Microregistrar Infection Newsletter · Tuesday 10 November 2026
England confirms a further HPAI H5N1 poultry case near Dersingham, Norfolk (AIV 2026/26), the third England confirmation in three days.
Defra/APHA published the case page at 18:06 GMT on 9 November 2026: highly pathogenic avian influenza H5N1 was confirmed in commercial poultry near Dersingham, King’s Lynn and West Norfolk on 9 November. The England situation page (updated 18:11 GMT) says a 3 km protection zone and 10 km surveillance zone have been declared and all poultry on the premises will be humanely culled. It follows Garstang (AIV 2026/24) and Pocklington (AIV 2026/25) on 7 November and Brigg (AIV 2026/23) on 4 November. APHA also added week 45 data to its wild-bird findings list the same day.
Elsewhere: UKHSA published new clinical guidance on anaplasmosis and ehrlichiosis and updated the vaccine information in its pertussis management guidance. ECDC’s 9 November Ebola update reports 10,920 confirmed cases and 5,323 deaths in DRC (data to 7 November); MSF is urging wider use of Ervebo against Bundibugyo virus. Ebola is not the lead because it led on 7 November.
Check before quoting: Ebola totals differ by source and cut-off: ECDC 9 Nov (data to 7 Nov) 10,920 / 5,323; CIDRAP 9 Nov 10,910 / 5,234 (source of its count not stated); WHO DON625 (to 3 Nov) 10,668 / 5,198. The ECDC and CIDRAP death counts differ by 89 despite near-identical case counts. CIDRAP dates the North Kivu health-post attack to 6 Nov, whereas Africa CDC’s statement gave 5 Nov. Compilation cut-off 06:07 — see metadata. Journals omitted (Journal Watch).
Also today
The other headlines from today’s issue. Each card links to its source and to the full summary.
DRC Ebola: 10,920 confirmed cases, 5,323 deaths (data to 7 Nov)
ECDC’s 9 November public-health-event update says community transmission is ongoing and eight provinces have been affected. It is the latest official tally we found; WHO’s newest DON is still DON625 (to 3 Nov).
MSF urges wider use of Ervebo against Bundibugyo virus
MSF asked WHO SAGE to lift research-only restrictions on Ervebo (a Zaire-strain vaccine), citing animal cross-protection data and anecdotal observations in previously vaccinated staff. No Bundibugyo-specific vaccine is licensed.
Anaplasmosis and ehrlichiosis: characteristics, diagnosis and treatment
First published 9 Nov (12:19 GMT). Covers Anaplasma phagocytophilum (Ixodes ticks, including in the UK and Europe) and Ehrlichia spp. (mainly North America), which can cause life-threatening disease needing urgent treatment.
Pertussis management guidance: vaccine information updated
Change note 9 Nov (13:38 GMT): “Updated vaccine information.” The note does not say what changed; check the vaccination section before relying on older copies.
EU/EEA: SARS-CoV-2 still the main driver of respiratory activity
Consultation rates are slowly increasing but at low or baseline levels in all reporting countries; median primary-care SARS-CoV-2 test positivity 11% (ECDC overview, 9 Nov).
Level 2 notice: yellow fever in Burkina Faso, Côte d’Ivoire and Ghana
Dated 9 Nov: outbreaks in the Nando Region (Burkina Faso), Bounkani Region (Côte d’Ivoire) and Upper West Region (Ghana). Vaccinate at least 10 days before travel.
What we could not confirm
Shortened morning window (cut-off 06:07 Europe/London, not 08:10). Ebola tallies differ across ECDC (to 7 Nov), CIDRAP and WHO DON625 (to 3 Nov), and the date of the North Kivu attack differs between CIDRAP and Africa CDC. The pertussis change note does not say what changed. FluTrackers and CIDRAP X items (Syria polio, DRC daily figures) are secondary. CDC HAN, measles and MMWR pages returned 403 to our fetch. Public Health Scotland and Wales pages did not expose dates to a static fetch. Journals intentionally omitted.
Microregistrar Moodle update
Read from the MoodleCloud Google Sheet Index tab (“Whats new?” column) on the morning of 10 Nov. No new dated row since yesterday’s issue. Titles are copied as shown on the sheet; the Moodle activity pages were not opened.
