Laboratory reports of respiratory infections made to PHE from PHE and NHS laboratories in England and Wales: weeks 1 to 4, 2016
Updated 6 January 2017
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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 CIDSC, by week of report
| Week | Week 1 | Week 2 | Week 3 | Week 4 | Total | |
|---|---|---|---|---|---|---|
| Week ending | 10/1/2016 | 17/1/2016 | 24/1/2016 | 31/1/2016 | ||
| Influenza A | 228 | 180 | 325 | 465 | 1197 | |
| Isolation | 27 | 21 | 18 | 58 | 124 | |
| DIF * | 38 | 12 | 18 | 54 | 122 | |
| PCR | 132 | 128 | 267 | 318 | 845 | |
| Other † | 31 | 19 | 22 | 34 | 106 | |
| Influenza B | 18 | 23 | 31 | 26 | 98 | |
| Isolation | – | – | 2 | 2 | 4 | |
| DIF * | 1 | 3 | 5 | 5 | 14 | |
| PCR | 8 | 16 | 19 | 19 | 62 | |
| Other † | 9 | 4 | 5 | 0 | 18 |
* 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 1 | Week 2 | Week 3 | Week 4 | Total |
|---|---|---|---|---|---|
| Week ending | 10/1/2016 | 17/1/2016 | 24/1/2016 | 31/1/2016 | |
| Adenovirus* | 83 | 83 | 80 | 82 | 328 |
| Coronavirus | 35 | 53 | 40 | 83 | 211 |
| Parainfluenza† | 98 | 95 | 59 | 61 | 313 |
| Rhinovirus | 269 | 197 | 232 | 295 | 993 |
| RSV | 640 | 390 | 345 | 251 | 1626 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 1 to 4, 2016
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 58 | 82 | 31 | 85 | 51 | 20 | 1 | 328 |
| Coronavirus | 36 | 30 | 16 | 36 | 38 | 55 | – | 211 |
| Influenza A | 86 | 176 | 75 | 421 | 419 | 232 | 3 | 1412 |
| Influenza B | 3 | 5 | 9 | 45 | 22 | 18 | – | 102 |
| Parainfluenza † | 70 | 47 | 20 | 35 | 54 | 87 | – | 313 |
| Respiratory syncytial virus | 816 | 173 | 55 | 148 | 188 | 244 | 2 | 1626 |
| Rhinovirus | 333 | 187 | 74 | 118 | 122 | 158 | 1 | 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 1 | Week 2 | Week 3 | Week 4 | Total |
|---|---|---|---|---|---|
| Week ending | 10/1/2016 | 17/1/2016 | 24/1/2016 | 31/1/2016 | |
| Coxiella burnettii | 1 | – | – | – | 1 |
| Respiratory Chlamydia sp.* | 1 | 1 | 1 | – | 3 |
| Mycoplasma pneumoniae | 25 | 30 | 30 | 22 | 107 |
| Legionella sp. | 14 | 2 | 10 | 6 | 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 1 | Week 2 | Week 3 | Week 4 | Total |
|---|---|---|---|---|---|
| Week ending | 10/1/2016 | 17/1/2016 | 24/1/2016 | 31/1/2016 | |
| Nosocomial | – | – | – | – | 0 |
| Community | 7 | – | 8 | 3 | 18 |
| Travel abroad | 4 | 2 | 1 | 3 | 10 |
| Travel UK | 3 | – | 1 | – | 4 |
| Total | 14 | 2 | 10 | 6 | 32 |
| Male | 10 | 1 | 8 | 4 | 23 |
| Female | 4 | 1 | 2 | 2 | 9 |
Thirty-two cases were reported with pneumonia. Twenty-three males aged 35-95 years and nine females aged 35-78 years. Eighteen cases had community-acquired infection. Four deaths were reported in three males aged 45-87 years and a female aged 62 years.
Fourteen cases were reported with travel association: Belgium (1), Indonesia/Singapore (1), Malta/United Kingdom (1), Malaysia/Singapore/Thailand (1), Spain (1), United Arab Emirates (5) and United Kingdom (4).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 1 to 4, 2016
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | – | 2 | – | 2 |
| Cheshire & Merseyside | – | 1 | – | – | 1 |
| Greater Manchester | – | – | – | – | 0 |
| Cumbria & Lancashire | – | – | – | – | 0 |
| Yorkshire & the Humber | – | 2 | 1 | 1 | 4 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | – | – | – | 0 |
| Avon, Gloucestershire & Wiltshire | – | 2 | – | – | 2 |
| Wessex | – | 1 | – | – | 1 |
| Thames Valley | – | 1 | – | – | 1 |
| Sussex, Surrey & Kent | – | – | 2 | – | 2 |
| Midlands & East of England | |||||
| East Midlands | – | 1 | – | – | 1 |
| South Midlands & Hertfordshire | – | – | – | – | 0 |
| Anglia & Essex | – | 1 | – | – | 1 |
| West Midlands | – | 7 | 2 | – | 9 |
| London Integrated Region | |||||
| London | – | – | 3 | 1 | 4 |
| Public Health Wales | |||||
| Mid & West Wales | – | 1 | – | 1 | 2 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | 1 | – | – | 1 |
| Miscellaneous | |||||
| Other | – | – | – | 1 | 1 |
| Not known | – | – | – | – | 0 |
| Total | 0 | 18 | 10 | 4 | 32 |
This report was published in Health Protection Report volume 10 issue 5.