Winter health watch summary: 15 March 2018
Updated 29 March 2018
1. Summary
1.1 Cold alert
All regions are currently at level 1 (winter preparedness and action programme). Cold weather alerts have been issued for later this week, please see the Cold Weather Alerts webpage for up to date details.
Prior cold weather alerts have been in place this season from:
- 24 November to 2 December
- 7 December to 19 December
- 26 December to 29 December
- 6 January to 12 January
- 15 January to 21 January
- 31 January to 1 February
- 2 February to 8 February
- 9 February to 15 February
- 23 February to 7 March
1.2 Flu
During week 10 (ending 11 March 2018), influenza continues to circulate, although activity has now peaked. Influenza A and B are co-circulating. The Department of Health has issued an alert on the prescription of antiviral medicines by GPs.
1.3 Syndromic surveillance
Influenza indicators across all syndromic systems remain above seasonally expected levels.
1.4 Norovirus
Norovirus activity appears to have peaked.
Since week 27, 2017 there have been 4,343 laboratory reports of norovirus in England and Wales. This is comparable to the average number for the same period in the previous 5 seasons from season 2012 to 2013 to season 2016 to 2017 (4,430).
Reports of suspected and confirmed outbreaks of norovirus in hospitals in England are currently at lower levels than in previous years (2012 to 2017).
1.5 Rotavirus
Since week 27, 2017, there have been 850 laboratory reports of rotavirus in England and Wales. This is 53% lower than the average from season 2013 to 2014 to season 2016 to 2017 (1,798) (the period after vaccine was introduced).
Following the introduction of the rotavirus vaccine into the routine childhood immunisation schedule in July 2013, the total number of laboratory-confirmed rotavirus infections each season has remained low compared to the pre-vaccine period.
1.6 All-cause mortality
In week 10, 2018, no statistically significant excess all-cause mortality by week of death was seen overall and by age group in England, through the EuroMOMO algorithm.
Throughout the winter, local weekly flu and infectious intestinal disease bulletins are available from the relevant PHE Field Epidemiology team.
The contact details are:
East Midlands: FES.EM@phe.gov.uk
East of England: EFEU@phe.gov.uk
London: FES.SEaL@phe.gov.uk
North East: FES.NorthEast@phe.gov.uk
North West: FES.NorthWest@phe.gov.uk
South East: FES.SEaL@phe.gov.uk
South West: FES.SouthWest@phe.gov.uk
West Midlands: FES.WestMidlands@phe.gov.uk
Yorkshire and Humber: YHFES@phe.gov.uk
2. Surveillance reports updated weekly
PHE syndromic surveillance page
PHE national seasonal influenza report
PHE norovirus and rotavirus: summary of surveillance
PHE weekly all-cause mortality surveillance
3. Further information
Met Office Get Ready for Winter
4. Planning resources
Cold weather plan for England