Research and analysis

NOIDs causative agents: week 13 (week ending 29 March 2026)

Updated 1 April 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 2026/08 2026/09 2026/10 2026/11 2026/12 2026/13
Arboviruses            
West Nile Virus 1 - 1 - - 1
Bacillus            
Bacillus cereus 22 19 13 26 17 23
Bordetella            
Bordetella pertussis 2 3 3 2 2 1
Borrelia            
Borrelia burgdorferi 14 17 21 11 26 18
Borrelia other named - - - - 1 -
Borrelia sp 36 26 38 30 42 3
Brucella            
Brucella sp 1 1 1 - - -
Campylobacter            
Campylobacter coli 16 27 32 25 25 27
Campylobacter curvus - - - 1 1 -
Campylobacter fetus - - - 1 - 2
Campylobacter jejuni 279 264 324 244 297 278
Campylobacter lari 1 - - - - -
Campylobacter other named 1 2 1 2 - 1
Campylobacter rectus 1 3 - - - 1
Campylobacter sp 913 916 940 892 888 1033
Campylobacter upsaliensis 1 3 2 1 1 -
Campylobacter ureolyticus (bacteroides corrodens) 1 1 2 2 1 1
Chikungunya virus            
Chikungunya virus 2 1 1 1 3 2
Clostridium            
Clostridium perfringens 43 37 41 43 43 29
Coronavirus            
Coronavirus 263 263 251 206 193 185
Human coronavirus 229e 9 3 10 7 4 6
Human coronavirus hku1 5 2 4 1 4 4
Human coronavirus nl63 3 3 7 3 8 2
Human coronavirus oc43 26 7 30 13 14 10
SARS-CoV-2 antibody void 2 - - - - -
SARS-CoV-2 coronavirus (COVID-19) 670 662 517 491 495 506
SARS-CoV-2 coronavirus (COVID-19) indeterminate 13 22 22 24 13 23
SARS-CoV-2 IgG antibody negative 3 - 1 1 - -
SARS-CoV-2 IgG antibody positive 40 18 21 41 43 30
SARS-CoV-2 total antibody negative - 4 - 4 - -
SARS-CoV-2 total antibody positive 9 27 7 11 11 10
Corynebacterium            
Corynebacterium diphtheriae 7 4 7 7 6 2
Corynebacterium ulcerans - 1 - - 1 5
Coxiella            
Coxiella burnetii - - - 3 - -
Cryptosporidium            
Cryptosporidium cuniculus - 2 - - - -
Cryptosporidium hominis 9 5 3 3 4 1
Cryptosporidium meleagridis 1 - - - 1 -
Cryptosporidium parvum 17 24 47 33 36 16
Cryptosporidium sp 35 35 36 38 28 52
Cryptosporidium ubiquitum 1 1 4 - 1 1
Entamoeba            
Entamoeba histolytica 3 3 3 2 5 -
Escherichia            
Escherichia coli O 157 6 6 6 4 1 7
Flaviviruses            
Dengue virus 3 2 5 5 2 9
Giardia            
Giardia intestinalis 1 2 1 1 2 1
Giardia sp 105 121 131 125 121 142
Haemophilus            
Haemophilus influenzae 84 96 76 59 76 53
Hepatitis viruses            
Hepatitis A 15 17 10 12 12 11
Hepatitis B 265 268 247 232 240 239
Hepatitis C 193 248 227 250 210 198
Hepatitis D 8 5 7 6 3 6
Hepatitis E 33 44 49 37 37 31
Influenza virus            
Influenza A 911 731 499 335 303 256
Influenza B 43 48 41 48 48 51
Influenza indeterminate 5 1 3 4 8 -
Influenza ungrouped 10 9 7 11 5 1
Legionella            
Legionella cherrii - - - 1 - -
Legionella pneumophila 6 9 8 4 8 5
Legionella sp 6 3 11 5 1 4
Listeria            
Listeria monocytogenes 5 3 2 9 7 4
Mycobacterium            
Mycobacterium tuberculosis 87 129 112 90 91 107
Neisseria            
Neisseria meningitidis 22 34 24 29 51 26
Orthopoxvirus            
Mpox virus positive 28 35 33 20 28 9
Paramyxoviruses            
Measles virus 22 31 32 17 27 25
Mumps virus 6 1 11 8 4 7
Plasmodium            
Plasmodium falciparum - - - - 1 -
Polyomavirus            
Polyomavirus BK 73 65 88 79 74 77
Polyomavirus JC 5 15 17 10 11 11
Polyomavirus untyped 7 21 15 10 25 20
Rickettsia            
Rickettsia prowazekii - - - 1 - -
Rickettsia sp - - - 1 - -
Rickettsia tsutsugamushi - - - - 1 -
Rubella virus            
Rubella virus 5 3 4 2 5 2
Salmonella            
Other salmonellas 58 59 60 55 50 29
Salmonella enterica - - 5 - - -
Salmonella enteritidis 28 46 50 39 29 -
Salmonella heidelberg - - - 8 - -
Salmonella java 7 - - 6 - -
Salmonella newport - 9 8 - - -
Salmonella saint-paul 5 - - - - -
Salmonella sp 21 21 19 16 80 99
Salmonella stanley - 6 5 - 5 -
Salmonella typhi and paratyphi 20 18 15 21 13 11
Salmonella typhimurium 30 36 29 32 20 12
Shigella            
Shigella boydii 1 3 1 1 - 1
Shigella dysenteriae 1 - 1 - 1 -
Shigella flexneri 17 17 17 18 12 10
Shigella sonnei 19 17 19 15 10 8
Shigella sp 45 67 74 64 70 66
Streptococcus            
Streptococcus group A 63 81 58 52 71 60
Streptococcus pneumoniae 130 153 134 117 107 156
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 Antimicrobial Resistance and Healthcare Associated Infections (AMRHAI).

