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 Right Long Episodes increased, while admissions and occupancy remained stable in the most recent reporting week. Positivity has increased in the latest reporting week. ​​ View report
Influenza Arrow Right Long Overall, indicators remain at low levels. ​Episodes, admissions, occupancy and test positivity remained stable in the most recent reporting week. There have been no outbreaks reported in the latest reporting week in care home settings. 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 12 Clade I Mpox cases reported in the UK. View report
Mpox clade II United Kingdom 1 January 2023 to 30 April 2025, total of 508 cases of Mpox clade IIb reported in the UK. Of these, 470 in England, 19 were in Scotland, 10 were in Wales, and 9 were in Northern Ireland. View report
Measles United States There have been 14 outbreaks reported in 2025, and 90% of confirmed cases (977 of 1,088) 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 2nd June 2025, 2,755 confirmed and probable cases in 2025.​ In week 21 there were 244 new cases (233 confirmed, 11 probable). View report
Tick-borne ecephalitis virus Belgium Findings published on May 20th, 2025 described the first detection of TBEV in questing ticks collected in Belgium by Rt -qPCR in 2024. The ticks were collected at a location where a previous TBE case had reported being bitten. View report
Anthrax Thailand Five cases of cutaneous anthrax, including one death in Thailand, were notified to the World Health Organisation in May 2025. All cases had direct contact with cattle suspected to be infected with anthrax.​ View report
Crimean-Congo haemorrhagic fever Spain On 28 May 2025, the Castile and Leon Regional Government reported a confirmed case of Crimean Congo haemorrhagic fever (CCHF) in Salamanca, Spain. ​ The case, a 70 year old male, was exposed through a tick bite and currently remains hospitalised in isolation. ​ View report
Avian influenza A(H5N1) Cambodia On 27 May 2025, the Cambodian Ministry of Health reported a fatal case of avian influenza A(H5N1) in an 11-year-old child from My Kraing commune, Samrong Tong district, Kampong Speu province. The case had been exposed to sick chickens and ducks around their home 7 days prior to symptom onset. ​ Health officials have commenced active case searching and have provided antivirals (tamiflu) to close contacts. View report
SARS-CoV-2 Global On 28 May 2025, WHO published a Disease Outbreak News article to highlight recent trends in SARS-CoV-2 activity. ​ Since February 2025, test positivity from 73 global sentinel sites have increased to 11%, a level not seen since July 2024. This rise has primarily been seen in countries in the Eastern Mediterranean, South-East Asia, and Western Pacific regions.​ The circulation of the LP.8.1 variant has declined with NB.1.8.1 increasing to 10.7% of global sequences reported by mid-May 2025. The recent increase in SARS-CoV-2 activity has been consistent with levels reported from the same period in 2024, however, a seasonal pattern remains unclear. 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.

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