Laboratory reports of respiratory infections made to CIDSC from PHE and NHS laboratories in England and Wales: weeks 18 to 22, 2015
Updated 12 January 2016
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Data are recorded by week of report, but include only specimens taken in the last 8 weeks (ie recent specimens).
1. Table 1. Reports of influenza infection made to CIDSC, by week of report
| Week | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Total |
|---|---|---|---|---|---|---|
| Week ending | 3/5/2015 | 10/5/2015 | 17/5/2015 | 24/5/2015 | 31/5/2015 | |
| Influenza A | 8 | 11 | 23 | 13 | 8 | 63 |
| Isolation | 3 | 1 | 2 | – | 3 | 9 |
| DIF * | – | 2 | 2 | 1 | – | 5 |
| PCR | 2 | 8 | 14 | 8 | 2 | 34 |
| Other † | 3 | – | 5 | 4 | 3 | 15 |
| Influenza B | 57 | 48 | 83 | 40 | 13 | 241 |
| Isolation | 8 | 3 | 9 | – | 2 | 22 |
| DIF * | 7 | 8 | 7 | 5 | – | 27 |
| PCR | 39 | 33 | 60 | 33 | 8 | 173 |
| Other † | 3 | 4 | 7 | 2 | 3 | 19 |
* 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 18 | Week 19 | Week 20 | Week 21 | Week 22 | Total |
|---|---|---|---|---|---|---|
| Week ending | 3/5/2015 | 10/5/2015 | 17/5/2015 | 24/5/2015 | 31/5/2015 | |
| Adenovirus* | 140 | 67 | 111 | 89 | 79 | 486 |
| Coronavirus | 28 | 20 | 16 | 13 | 4 | 81 |
| Parainfluenza† | 169 | 70 | 106 | 82 | 69 | 496 |
| Rhinovirus | 248 | 155 | 202 | 246 | 143 | 994 |
| RSV | 72 | 50 | 53 | 68 | 40 | 283 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 18 to 22, 2015
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 80 | 116 | 35 | 170 | 63 | 22 | – | 486 |
| Coronavirus | 11 | 11 | 4 | 14 | 17 | 24 | – | 81 |
| Influenza A | 4 | 4 | 1 | 16 | 13 | 22 | – | 60 |
| Influenza B | 7 | 18 | 19 | 85 | 84 | 63 | – | 276 |
| Parainfluenza † | 112 | 78 | 18 | 65 | 84 | 138 | 1 | 496 |
| Respiratory syncytial virus | 104 | 43 | 21 | 44 | 36 | 35 | – | 283 |
| Rhinovirus | 358 | 214 | 100 | 106 | 115 | 100 | – | 993 |
* 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 18 | Week 19 | Week 20 | Week 21 | Week 22 | Total |
|---|---|---|---|---|---|---|
| Week ending | 3/5/2015 | 10/5/2015 | 17/5/2015 | 24/5/2015 | 31/5/2015 | |
| Coxiella burnettii | – | – | – | – | – | – |
| Respiratory Chlamydia sp.* | 5 | 3 | – | 1 | – | 9 |
| Mycoplasma pneumoniae | 12 | 8 | 11 | 2 | – | 33 |
| Legionella sp. | 1 | 5 | 9 | 7 | 5 | 27 |
* Includes Chlamydia psittaci, Chlamydia pneumoniae, and Chlamydia sp detected from blood, serum, and respiratory specimens.
5. Table 5. Laboratory reports of Legionnaires Disease cases in England and Wales, by week of report
| Week | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Total |
|---|---|---|---|---|---|---|
| Week ending | 3/5/2015 | 10/5/2015 | 17/5/2015 | 24/5/2015 | 31/5/2015 | |
| Nosocomial | – | 1 | – | – | – | 1 |
| Community | – | – | 3 | 2 | 2 | 7 |
| Travel abroad | 1 | 4 | 6 | 4 | 3(1*) | 18 |
| Travel UK | – | – | – | 1 | – | 1 |
| Total | 1 | 5 | 9 | 7 | 5 | 27 |
| Male | 1 | 4 | 7 | 7 | 3 | 22 |
| Female | – | 1 | 2 | – | 2 | 5 |
* Non-pneumonic case.
Twenty-six cases were reported with pneumonia and one case had non-pneumonic infection. Twenty-two males aged 41 - 91 years and five females aged 47 - 60 years. Seven cases had community-acquired infection and one case was reported to be associated with hospital/healthcare facility. One death was reported in a male aged 66 years.
Nineteen cases were reported with travel association: Belgium/France/Turkey/United Kingdom (1), Cuba (1), Cruise (1), France/Cruise/United Kingdom (1), Greece (1), India (1), Israel (1), Italy (2), Sierra Leone (1), Spain (2), Thailand (2), Tunisia/United Kingdom (1), Turkey (1), United Kingdom (1) and United States of America (2).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 18-22/2015
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | 3 | 1 | – | 4 |
| Cheshire & Merseyside | – | 1 | – | – | 1 |
| Greater Manchester | – | – | 1 | – | 1 |
| Cumbria & Lancashire | – | – | 1 | – | 1 |
| Yorkshire & the Humber | – | 1 | 6(1*) | 1 | 8 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | – | 1 | – | 1 |
| Avon, Gloucestershire & Wiltshire | – | – | – | – | – |
| Wessex | – | – | 1 | – | 1 |
| Thames Valley | – | 1 | – | – | 1 |
| Sussex, Surrey & Kent | – | 1 | – | – | 1 |
| Midlands & East of England | |||||
| East Midlands | – | – | 2 | – | 2 |
| South Midlands & Hertfordshire | – | – | 1 | – | 1 |
| Anglia & Essex | – | – | – | – | – |
| West Midlands | – | – | – | – | – |
| London Integrated Region | |||||
| London | – | – | 2 | – | 2 |
| Public Health Wales | |||||
| Mid & West Wales | – | – | 1 | – | 1 |
| North Wales | – | – | – | – | – |
| South East Wales | – | – | – | – | – |
| Miscellaneous | |||||
| Other | 1 | – | 1 | – | 2 |
| Not known | – | – | – | – | – |
| Total | 1 | 7 | 18 | 1 | 27 |
* Non-pneumonic case.
This report was published in Health Protection Report volume 9 issue 19.