Research and analysis

NOIDs causative agents: week 12 (week ending 23 March 2025)

Updated 24 April 2025

The Week 12 causative agents report has been re-produced due to some data errors. As the report was created at a later date (27 March 2025) there may also be some changes into the data due to retrospective reporting of causative agents in Week 12.

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 spp
  • 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 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 2025/08 2025/09 2025/10 2025/11 2025/12
Arboviruses Ìý Ìý Ìý Ìý Ìý
West Nile Virus 1 1 - - -
Bacillus Ìý Ìý Ìý Ìý Ìý
Bacillus cereus 18 14 16 15 19
Bordetella Ìý Ìý Ìý Ìý Ìý
Bordetella pertussis 12 7 9 13 4
Borrelia Ìý Ìý Ìý Ìý Ìý
Borrelia burgdorferi 28 19 11 18 19
Borrelia sp 3 7 3 3 2
Brucella Ìý Ìý Ìý Ìý Ìý
Brucella sp - 4 - 4 1
Campylobacter Ìý Ìý Ìý Ìý Ìý
Campylobacter coli 32 23 29 33 32
Campylobacter fetus - 1 - - -
Campylobacter jejuni 303 297 305 309 283
Campylobacter other named 2 3 2 2 -
Campylobacter rectus - 1 - - -
Campylobacter sp 933 1,032 1,037 1,111 1,011
Campylobacter upsaliensis 1 4 - 3 1
Campylobacter ureolyticus (bacteroides corrodens) - - - - 1
Chikungunya virus Ìý Ìý Ìý Ìý Ìý
Chikungunya virus 1 2 1 1 1
Clostridium Ìý Ìý Ìý Ìý Ìý
Clostridium perfringens 42 31 24 37 40
Coronavirus Ìý Ìý Ìý Ìý Ìý
Coronavirus 236 238 189 170 150
Human coronavirus 229e - 1 1 - -
Human coronavirus hku1 2 1 5 1 -
Human coronavirus oc43 - - - - 1
SARS-CoV-2 antibody indeterminate 2 - 2 6 -
SARS-CoV-2 antibody void 12 14 26 34 34
SARS-CoV-2 coronavirus (COVID-19) 928 909 921 895 1,071
SARS-CoV-2 coronavirus (COVID-19) indeterminate 48 41 55 42 60
SARS-CoV-2 IgG antibody negative 27 7 11 9 2
SARS-CoV-2 IgG antibody positive 83 32 60 63 45
SARS-CoV-2 total antibody negative 12 8 4 12 -
SARS-CoV-2 total antibody positive 13 8 8 41 29
Corynebacterium Ìý Ìý Ìý Ìý Ìý
Corynebacterium diphtheriae 3 3 1 4 5
Corynebacterium ulcerans - 1 - - -
Coxiella Ìý Ìý Ìý Ìý Ìý
Coxiella burnetii - - 1 - -
Cryptosporidium Ìý Ìý Ìý Ìý Ìý
Cryptosporidium hominis 4 4 2 2 4
Cryptosporidium parvum 17 17 11 12 18
Cryptosporidium sp 17 28 40 40 36
Cryptosporidium ubiquitum 1 - 2 - -
Entamoeba Ìý Ìý Ìý Ìý Ìý
Entamoeba histolytica 3 2 6 2 1
Escherichia Ìý Ìý Ìý Ìý Ìý
Escherichia coli O 157 6 7 10 10 10
Flaviviruses Ìý Ìý Ìý Ìý Ìý
Dengue virus 5 5 1 2 -
Giardia Ìý Ìý Ìý Ìý Ìý
Giardia sp 106 95 123 123 106
Haemophilus Ìý Ìý Ìý Ìý Ìý
Haemophilus influenzae 76 79 84 91 78
Hepatitis viruses Ìý Ìý Ìý Ìý Ìý
Hepatitis A 18 18 18 13 13
Hepatitis B 298 278 289 302 306
Hepatitis C 287 214 278 291 281
Hepatitis D 9 3 9 8 6
Hepatitis E 34 45 39 59 27
Influenza virus Ìý Ìý Ìý Ìý Ìý
Influenza A 2,208 1,808 1,657 1,351 1,310
Influenza B 2,192 2,045 1,649 1,435 1,235
Influenza indeterminate 1 - 1 - -
Influenza ungrouped 75 75 59 40 50
Legionella Ìý Ìý Ìý Ìý Ìý
Legionella pneumophila 1 7 11 6 4
Legionella sp - 1 7 2 5
Leptospira Ìý Ìý Ìý Ìý Ìý
Leptospira interrogans - - - 1 -
Listeria Ìý Ìý Ìý Ìý Ìý
Listeria monocytogenes 5 2 8 3 5
Mycobacterium Ìý Ìý Ìý Ìý Ìý
Mycobacterium tuberculosis 84 98 92 90 79
Neisseria Ìý Ìý Ìý Ìý Ìý
