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  • #46
    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 : 2013/9 du 25/02/2013 au 03/03/2013</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 : décroissante mais toujours active
    </td><td>
    </td><td>
    </td></tr></tbody></table>
    Selon les données du Réseau des GROG - semaine 09, du lundi 25 février 2013 au dimanche 3 mars 2013

    - L’épidémie de grippe poursuit sa décroissance en France métropolitaine.

    - Pour la onzième semaine les indicateurs d’activité clinique et virologique du Réseau des GROG restent au-dessus du seuil épidémique en France métropolitaine.

    - Les enfants restent les plus touchés par l’épidémie, mais le Réseau des GROG note une diminution nette de l’impact de la grippe chez les enfants de 0 à 4 ans et de 5 à 14 ans, effet sans doute renforcé par la fermeture des écoles pour les vacances.

    - Les 3 virus co-circulent encore, avec légère prédominance du virus B et, parmi les virus A, 53% sont de sous-type A(H3N2) et 47% de sous-type A(H1N1)pdm09.

    - Durant la semaine 09/2013, la grippe a été responsable d’environ 800.000 recours (donnée non consolidée) aux médecins généralistes et pédiatres, à comparer avec les 1.100.000 (donnée consolidée) de la semaine précédente.

    <center> </center>

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    Au sein du Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
    au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.






    Comment


    • #47
      Re: France - suivi de la grippe 2012-2013




      Situation observée : 2013- Semaine 9 du 25/02/2013 au 03/03/2013



      <dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la définition de l'indicateur">Syndromes grippaux*</abbr> : Activité épidémique. En 11 semaines d'épidémie 3 381 000 personnes auraient consulté un médecin </dt><dd> Surveillance des syndromes grippaux
      En France métropolitaine, la semaine dernière, l’incidence des cas de syndromes grippaux vus en consultation de médecine générale a été estimée à 547 cas pour 100 000 habitants (soit 349 000 nouveaux cas), au-dessus du seuil épidémique (144 cas pour 100 000 habitants). L’activité épidémique décroit en France après 11 semaines d’épidémie.
      Au niveau régional, les incidences les plus élevées ont été notées en : Limousin (812 pour 100 000 habitants), Rhône-Alpes (611), Languedoc-Roussillon (573), Nord-Pas-de-Calais (531), Champagne-Ardenne (500), Midi-Pyrénées (495) et Ile-de-France (490). Les données régionales complètes sont présentées à la fin du bulletin.
      Concernant les cas rapportés, la semaine dernière, l’âge médian était de 33 ans (5 mois à 89 ans); les hommes représentaient 49% des cas. Les tableaux cliniques rapportés par les médecins Sentinelles ne présentaient pas de signe particulier de gravité : le pourcentage d’hospitalisation a été estimé à 0,1% (IC à 95% : [0% ; 0,4%]).
      Selon le modèle de prévision basé sur les données historiques [1], l’activité épidémique devrait continuer à décroître cette semaine.

      </dd></dl>

      Comment


      • #48
        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 : 2013/10 du 04/03/2013 au 10/03/2013</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 : la décroissance se poursuit
        </td><td>
        </td><td>
        </td></tr></tbody></table>
        Selon les données du Réseau des GROG - semaine 10, du lundi 4 mars 2013 au dimanche 10 mars 2013

        - L’épidémie de grippe poursuit sa décroissance en France métropolitaine.

        - Après 12 semaines d’épidémie, le nombre de cas de grippe diminue fortement dans toutes les classes d’âge.

        - Globalement, depuis le début de l’épidémie, les données du Réseau des GROG et du Centre de Référence pour les virus influenzae permettent d’estimer à plus de 9,9 millions le nombre des patients infectés par la grippe ayant consulté un médecin généraliste ou un pédiatre.

        - Durant la semaine 10//2013, la grippe a été responsable d’environ 500.000 recours (donnée non consolidée) aux médecins généralistes et pédiatres, à comparer avec les 900.000 (donnée consolidée) de la semaine précédente.

