COVID-19 epidemic in the Seine-Saint-Denis Department of Greater Paris: one month and three waves for a tsunami.

Introduction: Worldwide, the COVID-19 epidemic has put health systems to the test. The excess mortality is partly due to the influx of patients requiring hospitalization and intensive care. We propose that the chronology of epidemic spread gives a window of time in which hospitals can act to prevent reaching capacity.

Clinical features of 1487 COVID-19 patients with outpatient management in the Greater Paris: the COVID-call study.

Clinical features of COVID-19 have been mostly described in hospitalized patients with and without ICU admission. Yet, up to 80% of patients are managed in an outpatient setting. This population is poorly documented.

[Impact of extreme temperatures on primary care requirement in France: the CHAUFOS Study (2010-2018).].

Introduction: The health impact of cold and hot waves is major. Nevertheless, the respective impact of extreme high and low temperatures remains controversial.

Method: The daily number of (1) patients managed by SAMU 93 dispatching centre – primary care requirement indicator, (2) Mobile Intensive Care Unit (MICU) interventions – patient severity indicator and (3) number of deaths have been recorded.

Variation in accessibility of the population to an Emergency Medical Communication Centre: a multicentre observational study.

Background: Access to an Emergency Medical Communication Centre is essential for the population in emergency situations. Handling inbound calls without delay requires managing activity, process and outcome measures of the Emergency Medical Communication Centre to improve the workforce management and the level of service. France is facing political decisions on the evolution of the organisation of Emergency Medical Communication Centres to improve accessibility for the population.

[Impact of the Air Quality on Health - Analysis of the activity of a SAMU-Center 15 in Paris area - the IQUASS Study].

Introduction: The atmospheric pollution is a growing public health problem. The highly urbanized regions such as Paris area seem particularly exposed. However, the overall health impact is poorly documented.

Impact of a general practitioners' strike and of terrorist attacks on a call centre.

Objective: We aimed to evaluate the impact of the same-day GPs' strike and terrorist attacks on a call centre's activity.

Methods: We compared the number of calls received, the number of patient's medical files (PMFs) created and the number of mobile ICU (MICU) dispatched per hour on Friday, 13 November, to the repository established on the five previous Fridays. As previously published, the variation criterion was set to an activity variation above 20% for more than 2 h.