Thursday 12 November 2026
MICROREGISTRAR · INFECTION INTELLIGENCE — Daily Infection Update
01 Executive Summary
- Confirmed Defra / APHA · HPAI · 11 Nov
1 Avian influenza prevention zone (AIPZ) now covers all of England and Scotland
An England-wide AIPZ with mandatory biosecurity measures came into force at 09:00 on 11 Nov; Scotland’s Chief Veterinary Officer declared a Scotland-wide AIPZ from 12:00 on 10 Nov. All bird keepers must, by law, follow strict biosecurity. Neither declaration includes a housing order. Defra cites wild-bird findings, poultry detections and the raised risk levels.
Figures differ between governments: The Scottish Government release (10 Nov) says there have been six cases in kept birds in GB this season, including an egg producer in the Scottish Borders, and describes the risk to poultry as “very high”. Defra’s outbreak assessment #11 (counts to 6 Nov) lists four GB infected premises and puts poultry risk at MEDIUM / LOW. The documents use different dates and wording; we have not reconciled them. The Scottish AIPZ was published on 10 Nov at 12:00, before yesterday’s cut-off, and was missed in the 11 Nov issue (catch-up).
- Confirmed APHA · HPAI H5N1 · 11 Nov
2 HPAI H5N1 confirmed in commercial poultry near Market Rasen, Lincolnshire (AIV 2026/27)
Confirmed 11 Nov (GOV.UK, 18:16 GMT). A 3 km protection zone and 10 km surveillance zone have been declared, and all poultry on the premises will be culled. This is the first new England poultry case since Dersingham (AIV 2026/26, 9 Nov).
- Confirmed WHO AFRO / ECDC · Ebola · 11 Nov
3 Kenya discharges its last Ebola patient and starts a 42-day countdown; DRC passes 11,000 cases
WHO AFRO: Kenya’s last patient went home on 11 Nov and the last 11 contacts completed monitoring; day one of the 42-day countdown is 12 Nov. ECDC (11 Nov): Kenya has had nine confirmed cases (two deaths, seven recovered). DRC has reported 11,042 confirmed cases and 5,387 deaths (data to 9 Nov), with community transmission continuing in eight provinces.
Do not merge figures: These ECDC totals (data to 9 Nov) replace the ECDC 10 Nov figures in yesterday’s issue (10,990 cases / 5,354 deaths, data to 8 Nov). WHO’s newest Disease Outbreak News is still DON625 (data to 3 Nov). The Kenya countdown dates come from the WHO AFRO release; ECDC gives the same recovery and contact status.
- Confirmed UKHSA · Ebola reference page · 11 Nov
4 UKHSA Ebola overview now counts the 2026 medical evacuation as the fifth confirmed UK case
Updated 11 Nov (15:30 GMT; “Updated Cases in the UK section”). Five confirmed UK cases since 1976: one laboratory-acquired (1976), three healthcare workers linked to the 2014–15 West African epidemic, and one person medically evacuated from DRC during the 2026 Bundibugyo outbreak. No UK deaths.
A quiet morning: four items today rather than five. No other item in the window met the bar for the summary.
Microregistrar Moodle update
Today’s update
Read directly from the MoodleCloud Google Sheet Index tab (“Whats new?” column) on the morning of 12 Nov.
Nothing new today. The newest rows are still dated 10/11/2026 (Hepatitis C; Renal drug dose adjustment), which were reported in the 11 Nov issue. Sheet ›
Content list
The public content list is the Microregistrar Moodle Google Sheet, linked from the Moodle page on microregistrar.com (wording: “You can find a list of content in this spreadsheet”). The daily update above is taken from the Index tab (“Whats new?”) of the same spreadsheet, which is the tab previous newsletter issues have used.
Content list (spreadsheet) › · Index / What’s new tab › · microregistrar.com Moodle page ›
What is Microregistrar Moodle
Microregistrar.moodlecloud.com is an online learning platform for doctors preparing for the FRCPath Medical Microbiology examinations. It provides structured revision support for Part 1 and Part 2, including core microbiology topics, high-yield notes, exam-focused questions, guideline and UKHSA updates, laboratory interpretation material, and practical study guidance.
