About this release

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Our quarterly update

This release by Public Health Scotland (PHS) provides quarterly information on the following immunisations and vaccine-preventable diseases under surveillance in Scotland:

  • Diphtheria
  • Haemophilus influenzae (H.influenzae)
  • Measles
  • Meningococcal disease
  • Mumps
  • Pertussis
  • Invasive pneumococcal disease
  • Rotavirus
  • Rubella
  • Shingles

Next release

The next release of this publication will be 3 September 2024.

Main points

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Vaccine-preventable disease

There has been an increase in pertussis (whooping cough) case numbers since late 2023, continuing into the first quarter of 2024. Case numbers for the first quarter of 2024 alone are higher than annual case numbers for the last significant outbreak of pertussis in Scotland that occurred in 2012 and 2013. Several measles cases have been reported in Scotland, most of which have originated from outwith the UK reflecting increased measles activity in many countries worldwide in recent months.  There has also been an increase in meningococcal disease in the first quarter of 2024, with case numbers higher than those for the first quarter of the previous five years. Most cases continue to be serogroup B disease.

Pertussis

Pertussis case numbers in Scotland have been increasing since late 2023. There were 1,084 laboratory confirmed cases in the first quarter of 2024 alone. In 2023, there were 73 laboratory confirmed cases of pertussis, the majority of which (n=56) were reported in the final quarter of the year. Prior to 2024, the last significant outbreak in Scotland occurred in 2012 and 2013, with 1,896 and 1,188 laboratory confirmed cases per year, respectively. There was also increased pertussis activity in 2016, with 1,075 laboratory confirmed cases that year.

Measles, mumps and rubella

There were six laboratory confirmed measles cases reported in the first quarter of 2024. Of these cases, five are thought to have been imported and related to travel outwith the UK. One case was acquired in the UK and may have been related to one of the imported cases. The lack of onward transmission associated with these cases highlights the success of the MMR vaccination programme, the importance of maintaining high vaccine uptake in Scotland, and reflects the robust public health management of these cases.   

There were four cases of laboratory-confirmed mumps reported in the first quarter of 2024.

There were 16 cases of laboratory-confirmed mumps reported in 2023, seven cases in 2022 and one in 2021. This is a considerable reduction from the 864 cases reported in 2020 and 784 cases reported in 2019.

There have been no reported cases of rubella in Scotland since 2017.

Invasive bacterial diseases

Case numbers for meningococcal disease in the first quarter of 2024 were higher than those for the first quarter of the previous five years. Most cases continue to be serogroup B disease.

Case numbers for invasive pneumococcal disease in the first quarter of 2024 were higher than those reported for the same period of the previous four years, but lower than the number of cases reported for the same period in 2019, which is the last full pre-pandemic year for which data are presented.

Case numbers for invasive Haemophilus influenzae in the first quarter of 2024 were lower than the number of cases reported for the same period of 2023, 2020 and 2019, but higher than the number of cases reported for the first quarter of 2021 and 2022.

There were 27 cases of meningococcal disease reported in the first quarter of 2024. This compares with fifteen cases for the same period in 2023, nine in 2022, two in 2021 and 21 in both 2020 and 2019.   

There were 165 cases of invasive pneumococcal disease reported in the first quarter of 2024. This compares with 130 cases in the same period of 2023, 83 in 2022, 42 in 2021, 149 in 2020 and 223 in 2019.

There were 19 invasive H. influenzae cases reported in the first quarter of 2024. This compares with 33 cases for the same period in 2023, 15 cases in 2022, four cases in 2021, 25 cases in 2020 and 23 cases in 2019.

Results and commentary

Diphtheria

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Diphtheria is an acute bacterial infection affecting the upper respiratory tract or the skin, caused by the diphtheria toxin produced by toxigenic strains of Corynebacterium diphtheriae (C. diphtheriae), Corynebacterium ulcerans (C. ulcerans), and less commonly Corynebacterium pseudotuberculosis (C. pseudotuberculosis).

The most common symptoms of diphtheria affecting the upper respiratory tract are membranous pharyngitis with fever, lymphadenopathy and upper respiratory tract soft tissue swelling 'bull neck' potentially leading to life-threatening airway obstruction. Cutaneous diphtheria may cause pus-filled blisters on legs, hands and feet, and ulceration of the skin.

In unvaccinated or partially vaccinated individuals, systemic absorption of the toxin can lead to late complications such as cardiac and neurological conditions, and sometimes death.

Surveillance

Diphtheria has been rare in the UK because babies and children have been vaccinated against it since the 1940s. Prior to the introduction of a vaccine up to 70,000 cases a year were confirmed, causing around 5,000 deaths.

There was one case of toxigenic diphtheria (C.ulcerans) reported in the first quarter of 2024. In 2023, there were two cases of toxigenic diphtheria (both C.ulcerans). Prior to these, the last case of toxigenic diphtheria in Scotland was reported in 2020.

The UK Health Security Agency (UKHSA) reported an increase in cases of toxigenic C. diphtheriae among asylum seekers arriving by small boat to England in 2022, with similar increases reported elsewhere in Europe. Further details can be found here: Diphtheria: cases among asylum seekers in England, 2022 to January 2024 - GOV.UK (www.gov.uk).

Vaccination Information

More information on vaccines against diphtheria can be found on the following pages:

Vaccine uptake statistics

Vaccine uptake statistics for children are published in Teenage booster immunisation statistics Scotland - School year 2022/2023 and childhood immunisation statistics quarterly report.

Haemophilus influenzae

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Haemophilus influenzae (H. influenzae) are bacteria commonly carried in the respiratory tract, which can cause acute invasive disease. They are divided into encapsulated and unencapsulated (non-typeable) strains. Encapsulated strains can be classified into six serotypes, from a to f, of which type b (Hib) was most prevalent prior to vaccine introduction. Infection with H. influenzae can cause the following conditions:

  • meningitis
  • septicaemia
  • acute respiratory infections

 Less frequent conditions which may be caused by H. influenzae infection include:

  • epiglottitis
  • osteomyelitis
  • septic arthritis

For more information on H. influenzae type b, visit NHS inform.

In 1992, following introduction of the Hib vaccine for young children, the number of H. influenzae type b cases fell dramatically, not only in the vaccinated group but also in older age groups. 

Due to reduced carriage of the organism within the respiratory tract of vaccinated children, transmission to the wider community was effectively suppressed.

The addition of the Hib booster vaccine in 2006 to the childhood immunisation schedule, reduced case numbers further.

In Scotland, typing is conducted on cases with positive laboratory reports for invasive H. influenzae in order that national trends in disease subtypes can be monitored.

Further enhanced surveillance is carried out for all invasive H. influenzae cases identified in children under the age of five and type b strains across all age groups.

Surveillance update for January to March 2024

There were 19 invasive H. influenzae cases reported in the first quarter of 2024. This is lower than the number of cases reported for the first quarters of 2023, 2020 and 2019 (n=33, n=25 and n=23 respectively) but higher than the number of cases reported for the first quarter of 2021 (n=4) and 2022 (n=15).

