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Research and analysis

NOIDs causative agents: week 19 (week ending 10 May 2026)

Updated 11 May 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 2026/14 2026/15 2026/16 2026/17 2026/18 2026/19
Bacillus            
Bacillus cereus 20 20 23 27 21 32
Bordetella            
Bordetella pertussis 2 3 2 4 5 4
Borrelia            
Borrelia burgdorferi 14 17 32 19 29 18
Borrelia other named - - - - 1 -
Borrelia sp 2 3 1 5 6 6
Brucella            
Brucella sp 3 1 1 - - 1
Campylobacter            
Campylobacter coli 18 20 23 26 25 24
Campylobacter fetus - - 1 1 - 1
Campylobacter gracilis - - - - 1 -
Campylobacter jejuni 232 211 244 296 332 231
Campylobacter lari 1 - - - - -
Campylobacter other named 3 5 2 5 - 1
Campylobacter rectus 2 1 1 - - -
Campylobacter sp 902 769 872 1,144 1,018 910
Campylobacter upsaliensis - 1 - 3 - 2
Campylobacter ureolyticus (bacteroides corrodens) 1 1 2 3 - -
Chikungunya virus            
Chikungunya virus 1 - 1 2 3 2
Clostridium            
Clostridium perfringens 44 26 35 44 45 39
Coronavirus            
Coronavirus 152 102 115 80 98 80
Human coronavirus 229e 4 8 8 5 1 4
Human coronavirus hku1 1 5 1 2 3 2
Human coronavirus nl63 4 2 3 2 7 2
Human coronavirus oc43 5 5 1 2 9 -
SARS-CoV-2 coronavirus (COVID-19) 395 370 249 196 183 262
SARS-CoV-2 coronavirus (COVID-19) indeterminate 8 3 3 9 10 5
SARS-CoV-2 IgG antibody negative 1 - - - - -
SARS-CoV-2 IgG antibody positive 11 18 31 33 12 20
SARS-CoV-2 total antibody negative - - 1 - - -
SARS-CoV-2 total antibody positive 7 5 12 7 7 4
Corynebacterium            
Corynebacterium diphtheriae 4 5 6 4 2 7
Corynebacterium ulcerans - - 1 - 1 -
Coxiella            
Coxiella burnetii - - 1 - - -
Cryptosporidium            
Cryptosporidium cuniculus 1 - - - 1 -
Cryptosporidium hominis 2 2 3 4 4 -
Cryptosporidium meleagridis - - 2 - - -
Cryptosporidium parvum 29 32 69 80 67 14
Cryptosporidium sp 31 40 56 78 74 95
Cryptosporidium ubiquitum 1 - 1 - - -
Cryptosporidium viatorum - - 1 - - -
Entamoeba            
Entamoeba histolytica 1 1 3 3 3 4
Escherichia            
Escherichia coli O 157 4 4 4 13 9 9
Flaviviruses            
Dengue virus 5 2 1 5 3 5
Giardia            
Giardia intestinalis 1 1 - 15 5 -
Giardia sp 134 94 145 137 126 105
Haemophilus            
Haemophilus influenzae 65 53 89 55 60 53
Hepatitis viruses            
Hepatitis A 9 14 15 11 7 12
Hepatitis B 223 195 270 241 277 188
Hepatitis C 225 183 230 243 223 198
Hepatitis D 8 3 8 12 4 6
Hepatitis E 40 42 51 30 33 27
Influenza virus            
Influenza A 259 242 231 187 170 169
Influenza B 60 58 59 71 66 80
Influenza indeterminate 1 1 1 2 3 -
Influenza ungrouped 4 7 7 4 3 4
Legionella            
Legionella pneumophila 6 6 4 6 5 15
Legionella sp 3 2 1 4 1 6
Leptospira            
Leptospira interrogans - - - - 1 -
Listeria            
Listeria monocytogenes 6 4 4 2 6 2
Mycobacterium            
Mycobacterium tuberculosis 100 88 108 93 119 95
