All regions of England have been at Cold Weather Alert level 1 ‘winter preparedness and action’ since 1 November 2013. No significant excess all-cause mortality was reported across the UK in week 45 (4 November to 10 November 2013). Syndromic surveillance indicates national increases in bronchitis/bronchiolitis and acute respiratory infection emergency department attendances, particularly in children aged <5 years old, in week 45 (4 November to 10 November 2013). This is consistent with increasing respiratory syncytial virus ( RSV ) activity, observed through microbiological surveillance. Indicators of influenza activity are at minimal levels suggesting no community transmission at present. The number of laboratory reports of norovirus and activity in hospitals and prisons is around levels expected for this time of year. Rotavirus activity is around levels expected for this time of year.

Public Health
England

Research and analysis

Winter health watch summary: 14 November 2013

Q: 2. Surveillance reports, updated weekly

PHE syndromic surveillance page PHE national seasonal influenza report PHE norovirus page PHE weekly all-cause mortality surveillance

Q: 3. Further information

NHS Choices winter website NHS England winter health check Met Office Get Ready for Winter Keep warm keep well: information for over 60s, low income families and people living with a disability

Q: 4. Planning resources

Cold weather plan 2013 Flu plan: Winter 2013 to 2014 by DH , NHS England and PHE

Published 14 November 2013

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1. Summary

All regions of England have been at Cold Weather Alert level 1 ‘winter preparedness and action’ since 1 November 2013.
No significant excess all-cause mortality was reported across the UK in week 45 (4 November to 10 November 2013).
Syndromic surveillance indicates national increases in bronchitis/bronchiolitis and acute respiratory infection emergency department attendances, particularly in children aged <5 years old, in week 45 (4 November to 10 November 2013). This is consistent with increasing respiratory syncytial virus (RSV) activity, observed through microbiological surveillance.
Indicators of influenza activity are at minimal levels suggesting no community transmission at present.
The number of laboratory reports of norovirus and activity in hospitals and prisons is around levels expected for this time of year. Rotavirus activity is around levels expected for this time of year.