        <center> </center>

        <map name="France" id="France"> <area shape="poly" coords="303,6,290,7,276,8,264,12,264,25,262,41,265 ,48,275,52,278,56,285,57,297,58,296,64,305,67,319, 68,329,70,343,70,345,67,350,69,359,70,365,72,368,5 2,359,50,348,50,345,41,343,39,335,38,331,37,329,30 ,329,24,324,23,320,27,313,28,307,22,305,15" href="http://www.grog.org/regions/n-pas-de-calais/bulletin.php?semaine=201310" alt="Nord" title="Nord"> <area shape="poly" coords="338,142,346,137,346,131,345,128,347,120,34 8,115,356,111,360,107,364,92,364,90,368,86,369,79, 366,73,345,67,342,69,331,69,321,68,310,68,297,64,2 96,58,282,56,275,53,267,48,263,43,263,57,258,66,26 6,79,269,90,269,100,269,122,282,121,288,125,294,12 3,298,125,311,127,328,128,330,135" href="http://www.grog.org/regions/picardie/bulletin.php?semaine=201310" alt="Picardie" title="Picardie"> <area shape="poly" coords="439,196,431,187,430,178,420,171,419,165,41 4,161,409,157,404,157,400,147,397,139,402,134,402, 129,399,125,401,107,403,95,405,96,410,95,412,92,40 4,85,394,82,394,74,392,69,393,62,389,61,387,68,383 ,71,376,73,365,72,369,80,369,84,365,90,361,107,350 ,114,347,120,345,128,347,134,346,133,347,137,340,1 42,337,145,338,149,341,154,343,156,342,159,337,164 ,335,168,336,171,345,173,346,181,353,187,357,192,3 62,196,367,198,379,194,388,193,397,197,402,205,404 ,211,410,214,420,214,430,208,434,201" href="http://www.grog.org/regions/ch-ardenne/bulletin.php?semaine=201310" alt="Champagne Ardenne" title="Champagne Ardenne"> <area shape="poly" coords="481,201,481,194,486,190,490,175,492,168,48 9,160,493,156,494,149,495,141,491,137,487,140,486, 137,483,134,481,132,486,124,491,128,497,129,501,12 9,505,128,508,122,503,120,501,117,497,117,493,119, 484,118,478,114,475,117,464,106,459,100,449,98,443 ,100,434,97,423,98,420,100,414,93,408,96,404,95,40 4,103,402,107,400,115,399,127,399,130,404,133,398, 139,404,157,410,159,419,165,419,169,425,173,431,17 8,431,187,438,196,445,194,449,191,454,194,463,196, 468,197,470,194,476,196" href="http://www.grog.org/regions/lorraine/bulletin.php?semaine=201310" alt="Lorraine" title="Lorraine"> <area shape="poly" coords="508,224,509,201,511,191,509,181,514,174,52 8,171,528,155,518,155,520,147,523,143,526,141,529, 137,527,135,530,130,532,128,525,124,512,122,508,12 3,507,127,505,129,496,129,487,124,482,132,486,137, 486,139,490,136,495,138,495,142,495,149,494,155,49 0,161,492,166,490,177,486,187,483,192,481,196,481, 201,485,204,488,207,489,212,492,219,498,225" href="http://www.grog.org/regions/alsace/bulletin.php?semaine=201310" alt="Alsace" title="Alsace"> <area shape="poly" coords="232,154,235,149,247,149,249,145,251,145,25 9,139,258,133,258,130,258,128,261,128,265,123,269, 122,270,103,269,87,262,72,259,65,249,70,239,76,232 ,76,217,81,210,86,204,95,202,104,209,104,211,106,2 11,116,215,121,215,128,214,129,214,138,219,140,224 ,142" href="http://www.grog.org/regions/h-normandie/bulletin.php?semaine=201310" alt="Haute Normandie" title="Haute Normandie"> <area shape="poly" 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=201310" 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=201310" 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=201310" 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=201310" 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" 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6,300,229,305,228,315,230,317,231,321,228,327,223, 330,223,337,225,341,226,343,230,342,242,349,247,35 6,243,363,247,371" href="http://www.grog.org/regions/limousin/bulletin.php?semaine=201310" alt="Limousin" title="Limousin"> <area shape="poly" coords="282,384,284,388,284,395,286,400,288,403,29 9,402,303,392,309,387,313,387,317,392,317,398,320, 403,321,396,324,389,331,388,335,385,340,390,354,39 1,358,395,368,387,376,387,376,382,379,379,382,374, 385,371,386,365,378,355,373,357,362,357,363,353,36 3,346,353,337,353,320,356,317,356,308,355,305,360, 300,363,291,355,285,349,276,340,278,339,275,331,27 8,322,270,315,274,311,272,306,276,304,278,305,283, 300,287,296,287,291,293,297,300,301,308,302,314,30 5,320,298,329,297,332,300,336,300,346,300,354,300, 356,295,357,294,360,290,364,288,371,285,375" href="http://www.grog.org/regions/auvergne/bulletin.php?semaine=201310" alt="Auvergne" title="Auvergne"> <area shape="poly" coords="394,421,401,421,402,426,408,427,414,423,41 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7,456,396,461,389,462" href="http://www.grog.org/regions/p-alpes-cote-azur/bulletin.php?semaine=201310" alt="Provence-Alpes Côte d'Azur" title="Provence-Alpes Côte 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 Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
        au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.






