gp in hours mumps no trend below baseline levels...gp in hours syndromic surveillance system:...

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GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messages GP consultations for scarlet fever remain elevated (figure 4) and have risen in the 5-14 years age band (figure 4a) during week 13. A Cold Watch System operates in England from 1 November to 31 March each year. As part of the Public Health England Cold Weather Plan for England the PHE Real-time Syndromic Surveillance team will be monitoring the impact of cold weather on syndromic surveillance data during this period. Cold weather alert level (current reporting week): Level 1- Winter preparedness http://www.metoffice.gov.uk/weather/uk/coldweatheralert/ In This Issue: Key messages. Diagnostic indicators at a glance. GP practices and denominator population. National syndromic indicators. Notes and further information. Appendix. Diagnostic indicators at a glance: GP practices and denominator population: Data to: 29 March 2015 Year: 2015 Week: 13 **based on the average number of practices and denominator population in the reporting working week. Year Week GP Practices Reporting** Population size** 2015 13 3794 27.7 million Indicator Trend Level Upper respiratory tract infection increasing above baseline levels Influenza-like illness no trend above baseline levels Pharyngitis increasing above baseline levels Scarlet fever no trend above baseline levels Lower respiratory tract infection increasing above baseline levels Pneumonia no trend above baseline levels Gastroenteritis no trend below baseline levels Vomiting no trend above baseline levels Diarrhoea no trend below baseline levels Severe asthma no trend above baseline levels Wheeze no trend above baseline levels Allergic rhinitis no trend below baseline levels Conjuctivitis no trend below baseline levels Mumps no trend below baseline levels Measles no trend below baseline levels Rubella no trend similar to baseline levels Pertussis no trend similar to baseline levels Chickenpox no trend similar to baseline levels Herpes zoster no trend similar to baseline levels Cellulitis no trend similar to baseline levels Impetigo no trend similar to baseline levels

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Page 1: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Syndromic Surveillance System:

England

31 March 2015

Key messages

GP consultations for scarlet fever remain elevated (figure 4) and have risen in the 5-14 years age band (figure 4a) during week 13. A Cold Watch System operates in England from 1 November to 31 March each year. As part of the Public Health England Cold Weather Plan for England the PHE Real-time Syndromic Surveillance team will be monitoring the impact of cold weather on syndromic surveillance data during this period. Cold weather alert level (current reporting week): Level 1- Winter preparedness http://www.metoffice.gov.uk/weather/uk/coldweatheralert/

In This Issue:

Key messages.

Diagnostic indicators at a glance.

GP practices and denominator population.

National syndromic indicators.

Notes and further information.

Appendix.

Diagnostic indicators at a glance:

GP practices and denominator population:

Data to: 29 March 2015

Year: 2015 Week: 13

**based on the average number of practices and denominator population in the reporting working week.

Year Week GP Practices Reporting** Population size**

2015 13 3794 27.7 million

Indicator Trend Level

Upper respiratory tract infection increasing above baseline levels

Influenza-like illness no trend above baseline levels

Pharyngitis increasing above baseline levels

Scarlet fever no trend above baseline levels

Lower respiratory tract infection increasing above baseline levels

Pneumonia no trend above baseline levels

Gastroenteritis no trend below baseline levels

Vomiting no trend above baseline levels

Diarrhoea no trend below baseline levels

Severe asthma no trend above baseline levels

Wheeze no trend above baseline levels

Allergic rhinitis no trend below baseline levels

Conjuctivitis no trend below baseline levels

Mumps no trend below baseline levels

Measles no trend below baseline levels

Rubella no trend similar to baseline levels

Pertussis no trend similar to baseline levels

Chickenpox no trend similar to baseline levels

Herpes zoster no trend similar to baseline levels

Cellulitis no trend similar to baseline levels

Impetigo no trend similar to baseline levels

Page 2: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 2.

1: Upper respiratory

tract infection (URTI)

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

1a: Upper respiratory

tract infection (URTI)

by age

Average daily incidence rate by week per 100,000 population (all England)

2: Influenza-like illness

(ILI)

Daily incidence rates (and 7-day moving average*) per 100,000 population (all England, all ages).

* 7-day moving average adjusted for bank holidays.

0

20

40

60

80

100

120

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2010-13) URTI

0

2

4

6

8

10

12

14

16

18

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2010-13) Influenza-like illness

Year: 2015 Week: 13

0

100

200

300

400

500

600

700

800

900

1000

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13

2014 2015

Av

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10

0,0

00

re

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P p

ati

en

ts

Year - Week

Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages

Page 3: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 3.

2a: Influenza-like illness (ILI) by age

Average daily incidence rate by week per 100,000 population (all England)

3: Pharyngitis or scarlet fever

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

* 7-day moving average adjusted for bank holidays.

