Research and analysis

NOIDs causative agents: week 40 (week ending 8 October 2023)

Updated 2 January 2024

Laboratories in England have a statutory duty to notify the UK Health Security Agency (UKHSA) of the identification of the following causative agents:

  • Bacillus anthracis
  • Bacillus cereus
  • Bordetella pertussis
  • Borrelia spp
  • Brucella spp
  • Burkholderia mallei
  • Burkholderia pseudomallei
  • Campylobacter spp
  • Carbapenemase-producing Gram-negative bacteria
  • Chikungunya virus
  • Chlamydophila psittaci
  • Clostridium botulinum
  • Clostridium perfringens
  • Clostridium tetani
  • Corynebacterium diphtheriae
  • Corynebacterium ulcerans
  • Coxiella burnetii
  • Crimean-Congo haemorrhagic fever virus
  • Cryptosporidium spp
  • Dengue virus
  • Ebola virus
  • Entamoeba histolytica
  • Escherichia coli O 157
  • Francisella tularensis
  • Giardia lamblia
  • Guanarito virus
  • Haemophilus influenzae (invasive)
  • Hanta virus
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • Hepatitis D
  • Hepatitis E
  • Influenza virus
  • Junin virus
  • Kyasanur Forest disease virus
  • Lassa virus
  • Legionella spp
  • Leptospira interrogans
  • Listeria monocytogenes
  • Machupo virus
  • Marburg virus
  • Measles virus
  • Mpox (monkeypox) virus
  • Mumps virus
  • Mycobacterium tuberculosis complex
  • Neisseria meningitidis
  • Omsk haemorrhagic fever virus
  • Plasmodium falciparum
  • Plasmodium knowlesi
  • Plasmodium malariae
  • Plasmodium ovale
  • Plasmodium vivax
  • Polio virus
  • Rabies virus
  • Rickettsia spp
  • Rift Valley fever virus
  • Rubella virus
  • Sabia virus
  • Salmonella spp
  • SARS coronavirus
  • Shigella spp
  • Streptococcus group A (invasive)
  • Streptococcus pneumoniae (invasive)
  • Varicella zoster virus
  • Variola virus
  • Vibrio cholerae
  • West Nile virus
  • Yellow fever virus
  • Yersinia pestis

Statutory notifications of causative agents, grouped by root organism

Totals for the current week compared to the previous 5.

