la grippe parmi les consultations pour syndromes grippaux est estim? ? 154 000 [intervalle de pr?diction ? 90% : 108 000 ; 200 000]. En cinq semaines d??pid?mie, le nombre de consultations pour grippe a ?t? estim? ? 503 500 [274 500 ; 732 500].
Cette estimation prend en compte les cas de grippe vus en m?decine g?n?rale r?pondant ? la d?finition du r?seau Sentinelles. Elle ne prend pas en compte les cas de grippe ne r?pondant pas ? cette d?finition ou non vus par les m?decins g?n?ralistes.
[1] Viboud C, et al. Prediction of the spread of influenza epidemics by the method of analogues. Am J Epidemiol. 2003 Nov 15;158(10):996-1006.

<abbr class="tip-rel" rel="#definition-3">*Voir la d?finition de l'indicateur</abbr> Plus d'information sur cette surveillance
</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr><td valign="top" width="100%"> <table bgcolor="black" border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr> <td> <table border="0" cellpadding="2" cellspacing="1" width="100%"> <tbody><tr> <td bgcolor="#0087E0">Bulletin GROG : 2013/4 du 21/01/2013 au 27/01/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : ?pid?mie soutenue
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</td><td>
</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 04, du lundi 21 janvier 2013 au dimanche 27 janvier 2013

- L?activit? ?pid?mique grippale continue de s?intensifier partout en France m?tropolitaine, impactant nettement l?activit? m?dicale de notre pays.
Le grand quart nord-ouest semble un peu moins touch? mais les m?decins vigies du R?seau des GROG d?crivent en ce moment dans ces r?gions un d?marrage intense et rapide de l?activit? grippale.

- Toutes les tranches d??ges sont concern?es, mais particuli?rement les enfants.

- Le nombre de d?tections de virus grippaux dans les pr?l?vements faits par les vigies GROG est proche de 60%.

- Les trois virus A(H1N1)pdm09, A(H3N2) et B continuent de co-circuler, mais le virus B semble devenir plus actif dans le sud de la France.

- Durant la semaine 04/2013

La grippe a ?t? responsable d?environ 1.100.000 recours aux m?decins g?n?ralistes et p?diatres (donn?es non consolid?es).

<center> </center>

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Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 4 du 21/01/2013 au 27/01/2013



<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 6 semaines d'?pid?mie 1 270 000 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 662 cas pour 100 000 habitants (soit 422 700 nouveaux cas), au-dessus du seuil ?pid?mique (176 cas pour 100 000 habitants). Il s?agit de la sixi?me semaine cons?cutive de hausse de l?activit? ?pid?mique en France.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Nord-Pas-de-Calais (1763 pour 100 000 habitants), Franche-Comt? (973), Rh?ne-Alpes (905), Auvergne (858), Provence-Alpes-C?te-d?Azur (665), Languedoc-Roussillon (653), Champagne-Ardenne (625), Limousin (600), Bourgogne (583), Centre (579), Midi-Pyr?n?es (577) et Ile-de-France (570). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 21 ans (2 mois ? 94 ans ); les hommes repr?sentaient 49% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : aucune hospitalisation pour syndrome grippal rapport?e la semaine derni?re.
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], l?activit? ?pid?mique pourrait continuer ? augmenter cette semaine.

