Research and analysis

Laboratory reports of respiratory infections made to CIDSC from PHE and NHS laboratories in England and Wales: weeks 31 to 35, 2014

Updated 26 January 2015

Data are recorded by week of report, but include only specimens taken in the last 8 weeks (ie recent specimens).

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

Week Week 31 Week 32 Week 33 Week 34 Week 35 Total
Week ending 3/08/2014 10/08/2014 17/08/2014 24/08/2014 31/08/2014  
Influenza A 2 4 10 13 8 37
Isolation 0 1 1 2
DIF * 1 1
PCR 2 6 11 1 20
Other † 3 3 2 6 14
Influenza B 2 1 4 7
Isolation
DIF *
PCR 2 1 3 6
Other † 1 1

* 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 31 Week 32 Week 33 Week 34 Week 35 Total
Week ending 3/08/2014 10/08/2014 17/08/2014 24/08/2014 31/08/2014  
Adenovirus* 35 19 27 30 19 130
Coronavirus 3 3
Parainfluenza† 32 17 34 23 15 121
Rhinovirus 107 68 91 74 52 392
RSV 8 5 9 8 4 34

* Respiratory samples only.

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

3. Table 3. Respiratory viral detections by age group: weeks 31 to 35, 2014

Age group (years) <1 year 1-4 years 5-14 years 15-44 years 45-64 years ≥65 years Unknown Total
Adenovirus * 31 55 14 13 8 9 130
Coronavirus 1 2 3
Influenza A 3 3 10 6 15 37
Influenza B 1 1 5 7
Parainfluenza † 25 19 8 13 30 26 121
Rhinovirus 124 76 35 66 52 39 392
Respiratory syncytial virus 24 6 2 1 1 34

* 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 31 Week 32 Week 33 Week 34 Week 35 Total
Week ending 3/08/2014 10/08/2014 17/08/2014 24/08/2014 31/08/2014  
Coxiella burnettii 1 1 2
Respiratory Chlamydia sp.* 1 2 1 4
Mycoplasma pneumoniae 7 7 11 7 8 40
Legionella sp. 15 7 7 11 6 46

* 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 31 Week 32 Week 33 Week 34 Week 35 Total
Week ending 3/08/2014 10/08/2014 17/08/2014 24/08/2014 31/08/2014  
Nosocomial
Community 9 5 4 7 3 28
Travel abroad 5 2 1 4 1 13
Travel UK 1 2 2 5
Total 15 7 7 11 6 46
Male 7 6 6 9 5 33
Female 8 1 1 2 1 13

Forty six cases were reported with pneumonia: 33 males aged 24-94 years and 13 females aged 28-81 years. Twenty-eight cases had community-acquired infection. Four deaths were reported in males aged 86-93 years.

Eighteen cases were reported with travel association: Antigua (1), Australia/Hong Kong (1), India (1), Ireland/United Kingdom (1), Italy (2), Latvia/Lithuania (1), Slovakia (1), Spain (2), Thailand (2), Turkey (1), and United Kingdom (5).

6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 31-35/2014

Region/Country Nosocomial Community Travel Abroad Travel UK Total
North of England          
North East 1 1 2
Cheshire & Merseyside
Greater Manchester 3 1 4
Cumbria & Lancashire 1 2 3
Yorkshire & the Humber 5 5
South of England          
Devon, Cornwall & Somerset 1 1
Avon, Gloucestershire & Wiltshire 2 1 3
Wessex
Thames Valley 1 1
Sussex, Surrey & Kent 1 1 2
Midlands & East of England          
East Midlands 4 4
South Midlands & Hertfordshire
Anglia & Essex 1 1
West Midlands 5 5 10
London Integrated Region          
London 3 2 1 6
Public Health Wales          
Mid & West Wales
North Wales
South East Wales 2 1 1 4
Miscellaneous          
Other
Not known
Total 28 13 5 46

This report was published in Health Protection Report volume 8 issue 34.