Bronchiolitis, which is fueling the pediatric crisis, is progressing sharply – 03/11/2022 at 20:20

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A baby in the intensive care unit of the Robert Debré hospital, on October 28, 2022 in Paris (AFP / ALAIN JOCARD)

A baby in the intensive care unit of the Robert Debré hospital, on October 28, 2022 in Paris (AFP / ALAIN JOCARD)

The bronchiolitis epidemic has further intensified in recent days in France, with hospitalizations higher than the previous three seasons and equivalent to the pre-Covid peak, health authorities observed on Thursday, against a backdrop of persistent crisis in pediatric emergencies.

Pointing to a “very significant, rapid and early increase” in indicators, Public Health France noted that “the bronchiolitis epidemic has now spread to all metropolitan regions with the passage of Corsica into the epidemic phase, and with a more marked intensity in the north of France”, in a weekly report.

Common and highly contagious, bronchiolitis causes babies to cough and have difficult, rapid, wheezy breathing.

If it is distressing for young parents, it is most of the time benign. In some cases, it may require a visit to the emergency room, or even hospitalization.

A total of 6,167 children under two went to the emergency room for bronchiolitis in mainland France during the week of October 24 to 30, a jump of 47% compared to the previous week. Nearly 1,980 were eventually hospitalized.

These are “numbers of visits to the emergency room but also very high hospitalizations for bronchiolitis and at levels higher than those observed at the epidemic peaks of the three previous seasons and already equivalent to those of the peak of the 2018-2019 season”, underlined the health agency.

Health Minister François Braun leaving the Elysée Palace on November 2, 2022 in Paris (AFP / Thomas SAMSON)

Health Minister François Braun leaving the Elysée Palace on November 2, 2022 in Paris (AFP / Thomas SAMSON)

This epidemic has hit pediatric emergency services which are more widely plunged into a crisis linked to unsatisfactory working conditions and a lack of staff.

Faced with this crisis and under pressure from caregivers, the Minister of Health François Braun announced on Wednesday new measures to help pediatric services, for a total amount of around 400 million euros.

He acknowledged a “worrying situation” in hospitals, linked to a “worrying” bronchiolitis epidemic.

Traditionally, the bronchiolitis epidemic follows the same seasonal pattern from one year to the next: it starts between the end of October and mid-November, reaches a peak in December, ends at the end of January or even the end of February.

This temporality has been affected since Covid-19, in many countries.

The entrance to the pediatric emergency room of the Robert Debré hospital, on October 28, 2022 in Paris (AFP / ALAIN JOCARD)

The entrance to the pediatric emergency room of the Robert Debré hospital, on October 28, 2022 in Paris (AFP / ALAIN JOCARD)

In a context of persistent Covid, probable “early seasonal flu epidemic” and bronchiolitis “in epidemic phase throughout the territory”, the Academy of Medicine recommended on Wednesday a return of the mask in closed public places.

If “the health situation does not currently require a return to mandatory measures”, the academy recommends an FFP2 mask for the elderly or carriers of comorbidities, the entourage and caregivers of vulnerable people, pregnant women, and a mask surgery in hospitals, health centers, pharmacies, and in closed spaces such as transport during busy periods.

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