The same page says it includes material curated and written by experienced UK microbiologists; interactive high-yield notes; regular updates on guidelines and important studies; updates from the Health Protection Report; guidance for Part 1 and Part 2; an active members-only WhatsApp group; approximately 500 FRCPath Part 1-style MCQs with answers and explanations; more than 100 Part 2 questions with model answers; and a standing Part 2 mock examination. It also states that the group at present has >400 members from various parts of the world and, over the last 3 years, has supported >700 members. Approved members can access course materials after enrolment.
Wording taken from microregistrar.com/microregistrar-moodle-frcpath/ (checked 10 Nov 2026; not re-checked today). The Moodle front page itself returned 403 to our fetch, so it was not used as a source.
How to subscribe / join
The public Moodle page on microregistrar.com is headed “How to register for Moodle?” It states: “Access to Microregistrar is by application. Applicants are reviewed to ensure the platform remains focused on postgraduate medical training.” The application process, as printed, is:
- Fill in this form: https://forms.gle/HaqeVqLgGx2hH5Xy7
- Send an email that you have filled in the application form to microregistrar@gmail.com
- “I shall send you more information, the payment link, and further instructions.”
Membership fee (as printed on that page): 6 months – £58.5; 1 year – £99.0. “There is no autorenewal. If you want to renew, follow the above process and contact me.”
Taken from microregistrar.com/microregistrar-moodle-frcpath/ (checked 10 Nov 2026; not re-checked today). moodlecloud.com/login/signup.php and the Moodle front page returned 403 to our fetch, so we could not verify whether a signup form on the Moodle site itself matches this process.
02 UK Infection Updates
UKHSA, the UKHSA dashboard, NHS England, PHS, PHW, NI PHA, Ireland HPSC, NICE and national events. The AIPZ and the Market Rasen case are written up in full under 07 One Health.
AIPZ in force across England (from 11 Nov) and Scotland (from 10 Nov)
England: AIPZ with mandatory biosecurity declared for all of England from 09:00 on 11 Nov. Scotland: Scotland-wide AIPZ from 12:00 on 10 Nov. Both remain in place until further notice. Public Health Scotland is quoted as advising that the risk to public health is very low.
Figures differ between governments: The Scottish Government release (10 Nov) says there have been six cases in kept birds in GB this season, including an egg producer in the Scottish Borders, and describes the risk to poultry as “very high”. Defra’s outbreak assessment #11 (counts to 6 Nov) lists four GB infected premises and puts poultry risk at MEDIUM / LOW. The documents use different dates and wording; we have not reconciled them. The Scottish AIPZ was published on 10 Nov at 12:00, before yesterday’s cut-off, and was missed in the 11 Nov issue (catch-up).
HPAI H5N1 near Market Rasen, West Lindsay, Lincolnshire (AIV 2026/27)
Confirmed in commercial poultry on 11 Nov; 3 km protection and 10 km surveillance zones declared; flock to be culled.
Ebola overview: UK case history updated
Updated 11 Nov (15:30 GMT). Five confirmed UK cases of Ebola disease since 1976, now including the person medically evacuated from DRC in 2026; no UK deaths. The page also covers animal reservoirs, transmission routes, diagnosis and management.
UKHSA dashboard, NHS England and devolved nations
Nothing new today. UKHSA’s week 46 flu and COVID-19 surveillance report (data to 8 Nov) and ESPAUR 2025–26 are both expected today, 12 Nov, and were not published at cut-off. NI PHA’s newest news item (9 Nov) is not infection-related. HPSC says publication of its epidemiological reports has been paused during work stoppages (notice dated 13 Oct). No new PHW report was identified. NHS England’s 12 Nov news is a cancer treatment item. NICE’s 12 Nov guidance (HTG786) is not infection-related.
UKHSA dashboard › · PHS › · PHW › · NI PHA › · HPSC ›
03 Global Outbreaks
WHO DON, ECDC, CDC, WHO AFRO, PAHO and WHO SEARO. Only items with a material development in the window are written up.