Estimation de la part attribuable ? la Grippe
D?autres virus que la grippe peuvent ?tre responsables de syndromes grippaux. Gr?ce ? un mod?le de r?gression p?riodique appliqu? aux donn?es historiques de surveillance, le r?seau Sentinelles estime, pour chaque semaine, la part attribuable ? la grippe parmi les consultations pour syndromes grippaux. Ce nombre de consultations correspond ? l?exc?s de consultations pour syndromes grippaux observ? par rapport ? ce qui serait attendu ? cette p?riode de l?ann?e en l?absence d??pid?mie de grippe (d?tail du calcul sur la page M?thodes du site Sentinelles : www.sentiweb.fr/?page=methodes).
Ainsi pour la semaine 2013s04, le nombre de consultations attribuables ? la grippe parmi les consultations pour syndromes grippaux est estim? ? 356 500 [intervalle de pr?diction ? 90% : 310 500 ; 402 500]. En six semaines d??pid?mie, le nombre de consultations pour grippe a ?t? estim? ? 865 500 [590 500 ; 1 140 500].
Cette estimation prend en compte les cas de grippe vus en m?decine g?n?rale r?pondant ? la d?finition du r?seau Sentinelles. Elle ne prend pas en compte les cas de grippe ne r?pondant pas ? cette d?finition ou non vus par les m?decins g?n?ralistes.
[1] Viboud C, et al. Prediction of the spread of influenza epidemics by the method of analogues. Am J Epidemiol. 2003 Nov 15;158(10):996-1006.

<abbr class="tip-rel" rel="#definition-3">*Voir la d?finition de l'indicateur</abbr> Plus d'information sur cette surveillance
</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr><td valign="top" width="100%"> <table bgcolor="black" border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr> <td> <table border="0" cellpadding="2" cellspacing="1" width="100%"> <tbody><tr> <td bgcolor="#0087E0">Bulletin GROG : 2013/5 du 28/01/2013 au 03/02/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : ?pid?mie toujours active
</td><td>
</td><td>
</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 05, du lundi 28 janvier 2013 au dimanche 03 f?vrier 2013

- L?incidence de la grippe est toujours en hausse, particuli?rement chez les enfants d??ge scolaire.

- Le nombre de d?tections de virus grippaux dans les pr?l?vements faits par les vigies GROG d?passe maintenant les 60%.
Actuellement plus d?un patient sur deux consultant pour une infection respiratoire aigu? en m?decine g?n?rale ou en p?diatrie est un vrai cas de grippe.

- Les trois virus A(H1N1)pdm09, A(H3N2) et B continuent de co-circuler, avec une l?g?re dominance du virus B depuis deux semaines, notamment dans le sud-est de la France.

- Durant la semaine 05/2013, la grippe a ?t? responsable d?environ 1.100.000 recours aux m?decins g?n?ralistes et p?diatres (donn?es non consolid?es).


<center> </center>

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Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 5 du 28/01/2013 au 03/02/2013



<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 7 semaines d'?pid?mie 1 786 000 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 856 cas pour 100 000 habitants (soit 546 700 nouveaux cas), au-dessus du seuil ?pid?mique (171 cas pour 100 000 habitants). Il s?agit de la septi?me semaine cons?cutive de hausse de l?activit? ?pid?mique en France.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Nord-Pas-de-Calais (2093 pour 100 000 habitants), Rh?ne-Alpes (1310), Limousin (1228), Languedoc-Roussillon (974), Centre (852), Auvergne (851), Champagne-Ardenne (810), Provence-Alpes-C?te-d?Azur (727), Bretagne (718), Alsace (689), Franche-Comt? (685) et Ile-de-France (655). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 21 ans (7 mois ? 97 ans); les hommes repr?sentaient 47% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : le pourcentage d?hospitalisation a ?t? estim? ? 0,2% (IC ? 95% : [0% ; 0,5%]).
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], l?activit? ?pid?mique pourrait avoir atteint son pic d?ici la semaine prochaine.

</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table cellspacing="0" border="0" cellpadding="0" width="100%"> <tbody><tr><td valign="top" width="100%"> <table cellspacing="0" bgcolor="black" border="0" cellpadding="0" width="100%"> <tbody><tr> <td> <table cellspacing="1" border="0" cellpadding="2" width="100%"> <tbody><tr> <td bgcolor="#0087E0">Bulletin GROG : 2013/6 du 04/02/2013 au 10/02/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : au coeur de l'?pid?mie
</td><td>
</td><td>
</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 06, du lundi 4 f?vrier 2013 au dimanche 10 f?vrier 2013

- La circulation des virus grippaux A et B se poursuit dans toutes les r?gions m?tropolitaines mais semble marquer le pas et l?activit? des infections respiratoires aigu?s a cess? sa progression.