Week notification received 2023/35 2023/36 2023/37 2023/38 2023/39 2023/40
Arboviruses Ìý Ìý Ìý Ìý Ìý Ìý
West Nile virus - - - 1 - -
Bacillus Ìý Ìý Ìý Ìý Ìý Ìý
Bacillus cereus 15 24 30 29 30 25
Bordetella Ìý Ìý Ìý Ìý Ìý Ìý
Bordetella pertussis 10 8 17 13 18 14
Borrelia Ìý Ìý Ìý Ìý Ìý Ìý
Borrelia burgdorferi 55 34 50 63 42 33
Borrelia other named - - - 1 - -
Borrelia sp 7 8 10 5 3 4
Brucella Ìý Ìý Ìý Ìý Ìý Ìý
Brucella sp - - 1 1 1 -
Burkholderia Ìý Ìý Ìý Ìý Ìý Ìý
Burkholderia mallei - - - - 1 -
Burkholderia pseudomallei - - - - 1 -
Campylobacter Ìý Ìý Ìý Ìý Ìý Ìý
Campylobacter coli 38 45 40 51 53 17
Campylobacter fetus - - 1 1 - -
Campylobacter jejuni 274 355 297 287 302 212
Campylobacter other named 1 - 1 - - 1
Campylobacter sp 894 1,136 1,211 1,138 1,081 967
Campylobacter upsaliensis - - 2 1 - -
Campylobacter ureolyticus (bacteroides corrodens) - 1 - - 1 -
Chikungunya virus Ìý Ìý Ìý Ìý Ìý Ìý
Chikungunya virus 2 1 3 1 1 1
Clostridium Ìý Ìý Ìý Ìý Ìý Ìý
Clostridium perfringens 30 29 36 33 26 30
Coronavirus Ìý Ìý Ìý Ìý Ìý Ìý
Coronavirus 6 9 15 14 27 29
Human coronavirus 229e - - - 1 - -
SARS coronavirus - 1 - 1 1 -
SARS-CoV-2 antibody indeterminate 76 61 139 92 108 124
SARS-CoV-2 antibody void 1 8 5 - 4 6
SARS-CoV-2 coronavirus (COVID-19) 9,470 11,770 10,893 12,542 16,295 15,972
SARS-CoV-2 coronavirus (COVID-19) indeterminate 174 72 56 68 81 135
SARS-CoV-2 IgG antibody negative 31 68 88 57 63 72
SARS-CoV-2 IgG antibody positive 151 159 400 233 183 230
SARS-CoV-2 total antibody negative 65 69 74 68 79 55
SARS-CoV-2 total antibody positive 165 185 208 195 222 178
Corynebacterium Ìý Ìý Ìý Ìý Ìý Ìý
Corynebacterium diphtheriae 3 6 11 3 1 4
Corynebacterium ulcerans - 2 - - - -
Cryptosporidium Ìý Ìý Ìý Ìý Ìý Ìý
Cryptosporidium cuniculus - 3 2 - 1 -
Cryptosporidium felis - 1 - - - -
Cryptosporidium hominis 88 138 183 234 170 59
Cryptosporidium meleagridis - 1 - - 1 -
Cryptosporidium parvum 57 81 80 98 72 30
Cryptosporidium sp 71 114 203 142 149 217
Cryptosporidium ubiquitum 1 1 1 - - -
Cryptosporidium viatorum - - - - 1 -
Entamoeba Ìý Ìý Ìý Ìý Ìý Ìý
Entamoeba histolytica - 4 - 4 - 1
Escherichia Ìý Ìý Ìý Ìý Ìý Ìý
Escherichia coli O 157 23 19 19 18 19 18
Flaviviruses Ìý Ìý Ìý Ìý Ìý Ìý
Dengue virus 5 3 4 9 4 4
Haemophilus Ìý Ìý Ìý Ìý Ìý Ìý
Haemophilus influenzae 36 64 54 37 55 44
Hepatitis viruses Ìý Ìý Ìý Ìý Ìý Ìý
Hepatitis A 7 11 24 17 17 11
Hepatitis B 235 246 262 295 236 195
Hepatitis C 318 306 412 304 317 294
Hepatitis D 3 4 9 10 4 6
Hepatitis E 28 26 23 30 37 28
Influenza virus Ìý Ìý Ìý Ìý Ìý Ìý
Influenza A 52 70 84 111 97 103
Influenza B 9 24 19 20 23 54
Influenza ungrouped - 5 5 3 5 6
Legionella Ìý Ìý Ìý Ìý Ìý Ìý
Legionella other named - - 1 1 - 1
Legionella pneumophila 7 7 6 6 3 4
Legionella sp 6 1 4 9 2 8
Listeria Ìý Ìý Ìý Ìý Ìý Ìý
Listeria monocytogenes 2 3 3 4 8 4
Mycobacterium Ìý Ìý Ìý Ìý Ìý Ìý
Mycobacterium tuberculosis 68 74 60 104 79 75
Neisseria Ìý Ìý Ìý Ìý Ìý Ìý
Neisseria meningitidis 12 21 16 22 13 10
Orthopoxvirus Ìý Ìý Ìý Ìý Ìý Ìý
Mpox virus 3 9 4 4 3 2
Paramyxoviruses Ìý Ìý Ìý Ìý Ìý Ìý
Measles virus 1 3 1 1 6 4
Mumps virus 5 6 5 8 2 2
Plasmodium Ìý Ìý Ìý Ìý Ìý Ìý
Plasmodium falciparum 4 21 3 3 3 30
Plasmodium malariae - 2 - - - 1
Plasmodium ovale - 5 - - - -
Plasmodium vivax - 6 - - 1 2
Polyomavirus Ìý Ìý Ìý Ìý Ìý Ìý
Polyomavirus BK 25 47 52 58 46 46
Polyomavirus JC 6 11 6 12 7 5
Polyomavirus untyped 10 9 8 8 16 7
Rabies virus Ìý Ìý Ìý Ìý Ìý Ìý
Rabies virus - - - - - 1
Rickettsia Ìý Ìý Ìý Ìý Ìý Ìý
Rickettsia prowazekii 1 - - - - -
Rickettsia spotted fever - - - - 1 -
Rickettsia tsutsugamushi - - - 1 - -
Rubella virus Ìý Ìý Ìý Ìý Ìý Ìý
Rubella virus 2 3 3 - 3 3
Salmonella Ìý Ìý Ìý Ìý Ìý Ìý
Other salmonellas 45 74 76 61 29 23
Salmonella braenderup - - 5 6 - -
Salmonella chester 6 10 14 12 - -
Salmonella enterica - - - - - 5
Salmonella enteritidis 80 103 125 85 21 19
Salmonella infantis - 7 8 - - -
Salmonella java 6 6 - - - -
Salmonella newport - - 8 5 - -
Salmonella oranienburg 5 - - - - -
Salmonella poona - - 5 - - -
Salmonella saint-paul 7 5 5 - - -
Salmonella sp 18 36 52 114 198 184
Salmonella stanley - - 6 - - -
Salmonella typhi and paratyphi 13 32 32 31 26 11
Salmonella typhimurium 47 68 44 34 20 5
Salmonella virchow - 5 - 6 - -
Salmonella enterica 5 - - 9 - -
Shigella Ìý Ìý Ìý Ìý Ìý Ìý
Shigella boydii 2 1 1 - - -
Shigella dysenteriae 1 1 - 1 1 -
Shigella flexneri 12 16 11 4 11 7
Shigella sonnei 23 33 34 32 21 17
Shigella sp 62 84 83 81 70 54
Streptococcus Ìý Ìý Ìý Ìý Ìý Ìý
Streptococcus group A 62 45 57 49 43 32
Streptococcus pneumoniae 53 55 57 52 69 75
Vibrio Ìý Ìý Ìý Ìý Ìý Ìý
Vibrio cholerae 6 2 - 1 1 -

