Laboratory reports of respiratory infections made to PHE from PHE and NHS laboratories in England and Wales: weeks 49 to 53, 2015
Updated 12 January 2016
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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 PHE, by week of report
| Week | Week 49 | Week 50 | Week 51 | Week 52 | Week 53 | Total |
|---|---|---|---|---|---|---|
| Week ending | 6/12/2015 | 13/12/2015 | 20/12/2015 | 27/12/2015 | 3/1/2016 | |
| Influenza A | 37 | 25 | 75 | 94 | 119 | 350 |
| Isolation | 1 | 4 | 6 | 6 | 17 | 34 |
| DIF * | 6 | – | 8 | 12 | 19 | 45 |
| PCR | 27 | 19 | 56 | 59 | 79 | 240 |
| Other † | 3 | 2 | 5 | 17 | 4 | 31 |
| Influenza B | 15 | 9 | 10 | 10 | 14 | 58 |
| Isolation | – | 1 | 1 | – | – | 2 |
| DIF * | 3 | – | 3 | 2 | – | 8 |
| PCR | 12 | 8 | 6 | 6 | 14 | 46 |
| 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 53 | Total |
|---|---|---|---|---|---|---|
| Week ending | 6/12/2015 | 13/12/2015 | 20/12/2015 | 27/12/2015 | 3/1/2016 | |
| Adenovirus* | 93 | 78 | 87 | 81 | 79 | 418 |
| Coronavirus | 6 | 20 | 21 | 20 | 30 | 97 |
| Parainfluenza† | 130 | 89 | 124 | 70 | 86 | 499 |
| Rhinovirus | 310 | 289 | 330 | 214 | 293 | 1436 |
| RSV | 1046 | 961 | 972 | 656 | 633 | 4268 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 49 to 53, 2015
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 109 | 118 | 38 | 84 | 52 | 17 | – | 418 |
| Coronavirus | 21 | 13 | 11 | 15 | 18 | 19 | – | 97 |
| Influenza A | 49 | 86 | 34 | 191 | 140 | 65 | – | 565 |
| Influenza B | 2 | 9 | 11 | 23 | 6 | 9 | – | 60 |
| Parainfluenza † | 117 | 100 | 57 | 67 | 73 | 85 | – | 499 |
| Respiratory syncytial virus | 2865 | 603 | 122 | 188 | 236 | 250 | 4 | 4268 |
| Rhinovirus | 610 | 257 | 89 | 166 | 156 | 158 | – | 1436 |
* 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 53 | Total |
|---|---|---|---|---|---|---|
| Week ending | 6/12/2015 | 13/12/2015 | 20/12/2015 | 27/12/2015 | 3/1/2016 | |
| Coxiella burnettii | – | – | – | – | – | 0 |
| Respiratory Chlamydia sp.* | 3 | – | 1 | 1 | – | 5 |
| Mycoplasma pneumoniae | 26 | 25 | 15 | 14 | 12 | 92 |
| Legionella sp. | 7 | 8 | 10 | 10 | 1 | 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 49 | Week 50 | Week 51 | Week 52 | Week 53 | Total |
|---|---|---|---|---|---|---|
| Week ending | 6/12/2015 | 13/12/2015 | 20/12/2015 | 27/12/2015 | 3/1/2016 | |
| Nosocomial | – | 1 | – | – | – | 1 |
| Community | 6 | 3 | 1 | 3 | – | 13 |
| Travel abroad | 1 | 2 | 8 | 6 | 1 | 18 |
| Travel UK | – | 2 | 1(1*) | 1 | – | 4 |
| Total | 7 | 8 | 10 | 10 | 1 | 36 |
| Male | 6 | 7 | 7 | 5 | – | 25 |
| Female | 1 | 1 | 3 | 5 | 1 | 11 |
Thirty-five cases were reported with pneumonia and one case had non-pneumonic infection. Twenty-five males aged 26 – 84 years and 11 females aged 48 – 82 years. Thirteen cases had community-acquired infection and one case was reported to be associated with a hospital/healthcare facility. One death was reported in a male aged 42 years.
Thirty-five cases were reported with travel association: Belgium (1), Cyprus/Turkey (1), France (1), Italy (1), Jamaica (1), Kosovo/Macedonia (1), Malaysia (1), Mauritius (1), Oman (1), Pakistan (1), Pakistan/United Kingdom (1), Spain (1), Thailand (2), United Arab Emirates (3), United Kingdom (4) and the United States of America (1).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 49 to 53, 2015
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | 1 | – | – | 1 |
| Cheshire & Merseyside | – | – | – | – | 0 |
| Greater Manchester | – | 2 | – | 1(1*) | 3 |
| Cumbria & Lancashire | – | – | 1 | – | 1 |
| Yorkshire & the Humber | – | 1 | – | – | 1 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | – | – | – | 0 |
| Avon, Gloucestershire & Wiltshire | – | 2 | – | 1 | 3 |
| Wessex | – | – | – | – | 0 |
| Thames Valley | – | 1 | 1 | – | 2 |
| Sussex, Surrey & Kent | – | – | 3 | – | 3 |
| Midlands & East of England | |||||
| East Midlands | – | 5 | – | 1 | 6 |
| South Midlands & Hertfordshire | – | – | 3 | – | 3 |
| Anglia & Essex | – | – | 1 | – | 1 |
| West Midlands | – | 1 | 2 | – | 3 |
| London Integrated Region | |||||
| London | 1 | – | 5 | 1 | 7 |
| Public Health Wales | |||||
| Mid & West Wales | – | – | 1 | – | 1 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | – | 1 | – | 1 |
| Miscellaneous | |||||
| Other | – | – | – | – | 0 |
| Not known | – | – | – | – | 0 |
| Total | 1 | 13 | 18 | 4 | 36 |
* Non-pneumonic case
This report was published in Health Protection Report volume 10 issue 1.