Research and analysis

NOIDs causative agents: week 18 (week ending 4 May 2025)

Updated 8 May 2025

The list of causative agents that laboratories must notify the UK Health Security Agency (UKHSA) about has been expanded to include additional  notifiable organisms which became reportable under the Health Protection (Notification) (Amendment) Regulations from 6 April 2025. Publication of the additional causative agents will begin at a later date, once reporting development work has been undertaken to include them.

Laboratories in England have a statutory duty to notify the UK Health Security Agency (UKHSA) of the identification of the following causative agents:

  • Bacillus anthracis
  • Bacillus cereus
  • Bordetella pertussis
  • Borrelia spp
  • Brucella spp
  • Burkholderia mallei
  • Burkholderia pseudomallei
  • Campylobacter spp
  • Carbapenemase-producing Gram-negative bacteria
  • Chikungunya virus
  • Chlamydophila psittaci
  • Clostridium botulinum
  • Clostridium perfringens
  • Clostridium tetani
  • Corynebacterium diphtheriae
  • Corynebacterium ulcerans
  • Coxiella burnetii
  • Crimean-Congo haemorrhagic fever virus
  • Cryptosporidium spp
  • Dengue virus
  • Ebola virus
  • Entamoeba histolytica
  • Escherichia coli O 157
  • Francisella tularensis
  • Giardia spp
  • Guanarito virus
  • Haemophilus influenzae (invasive)
  • Hanta virus
  • hepatitis A
  • hepatitis B
  • hepatitis C
  • hepatitis D
  • hepatitis E
  • influenza virus
  • Junin virus
  • Kyasanur Forest disease virus
  • Lassa virus
  • Legionella spp
  • Leptospira interrogans
  • Listeria monocytogenes
  • Machupo virus
  • Marburg virus
  • measles virus
  • mpox virus
  • mumps virus
  • Mycobacterium tuberculosis complex
  • Neisseria meningitidis
  • Omsk haemorrhagic fever virus
  • Plasmodium falciparum
  • Plasmodium Knowlesi
  • Plasmodium Malariae
  • Plasmodium Ovale
  • Plasmodium Vivax
  • polio virus
  • Rabies virus
  • Rickettsia spp
  • Rift Valley fever virus
  • Rubella virus
  • Sabia virus
  • Salmonella spp
  • SARS coronavirus
  • Shigella spp
  • Streptococcus group A (invasive)
  • Streptococcus pneumoniae (invasive)
  • Varicella zoster virus
  • Variola virus
  • Vibrio cholerae
  • West Nile virus
  • Yellow fever virus
  • Yersinia pestis

Statutory Notifications of causative agents, grouped by root organism

Totals for the current week compared to the previous 5.