Kenya starts a 42-day countdown; DRC reaches 11,042 confirmed cases
Kenya. WHO AFRO (11 Nov): the last patient was discharged on 11 Nov and the last 11 contacts returned home after completing monitoring. For the first time since its first case 37 days earlier, Kenya has no patient in treatment and no contacts in quarantine. Day one of the 42-day countdown is Thursday 12 Nov. ECDC: nine confirmed cases, two deaths, all linked to the first case; seven recovered; last case reported 20 Oct.
DRC. ECDC (11 Nov): as of 10 Nov, 11,042 confirmed cases including 5,387 deaths (data to 9 Nov), up 52 cases and 33 deaths on ECDC’s 10 Nov update. Eight provinces affected (Ituri, Nord-Kivu, Sud-Kivu, Tshopo, Haut-Uélé, Bas-Uélé, Sud Ubangi, Nord Ubangi). Nigeria: one case (20 Oct), evacuated to Switzerland; 62 contacts identified.
Do not merge figures: These ECDC totals (data to 9 Nov) replace the ECDC 10 Nov figures in yesterday’s issue (10,990 cases / 5,354 deaths, data to 8 Nov). WHO’s newest Disease Outbreak News is still DON625 (data to 3 Nov). The Kenya countdown dates come from the WHO AFRO release; ECDC gives the same recovery and contact status.
WHO DON, CDC, PAHO and SEARO
Nothing new today. No Disease Outbreak News after DON625 (6 Nov). PAHO’s newest epidemiological alert or update is still 20 Oct. CDC travel notices show nothing newer than the global dengue notice (10 Nov, reported yesterday). CDC HAN returned 403 to our fetch. No new ECDC public health event after the Ebola update.
04 AMR Watch
WHO GLASS, ECDC AMR, UKHSA, EUCAST and SAPG.
Nothing new today. UKHSA’s stakeholder cascade (11 Nov) says the ESPAUR report for 2025–26 will be published on Thursday 12 Nov; it was not on GOV.UK at cut-off. EUCAST news is still dated 29 Oct. SAPG shows no new dated item. WHO GLASS was not re-checked this morning.
05 IPC Watch
HIS, NHS England, UKHSA and CDC, covering healthcare-associated outbreaks, transmission incidents and IPC guidance.
Webinar on the new communal accommodation IPC guidance: Wednesday 2 December, 10:30
UKHSA’s stakeholder cascade (11 Nov) announces a Microsoft Teams webinar on the IPC guidance for managed communal accommodation settings (published 10 Nov, covered yesterday). The cascade also points to UKHSA’s IPC resource for adult social care, first published 28 Oct.
Nothing else new today. HIS news is unchanged since 9 Nov. No healthcare-associated outbreak or transmission incident was confirmed from a primary source in the window.
06 Vaccines & Medicines
JCVI, Green Book, WHO immunisation, MHRA, FDA, EMA and NICE.
New communications toolkit for the teenage vaccine programme
UKHSA’s stakeholder cascade (11 Nov) announces a new toolkit, with NHS England, to help schools, colleges, local authorities and health professionals explain the adolescent vaccines and the catch-up offer for people under 25 (MenACWY, HPV and the 3-in-1 teenage booster). It includes key messages, vaccine-specific Q&A and a pointer to consent guidance.
Date not confirmed: The toolkit sits on the DHSC Campaign Resource Centre, which shows no publication date to our fetch; we have only the cascade’s description of it as new.
JCVI, Green Book, MHRA, FDA, EMA, NICE, WHO immunisation
Nothing new today. No new JCVI statement or Green Book chapter was found. MHRA’s 11 Nov approval (retifanlimab for anal cancer) is not an infection product. FDA press announcements show nothing after 9 Nov; EMA news nothing after 6 Nov.
07 One Health
WOAH, FAO and APHA/Defra, including avian influenza and zoonoses.
AIPZ declared across England and Scotland
England (from 09:00, 11 Nov): an AIPZ with mandatory biosecurity measures covers all of England. Defra’s situation page gives the reason as findings in wild birds, detections in poultry and increased risk levels. Keepers must follow strict biosecurity, check the disease control zone map and register their birds. GOV.UK guidance for game-bird keepers and the AIPZ biosecurity checklist were updated the same day.