Image caption Figure 1: Cumulative number of Haemophilus influenzae cases reported to PHS, 2019 to 2024 (week 13)

Of the 19 cases reported in the first quarter of 2024:

  • 13 were people aged over 40 years
  • two were people aged between 21 and 40 years
  • four were children aged under five years old, one of whom was an infant aged under one year

Figure 2 demonstrates the epidemiological impact of the Hib vaccine, for those aged under five (routinely vaccinated group) and for all ages (including under-fives).

There was a marked decrease in cases from 1992 in all age groups, followed by a rise in case numbers in the early 2000s. Case numbers decreased again following the introduction of the Hib booster vaccine, and figures have remained relatively stable since 2011. See the vaccine-preventable disease summary for the number and incidence of Haemophilus influenzae disease in Scotland over the last five years.

Image caption Figure 2: Laboratory reports of invasive Haemophilus influenzae type b disease in Scotland, 1988 to 2024 (week 13)

Figure 3 presents laboratory reports by serotype, since the introduction of the Hib booster campaign in 2003.

Of the 19 isolates in the first quarter of 2024:

  • nine were non-typable (i.e., non-encapsulated type)
  • typing was not carried out/available for the remaining ten isolates
Image caption Figure 3: Laboratory reports of Haemophilus influenzae by serogroup, 2003 to 2024 (week 13)

Vaccination information

More information on vaccines against invasive Haemophilus influenzae type b can be found on the following pages:

Vaccine uptake statistics

Vaccine uptake statistics are published in our childhood immunisation statistics quarterly report.

Measles

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Measles is a rash illness resulting from infection with the measles virus. It can affect people of all ages but infants less than one year of age and those who are immunocompromised are at increased risk of complications and death. It is one of the most communicable diseases with one case having the potential to infect another 12 to 18 individuals through airborne transmission and respiratory droplets in susceptible populations.

Before vaccination, measles was a very common childhood disease in Scotland and deaths attributable to measles were substantial.

Following the introduction of measles vaccine in 1968 and the subsequent introduction of the MMR vaccine in 1988, the incidence of the disease has decreased dramatically.

However, as Figure 4 shows, outbreaks have occurred in recent years. These outbreaks have largely occurred in under-immunised populations.

Image caption Figure 4: Number of laboratory-confirmed cases of measles in Scotland by year, 1988 to end of March 2024

Surveillance update for January to March 2024

There were six laboratory confirmed measles cases reported in the first quarter of 2024. Of these cases, five are thought to have been imported and related to travel outwith the UK. One case was acquired in the UK, and may have been related to one of the imported cases. The lack of onward transmission associated with these cases highlights the success of the MMR vaccination programme, the importance of maintaining high vaccine uptake in Scotland, and reflects the robust public health management of these cases.   

As shown in Figure 5, the number of cases each year has been variable. See Appendix 1 for the number and incidence of measles in Scotland over the last 5 years. There was one case of laboratory confirmed measles reported in 2023 and one in 2022, prior to which there had been no cases since 2019.

Weekly updates on measles case numbers in Scotland are available on the PHS website.  

In highly vaccinated populations such as Scotland, it is rare but possible for individuals who have received two doses of MMR vaccine to develop symptoms following exposure to a measles case. However, symptoms are usually attenuated, and individuals are unlikely to be as infectious.

Image caption Figure 5: Number of laboratory-confirmed cases of measles in Scotland by month and year, 2015 to March 2024

The age distribution of measles cases has varied over recent years, but most cases are observed in children and young adults. Of the cases reported in the first quarter of 2024:

  • one case was aged under one year
  • one case was in the five to nine years age group
  • two cases were in the 20 to 29 years age group
  • one case was in the 30 to 39 years age group
  • one case was in the 60 to 69 years age group.  
Measles in Europe and the UK

Measles outbreaks occurred across Europe throughout 2018 and continued into 2019 but there was a notable reduction in cases from March 2020. Following a rise in laboratory-confirmed cases since late 2022, many countries in the WHO European Region have reported measles cases in recent months. In February 2024, WHO Europe issued a press release highlighting the urgency of a swift and concerted response to measles outbreaks in the WHO European Region. In the same month, ECDC released a threat assessment brief on the rise in measles cases in EU/EEA, and considerations for public health response. Both highlight the critical importance of achieving and sustaining high MMR vaccine coverage.

In the most recent 12 months to March 2024 there were a total of 6319 cases of measles reported to the European Centre for Disease Prevention and Control. The EU/EEA countries with highest reported rate of cases between this time period were Romania, Liechtenstein, Austria and Cyprus with rates of 247.1, 75.6, 50.1 and 19.6 cases per million population, respectively.

On 30 January 2024, UKHSA published data indicating a resurgence of measles in England in 2023. They reported 362 laboratory-confirmed cases in 2023, with the initial rise in cases in Spring 2023 mainly driven by activity in London then a rapid escalation in cases in the West Midlands from October 2023. Updates on the epidemiology of the current UKHSA national measles incident are published.

Ongoing measles activity in Europe and globally poses a threat to international travellers and Scotland will continue to face an elevated risk of imported cases from other countries and other regions of the UK.

Vaccination information

More information on vaccines against measles can be found on the following page:

Vaccine uptake statistics

Vaccine uptake statistics are published in our  childhood immunisation statistics quarterly report.

Meningococcal Disease

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Meningococcal disease is an invasive infection of Neisseria meningitidis (N. meningitidis) bacteria in:

  • blood
  • cerebrospinal fluid (CSF)
  • other normally sterile site

Meningococcal disease cases overwhelmingly show symptoms of meningitis (inflammation of the meninges) or septicaemia (blood poisoning). It can also present as a combination of both or as a rarer clinical presentation, such as joint infection. Meningitis can be caused by a variety of viruses or bacteria, of which N. meningitidis is one. Meningococcal disease is a significant cause of morbidity and mortality in children and young adults.

Although approximately 10% of the population are estimated to carry N. meningitidis in the nasopharynx, the vast majority do not have symptoms or develop invasive disease. Invasive cases acquire infection through inhalation of, or direct contact with, respiratory droplets, from either an infected person or asymptomatic carrier.

N. meningitidis is classified according to its outer membrane characteristics via a process known as serogrouping. There are several different serogroups, the most common of which in the UK is B, followed by W. Cases of serogroup Y, Z and C disease have also been reported.

In 1999, the Meningococcal Invasive Disease Augmented Surveillance (MIDAS) system was introduced.

The surveillance scheme is managed jointly by Public Health Scotland and the Scottish Haemophilus Legionella Meningococcus and Pneumococcus Reference Laboratory (SHLMPRL).

Surveillance data from MIDAS informs the epidemiology of meningococcal disease in Scotland, as analyses can be conducted according to:

  • age
  • serogroup
  • molecular typing
  • clinical presentation
  • outcome

Against a background of declining cases of meningococcal disease in the UK, surveillance indicated that there had been an increase in cases of severe invasive disease caused by serogroup W (MenW) since 2009. Clinical follow up of cases revealed that intensive care admission was high, particularly among older children and young adults, and for the first time in a decade MenW was associated with fatal outcomes in children and adolescents. MenACWY vaccine was recommended by the Joint Committee on Vaccination and Immunisation (JCVI) and offered to 14 to 18-year-olds as a measure to address the increasing number of meningococcal serogroup W cases in this age group. A phased catch-up programme ran in Scotland between August 2015 and March 2016.

