Mayet A, Pommier de Santi V, Manet G, Nivoix P, Ligier C, Faure N, Haus-Cheymol R, Piarroux M, Dia A, Duron S, Tanti M, De Laval F, Camara K, Queyriaux B, Nicand E, Decam C, Chaudet H, Meynard J-B, Deparis X, Migliani R
Ecole du Val-de-Grâce, département d'épidémiologie et de santé publique Nord, îlot Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France. aurelie
Med Mal Infect. 2010 Jul;40(7):404-11. doi: 10.1016/j.medmal.2010.02.001. Epub 2010 Apr 9.
An outbreak of A(H1N1) virus influenza, detected in Mexico during April 2009, spread around the world in nine weeks. French armed forces had to adapt their epidemiological surveillance systems to this pandemic. Our aim was to present surveillance results.
There are two influenza surveillance systems in French armed forces: one permanent throughout the year and one seasonal, the Military influenza surveillance system (SMOG). The pandemic threat led to an early reactivation of SMOG, before the initiation of a daily surveillance system specifically dedicated to A(H1N1) influenza.
In metropolitan France, the increase of respiratory infections was observed as of September 2009, with a maximum of 401 cases for 100,000 at the beginning of December according to SMOG. The estimated rate of consultations related to A(H1N1) influenza ranged between 46 and 65 cases for 100,000. For military units operating outside of metropolitan France, a peak of incidence was observed in August (400 cases for 100,000).
The trends observed by influenza military surveillance networks were compatible with French ones. Concerning French forces in operations, the increase of incidence observed in August was the consequence of the influenza outbreak in the Southern hemisphere. Estimations of consultations rate related to A(H1N1) influenza, ranged between 127 and 194 cases for 100,000 at the beginning of December, lower than the national rate (1321 cases for 100,000), a consequence of the age pyramid in the military population.
2009年4月在墨西哥检测到的甲型H1N1流感病毒爆发，在九周内蔓延至全球。法国武装部队不得不使其流行病学监测系统适应这一疫情。我们的目的是展示监测结果。
法国武装部队有两个流感监测系统：一个全年常设，另一个是季节性的军事流感监测系统（SMOG）。大流行威胁导致在专门针对甲型H1N1流感的每日监测系统启动之前，SMOG提前重新启动。
在法国本土，自2009年9月起观察到呼吸道感染病例增加，根据SMOG数据，12月初每10万人中最多有401例。与甲型H1N1流感相关的估计会诊率在每10万人46至65例之间。对于在法国本土以外行动的军事单位，8月出现发病率高峰（每10万人400例）。
流感军事监测网络观察到的趋势与法国的趋势相符。关于在行动中的法国部队，8月观察到的发病率增加是南半球流感爆发的结果。12月初与甲型H1N1流感相关的会诊率估计在每10万人127至194例之间，低于全国发病率（每10万人1321例），这是军事人口年龄金字塔的结果。
