Research and analysis

NOIDs causative agents: week 15 (week ending 12 April 2026)

Updated 14 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 2026/10 2026/11 2026/12 2026/13 2026/14 2026/15
Arboviruses            
West Nile Virus 1 - - 1 - -
Bacillus            
Bacillus cereus 13 26 17 23 20 18
Bordetella            
Bordetella pertussis 3 2 2 1 2 3
Borrelia            
Borrelia burgdorferi 21 11 26 18 13 17
Borrelia other named - - 1 - - -
Borrelia sp 4 3 9 3 2 3
Brucella            
Brucella sp 1 - - - 3 -
Campylobacter            
Campylobacter coli 32 25 25 30 18 15
Campylobacter curvus - 1 1 - - -
Campylobacter fetus - 1 - 2 - -
Campylobacter jejuni 324 245 299 317 231 166
Campylobacter other named 1 2 - 1 3 5
Campylobacter rectus - - - 1 2 -
Campylobacter sp 940 892 889 999 902 814
Campylobacter upsaliensis 2 1 1 - - 1
Campylobacter ureolyticus (bacteroides corrodens) 2 2 1 1 1 1
Chikungunya virus            
Chikungunya virus 1 1 4 3 1 -
Clostridium            
Clostridium perfringens 41 43 43 29 44 26
Coronavirus            
Coronavirus 251 207 195 186 152 102
Human coronavirus 229e 10 7 4 6 4 8
Human coronavirus hku1 4 1 4 4 1 4
Human coronavirus nl63 7 3 8 3 4 2
Human coronavirus oc43 30 13 14 10 5 5
SARS-CoV-2 coronavirus (COVID-19) 517 492 494 507 395 371
SARS-CoV-2 coronavirus (COVID-19) indeterminate 22 24 13 23 8 3
SARS-CoV-2 IgG antibody negative 1 1 - - 1 -
SARS-CoV-2 IgG antibody positive 21 41 43 30 11 18
SARS-CoV-2 total antibody negative - 4 - - - -
SARS-CoV-2 total antibody positive 7 11 12 10 7 5
Corynebacterium            
Corynebacterium diphtheriae 7 7 6 2 4 5
Corynebacterium ulcerans - - 1 5 - -
Coxiella            
Coxiella burnetii - 3 - - - -
Cryptosporidium            
Cryptosporidium cuniculus - - 1 - 1 -
Cryptosporidium hominis 3 3 4 4 2 -
Cryptosporidium meleagridis - - 1 - - -
Cryptosporidium parvum 47 33 36 33 25 13
Cryptosporidium sp 36 38 27 30 35 61
Cryptosporidium ubiquitum 4 - 1 3 1 -
Entamoeba            
Entamoeba histolytica 3 2 5 - 1 1
Escherichia            
Escherichia coli O 157 6 4 3 7 4 4
Flaviviruses            
Dengue virus 5 5 2 9 5 2
Giardia            
Giardia intestinalis 1 1 2 1 1 1
Giardia sp 132 126 121 143 135 94
Haemophilus            
Haemophilus influenzae 77 59 76 53 62 54
Hepatitis viruses            
Hepatitis A 10 12 12 10 9 13
Hepatitis B 249 234 248 258 215 173
Hepatitis C 229 250 210 213 216 168
Hepatitis D 8 6 3 6 8 3
Hepatitis E 49 37 37 31 39 41
Influenza virus            
Influenza A 499 335 304 258 259 242
Influenza B 41 48 50 51 60 58
Influenza indeterminate 3 4 8 - 1 1
Influenza ungrouped 7 11 5 1 4 7
Legionella            
Legionella cherrii - 1 - - - -
Legionella pneumophila 8 4 8 6 6 6
Legionella sp 11 5 1 4 3 2
Listeria            
Listeria monocytogenes 2 9 8 5 7 5
Mycobacterium            
Mycobacterium tuberculosis 113 92 100 121 88 73
Neisseria            
Neisseria meningitidis 24 29 51 26 26 17
Orthopoxvirus            
Mpox virus positive 33 20 28 9 11 11
Paramyxoviruses            
Measles virus 31 17 27 25 27 38
Mumps virus 11 8 4 7 6 2
Plasmodium            
Plasmodium falciparum - - 1 - - 1
Polyomavirus            
Polyomavirus BK 88 80 74 77 78 43
Polyomavirus JC 17 10 11 11 15 7
Polyomavirus untyped 15 10 25 20 8 17
Rickettsia            
Rickettsia prowazekii - 1 - - - -
Rickettsia rickettsii - - - 1 - -
Rickettsia sp - 1 - - - -
Rickettsia spotted fever - - - - - 1
Rickettsia tsutsugamushi - - 1 - - 1
Rubella virus            
Rubella virus 4 2 5 2 1 4
Salmonella            
Other salmonellas 60 55 70 54 24 14
Salmonella enterica 5 - - - - -
Salmonella enteritidis 50 39 46 17 13 -
Salmonella heidelberg - 8 - - - -
Salmonella java - 6 - - - -
Salmonella kentucky - - 5 - - -
Salmonella newport 8 - 6 - - -
Salmonella sp 18 16 24 36 103 98
Salmonella stanley 5 - 7 6 - -
Salmonella typhi and paratyphi 15 21 14 14 12 7
Salmonella typhimurium 29 32 25 23 11 6
Shigella            
Shigella boydii 1 1 - 2 1 -
Shigella dysenteriae 1 - 1 - - -
Shigella flexneri 17 18 16 14 9 6
Shigella sonnei 19 15 10 10 10 7
Shigella sp 74 64 66 59 48 39
Streptococcus            
Streptococcus group A 58 54 73 64 73 60
Streptococcus pneumoniae 135 117 107 161 123 144
Vibrio            
Vibrio cholerae 2 1 - 1 1 3

