Research and analysis

NOIDs causative agents: week 23 (week ending 9 June 2025)

Updated 30 June 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 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 2025/18 2025/19 2025/20 2025/21 2025/22 2025/23
Bacillus            
Bacillus cereus 21 28 28 29 22 26
Bordetella            
Bordetella pertussis 13 7 5 3 9 7
Borrelia            
Borrelia burgdorferi 12 16 34 22 18 20
Borrelia sp 2 4 1 2 5 1
Brucella            
Brucella sp 1 - 1 - 2 1
Campylobacter            
Campylobacter coli 30 31 36 39 57 46
Campylobacter fetus 1 1 2 1 - -
Campylobacter hyointestinalis - 1 - - - -
Campylobacter jejuni 342 273 369 391 308 303
Campylobacter lari - - - 1 1 -
Campylobacter other named - 3 - 3 2 3
Campylobacter rectus 1 - - - - -
Campylobacter sp 1,117 888 1,207 1,260 1,130 1,314
Campylobacter upsaliensis - - 3 1 1 3
Campylobacter ureolyticus (bacteroides corrodens) 1 1 1 1 - -
Chikungunya virus            
Chikungunya virus 1 2 - 3 - 2
Clostridium            
Clostridium perfringens 35 41 37 37 29 48
Coronavirus            
Coronavirus 72 61 53 49 33 41
Human coronavirus 229e 1 - 1 2 2 2
SARS-CoV-2 antibody void 20 14 12 28 26 12
SARS-CoV-2 coronavirus (COVID-19) 1,221 958 1,124 1,041 1,191 1,213
SARS-CoV-2 coronavirus (COVID-19) indeterminate 48 63 51 36 29 40
SARS-CoV-2 IgG antibody negative 21 15 11 18 41 32
SARS-CoV-2 IgG antibody positive 117 77 71 62 104 86
SARS-CoV-2 total antibody negative 8 8 - - - -
SARS-CoV-2 total antibody positive 44 13 22 19 4 15
Corynebacterium            
Corynebacterium diphtheriae 2 3 4 3 7 1
Corynebacterium ulcerans 1 1 - - - 1
Coxiella            
Coxiella burnetii 1 - 2 - - 1
Cryptosporidium            
Cryptosporidium hominis 13 9 14 10 7 1
Cryptosporidium parvum 98 68 78 28 22 3
Cryptosporidium sp 80 40 60 36 27 59
Cryptosporidium ubiquitum - 1 - - - -
Entamoeba            
Entamoeba histolytica 3 6 7 6 4 4
Escherichia            
Escherichia coli O 157 12 6 11 10 5 12
Flaviviruses            
Dengue virus 11 6 2 6 6 5
Giardia            
Giardia sp 119 78 148 103 79 104
Haemophilus            
Haemophilus influenzae 78 64 74 56 61 68
Hepatitis viruses            
Hepatitis A 13 17 18 16 15 18
Hepatitis B 281 263 296 325 244 239
Hepatitis C 292 214 326 293 257 264
Hepatitis D 7 6 3 8 4 8
Hepatitis E 36 39 44 33 39 28
Influenza virus            
Influenza A 497 352 313 271 237 145
Influenza B 192 104 71 58 60 19
Influenza indeterminate - - 4 3 1 -
Influenza ungrouped 17 5 10 13 11 2
Legionella            
Legionella longbeachae - - 1 - - 1
Legionella pneumophila 2 5 9 9 9 7
Legionella sp 1 2 5 3 5 5
Listeria            
Listeria monocytogenes 4 3 6 10 8 4
Mycobacterium            
Mycobacterium tuberculosis 104 78 92 103 87 74
Neisseria            
Neisseria meningitidis 29 24 26 34 22 25
Orthopoxvirus            
Mpox virus positive 13 8 7 1 7 10
Paramyxoviruses            
Measles virus 12 28 27 23 26 27
Mumps virus 3 9 8 5 3 6
Plasmodium            
Plasmodium falciparum - - 11 - - 4
Plasmodium malariae - - 1 - - 1
Plasmodium ovale - - 1 - - -
Plasmodium vivax - - 1 - - -
Polyomavirus            
Polyomavirus BK 46 42 51 63 49 41
Polyomavirus JC 6 10 13 15 10 12
Polyomavirus untyped 26 9 15 20 7 21
Rickettsia            
Rickettsia prowazekii - - - 1 - -
Rickettsia spotted fever - - - 1 - -
Rickettsia tsutsugamushi 1 - - - - -
Rubella virus            
Rubella virus 5 3 1 3 2 1
Salmonella            
Other salmonellas 67 55 66 56 41 22
Salmonella enteritidis 65 46 55 48 34 16
Salmonella java 5 - 7 5 - -
Salmonella newport 8 - - 6 - -
Salmonella saint-paul 7 - 8 5 - -
Salmonella sp 39 37 27 25 78 162
Salmonella stanley 8 - - - - -
Salmonella typhi and paratyphi 27 16 19 25 23 19
Salmonella typhimurium 20 31 29 39 19 8
Slmonella enterica 6 - 7 7 - -
Shigella            
Shigella boydii 3 - 2 1 1 1
Shigella dysenteriae 3 - - - - -
Shigella flexneri 19 21 19 13 16 9
Shigella sonnei 22 17 10 18 16 7
Shigella sp 80 60 81 55 52 69
Streptococcus            
Streptococcus group A 60 53 68 60 55 71
Streptococcus pneumoniae 128 95 129 116 138 113
Vibrio            
Vibrio cholerae 1 2 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 Antimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit.

