Research and analysis

NOIDs causative agents: week 11 (week ending 15 March 2026)

Updated 18 March 2026

The list of causative agents that laboratories must notify the UK Health Security Agency (UKHSA) about has been expanded to include additional notifiable organisms. These 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.

This report contains statistics of formal notifications of causative agent test results to UKHSA from diagnostic laboratories in England, under Regulation 4 of the Health Protection (Notifications) Regulations 2010.

The number of notifications in this report reflects test results provided from laboratories to UKHSA before UKHSA interprets or applies standardised case definitions to these test results. Individual test results will not always result in a confirmed diagnosis of a disease, therefore the notifications in this report should not be considered counts of cases and should be interpreted with caution.

Epidemiology reports including confirmed case numbers using standardised case definitions are published separately on a per pathogen or pathogen-group basis.

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 2026/06 2026/07 2026/08 2026/09 2026/10 2026/11
Arboviruses            
West Nile Virus - - 1 - 1 -
Bacillus            
Bacillus cereus 19 17 22 19 13 26
Bordetella            
Bordetella pertussis 4 2 2 3 3 2
Borrelia            
Borrelia burgdorferi 30 20 14 17 22 10
Borrelia sp 39 25 36 26 38 31
Brucella            
Brucella sp - - 1 1 1 -
Campylobacter            
Campylobacter coli 36 30 16 27 32 23
Campylobacter curvus - - - - - 1
Campylobacter fetus - 3 - - - 1
Campylobacter gracilis 1 - - - - -
Campylobacter jejuni 269 281 279 264 323 218
Campylobacter lari - - 1 - - -
Campylobacter other named 1 1 1 2 1 2
Campylobacter rectus - 1 1 3 - -
Campylobacter sp 1,046 992 913 916 941 919
Campylobacter upsaliensis 1 - 1 3 2 -
Campylobacter ureolyticus (bacteroides corrodens) 1 1 1 1 2 2
Chikungunya virus            
Chikungunya virus 1 4 2 1 1 1
Clostridium            
Clostridium perfringens 38 51 43 37 40 43
Coronavirus            
Coronavirus 231 282 261 263 250 206
Human coronavirus 229e 13 7 9 3 10 7
Human coronavirus hku1 2 5 5 2 4 1
Human coronavirus nl63 1 4 3 3 7 3
Human coronavirus oc43 20 23 26 7 30 13
SARS coronavirus - - - - - -
SARS-CoV-2 antibody void - - 2 - - -
SARS-CoV-2 coronavirus (COVID-19) 801 931 670 662 515 490
SARS-CoV-2 coronavirus (COVID-19) indeterminate 18 15 13 22 22 24
SARS-CoV-2 IgG antibody negative - - 3 - 1 1
SARS-CoV-2 IgG antibody positive 22 25 40 18 21 41
SARS-CoV-2 total antibody negative - - - 4 - 4
SARS-CoV-2 total antibody positive 7 34 9 27 7 11
Corynebacterium            
Corynebacterium diphtheriae 4 5 7 4 7 7
Corynebacterium ulcerans 2 1 - 1 - -
Coxiella            
Coxiella burnetii - - - - - 3
Cryptosporidium            
Cryptosporidium cuniculus 3 1 - 2 - -
Cryptosporidium hominis 8 7 9 5 3 1
Cryptosporidium meleagridis - - 1 - - -
Cryptosporidium parvum 15 21 17 24 46 20
Cryptosporidium sp 19 19 35 35 39 53
Cryptosporidium ubiquitum 2 - 1 1 2 -
Entamoeba            
Entamoeba histolytica 3 3 3 3 3 2
Escherichia            
Escherichia coli O 157 5 4 6 6 6 4
Flaviviruses            
Dengue virus 12 6 3 2 5 5
Giardia            
Giardia intestinalis 1 - 1 2 1 1
Giardia sp 124 117 105 121 131 125
Haemophilus            
Haemophilus influenzae 75 66 84 96 76 59
Hepatitis viruses            
Hepatitis A 13 16 15 17 10 12
Hepatitis B 298 268 263 260 242 219
Hepatitis C 265 219 192 248 226 239
Hepatitis D 7 3 8 5 7 6
Hepatitis E 44 43 33 44 49 36
Influenza virus            
Influenza A 1,570 1,108 909 728 496 328
Influenza B 45 84 43 48 41 48
Influenza indeterminate - 2 5 1 3 4
Influenza ungrouped 23 15 10 9 7 10
Legionella            
Legionella cherrii - - - - - 1
Legionella pneumophila 9 10 6 9 8 4
Legionella sp 5 - 6 3 11 5
Listeria            
Listeria monocytogenes 3 3 5 3 2 9
Mycobacterium            
Mycobacterium tuberculosis 91 97 86 124 105 75
Neisseria            
Neisseria meningitidis 28 36 22 33 25 28
Orthopoxvirus            
Mpox virus positive 25 36 27 35 34 20
Paramyxoviruses            
Measles virus 10 17 22 31 32 17
Mumps virus 8 9 6 1 11 8
Plasmodium            
Plasmodium falciparum 5 - - - - -
Plasmodium malariae 1 - - - - -
Plasmodium ovale 3 - - - - -
Plasmodium vivax 2 - - - - -
Polyomavirus            
Polyomavirus BK 82 67 73 65 88 79
Polyomavirus JC 18 13 5 15 17 10
Polyomavirus untyped 12 18 7 21 20 10
Rabies virus            
Rabies virus - 1 - - - -
Rickettsia            
Rickettsia prowazekii - - - - - 1
Rickettsia sp - - - - - 1
Rubella virus            
Rubella virus 4 3 7 3 4 4
Salmonella            
Other salmonellas 65 56 57 58 52 19
Salmonella bareilly 5 - - - - -
Salmonella enterica 7 - - - 5 -
Salmonella enteritidis 37 43 28 44 30 8
Salmonella java - 8 7 - - -
Salmonella newport - - - 9 - -
Salmonella saint-paul - - 5 - - -
Salmonella sp 19 18 22 25 71 115
Salmonella stanley - 7 - 5 - -
Salmonella typhi and paratyphi 8 14 20 18 15 17
Salmonella typhimurium 59 41 30 36 19 18
Shigella            
Shigella boydii 1 3 1 3 1 -
Shigella dysenteriae 1 1 1 - 1 -
Shigella flexneri 21 16 17 16 10 10
Shigella sonnei 29 26 19 17 19 11
Shigella sp 61 65 45 68 81 77
Streptococcus            
Streptococcus group A 76 67 63 81 56 52
Streptococcus pneumoniae 157 149 130 153 135 115
Vibrio            
Vibrio cholerae 1 1 - 1 2 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).

