Research and analysis

NOIDs causative agents: week 17 (week ending 27 April 2025)

Updated 30 April 2025

The list of causative agents that laboratories must notify the UK Health Security Agency (UKHSA) about has been expanded to include additional  notifiable organisms which became reportable under the Health Protection (Notification) (Amendment) Regulations from 6 April 2025. Publication of the additional causative agents will begin at a later date, once reporting development work has been undertaken to include them.

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 2025/12 2025/13 2025/14 2025/15 2025/16 2025/17
Bacillus            
Bacillus cereus 19 12 13 27 33 17
Bordetella            
Bordetella pertussis 4 10 8 8 8 4
Borrelia            
Borrelia burgdorferi 19 20 15 13 15 17
Borrelia sp 2 3 2 1 2 4
Brucella            
Brucella melitensis - - - 1 - -
Brucella sp 1 - 1 - 1 1
Campylobacter            
Campylobacter coli 33 35 36 33 21 16
Campylobacter fetus - - - 1 - -
Campylobacter gracilis - - - - 1 -
Campylobacter jejuni 287 257 290 303 293 196
Campylobacter lari - - - 1 - -
Campylobacter other named - 2 7 3 4 1
Campylobacter rectus - - 1 - - -
Campylobacter sp 1,013 933 934 986 1,039 927
Campylobacter upsaliensis 1 1 - - 1 -
Campylobacter ureolyticus (bacteroides corrodens) 2 3 3 2 1 -
Chikungunya virus            
Chikungunya virus 1 1 - - - -
Clostridium            
Clostridium perfringens 41 34 36 37 37 46
Coronavirus            
Coronavirus 150 127 136 112 98 86
Human coronavirus 229e - 1 - 4 2 3
Human coronavirus hku1 - - 1 - - -
Human coronavirus oc43 1 - - - - -
SARS-CoV-2 antibody indeterminate - - 1 - - -
SARS-CoV-2 antibody void 34 34 16 6 20 26
SARS-CoV-2 coronavirus (COVID-19) 1,076 1,128 1,166 1,268 1,195 1,217
SARS-CoV-2 coronavirus (COVID-19) indeterminate 60 37 36 44 30 65
SARS-CoV-2 IgG antibody negative 9 26 32 12 15 24
SARS-CoV-2 IgG antibody positive 47 68 99 61 47 78
SARS-CoV-2 total antibody negative - 16 16 4 4 4
SARS-CoV-2 total antibody positive 29 38 24 16 18 20
Corynebacterium            
Corynebacterium diphtheriae 5 1 - 1 1 3
Corynebacterium ulcerans - 1 1 - - -
Coxiella            
Coxiella burnetii - - 1 - 1 -
Cryptosporidium            
Cryptosporidium hominis 6 2 4 4 3 1
Cryptosporidium meleagridis - 1 - - - -
Cryptosporidium parvum 30 39 27 42 38 14
Cryptosporidium sp 22 17 41 37 27 98
Entamoeba            
Entamoeba histolytica 4 4 1 1 4 4
Escherichia            
Escherichia coli O 157 12 10 5 11 6 8
Flaviviruses            
Dengue virus - 6 3 2 4 2
Giardia            
Giardia sp 108 107 98 91 114 93
Haemophilus            
Haemophilus influenzae 77 80 103 90 50 60
Hepatitis viruses            
Hepatitis A 13 13 13 29 18 19
Hepatitis B 322 277 256 304 296 287
Hepatitis C 291 280 267 287 253 250
Hepatitis D 6 5 10 3 5 3
Hepatitis E 27 33 48 32 30 34
Influenza virus            
Influenza A 1,312 1,187 1,007 889 688 628
Influenza B 1,244 1,162 856 670 422 300
Influenza indeterminate - - - - - 8
Influenza ungrouped 51 51 35 28 31 28
Legionella            
Legionella pneumophila 5 10 3 7 1 7
Legionella sp 4 5 2 4 2 5
Leptospira            
Leptospira interrogans - 1 - - 1 -
Listeria            
Listeria monocytogenes 5 2 13 13 2 2
Mycobacterium            
