Research and analysis

NOIDs causative agents: week 19 (week ending 11 May 2025)

Updated 12 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 2025/14 2025/15 2025/16 2025/17 2025/18 2025/19
Arboviruses            
West Nile Virus - - - 1 - -
Bacillus            
Bacillus cereus 14 27 33 18 21 28
Bordetella            
Bordetella pertussis 8 8 8 4 13 7
Borrelia            
Borrelia burgdorferi 15 13 17 17 12 16
Borrelia sp 2 1 2 4 2 4
Brucella            
Brucella melitensis - 1 - - - -
Brucella sp 1 1 1 2 1 -
Campylobacter            
Campylobacter coli 36 33 21 19 30 27
Campylobacter fetus - 1 - - 1 1
Campylobacter gracilis - - 1 - - -
Campylobacter hyointestinalis - - - - - 1
Campylobacter jejuni 292 303 293 244 342 218
Campylobacter lari - 1 - - - -
Campylobacter other named 7 3 4 1 - 3
Campylobacter rectus 1 - - - 1 -
Campylobacter sp 934 988 1,041 876 1,113 936
Campylobacter upsaliensis - - 1 - - -
Campylobacter ureolyticus (bacteroides corrodens) 3 2 1 - 1 1
Chikungunya virus            
Chikungunya virus - - - - 1 2
Clostridium            
Clostridium perfringens 36 37 37 46 35 41
Coronavirus            
Coronavirus 136 112 98 86 66 56
Human coronavirus 229e - 4 2 3 1 -
Human coronavirus hku1 1 - - - - -
SARS-CoV-2 antibody indeterminate 1 - - - - -
SARS-CoV-2 antibody void 16 6 20 26 20 14
SARS-CoV-2 coronavirus (COVID-19) 1,167 1,271 1,196 1,221 1,208 953
SARS-CoV-2 coronavirus (COVID-19) indeterminate 36 44 30 65 48 63
SARS-CoV-2 IgG antibody negative 32 12 15 24 19 11
SARS-CoV-2 IgG antibody positive 99 62 47 78 110 61
SARS-CoV-2 total antibody negative 16 4 4 4 8 8
SARS-CoV-2 total antibody positive 24 16 18 20 44 13
Corynebacterium            
Corynebacterium diphtheriae - 1 1 3 2 3
Corynebacterium ulcerans 1 - - - 1 1
Coxiella            
Coxiella burnetii 1 - 1 - 1 -
Cryptosporidium            
Cryptosporidium hominis 4 4 3 3 13 4
Cryptosporidium parvum 28 43 39 62 94 31
Cryptosporidium sp 40 36 26 48 83 83
Entamoeba            
Entamoeba histolytica 1 1 4 4 3 5
Escherichia            
Escherichia coli O 157 5 11 6 11 9 4
Flaviviruses            
Dengue virus 3 2 4 2 11 5
Giardia            
Giardia sp 98 91 117 93 119 78
Haemophilus            
Haemophilus influenzae 103 90 50 60 75 61
Hepatitis viruses            
Hepatitis A 13 29 18 19 13 16
Hepatitis B 259 308 299 309 272 233
Hepatitis C 268 291 261 267 290 193
Hepatitis D 10 3 5 3 7 6
Hepatitis E 49 34 31 37 34 39
Influenza virus            
Influenza A 1,023 909 708 645 492 348
Influenza B 875 686 429 307 189 104
Influenza indeterminate - - - 8 - -
Influenza ungrouped 35 28 31 28 17 5
Legionella            
Legionella pneumophila 3 7 1 7 2 7
Legionella sp 2 4 2 5 1 2
Leptospira            
Leptospira interrogans - - 1 - - -
Listeria            
Listeria monocytogenes 11 13 2 2 4 3
Mycobacterium            
Mycobacterium tuberculosis 100 107 106 86 91 65
Neisseria            
Neisseria meningitidis 34 34 36 23 29 24
Orthopoxvirus            
Mpox virus positive 6 5 5 5 13 8
Paramyxoviruses            
Measles virus 16 14 19 20 12 28
Mumps virus 6 15 10 3 3 9
Plasmodium            
Plasmodium falciparum - 4 2 - - -
Plasmodium malariae - 1 - - - -
Plasmodium ovale - 2 1 - - -
Polyomavirus            
Polyomavirus BK 60 63 57 46 46 42
Polyomavirus JC 11 9 12 8 6 10
Polyomavirus untyped 15 6 8 8 26 9
Rickettsia            
Rickettsia prowazekii - - - 1 - -
Rickettsia sp 1 - - - - -
Rickettsia tsutsugamushi - - - - 1 -
Rubella virus            
Rubella virus 4 1 3 - 5 3
Salmonella            
Other salmonellas 54 61 73 64 43 8
Salmonella agona - - - 7 - -
Salmonella chester 5 - - - - -
Salmonella enteritidis 35 21 36 43 27 8
Salmonella infantis 5 - - 5 - -
Salmonella java - 5 - - - -
Salmonella kottbus - - 5 - - -
Salmonella newport - 5 5 - - -
Salmonella saint-paul - - - 5 - -
Salmonella sp 22 14 36 24 147 141
Salmonella stanley 5 - - - - -
Salmonella typhi and paratyphi 14 15 8 14 26 13
Salmonella typhimurium 28 17 16 23 9 11
Shigella            
Shigella boydii 1 2 1 1 2 -
Shigella dysenteriae 1 1 - 1 3 -
Shigella flexneri 25 15 31 15 15 14
Shigella sonnei 9 16 13 14 20 12
Shigella sp 62 34 55 45 87 72
Streptococcus            
Streptococcus group A 50 54 62 48 59 51
Streptococcus pneumoniae 144 150 168 162 125 93
Vibrio            
Vibrio cholerae 1 - 2 1 1 2

