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Respiratory

 Published on:
3 Mayl 2013

Next update 7 June 2013
Last updated:3 May 2013, Volume 7, No 18 (PDF file xxx kB)

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Laboratory reports of respiratory infections made to PHE Colindale from PHE and NHS laboratories in England and Wales: weeks 14-17/2013

 


Data are recorded by week of report, but include only specimens taken in the last eight weeks (i.e. recent specimens)

Table 1. Reports of influenza infection made to PHE Colindale, by week of report

Week

 Week 14

Week 15

Week 16

 Week 17

Total
Week ending
07/04/13
14/04/13
21/04/13
28/04/13

Influenza A

140 168 177 79 564

Isolation

16 11 13 4 44

DIF *

14 10 11 7 42

PCR

96 131 133 55 415

Other †

 14 16 20 11 61

Influenza B

26 34 40 17 117

Isolation

2 - 5 - 7

DIF *

6 4 2 1 13

PCR

16 25 32 14 87

Other †

 2 5 1 2 10
* DIF = Direct Immunofluorescence.
† Other = "Antibody detection - single high titre" or "Method not specified".

 

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 14

Week 15

Week 16

 Week 17

Total

Week ending

07/04/13
14/04/13
21/04/13
28/04/13

Adenovirus*

 57 51 59 42 209

Coronavirus

 28 12 23 13 76

Parainfluenza†

 98 137 135 82 476

Rhinovirus

 178 135 154 106 573

RSV*†

29 47 40 27 143
* Respiratory samples only. Excludes diagnoses made by electron microscopy (EM)
† Includes parainfluenza types 1, 2, 3, 4 and untyped.
*† Respiratory Syncytial Virus.

 

Table 3. Respiratory viral detections by age group: weeks 14-17/2013

Age group (years)

<1 year

1-4 years

5-14 years

15-44 years

45-64 years

≥65 years

Un-
known

Total

Adenovirus *

 47 64 21 37 26 14 - 209

Coronavirus

 20 9 1 13 18 15 - 76

Influenza A

 25 40 17 126 122 230 - 560

Influenza B

 2 14 12 26 32 30 - 116

Parainfluenza †

 129 95 29 54 82 62 1 452

Rhinovirus

 232 98 40 65 79 57 2 573

Respiratory syncytial virus

 82 18 4 7 21 9 2 143
* Respiratory samples only.
† Includes parainfluenza types 1, 2, 3, 4 and untyped.

 

Table 4 Laboratory reports of infections associated with atypical pneumonia, by week of report

Week

 Week 14

Week 15

Week 16

 Week 17

Total

Week ending

07/04/13
14/04/13
21/04/13
28/04/13

Coxiella burnettii

–

–

–

 –

0

Respiratory Chlamydia sp.*

–

2

3

 –

5

Mycoplasma pneumoniae

 19 24 18 12

73

Legionella sp.

4

4

4

 2

14
*Includes Chlamydia psittaci, Chlamydia pneumoniae, and Chlamydia sp detected from blood, serum, and respiratory specimens.

 

Table 5a Reports of Legionnaires Disease cases in England and Wales, by week of report

Week

 Week 14

Week 15

Week 16

 Week 17

Total

Week ending
07/04/13
14/04/13
21/04/13
28/04/13

Nosocomial

–

–

–

–

–

Community

2
1
3
2
9

Travel Abroad

1
3
–
–
4

Travel UK

1
–
–
–
1
Total
4
4
4
2
14

Male

4
3
4
1
12

Female

–
1
–
1
2

Fourteen cases were reported with pneumonia. Twelve males aged 29 to 79 years and two females aged 47 to 73 years. Nine cases had community-acquired infection. One death was reported in a 40 year old male.

Five cases were reported with travel association: France (1), United Arab Emirates (1), United Kingdom (1) and the United States of America (2).

Table 5b. Reports of Legionnaires Disease cases by region of report in England and Wales: weeks 14-17/2013

Region/Country

Noso-comial

Community

Travel Abroad

Travel UK

Total

North East

–

–

1

–

1

Yorkshire & Humber

–

–

–

1

1

East Midlands

–

4

–

–

4

East of England

–

–

–

–

–

London

–

–

–

–

–

South East

–

3

1

–

4

South West

–

–

–

–

–

West Midlands

–

–

–

–

–

North West

–

2

–

–

2

Wales

–

–

1

–

1

Unknown

–

–

1

–

1

Total

–

9

4

1

14