Research and analysis

Laboratory reports of respiratory infections made to CIDSC from PHE and NHS laboratories in England and Wales: weeks 23 to 26, 2014

Updated 26 January 2015

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 CIDSC, by week of report

Week Week 23 Week 24 Week 25 Week 26 Total
Week ending 08/06/2014 15/06/2014 22/06/2014 29/06/2014  
Influenza A 18 12 6 8 44
Isolation
DIF * 1 1 2
PCR 9 5 1 5 20
Other † 8 7 5 2 22
Influenza B 4 3 2 3 12
Isolation
DIF * 1 1
PCR 2 2 2 2 8

* 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 23 Week 24 Week 25 Week 26 Total
Week ending 08/06/2014 15/06/2014 22/06/2014 29/06/2014  
Adenovirus* 36 33 43 28 140
Coronavirus 1 2 6 9
Parainfluenza† 69 84 81 56 290
Rhinovirus 159 144 170 124 597
RSV 13 13 8 10 44

* Respiratory samples only. † Includes parainfluenza types 1, 2, 3, 4 and untyped.

3. Table 3. Respiratory viral detections by age group: weeks 23 to 26, 2014

Age group (years) <1 year 1-4 years 5-14 years 15-44 years 45-64 years ≥65 years Unknown Total
Adenovirus * 35 50 12 21 12 10 140
Coronavirus 4 2 1 2 9
Influenza A 3 1 1 15 9 15 44
Influenza B 1 5 4 2 12
Parainfluenza † 95 52 11 42 56 33 1 290
Rhinovirus 217 110 50 89 76 54 1 597
Respiratory syncytial virus 23 5 3 4 7 2 44

* 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 23 Week 24 Week 25 Week 26 Total
Week ending 08/06/2014 15/06/2014 22/06/2014 29/06/2014  
Coxiella burnettii 1 1 1 3
Respiratory Chlamydia sp.* 3 1 2 6
Mycoplasma pneumoniae 8 5 5 6 24
Legionella sp. 5 5 9 6 25

* Includes Chlamydia psittaci, Chlamydia pneumoniae, and Chlamydia sp detected from blood, serum, and respiratory specimens.

5. Table 5 Reports of Legionnaires Disease cases in England and Wales, by week of report

Week Week 23 Week 24 Week 25 Week 26 Total
Week ending 08/06/2014 15/06/2014 22/06/2014 29/06/2014  
Nosocomial 1 1 2
Community 1 2 4 3 10
Travel abroad 3 3 3 3 12
Travel UK 1 1
Total 5 5 9 6 25
Male 3 4 5 3 15
Female 2 1 4 3 10

Twenty-five cases were reported with pneumonia. Fifteen males aged 23 to 74 years and 10 females aged four days to 88 years. Ten cases had community-acquired infection and one case was reported to be associated with hospital infection.

Thirteen cases were reported with travel association: Bahrain (1), China (1), Greece (1), Italy (1), Portugal (1), Spain (4), United Arab Emirates (1), United Arab Emirates/United Kingdom (1), United Kingdom (1) and United States of America (1).

6. Table 6. Reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 23 to 26, 2014

Region/Country Noso-comial Community Travel Abroad Travel UK Total
North of England          
North East 1 1
Cheshire & Merseyside 1 1 2
Greater Manchester 1 1
Cumbria & Lancashire 1 1
Yorkshire & the Humber 3 3
South of England          
Devon, Cornwall & Somerset
Avon, Gloucestershire & Wiltshire 1 1
Wessex 1 1
Thames Valley
Sussex, Surrey & Kent 1 1 2
Midlands & East of England          
East Midlands 1 1 2
South Midlands & Hertfordshire 2 2 4
Anglia & Essex 2 2
West Midlands
London Integrated Region          
London 1 2 3
Public Health Wales          
Mid & West Wales
North Wales 1 1
South East Wales 1 1
Miscellaneous          
Other
Not known
Total 2 10 12 1 25

This report was published in Health Protection Report volume 8 issue 26