Wednesday 11 November 2026
MICROREGISTRAR · INFECTION INTELLIGENCE — Daily Infection Update
01 Executive Summary
- Confirmed Defra / APHA · HPAI risk · 10 Nov
1 GB avian influenza risk raised: wild birds now HIGH, poultry raised to MEDIUM / LOW
Defra’s updated outbreak assessment (#11, dated 6 Nov; added to GOV.UK 10 Nov 15:53 GMT) raises the GB wild-bird risk for HPAI H5 from medium to HIGH. Poultry incursion risk rises from low to MEDIUM where biosecurity is non-stringent or suboptimal, and from very low to LOW where it is stringent. Since 1 Oct: 20 HPAI H5-positive found-dead wild birds in GB (16 H5N1, 4 H5N5).
Check before quoting: The report is headed “Updated Outbreak Assessment #11 … 6 November 2026”, but GOV.UK added it on 10 Nov (15:53 GMT) and the PDF file name says “11 November 2026”. Its counts run only to 6 Nov, so they do not include Garstang and Pocklington (7 Nov) or Dersingham (9 Nov). The text also says there were “4 IPs in October 2026” while describing the third and fourth as early November detections.
- Confirmed UKHSA · MenACWY · 10 Nov
2 MenACWY programme information for healthcare professionals updated to version 09.00
Updated 10 Nov (15:57 GMT). The change note says the update reflects recent epidemiological data, clarifies vaccine shelf life and updates guidance on individuals who have already received a dose of MenACWY vaccine.
Detail not compared: The change note lists the areas changed (epidemiological data, shelf life, people with a previous MenACWY dose). We did not compare version 09.00 line by line with the previous version, so the specific wording changes are not summarised here.
- Confirmed UKHSA · IPC · new guidance · 10 Nov
3 New UKHSA IPC guidance for managed communal accommodation settings
First published 10 Nov (14:00 GMT). For staff, providers and volunteers in settings such as asylum accommodation (contingency hotels, initial accommodation centres, large or former military sites), homelessness hostels and night shelters, and domestic abuse refuges. Covers cleaning, hand and respiratory hygiene, recognising symptoms, access to healthcare and vaccination, and responding to incidents and outbreaks.
- Confirmed ECDC · Ebola · 10 Nov
4 DRC Ebola (Bundibugyo): 10,990 confirmed cases and 5,354 deaths (data to 8 Nov)
ECDC’s 10 Nov update: community transmission ongoing in DRC, eight provinces affected; 70 more cases and 31 more deaths than ECDC’s 9 Nov update. Kenya is unchanged at nine confirmed cases (two deaths). EU/EEA risk remains low for people in or travelling to affected areas and very low for people living in the EU/EEA.
Do not merge figures: These ECDC totals (data to 8 Nov) replace the 9 Nov ECDC figures reported yesterday (10,920 / 5,323). WHO’s newest DON is still DON625 (data to 3 Nov: 10,668 / 5,198). We found no newer WHO or DRC primary tally to cross-check.
- Confirmed Hong Kong CHP · H9N2 · 10 Nov
5 Two new human H9N2 avian influenza cases in children in mainland China
CHP’s Avian Influenza Report (week 45, published 10 Nov) lists a nine-year-old girl in Guangxi (onset 13 Oct) and a seven-year-old boy in Liaoning (onset 20 Sep).
Microregistrar Moodle update
Today’s update
Read directly from the MoodleCloud Google Sheet Index tab (“Whats new?” column) on the morning of 11 Nov. Two new rows dated 10/11/2026 since the 10 Nov issue. Titles are copied as shown on the sheet; the Moodle activity pages were not opened.
Hepatitis C
New top “Whats new?” row, dated 10/11/2026 (sheet wording: “Hepatitis C”). Moodle › · Sheet ›
Renal drug dose adjustment
Second row, dated 10/11/2026 (sheet wording: “Renal drug dose adjustment”). Moodle › · Sheet ›
Already reported: Staph aureus bacteraemia (7 Nov); Staph capitis and NRCS-A, Staph saprophyticus (4 Nov).
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 Defra risk-level change is written up under 07 One Health; MenACWY under 06; the communal accommodation guidance under 05.