Week notification received 2025/18 2025/19 2025/20 2025/21 2025/22 2025/23
Citrobacter              
Citrobacter spp IMP - 1 - - 1 1
  KPC - - - - 1 -
  NDM - 2 2 1 2 -
  OXA48 2 1 5 2 1 -
Enterobacter              
Enterobacter cloacae complex IMP 1 3 2 3 2 1
  KPC 5 5 3 4 3 -
  NDM 4 8 8 7 8 -
  OXA48 5 4 5 2 2 -
  VIM - - 1 - - -
  Other 2 1 - 1 1 1
Other enterobacter spp NDM 1 - - 1 - -
  OXA48 1 - - - - -
Escherichia              
Escherichia coli IMP - - 1 2 3 -
  KPC 1 5 3 2 1 -
  NDM 23 23 20 18 25 3
  OXA48 24 17 27 18 12 3
  VIM - 1 2 - - -
  Other 1 - 5 2 1 2
Other escherichia spp NDM - - - - - 1
  OXA48 - - - - - 1
Hafnia              
Hafnia alvei KPC - 1 - - - -
Klebsiella              
Klebsiella aerogenes NDM - - - - 1 -
  OXA48 - - 1 - - -
Klebsiella oxytoca KPC 2 - - - - -
  NDM 1 - - 1 2 -
  OXA48 - 2 - 3 - -
Klebsiella pneumoniae IMP 1 1 - 2 - -
  KPC 4 3 4 7 5 2
  NDM 14 12 9 5 13 -
  OXA48 14 19 15 7 6 1
  VIM - - - 1 1 -
  Other 4 1 1 1 5 -
Klebsiella variicola KPC - - 1 - - -
  NDM - - - - 1 -
Other klebsiella spp OXA48 - - - 1 1 -
Leclercia              
Leclercia adecarboxylata IMP - - - 1 - -
  KPC - - - 1 - -
  NDM - - - 1 - -
  OXA48 - - - 1 - -
Morganella              
Morganella morganii OXA48 - - - 1 - -
Pantoea              
Pantoea septica KPC - - - - - 1
Proteus              
Proteus mirabilis KPC - - - - 1 -
  NDM 1 2 4 4 1 -
  Other 2 1 2 1 1 -
Other proteus spp NDM 2 - - - - -
Serratia              
Serratia marcescens/ureilytica NDM - 1 - - 1 -
  OXA48 - - - 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 2025/18 2025/19 2025/20 2025/21 2025/22 2025/23
Acinetobacter              
Acinetobacter baumannii IMP - - - 1 - -
  NDM - - 1 1 - -
  Other - - 1 - - -
Acinetobacter pittii NDM - - - - 1 -
Pseudomonas              
Pseudomonas aeruginosa NDM - - 1 3 1 -
  VIM - 1 1 - - -
  Other 1 1 1 1 1 1
Pseudomonas putida group VIM 1 - - - - -
Other pseudomonas spp NDM - - - 1 - 1
  Other - - 1 - - -
Other              
  OXA48 - 1 2 - - -
  Other - - - 1 - -