Week notification received 2026/08 2026/09 2026/10 2026/11 2026/12 2026/13
Citrobacter              
Citrobacter spp IMP 1 1 - - 1 1
  KPC - 1 1 1 - -
  NDM 3 2 - 1 - -
  OXA48 3 4 2 4 2 -
  VIM - - - 2 - -
  Other 1 - - - - -
Cronobacter              
Cronobacter spp KPC - - 1 - - -
Enterobacter              
Enterobacter cloacae complex IMP 3 - 5 5 5 -
  KPC 3 - 1 - 1 -
  NDM 8 4 9 11 5 -
  OXA48 6 3 2 5 3 2
  VIM 1 - - 1 - -
  Other - 1 1 2 1 1
Other enterobacter spp IMP - - - - - 1
  KPC 1 - - - - -
  NDM - 1 - - 1 -
  Other - - - 1 1 -
Escherichia              
Escherichia coli IMP - - 2 2 2 -
  KPC 1 1 1 2 2 1
  NDM 18 11 20 16 14 8
  OXA48 24 24 17 26 22 3
  VIM - - 1 - - -
  Other 3 1 2 2 4 1
Escherichia vulneris NDM - 1 - - - -
Klebsiella              
Klebsiella aerogenes OXA48 - 1 - - - -
Klebsiella oxytoca IMP - 1 - - - -
  KPC - - - 1 - -
  NDM 1 2 - - 1 -
  OXA48 - 3 1 1 - 1
  Other 1 - - - - -
Klebsiella pneumoniae IMP 3 - 4 1 1 -
  KPC 8 4 3 1 3 1
  NDM 14 9 16 11 5 1
  OXA48 12 9 18 10 7 3
  VIM 2 - 2 1 1 -
  Other 2 1 1 2 2 1
Other klebsiella spp KPC - 1 - - - -
  NDM 1 - - - - -
  OXA48 - - - 1 - -
  Other 1 - - - - -
Leclercia              
Leclercia adecarboxylata IMP - - - 1 - -
Morganella              
Morganella morganii NDM - - - - 1 -
  OXA48 - - - 1 - -
Pantoea              
Pantoea septica KPC - - 1 - - -
Proteus              
Proteus mirabilis NDM 3 2 - 3 1 -
  OXA48 - 1 - - - -
  Other 1 1 1 1 1 -
Proteus vulgaris NDM 1 - - - - -
  OXA48 1 - - - - -
Serratia              
Serratia marcescens/ureilytica KPC - - - 1 - -
  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 2026/08 2026/09 2026/10 2026/11 2026/12 2026/13
Acinetobacter              
Acinetobacter baumannii NDM - 2 1 1 - -
  Other - - 1 1 - -
Pseudomonas              
Pseudomonas aeruginosa IMP 1 1 - - - -
  NDM - 1 1 2 - -
  Other 3 1 1 1 2 1
Pseudomonas putida group NDM - - - 1 - -
  VIM - - - 1 - -
Pseudomonas stutzeri group Other - - - - 1 -
Other pseudomonas spp VIM 1 - - - - -
Other              
  VIM 1 - - - - -