- Le nombre de d?tections de virus grippaux dans les pr?l?vements faits par les vigies GROG est de 50%, en l?g?re baisse.
Actuellement encore un patient sur deux consultant pour une infection respiratoire aigu? en m?decine g?n?rale ou en p?diatrie est un vrai cas de grippe.

- C?est la huiti?me semaine d??pid?mie mais on peut rappeler qu?au cours des 20 derni?res saisons de surveillance du R?seau des GROG, la p?riode la plus longue de franchissement du seuil ?pid?mique a ?t? de 12 semaines, en 1996/1997 (?pid?mie de grippe A(H3N2).

- Durant la semaine 06/2013, la grippe a ?t? responsable d?environ 1.100.000 recours aux m?decins g?n?ralistes et p?diatres (donn?es non consolid?es).


<center> </center>

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coords="229,181,230,173,234,170,237,166,232,157,23 2,152,225,144,220,140,214,140,213,130,215,126,216, 122,211,117,211,108,211,106,203,106,198,110,191,11 3,180,111,170,108,156,105,153,106,147,94,151,91,14 9,86,141,86,136,89,125,84,122,86,124,90,124,98,128 ,108,133,118,133,125,133,134,132,142,135,148,134,1 53,135,159,137,160,143,157,147,160,161,160,164,164 ,175,164,187,160,194,165,197,170,201,170,204,166,2 10,166,212,167,214,173,218,177,220,181" href="http://www.grog.org/regions/b-normandie/bulletin.php?semaine=201306" alt="Basse Normandie" title="Basse Normandie"> <area shape="poly" coords="91,222,100,219,109,218,112,210,117,210,139 ,203,142,204,147,204,148,199,152,196,155,191,154,1 84,152,175,152,170,151,168,154,165,154,161,148,159 ,144,158,142,158,136,161,134,152,124,152,122,147,1 13,147,108,151,99,148,92,148,86,155,75,135,68,134, 54,135,49,141,41,141,32,140,25,140,20,140,5,146,2, 148,2,160,8,166,14,175,4,180,10,187,16,197,29,196, 50,210,71,218,65,226,60,224,58,229,62,233,70,231,6 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7,456,396,461,389,462" href="http://www.grog.org/regions/p-alpes-cote-azur/bulletin.php?semaine=201306" alt="Provence-Alpes C?te d'Azur" title="Provence-Alpes C?te d'Azur"> <area shape="poly" coords="525,479,524,500,529,506,531,532,531,540,52 7,554,526,575,523,582,518,581,510,576,498,572,497, 568,502,564,502,562,494,560,495,557,498,553,496,54 8,492,550,490,544,496,538,491,536,486,533,487,530, 490,528,485,523,488,514,499,504,508,500,517,498,51 9,491,518,480" nohref="" alt="Corse" title="Corse"> </map>


Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 6 du 04/02/2013 au 10/02/2013



<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 8 semaines d'?pid?mie 2 295 500 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 877 cas pour 100 000 habitants (soit 560 500 nouveaux cas), au-dessus du seuil ?pid?mique (166 cas pour 100 000 habitants). Il s?agit de la huiti?me semaine cons?cutive de hausse de l?activit? ?pid?mique en France.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Franche-Comt? (1381 pour 100 000 habitants), Nord-Pas-de-Calais (1347), Auvergne (1102), Rh?ne-Alpes (1097), Alsace (1080), Champagne-Ardenne (1003), Provence-Alpes-C?te-d?Azur (989), Languedoc-Roussillon (914), Centre (828) et Lorraine (826). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 22 ans (6 mois ? 96 ans); les hommes repr?sentaient 50% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : le pourcentage d?hospitalisation a ?t? estim? ? 0,2% (IC ? 95% : [0% ; 0,5%]).
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], l?activit? ?pid?mique pourrait atteindre son pic cette semaine.