Staph aureus bacteraemia
Still the top “Whats new?” row, dated 7/11/2026 on the sheet (wording: “Staph aureus bacteraemia”). Moodle › · Sheet ›
Staph capitis and NRCS-A
Still the second row (sheet wording: “Staph capitis and NRCS-A”). Moodle › · Sheet ›
Staph saprophyticus
C. diphtheriae & C. ulcerans Interactive
Still listed below the November entries (sheet wording: “C diphtheriae & C ulcerans Interactive”). Moodle ›
Greenbook vaccine part 1 revision
Unchanged. Moodle ›
Watched pages
Core UK watched pages re-checked on the morning of 10 Nov (GOV.UK search and content API, cut-off 06:07), plus the nine user-approved Friday-scan sources (now daily). Changes since the 9 Nov issue are marked new and expanded in Agencies.
Bird flu (England): new — updated 9 Nov 18:11 GMT for Dersingham, Norfolk (AIV 2026/26). Situation ›
UKHSA GOV.UK feed: new — anaplasmosis and ehrlichiosis guidance (first published 9 Nov 12:19); pertussis guidance (“Updated vaccine information”, 13:38); varicella epidemiological reports (“Added data set”, 12:26); drought public-health advice (13:43, not infection). Release announcements were added for the week 46 flu/COVID-19 report (data to 8 Nov) and the 2025 legionellosis report (10 Dec). UKHSA ›
Flu/COVID surveillance: still week 45 (5 Nov); week 46 announced (data up to 8 Nov). Week 46 announcement ›
Syndromic surveillance: still week 44 (5 Nov); next due 12 Nov. Week 44 ›
Outbreaks under monitoring: still week 44 (ending 1 Nov); superseded for Ebola tallies by ECDC (to 7 Nov). Week 44 ›
HCID country risk / Ebola and Marburg locations: no GOV.UK update listed after 5 Nov. HCID › · Locations ›
Green Book: no newer chapter listed than pneumococcal chapter 25 (3 Nov). Collection ›
MHRA: new (minor) — COVID-19 test validation approved-products spreadsheet updated 9 Nov 14:23. No new infection-related drug or device alert since the 5 Nov Co-Amoxiclav and Tropicamide notices. Test approvals › · Alerts ›
UK SMI / NICE / exams / HPR: no newer SMI, NICE infection guideline, exam notice or HPR issue found (NICE’s newest 10 Nov item is a transplant HealthTech guidance). UK SMI › · NICE ›
ECDC CDTR: resolved gap — the archive page now states that the weekly CDTR ended in October 2026 and that updates are published daily on the Public health events page (last updated 9 Nov 16:00 CET). Weeks 43–45 are therefore not overdue. CDTR archive › · Public health events ›
Friday-scan nine (all re-checked): HIS news new (9 Nov: Prof Michael Gormley appointed Chair of the Built Environment Infection Prevention Initiative; not guidance). Unchanged: PHS (JavaScript page, week 44 carried, next due 12 Nov); PHW (week 44 carried); NI PHA (last reviewed 5 Nov); HPSC (week 44, fortnightly); ERVISS landing (9 Oct, but see ECDC week 44 overview); EUCAST news (29 Oct; paediatric dosage comments close 27 Nov); SAPG (no November item); PAHO (20 Oct).
Agencies & guidance
New items since the 9 Nov issue first, then carried and unchanged sources. Each card links to the primary page we used.
England · avian influenza (lead)
HPAI H5N1 confirmed near Dersingham, Norfolk (AIV 2026/26), 9 Nov
The case page was first published at 18:06 GMT on 9 November 2026: “Highly pathogenic avian influenza (HPAI) H5N1 was confirmed in commercial poultry near Dersingham, King’s Lynn and West Norfolk, Norfolk (AIV 2026/26) on 9 November 2026.” The England situation page was updated at 18:11 GMT: a 3 km protection zone and 10 km surveillance zone have been declared, and all poultry on the premises will be humanely culled. Earlier this season in England: Brigg (AIV 2026/23, 4 Nov), Garstang (AIV 2026/24) and Pocklington (AIV 2026/25), both 7 Nov. As printed, the page’s 2026–27 summary table lists five HPAI H5N1 cases in England, one H5N1 and one H5N5 in Scotland, and none in Wales or Northern Ireland.