Defra raises GB wild-bird HPAI risk to HIGH
Outbreak assessment #11 (added 10 Nov): wild birds medium → HIGH; poultry with suboptimal biosecurity low → MEDIUM; poultry with stringent biosecurity very low → LOW. No new England poultry case page since Dersingham (AIV 2026/26, 9 Nov). The key-dates table for control zones was updated on 10 Nov (10:37 GMT) to add Brigg.
MenACWY guidance for healthcare professionals: version 09.00
Updated 10 Nov (15:57 GMT): recent epidemiological data, vaccine shelf life and people who have had a previous MenACWY dose.
IPC in managed communal accommodation settings (new)
First published 10 Nov (14:00 GMT). Covers asylum accommodation, homelessness hostels and night shelters, domestic abuse refuges and other emergency or temporary communal settings.
Invasive meningococcal disease: April–June 2026 table corrected
Updated 10 Nov (09:58 GMT): “Updated table 2” in the April to June 2026 laboratory-confirmed cases report.
Not extracted: The change note does not say which figures changed, and we did not compare the table with the earlier version.
UKHSA dashboard, NHS England and devolved nations
Nothing new today. UKHSA week 46 flu and COVID-19 surveillance (data to 8 Nov) and syndromic surveillance week 45 are due 12 Nov and are not out. No week 45 respiratory report found from PHS, PHW, NI PHA or HPSC. NHS England news shows nothing after 5 Nov. NICE’s only 10 Nov item is transplant HealthTech guidance (not infection).
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.
DRC: 10,990 confirmed cases and 5,354 deaths (data to 8 Nov)
ECDC (10 Nov): as of 9 Nov, DRC has reported 10,990 confirmed cases including 5,354 deaths; eight provinces affected (Ituri, Nord-Kivu, Sud-Kivu, Tshopo, Haut-Uélé, Bas-Uélé, Sud Ubangi, Nord Ubangi); 966 patients hospitalised in isolation. Kenya: nine confirmed cases, two deaths, all linked to the first case; last case 20 Oct. The Nigeria case (travel history to Uganda) was evacuated to Switzerland; 62 contacts identified. ECDC’s EU/EEA risk wording is unchanged.
Do not merge figures: These ECDC totals (data to 8 Nov) replace the 9 Nov ECDC figures reported yesterday (10,920 / 5,323). WHO’s newest DON is still DON625 (data to 3 Nov: 10,668 / 5,198). We found no newer WHO or DRC primary tally to cross-check.
MERS-CoV: no new cases since 19 October
ECDC monthly update (10 Nov): no new cases reported between 19 Oct and 9 Nov. In 2026, eight cases including one death in Saudi Arabia; 2,655 cases and 960 deaths worldwide since April 2012. Risk to the EU/EEA remains low.
CDC global dengue Level 1 notice updated
CDC’s global dengue travel notice (Level 1, practise usual precautions) is marked updated on 10 Nov. Travellers to risk areas should prevent mosquito bites.
Change not identified: The notices index shows several differing country lists for this notice, and we could not tell which countries were added or removed on 10 Nov.
WHO DON, AFRO, PAHO and SEARO
Nothing new today. No Disease Outbreak News after DON625 (6 Nov). WHO AFRO news items dated 10–11 Nov are not outbreak reports. PAHO’s newest epidemiological alert or update is still 20 Oct. No new WHO SEARO item was found. CDC HAN, measles and MMWR pages returned 403 to our fetch.
04 AMR Watch
WHO GLASS, ECDC AMR, UKHSA, EUCAST and SAPG.
Nothing new today. EUCAST news is still dated 29 Oct; comments on the paediatric dosage table close on 27 Nov 2026. SAPG and the ECDC news page show no new dated AMR item. No new UKHSA AMR or ESPAUR publication in the window. 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.
Infection prevention and control in managed communal accommodation settings
First published 10 Nov (14:00 GMT). Aimed mainly at people who manage, work or volunteer in communal settings with onsite management, and at commissioners and service providers. Settings named: accommodation for people seeking asylum (contingency hotels, initial accommodation centres, large or former military sites), accommodation for people experiencing homelessness (hostels, night shelters), domestic abuse refuges and other emergency or temporary communal accommodation. It covers how infections spread, higher-risk situations, cleaning and hygiene of shared spaces, hand and respiratory hygiene, recognising symptoms, supporting access to healthcare, vaccination and treatment, and responding to infectious disease incidents and outbreaks.
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.
