Research and analysis

NOIDs causative agents: week 15 (week ending 13 April 2025)

Updated 24 April 2025

The list of causative agents that laboratories must notify the UK Health Security Agency (UKHSA) about has been expanded to include additional  notifiable organisms which became reportable under the Health Protection (Notification) (Amendment) Regulations from 6 April 2025. Publication of the additional causative agents will begin at a later date, once reporting development work has been undertaken to include them.

Laboratories in England have a statutory duty to notify the UK Health Security Agency (UKHSA) of the identification of the following causative agents:

  • Bacillus anthracis
  • Bacillus cereus
  • Bordetella pertussis
  • Borrelia spp
  • Brucella spp
  • Burkholderia mallei
  • Burkholderia pseudomallei
  • Campylobacter spp
  • Carbapenemase-producing Gram-negative bacteria
  • Chikungunya virus
  • Chlamydophila psittaci
  • Clostridium botulinum
  • Clostridium perfringens
  • Clostridium tetani
  • Corynebacterium diphtheriae
  • Corynebacterium ulcerans
  • Coxiella burnetii
  • Crimean-Congo haemorrhagic fever virus
  • Cryptosporidium spp
  • Dengue virus
  • Ebola virus
  • Entamoeba histolytica
  • Escherichia coli O 157
  • Francisella tularensis
  • Giardia spp
  • Guanarito virus
  • Haemophilus influenzae (invasive)
  • Hanta virus
  • hepatitis A
  • hepatitis B
  • hepatitis C
  • hepatitis D
  • hepatitis E
  • influenza virus
  • Junin virus
  • Kyasanur Forest disease virus
  • Lassa virus
  • Legionella spp
  • Leptospira interrogans
  • Listeria monocytogenes
  • Machupo virus
  • Marburg virus
  • measles virus
  • mpox virus
  • mumps virus
  • Mycobacterium tuberculosis complex
  • Neisseria meningitidis
  • Omsk haemorrhagic fever virus
  • Plasmodium falciparum
  • Plasmodium Knowlesi
  • Plasmodium Malariae
  • Plasmodium Ovale
  • Plasmodium Vivax
  • polio virus
  • Rabies virus
  • Rickettsia spp
  • Rift Valley fever virus
  • Rubella virus
  • Sabia virus
  • Salmonella spp
  • SARS coronavirus
  • Shigella spp
  • Streptococcus group A (invasive)
  • Streptococcus pneumoniae (invasive)
  • Varicella zoster virus
  • Variola virus
  • Vibrio cholerae
  • West Nile virus
  • Yellow fever virus
  • Yersinia pestis

Statutory Notifications of causative agents, grouped by root organism

Totals for the current week compared to the previous 5.

