France

In metropolitan France, last week (2018w44), the incidence rate of acute diarrhea seen in general practice was estimated at 92 cases per 100,000 inhabitants (95% CI [76 ; 108]), below the epidemic threshold (155 cases per 100,000 inhabitants) [1].
At the regional level, the highest incidence rates were noted in: Ile-de-France (119 cases per 100,000 inhabitants, 95% CI [5 ; 233]), Hauts-de-France (116, 95% CI [52 ; 180]), Auvergne-Rhône-Alpes (107, 95% CI [56 ; 158]) and Grand Est (107, 95% CI [61 ; 153]).
[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 (2018w44), the incidence rate of influenza-like illness seen in general practice was estimated at 12 cases per 100,000 inhabitants (95% CI [6 ; 18]).
At the regional level, the highest incidence rates were reported in: Hauts-de-France (73 cases per 100,000 inhabitants, 95% CI [6 ; 140]), Bretagne (26, 95% CI [0 ; 77]) and Grand Est (9, 95% CI [0 ; 22]).
Virological monitoring: since week 2018s40, date of start of monitoring, 96 samples were swabbed by the Sentinelles network practitioners (58 by general practitionners and 38 by pediatricians). Among all the samples tested (n=94), 2 (2.1%) were positive for at least one influenza virus.
Last week, 6 samples were tested. Among them, none was positive for an influenza virus.
Regarding the other respiratory viruses, 1 (1.1%) was positive for the metapneumovirus (hMPV), 5 (5.6%) positive for the respiratory syncytial virus (RSV), and 30 (31.6%) positive for the rhinovirus (hRV).
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 (2018w44), the incidence rate of Chickenpox seen in general practice was estimated at 13 cases per 100,000 inhabitants (95% CI [7 ; 19]).
Three moderate regional clusters were noted in Normandie (34, 95% CI [0 ; 81]), Centre-Val de Loire (28, 95% CI [0 ; 59]) and Auvergne-Rhône-Alpes (22, 95% CI [0 ; 45]).