Surveillance of influenza-like illness in France. The example of the 1995/1996 epidemic.
Identifieur interne : 000687 ( Main/Exploration ); précédent : 000686; suivant : 000688Surveillance of influenza-like illness in France. The example of the 1995/1996 epidemic.
Auteurs : F. Carrat [France] ; A. Flahault ; E. Boussard ; N. Farran ; L. Dangoumau ; A J ValleronSource :
- Journal of epidemiology and community health [ 0143-005X ] ; 1998.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Dispositifs mémoires d'ordinateur (statistiques et données numériques), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), France (épidémiologie), Grippe humaine (prévention et contrôle), Grippe humaine (épidémiologie), Humains (MeSH), Mâle (MeSH), Médecine de famille (statistiques et données numériques), Nourrisson (MeSH), Nouveau-né (MeSH), Sujet âgé (MeSH), Surveillance sentinelle (MeSH), Vaccins antigrippaux (usage thérapeutique), Épidémies de maladies (prévention et contrôle), Épidémies de maladies (statistiques et données numériques), Études longitudinales (MeSH).
- MESH :
- prévention et contrôle : Grippe humaine, Épidémies de maladies.
- statistiques et données numériques : Dispositifs mémoires d'ordinateur, Médecine de famille, Épidémies de maladies.
- usage thérapeutique : Vaccins antigrippaux.
- épidémiologie : France, Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Mâle, Nourrisson, Nouveau-né, Sujet âgé, Surveillance sentinelle, Études longitudinales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Child (MeSH), Child, Preschool (MeSH), Computer Storage Devices (statistics & numerical data), Disease Outbreaks (prevention & control), Disease Outbreaks (statistics & numerical data), Family Practice (statistics & numerical data), Female (MeSH), France (epidemiology), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Influenza Vaccines (therapeutic use), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Sentinel Surveillance (MeSH).
- MESH :
- chemical , therapeutic use : Influenza Vaccines.
- epidemiology : France, Influenza, Human.
- prevention & control : Disease Outbreaks, Influenza, Human.
- statistics & numerical data : Computer Storage Devices, Disease Outbreaks, Family Practice.
- Adolescent, Adult, Aged, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Longitudinal Studies, Male, Middle Aged, Sentinel Surveillance.
Abstract
STUDY OBJECTIVES
To discover if continuous computerised collection of morbidity data through a medical practice based sentinel network can be used to monitor influenza-like illness (ILI) epidemics. To obtain rough estimates of influenza vaccine effectiveness.
DESIGN
Continuous passive surveillance of ILI through a computerised network of voluntary sentinel general practitioners (SGPs) in France (Sentinelle system).
SETTING
Five hundred SGPs practices.
PARTICIPANTS
Since 1984, SGPs updated a database with information on eight communicable diseases including ILI, via videotext terminals. Each ILI case is defined by the association of a sudden fever of 39 degrees C or above, respiratory symptoms, and myalgias. An ILI epidemic is detected when the national weekly incidence rate exceeds a seasonal threshold for two successive weeks.
MAIN RESULTS
An ILI epidemic was reported from November 1995 to January 1996. In total, 13,951 individual cases were reported by SGPs during the epidemic period. The size of the epidemic (number of patients consulting a GP) was estimated to be 2,370,000 subjects. Maps of the epidemic showed that all regions have reported a high level ILI activity. The attack rate was the highest in school age children (13.5/100) and decreased as the age rose. Nearly 6% of the reported ILI cases among adults and elderly were vaccinated. The flu vaccine effectiveness against ILI was estimated to be 66% (95% CI 73%, 92%), ranging between 83% (95% CI 73%, 92%) among the subjects aged 15 to 24 years old to 16% (95% CI -12%, 44%) among the subjects aged 75 years or older.
CONCLUSIONS
The Sentinelle system demonstrated adequate sensitivity and timeliness regarding ILI epidemic. Moreover, results of the monitoring were made available on the internet to increase the dissemination of information. Also, estimates of influenza vaccine effectiveness have been easily obtained. Altogether, they represent key points for the control of crisis situation such as ILI epidemics or pandemics.
PubMed: 9764269
Affiliations:
Links toward previous steps (curation, corpus...)