The vaccine was also offered to students under the age of 25 attending university for the first time from Autumn 2015. MenACWY vaccine continues to be offered routinely to those in secondary school year 3 (S3).

Surveillance update for January to March 2024

There were 27 cases of meningococcal disease reported in the first quarter of 2024. This is higher than the number of cases reported in the same quarter of the previous five years (range n=2 to n=21), as shown in Figure 6.

Image caption Figure 6: Cumulative number of meningococcal disease cases reported to MIDAS, 2019 to 2024 (week 13)

Figure 7 shows the number of meningococcal disease cases, according to age group and by quarter from 2001 to the end of the first quarter of 2024.

In quarter one of 2024, there were:

  • three cases aged under five years, of whom two were aged under one year
  • 13 cases in the five to 24 years age group
  • 11 cases in those aged 25 years or over
Image caption Figure 7: Meningococcal disease cases reported to MIDAS by age group and quarter, 2001 to 2024 (week 13)

Of the 27 cases of meningococcal disease reported in the first quarter of 2024:

  • 20 were serogroup B
  • two were serogroup W
  • one was serogroup Y
  • four cases were based on clinical diagnosis, as shown in Figure 8
Image caption Figure 8: Meningococcal disease cases reported to MIDAS by serogroup, 2003 to 2024 (week 13)

Serogroup W cases continue to be reported separately following introduction of the MenACWY immunisation programme. Figure 9 demonstrates a positive impact of the MenACWY vaccine for the eligible population. Two serogroup W cases were reported in the first quarter of 2024.

Image caption Figure 9: Meningococcal serogroup W by age group reported to PHS 2009 to 2024 (week 13)

The number of deaths between 2004 and the end of the first quarter of 2024, reported by serogroup, is shown in Figure 10. There were two deaths (unrelated) from meningococcal disease in the first quarter of 2024.

See the vaccine-preventable disease summary for the number and incidence of invasive meningococcal disease in Scotland over the last 5 years.

Image caption Figure 10: Meningococcal deaths by serotype reported to PHS 2003 to 2024 (week 13)

Vaccination information

More information on vaccines against meningococcal disease can be found on the following pages:

Vaccine uptake statistics

Vaccine uptake statistics are published in our childhood immunisation statistics quarterly report.

Vaccine uptake statistics for the teenage MenACWY vaccine can be found at: Teenage booster immunisation statistics Scotland Publications - Public Health Scotland.

Mumps

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Mumps is a disease resulting from infection by the mumps virus.

It was a common childhood disease prior to the introduction of the MMR vaccine in 1988, with more than 85% of adults having evidence of previous infection.

The rate of disease has decreased substantially following the introduction of the vaccine. However, there was a widespread increased incidence of mumps throughout the UK, from 2004 with the number of laboratory-confirmed cases peaking in 2005. These numbers substantially declined by 2008 although cases remained higher than those reported before 2004 until early 2020.

Cases of mumps are commonly identified by laboratory testing based on positive PCR or IgM serology and reported to PHS, with only laboratory-confirmed cases presented in this report. However, many cases of mumps may be diagnosed clinically, with no laboratory confirmation testing, or go undiagnosed since individuals may not present to healthcare. Therefore, the reliance on laboratory reports may represent an underestimate of the true rate of disease in the community.

For more information on mumps, visit NHS Inform.

Surveillance update for January to March 2024

There were four cases of laboratory-confirmed mumps reported in the first quarter of 2024. In the same period of 2023, there were nine laboratory-confirmed cases of mumps reported.

Since April 2020, there has been a substantial reduction in number of cases of mumps reported. As shown in Figure 11, outbreaks since 2008 have occurred in:

  • 2009
  • 2012
  • 2014 to 2015
  • 2019 to early 2020

At these points in time, most of the individuals affected were adolescents and young adults in higher education who had not received two doses of MMR vaccine.

Image caption Figure 11: Number of laboratory-confirmed cases of mumps in Scotland by year, 2000 to March 2024

See Appendix 1 for the number and incidence of mumps in Scotland over the last five years.

An increase in cases of mumps was observed in late 2019 and early 2020, primarily in adolescents and young adults. This may have represented poorer initial immune response to the mumps component of the MMR vaccine, waning immunity, or a combination of both within fully and partially vaccinated individuals. The sharp decrease in reported cases from April 2020 was likely a result of measures and restrictions implemented in response to the COVID-19 pandemic, which will also have interrupted the transmission of mumps. These measures also reduced attendance to the primary care setting, resulting in reduced opportunity to diagnose cases.

Image caption Figure 12: Number of laboratory-confirmed cases of mumps in Scotland by month and year, 2015 to March 2024

Age distribution of cases

Figure 13 shows that most mumps cases in recent years have been in those aged 17 to 34 years.

Although the vaccination status of cases is not routinely collected, this is consistent with the age groups that are likely to be under-immunised with a mumps-containing vaccine, or for whom there is waning immunity.

Image caption Figure 13: Number of laboratory-confirmed cases of mumps in Scotland by age group and year, 2015 to March 2024

The incidence of mumps by age group in 2020, shown in Figure 14, reflects a higher incidence among individuals aged 17 to 20 years compared to other ages (137 cases per 100,000 population).

This was followed by those aged 21 to 24 years (88 cases per 100,000 population).

Image caption Figure 14: Incidence of laboratory-confirmed cases of mumps by age group, 2020*

*There is insufficient data from 2021 to 2024 to represent the ages of cases, therefore 2020 data has been presented to reflect the age distribution of cases, which is similar to that seen in previous years.

Vaccination information

More information on vaccines against mumps can be found on the following page:

Vaccine uptake statistics

Vaccine uptake statistics are published in our childhood immunisation statistics quarterly report.

Pertussis

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Pertussis (or whooping cough) is an acute bacterial disease of the respiratory tract, resulting from infection with Bordetella pertussis.

It can affect people of all ages. Unimmunised infants are more likely to develop complications from pertussis infection which can require hospital treatment and, in severe cases, can be fatal. It is often less severe in adolescents and adults, however they may suffer a prolonged cough.

In response to the increase in cases and to protect young infants in the first few weeks of life until starting the routine childhood immunisation programme at eight weeks, a programme was introduced in October 2012 to offer pertussis vaccination to all pregnant women.

Pregnant women are typically vaccinated between gestational weeks 16 and 32 in order to protect newborn babies from disease before they are old enough to receive their first vaccine at 8 weeks. Antibodies that protect against disease, produced by the vaccinated mother, can be transferred across the placenta to protect the baby. Women may still be immunised after week 32 of pregnancy but this may not offer as high a level of passive immunological protection to the baby. Vaccination late in pregnancy may, however, directly protect the mother against disease and thereby reduce the risk of exposure to her infant. As pertussis continues to circulate in Scotland, immunisation of pregnant women and young children is vital.