        Comment


        • #49
          Re: France - suivi de la grippe 2012-2013




          Situation observée : 2013- Semaine 10 du 04/03/2013 au 10/03/2013



          <dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la définition de l'indicateur">Syndromes grippaux*</abbr> : Activité épidémique. En 12 semaines d'épidémie 3 493 000 personnes auraient consulté un médecin </dt><dd> Surveillance des syndromes grippaux
          En France métropolitaine, la semaine dernière, l’incidence des cas de syndromes grippaux vus en consultation de médecine générale a été estimée à 322 cas pour 100 000 habitants (soit 206 000 nouveaux cas), au-dessus du seuil épidémique (135 cas pour 100 000 habitants). La décrue épidémique se poursuit.
          Au niveau régional, les incidences les plus élevées ont été notées en : Limousin (663 pour 100 000 habitants), Midi-Pyrénées (472), Bretagne (365), Nord-Pas-de-Calais (359), Auvergne (316), Alsace (308), Champagne-Ardenne (290), Languedoc-Roussillon (271), Rhône-Alpes (263) et Corse (250). Les données régionales complètes sont présentées à la fin du bulletin.
          Concernant les cas rapportés, la semaine dernière, l’âge médian était de 37 ans (12 mois à 92 ans); les hommes représentaient 53% des cas. Les tableaux cliniques rapportés par les médecins Sentinelles ne présentaient pas de signe particulier de gravité : le pourcentage d’hospitalisation a été estimé à 0,1% (IC à 95% : [0% ; 0,5%]).
          Selon le modèle de prévision basé sur les données historiques [1], l’activité épidémique devrait continuer à décroître cette semaine.

          </dd></dl>

          Comment


          • #50
            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 : 2013/11 du 11/03/2013 au 17/03/2013</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 : reflux
            </td><td>
            </td><td>
            </td></tr></tbody></table>
            Selon les données du Réseau des GROG - semaine 11, du lundi 11 mars 2013 au dimanche 17 mars 2013

            - La vague épidémique de grippe poursuit son reflux en France métropolitaine, mais les virus grippaux restent actifs.

            - Le seuil épidémique fixé par le Réseau des GROG n’est plus franchi au plan national, mais la grippe reste épidémique dans 7 régions : Auvergne, Aquitaine, Bourgogne, Bretagne, Languedoc-Roussillon, Pays-de-la-Loire et Picardie.

            - Globalement, depuis le début de l’épidémie, les données du Réseau des GROG et du Centre National de Référence pour les virus influenzae permettent d’estimer à plus de 10 millions le nombre des patients infectés par la grippe ayant consulté un médecin généraliste ou un pédiatre.

            - Depuis le début de l’épidémie les virus grippaux B et A ont circulé de façon quasi-égale.

            - Durant la semaine 11/2013, la grippe a été responsable d’environ 319.000 recours (donnée non consolidée) aux médecins généralistes et pédiatres, à comparer avec les 600.000 (donnée consolidée) de la semaine précédente.


            <center> </center>

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7,456,396,461,389,462" href="http://www.grog.org/regions/p-alpes-cote-azur/bulletin.php?semaine=201311" alt="Provence-Alpes Côte d'Azur" title="Provence-Alpes Côte 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 Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
            au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.






            Comment


            • #51
              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 : 2013/12 du 18/03/2013 au 24/03/2013</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>Toujours de la grippe, mais aussi d'autres virus
              </td><td>
              </td><td>
              </td></tr></tbody></table>
              Selon les données du Réseau des GROG - semaine 12, du lundi 18 mars 2013 au dimanche 24 mars 2013

              - Les virus grippaux n’ont pas fini de circuler, même si, selon les critères utilisés par le Réseau des GROG, l’activité grippale n’est plus épidémique depuis le début du mois de mars.