APHA also updated its wild-bird findings list with week 45 data (9 Nov, 12:20 GMT). Human risk wording was not changed in the 9 Nov update.
AIV 2026/26 Dersingham › · England situation › · Wild birds ›
UKHSA guidance and data (9 Nov)
Anaplasmosis and ehrlichiosis
New page (9 Nov, 12:19 GMT) on characteristics, symptoms, diagnosis and treatment. Anaplasmosis (human granulocytic anaplasmosis) is spread by Ixodes ticks, which are widespread in Europe, the UK and North America, and is usually mild; most human cases are seen in North America. Ehrlichiosis is mainly North American and can be life-threatening, needing urgent treatment.
Pertussis background and management: vaccine information updated
Updated 9 Nov (13:38 GMT) with the change note “Updated vaccine information.” The previous change (29 Sep) updated the number of vaccination doses. We did not compare the text line by line.
Varicella epidemiological reports: data set added
Collection first published 30 Oct; “Added data set” on 9 Nov (12:26 GMT). Figures were not extracted for this issue.
£40 million for proactive GP care this winter
Announced 9 Nov (08:40 GMT): up to 300,000 vulnerable patients (for example heart disease, frailty, COPD) to receive extra GP support to prevent avoidable admissions; the release mentions flu vaccination as part of winter preparation. Context only, not infection guidance.
Ebola (DRC, Kenya, Nigeria)
10,920 confirmed cases and 5,323 deaths in DRC (data to 7 Nov)
ECDC’s public-health-event page (9 Nov) says that as of 8 November DRC, where community transmission is ongoing, has reported 10,920 confirmed cases including 5,323 related deaths, with eight provinces affected. ECDC’s multi-country summary page still carries its 6 Nov 16:10 text: Kenya nine confirmed cases (two deaths), all linked to the first case; the Nigeria case and a close contact were evacuated to Switzerland.
CIDRAP (9 Nov) gives 10,910 confirmed cases and 5,234 deaths, a crude CFR of 48.7%, and reports MSF’s call for WHO SAGE to lift research-only restrictions on Ervebo, citing animal cross-protection data and anecdotal reports that previously vaccinated staff are faring better. CIDRAP dates the Islamic State attack that killed 33 people at a North Kivu health post to 6 Nov; Africa CDC’s statement gave 5 Nov.
Inconsistent figures: ECDC and CIDRAP case counts are close but deaths differ by 89; CIDRAP does not name its source. WHO DON625 (to 3 Nov: 10,668 / 5,198) is older. A FluTrackers relay of a DRC government update for 7 Nov (41 new cases, 21 deaths) is unverified. Do not merge these figures.
Europe and international
EU/EEA respiratory overview, week 44
Published 9 Nov. Consultation rates for respiratory illness in primary and secondary care are slowly increasing but remain low or at baseline in all reporting countries. SARS-CoV-2 remains the main contributor, with median primary-care test positivity of 11%.
US H5 cases in Yakima County were dairy workers
ECDC (9 Nov) notes that on 6 Nov US CDC reported the second and third Yakima County, Washington, A(H5) cases (reported 1 Nov) were workers on commercial dairy cattle farms.
Yellow fever: Burkina Faso, Côte d’Ivoire and Ghana (Level 2)
New travel health notice dated 9 Nov for outbreaks in the Nando (Burkina Faso), Bounkani (Côte d’Ivoire) and Upper West (Ghana) regions. Travellers should be vaccinated at least 10 days before travel. Complements WHO DON624 (6 Nov: 67 confirmed cases, 18 deaths in nine African countries, 1 Jan–12 Oct).
Syria reports two polio cases in Deir Ezzor
CIDRAP (9 Nov, 20:38 GMT) reports two cases and catch-up vaccination campaigns. Virus type and the primary government or WHO statement were not checked.
BEIPI appoints new Chair
9 Nov: Prof Michael Gormley appointed Chair of the Built Environment Infection Prevention Initiative, an HIS special interest group. Society news, not guidance.