The immunity that young infants receive from their mother, although very important in the first few weeks of life, offers only short-term protection. Therefore, it is important that infants are vaccinated as part of the routine childhood schedule on time to provide longer-term protection.

For more information on pertussis, visit NHS inform.

Surveillance update for January to March 2024

Pertussis case numbers in Scotland have been increasing since late 2023. In 2023, there were 73 laboratory confirmed cases, the majority of which (n=56) were reported in the final quarter of the year. There were 1,084 laboratory confirmed cases in the first quarter of 2024 alone. Prior to 2024, the last significant outbreak in Scotland occurred in 2012 and 2013, with 1,896 and 1,188 laboratory confirmed cases per year, respectively. There was also increased pertussis activity in 2016, with 1,075 cases laboratory confirmed cases that year.R

In 2020, there were 198 laboratory reports of B. pertussis, the majority of which occurred in the first quarter of the year. This reduction in numbers from the pre-pandemic period was likely attributable to social distancing measures implemented to mitigate the transmission of COVID-19. In 2022 and 2021, there were three and four cases of laboratory-confirmed pertussis reported, respectively.

Weekly updates on pertussis case numbers in Scotland are available on the PHS website.

Figure 15 shows the number of positive laboratory reports of B. pertussis in Scotland from 2012 to the end of March 2024.

RPlease note that an error has been noted in the text of previous reports. Pertussis case numbers for 2017 were wrongly listed as 533 in the text, rather than the correct figure of 716. The error was in the text only and did not affect the underlying data or any of the published figures. All previous publications affected are in the process of being updated.

 

 

Image caption Figure 15: Number of laboratory reports of Bordetella pertussis in Scotland by month, 2012 to March 2024

Age breakdown of cases

Figure 16 presents the number of laboratory reports of pertussis by age group from January to the end of March 2024. The graph shows that the ten to 14 years age group accounted for the highest number of cases. This age group had the highest incidence of infection in the first quarter of 2024, with 109.2 cases per 100,00 population, as shown in Figure 17. In previous years, incidence has been highest in the under one year age group.

Figure 18 presents the percentage of cases of pertussis by age group and year from 2012 to the end of March 2024. Case numbers in 2021 and 2022 were low, and age distribution for those years should be interpreted in that context. Data for the first quarter of 2024 shows that the relative proportion of cases in children aged ten to 14 years is higher than that in recent pre-pandemic years.  

Image caption Figure 16: Number of laboratory reports of Bordetella pertussis in Scotland by age group, January to March 2024
Image caption Figure 17: Incidence of Bordetella pertussis per 100,000 population in Scotland by age group, 2017 to March 2024
Image caption Figure 18: Percentage of Bordetella pertussis laboratory reports in Scotland by age group and year, 2012 to March 2024

Cases by NHS Health Board

NHS Greater Glasgow and Clyde, NHS Lothian and NHS Grampian had the greatest number of laboratory confirmed pertussis cases in the first quarter of 2024, as shown in Figure 19. Data presented in Figure 20 shows that NHS Grampian, NHS Lothian and NHS Greater Glasgow and Clyde were the Health Boards with the highest incidence in the first quarter of 2024, with 36.6, 31.2 and 25.1 cases per 100,000 population respectively.

Image caption Figure 19: Number of laboratory reports of Bordetella pertussis in Scotland by NHS Health Board, January to March 2024
Image caption Figure 20: Incidence of laboratory confirmed Bordetella pertussis in Scotland by NHS Health Board, January to March 2024

Vaccination information

More information on vaccines against pertussis can be found on the following pages:

Vaccine uptake statistics

Childhood vaccine uptake statistics are published in our childhood immunisation statistics quarterly report.   

.

Invasive pneumococcal disease

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Pneumococcal infections are defined as invasive or non-invasive according to which area of the body is affected. Invasive pneumococcal disease (IPD) is caused by infection of normally sterile sites, for example, blood and cerebrospinal fluid (CSF).

IPD is a major cause of morbidity and mortality, especially amongst:

  • the very young
  • the elderly
  • those with impaired immunity

Non-invasive forms of the infection commonly cause:

  • middle ear infection (otitis media)
  • worsening of bronchitis
  • pneumonia

As with most infectious respiratory diseases, the numbers of cases of pneumococcal infection peak during winter. Up to 50% of people can carry pneumococci in their nose and throat without developing serious infection.

Streptococcus pneumoniae (S. pneumoniae) is the bacterium responsible for causing pneumococcal infection and is characterised by its outer coat, known as capsular polysaccharide. Different capsular types can be distinguished via a process known as serotyping. Over 90 different types of pneumococci have been identified, about a quarter of which are known to cause serious illness.

For further information on pneumococcal disease, visit NHS inform.

IPD surveillance is based on local and reference laboratory reports confirming isolation of Streptococcus pneumoniae from sterile body sites, mainly blood and cerebrospinal fluid (CSF).

In 1999, the Scottish Pneumococcal Invasive Disease Enhanced Reporting (SPIDER) scheme was introduced. The enhanced surveillance scheme is jointly managed by Public Health Scotland and the Scottish Haemophilus, Legionella, Meningococcus and Pneumococcus Reference Laboratory (SHLMPRL).

Data from SPIDER informs understanding of the epidemiology of IPD in Scotland.

Surveillance update January to March 2024

There were 165 cases of IPD reported in the first quarter of 2024.

This is higher than the number of cases reported for the same period in the previous four years (range n=42 to n=149), but lower than the number of cases reported for the same period in 2019 (n=223), as shown in Figure 21, which was the last full pre-pandemic year for which data are presented.

Image caption Figure 21: Cumulative number of invasive pneumococcal disease cases reported to SPIDER, 2019 to 2024 (week 13)

Figure 22 presents data on cases by age group and indicates that the burden of IPD is in adults over 35 years. In the first quarter of 2024:

  • 67 cases were aged 65 years or older (40.6%)
  • 71 cases were aged 35 to 64 years (43.0%)
  • nine cases were aged 15 to 34 years (5.5%)
  • three cases were aged five to 14 years (1.8%)
  • 15 cases were aged under five years (9.1%), of whom four were infants aged under one year
Image caption Figure 22: Cases of IPD reported to SPIDER by quarter and by age group, 2004 to 2024 (week 13)

IPD in children under five years old

Of the 165 IPD cases reported in the first quarter of 2024, 15 were children under five years of age, 14 of whom were old enough to have been eligible for at least a first dose of PCV13 vaccination.

This is the same as the number of cases in children aged under five years in the same period in 2023, and higher than the same period for 2021 (n=5); 2020 (n=8) and 2019 (n=14) but slightly lower than the same period in 2022 (n=17).  

Serotypes detected among children aged under five years in the first quarter of 2024 are shown in Table 1.

Table 1: Streptococcus pneumoniae serotypes in paediatric IPD cases reported to SPIDER in 2023 (week 52) 

serotype <=2 mths 3-11 mths 1 yr 2 yrs 3 yrs 4 yrs Total < 5 years
10A 0 1 0 1 1 0 3
22F 1 1 0 0 0 0 2
33F 1 0 2 0 0 0 3
38 0 0 1 0 0 0 1
NA* 0 0 1 1 2 2 6
Total 2 2 4 2 3 2 15

*Typing results not available  

Septicaemia was the most common clinical presentation in children aged under five years old.