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 2025/14 2025/15 2025/16 2025/17 2025/18 2025/19
Citrobacter              
Citrobacter spp KPC - 1 2 - - -
  OXA48 2 4 5 2 2 -
  Other 1 - - - - -
Enterobacter              
Enterobacter cloacae complex IMP 1 3 4 1 1 -
  KPC 4 5 3 5 5 -
  NDM 7 7 5 3 3 3
  OXA48 3 6 4 4 5 2
  Other 1 1 1 - 2 -
Other enterobacter spp NDM - - - - 1 -
  OXA48 - - - - 1 -
Escherichia              
Escherichia coli IMP 1 - - - - -
  KPC 1 - 3 - 1 2
  NDM 20 18 19 19 21 4
  OXA48 24 20 27 19 19 4
  Other 1 2 3 1 1 -
Klebsiella              
Klebsiella aerogenes IMP - 1 - - - -
  OXA48 1 - - - - -
Klebsiella oxytoca KPC 1 1 - - 2 -
  NDM - - - - 1 -
  OXA48 - 1 1 1 - -
Klebsiella pneumoniae IMP 2 2 2 1 1 -
  KPC 2 6 6 6 4 -
  NDM 10 6 11 11 14 4
  OXA48 13 10 17 9 13 3
  VIM - - 1 - - -
  Other 1 2 1 2 4 -
Klebsiella variicola NDM 1 - - - - -
  OXA48 1 - - - - -
Morganella              
Morganella morganii OXA48 - 1 - - - -
Proteus              
Proteus mirabilis NDM 3 3 - 2 1 -
  Other 1 2 1 1 2 -
Other proteus spp NDM - - - - 2 -
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 2025/14 2025/15 2025/16 2025/17 2025/18 2025/19
Acinetobacter              
Acinetobacter baumannii NDM 1 1 - - - -
Pseudomonas              
Pseudomonas aeruginosa NDM 2 - 1 - - -
  VIM 4 1 - - - -
  Other 5 1 4 1 1 -
Pseudomonas fluorescens group VIM - - 1 - - -
Pseudomonas putida group VIM - - - - 1 -
Other pseudomonas spp VIM 1 - - - - -
Other              
  NDM 1 - 1 - - -
  OXA48 1 - 1 - - 1