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, admissions and positivity decreased in the most recent reporting week. View report
Influenza Arrow Trend Down Episodes, admissions and positivity decreased in the most recent reporting week. Influenza activity remains low and stable. 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 15 Clade I 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 87% of confirmed cases (1,190 of 1,375) 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 25th August, there were 4,718 confirmed and probable cases in 2025.​ In week 33 there were 81 new cases (79 confirmed, 2 probable). View report
Measles Ukraine Ukraine is seeing a rapid increase in Measles cases – From 472 cases reported in Q1 to over 1,200 by August.​ More than 75% of cases are children under 17. 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 USA On 25 August 2025, New York City Health reported that the number of Legionnaires' disease cases associated with the ongoing outbreak in Central Harlem, New York, has increased to 113 cases and 6 associated deaths.​ View report
Cosmetic-procedure related botulism England K Health Security Agency (UKHSA) continues to warn people to be aware of the signs and symptoms of botulism following adverse reactions after receiving cosmetic procedures involving botulinum toxin. The number of clinically confirmed cases of iatrogenic botulism reported between 4 June and 6 August 2025 is now 41 in England. View report
West Nile virus France Two cases of autochthonous West Nile virus encephalitis in Paris have been described in a rapid clinical communication.​ Two immunocompetent patients in France developed febrile lymphocytic meningitis with encephalitis due to WNV. One case had not travelled outside Paris and one case had travelled to eastern France.​Cases occurred days apart, highlighting the spread of locally acquired infections to the most northernly part of France so far.​ ​ View report
World Mosquito Day 2025 Europe The European Centre for Disease Prevention and Control has warned that record breaking outbreaks of West Nile virus (WNV) infection and chikungunya virus disease point to a ‘new normal’ in Europe prompting the need for a robust and coordinated response to protect public health across Europe. View report
New World screwworm United States A human case of New World screwworm (NWS) or myiasis was confirmed in the United States in a person who had recently travelled to El Salvador. 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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