Four of the 15 children aged under five years who had IPD in the first quarter of 2024 were known to have an underlying condition.

Circulating serotypes of Streptococcus pneumoniae

All IPD isolates and specimens should be sent to the reference laboratory for further typing and antimicrobial sensitivity testing. Typing results were available for 124 of the 165 cases reported in the first quarter of 2024. This accounts for 75.2% of cases reported.  

The four most common serotypes reported were:

  • Serotype 8 (19 cases)
  • Serotype 22F (18 cases)
  • Serotype 3 (13 cases)
  • Serotype 9N (13 cases)

​A total of 25 cases, or 20.2% of those with available typing results, were caused by serotypes covered by the PCV13 vaccine.​

For the most recent information on antimicrobial resistance in Streptococcus pneumoniae, see Scottish One Health Antimicrobial Use and Antimicrobial Resistance in 2022.

Vaccination information

More information on vaccines against pneumococcal disease can be found on the following pages:

Vaccine uptake statistics

Vaccine uptake statistics for PCV13 are published in our childhood immunisation statistics quarterly report. Vaccine uptake statistics for PPV23 are published in the PHS Vaccination Surveillance Dashboard.

Poliomyelitis

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Poliomyelitis (polio) is an acute viral illness caused by one of the three serotypes of poliovirus. Most infections cause no symptoms, but in a small number of people can result in a potentially life-threatening infection that can cause temporary or permanent paralysis.

People may become infected with the poliovirus through contact with infected faecal matter or respiratory secretions.

For more information on polio see NHS Inform.

Surveillance

Following the introduction of the vaccine, the number of cases fell rapidly:

  • the last UK case of poliomyelitis caused by wild polio virus was in 1984.
  • the last imported case of polio in the UK was 1993.

Poliovirus is targeted by the World Health Organization (WHO) for eradication and due to the efforts of countries worldwide, two of the three wild poliovirus types (type 2 and type 3) have been eradicated, and as at 2022 endemic wild poliovirus type 1 remained in only two countries: Pakistan and Afghanistan. More information on those who may be at risk of exposure through travel can be found at our fitfortravel pages.

In early 2022, vaccine-derived poliovirus type 2 (VDPV2) was detected in sewage samples from London sewage works (for details, please visit: Poliovirus detected in sewage from North and East London - GOV.UK (www.gov.uk). These detections suggest some spread between closely linked individuals in areas of London. No associated cases of paralysis or human infections of poliovirus have been reported in the UK. This particular strain of poliovirus has been identified in wastewater elsewhere with cases of poliomyelitis in Israel and the USA. A full list of countries currently reporting circulating VDPV is available from the Polio Global Eradication Initiative.

Acute flaccid paralysis (AFP) surveillance

Public Health Scotland has recently established surveillance of AFP, which is a rare but serious set of symptoms that affects the nervous system, and can be caused by poliovirus or other non-polio viruses such as enteroviruses. View further information on AFP and AFP surveillance forms.

Vaccination Information

More information on vaccines against polio can be found on the following pages:

Vaccine uptake statistics

Vaccine uptake statistics for children are published in our childhood immunisation statistics quarterly report.

Rotavirus

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Rotavirus is highly infectious and a leading cause of gastroenteritis in children worldwide. In Scotland, most children will have had at least one rotavirus infection by five years old.

Rotavirus infections in children and adults can last approximately three to eight days and symptoms include:

  • severe diarrhoea
  • vomiting
  • stomach cramps
  • mild fever

The combination of symptoms can lead to dehydration, requiring admission to hospital, especially in young infants.

Before the introduction of a national infant rotavirus vaccination programme in 2013, an estimated 55,000 gastroenteritis cases caused by rotavirus occurred in Scotland each year in children less than five years old. Approximately 1,200 of these children were hospitalised (2.2% of cases). Rotavirus reports peaked between February and April. This caused considerable additional pressure on the NHS, particularly in primary care and paediatric healthcare facilities.

In July 2013, Rotarix®, a live attenuated vaccine was introduced into the routine infant vaccination schedule in the UK, with doses given at 8 and 12 weeks.

For further advice on the transmission and prevention of rotavirus, visit NHS inform.

Surveillance update January to March 2024

Figure 23 shows the number of rotavirus laboratory reports in Scotland from 2011 to the end of the first quarter 2024. Please note that data differs slightly from previously published data due to a revalidation exercise in early 2023.

Following the introduction of the immunisation programme, there was a marked reduction in the number of laboratory reports, which clearly demonstrates the impact of the vaccine.

A reduction of laboratory-confirmed rotavirus samples has also been seen in unvaccinated children suggestive of indirect population protection due to the vaccine. See the vaccine-preventable disease summary for the number and incidence of rotavirus laboratory reports in Scotland over the last 5 years.

Image caption Figure 23: Laboratory reports of rotavirus in Scotland from 2011 to end of March 2024

Vaccination information

More information on the rotavirus vaccine can be found on the following page:

Vaccine uptake statistics

Vaccine uptake statistics are published in our childhood immunisation statistics quarterly report..

Rubella

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Rubella is a rash illness caused by the rubella virus. It's generally a mild illness, but if acquired by women in the first 16 weeks of pregnancy can have devastating effects on the unborn child, leading to Congenital Rubella Syndrome (CRS). The virus can affect all foetal organs and lead to serious birth defects such as learning difficulties, cataracts, deafness, cardiac abnormalities, restriction of intrauterine growth and inflammatory lesions of the brain, liver, lungs and bone marrow

Before the introduction of rubella vaccination, more than 80% of adults had evidence of previous exposure to rubella.

A vaccination programme targeting girls and non-immune women of childbearing age was introduced in the UK in 1970 and reduced the number of congenital rubella syndrome (CRS)-related births and terminations.

In 1988, the Measles, Mumps and Rubella (MMR) vaccine was introduced for both boys and girls and further decreased cases of rubella to near elimination levels (Figure 22).

In 2016, the decision was made to end the national policy of screening for rubella susceptibility (external site, PDF) in pregnancy. This followed a review of evidence by the UK National Screening Committee and considering the high levels of uptake of the MMR vaccine.

For more information on rubella see NHS inform.

Surveillance update January to March 2024

No laboratory-confirmed cases of rubella were reported in the first quarter of 2024, with the last reported case of laboratory-confirmed rubella in Scotland reported in 2017.

Image caption Figure 24: Number of laboratory-confirmed cases of rubella in Scotland by year, 1988 to end of March 2024

Congenital rubella surveillance

Congenital rubella surveillance can be viewed on the Royal College of Paediatrics and Child Health (RCPCH) website.

Vaccination Information

More information on vaccines against rubella can be found on the following page:

Vaccine uptake statistics

Vaccine uptake statistics are published in our childhood immunisation statistics quarterly report.

Shingles

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Background information

Shingles, also known as herpes zoster, is caused by reactivation of latent varicella zoster virus. Varicella zoster is the same virus that causes chickenpox.