Neisseria            
Neisseria meningitidis 26 16 39 33 43 32
Orthopoxvirus            
Mpox virus positive 11 11 16 12 10 12
Paramyxoviruses            
Measles virus 27 38 40 30 21 35
Mumps virus 6 2 6 5 10 6
Plasmodium            
Plasmodium falciparum - 1 1 - - -
Polyomavirus            
Polyomavirus BK 78 43 83 69 78 57
Polyomavirus JC 17 7 15 9 13 7
Polyomavirus untyped 8 17 13 14 14 12
Rickettsia            
Rickettsia prowazekii - - - - - 1
Rickettsia rickettsii - - - - 1 1
Rickettsia spotted fever - 1 - 1 2 -
Rickettsia tsutsugamushi - 1 - 1 1 -
Rubella virus            
Rubella virus 1 4 5 4 1 5
Salmonella            
Other salmonellas 63 49 62 62 36 22
Salmonella anatum - 7 - - - -
Salmonella bovis-morbificans - - 5 10 - 5
Salmonella enterica - - - 6 - -
Salmonella enteritidis 30 21 61 59 40 18
Salmonella infantis - - - 6 - -
Salmonella newport - - 7 15 7 -
Salmonella sp 24 9 20 34 103 150
Salmonella typhi and paratyphi 12 12 13 27 18 10
Salmonella typhimurium 34 21 24 30 17 16
Salmonella virchow - 6 - 5 - -
Shigella            
Shigella boydii 1 - 1 1 1 -
Shigella dysenteriae 1 1 - 1 - -
Shigella flexneri 16 9 14 21 12 14
Shigella sonnei 12 9 19 18 12 10
Shigella sp 38 33 47 55 68 37
Streptococcus            
Streptococcus group A 76 62 41 72 43 59
Streptococcus pneumoniae 125 146 132 124 100 128
Vibrio            
Vibrio cholerae 1 3 - - 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 2026/14 2026/15 2026/16 2026/17 2026/18 2026/19
Citrobacter              
Citrobacter spp IMP 1 - 1 - - -
  KPC 2 1 - 1 1 -
  NDM 3 3 2 - 1 -
  OXA48 2 3 2 4 - -
  Other 1 - 1 3 - -
Enterobacter              
Enterobacter cloacae complex IMP 3 3 2 1 1 -
  KPC 4 1 4 3 2 -
  NDM 7 14 10 6 5 1
  OXA48 2 3 1 3 4 6
  Other 1 3 1 3 2 5
Other enterobacter spp KPC 2 2 - - - -
  OXA48 - 1 - - - -
Escherichia              
Escherichia coli IMP 2 2 3 1 1 -
  KPC 4 1 2 1 - -
  NDM 18 21 29 21 11 2
  OXA48 14 22 22 20 17 7
  VIM - 2 2 - 1 -
  Other 5 4 6 4 4 2
Escherichia vulneris KPC - 1 - - - -
Klebsiella              
Klebsiella oxytoca KPC - 1 - - - 1
  NDM - - - 1 1 -
  OXA48 - 1 1 4 1 -
  Other - - - 1 1 -
Klebsiella pneumoniae IMP - 2 1 - 1 -
  KPC 5 6 6 10 3 1
  NDM 10 9 4 8 4 1
  OXA48 9 10 10 7 12 1
  VIM - 2 - - 1 -
  Other 2 1 2 1 1 -
Other klebsiella spp NDM 1 1 - - - -
Leclercia              
Leclercia adecarboxylata KPC - - - - - 1
  NDM - - - - - 1
Proteus              
Proteus mirabilis NDM 1 - 2 1 3 -
  Other - - 1 1 2 -
Raoultella              
Raoultella ornithinolytica OXA48 - - - - - 1
Other raoultella spp 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 2026/14 2026/15 2026/16 2026/17 2026/18 2026/19
Acinetobacter              
Acinetobacter baumannii NDM 1 1 1 - - -
  Other 1 - 1 - - -
Other acinetobacter spp NDM - - 1 - - -
Pseudomonas              
Pseudomonas aeruginosa IMP - - 1 - - -
  NDM 1 - 2 1 - -
  VIM 1 2 - - - -
  Other 1 4 2 2 4 1
Other              
  NDM - 1 - 1 - -