4: Scarlet fever

Year: 2015 Week: 13

Daily incidence rate (and 7-day moving av-erage*) per 100,000 population (all England, all ages, based on a population denominator of approximately 5.5 million patients).

0

5

10

15

20

25

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2010-13) Pharyngitis or scarlet fever

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2012-14) Scarlet Fever

0

2

4

6

8

10

12

14

16

18

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13

2014 2015

Av

era

ge

da

ily

ra

te p

er

10

0,0

00

re

gis

tere

d G

P p

ati

en

ts

Year - Week

Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages

Page 4: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 4.

4a: Scarlet fever by

age

Average daily incidence rate by week per 100,000 population (all England, based on a population denominator of approximately 5.5 million patients).

5a: Lower respiratory tract infection (LRTI) by age

Average daily incidence rate by week per 100,000 population (all England)

5: Lower respiratory tract infection (LRTI)

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

* 7-day moving average adjusted for bank holidays.

Year: 2015 Week: 13

0

10

20

30

40

50

60

70

80

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2010-13) LRTI

0

50

100

150

200

250

300

350

400

450

500

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13

2014 2015

Av

era

ge

da

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ra

te p

er

10

0,0

00

re

gis

tere

d G

P p

ati

en

ts

Year - Week

Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages

0

1

2

3

4

5

6

7

8

9

10

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13

2014 2015

Av

era

ge

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r 1

00

,00

0 r

eg

iste

red

GP

pa

tie

nts

Year - Week

Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages

Page 5: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 5.

6: Pneumonia

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

Intentionally left blank

Intentionally left blank

* 7-day moving average adjusted for bank holidays.

Year: 2015 Week: 13

0.0

0.2

0.4

0.6

0.8

1.0

1.2

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Pneumonia

Page 6: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 6.

7: Gastroenteritis

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

8: Vomiting

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

9: Diarrhoea

* 7-day moving average adjusted for bank holidays.

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

Year: 2015 Week: 13

0

2

4

6

8

10

12

14

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

Da

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weekend bank holiday 7 day mov avg baseline (2009-13) Diarrhoea

0

1

2

3

4

5

6

7

8

9

10

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

Da

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weekend bank holiday 7 day mov avg baseline (2009-13) Vomiting

0

5

10

15

20

25

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Gastroenteritis

Page 7: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 7.

10: Severe asthma

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

10a: Severe asthma by age

Average daily incidence rate by week per 100,000 population (all England)

11: Wheeze

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

* 7-day moving average adjusted for bank holidays.

Year: 2015 Week: 13

0

2

4

6

8

10

12

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Wheeze

0

1

2

3

4

5

6

7

8

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 10 11 12 13

Av

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da

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10

0,0

00

re

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P p

ati

en

ts

Year - Week

Under 1 Year 1 to 4 5 to 14 15 to 44 45 to 64 65 to 74 75 plus All ages

0.0

1.0

2.0

3.0

4.0

5.0

6.0

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Severe Asthma

Page 8: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 8.

12: Allergic rhinitis

Daily incidence rate

(and 7-day moving

average*) per 100,000

population (all England,

all ages).

13: Conjunctivitis

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

* 7-day moving average adjusted for bank holidays.

Year: 2015 Week: 13

0

2

4

6

8

10

12

14

16

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Conjunctivitis

0

5

10

15

20

25

30

35

40

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg Allergic Rhinitis

Page 9: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

Page 9.

14: Mumps

Daily incidence rate

(and 7-day moving

average*) per 100,000

population (all England,

all ages).

15: Measles

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

16: Rubella

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

31 March 2015.

* 7-day moving average adjusted for bank holidays.

Year: 2015 Week: 13

0.00

0.01

0.02

0.03

0.04

0.05

0.06

0.07

0.08

0.09

0.10

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Rubella

0.00

0.05

0.10

0.15

0.20

0.25

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Measles

0.00

0.05

0.10

0.15

0.20

0.25

0.30

0.35

0.40

0.45

0.50

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Mumps

Page 10: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 10.

17: Pertussis

Daily incidence rate

(and 7-day moving

average*) per 100,000

population (all England,

all ages).

18: Chickenpox

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

19: Herpes zoster

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

* 7-day moving average adjusted for bank holidays.

Year: 2015 Week: 13

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Herpes Zoster

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Chickenpox

0.00

0.05

0.10

0.15

0.20

0.25

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Pertussis

Page 11: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 11.

20: Cellulitis

Daily incidence rate

(and 7-day moving

average*) per 100,000

population (all England,

all ages).

21: Impetigo

Daily incidence rate (and 7-day moving average*) per 100,000 population (all England, all ages).

22: Intentionally left blank

Intentionally left blank.