Shingles is characterised by a painful skin rash. The main complication from shingles is post-herpetic neuralgia (PHN), a long-lasting neuropathic pain after the rash has disappeared.

PHN can persist for months or years and the risk and severity increases with age. Its effect can be very debilitating.

The Scottish Morbidity Record 01 (SMR01) is a national dataset held by the NHS Information Services Division and provides data on inpatient and day case admissions. It is used to investigate the burden of disease on hospital inpatient and day-case discharges from acute specialties from hospitals in Scotland.

Shingles surveillance data

Shingles is not a notifiable disease, so the number of hospital admissions for shingles and related complications are used to estimate the burden of shingles.

Figure 23 shows the rate of admissions per 100,000 population for shingles and related complications by age group between 2010 and 2022. In 2022, there were 268.6 hospital admissions per 100,000 population for shingles and related complications.

This graph shows that the rate of admissions is higher among the older age groups, which is why older age groups are offered shingles vaccine.

Image caption Figure 23: Rate of admissions per 100,000 population for shingles and related complications by age group and year, 2010 to 2022*

*Rates are calculated using an updated methodology, which differs from that previously used to estimate burden of disease. This is therefore not comparable to graphs in previous reports.

Vaccination information

More information on shingles vaccination can be found on the following page:

Vaccine uptake statistics

Shingles vaccine uptake statistics are published in the PHS Vaccination Surveillance Dashboard.

Vaccine-preventable disease summary

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Table 2a: Number of cases of key vaccine-preventable diseases in Scotland 2019 to 2023

Disease 2019 2020 2021 2022 2023**
H. Influenzae 83 51 51 74 102
Invasive Pneumococcal disease 610 274 286 374 463
Measles 18 0 0 1 1
Meningococcal disease 59 33 17 29 52
Mumps 784 864 1 7 16
Pertussis 746 198 4 3 73
Rotavirus* 272 257 112 102 446
References

* Please note that rotavirus data differs slightly from previously published data due to a revalidation exercise.

**NRS Mid-year population estimates for 2022 have been used to calculate incidence for 2023

Please note that an error has been noted in this table in previous reports concerning 2022 measles data. The table wrongly reported zero cases of measles in 2022 rather than the correct figure of one case. The error affected this table only. Correct data and figures were reported in the surveillance report for measles. All previous publications affected are in the process of being updated.

 

Table 2b: Incidence per 100,000 of key vaccine-preventable diseases in Scotland 2019 to 2023

Disease 2019 2020 2021 2022 2023**
H. Influenzae 1.52 0.93 0.93 1.35 1.87
Invasive Pneumococcal disease 11.17 5.01 5.22 6.82 8.50
Measles 0.33 0.00 0.00 0.02 0.02
Meningococcal disease 1.08 0.6 0.31 0.53 0.95
Mumps 14.35 15.81 0.02 0.13 0.29
Pertussis 13.65 3.62 0.07 0.05 1.34
Rotavirus* 5.00 4.70 2.05 1.86 8.19
References

* Please note that rotavirus data differs slightly from previously published data due to a revalidation exercise.

**NRS Mid-year population estimates for 2022 have been used to calculate incidence for 2023

Please note that an error has been noted in this table in previous reports concerning 2022 measles data. The table wrongly reported zero cases of measles in 2022 rather than the correct figure of one case. The error affected this table only. Correct data and figures were reported in the surveillance report for measles. All previous publications affected are in the process of being updated

Contact

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

General enquiries

If you have an enquiry relating to this publication, please email phs.immunisation@phs.scot.

Media enquiries

If you have a media enquiry relating to this publication, please contact the Communications and Engagement team.

Requesting other formats and reporting issues

If you require publications or documents in other formats, please email phs.otherformats@phs.scot.

To report any issues with a publication, please email phs.generalpublications@phs.scot.

Further information

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

Statistical designation

This is an Official Statistics publication

Public Health Scotland has authority to produce official statistics on any matter in accordance with The Official Statistics (Scotland) Order 2008, The Official Statistics (Scotland) Amendment Order 2019 and the Statistics and Registration Service Act 2007.

All official statistics should comply with the UK Statistics Authority’s Code of Practice which promotes the production and dissemination of official statistics that inform decision making. They can be formally assessed by the UK Statistics Authority’s regulatory arm for Accredited official statistics status.

Our statistical practice is regulated by the Office for Statistics Regulation (OSR). OSR sets the standards of trustworthiness, quality and value in the Code of Practice for Statistics that all producers of official statistics should adhere to. You are welcome to contact us directly with any comments about how we meet these standards.

Alternatively, you can contact OSR by emailing regulation@statistics.gov.uk or through the OSR website.

Visit the UK Statistics Authority website for more information about the Code of Practice and Official Statistics.

Visit our website for further information about our statistics and PHS as an Official Statistics producer.

Pre-release access

Under terms of the "Pre-Release Access to Official Statistics (Scotland) Order 2008", PHS is obliged to publish information on those receiving Pre-Release Access ("Pre-Release Access" refers to statistics in their final form prior to publication). The standard maximum Pre-Release Access is five working days.

Shown below are details of those receiving standard Pre-Release Access.

Standard pre-release access:

  • Scottish Government Health Department
  • NHS Board Chief Executives
  • NHS Board Communication leads

About Public Health Scotland (PHS)

PHS is a knowledge-based and intelligence driven organisation with a critical reliance on data and information to enable it to be an independent voice for the public’s health, leading collaboratively and effectively across the Scottish public health system, accountable at local and national levels, and providing leadership and focus for achieving better health and wellbeing outcomes for the population. Our statistics comply with the Code of Practice for Statistics in terms of trustworthiness, high quality and public value. This also means that we keep data secure at all stages, through collection, processing, analysis and output production, and adhere to the Office for National Statistics ‘Five Safes’ of data privacy.​

Metadata

An error has been noted in the text in the pertussis (whooping cough) section of previous reports concerning 2017 data. The error was in the text only and did not affect the underlying data or any of the published figures. All publications affected are in the process of being updated.

An error has been noted in the vaccine preventable diseases summary table for 2022 measles data in previous reports. This error affects this table only. Correct data and figures were reported in the surveillance update for measles. All publications affected are in the process of being updated.

The metadata for this document has been split into sections as there are some differences between the diseases. 

Diphtheria

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on diphtheria infections in Scotland for the period January to March 2024.

Theme

Infections in Scotland

Topic

Diphtheria

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland).

Date that data are acquired

22 April 2024

Release date

4 June 2024

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Diphtheria is an acute bacterial infection affecting the upper respiratory tract or the skin, caused by the diphtheria toxin produced by toxigenic strains of Corynebacterium.

The most common symptoms of diphtheria affecting the upper respiratory tract are membranous pharyngitis with fever, lymphadenopathy and upper respiratory tract soft tissue swelling 'bull neck' potentially leading to life-threatening airway obstruction.

Cutaneous diphtheria may cause pus-filled blisters on legs, hands and feet and ulceration of the skin.

