Table 1 Syndromic surveillance systems daily numbers during the peak pandemic period in 2020 compared to 2019
Syndromic surveillance system | Coverage | Description of indicator | Daily Mean N Weeks 13–22 in 2019 | Daily Mean N Weeks 13–22 (Peak Pandemic) in 2020 | Daily Mean N difference 2019 & 2020 (95% CI)1 | Daily Mean Percentage Change 2019 & 2020 (95% CI)1 |
|---|---|---|---|---|---|---|
NHS 111 | England-wide | Total: Number of calls made2 | 39,036 | 42,228 | 3192 (1889 to 4730) | + 11.75% (+ 8.67% to + 15.06%) |
Eye problems: Patients calling and reporting symptoms of Eye or Eyelid Problems. | 573 | 413 | − 160 (− 115 to − 201) | −25.39% (− 20.07% to − 30.87%) | ||
GP Out-of-Hours | System covers about 80% of England’s population | Total: Numbers of ‘contacts’ (either by telephone or in person) | 26,741 | 23,257 | − 3484 (− 2215 to − 4534) | −11.35 (−8.32% to − 14.07%) |
Total with a Read code: Number of contacts that have a ‘Read code’ (% of total contacts) | 11,332 (42%) | 8452 (36%) | − 2879 (− 2202 to − 3432) | − 24.02% (− 20.86% to − 26.87%) | ||
Chest pain/myocardial infarction: includes chest pain and acute myocardial infarction as a percentage of total contacts with a ‘Read code’ | 1.03% | 1.60% | + 0.57% (+ 0.51% to + 0.62%) | + 60.93% (+ 52.82% to + 68.82%) | ||
Eye irritation: Eye irritation including conjunctivitis and eye infection as a percentage of total contacts with a ‘Read code’ | 0.75% | 0.22% | −0.53% (− 0.50% to − 0.56%) | −71.06% (− 67.90% to − 74.27% | ||
GP In Hours | System covers about 55% of England’s population | Total: Number of consultations at GP In Hours3 | NA | NA | NA | NA |
Mumps: Clinical diagnosis of mumps reported per 100,000 population | 0.100 | 0.055 | −0.045 (− 0.027 to − 0.063) | −31.33% (− 11.45% to −54.49%) | ||
Conjunctivitis: Clinical diagnosis of conjunctivitis reported per 100,000 population | 4.50 | 1.61 | − 2.89 (− 2.70 to − 3.07) | −63.87% (− 62.75% to − 64.97%) | ||
Herpes zoster: Clinical diagnosis of Herpes zoster/shingles reported per 100,000 population | 1.66 | 1.19 | −0.46 (− 0.37 to − 0.55) | −27.00% (− 23.18% to − 30.92%) | ||
Ambulance | System covers all 10 ambulance trusts in England | Total: Number of syndromic calls to 999 for ambulance service | 14,349 | 13,783 | − 566 (− 138 to − 1010) | −3.87% (− 0.89% to −6.92%) |
Chest pain: Calls where a person is described as experiencing chest pain or chest discomfort | 1575 | 1220 | − 356 (− 254 to − 456) | −22.37% (− 16.58% to − 28.74%) | ||
Emergency Department (ED) | ED meeting criteria: submitting data on a daily consecutive basis, N = 100 | Total: Number of attendances at ED | 279164 | 148195 | − 13,097 (− 12,516 to − 13,667) | −48.87% (− 45.03% to − 48.73%) |
Total assigned a diagnosis: Number of attendees at ED assigned a diagnosis (% of total) | 22,348 (80%) | 12,953 (87%) | − 9396 (− 8843 to − 9946) | − 41.95% (− 39.67% to − 44.25%) | ||
Myocardial ischaemia: Clinical diagnosis of myocardial ischaemia | 379 (1.69%) | 243 (1.87%) | − 136 (− 117 to − 155) | −34.88% (− 30.58% to − 39.26%) | ||
Fractures: Diagnosis of all fractures | 1414 (6.33%) | 723 (5.59) | − 690 (− 644 to − 738) | −48.67% (− 45.82% to − 51.63%) |