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Flahault</name></author><author><name sortKey="Boussard, E" sort="Boussard, E" uniqKey="Boussard E" first="E" last="Boussard">E. Boussard</name></author><author><name sortKey="Farran, N" sort="Farran, N" uniqKey="Farran N" first="N" last="Farran">N. Farran</name></author><author><name sortKey="Dangoumau, L" sort="Dangoumau, L" uniqKey="Dangoumau L" first="L" last="Dangoumau">L. Dangoumau</name></author><author><name sortKey="Valleron, A J" sort="Valleron, A J" uniqKey="Valleron A" first="A J" last="Valleron">A J Valleron</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9764269</idno><idno type="pmid">9764269</idno><idno type="wicri:Area/Main/Corpus">000686</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000686</idno><idno type="wicri:Area/Main/Curation">000686</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000686</idno><idno type="wicri:Area/Main/Exploration">000686</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surveillance of influenza-like illness in France. The example of the 1995/1996 epidemic.</title><author><name sortKey="Carrat, F" sort="Carrat, F" uniqKey="Carrat F" first="F" last="Carrat">F. Carrat</name><affiliation wicri:level="3"><nlm:affiliation>Epidémiologie et Sciences de l'Information, INSERM U444, Institut Saint-Antoine de Recherche sur la Santé, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Epidémiologie et Sciences de l'Information, INSERM U444, Institut Saint-Antoine de Recherche sur la Santé, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Flahault, A" sort="Flahault, A" uniqKey="Flahault A" first="A" last="Flahault">A. Flahault</name></author><author><name sortKey="Boussard, E" sort="Boussard, E" uniqKey="Boussard E" first="E" last="Boussard">E. Boussard</name></author><author><name sortKey="Farran, N" sort="Farran, N" uniqKey="Farran N" first="N" last="Farran">N. Farran</name></author><author><name sortKey="Dangoumau, L" sort="Dangoumau, L" uniqKey="Dangoumau L" first="L" last="Dangoumau">L. Dangoumau</name></author><author><name sortKey="Valleron, A J" sort="Valleron, A J" uniqKey="Valleron A" first="A J" last="Valleron">A J Valleron</name></author></analytic><series><title level="j">Journal of epidemiology and community health</title><idno type="ISSN">0143-005X</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Computer Storage Devices (statistics & numerical data)</term><term>Disease Outbreaks (prevention & control)</term><term>Disease Outbreaks (statistics & numerical data)</term><term>Family Practice (statistics & numerical data)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Influenza Vaccines (therapeutic use)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Sentinel Surveillance (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Dispositifs mémoires d'ordinateur (statistiques et données numériques)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Médecine de famille (statistiques et données numériques)</term><term>Nourrisson (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Surveillance sentinelle (MeSH)</term><term>Vaccins antigrippaux (usage thérapeutique)</term><term>Épidémies de maladies (prévention et contrôle)</term><term>Épidémies de maladies (statistiques et données numériques)</term><term>Études longitudinales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>France</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Outbreaks</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term><term>Épidémies de maladies</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Computer Storage Devices</term><term>Disease Outbreaks</term><term>Family Practice</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Dispositifs mémoires d'ordinateur</term><term>Médecine de famille</term><term>Épidémies de maladies</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Sentinel Surveillance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Sujet âgé</term><term>Surveillance sentinelle</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY OBJECTIVES</b></p><p>To discover if continuous computerised collection of morbidity data through a medical practice based sentinel network can be used to monitor influenza-like illness (ILI) epidemics. To obtain rough estimates of influenza vaccine effectiveness.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Continuous passive surveillance of ILI through a computerised network of voluntary sentinel general practitioners (SGPs) in France (Sentinelle system).</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Five hundred SGPs practices.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Since 1984, SGPs updated a database with information on eight communicable diseases including ILI, via videotext terminals. Each ILI case is defined by the association of a sudden fever of 39 degrees C or above, respiratory symptoms, and myalgias. An ILI epidemic is detected when the national weekly incidence rate exceeds a seasonal threshold for two successive weeks.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN RESULTS</b></p><p>An ILI epidemic was reported from November 1995 to January 1996. In total, 13,951 individual cases were reported by SGPs during the epidemic period. The size of the epidemic (number of patients consulting a GP) was estimated to be 2,370,000 subjects. Maps of the epidemic showed that all regions have reported a high level ILI activity. The attack rate was the highest in school age children (13.5/100) and decreased as the age rose. Nearly 6% of the reported ILI cases among adults and elderly were vaccinated. The flu vaccine effectiveness against ILI was estimated to be 66% (95% CI 73%, 92%), ranging between 83% (95% CI 73%, 92%) among the subjects aged 15 to 24 years old to 16% (95% CI -12%, 44%) among the subjects aged 75 years or older.