Laboratory reports of respiratory infections made to CIDSC from PHE and NHS laboratories in England and Wales: weeks 49 to 52, 2014, and week 1, 2015
Updated 26 January 2015
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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 49 | Week 50 | Week 51 | Week 52 | Week 1 (2015) | Total |
|---|---|---|---|---|---|---|
| Week ending | 7/12/2014 | 14/12/2014 | 21/12/2014 | 28/12/2014 | 4/1/2015 | |
| Influenza A | 57 | 64 | 165 | 269 | 594 | 1149 |
| Isolation | 3 | 15 | 16 | 39 | 73 | 146 |
| DIF * | 10 | 7 | 19 | 66 | 76 | 178 |
| PCR | 42 | 40 | 125 | 153 | 425 | 785 |
| Other † | 2 | 2 | 5 | 11 | 20 | 40 |
| Influenza B | 15 | 8 | 12 | 12 | 24 | 71 |
| Isolation | 1 | 2 | 5 | 1 | 7 | 16 |
| DIF * | – | – | – | – | 4 | 4 |
| PCR | 14 | 6 | 5 | 11 | 13 | 49 |
| Other † | – | – | 2 | – | – | 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 49 | Week 50 | Week 51 | Week 52 | Week 1 (2015) | Total |
|---|---|---|---|---|---|---|
| Week ending | 7/12/2014 | 14/12/2014 | 21/12/2014 | 28/12/2014 | 4/1/2015 |
| Adenovirus* | 51 | 71 | 78 | 64 | 89 | 353 |
| Coronavirus | 4 | 7 | 45 | 35 | 26 | 117 |
| Parainfluenza† | 84 | 60 | 128 | 58 | 76 | 406 |
| Rhinovirus | 189 | 250 | 423 | 204 | 223 | 1289 |
| RSV | 555 | 687 | 1094 | 602 | 704 | 3642 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 45/2014 to 01/2015
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 80 | 106 | 61 | 43 | 36 | 22 | 5 | 353 |
| Coronavirus | 53 | 33 | 9 | 5 | 6 | 11 | – | 117 |
| Influenza A | 107 | 110 | 473 | 356 | 180 | 714 | 8 | 1948 |
| Influenza B | 3 | 6 | 11 | 19 | 5 | 8 | 6 | 58 |
| Parainfluenza † | 134 | 88 | 26 | 49 | 36 | 46 | 27 | 406 |
| Respiratory syncytial virus | 2557 | 522 | 125 | 163 | 76 | 179 | 22 | 3644 |
| Rhinovirus | 542 | 237 | 145 | 136 | 98 | 117 | 14 | 1289 |
* 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 49 | Week 50 | Week 51 | Week 52 | Week 1 (2015) | Total |
|---|---|---|---|---|---|---|
| Week ending | 7/12/2014 | 14/12/2014 | 21/12/2014 | 28/12/2014 | 4/1/2015 | |
| Coxiella burnettii | 1 | – | 1 | – | – | 2 |
| Respiratory Chlamydia sp.* | 1 | 1 | 5 | 1 | 3 | 11 |
| Mycoplasma pneumoniae | 12 | 23 | 17 | 7 | 17 | 76 |
| Legionella sp. | 4 | 3 | 4 | 6 | – | 17 |
* 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 49 | Week 50 | Week 51 | Week 52 | Week 1 (2015) | Total |
|---|---|---|---|---|---|---|
| Week ending | 7/12/2014 | 14/12/2014 | 21/12/2014 | 28/12/2014 | 4/1/2015 | |
| Nosocomial | – | – | – | – | – | 0 |
| Community | – | 2 | 3 | 4 | - | 9 |
| Travel abroad | 3 | 1 | 1 | 2 | – | 7 |
| Travel UK | 1 | – | – | – | – | 1 |
| Total | 4 | 3 | 4 | 6 | 0 | 17 |
| Male | 2 | 2 | 3 | 4 | – | 11 |
| Female | 2 | 1 | 1 | 2 | – | 6 |
Seventeen cases were reported with pneumonia. Eleven males aged 43-88 years and six females aged 50-74 years. Nine cases had community-acquired infection.
Eight cases were reported with travel association: Egypt (1), Egypt/Turkey (1), Indonesia/Malaysia (1), Myanmar (Burma) (1), Pakistan (1), Thailand (1), United Arab Emirates (1) and United Kingdom (1).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 45/2014 to 01/2015
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | – | – | 1 | 1 |
| Cheshire & Merseyside | – | – | 1 | – | 1 |
| Greater Manchester | – | – | – | – | 0 |
| Cumbria & Lancashire | – | – | – | – | 0 |
| Yorkshire & the Humber | – | – | 1 | – | 1 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | – | – | – | 0 |
| Avon, Gloucestershire & Wiltshire | – | 2 | – | – | 2 |
| Wessex | – | – | 1 | – | 1 |
| Thames Valley | – | 2 | – | – | 2 |
| Sussex, Surrey & Kent | – | 1 | – | – | 1 |
| Midlands & East of England | |||||
| East Midlands | – | – | 1 | – | 1 |
| South Midlands & Hertfordshire | – | – | – | – | 0 |
| Anglia & Essex | – | – | 1 | – | 1 |
| West Midlands | – | 2 | 1 | – | 3 |
| London Integrated Region | |||||
| London | – | – | 1 | – | 1 |
| Public Health Wales | |||||
| Mid & West Wales | – | – | – | – | 0 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | 2 | – | – | 2 |
| Miscellaneous | |||||
| Other | – | – | – | – | 0 |
| Not known | – | – | – | – | 0 |
| Total | 0 | 9 | 7 | 1 | 17 |
This report was published on 25 January 2015 and will be included in Health Protection Report volume 9 issue 4.