Week notification received 2025/13 2025/14 2025/15 2025/16 2025/17 2025/18
Arboviruses            
West Nile Virus - - - - 1 -
Bacillus            
Bacillus cereus 12 14 27 33 18 21
Bordetella            
Bordetella pertussis 10 8 8 8 4 13
Borrelia            
Borrelia burgdorferi 20 15 13 17 17 12
Borrelia sp 3 2 1 2 4 2
Brucella            
Brucella melitensis - - 1 - - -
Brucella sp 1 1 1 1 2 1
Campylobacter            
Campylobacter coli 35 36 33 21 19 24
Campylobacter fetus - - 1 - - 1
Campylobacter gracilis - - - 1 - -
Campylobacter jejuni 257 290 303 293 242 282
Campylobacter lari - - 1 - - -
Campylobacter other named 2 7 3 4 1 -
Campylobacter rectus - 1 - - - 1
Campylobacter sp 933 935 987 1,041 878 1,172
Campylobacter upsaliensis 1 - - 1 - -
Campylobacter ureolyticus (bacteroides corrodens) 3 3 2 1 - 1
Chikungunya virus            
Chikungunya virus 1 - - - - 1
Clostridium            
Clostridium perfringens 34 36 37 37 46 35
Coronavirus            
Coronavirus 127 136 112 98 86 66
Human coronavirus 229e 1 - 4 2 3 1
Human coronavirus hku1 - 1 - - - -
SARS-CoV-2 antibody indeterminate - 1 - - - -
SARS-CoV-2 antibody void 34 16 6 20 26 20
SARS-CoV-2 coronavirus (COVID-19) 1,128 1,167 1,269 1,195 1,219 1,208
SARS-CoV-2 coronavirus (COVID-19) indeterminate 37 36 44 30 65 48
SARS-CoV-2 IgG antibody negative 26 32 12 15 24 19
SARS-CoV-2 IgG antibody positive 68 99 62 47 78 110
SARS-CoV-2 total antibody negative 16 16 4 4 4 8
SARS-CoV-2 total antibody positive 38 24 16 18 20 44
Corynebacterium            
Corynebacterium diphtheriae 1 - 1 1 3 2
Corynebacterium ulcerans 1 1 - - - 1
Coxiella            
Coxiella burnetii - 1 - 1 - 1
Cryptosporidium            
Cryptosporidium hominis 2 4 4 3 3 2
Cryptosporidium meleagridis 1 - - - - -
Cryptosporidium parvum 39 28 42 39 59 35
Cryptosporidium sp 16 40 37 26 51 153
Entamoeba            
Entamoeba histolytica 4 1 1 4 4 3
Escherichia            
Escherichia coli O 157 9 5 11 6 10 7
Flaviviruses            
Dengue virus 6 3 2 4 2 10
Giardia            
Giardia sp 108 98 91 117 93 119
Haemophilus            
Haemophilus influenzae 80 103 90 50 60 75
Hepatitis viruses            
Hepatitis A 13 13 29 18 19 12
Hepatitis B 278 258 308 299 308 254
Hepatitis C 284 268 291 261 266 279
Hepatitis D 5 10 3 5 3 7
Hepatitis E 33 49 34 31 36 33
Influenza virus            
Influenza A 1,214 1,023 907 705 643 492
Influenza B 1,181 875 685 429 307 188
Influenza indeterminate - - - - 8 -
Influenza ungrouped 51 35 28 31 28 17
Legionella            
Legionella pneumophila 10 3 7 1 7 2
Legionella sp 5 2 4 2 5 1
Leptospira            
Leptospira interrogans 1 - - 1 - -
Listeria            
Listeria monocytogenes 2 11 13 2 2 4
Mycobacterium            
Mycobacterium tuberculosis 92 100 105 103 75 85
Neisseria            
Neisseria meningitidis 32 34 34 36 23 29
Orthopoxvirus            
Mpox virus positive 8 6 5 5 5 13
Paramyxoviruses            
Measles virus 14 16 14 19 20 12
Mumps virus 9 6 15 10 3 3
Plasmodium            
Plasmodium falciparum - - 4 2 - -
Plasmodium malariae - - 1 - - -
Plasmodium ovale - - 2 1 - -
Polyomavirus            
Polyomavirus BK 61 60 63 57 46 46
Polyomavirus JC 14 11 9 12 8 6
Polyomavirus untyped 11 15 6 8 8 26
Rickettsia            
Rickettsia prowazekii - - - - 1 -
Rickettsia sp - 1 - - - -
Rickettsia tsutsugamushi - - - - - 1
Rubella virus            
Rubella virus 3 4 1 3 - 5
Salmonella            
Other salmonellas 48 54 61 72 48 29
Salmonella agona - - - - 6 -
Salmonella chester 6 5 - - - -
Salmonella enteritidis 31 35 21 36 32 11
Salmonella infantis - 5 - - - -
Salmonella java - - 5 - - -
Salmonella kottbus - - - 5 - -
Salmonella newport 5 - 5 5 - -
Salmonella sp 16 22 14 38 72 187
Salmonella stanley - 5 - - - -
Salmonella typhi and paratyphi 14 14 15 8 11 21
Salmonella typhimurium 22 28 17 15 15 -
Slmonella enterica 5 - - - - -
Shigella            
Shigella boydii - 1 2 1 1 -
Shigella dysenteriae 2 1 1 - - 3
Shigella flexneri 19 25 15 31 10 11
Shigella sonnei 19 9 16 13 11 15
Shigella sp 57 62 34 55 54 99
Streptococcus            
Streptococcus group A 74 50 54 62 47 58
Streptococcus pneumoniae 154 144 150 168 162 124
Vibrio            
Vibrio cholerae - 1 - 2 1 1