Neisseria meningitidis 33 29 17 33 41
Orthopoxvirus Ìý Ìý Ìý Ìý Ìý
Mpox virus positive 4 4 4 3 8
Paramyxoviruses Ìý Ìý Ìý Ìý Ìý
Measles virus 15 20 16 10 11
Mumps virus 12 9 7 13 13
Plasmodium Ìý Ìý Ìý Ìý Ìý
Plasmodium falciparum - 1 1 7 12
Plasmodium malariae - - - 1 -
Plasmodium ovale - - - 1 2
Plasmodium vivax - - - - 1
Polyomavirus Ìý Ìý Ìý Ìý Ìý
Polyomavirus BK 43 60 60 69 46
Polyomavirus JC 9 6 9 7 9
Polyomavirus untyped 17 11 14 20 3
Rickettsia Ìý Ìý Ìý Ìý Ìý
Rickettsia tsutsugamushi 2 - - - -
Rubella virus Ìý Ìý Ìý Ìý Ìý
Rubella virus 2 4 1 1 5
Salmonella Ìý Ìý Ìý Ìý Ìý
Other salmonellas 46 50 53 49 36
Salmonella enteritidis 17 26 36 31 -
Salmonella java 7 - - - -
Salmonella kentucky - - - 5 -
Salmonella newport - - 8 - -
Salmonella saint-paul - 14 6 8 -
Salmonella sp 10 24 42 51 86
Salmonella typhi and paratyphi 13 15 5 9 13
Salmonella typhimurium 13 28 13 17 -
Shigella Ìý Ìý Ìý Ìý Ìý
Shigella boydii - 1 - 1 -
Shigella dysenteriae - - - - 1
Shigella flexneri 14 20 15 17 9
Shigella sonnei 16 13 12 9 18
Shigella sp 33 55 62 73 52
Streptococcus Ìý Ìý Ìý Ìý Ìý
Streptococcus group A 73 61 52 60 54
Streptococcus pneumoniae 152 181 142 130 146
Vibrio Ìý Ìý Ìý Ìý Ìý
Vibrio cholerae 2 - 1 2 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 2025/08 2025/09 2025/10 2025/11 2025/12
Citrobacter Ìý Ìý Ìý Ìý Ìý Ìý
Citrobacter spp IMP - - 1 1 -
Ìý KPC 1 3 - 1 2
Ìý NDM 2 2 - - -
Ìý OXA48 - 4 2 2 2
Ìý VIM - 2 - - -
Ìý Other 1 1 - 1 -
Enterobacter Ìý Ìý Ìý Ìý Ìý Ìý
Enterobacter cloacae complex IMP 3 4 1 1 1
Ìý KPC - 2 2 - -
Ìý NDM 2 5 10 4 7
Ìý OXA48 2 4 - 2 1
Ìý Other 1 2 - 1 -
Other enterobacter spp KPC - 1 - - -
Ìý NDM - - - - 1
Escherichia Ìý Ìý Ìý Ìý Ìý Ìý
Escherichia coli KPC 1 3 1 2 1
Ìý NDM 15 15 18 15 12
Ìý OXA48 20 20 24 17 12
Ìý Other 2 1 - 1 2
Klebsiella Ìý Ìý Ìý Ìý Ìý Ìý
Klebsiella aerogenes KPC - - - - 1
Ìý OXA48 - 1 - - -
Klebsiella oxytoca IMP - - 1 - -
Ìý KPC - - 1 1 -
Ìý NDM 2 - 1 1 -
Ìý OXA48 1 - 1 1 -
Klebsiella pneumoniae IMP 1 - 2 - -
Ìý KPC 7 15 6 5 6
Ìý NDM 8 8 7 11 8
Ìý OXA48 13 9 12 11 5
Ìý Other 1 3 - 2 3
Klebsiella variicola OXA48 1 - - - -
Other klebsiella spp NDM - - - 1 -
Ìý Other - - - 1 -
Morganella Ìý Ìý Ìý Ìý Ìý Ìý
Morganella morganii NDM - 1 1 1 -
Ìý OXA48 - - 1 - -
Pantoea Ìý Ìý Ìý Ìý Ìý Ìý
Pantoea spp Other 1 - - - -
Proteus Ìý Ìý Ìý Ìý Ìý Ìý
Proteus mirabilis NDM 2 2 3 - -
Ìý OXA48 1 - - - 1
Ìý Other 1 1 2 - -
Raoultella Ìý Ìý Ìý Ìý Ìý Ìý
Raoultella ornithinolytica KPC - - 1 - -
Ìý OXA48 - 1 - - -
Serratia Ìý Ìý Ìý Ìý Ìý Ìý
Serratia marcescens/ureilytica NDM - - 1 - -
Ìý OXA48 - 1 - - -

Other carbapenemase-producing Gram-negative organisms

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 theÌýAMRHAIÌýReference Unit.

Week notification received 2025/08 2025/09 2025/10 2025/11 2025/12
Acinetobacter Ìý Ìý Ìý Ìý Ìý Ìý
Acinetobacter baumannii NDM 2 1 3 1 -
Other acinetobacter spp NDM 1 - - - -
Pseudomonas Ìý Ìý Ìý Ìý Ìý Ìý
Pseudomonas aeruginosa IMP 1 - - - -
Ìý NDM 2 1 2 1 -
Ìý Other 2 2 1 1 2
Pseudomonas stutzeri group NDM 1 - - - -
Other pseudomonas spp NDM - 1 1 - -
Ìý VIM - 1 - - -
Ìý Other - 1 1 - -
Other Ìý Ìý Ìý Ìý Ìý Ìý
Ìý KPC - 1 - - 1
Ìý NDM 1 - - - -
Ìý OXA48 1 - - - -