              - La grippe B est devenue dominante dans les prélèvements faits par les médecins vigies du Réseau des GROG.

              - Profitant de cette baisse d’activité grippale, d’autre virus respiratoires deviennent de plus en plus fréquents :

              - rhinovirus (rhinites fébriles avec parfois des signes digestifs),
              - adénovirus (infections respiratoires aiguës, avec toux prolongée et ganglions),
              - métapneumovirus (bronchiolite).

              - Durant la semaine 12/2013, la grippe a été responsable d’environ 200.000 recours (donnée non consolidée) aux médecins généralistes et pédiatres, à comparer avec les 319.000 (donnée consolidée) de la semaine précédente.


              <center> </center>

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              Au sein du Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
              au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.






              Comment


              • #52
                Re: France - suivi de la grippe 2012-2013




                Situation observée : 2013- Semaine 12 du 18/03/2013 au 24/03/2013



                <dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la définition de l'indicateur">Syndromes grippaux*</abbr> : L'incidence des syndromes grippaux passe sous le seuil épidémique </dt><dd> En France métropolitaine, la semaine dernière, l'incidence des cas de syndromes grippaux vus en consultation de médecine générale a été estimée à 115 cas pour 100 000 habitants, juste en dessous du seuil épidémique (120 cas pour 100 000 habitants).
                Au niveau régional, les incidences les plus élevées ont été notées en : Limousin (969 pour 100 000 habitants), Poitou-Charentes (233), Auvergne (192) et Champagne-Ardenne (181). Les données régionales complètes sont présentées à la fin du bulletin.
                Concernant les cas rapportés, la semaine dernière, l'âge médian était de 35 ans (9 mois à 90 ans); les hommes représentaient 45% des cas. Les tableaux cliniques rapportés par les médecins Sentinelles ne présentaient pas de signe particulier de gravité : le pourcentage d'hospitalisation a été estimé à 0,2% (IC à 95% : [0% ; 1%]).
                Selon le modèle de prévision basé sur les données historiques [1], la fin de l’épidémie devrait être confirmée la semaine prochaine.
                [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.

                </dd></dl>

                Comment


                • #53
                  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 : 2013/13 du 25/03/2013 au 31/03/2013</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 : circulation discrète
                  </td><td>
                  </td><td>
                  </td></tr></tbody></table>
                  Selon les données du Réseau des GROG - semaine 13, du lundi 25 mars 2013 au dimanche 31 mars 2013

                  - Si l’activité grippale n’est plus épidémique, les virus grippaux sont encore en circulation discrète mais persistante : un peu plus d’un prélèvement GROG sur trois est positif pour la grippe.

                  - D’autre virus respiratoires sont également actifs :
                  > rhinovirus (rhinites fébriles avec parfois des signes digestifs),
                  > métapneumovirus et Virus Respiratoire Syncytial (bronchiolite),
                  > et aussi quelques adénovirus (infections respiratoires aiguës, avec toux prolongée et ganglions).

                  - Durant la semaine 13/2013, la grippe a été responsable d’environ 250 000 recours (donnée non consolidée) aux médecins généralistes et pédiatres, à comparer avec les 270 000 (donnée consolidée) de la semaine précédente.

                  <center> </center>

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                  Au sein du Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
                  au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.



                  Comment


                  • #54
                    Re: France - suivi de la grippe 2012-2013




                    Situation observée : 2013- Semaine 13 du 25/03/2013 au 31/03/2013



                    <dl><dt> <abbr class="tip-rel" rel="#definition-3" title="Voir la définition de l'indicateur">Syndromes grippaux*</abbr> : Fin de l'activité épidémique </dt><dd> Surveillance des syndromes grippaux
                    En France métropolitaine
                    , la semaine dernière, l’incidence des cas de syndromes grippaux vus en consultation de médecine générale a été estimée à 86 cas pour 100 000 habitants, en dessous du seuil épidémique (112 cas pour 100 000 habitants).
                    L’épidémie de grippe est terminée en France : L’épidémie aura duré 13 semaines (de la semaine 2012s51 à 2013s11).