MenACWY programme: information for healthcare professionals (version 09.00)
Updated 10 Nov (15:57 GMT). Change note: “Updated to version 09.00, updates reflect recent epidemiological data, clarification of vaccine shelf life and updated guidance on individuals who have received a previous dose of Men ACWY vaccine.” The page notes that MenC vaccine has not been offered to infants since 1 July 2025 and that high teenage MenACWY uptake protects unvaccinated people by reducing MenW and MenC carriage.
Detail not compared: The change note lists the areas changed (epidemiological data, shelf life, people with a previous MenACWY dose). We did not compare version 09.00 line by line with the previous version, so the specific wording changes are not summarised here.
JCVI, Green Book, MHRA, FDA, EMA, NICE, WHO immunisation
Nothing new today. No new JCVI statement or Green Book chapter was found. MHRA updated its 2026 marketing authorisations list on 10 Nov (11:27 GMT), but we did not identify a new infection product in it. 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.
GB HPAI risk levels raised (Updated Outbreak Assessment #11)
Defra says that since its 30 Sep assessment there have been 16 HPAI H5N1 cases in a range of wild bird species across much of England, plus H5N5 in wild birds (1), poultry (1) and mammals (3) in Scotland, and in gulls (3) in northern England. With rising wild-bird cases across Europe in October and continuing migration, the GB wild-bird risk is raised from medium to HIGH (“occurs very often”). Poultry incursion risk: non-stringent or suboptimal biosecurity low → MEDIUM (medium uncertainty); stringent biosecurity very low → LOW (low uncertainty).
Counts to 6 Nov: four infected premises in GB since 1 Oct (H5N5 backyard flock, Isle of Lewis; H5N1 in Northumberland, Lanarkshire and Lincolnshire); 20 positive found-dead wild birds of 13 species across 14 counties (18 England, 2 Scotland, none in Wales; 16 H5N1, 4 H5N5); three otters positive in Scotland since 7 Aug. Defra describes biosecurity as of heightened importance.
Check before quoting: The report is headed “Updated Outbreak Assessment #11 … 6 November 2026”, but GOV.UK added it on 10 Nov (15:53 GMT) and the PDF file name says “11 November 2026”. Its counts run only to 6 Nov, so they do not include Garstang and Pocklington (7 Nov) or Dersingham (9 Nov). The text also says there were “4 IPs in October 2026” while describing the third and fourth as early November detections.
Defra assessments › · Assessment #11 (PDF) › · England situation › · Wild birds ›
Two new paediatric H9N2 cases in mainland China
CHP Avian Influenza Report vol. 22 no. 45 (reporting week 1–7 Nov, published 10 Nov): a nine-year-old girl in Guangxi Zhuang Autonomous Region (onset 13 Oct) and a seven-year-old boy in Liaoning Province (onset 20 Sep). CIDRAP adds that mainland China has recorded 23 H9N2 cases in six months, all but six in children, and quotes WHO that sustained human-to-human transmission has not been shown.
Secondary detail: The 23-case and WHO 189-case totals come from CIDRAP; we did not check them against a WHO primary page.
WOAH and FAO
Nothing new today from a primary WOAH or FAO page; WOAH’s news page exposed no dates to our fetch.
08 Innovation & Technology
MHRA, FDA, FIND, and company announcements only when verified against regulators.
AI Airlock regulatory sandbox: Phase 3 webinar added
MHRA’s AI Airlock collection (sandbox for AI-enabled medical devices) was updated on 10 Nov (15:41 GMT) to add the Phase 3 Airlock webinar; Phase 3 and its call for applications were announced on 5 Oct. Context, not infection-specific.
Nothing further today. No new FIND announcement or infection-related FDA approval was found. MHRA’s field safety notice list for 2–6 Nov was published on 10 Nov; we did not identify an infection-specific device in it.
09 Other Notable News
Short headlines with original links. CIDRAP, BMJ News and STAT are discovery sources, traced to a primary page where possible.
First yellow cold-health alert of winter 2026/27
Issued 10 Nov for the North West and West Midlands, from 09:00 Thursday 12 Nov to 12:00 Saturday 14 Nov. Context for winter pressures and vulnerable patients, not infection guidance.
PAHO commission reviews US measles elimination status this week
CIDRAP (10 Nov) reports that PAHO’s Measles and Rubella Elimination Regional Monitoring and Re-Verification Commission meets in Washington DC from 10 Nov to Friday, and that experts expect the US to lose its elimination status. CIDRAP cites more than 5,100 CDC-reported US cases in 2026.
