Laboratory reports of respiratory infections made to PHE from PHE and NHS laboratories in England and Wales: weeks 18 to 21, 2016
Updated 6 January 2017
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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 18 | Week 19 | Week 20 | Week 21 | Total |
|---|---|---|---|---|---|
| Week ending | 8/5/2016 | 15/5/2016 | 22/5/2016 | 29/5/2016 | |
| Influenza A | 150 | 60 | 32 | 31 | 273 |
| Isolation | 5 | 1 | 1 | – | 7 |
| DIF * | 15 | 6 | 5 | 2 | 28 |
| PCR | 118 | 46 | 18 | 24 | 206 |
| Other † | 12 | 7 | 8 | 5 | 32 |
| Influenza B | 213 | 106 | 57 | 61 | 437 |
| Isolation | 18 | 9 | 3 | 1 | 31 |
| DIF * | 29 | 14 | 5 | 1 | 49 |
| PCR | 156 | 78 | 44 | 52 | 330 |
| Other † | 10 | 5 | 5 | 7 | 27 |
* 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 18 | Week 19 | Week 20 | Week 21 | Total |
|---|---|---|---|---|---|
| Week ending | 8/5/2016 | 15/5/2016 | 22/5/2016 | 29/5/2016 | |
| Adenovirus* | 108 | 146 | 111 | 88 | 453 |
| Coronavirus | 29 | 20 | 33 | 18 | 100 |
| Parainfluenza† | 113 | 138 | 155 | 135 | 541 |
| Rhinovirus | 251 | 391 | 274 | 225 | 1141 |
| RSV | 87 | 90 | 63 | 71 | 311 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 14 to 17, 2016
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 81 | 113 | 40 | 132 | 59 | 28 | – | 453 |
| Coronavirus | 15 | 14 | 6 | 16 | 17 | 32 | – | 100 |
| Influenza A | 6 | 10 | 6 | 56 | 55 | 51 | 0 | 184 |
| Influenza B | 19 | 53 | 39 | 157 | 68 | 108 | – | 444 |
| Parainfluenza † | 151 | 11918 | 66 | 81 | 106 | – | 541 | |
| Respiratory syncytial virus | 112 | 50 | 24 | 63 | 31 | 31 | – | 311 |
| Rhinovirus | 375 | 253 | 110 | 175 | 113 | 115 | – | 1141 |
* 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 18 | Week 19 | Week 20 | Week 21 | Total |
|---|---|---|---|---|---|
| Week ending | 8/5/2016 | 15/5/2016 | 22/5/2016 | 29/5/2016 | |
| Coxiella burnettii | – | – | – | – | – |
| Respiratory Chlamydia sp.* | – | – | 1 | – | 1 |
| Mycoplasma pneumoniae | 18 | 10 | 9 | – | 37 |
| Legionella sp. | 2 | 7 | – | 7 | 16 |
* 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 18 | Week 19 | Week 20 | Week 21 | Total |
|---|---|---|---|---|---|
| Week ending | 8/5/2016 | 15/5/2016 | 22/5/2016 | 29/5/2016 | |
| Nosocomial | – | 1 | – | – | 1 |
| Community | – | 3 | – | 5 | 8 |
| Travel abroad | 1 | 3 | – | 2 | 6 |
| Travel UK | 1 | – | – | – | 1 |
| Total | 2 | 7 | – | 7 | 16 |
| Male | 2 | 5 | – | 3 | 10 |
| Female | – | 2 | – | 4 | 6 |
Sixteen cases were reported with pneumonia. Ten males aged 48-81 years and six females aged 45-86 years. Eight cases had community-acquired infection and one case was reported to be associated with a hospital/healthcare facility.
Seven cases were reported with travel association:
Cruise/Germany/Spain (1), Czech Republic (1), India (1), Indonesia (1), Jamaica (1), Morocco (1), Sri Lanka (1), Turkey (1), United Arab Emirates (1) and United Kingdom (3).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 14 to 17, 2016
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | – | – | – | 0 |
| Cheshire & Merseyside | – | – | – | – | 0 |
| Greater Manchester | – | – | – | 1 | 1 |
| Cumbria & Lancashire | – | – | 1 | – | 1 |
| Yorkshire & the Humber | – | 1 | 1 | – | 2 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | 1 | – | – | 1 |
| Avon, Gloucestershire & Wiltshire | – | 1 | – | – | 1 |
| Wessex | – | – | – | – | 0 |
| Thames Valley | – | – | 1 | – | 1 |
| Sussex, Surrey & Kent | – | – | 3 | – | 3 |
| Midlands & East of England | |||||
| East Midlands | – | 2 | – | 2 | 4 |
| South Midlands & Hertfordshire | – | 1 | 1 | – | 2 |
| Anglia & Essex | – | – | – | – | 0 |
| West Midlands | – | 2 | 1 | – | 3 |
| London Integrated Region | |||||
| London | – | – | 1 | – | 1 |
| Public Health Wales | |||||
| Mid & West Wales | – | – | – | – | 0 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | – | – | – | 0 |
| Miscellaneous | |||||
| Other | – | – | – | – | 0 |
| Not known | – | – | – | – | 0 |
| Total | 0 | 8 | 9 | 3 | 15 |
This is an HPR Advance Access report published on 3 June 2016.