• Thirty patients are now hospitalized for Covid-19 at Bordeaux University Hospital, double the amount of last year at the same period.

  • Three-quarters of them are not vaccinated, assures Professor Charles Cazanave, who also notes that the average age of these patients has fallen from 70 years in the third wave to 56 years today.

  • If the infectious disease specialist does not want to darken the picture, he nevertheless deplores that 15% of over 75s and 25% of 50-64 years are still not vaccinated.

Virological indicators "very sharply rising"

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warns the ARS of New Aquitaine. The incidence rate in the region, which now stands at 235 cases per 100,000 inhabitants, has more than doubled in one week. The Regional Health Agency also observes "a rapid deterioration and much earlier than at the same period, in 2020". Consequence: if Nouvelle-Aquitaine “was one of the regions least impacted by the previous waves, it is now one of the most affected, with a very active circulation of the virus in tourist areas. "

Even within the Bordeaux University Hospital, infectious disease specialist Charles Cazanave considers the situation "worrying, but not alarming" ... Coming out of the crisis unit which was held this Tuesday morning,

20 Minutes

questioned the specialist to take stock on the situation.

What is the situation at Bordeaux University Hospital today?

At the CHU, the situation is worrying but not alarming.

Extreme vigilance is maintained with a double problem: ensuring the care of Covid patients who are arriving gradually, but also of all the other patients who flock in droves during this summer period.

This at constant beds, even a little less than usual.

For what types of issues do you have an influx of patients during the summer?

It is linked to tourist activity in Gironde.

These may be pathologies requiring emergency room treatment or hospitalization, or accidents.

We must manage to dispatcher everyone between medicine, surgery, resuscitation ... It is not just the Covid.

What are the latest hospitalization figures for Covid-19 cases?

There are around thirty patients hospitalized at Bordeaux University Hospital, which is still double the number of last year at the same period.

And these are almost all patients from the fourth wave resulting from the Delta variant, even though the vaccine is there.

Are these patients also vaccinated?

At least three quarters are not vaccinated.

The others are vaccinated one dose, some patients even two doses, but very close to the second dose.

Almost 100% of the contamination bringing patients to the hospital occurs in the context of insufficient vaccination coverage.

Conversely, people who have been vaccinated twice can be carriers of the virus, or even develop symptomatic forms, but for the moment we do not see them in the hospital.

Do you confirm a rejuvenation of hospitalized patients?

The age of the patients is decreasing from wave to wave, since we have gone from an average age of 70 years during the third wave to 56 years today.

This drops seriously, although the difference is less obvious in purely intensive care patients, where the average age is 62 years.

But the youngest patient is 25 years old.

What is the situation in intensive care precisely?

This is where it is most worrying, since we now have about fifteen patients in sheaves, against one or two at the beginning of July, and some of them have no risk factor.

This is for the CHU, but at the level of Nouvelle-Aquitaine we also have rather glaring figures since we went from six patients in sheaves in week 28 [from July 12 to 18] to 77 on Tuesday morning .

That is to say a multiplication by twelve.

This is why if the situation is not alarming, it could quickly become so.

At the same time, can we detect positive signs in the evolution of the circulation of the virus in the region?

Indeed, the famous four coastal departments where the incidence rate had exploded - Charente-Maritime, Gironde, Pyrénées-Atlantiques, Landes - seem to arrive at a kind of plateau. In Gironde, the incidence rate peaks at around 350 cases per 100,000 inhabitants. Even if conversely, other departments are starting to increase, especially in Lot-et-Garonne. The other important data is that this incidence rate is calculated according to your postal code of residence. So in this incidence rate do not appear the tourists - who are counted in their main residence - which means that it is underestimated since we have more patients carrying the virus, than the figures show. . This can cause problems in local hospitals, in Bayonne or Arcachon for example.

With all these sometimes contradictory data, how can we anticipate the evolution of the epidemic situation between now and the end of the holidays?

It is very difficult indeed.

This is why I do not blacken the table.

We must remain vigilant in the face of a much more contagious virus, but not necessarily more virulent or more deadly, and which will affect younger and less co-morbid patients, who will therefore spend less time in shifts.

That's a lot of strangers to make predictions.

But there is the vaccine, and in New Aquitaine we are at 65% two-dose coverage, which is pretty good.

On the other hand, we still have 15% of unvaccinated people over 75 years old, and 25% among 50-64 year olds, that is to say in people likely to have the most serious forms of the disease. ...

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  • Health

  • Vaccination

  • Coronavirus

  • Society

  • Covid 19

  • Bordeaux

  • Hospital

  • Aquitaine