                    Premier bilan de l’épidémie 2012-2013

                    Entre le 17 décembre 2012 et le 17 mars 2013 (semaine 2012s51 à 2013s11), 3 532 000 personnes auraient consulté leur médecin généraliste pour un syndrome grippal [intervalle de confiance à 95% : 3 458 000 ; 3 606 000].
                    Concernant les cas rapportés lors de cette épidémie, l’âge médian a été de 28 ans et les hommes ont représenté 48% des cas. Les tableaux cliniques rapportés par les médecins Sentinelles n’ont pas présenté de signe particulier de gravité (taux d’hospitalisation des cas rapportés de 0,2% [IC 90% : 0,1% ; 0,3%]).
                    D’autres virus que la grippe peuvent être responsables de syndromes grippaux. Grâce à un modèle de régression périodique appliqué aux données historiques de surveillance, le réseau Sentinelles estime, pour chaque semaine, la part attribuable à la grippe parmi les consultations pour syndromes grippaux. Ce nombre de consultations correspond à l’excès de consultations pour syndromes grippaux observé par rapport à ce qui serait attendu à cette période de l’année en l’absence d’épidémie de grippe (détail du calcul sur la page Méthodes du site Sentinelles : www.sentiweb.fr/?page=methodes).
                    Ainsi en treize semaines d’épidémie, le nombre de consultations pour grippe a été estimé à 2 775 000 [2 177 000 ; 3 356 000]. Cette estimation prend en compte les cas de grippe vus en médecine générale répondant à la définition du réseau Sentinelles. Elle ne prend pas en compte les cas de grippe ne répondant pas à cette définition ou non vus par les médecins généralistes.

                    [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.

                    </dd></dl>

                    Comment


                    • #55
                      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 : 2013/14 du 01/04/2013 au 07/04/2013</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 : retour au calme
                      </td><td>
                      </td><td>
                      </td></tr></tbody></table>
                      Selon les données du Réseau des GROG - semaine 14, du lundi 1er avril 2013 au dimanche 7 avril 2013 :

                      - L’activité épidémique de la grippe est terminée.

                      - Les consultations pour infection respiratoire aiguë ne représentent plus que 11 % de l’activité des médecins généralistes et 16 % de celles des pédiatre (chiffres identiques à ceux du début d’octobre 2012), soit 2 fois moins qu’au pic de l’activité grippale en février 2013.

                      - Les autres indicateurs d’activité sanitaire relevés par les vigies du Réseau des GROG sont également revenus à des valeurs basses dans toutes les régions métropolitaines.

                      - D’autre virus respiratoires (rhinovirus surtout) sont également actifs.

                      - Durant la semaine 14/2013, la grippe a été responsable d’environ 113.000 recours (donnée non consolidée) aux médecins généralistes et pédiatres, à comparer avec les 290.000 (donnée consolidée) de la semaine précédente.

                      <center> </center>

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                      Au sein du Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
                      au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.






                      Comment


                      • #56
                        Re: France - suivi de la grippe 2012-2013




                        Situation observée : 2013- Semaine 14 du 01/04/2013 au 07/04/2013



                        <dl><dt><abbr class="tip-rel" rel="#definition-3" title="Voir la définition de l'indicateur">Syndromes grippaux*</abbr> : Faible activité </dt><dd> En France métropolitaine, la semaine dernière, l’incidence des cas de syndromes grippaux vus en consultation de médecine générale a été estimée à 68 cas pour 100 000 habitants, en dessous du seuil épidémique (104 cas pour 100 000 habitants). Les données régionales complètes sont présentées à la fin de ce bulletin.

                        </dd></dl>

                        Comment


                        • #57
                          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 : 2013/18 du 29/04/2013 au 05/05/2013</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>Bilan de la saison grippale 2012/2013
                          </td><td>
                          </td><td>
                          </td></tr></tbody></table>
                          Actuellement revenu au rythme d’une surveillance allégée, le Réseau des GROG dresse un premier bilan de la circulation grippale 2012/2013 :

                          - La saison a été marquée par une épidémie caractérisée par la co-circulation des trois types et sous-types de virus saisonniers (B, A(H1N1)pdm09 et A(H3N2)).

                          - Le seuil épidémique fixé par le Réseau des GROG a été franchi pendant 11 semaines (de fin décembre à début mars) avec un pic fin janvier, début février.