Devolved UK / Ireland respiratory (unchanged)
No week 45 reports yet
Scotland: still the 5 Nov report (influenza rising; next due 12 Nov). Wales: still week 44. Northern Ireland: page last reviewed 5 Nov. Ireland: integrated week 44 bulletin (5 Nov; currently fortnightly; influenza baseline-low, COVID-19 low-moderate). Details were in the 9 Nov issue.
Unchanged sources
No new breakpoint tables
Newest news still 29 Oct (voriconazole rationale v4.1). Paediatric dosage table comments close 27 Nov 2026.
No new alerts or AMS updates
PAHO’s newest epidemiological update is still 20 Oct (dengue/chikungunya). SAPG shows no November-dated item.
No DON after DON625
Newest remain DON625 (Ebola, 6 Nov 20:42 GMT), DON624 (yellow fever) and DON623 (Shamonda virus, France).
Measles page blocked to our fetch
The CDC measles data page returned 403 again; the last official figure we read was 5,182 cases (data to 5 Nov). Next weekly refresh is typically Thursday 12 Nov.
On X
Light Tuesday check (one search) of agency and society accounts (UKHSA, WHO, ECDC, CIDRAP, CDC, Africa CDC, WHO AFRO, MHRA, IDSA, ESCMID, FluTrackers) from 9 Nov 06:00 GMT to this morning. Each item links to the post we read.
UK and agencies
UKHSA, MHRA, ECDC, WHO, CDC: no posts from these accounts were returned in the window.
CIDRAP: MSF call for wider Ervebo use @CIDRAP ›; Syria polio cases @CIDRAP ›.
WHO AFRO: first joint EPI programme managers’ meeting for Central and West Africa, Lomé, to 13 Nov @WHOAFRO ›. Africa CDC: webinar on research and development during epidemics (10 Nov) @AfricaCDC ›. Neither is an outbreak update.
AMR, IPC and stewardship
ESCMID: Sustainability Commission and ESGNI webinar on greener healthcare without compromising IPC, 30 Nov 12:00 CET @ESCMID ›. IDSA: IDWeek 2026 clinical takeaways podcast (antifungals, NTM, measles) @IDSAInfo ›.
Outbreaks (FluTrackers relays, unverified)
DRC Ebola: government update for 7 Nov relayed as 41 new cases, 21 deaths @FluTrackers ›. Do not merge with ECDC or WHO totals.
France H5N1: highly pathogenic outbreak in a backyard flock in Seine-Maritime @FluTrackers ›.
Mpox: Thailand 470 cases and three deaths in 2026 @FluTrackers ›; new outbreak in Anchorage, Alaska, prompting a state advisory @FluTrackers ›.
Measles (US): Pike County, Ohio, cases rise to 24 with an infant hospitalised @FluTrackers ›.
Dengue: Sri Lanka passes 107,000 cases, more than half in Western Province @FluTrackers ›.
Unverified: FluTrackers relays were not checked against primary government pages in this run.
What we could not confirm
We want you to know exactly where today’s issue has limits. Journals are intentionally out of remit (Journal Watch). Here are the coverage gaps we couldn’t close, plus reports that weren’t out yet.
| Source | Issue |
|---|---|
| Compilation window | Shortened morning cut-off 06:07 Europe/London (GMT) for 07:00 publication — not the nominal 08:10. Releases after the cut-off are not in this issue. |
| Ebola tallies | ECDC 9 Nov (data to 7 Nov): 10,920 / 5,323. CIDRAP 9 Nov: 10,910 / 5,234 (source not stated). WHO DON625 (to 3 Nov): 10,668 / 5,198. FluTrackers relay of a DRC update for 7 Nov (41 cases, 21 deaths) is unverified. Attack date: CIDRAP 6 Nov vs Africa CDC 5 Nov. Do not merge. |
| UKHSA pertussis / varicella | Change notes only (“Updated vaccine information”; “Added data set”); the specific changes and figures were not extracted. |
| Mail Sorter / ID Advisor | No infection forwards since the last issue: the inbox held only Search Console and Instagram mail. Infectious Disease Advisor “Weekly Handoff” still not found. |
| Moodle | No new row. Latest title only (Staph aureus bacteraemia, 7 Nov); the Moodle activity page was not opened. |
| CDC | HAN, measles data and MMWR pages returned 403 to our fetch; the travel notices page was readable (new yellow fever notice). |
| PHS / PHW | Public Health Scotland page is JavaScript-rendered and Public Health Wales returned no dated item to our fetch; week 44 is carried. |
| WHO AFRO / DRC primaries | No AFRO sitrep after 24 found and no DRC Ministry of Health page read. |
| Syria polio | Secondary (CIDRAP X post); virus type and primary statement not checked. |
| X relays | Light check (one account search). FluTrackers items (DRC, France H5N1, mpox, measles, dengue) were not checked against primary pages. |
Not out yet
- UKHSA: week 46 flu/COVID-19 report (data to 8 Nov; expected 12 Nov); syndromic week 45 (due 12 Nov); norovirus/rotavirus week 46; next OUM after week 44; HCAI monthly to October 2026; next England measles epi update (last 15 Oct); HPR after issue 10 (29 Oct); legionellosis in England and Wales 2025 (announced for 10 Dec).