Week notification received 2026/06 2026/07 2026/08 2026/09 2026/10 2026/11
Citrobacter              
Citrobacter spp IMP - 1 1 1 - -
  KPC 1 1 - 1 1 -
  NDM - 3 3 2 - -
  OXA48 3 1 3 3 2 1
  VIM - 1 - - - -
  Other - 1 1 - - -
Cronobacter              
Cronobacter spp KPC - - - - 1 -
Enterobacter              
Enterobacter cloacae complex IMP 4 3 2 - 5 2
  KPC 2 4 3 - 1 -
  NDM 2 8 8 4 8 2
  OXA48 3 3 6 2 2 3
  VIM - - 1 - - 1
  Other 1 2 - 1 1 2
Other enterobacter spp KPC - - 1 - - -
  NDM - - - 1 - -
Escherichia              
Escherichia coli IMP 2 4 - - 2 2
  KPC - 1 1 1 1 -
  NDM 18 20 18 11 18 3
  OXA48 26 33 24 24 17 7
  VIM - 1 - - 1 -
  Other 3 2 3 1 2 1
Escherichia hermannii KPC 1 - - - - -
Escherichia vulneris NDM - - - 1 - -
Klebsiella              
Klebsiella aerogenes OXA48 - - - 1 - -
Klebsiella oxytoca IMP - 1 - 1 - -
  KPC - 3 - - - -
  NDM - 1 1 2 - -
  OXA48 - 4 - 3 1 1
  Other - - 1 - - -
Klebsiella pneumoniae IMP 1 1 3 - 4 -
  KPC 7 4 8 4 3 -
  NDM 11 12 13 9 14 2
  OXA48 7 7 12 8 14 1
  VIM - - 2 - 1 -
  Other 4 1 2 1 1 1
Other klebsiella spp KPC - - - 1 - -
  NDM - - 1 - - -
  Other - - 1 - - -
Morganella              
Morganella morganii NDM - 1 - - - -
  OXA48 - 1 - - - 1
Pantoea              
Pantoea septica KPC - - - - 1 -
Proteus              
Proteus mirabilis KPC 1 - - - - -
  NDM - 2 3 2 - -
  OXA48 1 - - 1 - -
  VIM 1 - - - - -
  Other 1 - 1 1 1 -
Proteus vulgaris NDM - - 1 - - -
  OXA48 - - 1 - - -
Serratia              
Serratia marcescens/ureilytica OXA48 - - 1 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 2026/06 2026/07 2026/08 2026/09 2026/10 2026/11
Acinetobacter              
Acinetobacter baumannii IMP - 1 - - - -
  NDM 3 - - 2 1 -
  Other - - - - 1 -
Other acinetobacter spp NDM 1 1 - - - -
Pseudomonas              
Pseudomonas aeruginosa IMP - 2 1 1 - -
  NDM 2 2 - 1 1 -
  VIM 1 1 - - - -
  Other 2 1 3 1 1 -
Pseudomonas putida group NDM - - - - - 1
  VIM 2 - - - - -
  Other 1 - - - - -
Other pseudomonas spp VIM - - 1 - - -
Other              
  VIM - - 1 - - -
  Other - 1 - - - -