Week notification received 2025/10 2025/11 2025/12 2025/13 2025/14 2025/15
Bacillus            
Bacillus cereus 16 15 19 12 13 26
Bordetella            
Bordetella pertussis 9 13 4 10 8 8
Borrelia            
Borrelia burgdorferi 11 18 19 20 15 13
Borrelia sp 3 3 2 3 2 1
Brucella            
Brucella melitensis - - - - - 1
Brucella sp - 4 1 - 1 -
Campylobacter            
Campylobacter coli 29 33 33 35 35 31
Campylobacter fetus - - - - - 1
Campylobacter jejuni 307 312 287 256 286 274
Campylobacter other named 2 2 - 2 7 3
Campylobacter rectus - - - - 1 -
Campylobacter sp 1,036 1,109 1,011 931 936 1,015
Campylobacter upsaliensis - 3 1 - - -
Campylobacter ureolyticus (bacteroides corrodens) - - 2 3 3 2
Chikungunya virus            
Chikungunya virus 1 1 1 1 - -
Clostridium            
Clostridium perfringens 24 38 41 34 36 37
Coronavirus            
Coronavirus 189 170 150 127 136 112
Human coronavirus 229e 1 - - 1 - 4
Human coronavirus hku1 5 1 - - 1 -
Human coronavirus oc43 - - 1 - - -
SARS-CoV-2 antibody indeterminate 2 6 - - 1 -
SARS-CoV-2 antibody void 26 34 34 34 16 6
SARS-CoV-2 coronavirus (COVID-19) 920 894 1,071 1,123 1,147 1,268
SARS-CoV-2 coronavirus (COVID-19) indeterminate 55 42 60 37 36 44
SARS-CoV-2 IgG antibody negative 41 18 5 19 32 12
SARS-CoV-2 IgG antibody positive 103 85 47 68 99 61
SARS-CoV-2 total antibody negative 4 12 - 16 16 4
SARS-CoV-2 total antibody positive 8 41 29 38 24 16
Corynebacterium            
Corynebacterium diphtheriae - 4 5 1 - 1
Corynebacterium ulcerans - - - 1 1 -
Coxiella            
Coxiella burnetii 1 - - - 1 -
Cryptosporidium            
Cryptosporidium hominis 2 2 6 2 4 2
Cryptosporidium meleagridis - - - 1 - -
Cryptosporidium parvum 11 13 30 39 27 23
Cryptosporidium sp 39 38 22 17 41 58
Cryptosporidium ubiquitum 2 - - - - -
Entamoeba            
Entamoeba histolytica 6 2 4 4 1 1
Escherichia            
Escherichia coli O 157 10 9 12 10 4 9
Flaviviruses            
Dengue virus 1 2 - 6 3 2
Giardia            
Giardia sp 123 122 108 107 96 91
Haemophilus            
Haemophilus influenzae 85 91 77 80 103 89
Hepatitis viruses            
Hepatitis A 19 12 13 13 13 29
Hepatitis B 294 315 322 278 255 282
Hepatitis C 279 296 290 279 267 279
Hepatitis D 9 8 6 5 10 3
Hepatitis E 39 60 27 33 48 31
Influenza virus            
Influenza A 1,657 1,350 1,312 1,186 919 887
Influenza B 1,649 1,436 1,242 1,161 825 667
Influenza indeterminate 1 - - - - -
Influenza ungrouped 59 40 51 51 35 28
Legionella            
Legionella pneumophila 12 7 5 10 3 7
Legionella sp 6 2 4 5 2 4
Leptospira            
Leptospira interrogans - 1 - 1 - -
Listeria            
Listeria monocytogenes 7 3 5 2 11 13
Mycobacterium            
Mycobacterium tuberculosis 93 101 95 86 96 92
Neisseria            
Neisseria meningitidis 16 34 39 32 33 35
Orthopoxvirus            
Mpox virus positive 4 3 8 7 6 5
Paramyxoviruses            
Measles virus 16 10 9 14 16 14
Mumps virus 7 13 12 9 6 15
Plasmodium            
Plasmodium falciparum 1 7 12 - - 4
Plasmodium malariae - 1 - - - 1
Plasmodium ovale - 1 2 - - 2
Plasmodium vivax - - 1 - - -
Polyomavirus            
Polyomavirus BK 60 69 46 61 60 63
Polyomavirus JC 9 7 9 14 11 9
Polyomavirus untyped 14 20 3 11 15 6
Rickettsia            
Rickettsia mooseri - - - - 1 -
Rubella virus            
Rubella virus 1 1 3 3 4 1
Salmonella            
Other salmonellas 55 55 57 52 50 20
Salmonella agona - - 5 - - -
Salmonella chester - - - 6 - -
Salmonella enteritidis 36 38 17 30 22 8
Salmonella infantis - 5 - - - -
Salmonella kentucky - 5 - - - -
Salmonella newport 8 - 7 - - -
Salmonella saint-paul 6 8 - - - -
Salmonella sp 39 30 25 23 67 90
Salmonella typhi and paratyphi 5 9 13 14 13 10
Salmonella typhimurium 13 19 14 21 16 10
Shigella            
Shigella boydii - 1 - - 1 1
Shigella dysenteriae - - 1 2 1 1
Shigella flexneri 16 18 11 19 22 11
Shigella sonnei 12 11 23 19 8 9
Shigella sp 61 70 46 57 66 46
Streptococcus            
Streptococcus group A 52 61 57 74 50 52
Streptococcus pneumoniae 144 133 149 153 141 152
Vibrio            
Vibrio cholerae 1 2 1 1 1 -

