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France - Bronchiolitis 2022 - 2023

Pathfinder

Editor, Senior Moderator
Paris hospitals transferring children to lessen strain of bronchiolitis, staff shortages

Issued on: 02/11/2022 - 08:09

Hospitals in and around Paris have started transferring children to paediatric intensive care units in other hospitals to alleviate overcrowding due to an epidemic of bronchiolitis that is putting strain on already short-staffed paediatric services. The health minister said he will meet with healthcare workers on Wednesday to address what has been called a crisis in France's paediatric healthcare sector.

Some 30 children have been transferred to hospitals outside of the Paris region, as emergency services in the capital are overwhelmed by a convergence of a large number of bronchiolitis cases needing hospitalisation, and a staffing shortage in paediatric services.

Doctors are used to treating bronchiolitis, a common, contagious chest infection that mostly affects babies. But this year, the infection has reached epidemic proportions, with over a quarter of children under the age of two needing to be hospitalised for two to four days due to trouble breathing.

The Paris regional health agency declared a bronchiolitis epidemic on 3 October, and since then it says there has been a “stark increase of visits to children’s emergency services over the last three weeks”.

The French public health authority said last week that nearly the entire country is seeing epidemic levels of the illness.

The bronchiolitis epidemic coincides with staffing shortages in the health sector, and the Paris area regional health agency said there are fewer paediatric emergency beds open than there were in 2021.
...

https://www.rfi.fr/en/france/2022110...taff-shortages

--------------------------------------------

Translation Google

Crisis in pediatrics and bronchiolitis: "31 children transported outside Ile-de-France", the epidemic is accelerating

Ile-de-France

Of France Blue Paris , France Blue
Tuesday, November 1, 2022 at 5:19 PM
By The writing of France Bleu Paris

The bronchiolitis epidemic is accelerating further in Ile-de-France. 31 sick children have been transferred to hospitals elsewhere in France, announced Tuesday the Minister of Health visiting the Necker hospital in Paris. The whole country is concerned but the Paris region is the most affected.

The All Saints holidays, without school and therefore with less mixing, have so far given no respite to caregivers in medical offices and pediatric services in the Ile-de-France region. “31 children” with bronchiolitis “ have been transported out of Ile-de-France” , due to the saturation of pediatric resuscitation services in hospitals in the region, announced this Tuesday the Minister of Health François Braun, during a visit to the Necker hospital in Paris.

François Braun notes in Ile-de-France "the most important peak in terms of epidemic of bronchiolitis". The Ile-de-France region has indeed been in the endemic phase since October 3 now, according to the Regional Health Agency, which announced 28 transfers of young patients on Monday evening .

The Minister of Health claims to have asked the ARS as well as the AP-HP that the "families of the transferred children be taken care of" , particularly in terms of housing, on the same model as what had been done during patient transfers in the midst of the Covid-19 epidemic.

Pediatrics crisis: "it will be difficult in the coming weeks", recognizes the ARS of Ile-de-France

During his visit to the Necker hospital, the minister met "physically and morally tired teams" . He assures that the government "will provide substantial aid" for these teams. Proof of this is this meeting scheduled for Wednesday between the Minister of Health and "all pediatric professionals to work on the overhaul not only of the hospital as a whole, but also of the child health sector. " .
François Braun specifies that he will bring together "the learned societies, the personalities of pediatrics who work on this subject and all those who contributed to the report of the Igas" (General Inspectorate of Social Affairs) recognized by several pediatric societies and associations. families of sick children.
...

https://www.francebleu.fr/infos/sant...ose-1667319547
 
Translation Google

Hospital: services under pressure in the face of the bronchiolitis epidemic

Published on 08/11/2022 17:51
Update4 minutes ago

Article written by
France 3 Lorraine: G. Boileau, M. Luff, D. Cerna - France 3
France Televisions

In France, the alert remains maximum for bronchiolitis on Tuesday, November 8. In hospitals, the services have the impression of reliving the situations at the height of the Covid pandemic.

A baby, barely a month old and already hospitalized for 15 days in Vandoeuvre-lès-Nancy (Meurthe-et-Moselle), could no longer breathe. Victim of bronchiolitis , Rym is much better and his parents' worries have almost disappeared. This year, the bronchiolitis epidemic is early and intense. Every day, between 15 and 20 infants are hospitalized at the Nancy University Hospital (Meurthe-et-Moselle).

Deprogram operations to accommodate sick children

The establishment has adapted by opening additional beds and modifying its service. “The service is not a basic bronchiolitis service, it is a post-emergency service. There, it became a bronchiolitis service following the epidemic which was a good month in advance” , testifies Quentin Abscheidt, intern in pediatrics. This hospital is close to saturation, a situation due to the strong epidemic and a lack of staff. According to Cyril Schweitzer, head of the neonatology child center at Nancy University Hospital, the "next step is to deprogram" children's operations to free up beds.

https://www.francetvinfo.fr/sante/ho...e_5465248.html
 
Translation Google

Bronchiolitis epidemiological bulletin, week 44. Season 2022-2023.

Posted on November 9, 2022
Updated on November 9, 2022

Key points

Continuation of the increase in bronchiolitis monitoring indicators in children under 2 years of age, despite a decline in connection with the Toussaint school holidays.

