Research and analysis

Laboratory reports of respiratory infections made to CIDSC from PHE and NHS laboratories in England and Wales: weeks 45 to 48

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 45 Week 46 Week 47 Week 48 Total
Week ending 9/11/2014 16/11/2014 23/11/2014 30/11/2014  
Influenza A 8 10 10 15 43
Isolation 1 3 3 7
DIF *
PCR 6 7 6 10 29
Other † 2 2 1 2 7
Influenza B 2 6 2 3 13
Isolation 1 1 2
DIF *
PCR 1 3 2 2 8
Other † 1 2 3

* 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 45 Week 46 Week 47 Week 48 Total
Week ending 9/11/2014 16/11/2014 23/11/2014 30/11/2014  
Adenovirus* 26 34 32 49 141
Coronavirus 5 2 3 5 15
Parainfluenza† 32 70 46 57 205
Rhinovirus 146 154 141 203 644
RSV 145 251 303 379 1078

* Respiratory samples only.

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

3. Table 3. Respiratory viral detections by age group: weeks 45 to 48, 2014

Age group (years) <1 year 1-4 years 5-14 years 15-44 years 45-64 years ≥65 years Unknown Total
Adenovirus * 32 44 19 22 20 4 141
Coronavirus 6 2 4 3 15
Influenza A 3 3 10 12 4 12 44
Influenza B 7 2 2 11
Parainfluenza † 67 51 21 29 19 18 205
Respiratory syncytial virus 774 234 13 13 19 19 6 1078
Rhinovirus 263 134 77 70 45 54 643

* 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 45 Week 46 Week 47 Week 48 Total
Week ending 9/11/2014 16/11/2014 23/11/2014 30/11/2014  
Coxiella burnettii 2 3 1 6
Respiratory Chlamydia sp.* 4 1 1 3 9
Mycoplasma pneumoniae 7 9 12 13 41
Legionella sp. 27 6 3 36

* 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 45 Week 46 Week 47 Week 48 Total
Week ending 9/11/2014 16/11/2014 23/11/2014 30/11/2014  
Nosocomial
Community 12 3 2 (1*) 17
Travel abroad 13 3 1 17
Travel UK 2 2
Total 27 6 3 36
Male 16 5 2 23
Female 11 1 1 13

* Non-pneumonic case.

Thirty-five cases were reported with pneumonia and one case was reported with non-pneumonic infection: 23 males aged 43 to 95 years and 13 females aged 43 to 79 years. Seventeen cases had community-acquired infection. Three deaths were reported in males aged 43 to 72 years.

Nineteen cases were reported with travel association: Austria/Czech Republic (1), China (1), China/United Arab Emirates (1), Cruise (1), India (1), Italy (1), Portugal (1), Spain (2), Spain/United Kingdom (1), Thailand (3), Turkey (2), United Arab Emirates (1), United Arab Emirates/United Kingdom (1) and United Kingdom (2).

6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 45 to 48, 2014

Region/Country Nosocomial Community Travel Abroad Travel UK Total
North of England          
North East 1 1 2
Cheshire & Merseyside 1 1
Greater Manchester 2 2
Cumbria & Lancashire 1 1
Yorkshire & the Humber 4 (1*) 4
South of England          
Devon, Cornwall & Somerset 2 2
Avon, Gloucestershire & Wiltshire 2 2
Wessex
Thames Valley 1 1
Sussex, Surrey & Kent 2 2
Midlands & East of England          
East Midlands 3 1 4
South Midlands & Hertfordshire 1 1
Anglia & Essex 1
West Midlands 3 1 4
London Integrated Region          
London 1 3 4
Public Health Wales          
Mid & West Wales
North Wales 2 2
South East Wales 2 1 3
Miscellaneous          
Other
Not known
Total 17 17 2 36

* Non-pneumonic case.

This report was published in Health Protection Report volume 8 issue 46.