</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table cellspacing="0" border="0" cellpadding="0" width="100%"><tbody><tr><td valign="top" width="100%"><table cellspacing="0" bgcolor="black" border="0" cellpadding="0" width="100%"><tbody><tr><td><table cellspacing="1" border="0" cellpadding="2" width="100%"><tbody><tr><td bgcolor="#0087E0">Bulletin GROG : 2013/7 du 11/02/2013 au 17/02/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : toujours ?pid?mique
</td><td>
</td><td>
</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 07, du lundi 11 f?vrier 2013 au dimanche 17 f?vrier 2013

- Apr?s 9 semaines au-dessus du seuil ?pid?mique utilis? par le R?seau des GROG l?activit? grippale reste tr?s soutenue depuis le d?but du mois de f?vrier.

- Les virus grippaux A et B continuent de co-circuler, avec une petite pr?dominance des virus de type B (57% de virus B, 43 % de virus A).

- Toutes les classes d??ge sont concern?es mais l?activit? grippale semble commencer ? marquer le pas chez les enfants, notamment les 5-14 ans.

- Les vacances scolaires devraient favoriser la d?crue ?pid?mique.

- Depuis les 4 derni?res semaines, la grippe a ?t? responsable chaque semaine de 1.100.000 ? 1.300.000 recours aux m?decins g?n?ralistes et p?diatres (donn?es non consolid?es).