Very high number of visits to the emergency room and hospitalizations for bronchiolitis and at levels higher than those observed at epidemic peaks for more than 10 years.

In week 44, hospitalizations for bronchiolitis represent 50% of hospitalizations following a visit to the emergency room in children under two years of age. In comparison, this percentage was around 40% during the peaks of previous seasons.

Intensity of the epidemic generally more marked in the regions of the northern half of France

Possible impact of the circulation of rhinoviruses responsible for bronchiolitis tables.

...

https://www.santepubliquefrance.fr/...que-bronchiolite-semaine-44.-saison-2022-2023
 
Translation Google

Bronchiolitis epidemic: the Minister of Health triggers the national emergency plan at the hospital, planned for exceptional situations

Emergency room visits and hospitalizations have reached unprecedented levels, according to the results of Public Health France. This epidemic is hitting pediatric emergency services hard.

Article written by
franceinfo with AFP
Posted on 09/11/2022 16:44
Update 45 minutes ago

The bronchiolitis epidemic is of unprecedented virulence this year . This is why the Minister of Health, François Braun, announced on Wednesday, November 9, the triggering of the national plan provided for in exceptional health situations in all French hospitals. This decision needs each region additional resources, while pediatric services are already suffering the consequences of an influx of patients.
...
"I decided this morning, in addition to everything that was already mobilized, to trigger the Orsan plan (organization of the response of the health system in exceptional health situations) specific to this epidemic" , he declared to the Senate. This measure must "further strengthen the means of the regional health agencies (ARS) and allow the entire hospital to focus on this particularly acute problem today".

Noting a "continued increase" in indicators "despite a shift in connection with the Toussaint school holidays" , Public Health France pointed to "numbers of visits to the emergency room and hospitalizations for bronchiolitis very high and at higher levels to those observed at epidemic peaks for more than 10 years” , in its weekly report.

https://www.francetvinfo.fr/sante/m...r-les-situations-exceptionnelles_5467099.html
 
Bronchiolitis: report on winter surveillance 2022-2023

Public Health France publishes the annual results of the 2022-2023 winter surveillance of bronchiolitis in France marked this winter by a very high intensity, particularly in terms of visits to the emergency room and hospitalization.

Posted on July 19, 2023


The 2022-2023 bronchiolitis epidemic was intense and prolonged

The bronchiolitis epidemic in mainland France began in the first week of October 2022. The peak was reached in week 48/2022 (from November 28 to December 04, 2022) and the epidemic ended in week 03/ 2023 (from January 16 to 22, 2023). Like the previous season, the onset of the epidemic was early (6 weeks earlier than observed on average over the 2015-2020 period) and its duration prolonged (16 weeks vs. 12 weeks on average over the 2015-2020 period) .

This season, the epidemic was characterized by a very high intensity, almost twice as high as the average values ​​of reference epidemics, particularly in terms of visits to the emergency room and hospitalizations after visits to the emergency room for bronchiolitis in children under 2 years. However, the proportion of hospitalizations for bronchiolitis in children under 2 years old after going to the emergency room remained comparable to that of the seasons preceding the circulation of SARS-CoV-2 (2015-2020), indicating an absence of particular severity of the epidemic. .

The key figures to remember for the 2022-2023 season:
  1. 73,262 visits to the emergency room (OSCOUR®) for bronchiolitis
  2. 26,104 hospitalizations after going to the emergency room for bronchiolitis (OSCOUR®)
  3. 10,801 SOS Médecins actions for bronchiolitis


Figure - Visits and hospitalizations following visits to the emergency room for bronchiolitis in mainland France, children under 2 years old, 2018-2023
b6e0d07552e3-urgences_hospit_bronchio_2022-2023.jpg



TO DOWNLOAD

Bronchiolitis Epidemiological Bulletin. Monitoring report 2022-2023.

LEARN MORE


To read also :
Since the emergence of SARS-CoV-2, outbreaks of bronchiolitis have changed. The 2020-2021 season had been characterized by a delayed and low-intensity outbreak. As in many countries, the circulation of RSV had been disrupted by the implementation of management measures against COVID -19 (confinement, barrier gestures, social distancing, etc.). The 2021-2022 season, on the other hand, had been an early and high-intensity epidemic.


Where does bronchiolitis surveillance data come from?

Surveillance of bronchiolitis in children under 2 years of age is based on data from outpatient medicine (SOS Médecins), emergency services (OSCOUR®), as well as hospital (RENAL network) and outpatient (Réseau Sentinels) in connection with the National Reference Center (CNR) for respiratory infection viruses. These data are then analyzed by Public Health France.

During the bronchiolitis epidemic season, weekly bulletins on the evolution of the number of cases in France are produced and published on the website in order to inform healthcare professionals in particular.

This surveillance also allows Public Health France to alert the Health authorities and to carry out preventive actions in order to better inform the general public and parents of the actions to be taken to limit the risks of contamination .
To access our epidemiological bulletins on bronchiolitis:



https://www.santepubliquefrance.fr/...-bilan-de-la-surveillance-hivernale-2022-2023
 
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