In unvaccinated or partially vaccinated individuals, systemic absorption of the toxin can lead to late complications such as cardiac and neurological conditions and sometimes death.

Immunisation against diphtheria is offered to babies and children as part of the routine childhood immunisation schedule.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of Diphtheria and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS and the enhanced surveillance database are used for analysis

Comparability

Scottish data is regularly compared to UKHSA diphtheria data and information

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of laboratory-confirmed toxigenic strains of Corynebacterium.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2024

Next published

3 September 2024

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024

Haemophilus influenzae

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on laboratory-confirmed cases of invasive Haemophilus influenzae infections reported in Scotland for the period January to March 2024

Theme

Infections in Scotland

Topic

Haemophilus influenzae

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland).

Enhanced surveillance database for all paediatric (younger than 5 years of age) of any type, and all invasive type b.

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2023

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 1988 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Haemophilus influenzae (H. influenzae) are bacteria commonly carried in the respiratory tract which can cause serious invasive disease, especially in young children.

Invasive disease is usually caused by the encapsulated strains, specifically, six caspular serotypes (a to f) of which type b (Hib) was the most common, until the introduction of the vaccine.

The most common presentations of invasive H. influenzae infection are meningitis, sepicaemia and acute respiratory infections.

Vaccination for Hib is part of the routine childhood immunisations schedule.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of invasive Haemophilus influenzae and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

Completeness

All data returned from ECOSS and the enhanced surveillance database are used for analysis

Comparability

Scottish data is regularly compared to UKHSA Haemophilus influenzae data and information

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of new H. Influenzae isolates from sterile sites.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2024

Next published

3 September 2024

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2023

Measles

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on laboratory-confirmed and epidemiologically linked cases of measles reported in Scotland from January to March 2024.

Theme

Infections in Scotland

Topic

Measles infection

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland), Colindale/PHE, Enhanced surveillance database.

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 1988 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Measles is a rash illness resulting from infection with the measles virus.

It can affect people of all ages but infants less than one year of age and those who are immunocompromised are at increased risk of complications and death.

It's one of the most communicable diseases with one case having the potential to infect another 12 to 18 individuals through airborne transmission and respiratory droplets in susceptible populations.

New cases of measles are identified by laboratory testing based on positive PCR or IgM serology.

MMR is the combined vaccine that protects against measles, mumps and rubella and is the most effective strategy for preventing the transmission of measles.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of invasive Haemophilus influenzae and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

Completeness

All data returned from ECOSS and the enhanced surveillance database are used for analysis

Comparability

Scottish data is regularly compared to UKHSA measles data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of new measles infections

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2023

Next published

3 September 2024 

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Meningococcal disease

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on the clinical and laboratory confirmed cases of meningococcal disease reported in Scotland for the period January to March 2024.

Theme

Infections in Scotland

Topic

Meningococcal Disease

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland).

Meningococcal Invasive Disease Augments Surveillance (MIDAS).

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 2001 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Meningococcal disease occurs as a result of invasive bacterial infection with the organism Neisseria meningitidis.

Meningococcal disease cases overwhelmingly show symptoms of meningitis (inflammation of the meninges) or septicaemia (blood poisoning).

Meningococcal disease is a significant cause of morbidity and mortality in children and young adults.

N. meningitidis is classified according to its outer membrane characteristics via a process known as serogrouping. There are a number of different serogroups, the most common of which in the UK is B followed by W. Cases of serogroup Y, Z and C disease have also been also reported. Currently there are vaccines to protect against certain strains within serogrouups A, B, C, W and Y.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of meningococcal disease and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS are used for analysis.

Comparability

Scottish data is regularly compared to UKHSA meningococcal disease data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of new menigococcal infections.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2023 

Next published

3 September 2024 

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Mumps

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on laboratory-confirmed cases of mumps reported in Scotland for the period from January to March 2024.

Theme

Infections in Scotland

Topic

Mumps infection

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland).

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 2000 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Mumps is a disease resulting from infection by the mumps virus.

The disease is characterised by swelling of one or both cheeks or sides of the jaw, also known as parotitis, along with fever, headache and swollen glands although asymptomatic mumps infection is common, particularly in children.

Mumps is rarely fatal.

New cases of mumps included in the report are identified by laboratory testing based on positive PCR or IgM serology.

It is important to note that mumps may be diagnosed clnically and only laboratory-confirmed cases are included in the report.

Therefore the data presented may represent an underestimate of the true community circulation of mumps

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of mumps and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS are used for analysis.

Comparability

Scottish data is regularly compared to UKHSA mumps data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of new mumps infections.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2023

Next published

3 September 2024

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Pertussis (Whooping cough)

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This report provides epidemiological information on positive laboratory cases of Bordetella pertussis in Scotland for the period January to March 2024.

 

Theme

Infections in Scotland

Topic

Whooping cough

Format

HTML

Data source(s)

Electronic Communication of Surveillance in Scotland (ECOSS) for laboratory reports.

National Records of Scotland for mid-year population estimates (used for incidence calculations).

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 2012 to March 2024 is presented.

Electronic reporting of Bordetella pertussis lab results began in 2005 and was rolled out incrementally over the following years.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

Planned revisions have been made to historical data based on updated laboratory information received through ECOSS.

Concepts and definitions

Whooping cough (or pertussis) is a highly contagious respiratory illness caused by infection with the bacterium Bordetella pertussis.

Pertussis is spread from person to person by coughing and sneezing.

Early symptoms often include a runny nose, fever, and mild cough, which after a few weeks can progress to uncontrolled coughing fits and subsequent vomiting episodes.

Some individuals with pertussis exhibit a characteristic "whoop" sound caused by gasping for breath after coughing fits.

Unimmunised infants are most at risk of severe complications, which include pneumonia, seizures, brain damage, and death.

Vaccination against pertussis is offered to infants at 8, 12, and 16 weeks of age and to children at 3 years and 4 months of age. Vaccination is also offered to all pregnant women between 16 and 32 weeks of gestation.

Relevance and key uses of the statistics

These data are essential for monitoring the epidemiology of pertussis and the uptake of the maternal pertussis vaccine in Scotland in order to inform public health planning and response.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

Completeness

Count of pertussis laboratory reports (number).

Incidence of laboratory reports (rate per 100,000 population).
Age breakdown of laboratory reports (percentage).

Comparability

Scottish data is regularly compared to UKHSA pertussis data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Count of pertussis laboratory reports (number).

Incidence of laboratory reports (rate per 100,000 population).

Age breakdown of laboratory reports (percentage).

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2023

Next published

3 September 2024

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Poliomyelitis

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on poliomyelitis infections in Scotland for the period January to March 2024.

Theme

Infections in Scotland

Topic

Poliomyelitis

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland).

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Poliomyelitis (polio) is an acute viral illness caused by one of the three serotypes of poliovirus.

Most infections cause no symptoms, but in a small number of people can result in a potentially life-threatening infection that can cause temporary or permanent paralysis.

People may become infected with the polio virus through contact with infected faecal matter or respiratory secretions.

Immunisation against polio is offered to babies and children as part of the routine childhood immunisation schedule.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of poliomyelitis and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS are used for analysis.