Scotland (from 12:00, 10 Nov): a Scotland-wide AIPZ. Keepers must keep free-ranging birds within fenced areas, fence off ponds and standing water, keep domestic ducks and geese separate from other poultry, cleanse and disinfect footwear, and make bird areas unattractive to wild birds. Public Health Scotland is quoted as saying the public health risk is very low; Food Standards Scotland says the food safety risk is very low.
Figures differ between governments: The Scottish Government release (10 Nov) says there have been six cases in kept birds in GB this season, including an egg producer in the Scottish Borders, and describes the risk to poultry as “very high”. Defra’s outbreak assessment #11 (counts to 6 Nov) lists four GB infected premises and puts poultry risk at MEDIUM / LOW. The documents use different dates and wording; we have not reconciled them. The Scottish AIPZ was published on 10 Nov at 12:00, before yesterday’s cut-off, and was missed in the 11 Nov issue (catch-up).
GOV.UK AIPZ (England) › · England situation › · gov.scot › · AIPZ checklist › · Game-bird rules ›
Market Rasen, Lincolnshire: HPAI H5N1 in commercial poultry (AIV 2026/27)
Confirmed 11 Nov. 3 km protection zone and 10 km surveillance zone declared; all poultry on the premises to be culled. Recent England commercial cases: Garstang and Pocklington (7 Nov), Dersingham (9 Nov), now Market Rasen.
H5 HPAI in otters, Highlands: dataset updated
APHA’s non-avian wildlife findings were updated on 11 Nov to add H5 HPAI virus detections in otters in the Highlands, Scotland, in weeks 38, 42 and 43 of 2026. Not a material change: Defra’s outbreak assessment #11, reported yesterday, already noted three otter positives in Scotland since 7 Aug.
WOAH and FAO
Nothing checked successfully today. WOAH’s news page returned 404 to our fetch; FAO was not checked.
08 Innovation & Technology
MHRA, FDA, FIND, and company announcements only when verified against regulators.
Nothing new today. No infection-related MHRA device or FDA approval in the window. FIND’s news page returned 404 to our fetch.
09 Other Notable News
Short headlines with original links. CIDRAP, BMJ News and STAT are discovery sources, traced to a primary page where possible.
New UKHSA resource on tailoring public health messages (TAPIE model)
First published 11 Nov (16:31 GMT). Practical guidance for people communicating in public health emergencies on tailoring messages for diverse audiences, built on research with 17 public health and community organisations and residents in four languages. Context for outbreak communication, not clinical guidance.
Not used: CIDRAP items on a diabetes drug and COVID-19 mortality, and on hospital wastewater and resistant bacteria, report journal studies (Journal Watch owns journals). BMJ News and STAT were not scanned this morning.
Continuing stories tracker
An ongoing story reappears in the daily sections only if cases, geography, risk or control measures change materially.
| Story | First reported | Today’s status | What changed |
|---|---|---|---|
| England / GB HPAI (2026–27 season) | 5 Nov 2026 issue (Brigg, AIV 2026/23) | Yes | New control measures: AIPZ across England (11 Nov) and Scotland (10 Nov). New case: Market Rasen (AIV 2026/27, 11 Nov). |
| DRC Bundibugyo Ebola | Outbreak declared 15 May 2026; last newsletter lead 7 Nov | Yes | DRC 11,042 cases / 5,387 deaths (ECDC, data to 9 Nov). Kenya’s last patient discharged; 42-day countdown from 12 Nov. Not item 1 (led 7 Nov). |
| UK Ebola medevac (Royal Free) | 7 Nov 2026 issue | Yes (minor) | UKHSA overview now lists the case as the fifth confirmed UK case since 1976. No clinical update published. |
| Yellow fever, WHO African Region | 7 Nov 2026 issue (DON624) | No | No new WHO or CDC update. |
| US A(H5) cases, Yakima County | 10 Nov 2026 issue | No | No newer primary update found. |
| Human H9N2, mainland China | 11 Nov 2026 issue (CHP week 45) | No | Next CHP weekly report not yet due. |
| US measles elimination status | 11 Nov 2026 issue (CIDRAP) | No | No PAHO decision found. |
What we could not confirm
Source-access and coverage limits only. Doubts about a specific item are in a yellow note under that item.