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 2026/10 2026/11 2026/12 2026/13 2026/14 2026/15
Citrobacter              
Citrobacter spp IMP - - 1 1 1 -
  KPC 1 1 - - 2 1
  NDM - 1 - 2 3 -
  OXA48 2 4 3 3 1 -
  VIM - 2 - - - -
  Other - - - - 1 -
Cronobacter              
Cronobacter spp KPC 1 - - - - -
Enterobacter              
Enterobacter cloacae complex IMP 5 5 5 - 3 2
  KPC 1 - 1 3 4 -
  NDM 10 11 5 9 5 4
  OXA48 2 5 3 4 1 2
  VIM - 1 - - - -
  Other 1 2 1 2 1 -
Other enterobacter spp IMP - - - 1 - -
  NDM - - 1 - - -
  Other - 1 1 - - -
Escherichia              
Escherichia coli IMP 2 2 2 1 1 -
  KPC 1 2 3 4 2 -
  NDM 20 16 15 27 13 4
  OXA48 17 26 23 20 11 2
  VIM 1 - - - - -
  Other 2 2 4 5 4 1
Escherichia vulneris KPC - - - - - 1
Klebsiella              
Klebsiella aerogenes NDM - - - 1 - -
Klebsiella oxytoca KPC - 1 - 1 - -
  NDM - - 1 2 - -
  OXA48 1 1 - 1 - -
Klebsiella pneumoniae IMP 4 1 1 2 - -
  KPC 3 1 3 5 5 2
  NDM 17 11 8 9 10 2
  OXA48 19 11 8 9 8 -
  VIM 2 1 1 - - -
  Other 1 2 3 2 2 -
Klebsiella variicola OXA48 - - - 1 - -
Other klebsiella spp OXA48 - 1 - - - -
Leclercia              
Leclercia adecarboxylata IMP - 1 - - - -
Morganella              
Morganella morganii NDM - - 1 1 - -
  OXA48 - 1 - - - -
  Other - - - 1 - -
Pantoea              
Pantoea septica KPC 1 - - - - -
Proteus              
Proteus mirabilis NDM - 3 1 - 1 -
  Other 1 2 1 - - -
Serratia              
Serratia marcescens/ureilytica KPC - 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 2026/10 2026/11 2026/12 2026/13 2026/14 2026/15
Acinetobacter              
Acinetobacter baumannii NDM 1 1 - 1 - -
  Other 1 1 - - 1 -
Other acinetobacter spp NDM - - - 1 - -
  Other - - - 1 - -
Pseudomonas              
Pseudomonas aeruginosa NDM 1 2 - - 1 -
  VIM - - - - - 1
  Other 1 1 3 1 1 1
Pseudomonas putida group NDM - 1 - - - -
  VIM - 1 - - - -
Pseudomonas stutzeri group Other - - 1 - - -