<center> </center>

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coords="229,181,230,173,234,170,237,166,232,157,23 2,152,225,144,220,140,214,140,213,130,215,126,216, 122,211,117,211,108,211,106,203,106,198,110,191,11 3,180,111,170,108,156,105,153,106,147,94,151,91,14 9,86,141,86,136,89,125,84,122,86,124,90,124,98,128 ,108,133,118,133,125,133,134,132,142,135,148,134,1 53,135,159,137,160,143,157,147,160,161,160,164,164 ,175,164,187,160,194,165,197,170,201,170,204,166,2 10,166,212,167,214,173,218,177,220,181" href="http://www.grog.org/regions/b-normandie/bulletin.php?semaine=201307" alt="Basse Normandie" title="Basse Normandie"> <area shape="poly" coords="91,222,100,219,109,218,112,210,117,210,139 ,203,142,204,147,204,148,199,152,196,155,191,154,1 84,152,175,152,170,151,168,154,165,154,161,148,159 ,144,158,142,158,136,161,134,152,124,152,122,147,1 13,147,108,151,99,148,92,148,86,155,75,135,68,134, 54,135,49,141,41,141,32,140,25,140,20,140,5,146,2, 148,2,160,8,166,14,175,4,180,10,187,16,197,29,196, 50,210,71,218,65,226,60,224,58,229,62,233,70,231,6 9,226,75,220" href="http://www.grog.org/regions/bretagne/bulletin.php?semaine=201307" alt="Bretagne" title="Bretagne"> <area shape="poly" coords="145,298,151,293,153,297,167,296,170,293,16 6,289,167,269,165,266,158,255,169,254,172,251,184, 250,188,252,195,247,204,230,204,222,212,219,223,21 2,230,199,230,190,232,188,228,181,220,181,213,173, 213,166,209,166,205,166,202,171,197,169,188,161,17 8,163,164,164,162,162,154,160,155,165,152,167,153, 175,154,181,156,190,153,196,150,198,147,204,140,20 3,118,210,113,210,110,217,92,222,86,228,90,236,101 ,244,105,251,105,257,92,270,94,272,103,264,107,270 ,114,280,117,287,137,295" href="http://www.grog.org/regions/p-de-la-loire/bulletin.php?semaine=201307" alt="Pays de la Loire" title="Pays de la Loire"> <area shape="poly" coords="319,184,322,179,322,172,325,172,329,172,33 3,170,336,165,343,157,339,149,337,146,341,142,329, 134,327,132,327,128,297,125,295,123,289,126,282,12 0,278,122,269,123,262,127,262,128,259,128,259,139, 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1,302,381,299,390,298,394,296,395,305,401,293,402, 287,406,284,412,286,422,287,423,281,425,279,422,27 5,423,266,418,261,418,254,417,249,422,248,424,239, 426,233,426,230,424,228,424,223,423,213,409,213,40 3,209,400,202,397,197,388,193,377,194,366,198,362, 197,346,182,345,173,335,170,322,173,321,180,319,18 4,324,192,324,198,323,205,319,210,314,212,319,219, 316,226,316,238,321,245,322,254,324,260,324,268,32 3,269,330,277,336,276,340,278,349,275,352,279,358, 287,363,289,362,295" href="http://www.grog.org/regions/bourgogne/bulletin.php?semaine=201307" alt="Bourgogne" title="Bourgogne"> <area shape="poly" coords="423,286,424,292,424,298,429,298,436,296,43 7,299,444,297,453,289,454,281,464,270,467,266,467, 256,476,248,485,237,485,233,492,229,491,228,486,22 7,488,220,493,219,489,210,484,203,478,200,471,195, 469,198,457,195,448,193,439,195,437,199,434,202,43 1,207,426,211,423,213,424,220,424,227,426,231,425, 241,423,247,417,249,417,252,418,260,424,263,423,27 2,423,277,425,280" href="http://www.grog.org/regions/franche-comte/bulletin.php?semaine=201307" alt="Franche Comt?" title="Franche Comt?"> <area shape="poly" coords="161,357,171,360,173,367,180,370,185,374,19 4,367,199,366,202,362,203,354,210,349,213,342,223, 335,223,330,227,327,231,319,231,317,228,316,229,30 4,234,301,237,297,244,295,238,286,232,277,230,269, 222,261,220,258,211,259,208,259,207,253,197,245,18 9,251,174,251,170,253,159,255,161,261,165,267,167, 272,167,280,167,288,170,292,167,296,159,297,154,29 7,150,294,146,300,135,301,133,307,132,315,137,329, 140,335,150,343,157,349" href="http://www.grog.org/regions/p-charentes/bulletin.php?semaine=201307" alt="Poitou-Charentes" title="Poitou-Charentes"> <area shape="poly" coords="253,380,259,378,263,379,267,384,272,385,28 3,382,284,381,284,375,288,373,289,364,294,361,294, 356,300,356,300,345,299,336,296,332,299,327,305,32 1,304,317,302,314,302,308,297,300,291,294,281,293, 271,292,266,295,254,295,251,294,246,296,238,296,23 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7,456,396,461,389,462" href="http://www.grog.org/regions/p-alpes-cote-azur/bulletin.php?semaine=201307" alt="Provence-Alpes C?te d'Azur" title="Provence-Alpes C?te d'Azur"> <area shape="poly" coords="525,479,524,500,529,506,531,532,531,540,52 7,554,526,575,523,582,518,581,510,576,498,572,497, 568,502,564,502,562,494,560,495,557,498,553,496,54 8,492,550,490,544,496,538,491,536,486,533,487,530, 490,528,485,523,488,514,499,504,508,500,517,498,51 9,491,518,480" nohref="" alt="Corse" title="Corse"> </map>


Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 7 du 11/02/2013 au 17/02/2013



<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 9 semaines d'?pid?mie 2 765 000 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 878 cas pour 100 000 habitants (soit 561 000 nouveaux cas), au-dessus du seuil ?pid?mique (159 cas pour 100 000 habitants). L'activit? ?pid?mique continue d'augmenter en france apr?s 9 semaines d'?pid?mie.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Nord-Pas-de-Calais (1637 pour 100 000 habitants), Champagne-Ardenne (1169), Corse (1146), Languedoc-Roussillon (1062), Midi-Pyr?n?es (1061), Rh?ne-Alpes (971), Auvergne (969), Centre (957) et Limousin (940). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 23 ans (2 mois ? 93 ans); les hommes repr?sentaient 47% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : le pourcentage d?hospitalisation a ?t? estim? ? 0,4% (IC ? 95% : [0% ; 0,8%]).
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], l'activit? ?pid?mique pourrait avoir atteint son pic et amorcer sa d?crue cette semaine (voir graphe ci-contre).