Carbapenemase-producing Enterobacterales (CPE)

For all Carbapenemase-producing Gram-negative organisms, the reports are de-duplicated by first mention of organism species and resistance mechanism by person in a rolling 52-week period.

Note: the numbers presented here do not include specimens that have been referred to the AMRHAI Reference Unit.

Week notification received 2025/10 2025/11 2025/12 2025/13 2025/14 2025/15
Citrobacter              
Citrobacter spp IMP 1 1 - - - -
  KPC - 1 2 - - -
  NDM - - 1 1 - -
  OXA48 2 2 2 1 1 -
  Other - 1 - - 1 -
Enterobacter              
Enterobacter cloacae complex IMP 1 1 1 - 1 -
  KPC 2 - 2 1 4 -
  NDM 10 5 10 11 7 -
  OXA48 - 2 2 - 3 1
  Other - 1 1 2 1 -
Other enterobacter spp KPC - - 1 - - -
  NDM - - 1 - - -
  OXA48 - - 2 - - -
Escherichia              
Escherichia coli IMP - - - 1 1 -
  KPC 1 2 1 1 1 -
  NDM 18 18 18 17 18 6
  OXA48 26 17 18 14 19 3
  Other - 1 3 1 1 1
Other escherichia spp OXA48 - - - 1 - -
Klebsiella              
Klebsiella aerogenes KPC - - 1 - - -
  OXA48 - - - - 1 -
Klebsiella oxytoca IMP 1 - - - - -
  KPC 1 1 - - 1 -
  NDM 1 1 - - - -
  OXA48 1 1 - - - -
Klebsiella pneumoniae IMP 2 - 1 2 2 2
  KPC 7 5 10 17 2 2
  NDM 9 12 10 9 6 4
  OXA48 13 12 9 3 11 3
  Other - 2 3 3 1 1
Klebsiella variicola NDM - - - - 1 -
  OXA48 - - - - 1 -
Other klebsiella spp NDM - 1 - 1 - -
  OXA48 - - - 1 - -
  Other - 1 - 1 - -
Morganella              
Morganella morganii NDM 1 1 - - - -
  OXA48 1 - - - - -
Pantoea              
Pantoea spp NDM - - - 1 - -
Proteus              
Proteus mirabilis NDM 3 1 1 - 3 -
  OXA48 - - 1 1 - -
  Other 2 1 1 1 1 -
Providencia              
Providencia stuartii Other - - - 1 - -
Raoultella              
Raoultella ornithinolytica KPC 1 - - - - -
Serratia              
Serratia marcescens/ureilytica NDM 1 - - - - -

Other carbapenemase-producing Gram-negative organisms

For all Carbapenemase-producing Gram-negative organisms, the reports are de-duplicated by first mention of organism species and resistance mechanism by person in a rolling 52-week period.

Note: the numbers presented here do not include specimens that have been referred to.

Week notification received 2025/10 2025/11 2025/12 2025/13 2025/14 2025/15
Acinetobacter              
Acinetobacter baumannii NDM 3 1 2 - 1 -
Pseudomonas              
Pseudomonas aeruginosa IMP - 1 - - - -
  NDM 2 1 - - 2 -
  VIM - - - - 3 -
  Other 1 1 1 2 4 -
Other pseudomonas spp NDM 1 - - - - -
  VIM - - - - 1 -
  Other 1 - - - - -
Other              
  KPC - - 1 - - -
  NDM - - - - 1 -
  OXA48 - - - - 1 -