Carbapenemase-producing Enterobacterales (CPE)

For all Carbapenemase-producing Gram-negative organisms, the reports are de-duplicated by first mention of organism species and resistance mechanism by person in a rolling 52-week period.

Note: the numbers presented here do not include specimens that have been referred to the AMRHAI Reference Unit.

Week notification received 2025/13 2025/14 2025/15 2025/16 2025/17 2025/18
Citrobacter              
Citrobacter spp KPC - - 1 2 - -
  NDM 2 - - - - -
  OXA48 1 2 4 5 1 -
  Other - 1 - - - -
Enterobacter              
Enterobacter cloacae complex IMP - 1 3 4 1 -
  KPC 2 4 5 3 4 -
  NDM 11 7 7 5 3 -
  OXA48 - 3 6 4 4 1
  Other 2 1 1 1 - -
Escherichia              
Escherichia coli IMP 1 1 - - - -
  KPC 1 1 - 3 - -
  NDM 18 19 18 19 19 1
  OXA48 16 21 20 26 17 3
  Other 1 1 2 3 1 2
Other escherichia spp OXA48 1 - - - - -
Klebsiella              
Klebsiella aerogenes IMP - - 1 - - -
  OXA48 - 1 - - - -
Klebsiella oxytoca KPC - 1 1 - - 1
  OXA48 - - 1 1 1 -
Klebsiella pneumoniae IMP 2 2 2 2 1 -
  KPC 17 2 6 6 6 1
  NDM 9 10 6 11 10 3
  OXA48 3 13 10 17 9 5
  VIM - - - 1 - -
  Other 3 1 2 1 2 1
Klebsiella variicola NDM - 1 - - - -
  OXA48 - 1 - - - -
Other klebsiella spp NDM 1 - - - - -
  OXA48 1 - - - - -
  Other 1 - - - - -
Morganella              
Morganella morganii OXA48 - - 1 - - -
Pantoea              
Pantoea spp NDM 1 - - - - -
Proteus              
Proteus mirabilis NDM - 3 3 - 2 -
  OXA48 1 - - - - -
  Other 1 1 2 1 1 -
Providencia              
Providencia stuartii Other 1 - - - - -
Raoultella              
Raoultella ornithinolytica KPC - - 1 - - -
Other raoultella spp KPC - - - - 1 -
  VIM - - - - 1 -

Other carbapenemase-producing Gram-negative organisms

For all Carbapenemase-producing Gram-negative organisms, the reports are de-duplicated by first mention of organism species and resistance mechanism by person in a rolling 52-week period.

Note: the numbers presented here do not include specimens that have been referred to.

Week notification received 2025/13 2025/14 2025/15 2025/16 2025/17 2025/18
Acinetobacter              
Acinetobacter baumannii NDM - 1 1 - - -
Pseudomonas              
Pseudomonas aeruginosa NDM - 2 - 1 - -
  VIM - 4 1 - - -
  Other 2 5 1 4 1 1
Pseudomonas fluorescens group VIM - - - 1 - -
Other pseudomonas spp VIM - 1 - - - -
Other              
  NDM - 1 - 1 - -
  OXA48 - 1 - 1 - -