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 Down Episodes and positivity decreased while admissions increased in the most recent reporting week. Admissions for COVID-19 are higher than the same period last year View report
Influenza Arrow Trend Up Episodes, positivity, and admissions increased 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 August 2025, total of 589 cases of Mpox clade IIb reported in the UK. Of these, 543 in England, 24 were in Scotland, 13 were in Wales, and 9 were in Northern Ireland. View report
Legionnaires' Disease France (Albertville) Between 16 and 24 September 2025, ARS Auvergne-Rhone-Alpes reported 45 confirmed cases of Legionnaire's disease, including one death, in Albertville, France. Of these, 8 cases have been admitted to intensive case, 2 have now recovered. Investigations to determine the source of exposure is still ongoing. View report
Legionnaires' Disease France (Haute-Saone) On 25 September 2025, ARS Auvergne-Rhone-Alpes reported 6 hospitalised cases of Legionnaires' disease, including 2 fatal cases in Haute-Saone, France between 13 August and 22 September 2025. Although all cases were identified in the Port-sur-Saone neighbourhood, the source of exposure is unknown. Investigations into the source are ongoing. View report
STI Surveillance Data Update USA In 2024 combined cases of chlamydia, gonorrhoea and syphilis reduced by 9% from 2023 View report
Crimean-Congo haemorrhagic fever (CCHFV) France Serologic survey of animals in southern France reveals that Crimean-Congo hemorrhagic fever virus has been circulating among cattle and wildlife for years View report
Vancomycin-Resistant Enterococcus Colonisation (VRE) UK In a regional spinal cord injury centre, during the last six 12-month periods from 2019, the number of patients testing positive for VRE has shown an upward trend from 18 during 2019–2020 to 33 during 2024–2025. View report
Polioviruses - cases and positive environmental isolates Pakistan / Angola / Nigeria Global Polio Eradication Initiative reported three countries with new polio cases last week. View report
Measles ROI On September 27, it was reported that 0 measles notifications had been reported in week 38 with the last confirmed case reported in week 23.​ There have been 46 confirmed cases reported up to week 38, 2025 compared to 122 confirmed cases reported up to week 38, 2024 (Total of 184 confirmed cases reported in 2024).​ 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.