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The Sentinelle system demonstrated adequate sensitivity and timeliness regarding ILI epidemic. Moreover, results of the monitoring were made available on the internet to increase the dissemination of information. Also, estimates of influenza vaccine effectiveness have been easily obtained. Altogether, they represent key points for the control of crisis situation such as ILI epidemics or pandemics.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9764269</PMID><DateCompleted><Year>1998</Year><Month>10</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0143-005X</ISSN><JournalIssue CitedMedium="Print"><Volume>52 Suppl 1</Volume><PubDate><Year>1998</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of epidemiology and community health</Title><ISOAbbreviation>J Epidemiol Community Health</ISOAbbreviation></Journal><ArticleTitle>Surveillance of influenza-like illness in France. The example of the 1995/1996 epidemic.</ArticleTitle><Pagination><MedlinePgn>32S-38S</MedlinePgn></Pagination><Abstract><AbstractText Label="STUDY OBJECTIVES" NlmCategory="OBJECTIVE">To discover if continuous computerised collection of morbidity data through a medical practice based sentinel network can be used to monitor influenza-like illness (ILI) epidemics. To obtain rough estimates of influenza vaccine effectiveness.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Continuous passive surveillance of ILI through a computerised network of voluntary sentinel general practitioners (SGPs) in France (Sentinelle system).</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Five hundred SGPs practices.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Since 1984, SGPs updated a database with information on eight communicable diseases including ILI, via videotext terminals. Each ILI case is defined by the association of a sudden fever of 39 degrees C or above, respiratory symptoms, and myalgias. An ILI epidemic is detected when the national weekly incidence rate exceeds a seasonal threshold for two successive weeks.</AbstractText><AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">An ILI epidemic was reported from November 1995 to January 1996. In total, 13,951 individual cases were reported by SGPs during the epidemic period. The size of the epidemic (number of patients consulting a GP) was estimated to be 2,370,000 subjects. Maps of the epidemic showed that all regions have reported a high level ILI activity. The attack rate was the highest in school age children (13.5/100) and decreased as the age rose. Nearly 6% of the reported ILI cases among adults and elderly were vaccinated. The flu vaccine effectiveness against ILI was estimated to be 66% (95% CI 73%, 92%), ranging between 83% (95% CI 73%, 92%) among the subjects aged 15 to 24 years old to 16% (95% CI -12%, 44%) among the subjects aged 75 years or older.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The Sentinelle system demonstrated adequate sensitivity and timeliness regarding ILI epidemic. Moreover, results of the monitoring were made available on the internet to increase the dissemination of information. Also, estimates of influenza vaccine effectiveness have been easily obtained. Altogether, they represent key points for the control of crisis situation such as ILI epidemics or pandemics.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carrat</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Epidémiologie et Sciences de l'Information, INSERM U444, Institut Saint-Antoine de Recherche sur la Santé, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flahault</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Boussard</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Farran</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Dangoumau</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Valleron</LastName><ForeName>A J</ForeName><Initials>AJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Epidemiol Community Health</MedlineTA><NlmUniqueID>7909766</NlmUniqueID><ISSNLinking>0143-005X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016248" MajorTopicYN="N">Computer Storage Devices</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005194" MajorTopicYN="N">Family Practice</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018571" MajorTopicYN="Y">Sentinel Surveillance</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>10</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>10</Month><Day>9</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>10</Month><Day>9</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9764269</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Boussard, E" sort="Boussard, E" uniqKey="Boussard E" first="E" last="Boussard">E. Boussard</name><name sortKey="Dangoumau, L" sort="Dangoumau, L" uniqKey="Dangoumau L" first="L" last="Dangoumau">L. Dangoumau</name><name sortKey="Farran, N" sort="Farran, N" uniqKey="Farran N" first="N" last="Farran">N. Farran</name><name sortKey="Flahault, A" sort="Flahault, A" uniqKey="Flahault A" first="A" last="Flahault">A. Flahault</name><name sortKey="Valleron, A J" sort="Valleron, A J" uniqKey="Valleron A" first="A J" last="Valleron">A J Valleron</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Carrat, F" sort="Carrat, F" uniqKey="Carrat F" first="F" last="Carrat">F. Carrat</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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