France

In metropolitan France, last week (2018w45), the incidence rate of Acute diarrhea seen in general practice was estimated at 154 cases per 100,000 inhabitants (95% CI [136 ; 172]), below the epidemic threshold (158 cases per 100,000 inhabitants) [1].
At the regional level, the highest incidence rates were noted in: Hauts-de-France (251 cases per 100,000 inhabitants, 95% CI [171 ; 331]), Ile-de-France (242, 95% CI [107 ; 377]) and Pays de la Loire (218, 95% CI [67 ; 369]).
[1] Costagliola D, et al. A routine tool for detection and assessment of epidemics of influenza-like syndromes in France. Am J Public Health. 1991;81(1):97-9.

Clinical monitoring: in metropolitan France, last week (2018w45), the incidence rate of influenza-like illness seen in general practice was estimated at 20 cases per 100,000 inhabitants (95% CI [13 ; 27]).
At the regional level, the highest incidence rates were reported in: Normandie (48 cases per 100,000 inhabitants, 95% CI [7 ; 89]), Hauts-de-France (38, 95% CI [8 ; 68]) and Provence-Alpes-Côte d’Azur (32, 95% CI [0 ; 73]).
Virological monitoring: since week 2018s40, date of start of monitoring, 126 samples were swabbed by the Sentinelles network practitioners (74 by general practitionners and 52 by pediatricians). Among all the samples tested (n=126), 3 (2.4%) were positive for type A influenza virus.
Last week, 21 samples were tested. Among them,  1 (4.8%) were positive for at least one influenza virus.
Regarding the other respiratory viruses, 1 (0.9%) was positive for the metapneumovirus (hMPV), 8 (7.0%) positive for the respiratory syncytial virus (RSV), and 36 (28.6%) positive for the rhinovirus (hRV). Last week, the RSV and hRV mainly circulated.
The samples were analyzed by the CNR (National Reference Centers) of respiratory infection viruses (coordinating center Institut Pasteur Paris, associated center Hospices civils de Lyon), and the laboratory of Virology at the University of Corsica.
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In metropolitan France, last week (2018w45), the incidence rate of Chickenpox seen in general practice was estimated at 11 cases per 100,000 inhabitants (95% CI [6 ; 16]).
Two moderate regional clusters were noted in Provence-Alpes-Côte d’Azur (27, 95% CI [1 ; 53]) and Bretagne (22, 95% CI [0 ; 52]).