GP OOH Syndromic Surveillance Bulletin

GP OOHSS

GP Out-of-Hours Surveillance System: England

20 May 2020

Year: 2020 Week: 20

In This Issue:

Key Messages. Weekly summary. Total contacts. Syndromic indicators. Notes and caveats. Further information. Acknowledgements.

Key messages

Data to:

17 May 2020

During week 20, GP out-of-hours consultations for acute respiratory infection, influenza-like illness and difficulty breathing/wheeze/asthma continued to decrease (figures 2, 3 & 5).

Influenza like illness consultations remain above baseline levels (figures 3).

Syndromic indicators at a glance:

Number of contacts and percentage of Read coded contacts.

Key indicator All OOH contacts, all causes Acute respiratory infection Influenza-like illness Bronchitis/bronchiolitis Difficulty breathing/wheeze/asthma Pharyngitis Gastroenteritis Diarrhoea Vomiting Myocardial infarction

No. of contacts 150,531 3,114 292 19 1,054 19 1,537 449 619 867

%

%

Week 20 Week 19

5.56

6.14

0.52

0.80

0.03

0.03

1.88

2.21

0.03

0.04

2.74

2.52

0.80

0.78

1.10

1.10

1.55

1.43

Trend*

*Trend: reports on the trend seen over previous weeks in the percentage of Read coded contacts.

60,000

1: Total out-of-hours

contacts:

50,000

Daily total number of

out-of-hours and

unscheduled contacts

40,000

and 7 day average

(adjusted for bank

holidays). 30,000

Number of contacts

20,000

10,000

0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20

Bank Holiday

weekend

All contacts

7 day moving average (adjusted for bank holidays)

.20 May 2020 2: Acute Respiratory

Infection daily contacts. Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

3: Influenza-like illness daily contacts.

Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

3a: Influenza-like illness by age group.

As a percentage of total contacts within each age group, shown as a 7 day moving average adjusted for bank holidays.

Percentage of Read coded contacts

Percentage of Read coded contacts

Percentage of Read coded contacts

GP OOHSS

Year: 2020 Week: 20

45

40

35

30

25

20

15

10

5

0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

ACUTERESPIRATORYINFECTION

7 day moving average (adjusted for bank holidays)

Baseline

8.0

7.0

6.0

5.0

4.0

3.0

2.0

1.0

0.0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

ILI

7 day moving average (adjusted for bank holidays)

Baseline

8

7

6

5

4

3

2

1

0 19/05/19

16/06/19 14/07/19 11/08/19

Bank Holiday

weekend

08/09/19 06/10/19 03/11/19 01/12/19

under 1

1 to 4

5 to 14

29/12/19 26/01/20 23/02/20

15 to 44

45 to 64

22/03/20 over 65

19/04/20 17/05/20

all ages Page 2.

.20 May 2020

4: Bronchitis/

1.2

bronchiolitis daily

contacts.

1.0

Shown as a percentage

of the total contacts with

a Read code and as a 7

0.8

day average*.

0.6

GP OOHSS

Year: 2020 Week: 20

Percentage of Read coded contacts

0.4

0.2

4a: Bronchitis/ bronchiolitis daily contacts by age group*.

As a percentage of total contacts within each age group, shown as a 7 day moving average adjusted for bank holidays.

0.0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

BRONCHITIS

7 day moving average (adjusted for bank holidays)

Baseline

6

5

4

3

2

Percentage of Read coded contacts

1

5: Difficulty breathing/ wheeze/asthma daily contacts.

Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

*7-day moving average adjusted for bank holidays.

Percentage of Read coded contacts

0 19/05/19

16/06/19 14/07/19 Bank Holiday

11/08/19 08/09/19 06/10/19 03/11/19 01/12/19

weekend

under 1

1 to 4

5 to 14

29/12/19 15 to 44

26/01/20 23/02/20 22/03/20 19/04/20

45 to 64

over 65

all ages

17/05/20

8.0

7.0

6.0

5.0

4.0

3.0

2.0

1.0

0.0

Page 3. 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

DIFFICULTYBREATHINGWHEEZEASTHMA

7 day moving average (adjusted for bank holidays)

Baseline

.20 May 2020

5a: Difficulty

8

breathing/wheeze/

asthma daily

contacts by age

group*.

6

Percentage of Read coded contacts

As a percentage of total

contacts within each age

group, shown as a 7 day

4

moving average

adjusted for bank

holidays.

2

GP OOHSS

Year: 2020 Week: 20

6: Acute pharyngitis and persistent sore throat.

Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

7: Gastroenteritis daily contacts

Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

Percentage of Read coded contacts

0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20

Bank Holiday

weekend

under 1

1 to 4

5 to 14

15 to 44

45 to 64

over 65

all ages

0.4

0.35

0.3

0.25

0.2

0.15

0.1

0.05

0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

PHARYNGITIS/SCARLETFEVER

7 day moving average (adjusted for bank holidays)

Baseline

12

10

8

6

Percentage of Read coded contacts

4

*7-day moving average adjusted for bank holidays.

2

0

Page 4. 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

GASTROENTERITIS

7 day moving average (adjusted for bank holidays)

Baseline

.20 May 2020

8: Diarrhoea daily contacts.

Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

8a: Diarrhoea daily contacts by age group*.

As a percentage of total contacts within each age group, shown as a 7 day moving average adjusted for bank holidays.

Percentage of Read coded contacts

GP OOHSS

Year: 2020 Week: 20

4.0

3.5

3.0

2.5

2.0

1.5

1.0

0.5

0.0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Bank Holiday

weekend

DIARRHOEA

7 day moving average (adjusted for bank holidays)

Baseline

5

4

3

2

Percentage of Read coded contacts

1

9: Vomiting daily contacts.

Shown as a percentage of the total contacts with a Read code and as a 7 day average*.

*7-day moving average adjusted for bank holidays.

Percentage of Read coded contacts

0 19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20

Bank Holiday

weekend

under 1

1 to 4

5 to 14

15 to 44

45 to 64

over 65

all ages

6.0

5.0

4.0

3.0

2.0

1.0

0.0

19/05/19 16/06/19 14/07/19 11/08/19 08/09/19 06/10/19 03/11/19 01/12/19 29/12/19 26/01/20 23/02/20 22/03/20 19/04/20 17/05/20 14/06/20

Page 5.

Bank Holiday

weekend

VOMITING

7 day moving average (adjusted for bank holidays)

Baseline

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