Research and analysis

Laboratory reports of Haemophilus influenzae by age group and serotype: England and Wales, January to March 2014

Updated 27 February 2015

In the first quarter of 2014 (January to March) there was a total of 206 laboratory reports of invasive Haemophilus influenzae. This represents an 8% increase in cases compared to the previous quarter (n=190) and a 7% decrease compared to the first quarter of 2013 (n=221). Of the samples which underwent serotyping (n=163), 87% were non-capsulated Haemophilus influenzae (ncHi), a further 12% were serotype a, e, or f, and 1% were serotype b (Hib). There was a single case of Hib reported this quarter compared to 7 reported in quarter 1 of 2013 when; 82% of serotyped samples were ncHi, 14% were serotype a, e, or f, and 4% were Hib.

Age-group was well reported (Table). Of the laboratory reports during the first quarter of 2014: 80% were aged 15 years and over; 14% were under 1 year of age; 4% were among 1 to 4 year olds; and 2% were aged 5 to 14 years. There was an increase to 29 Hi cases in the under 1 year of age- group compared to 18 (8%) confirmed in the first quarter of 2013. This increase was largely due to 23 cases of ncHi .in infants <1 year of age compared to 10 in the first quarter of 2013. Cases of ncHi were similar or lower in all other age groups in Quarter 1 of 2014 relative to the first quarter of 2013.

During quarter 1 of 2014 there were no cases of Hib in children under 15 years. In comparison, during the first quarter of 2013 one case of Hib was reported in a child under 15 years.

1. Age distribution of laboratory-confirmed cases of Haemophilus influenzae by serotype England and Wales, first quarter 2014 (2013)

Serotype Total, all quarters 2014 (2013) by age-group Total, first quarter 2014 (2013)
  <1y 1-4y 5-14y 15+ nk  
b 0 (1) 0 (0) 0 (0) 1(6) 0 (0) 1(7)
nc 23(13) 7 (6) 3(4) 109(119) 0(1) 142(143)
a,e,f 3 (0) 1(1) 0 (0) 16(24) 0 (0) 20(25)
not typed 3(4) 1(0) 1 (2) 38(40) 0 (0) 43(46)
Total 29(18) 9(7) 4(6) 164(189) 0(1) 206(221)