Mycobacterium tuberculosis 97 92 100 102 88 70
Neisseria            
Neisseria meningitidis 39 32 33 35 36 23
Orthopoxvirus            
Mpox virus positive 8 8 6 5 5 5
Paramyxoviruses            
Measles virus 9 14 16 14 19 20
Mumps virus 12 9 6 15 10 3
Plasmodium            
Plasmodium falciparum 12 - - 4 2 -
Plasmodium malariae - - - 1 - -
Plasmodium ovale 2 - - 2 1 -
Plasmodium vivax 1 - - - - -
Polyomavirus            
Polyomavirus BK 46 61 60 63 57 46
Polyomavirus JC 9 14 11 9 12 8
Polyomavirus untyped 3 11 15 6 8 8
Rickettsia            
Rickettsia prowazekii - - - - - 1
Rickettsia sp - - 1 - - -
Rubella virus            
Rubella virus 3 3 4 1 3 -
Salmonella            
Other salmonellas 56 48 53 58 37 22
Salmonella agona 5 - - - - -
Salmonella chester - 6 5 - - -
Salmonella enteritidis 17 31 35 20 15 11
Salmonella infantis - - 5 - - -
Salmonella java - - - 5 - -
Salmonella newport 7 5 - 5 - -
Salmonella sp 25 16 23 18 110 136
Salmonella stanley - - 5 - - -
Salmonella typhi and paratyphi 13 14 14 15 8 6
Salmonella typhimurium 14 22 28 17 9 8
Salmonella enterica - 5 - - - -
Shigella            
Shigella boydii - - 1 2 - 1
Shigella dysenteriae 1 2 1 1 - -
Shigella flexneri 11 19 25 14 24 6
Shigella sonnei 23 19 9 16 8 10
Shigella sp 46 57 62 36 67 59
Streptococcus            
Streptococcus group A 57 74 50 53 60 47
Streptococcus pneumoniae 149 154 144 150 168 160
Vibrio            
Vibrio cholerae 1 - 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 2025/12 2025/13 2025/14 2025/15 2025/16 2025/17
Citrobacter              
Citrobacter spp KPC 2 - - 1 2 -
  NDM 1 1 - - - -
  OXA48 2 1 2 3 4 -
  Other - - 1 - - -
Enterobacter              
Enterobacter cloacae complex IMP 1 - 1 3 4 1
  KPC 2 2 4 5 2 -
  NDM 11 11 7 7 3 -
  OXA48 2 - 3 6 4 1
  Other 1 2 1 1 1 -
Other enterobacter spp KPC 1 - - - - -
  NDM 1 - - - - -
  OXA48 2 - - - - -
Escherichia              
Escherichia coli IMP - 1 1 - - -
  KPC 1 1 1 - 3 -
  NDM 18 17 19 17 17 2
  OXA48 18 15 19 19 21 3
  Other 3 1 1 2 2 -
Other escherichia spp OXA48 - 1 - - - -
Klebsiella              
Klebsiella aerogenes IMP - - - 1 - -
  KPC 1 - - - - -
  OXA48 - - 1 - - -
Klebsiella oxytoca KPC - - 1 1 - -
  OXA48 - - - 1 1 -
Klebsiella pneumoniae IMP 1 2 2 2 2 -
  KPC 10 17 2 6 5 2
  NDM 10 9 9 6 9 -
  OXA48 9 3 12 10 13 -
  VIM - - - - 1 -
  Other 3 3 1 2 2 -
Klebsiella variicola NDM - - 1 - - -
  OXA48 - - 1 - - -
Other klebsiella spp NDM - 1 - - - -
  OXA48 - 1 - - - -
  Other - 1 - - - -
Morganella              
Morganella morganii OXA48 - - - 1 - -
Pantoea              
Pantoea spp NDM - 1 - - - -
Proteus              
Proteus mirabilis NDM 1 - 3 3 - -
  OXA48 1 1 - - - -
  Other 1 1 1 2 1 -
Providencia              
Providencia stuartii Other - 1 - - - -
Raoultella              
Raoultella ornithinolytica KPC - - - 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.

Week notification received 2025/12 2025/13 2025/14 2025/15 2025/16 2025/17
Acinetobacter              
Acinetobacter baumannii NDM 2 - 1 1 - -
Pseudomonas              
Pseudomonas aeruginosa NDM - - 2 - - -
  VIM - - 3 1 - -
  Other 1 2 5 1 3 1
Pseudomonas fluorescens group VIM - - - - 1 -
Other pseudomonas spp VIM - - 1 - - -
Other              
  KPC 1 - - - - -
  NDM - - 1 - - -
  OXA48 - - 1 - 1 -