Research and analysis

Winter health watch summary: 5 March 2015

Published 26 March 2015

1. Summary

1.1 Cold Weather alert

All regions in England are currently at a Level 1 Cold Weather Alert.

Prior level 2 and 3 cold weather alert periods this season have occurred from 12 Jan to 8 Feb 2015, 25 to 31 December 2014 and 11 to 13 December 2014.

1.2 Flu

In week 9 2015 (ending 1 March), indicators of influenza activity generally remain at similar or lower levels compared to last week, although influenza B activity appears to be increasing. The Department of Health alert issued on the prescription of antiviral medicines by GPs is still active.

1.3 Syndromic surveillance

Syndromic surveillance state there is nothing new to report during week 9. Consultations, calls, and/or attendances for diarrhoea and gastroenteritis were stable across most systems during week 9, although there were some increases in young children in the GP out of hours system.

1.4 Norovirus

Laboratory reports of norovirus in the current season are eleven percent lower overall compared to the 5-year seasonal average (from season 2009 and 2010 to season 2013 and 2014). Currently laboratory reports are at similar levels compared to the same weeks in previous years. Reports of outbreaks of diarrhoea and vomiting in hospitals continue to be reported at similar levels to previous years.

1.5 Rotavirus

Rotavirus activity is low: laboratory reports are 62% lower than the 10 season average (from season 2003 to 2004 to season 2012 to 2013). The decreased rotavirus activity is likely to be associated with the introduction of the oral vaccine in July 2013.

1.6 All-cause mortality

In week 9 2015, significant excess all-cause mortality by week of death was seen through the EuroMOMO algorithm in England in 65+ year olds, though this is now just above the significance threshold. Since week 40 2014, significant excess mortality has been observed between week 50 2014 and week 9 2015 predominantly in 65+ year olds, peaking in week 2 2015. This period coincides with circulating influenza and cold snaps.

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

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 for England 2014

Annual flu programme