Research and analysis

Laboratory reports of respiratory infections made to CIDSC from PHE and NHS laboratories in England and Wales: weeks 27 to 30, 2014

Updated 26 January 2015

Data are recorded by week of report, but include only specimens taken in the last eight weeks (ie recent specimens).

1. Table 1. Reports of influenza infection made to CIDSC, by week of report

Week Week 27 Week 28 Week 29 Week 30 Total
Week ending 06/07/2014 13/07/2014 20/07/2014 27/07/2014  
Influenza A 9 4 3 13 29
Isolation 1 1
DIF * 1 2 3
PCR 4 3 3 10
Other † 3 4 8 15
Influenza B 2 2 1 2 7
Isolation
DIF * 1 1 2
PCR 1 2 3
Other † 1 1 2

* DIF = Direct Immunofluorescence.

† Other = “Antibody detection - single high titre” or “Method not specified”.

2. Table 2. Respiratory viral detections by any method (culture, direct immunofluorescence, PCR, four-fold rise in paired sera, single high serology titre, genomic, electron microscopy, other method, other method unknown), by week of report

Week Week 27 Week 28 Week 29 Week 30 Total
Week ending 06/07/2014 13/07/2014 20/07/2014 27/07/2014  
Adenovirus* 49 44 44 50 187
Coronavirus 7 1 8
Parainfluenza† 60 50 52 39 201
Rhinovirus 125 155 127 149 556
RSV 5 3 5 5 18

* Respiratory samples only.

† Includes parainfluenza types 1, 2, 3, 4 and untyped.

3. Table 3. Respiratory viral detections by age group: weeks 27 to 30, 2014

Age group (years) <1 year 1-4 years 5-14 years 15-44 years 45-64 years ≥65 years Unknown Total
Adenovirus * 47 66 25 24 24 1 187
Coronavirus 2 1 3 1 1 8
Influenza A 2 14 9 3 28
Influenza B 1 2 3 1 7
Parainfluenza † 60 30 8 30 43 30 201
Rhinovirus 172 110 60 87 69 58 556
Respiratory syncytial virus 13 4 1 18

* Respiratory samples only.

† Includes parainfluenza types 1, 2, 3, 4 and untyped.

4. Table 4. Laboratory reports of infections associated with atypical pneumonia, by week of report

Week Week 27 Week 28 Week 29 Week 30 Total
Week ending 06/07/2014 13/07/2014 20/07/2014 27/07/2014  
Coxiella burnettii 1 2 1 2 6
Respiratory Chlamydia sp.* 1 1 1 3
Mycoplasma pneumoniae 7 13 5 13 38
Legionella sp. 6 5 13 11 35

* Includes Chlamydia psittaci, Chlamydia pneumoniae, and Chlamydia sp detected from blood, serum, and respiratory specimens.

5. Table 5. Laboratory reports of Legionnaires Disease cases in England and Wales, by week of report

Week Week 27 Week 28 Week 29 Week 30 Total
Week ending 06/07/2014 13/07/2014 20/07/2014 27/07/2014  
Nosocomial 1 1 2
Community 3 2(1*) 8 6(1 † ) 19
Travel abroad 3 1 4 4(1*) 12
Travel UK 1 1 2
Total 6 5 13 11 35
Male 4 4 9 8 25
Female 2 1 4 3 10

* Non-pneumonic case.

† Onset in 2013

Thirty-three cases were reported with pneumonia and 2 cases had non-pneumonic infection. Twenty-five males aged 45 to 88 years and 10 females aged 53 to 89 years. Nineteen cases had community-acquired infection and two cases were reported to be associated with hospital infection. Two deaths were reported in a 68 year-old male and a 69 year-old female.

Fourteen cases were reported with travel association: Bulgaria (1), Canada (1), France/Switzerland (1), Greece (1), Italy (2), Jamaica (1), Spain (1), Thailand (1), Turkey (2), United Arab Emirates (1) and United Kingdom (2).

6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 27-30/2014

Region/Country Nosocomial Community Travel Abroad Travel UK Total
North of England          
North East
Cheshire & Merseyside 1 1
Greater Manchester 2 1 3
Cumbria & Lancashire
Yorkshire & the Humber 2 2
South of England          
Devon, Cornwall & Somerset
Avon, Gloucestershire & Wiltshire
Wessex 1 1
Thames Valley 2 2
Sussex, Surrey & Kent 1 2 3
Midlands & East of England          
East Midlands 4 2 6
South Midlands & Hertfordshire 1 1 2
Anglia & Essex 1(1*) 1 1 3
West Midlands 1 1 1 3
London Integrated Region          
London 1 4(1†) 2 7
Public Health Wales          
Mid & West Wales 1 1
North Wales
South East Wales
Miscellaneous          
Other
Not known 1(1*) 1
Total 2 19 12 2 35

* Non-pneumonic case.

† Onset in 2013

This report was published in Health Protection Report volume 8 issue 30.