Health leaders in the UK are raising alarms over a potential resurgence of norovirus, with indications that individuals may contract the vomiting bug multiple times this season due to the emergence of different strains. The UK Health Security Agency (UKHSA) reported that a notable increase in norovirus cases has been observed, particularly with the GII.17 genotype, which currently accounts for 59% of cases but has decreased from 76% since November. Meanwhile, the GII.4 strain, a commonly circulating genotype, has gained traction and now represents 29% of cases, up from 10% three months prior.

Amy Douglas, lead epidemiologist at the UKHSA, emphasised the ongoing high levels of norovirus, noting that the simultaneous spread of multiple genotypes raises the risk of reinfection. “We are seeing the biggest impacts in health and social care settings, such as hospitals and care homes,” she stated. The agency highlighted that symptoms can be more severe among vulnerable populations, including older adults and those who are immunocompromised. To prevent further transmission, Douglas recommended that anyone experiencing diarrhoea and vomiting should refrain from visiting hospitals or care homes and avoid food preparation for others until 48 hours after symptoms cease, as alcohol-based sanitiser is ineffective against norovirus.

The NHS faces enormous strains as recent data revealed hospital norovirus cases remain close to record levels, with an average of 1,134 patients in hospital daily due to norovirus-related illnesses, compared to 1,160 the previous week. These figures reflect more than double the number of cases observed at the same period last year, which stood at 470. NHS England has noted a 40% increase in online searches regarding norovirus, indicating heightened public concern.

Professor Sir Stephen Powis, the national medical director at NHS England, acknowledged the continuing pressures faced by healthcare staff and underlined the importance of hand hygiene and prompt medical attention. He advised the public to use NHS services appropriately, maintaining that health services are still available despite the overwhelming circumstance.

In an alarming parallel situation, the University Hospitals Sussex NHS Foundation Trust is facing overcrowding challenges, prompting them to recruit a medical professional to manage care in A&E corridors specifically for elderly patients. The Royal Sussex County Hospital in Brighton has reported remarkable levels of patient wait times, with 1,200 individuals waiting for at least 12 hours for a bed last month. This has been described by health leaders as a disturbing reflection of the current strain on the NHS.

Dr Adrian Boyle, President of the Royal College of Emergency Medicine, commented on the implications of such a recruitment drive, calling it a “frightening and worrying indictment” of the NHS’s condition. According to a recent survey conducted by the Royal College of Physicians (RCP), nearly 80% of NHS doctors reported having to provide care in unsuitable environments during the past month, often compromising patient dignity and safety.

The NHS is expected to address these issues by ensuring that patients receive timely admission and treatment while continuing to develop measures to reduce hospital crowding. Professor Katie Urch, chief medical officer at the University Hospitals Sussex, noted that addressing delays and ensuring proper care for frail elderly patients are critical, acknowledging that corridor care is not acceptable.

A spokesperson for the NHS reiterated that caring for patients in makeshift conditions is unacceptable and underscores the urgent need for systemic reforms to enhance hospital capacity and patient safety.

Source: Noah Wire Services