ABSTRACT
Lyme borreliosis (LB) has become a major concern recently, as trends in several epidemiological studies indicate that there has been an increase in this disease in Europe and America over the last decade. This work provides estimates of LB incidence and hospitalisation rates in France. LB data was obtained from the Sentinelles general practitioner surveillance network (20092012) and from the Programme de Médicalisation des Systèmes d'Information (PMSI) data processing centre for hospital discharges (200409). The yearly LB incidence rate averaged 42 per 100,000 inhabitants (95% confidence interval (CI): 3748), ranging from 0 to 184 per 100,000 depending on the region. The annual hospitalisation rate due to LB averaged 1.55 per 100,000 inhabitants (95% CI: 1.421.70). Both rates peaked during the summer and fall and had a bimodal age distribution (510 years and 5070 years). Healthcare providers should continue to invest attention to prompt recognition and early therapy for LB, whereas public health strategies should keep promoting use of repellent, daily checks for ticks and their prompt removal.
Subject(s)
Borrelia burgdorferi/isolation & purification , Hospitalization/statistics & numerical data , Lyme Disease/epidemiology , Ticks/parasitology , Adolescent , Adult , Age Distribution , Aged , Aged, 80 and over , Animals , Child , Child, Preschool , Female , France/epidemiology , Humans , Incidence , Infant , Infant, Newborn , Lyme Disease/microbiology , Male , Middle Aged , Sentinel Surveillance , Sex Distribution , Young AdultABSTRACT
This article provides a review of the epidemiological data on mumps in France since 1986. The results of 26 years of monitoring in general practice by the Sentinel network are analysed, such as hospitalisation data between 2004 and 2010, as well as mortality data between 2000 and 2009. The annual incidence rate has plummeted between 1986 and 2011, from 859 cases per 100,000 inhabitants [95% CI: 798-920] to 9 cases per 100,000 inhabitants [95% CI: 4-14]. A change in the age distribution is significant with an increase of Relative Illness Ratio (RIR) for patients over 20 years. Since 2000, vaccine status has also changed, and the majority of recent mumps cases occur among previously vaccinated patients. The average annual hospitalisation rate is 3.2 per 1 million inhabitants. Mumps was identified as the initial cause of death in 1 case every 5 years. This study estimates the burden of mumps disease in France.