Preliminary / secondary: No decision has been published. The meeting dates and the US case count come from CIDRAP; we did not confirm them on a PAHO or CDC page (CDC measles data returned 403).
US alfalfa sprout E. coli / Salmonella outbreak declared over
CIDRAP (10 Nov) reports CDC declared the multistate outbreak over: 77 people in 16 states, six hospitalised, no deaths.
Unverified: The CDC page returned 403 to our fetch, so the figures are as reported by CIDRAP.
Not used: a CIDRAP COVID-19 vaccine op-ed (opinion). 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 | Defra raised GB wild-bird risk to HIGH and poultry risk to MEDIUM / LOW (assessment #11, added 10 Nov). No new England poultry case since Dersingham (9 Nov). |
| DRC Bundibugyo Ebola | Outbreak declared 15 May 2026; last newsletter lead 7 Nov | Yes | ECDC 10 Nov: 10,990 cases, 5,354 deaths (data to 8 Nov), up from 10,920 / 5,323. WHO DON still DON625. Not item 1 (led 7 Nov). |
| Yellow fever, WHO African Region | 7 Nov 2026 issue (DON624) | No | No new WHO or CDC update since the 9 Nov CDC notice. |
| UK Ebola medevac (Royal Free) | 7 Nov 2026 issue | No | No newer UKHSA statement found. |
| US A(H5) cases, Yakima County | 10 Nov 2026 issue | No | No newer primary update found. |
| Human H9N2, mainland China | First in this issue (CHP week 45) | Yes (new) | Two new paediatric cases (Guangxi, Liaoning). |
| US measles elimination status | First in this issue (CIDRAP, 10 Nov) | Yes (new) | PAHO commission meeting under way; no decision published. |
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 11 Nov for 07:00 publication. Anything released after this is not in today’s issue. |
| CDC | HAN, measles data, MMWR and the alfalfa sprouts investigation page returned 403 to our fetch. |
| WOAH, FIND, WHO SEARO | News pages exposed no in-window dates to a static fetch; WAHIS was not opened. |
| WHO GLASS, UKHSA dashboard | Not re-checked this morning. |
| PHS / PHW / NI PHA / HPSC | No week 45 respiratory report found; PHS pages need JavaScript and expose few dates. |
| BMJ News, STAT | Not scanned this morning. |
| Mail Sorter | No infection forwards in the window (only Instagram, UKRI and Search Console mail since 9 Nov). |
| Moodle | Two new sheet rows; the Moodle activity pages and the microregistrar.com Moodle page were not re-opened today. |
Not out yet
- UKHSA: week 46 flu and COVID-19 surveillance (data to 8 Nov) and syndromic surveillance week 45 (both due 12 Nov).
- WHO: any DON after DON625; a reconciled Ebola tally.
- PAHO: outcome of the measles Re-Verification Commission meeting.
- ECDC: EARS-Net annual report for 2025 data (planned Q4 2026).
About this issue
Counted without journals (Journal Watch owns journals). The UK count covers GOV.UK pages first published or updated after the 10 Nov cut-off: MenACWY HCP information, communal accommodation IPC guidance, meningococcal laboratory data (UKHSA); HPAI outbreak assessment and control-zone key-dates table (Defra/APHA); AI Airlock collection (MHRA). The cold-health alert and MHRA licensing registers are 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 11 November 2026. The top five 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 11 Nov.
- GOV.UK search API and content API for UKHSA, MHRA, DHSC and Defra/APHA; England bird-flu situation page; Defra outbreak assessment #11 (PDF)
- Microregistrar moodlecloud Google Sheet (Index tab), read directly through the Sheets connector
- WHO Disease Outbreak News API (newest DON625); WHO AFRO and SEARO news pages
- ECDC Public health events (10 Nov Ebola and MERS-CoV updates), ECDC news, ERVISS
- CDC travel notices (readable); CDC HAN, measles and MMWR (403)
- User-approved daily nine: PHS, 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, FIND, Africa CDC news
- Hong Kong CHP Avian Influenza Report (week 45)
- 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 two days: no Mail Sorter infection forwards
- Live site baseline: microregistrar.com/newsletter/ (10 Nov issue) and local 2026-11-10.html
