Research and analysis

Winter health watch summary: 20 February 2014

Published 20 February 2014

This research and analysis was withdrawn on

1. Summary

All regions of England have been at Cold Weather Alert Level 1 ‘winter preparedness and action’ since 1 November 2013.

Although community influenza indicators remain low, there has been a continued rise in the number of influenza-confirmed ICU/HDU and hospital admissions. A letter has been issued recommending the use of antivirals where appropriate.

Syndromic surveillance report there have been further minor increases in influenza indicators but levels remain below seasonally expected levels.

Norovirus activity is low. Reports of outbreaks of diarrhoea and vomiting in hospitals continue to be reported but at lower levels than in previous years. The number of laboratory reports of norovirus in the season to date is lower than the 5 year seasonal average (from season 2007 to 2008 to season 2011 to 2012).

Rotavirus activity is low, laboratory reports are lower than the 10 year average (2002 to 2011). The decreased rotavirus activity may be associated with the introduction of the oral vaccine in July 2013. This effect should become apparent as we move into the rotavirus season.

In week 7 of 2014, no excess all-cause mortality by week of death was seen in England through the EuroMOMO algorithm.

2. Surveillance reports, updated weekly

PHE syndromic surveillance page

PHE national seasonal influenza report

PHE norovirus page

PHE weekly all-cause mortality surveillance

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

4. Planning resources

Cold weather plan 2013

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