| Source | Issue |
|---|---|
| Compilation window | Cut-off 06:09 Europe/London (GMT) on 12 Nov for 07:00 publication. Anything released after this is not in today’s issue. |
| CDC | HAN returned 403 to our fetch; MMWR and measles pages were not re-tried. |
| WOAH, FIND | News pages returned 404; FAO and WHO SEARO were not checked. |
| WHO GLASS, UKHSA dashboard | Not re-checked this morning. |
| PHS / PHW / HPSC | PHS pages need JavaScript and were not read; PHW news exposed no dates; HPSC reports paused during work stoppages (notice 13 Oct). |
| BMJ News, STAT | Not scanned this morning. |
| GB HPAI counts | Scottish Government and Defra figures for kept-bird cases and poultry risk differ (see yellow note under the AIPZ item). |
| Moodle | No new sheet rows; the microregistrar.com Moodle page was not re-opened today. |
Not out yet
- UKHSA: ESPAUR 2025–26 (announced for 12 Nov); week 46 flu and COVID-19 surveillance (data to 8 Nov).
- WHO: any Disease Outbreak News after DON625; a reconciled Ebola tally.
- PAHO: outcome of the measles Re-Verification Commission meeting.
- Defra: an outbreak assessment that includes the November England cases.
About this issue
Counted without journals (Journal Watch owns journals). The UK count covers GOV.UK pages first published or updated after the 11 Nov cut-off: AIPZ England, England situation page, Market Rasen case page, control-zone key dates, AIPZ checklist, game-bird rules, bird-flu prevention guidance and non-avian wildlife findings (Defra/APHA); Ebola overview and TAPIE communication resource (UKHSA). The Scottish AIPZ (gov.scot, 10 Nov) is a catch-up and is not counted.
Compilation metadata, editorial rules and the source list. Doubts about a specific item are marked in a yellow note under that item.
MICROREGISTRAR · INFECTION INTELLIGENCE — Daily Infection Update for 12 November 2026. The top developments are in 01 Executive Summary, UK first; full write-ups sit in the numbered sections. Nothing has been invented, and a quiet section is left short rather than padded.
Editorial rules applied: last 24 hours prioritised · UK first · primary-source link on every item · labelled Confirmed / Investigation / Preliminary / Unverified · no recycling without a material change · no artificial quotas · a quiet section reads “Nothing new today” · Ebola may lead at most once in seven days (last led 7 Nov) · no journals and no X checks.
Sources
What we checked for this issue, before the 06:09 cut-off on 12 Nov.
- GOV.UK search API and content API for UKHSA, MHRA, DHSC, Defra and APHA; England bird-flu situation, AIPZ and Market Rasen case pages
- Scottish Government news (AIPZ, 10 Nov)
- Microregistrar moodlecloud Google Sheet (Index tab), read directly through the Sheets connector
- WHO Disease Outbreak News API (newest DON625); WHO AFRO news (Kenya release, 11 Nov); WHO news
- ECDC Public health events (11 Nov Ebola update), ECDC newsroom
- CDC travel notices (readable); CDC HAN (403)
- User-approved daily nine: PHS (not read), PHW, NI PHA, HPSC, ECDC ERVISS, EUCAST news, SAPG, HIS news, PAHO epidemiological alerts
- NHS England news, NICE published guidance, FDA press announcements, EMA news; WOAH and FIND (404)
- 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), traced to primary sources where possible
- Mail (microregistrar2021@gmail.com), last day: UKHSA stakeholder cascade (11 Nov, also forwarded by Mail Sorter) and UKHSA Global Hazards weekly bulletin (no new infection item)
- Live site baseline: microregistrar.com/newsletter/ (11 Nov issue) and local 2026-11-11.html