* 7-day moving average adjusted for bank holidays.

0.0

0.5

1.0

1.5

2.0

2.5

3.0

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Impetigo

Year: 2015 Week: 13

0

2

4

6

8

10

12

30/03/14 27/04/14 25/05/14 22/06/14 20/07/14 17/08/14 14/09/14 12/10/14 09/11/14 07/12/14 04/01/15 01/02/15 01/03/15 29/03/15

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weekend bank holiday 7 day mov avg baseline (2009-13) Cellulitis

Page 12: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours

31 March 2015.

Page 12.

Notes and further

information

The Public Health England GP in hours surveillance system is a syndromic surveillance system monitoring community-based morbidity recorded by GP practices.

This system captures anonymised GP morbidity data from two GP clinical software systems, EMIS, from version 1 of the QSurveillance® database, and TPP SystmOne.

Historic baselines are smoothed to remove bank holiday effects. Data from 2009 has been excluded for selected indicators which were affected by the H1N1 influenza pandemic. No baseline is currently included for allergic rhinitis.

The appendix illustrates weekly GP in hours consultation data for influenza-like illness (ILI). Each PHE Centre is represented by a thematic map showing its constituent local authorities (LA) coloured according to the weekly consultation rate of ILI per 100,000 population. LAs where less than 5 cases of ILI have been reported are supressed and illustrated as no data.

The maps on the following pages contains Ordnance Survey data © Crown copyright and database right 2014. Contains National Statistics data © Crown copyright and database right 2014.

Acknowledgements: We thank and acknowledge the University of Nottingham, ClinRisk® and the contribution of

EMIS and EMIS practices. Data source: version 1 of the QSurveillance® database. We thank TPP, ResearchOne and the SystmOne GP practices contributing to this surveillance system.

GP In Hours Syndromic Surveillance System Bulletin.

Produced by: PHE Real-time Syndromic Surveillance Team 6th Floor, 5 St Philip’s Place, Birmingham, B3 2PW

Tel: 0344 225 3560 > Option 4 > Option 2 Fax: 0121 236 2215 Web: https://www.gov.uk/government/collections/syndromic -surveillance-systems-and

-analyses

Contact ReSST: [email protected]

Year: 2015 Week: 13

Page 13: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 13.

England

Weekly ILI consultation rate by LA for England

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 14: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 14.

North East

Weekly ILI consultation rate by LA for North East PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 15: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 15.

Yorkshire &

Humber

Weekly ILI consultation rate by LA for Yorkshire & Humber PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 16: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 16.

Cheshire &

Merseyside

Weekly ILI consultation rate by LA for Cheshire & Merseyside PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 17: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 17.

Cumbria &

Lancashire

Weekly ILI consultation rate by LA for Cumbria & Lancashire PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

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GP In Hours Appendix

30 March 2015.

Page 18.

Greater

Manchester

Weekly ILI consultation rate by LA for Greater Manchester PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

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GP In Hours Appendix

30 March 2015.

Page 19.

South

Midlands &

Hertfordshire

Weekly ILI consultation rate by LA for South Midlands & HertfordshirePHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

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GP In Hours Appendix

30 March 2015.

Page 20.

East

Midlands

Weekly ILI consultation rate by LA for East Midlands PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

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GP In Hours Appendix

30 March 2015.

Page 21.

West

Midlands

Weekly ILI consultation rate by LA for West Midlands PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

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GP In Hours Appendix

30 March 2015.

Page 22.

Anglia &

Essex

Weekly ILI consultation rate by LA for Anglia & Essex PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

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GP In Hours Appendix

30 March 2015.

Page 23.

London

Weekly ILI consultation rate by LA for London PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 24: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 24.

Thames

Valley

Weekly ILI consultation rate by LA for Thames Valley PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 25: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 25.

Avon,

Gloucestershire

& Wiltshire

Weekly ILI consultation rate by LA for Avon, Gloucestershire & Wiltshire PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 26: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 26.

Devon,

Cornwall &

Somerset

Weekly ILI consultation rate by LA for Devon, Cornwall & Somerset PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 27: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 27.

Wessex

Weekly ILI consultation rate by LA for Wessex PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13

Page 28: GP In Hours Mumps no trend below baseline levels...GP In Hours Syndromic Surveillance System: England 31 March 2015 Key messagesIn This Issue GP consultations for scarlet fever remain

GP In Hours Appendix

30 March 2015.

Page 28.

Kent, Surrey

& Sussex

Weekly ILI consultation rate by LA for Kent, Surrey & Sussex PHE Centre

Year: 2015 Week: 13

Contains Ordnance Survey data ©Crown copyright and database right 2014. Contains National Statistics data ©Crown copyright and database right 2014.

Week 10 Week 11

Week 12 Week 13