According to data from Santé publique France released on Wednesday, September 30, the return of Covid-19 is becoming increasingly evident in France, with infection levels comparable to previous years, as seen in hospitals and medical offices. Since the start of the school year, which promotes the spread of the virus in schools, offices, and public transport, the number of infections has been gradually increasing. This trend is supported by evidence from wastewater analysis and increased use of healthcare services. All age groups are affected. In the week of September 21 to 27, the use of care related to respiratory diseases continued to rise, according to the activity of hospital surveillance networks and urban medicine. In emergency departments, the number of visits related to respiratory diseases has reached levels comparable to previous years, with a notable increase in visits for suspected Covid-19 infection (+22% over one week, or +114 visits). On the side of SOS Médecins, respiratory indicators were still rising to levels comparable to previous years, according to the latest report. Consultations for suspected Covid-19 infection for all ages thus increased by 19% over one week (173 additional procedures), those for flu or flu-like syndrome among adults by 26% (719 additional procedures). For infants, bronchiolitis in children under one year old has increased by 12% (or +17 procedures). Vaccination remains protective. It is still considered effective against severe forms of the disease and the risk of long Covid, and is recommended, particularly for those most at risk. The new vaccination campaign against Covid-19, combined as in previous years with the flu vaccination campaign, is scheduled to start on October 13, with the exception of Mayotte, where it has been underway since September, and Réunion, where it is aligned with that of the southern hemisphere. In France, neither the elderly and vulnerable people nor healthcare professionals are being sufficiently vaccinated against the flu despite the recommendations of health authorities, a trend worsened by the Covid-19 health crisis, according to a study by Santé publique France published in mid-September. In Europe, the European Centre for Disease Prevention and Control (ECDC) has also observed an activity of SARS-CoV-2 "slightly increasing in primary care (general practitioners, pharmacists note) and slightly decreasing in secondary care" (hospitals, specialists note) from September 19 to 25 compared to the previous week.