</dd></dl>

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013

<table border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr><td valign="top" width="100%"> <table bgcolor="black" border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr> <td> <table border="0" cellpadding="2" cellspacing="1" width="100%"> <tbody><tr> <td bgcolor="#0087E0">Bulletin GROG : 2013/8 du 18/02/2013 au 24/02/2013</td> </tr> </tbody></table></td></tr> </tbody></table> </td> <td class="t9" align="center" width="20"></td> <td class="t9" rowspan="2" align="center" width="60">
Bulletin
en PDF</td> <td class="t9" align="center" width="10"></td> </tr> <tr><td>Grippe : amorce de d?crue
</td><td>
</td><td>
</td></tr></tbody></table>
Selon les donn?es du R?seau des GROG - semaine 08, du lundi 18 f?vrier 2013 au dimanche 24 f?vrier 2013

- Apr?s 10 semaines au-dessus du seuil ?pid?mique utilis? par le R?seau des GROG l?activit? grippale reste soutenue.

- Les 3 virus grippaux A(H1N1)pdm09, A(H3N2) et B continuent de co-circuler.

Cette co-circulation explique probablement la dur?e prolong?e et la forte ampleur de cette ?pid?mie.

Elle explique ?galement que quelques personnes puissent ?tre infect?es simultan?ment ou successivement par deux virus grippaux diff?rents.

- La fr?quence des recours aux soins de ville pour les infections respiratoires aigu?s d?allure grippale est en baisse chez les g?n?ralistes comme chez les p?diatres.

- Les vacances scolaires devraient favoriser la d?crue ?pid?mique.

- Durant la semaine 08/2013, la grippe a ?t? responsable d?environ 900.000 recours aux m?decins g?n?ralistes et aux p?diatres (? comparer avec les 1.300.000 de la semaine pr?c?dente) .

<center> </center>

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Au sein du R?seau des GROG, le nombre hebdomadaire de d?tections et isolements de virus grippaux d?passe rarement 250
au cours des ?pid?mies saisonni?res. En 2009-2010, ce nombre a d?pass? 250 pendant 6 semaines.

[Francoise Ramona]

Re: France - suivi de la grippe 2012-2013




Situation observ?e : 2013- Semaine 8 du 18/02/2013 au 24/02/2013



<dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la d?finition de l'indicateur">Syndromes grippaux*</abbr> : Activit? ?pid?mique. En 10 semaines d'?pid?mie 3 106 000 personnes auraient consult? un m?decin </dt><dd> Surveillance des syndromes grippaux
En France m?tropolitaine, la semaine derni?re, l?incidence des cas de syndromes grippaux vus en consultation de m?decine g?n?rale a ?t? estim?e ? 661 cas pour 100 000 habitants (soit 423 000 nouveaux cas), au-dessus du seuil ?pid?mique (152 cas pour 100 000 habitants). L?activit? ?pid?mique commence ? d?croitre en France apr?s 10 semaines d??pid?mie.
Au niveau r?gional, les incidences les plus ?lev?es ont ?t? not?es en : Nord-Pas-de-Calais (1398 pour 100 000 habitants), Provence-Alpes-C?te-d?Azur (811), Languedoc-Roussillon (775), Rh?ne-Alpes (772), Midi-Pyr?n?es (676), Corse (658) et Auvergne (649). Les donn?es r?gionales compl?tes sont pr?sent?es ? la fin du bulletin.
Concernant les cas rapport?s, la semaine derni?re, l??ge m?dian ?tait de 30 ans (8 mois ? 98 ans); les hommes repr?sentaient 48% des cas. Les tableaux cliniques rapport?s par les m?decins Sentinelles ne pr?sentaient pas de signe particulier de gravit? : le pourcentage d?hospitalisation a ?t? estim? ? 0,2% (IC ? 95% : [0% ; 0,5%]).
Selon le mod?le de pr?vision bas? sur les donn?es historiques [1], l?activit? ?pid?mique devrait continuer ? d?croitre cette semaine.

</dd></dl>