Laboratory reports of respiratory infections made to PHE Colindale from PHE and NHS laboratories in England and Wales: weeks 45 to 48, 2015
Updated 12 January 2016
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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 PHE Colindale, by week of report
| Week | Week 45 | Week 46 | Week 47 | Week 48 | Total |
|---|---|---|---|---|---|
| Week ending | 8/11/2015 | 15/11/2015 | 22/11/2015 | 29/11/2015 | |
| INFLUENZA A | 35 | 21 | 18 | 21 | 95 |
| Isolation | 3 | – | 2 | – | 5 |
| DIF * | 4 | 1 | 2 | 1 | 8 |
| PCR | 18 | 14 | 12 | 10 | 54 |
| Other † | 10 | 6 | 2 | 10 | 28 |
| INFLUENZA B | 13 | 11 | 4 | 11 | 39 |
| Isolation | – | – | – | – | – |
| DIF * | – | 1 | – | – | 1 |
| PCR | 8 | 9 | 4 | 9 | 30 |
| Other † | 5 | 1 | – | 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 45 | Week 46 | Week 47 | Week 48 | Total |
|---|---|---|---|---|---|
| Week ending | 8/11/2015 | 15/11/2015 | 22/11/2015 | 29/11/2015 | |
| Adenovirus* | 67 | 57 | 61 | 77 | 262 |
| Coronavirus | 5 | 7 | 13 | 10 | 35 |
| Parainfluenza† | 115 | 118 | 113 | 118 | 464 |
| Rhinovirus | 345 | 250 | 243 | 297 | 1135 |
| RSV | 307 | 445 | 657 | 753 | 2162 |
* Respiratory samples only
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 45 to 48, 2015
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 53 | 75 | 23 | 63 | 39 | 8 | 1 | 262 |
| Coronavirus | 9 | 10 | 1 | 7 | 5 | 3 | – | 35 |
| Influenza A | 6 | 11 | 8 | 33 | 26 | 12 | 1 | 97 |
| Influenza B | 3 | 8 | 2 | 10 | 5 | 4 | 1 | 33 |
| Parainfluenza † | 131 | 109 | 47 | 58 | 61 | 58 | – | 464 |
| Respiratory syncytial virus | 1421 | 479 | 35 | 75 | 73 | 73 | 6 | 2162 |
| Rhinovirus | 423 | 208 | 67 | 139 | 136 | 162 | – | 1135 |
* 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 45 | Week 46 | Week 47 | Week 48 | Total |
|---|---|---|---|---|---|
| Week ending | 8/11/2015 | 15/11/2015 | 22/11/2015 | 29/11/2015 | |
| Coxiella burnettii | – | – | – | – | – |
| Respiratory Chlamydia sp.* | – | – | 1 | 1 | 2 |
| Mycoplasma pneumoniae | 8 | 9 | 15 | 12 | 44 |
| Legionella sp. | 9 | 9 | 6 | 8 | 32 |
* 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 45 | Week 46 | Week 47 | Week 48 | Total |
|---|---|---|---|---|---|
| Week ending | 8/11/2015 | 15/11/2015 | 22/11/2015 | 29/11/2015 | |
| Nosocomial | – | – | 1 | 2 | 3 |
| Community | – | 4 | 2 | 3 | 9 |
| Travel abroad | 8 | 5 | 2 | 2 | 17 |
| Travel UK | 1 | – | 1 | 1 | 3 |
| Total | 9 | 9 | 6 | 8 | 32 |
| Male | 7 | 4 | 5 | 7 | 23 |
| Female | 2 | 5 | 1 | 1 | 9 |
Thirty-two cases were reported with pneumonia. Twenty-three males aged 36 - 89 years and nine females aged 41 - 89 years. Nine cases had community-acquired infection and three cases were reported to be associated with a hospital/healthcare facility. One death was reported in a male aged 87 years.
Twenty cases were reported with travel association: China (1), China/Thailand (1), Cruise/United Kingdom (1), Egypt (1), Italy (3), Italy/United Kingdom (1), Mexico/United States of America (1), Poland (1), Portugal (1), Spain (1), Spain/United Kingdom (1), Thailand (1), United Arab Emirates (2), United Arab Emirates/United Kingdom (1) and United Kingdom (3).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 45 to 48, 2015
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | – | – | 1 | 1 |
| Cheshire & Merseyside | – | 1 | 1 | – | 2 |
| Greater Manchester | – | – | – | – | 0 |
| Cumbria & Lancashire | – | – | 1 | – | 1 |
| Yorkshire & the Humber | – | – | – | – | 0 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | – | 2 | – | 2 |
| Avon, Gloucestershire & Wiltshire | – | 2 | 1 | – | 3 |
| Wessex | – | – | 1 | – | 1 |
| Thames Valley | – | 1 | – | – | 1 |
| Sussex, Surrey & Kent | – | 1 | 1 | 2 | 4 |
| Midlands & East of England | |||||
| East Midlands | – | 1 | 2 | – | 3 |
| South Midlands & Hertfordshire | – | – | – | – | 0 |
| Anglia & Essex | – | – | – | – | 0 |
| West Midlands | – | – | 1 | – | 1 |
| London Integrated Region | |||||
| London | 3 | 2 | 4 | – | 9 |
| Public Health Wales | |||||
| Mid & West Wales | – | – | 1 | – | 1 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | 1 | – | – | 1 |
| Miscellaneous | |||||
| Other | – | – | 2 | – | 2 |
| Not known | – | – | – | – | 0 |
| Total | 3 | 9 | 17 | 3 | 32 |
* Non-pneumonic case
This report was published in Health Protection Report volume 9 issue 43.