Comparability

Scottish data is regularly compared to UKHSA poliomyelitis data and information

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of laboratory-confirmed poliovirus infections.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2023

Next published

3 September 2024 

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Pneumococcal disease

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on laboratory-confirmed cases of invasive pneumococcal disease reported in Scotland for the period January to March 2024

Theme

Infections in Scotland

Topic

Pneumococcal disease

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland), Scottish Pneumococcal invasive disease enhanced reporting (SPIDER) for all paediatric cases (<5 years old)

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024 

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 2004 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

Data for quarter 4 2023 was revised to include one additional case that had not been included in the quarter 4 2023 report.

Concepts and definitions

Streptococcus pneumoniae (S. pneumoniae) is the bacterium responsible for causing pneumococcal infection.

Pneumococcal infections are defined as invasive or non-invasive according to which area of the body is affected.

Invasive pneumococcal disease (IPD) is caused by infection of normally sterile sites, for example, blood and cerebrospinal fluid (CSF). IPD is a major cause of morbidity and mortality in the very young, elderly or immunocompromised individuals. Two pneumococcal vaccines are available that help to protect against pneumococcal disease.

New cases of IPD are identified by laboratory reports confirming isolation of S. pneumoniae from sterile body sites.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of meningococcal disease and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS systems and the enhanced surveillance database are used for analysis.

Comparability

Scottish data is regularly compared to UKHSA pneumococcal data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of new S. pnuemoniae isolates from sterile sites.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2023

Next published

3 September 2024 

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Rotavirus

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on laboratory-confirmed cases of rotavirus for the period January to March 2024.

Theme

Infections in Scotland

Topic

Rotavirus

Format

HTML

Data source(s)

Electronic Communication of Surveillance in Scotland (ECOSS) for laboratory reports.

Scottish Morbidity Record (SMR01) for hospital admissions for rotavirus and viral enteritis.

General practice IT systems for vaccination data and GP consultations.

National Records of Scotland for mid-year population estimates (used for rate calculations).

Date that data are acquired

22 April 2024

Agreed date to allow quality assurance checks.

Release date

4 June 2024 

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 2011 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Rotavirus infections in children and adults can last approximately three to eight days and symptoms include severe diarrhoea, vomiting, stomach cramps, mild fever.

The combination of symptoms can lead to dehydration, requiring admission to hospital, especially in young infants.

Before the introduction of a national infant rotavirus vaccination programme in 2013, an estimated 55,000 gastroenteritis cases caused by rotavirus occurred in Scotland each year in children less than five years old. Approximately 1,200 of these children were hospitalised.

The vaccine provides protection against the most common strains of rotavirus, but not other enteric viruses such as norovirus.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of rotavirus and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS are used for analysis.

Comparability

Scottish data is regularly compared to UKHSA rotavirus data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Count of laboratory-confirmed rotavirus (number).

Hospital admissions for rotavirus and viral enteritis in children aged less than 5 years (count).

GP consultations for gastrointestinal illness in children less than one years (rate per 100,000 population).

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2024

Next published

3 September 2024

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Rubella

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This release provides information on laboratory-confirmed and epidemiologically cases of rubella reported in Scotland for the period January to March 2024.

Theme

Infections in Scotland

Topic

Rubella infection

Format

HTML

Data source(s)

ECOSS (Electronic Communication of Surveillance in Scotland).

Colindale/PHE enhanced surveillance database.

Date that data are acquired

22 April 2024 

Agreed date to allow quality assurance checks.

Release date

4 June 2024 

Frequency

Quarterly

Timeframe of data and timeliness

January to March 2024, approximately 2 months in arrears

Continuity of data

Quarterly as at March, June, September and December.

Data from 1988 to March 2024 is presented.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Rubella is a rash illness caused by the rubella virus and is also known as German measles.

It is generally a mild self-limiting illness, but if acquired by women in the first 16 weeks of pregnancy can have devastating effects on the unborn child inlcuding miscarriage or Congenital Rubella Syndrome (CRS).

New cases of rubella are identified by laboratory testing based on positive PCR or IgM serology.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of rubella and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

All data returned from ECOSS and the enhanced surveillance database are used for analysis.

Comparability

Scottish data is regularly compared to UKHSA rubella data and information.

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Number of new rubella infections.

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 March 2024

Next published

3 September 2024

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

15 May 2024 

Shingles

Publication title

Immunisation and vaccine-preventable diseases quarterly report.

Description

This report provides information on hospital admissions for shingles and shingles related complications in Scotland which are proxy measures for shingles disease.

Theme

Infections in Scotland

Topic

Herpes zoster infection

Format

HTML

Data source(s)

Scottish Morbidity Record (SMR01) for hospital admissions for shingles and related complications.

National Records of Scotland for mid-year population estimates (used for rate calculations).

Date that data are acquired

30 October 2023

Release date

5 March 2024 

Frequency

Quarterly

Timeframe of data and timeliness

Hospital admission data from 2010 to 2022.

Continuity of data

Data on hospital admissions due to shingles and related complications are provided from 2010 to 2022.

Revisions statement

Data in the most recent quarterly updates supersedes data reported in previous reports.

Revisions relevant to this publication

This publication has no revisions.

Concepts and definitions

Shingles, also known as herpes zoster, is caused by reactivation of latent varicella zoster virus, which is the same virus that causes chickenpox.

Following initial infection, usually in childhood, the virus can lie inactive in the body’s nervous system.

Reactivation of the virus can take place later in life, when the immune system has been weakened by factors such as age, stress, illness, or immunosuppressant treatments.

Shingles is characterised by a painful skin rash and the primary complication of this illness is post-herpetic neuralgia, a neuropathic pain which can last for months of years after the rash has disappeared.

Relevance and key uses of the statistics

Data are collected as part of mandatory public health surveillance providing data to monitor the epidemiology of herpes zoster and inform public health planning and response.

Statistics are used by PHS for surveillance purposes and published for transparency.

Accuracy

The data are considered accurate.

Data are validated locally by partnerships.

We carry out further validation checks in consultation with NHS boards, as required.

The Code of Practice for Statistics has been followed to ensure a high standard of data value, trustworthiness and quality.

Completeness

Hospital admission data is analysed once SMR01 completeness reaches at least 95%.

Comparability

Scottish data is regularly compared to UKHSA shingles data and information

Accessibility

It is the policy of PHS to make its websites and products accessible according to our accessibility statement. Graphs and tables have been assessed against PHS accessibility standards.

Accessibility of the report and findings are of continuous consideration throughout the report development.

Coherence and clarity

The report has been produced using the standard PHS publications template and is available as HTML web pages.

Value type and unit of measurement

Hospital admissions for shingles and related complications (rate per 100,000 population).

Coverage of shingles vaccination (percentage).

Disclosure

Our protocol on statistical disclosure is followed.

Official Statistics accreditation

Official Statistics

UK Statistics Authority Assessment

Not assessed.

Last published

5 December 2023

Next published

4 June 2024 

Date of first publication

17 March 2020

Help email

phs.immunisation@phs.scot

Date form completed

7 January 2024

Last updated: 03 June 2024