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Reporting week 23: 5 June to 11 June 2023

On Sunday 11 June, there was a sharp increase in asthma and difficulty breathing indicators across syndromic surveillance systems, which coincided with Met Office weather warnings for thunderstorms across parts of England. Increases were seen in emergency department (ED), ambulance and NHS 111 syndromic systems and particularly in 5 to 14 and 15 to 44 years age groups. During week 23, there were increases in 鈥榠mpact of heat鈥� syndromic indicators in line with the current warm weather and also increases in GP consultations for allergic rhinitis and NHS 111 eye problems, both in line with seasonal grass pollen activity.

Remote health advice syndromic surveillance system

During week 23, NHS 111 calls and online assessments for 鈥榟eat exposure or sunburn鈥� and insect bites increased in line with the current Heat-Health Alert issued by the UK Health Security Agency (UKHSA) and the Met Office. On Sunday 11 June, there was also a large spike in calls and online assessments for difficulty breathing in the 5 to 14 and 15 to 44 years age groups. This spike coincided with Met Office weather warnings for thunderstorms across parts of England. Calls and assessments for eye problems also increased during week 23, particularly in children aged 5 to 14, in line with seasonal grass pollen activity.

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GP in hours syndromic surveillance system

During week 23, there was a sharp increase in the consultation rate for allergic rhinitis consistent with current grass pollen activity and the recent warm weather. Highest rates were observed in the 5 to 14 and 15 to 44 years age groups and rates were above seasonal baseline levels in London, South East and South West regions.

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GP out-of-hours syndromic surveillance system

Daily GP out-of-hours contact data from 4 August 2022 onwards has not been received due to a widely publicised disruption faced by one of the GP out-of-hours clinical software system providers. We have since been informed that this disruption was as a result of a cybersecurity incident caused by ransomware. We are working closely with our data provider to restore the daily syndromic feed.

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Emergency department syndromic surveillance system

There was a large increase in ED asthma attendances on Sunday 11 June. The increase was particularly noted in 5 to 14, 15 to 44 and 45 to 64 years age groups and North West, West Midlands, London, South East and South West regions. This spike coincided with Met Office weather warnings for thunderstorms across parts of England. During week 23 there were also increases in 鈥榟eat or sunstroke鈥� attendances in line with the current Heat-Health Alert issued by UKHSA and the Met Office.

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Ambulance syndromic surveillance system

During week 23, there was a large spike in difficulty breathing ambulance calls (on Sunday 11 June), notably in the West Midlands, East of England, London and South West regions. This spike coincided with Met Office weather warnings for thunderstorms across parts of England. There were also increases in ambulance calls for 鈥榠mpact of heat or cold鈥� and 鈥榰nconscious or passing out鈥�, which both increased in line with the current Heat-Health Alert issued by UKHSA and the Met Office. Ambulance calls for 鈥榗ardiac or respiratory arrest鈥� and allergic reactions also increased over the weekend.

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