Laboratory reports of respiratory infections made to PHE from PHE and NHS laboratories in England and Wales: weeks 40 to 43, 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 PHE Colindale, by week of report
| Week | Week 40 | Week 41 | Week 42 | Week 43 | Total |
|---|---|---|---|---|---|
| Week ending | 9/10/2016 | 16/10/2016 | 26/10/2016 | 30/10/2016 | |
| Influenza A | 29 | 8 | 12 | 12 | 61 |
| Isolation | 2 | – | – | 2 | 4 |
| DIF * | 1 | – | 1 | 1 | 3 |
| PCR | 13 | 7 | 10 | 7 | 37 |
| Other † | 13 | 1 | 1 | 2 | 17 |
| Influenza B | 13 | 1 | 6 | 1 | 21 |
| Isolation | 1 | – | 2 | – | 3 |
| DIF * | – | – | – | – | 0 |
| PCR | 7 | 1 | 4 | 1 | 13 |
| Other † | 5 | – | – | – | 5 |
* 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 40 | Week 41 | Week 42 | Week 43 | Total |
|---|---|---|---|---|---|
| Week ending | 9/10/2016 | 16/10/2016 | 26/10/2016 | 30/10/2016 | |
| Adenovirus* | 49 | 36 | 63 | 58 | 206 |
| Coronavirus | 4 | 11 | 8 | 13 | 36 |
| Parainfluenza† | 41 | 52 | 55 | 67 | 215 |
| Rhinovirus | 361 | 331 | 380 | 343 | 1415 |
| RSV | 61 | 101 | 170 | 252 | 584 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 40 to 43, 2016
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 35 | 68 | 22 | 45 | 23 | 13 | – | 206 |
| Coronavirus | 3 | 3 | 2 | 5 | 11 | 12 | – | 36 |
| Influenza A | 1 | 4 | 2 | 16 | 9 | 24 | 1 | 57 |
| Influenza B | 1 | 3 | 2 | 3 | 3 | 4 | – | 16 |
| Parainfluenza † | 30 | 41 | 10 | 46 | 57 | 31 | – | 215 |
| Respiratory syncytial virus | 365 | 132 | 12 | 23 | 26 | 26 | – | 584 |
| Rhinovirus | 372 | 261 | 106 | 231 | 194 | 251 | – | 1415 |
* 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 40 | Week 41 | Week 42 | Week 43 | Total |
|---|---|---|---|---|---|
| Week ending | 9/10/2016 | 16/10/2016 | 26/10/2016 | 30/10/2016 | |
| Coxiella burnettii | – | – | – | – | 0 |
| Respiratory Chlamydia sp.* | 2 | 2 | 2 | – | 6 |
| Mycoplasma pneumoniae | 5 | 9 | 13 | 2 | 29 |
| Legionella sp. | 18 | 9 | 15 | 18 | 60 |
* 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 40 | Week 41 | Week 42 | Week 43 | Total |
|---|---|---|---|---|---|
| Week ending | 9/10/2016 | 16/10/2016 | 26/10/2016 | 30/10/2016 | |
| Nosocomial | 1 | – | – | – | 1 |
| Community | 9 | 4 | 5(1*) | 4 | 22 |
| Travel abroad | 4 | 5 | 9 | 12 | 30 |
| Travel UK | 4 | – | 1 | 2 | 7 |
| Total | 18 | 9 | 15 | 18 | 60 |
| Male | 15 | 6 | 10 | 14 | 45 |
| Female | 3 | 3 | 5 | 4 | 15 |
(*) non-pneumonic case
Fifty-nine cases were reported with pneumonia and one case had non-pneumonic infection. Forty-five males aged 38-84 years and 15 females aged 54-89 years. Twenty-two cases had community-acquired infection. One death was reported in a male aged 73 years.
Thirty-seven cases were reported with travel association: Bulgaria (2), Egypt (1), France (1), Greece (4), Italy (1), Lithuania (1), Macedonia (1), Malta (1), Mauritius (1), Russia (1), Spain (5), Spain/United Kingdom (1), South Africa/United Arab Emirates (1), Thailand (1), Turkey (2), United Arab Emirates (5), United Kingdom (7) and United States of America (1).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 40 to 43, 2016
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | – | 2 | – | 2 |
| Cheshire & Merseyside | – | – | – | 1 | 1 |
| Greater Manchester | 1 | 2 | – | 1 | 4 |
| Cumbria & Lancashire | – | – | 1 | – | 1 |
| Yorkshire & the Humber | – | 3 | 3 | – | 6 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | – | – | – | 0 |
| Avon, Gloucestershire & Wiltshire | – | 1 | 1 | – | 2 |
| Wessex | – | 1 | 1 | – | 2 |
| Thames Valley | – | 1 | – | 1 | 2 |
| Sussex, Surrey & Kent | – | 3 | 4 | – | 7 |
| Midlands & East of England | |||||
| East Midlands | – | 2 | 4 | 1 | 7 |
| South Midlands & Hertfordshire | – | 1(1*) | 1 | – | 2 |
| Anglia & Essex | – | 2 | 5 | – | 7 |
| West Midlands | – | 2 | 1 | 3 | 6 |
| London Integrated Region | |||||
| London | – | 3 | 6 | – | 9 |
| Public Health Wales | |||||
| Mid & West Wales | – | 1 | – | – | 1 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | – | 1 | – | 1 |
| Miscellaneous | |||||
| Other | – | – | – | – | 0 |
| Not known | – | – | – | – | 0 |
| Total | 1 | 22 | 30 | 7 | 60 |
(*) non-pneumonic case
This HPR report was published on 4 October 2016.