Laboratory reports of respiratory infections made to PHE from PHE and NHS laboratories in England and Wales: weeks 35 to 39, 2016
Updated 6 January 2017
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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 PHE, by week of report
| Week | Week 35 | Week 36 | Week 37 | Week 38 | Week 39 | Total |
|---|---|---|---|---|---|---|
| Week ending | 4/9/2016 | 11/9/2016 | 18/9/2016 | 25/9/2016 | 2/10/2016 | |
| Influenza A | 14 | 22 | 9 | 18 | 16 | 79 |
| Isolation | – | – | – | – | – | – |
| DIF * | – | – | 1 | – | – | 1 |
| PCR | 13 | 14 | 8 | 15 | 15 | 65 |
| Other † | 1 | 8 | – | 3 | 1 | 13 |
| Influenza B | 3 | 5 | 4 | 3 | – | 15 |
| Isolation | 1 | – | – | – | – | 1 |
| DIF * | – | – | – | – | – | – |
| PCR | 2 | 1 | 4 | 3 | – | 10 |
| Other † | – | 4 | – | – | – | 4 |
* 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 35 | Week 36 | Week 37 | Week 38 | Week 39 | Total |
|---|---|---|---|---|---|---|
| Week ending | 4/9/2016 | 11/9/2016 | 18/9/2016 | 25/9/2016 | 2/10/2016 | |
| Adenovirus* | 64 | 45 | 46 | 51 | 40 | 246 |
| Coronavirus | 3 | 3 | 1 | 5 | 3 | 15 |
| Parainfluenza† | 42 | 28 | 26 | 39 | 29 | 164 |
| Rhinovirus | 141 | 121 | 128 | 256 | 326 | 972 |
| RSV | 42 | 40 | 43 | 36 | 45 | 206 |
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
3. Table 3. Respiratory viral detections by age group: weeks 35 to 39, 2016
| Age group (years) | <1 year | 1-4 years | 5-14 years | 15-44 years | 45-64 years | ≥65 years | Unknown | Total |
|---|---|---|---|---|---|---|---|---|
| Adenovirus * | 34 | 59 | 22 | 71 | 41 | 19 | – | 246 |
| Coronavirus | 2 | 2 | 2 | 4 | 3 | 2 | – | 15 |
| Influenza A | 2 | 1 | 1 | 26 | 32 | 21 | – | 83 |
| Influenza B | 3 | 2 | 1 | 8 | 8 | 2 | – | 24 |
| Parainfluenza † | 34 | 27 | 11 | 28 | 37 | 27 | – | 164 |
| Respiratory syncytial virus | 112 | 50 | 2 | 17 | 13 | 12 | – | 206 |
| Rhinovirus | 272 | 222 | 87 | 168 | 114 | 108 | 1 | 972 |
* 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 35 | Week 36 | Week 37 | Week 38 | Week 39 | Total |
|---|---|---|---|---|---|---|
| Week ending | 4/9/2016 | 11/9/2016 | 18/9/2016 | 25/9/2016 | 2/10/2016 | |
| Coxiella burnettii | – | – | – | – | – | – |
| Respiratory Chlamydia sp.* | 1 | – | 2 | 1 | – | 4 |
| Mycoplasma pneumoniae | 8 | 8 | 12 | 5 | 3 | 36 |
| Legionella sp. | 8 | 11 | 3 | 12 | 14 | 48 |
* 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 35 | Week 36 | Week 37 | Week 38 | Week 39 | Total |
|---|---|---|---|---|---|---|
| Week ending | 4/9/2016 | 11/9/2016 | 18/9/2016 | 25/9/2016 | 2/10/2016 | |
| Nosocomial | – | – | – | – | – | 0 |
| Community | 3 | 3 | 2 | 7 | 9 | 24 |
| Travel abroad | 4 | 7 | – | 4 | 5 | 20 |
| Travel UK | 1 | 1 | 1 | 1 | – | 4 |
| Total | 8 | 11 | 3 | 12 | 14 | 48 |
| Male | 6 | 10 | 2 | 11 | 10 | 39 |
| Female | 2 | 1 | 1 | 1 | 4 | 9 |
Forty-eight cases were reported with pneumonia. Thirty-nine males aged 25 - 82 years and nine females aged 40 - 91 years. Twenty-four cases had community-acquired infection. Five deaths were reported: in four males aged 30 - 82 and a female aged 74.
Twenty-four cases were reported with travel association: Barbados (1) Cruise/France (1), France (2), Indonesia/Qatar (1), Italy (2), Mexico (1), Portugal (1), Russia (1), Spain (6), Thailand (1), Turkey (1), United Arab Emirates (2) and United Kingdom (4).
6. Table 6. Laboratory reports of Legionnaires Disease cases in England and Wales, by PHE Centre: weeks 35 to 39, 2016
| Region/Country | Nosocomial | Community | Travel Abroad | Travel UK | Total |
|---|---|---|---|---|---|
| North of England | |||||
| North East | – | 1 | 2 | – | 3 |
| Cheshire & Merseyside | – | 2 | 2 | – | 4 |
| Greater Manchester | – | 1 | – | – | 1 |
| Cumbria & Lancashire | – | – | – | – | 0 |
| Yorkshire & the Humber | – | 3 | 2 | 1 | 6 |
| South of England | |||||
| Devon, Cornwall & Somerset | – | 1 | – | – | 1 |
| Avon, Gloucestershire & Wiltshire | – | – | – | – | 0 |
| Wessex | – | 1 | – | 1 | 2 |
| Thames Valley | – | 2 | 2 | – | 4 |
| Sussex, Surrey & Kent | – | – | 1 | – | 1 |
| Midlands & East of England | |||||
| East Midlands | – | 1 | – | – | 1 |
| South Midlands & Hertfordshire | – | 3 | – | – | 3 |
| Anglia & Essex | – | 2 | 2 | – | 4 |
| West Midlands | – | 6 | 2 | 1 | 9 |
| London Integrated Region | |||||
| London | – | 1 | 4 | 1 | 6 |
| Public Health Wales | |||||
| Mid & West Wales | – | – | 1 | – | 1 |
| North Wales | – | – | – | – | 0 |
| South East Wales | – | – | – | – | 0 |
| Miscellaneous | |||||
| Other | – | – | 2 | – | 2 |
| Not known | – | – | – | – | 0 |
| Total | 0 | 24 | 20 | 4 | 48 |
* Non-pneumonic case
This report was published in Health Protection Report volume 10 issue 34.