                          - Durant la période de recueil (de septembre 2012 à avril 2013), le taux de positivité pour les virus grippaux dans les prélèvements faits par les médecins vigies du Réseau des GROG a été de 47% (contre 34 % en 2011/2012 et 37 % en 2010/2011), témoin de la forte circulation grippale de cet hiver. Le virus de type B a été légèrement majoritaire.

                          - L’impact global de cette épidémie à 3 virus est supérieur à celui des deux saisons précédentes :
                          Pendant la période épidémique, le Réseau des GROG estime à 10,2 millions le nombre de personnes ayant consulté un médecin généraliste ou un pédiatre pour une grippe (contre 3,5 millions durant la période épidémique de 2011/2012 et 6,7 millions durant celle de 2010/2011).

                          - Toutes les tranches d’âge ont été concernées avec, comme d’habitude, un impact beaucoup plus fort chez les enfants (un enfant sur trois a été touché) et moindre chez les seniors.

                          - La période d’activité grippale a été comparable dans toutes les régions, mais son impact semble avoir été un peu moins fort dans le Nord-Ouest de la France.

                          Le Réseau des GROG passe en mode surveillance allégée, mais peut être réactivé à tout moment.
                          Nous reprendrons la publication régulière de notre bulletin à l’automne prochain.



                          <center> </center>

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                          Au sein du Réseau des GROG, le nombre hebdomadaire de détections et isolements de virus grippaux dépasse rarement 250
                          au cours des épidémies saisonnières. En 2009-2010, ce nombre a dépassé 250 pendant 6 semaines.






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                          • #58
                            Re: France - suivi de la grippe 2012-2013

                            BEH
                            N° 32 - 8 octobre 2013 Télécharger le numéro PDF

                            Surveillance épidémiologique, clinique et virologique de la grippe en France métropolitaine : saison 2012-2013
                            ...

                            Résumé

                            Cet article présente le bilan épidémiologique, clinique et virologique de l’activité grippale en France au cours de la saison 2012-2013.

                            Méthodes –

                            Ce bilan s’appuie sur l’analyse descriptive des données de surveillance de la grippe fournies par les réseaux de médecine ambulatoire, les analyses virologiques des laboratoires partenaires, les signalements de foyers d’infections respiratoires aiguës (IRA) dans les collectivités de personnes âgées, la surveillance des passages aux urgences et des hospitalisations pour grippe, la surveillance des cas graves de grippe hospitalisés en services de réanimation et l’analyse des données de mortalité disponibles, en France métropolitaine.

                            Résultats –

                            La saison 2012-2013 a été caractérisée en France métropolitaine par une épidémie grippale plus intense dans la communauté que celles des trois saisons précédentes, et d’une durée de 13 semaines, la plus longue parmi les 29 épidémies saisonnières suivies depuis 1984. L’épidémie a démarré fin décembre pour atteindre un pic deux mois après, supérieur au pic de la pandémie de 2009 et des saisons suivantes. Les virus grippaux A(H1N1)pdm09, A(H3N2) et de type B ont circulé, avec une dominance initiale des virus de type A qui s’est inversée en faveur des virus de type B fin janvier.

                            Le nombre de foyers d’infections respiratoires aiguës en collectivités de personnes âgées est resté inférieur à celui de 2011-2012. Le nombre de consultations pour grippe aux urgences a augmenté par rapport aux deux saisons grippales précédentes. Parmi ces patients, 6,8% ont été hospitalisés, proportion significativement plus faible que celle de la saison précédente (8,2%). Au total, 818 cas graves ont été admis en réanimation, nombre supérieur à celui de la saison précédente, mais inférieur aux 1 305 cas graves de la pandémie. Ces cas graves, plus jeunes que l’an passé, ont principalement été infectés par le virus A(H1N1)pdm09. La létalité des cas graves est restée comparable à celle observée au cours des trois saisons précédentes.

                            Conclusion –

                            L’épidémie de grippe 2012-2013 a été particulièrement longue, marquée par la co-circulation de trois virus grippaux. De ce fait, même si la gravité de la grippe a été comparable cette année à celle des saisons précédentes, l’impact de l’épidémie en termes de consultations pour syndromes grippaux et hospitalisations a été plus important.
                            ...
                            Équipes de surveillance de la grippe. Surveillance épidémiologique et virologique de la grippe en France, saison 2011-2012. Bull Épidemiol Hebd. 2013;(32):394-401.


                            Article complet:
                            http://www.invs.sante.fr/beh/2013/32/2013_32_1.html
                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

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