Health protection situational awareness (HPSA) report

Health Protection Situational Awareness

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NI Situational Awareness Summary

Disease/Situation Trend Summary Source
COVID-19 Arrow Trend Up Episodes, admissions and positivity increased in the most recent reporting week. View report
Influenza Arrow Trend Up Episodes and positivity increased, while admissions were stable in the most recent reporting week. View report
Trend is selected based on the trajectory of the majority of indicators for a given pathogen

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Horizon Scanning

Disease/Incident Location Situation Overview Source
Mpox clade I Africa Clade I Mpox outbreak is focused in multiple African countries. Imported clade I Mpox cases outside the African region have been reported in several countries, one case has also been reported in Republic of Ireland. View report
Mpox clade I United Kingdom There is a total of 16 Clade Ib Mpox cases reported in the UK. View report
Mpox clade II United Kingdom 1 January 2023 to 31 July 2025, total of 572 cases of Mpox clade IIb reported in the UK. Of these, 527 in England, 23 were in Scotland, 13 were in Wales, and 9 were in Northern Ireland. View report
Measles United States There have been 35 outbreaks reported in 2025, and 86% of confirmed cases (1,231 of 1,408) are outbreak-associated. For comparison, 16 outbreaks were reported during 2024 and 69% of cases (198 of 285) were outbreak-associated. View report
Measles Canada On 8th September, there were 4,849 confirmed and probable cases in 2025.​ In week 35 there were 50 new cases (45 confirmed, 5 probable). View report
Salmonella United Kingdom Orgenism is recalling Eggshell Membrane Capsules sold on Amazon because Salmonella has been found in the product. If you have bought the above product do not eat it. Instead, email team@orgenism.com for a free pre-paid returns envelope and a full refund. View report
Legionnaires' Disease Iowa, USA On 4 September 2025, 21 confirmed cases of Legionnaires' disease was reported in north central Marshalltown, Iowa, with one death reported. Contamination source remains unknown. View report
Rabies Romania On the 29 August 2025, the European Centre for Disease Prevention and Control (ECDC) reported a locally acquired human case of rabies in Lasi County, Romania. Patient died in mid-July.​ This is the first locally acquired human rabies case in Romania since 2012 View report
Ebola Democratic Republic of the Congo On 5 September 2025, the World Health Organization (WHO) reported there have been 28 Ebola virus disease (EVD) cases (including 5 confirmed) and 15 deaths (case fatality rate of 53.6%) in relation to the EVD outbreak in Kasai Province, Democratic Republic of the Congo (DRC). Suspected cases have been reported in Bulape and Mweka Health Zones. View report
Salmonella Strathcona Multi-country Between 1 January 2023 and 30 August 2025, 289 confirmed cases of Salmonella Strathcona ST2559 have been reported in 19 EU/EEA countries and three countries outside the EU/EEA (the United Kingdom, the United States, and Canada). View report

The purpose of this report is to provide an overview of selected surveillance metrics in the form of a situational awareness summary. Horizon scanning provides information on emerging situations that can impact public health including local, national and global events.