- ECDC: no longer publishes a weekly CDTR (daily public-health-event updates instead); ERVISS landing still dated 9 Oct.
- WHO: any DON after 625 (none by cut-off); revised Ebola rapid risk assessment (DON625 still says under revision); AFRO sitrep 25 with reconciled tallies.
- CDC: HAN (blocked to us); next national measles weekly refresh (typically 12 Nov).
- PHS / PHW / HPSC / NI: week 45 respiratory reports (PHS next due 12 Nov; HPSC bulletin says it is currently fortnightly).
- CIDRAP / PAHO / EUCAST: CIDRAP topic feeds had three 9 Nov items (Ebola/Ervebo, cruise-ship norovirus, a long COVID study); the last two are study coverage and were not used; no PAHO alert after 20 Oct; no EUCAST breakpoint-table release in this window.
Sources
Counted without journals (Journal Watch owns journals from 5 Nov 2026). The UK count covers GOV.UK pages first published or updated after the 9 Nov compilation: Dersingham case page, England bird-flu situation page, wild-bird findings (week 45), anaplasmosis and ehrlichiosis guidance, pertussis guidance, varicella epidemiological reports and the MHRA COVID-19 test approvals list. Statistics release announcements are not counted.
What we checked for this issue. Every link in the issue was retrieved and checked during this run. Journals were not scanned (remit change 5 Nov 2026).
- Watched UK pages re-checked on the morning of 10 Nov, before 06:07: GOV.UK search listings and content API for UKHSA, MHRA, DHSC and Defra/APHA, the England bird-flu situation page, the new Dersingham case page, and the watched flu/COVID, syndromic, OUM, HCID, Ebola/Marburg, Green Book, MHRA, UK SMI and NICE pages
- Microregistrar moodlecloud Google Sheet (Index tab), read directly through the Sheets connector — no new row; newest still 7 Nov (Staph aureus bacteraemia)
- WHO Disease Outbreak News API (newest DON625; no later DON)
- ECDC Public health events page (9 Nov Ebola, respiratory week 44 and US H5N1 entries), ECDC multi-country Ebola page (6 Nov 16:10), CDTR archive notice; Africa CDC news page (unchanged)
- Mail (microregistrar2021@gmail.com): searched mail from the last two days; no Mail Sorter infection forwards
- User-approved daily nine (re-checked 10 Nov): Public Health Scotland respiratory + week 44 report; Public Health Wales week 44 ARI PDF; NI PHA respiratory surveillance; Ireland HPSC integrated week 44 (headline figures extracted); ECDC ERVISS + erviss.org; EUCAST breakpoints + news; SAPG (+ latest updates); HIS guidelines + news; PAHO epidemiological alerts
- CDC travel notices (new yellow fever notice), measles data page and HAN (403)
- CIDRAP per-topic feeds (Ebola 64, measles 78, avian flu 49, AMS 48, influenza 69, HAI 81141, COVID-19 178636, pertussis 87, mpox 230556, C. auris 232685)
- X (Tuesday light check): one account search, 9 Nov 06:00 GMT to this morning
- Live site baseline: microregistrar.com/newsletter/ (9 Nov issue) and local 2026-11-09.html