Carbapenemase-producing Enterobacterales (CPE)

For all Carbapenemase-producing Gram-negative organisms, the reports are de-duplicated by first mention of organism species and resistance mechanism by person in a rolling 52-week period.

Note: the numbers presented here do not include specimens that have been referred to the AMRHAI Reference Unit.

Week notification received 2023/35 2023/36 2023/37 2023/38 2023/39 2023/40
Citrobacter Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Citrobacter spp IMP 1 - - - - -
Ìý KPC 2 1 - 1 - -
Ìý NDM - 1 1 1 1 -
Ìý OXA48 - 1 - 7 2 1
Ìý Other - - - - - 1
Enterobacter Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Enterobacter cloacae complex IMP 3 3 2 5 - -
Ìý KPC 7 3 4 6 - 2
Ìý NDM 9 16 11 14 8 2
Ìý OXA48 5 3 3 7 3 -
Ìý VIM 2 - - - - -
Ìý Other - 2 - 1 - -
Enterobacter other named NDM - - - - 1 1
Other enterobacter spp IMP - - 1 - - -
Ìý NDM - - 1 - 2 -
Ìý OXA48 1 1 - - 1 -
Escherichia Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Escherichia coli IMP 1 - - 1 1 -
Ìý KPC 5 2 6 3 3 4
Ìý NDM 10 17 17 12 6 3
Ìý OXA48 18 9 12 12 18 5
Ìý VIM 1 1 1 - - -
Ìý Other 2 1 - - 1 1
Escherichia hermannii KPC - - 1 1 - -
Klebsiella Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Klebsiella aerogenes KPC - - 1 - - -
Ìý OXA48 - - 1 - - -
Klebsiella oxytoca KPC - 2 3 5 2 1
Ìý NDM - 1 1 - - -
Klebsiella oxytoca OXA48 4 1 - 1 - -
Ìý VIM 1 - - - - -
Ìý Other - - - 1 - -
Klebsiella pneumoniae IMP 1 1 - 2 3 1
Ìý KPC 15 16 9 17 9 3
Ìý NDM 3 8 11 5 11 2
Ìý OXA48 9 10 8 9 6 2
Ìý VIM - 2 1 1 2 -
Ìý Other 1 1 1 1 1 -
Klebsiella pneumoniae subsp ozenae KPC - 1 - - - -
Klebsiella variicola OXA48 - - - - - 1
Other klebsiella spp NDM - - 1 - - -
Ìý OXA48 - - 1 - - -
Leclercia Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Leclercia adecarboxylata KPC - - - 1 - -
Morganella Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Morganella morganii OXA48 - 1 - - 1 -
Ìý Other - - - - 1 -
Proteus Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Proteus mirabilis IMP 1 - - - 1 -
Ìý OXA48 - - 1 1 - -
Ìý Other - 5 - - - -
Raoultella Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Raoultella spp KPC - - - 1 - -
Serratia Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Serratia marcescens/ureilytica NDM - - - 1 - -
Ìý OXA48 - - - 1 1 -

Other carbapenemase-producing Gram-negative organisms

Week notification received 2023/35 2023/36 2023/37 2023/38 2023/39 2023/40
Acinetobacter Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Acinetobacter baumannii NDM - - - 1 1 -
Ìý Other - - - - 1 -
Acinetobacter calcoaceticus/baumannii complex NDM - - - - - 1
Other acinetobacter spp NDM - - - 1 - -
Ìý Other - - - 1 - -
Pseudomonas Ìý Ìý Ìý Ìý Ìý Ìý Ìý
Pseudomonas aeruginosa IMP - 1 - - - -
Ìý NDM - 1 2 1 - -
Ìý VIM - - - - 1 1
Ìý Other 1 3 1 1 3 -
Pseudomonas putida group NDM - - - 2 - -
Ìý VIM - - - 2 1 -
Ìý Other - - - 1 - -
Other pseudomonas spp NDM - 1 - - - -
Ìý VIM - - 1 - - -
Ìý Other - - 1 - - -

For all Carbapenemase-producing Gram-negative organisms, the reports are de-duplicated by first mention of organism species and resistance mechanism by person in a rolling 52-week period.

Note: the numbers presented here do not include specimens that have been referred to the AMRHAI Reference Unit.