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UK PHE Weekly National Influenza Report: 2182 ICU admissions and 195 deaths

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  • UK PHE Weekly National Influenza Report: 2182 ICU admissions and 195 deaths

    Week 52

    The rate of influenza-like illness (ILI) was Below Baseline threshold levels. The overall weekly ILI GP consultation rate was 8.4 per 100,000 registered population in participating GP practices for England, this is similar to 9.4 per 100,000 in week 51. Due to bank holidays in week 52, GP surgeries were only open for three days, so data should therefore be interpreted with caution
    In the devolved administrations, ILI rates were also Below Baseline threshold levels for Wales and Northern Ireland. Data was not available for Scotland for week 52
    Hospitalisation rate observed was at Moderate impact threshold levels, with a rate of 1.96 per 100,000 trust catchment population for England (19 NHS Trusts), this is an increase from 1.06 per 100,000 in week 51.
    ICU/HDU admission rate observed was at Moderate impact threshold levels, with a rate of 0.29 per 100,000 trust catchment population for England (132/143 NHS Trusts), this is an increase from 0.19 per 100,000 in week 51.
    There were no new influenza admissions reported from the 6 Severe Respiratory Failure centres in the UK.

    Microbiological Surveillance
    Primary care: 1 sample tested positive for influenza (1 influenza A(H3N2)) through the UK GP sentinel swabbing schemes.
    Secondary care: Influenza percent positivity was 17.4%, Above Baseline threshold level, an increase from 12.4% in week 51. There were 368 detections recorded through the DataMart scheme (160 influenza A(H1N1)pdm09, 70 influenza A(H3), 135 influenza A(not subtyped) and 3 influenza B).

    USISS sentinel weekly hospitalised confirmed influenza cases, England (week 52)
    - In week 52, there were 160 hospitalised laboratory confirmed influenza cases (59 influenza A(H1N1)pdm09, 8 influenza
    A(H3N2), 92 influenza A(unknown subtype)and 1 influenza B) reported from 19 NHS Trusts across England through the
    USISS sentinel hospital network, with a rate of 1.96 per 100,000 trust catchment population compared to 1.06 per 100,000 in
    the previous week (Figures 6 and 7). This is above the baseline impact threshold of 0.89 per 100,000 within the moderate
    impact range.
    - A total of 509 hospitalised confirmed influenza admissions (256 influenza A(H1N1)pdm09, 40 influenza A(H3N2), 194
    influenza A(unknown subtype) and 19 influenza B) and have been reported in the UK since week 40 2018 via the sentinel

    Number of new admissions and fatal confirmed influenza cases in ICU/HDU (USISS mandatory ICU scheme),
    UK (week 52)
    - In week 52, there were 145 new admissions to ICU/HDU with confirmed influenza (44 influenza A(H1N1)pdm09, 10
    influenza A(H3N2), 89 influenza A(unknown subtype) and 2 influenza B) reported across the UK (132/143 Trusts in England)
    through the USISS mandatory ICU scheme. The rate for England (n=138) was 0.29 per 100,000 trust catchment population
    compared to 0.19 per 100,000 in the previous week (Figures 8 and 9), above the baseline threshold of 0.09 per 100,000
    within the moderate impact range. Eight influenza laboratory-confirmed deaths were reported to have occurred in ICU in week
    52 in the UK.
    - A total of 424 new ICU/HDU admissions (170 influenza A(H1N1)pdm09, 15 influenza A(H3N2), 226 influenza A(unknown
    subtype) and 13 influenza B) and 29 confirmed deaths have been reported in the UK since week 40 2018.


    USISS Severe Respiratory Failure Centre confirmed influenza admissions, UK (week 52)
    - In week 52, there were no new admissions for laboratory confirmed influenza among the 6 Severe Respiratory Failure
    (SRF) centres in the UK.
    - Since week 40 there has been 10 confirmed influenza admissions (9 influenza A(H1N1)pdm09 and 1 influenza A(H3N2)) to
    ECMO centres


    https://assets.publishing.service.go...eek_1_2019.pdf
    Last edited by tetano; February 8th, 2019, 04:37 AM.

  • #2
    Week 1

    Community
     Ninety-seven new acute respiratory outbreaks have been reported in the past 7 days. Eighty-four outbreaks were reported from care homes where 15 tested positive for influenza A(not subtyped), 1 influenza A(H1N1)pdm09, 3 human metapneumovirus (hMPV), 1 picornavirus, 3 rhinovirus and 5 RSV, there were 2 mixed infections 1 influenza A(not subtyped) and RSV and 1 RSV and rhinovirus. Eleven outbreaks were reported from hospitals where 2 tested positive for influenza A(not subtyped), 1 influenza A(H3), 1 hMPV, 1 RSV and 1 mixed infection with influenza B and RSV . The remaining 2 outbreaks were reported from the Other settings category with 1 positive for influenza A(H1N1)pdm09.
    Primary Care
    The rate of influenza-like illness (ILI) was at Low intensity threshold levels. The overall weekly ILI GP consultation rate was 14.8 per 100,000 registered population in participating GP practices for England, this is an increase from 8.4 per 100,000 in week 52 2018. Due to bank holidays in week 52, GP surgeries were only open for 4 days, so data should therefore be interpreted with caution
    In the devolved administrations, ILI rates were Below Baseline threshold levels for Northern Ireland and Scotland and were at Low intensity threshold levels for Wales

    In week 01 2018, there were 282 hospitalised laboratory confirmed influenza cases (149 influenza A(H1N1)pdm09, 20
    influenza A(H3N2), 111 influenza A(unknown subtype)and 2 influenza B) reported from 14 NHS Trusts across England
    through the USISS sentinel hospital network, with a rate of 4.32 per 100,000 trust catchment population compared to 1.96 per
    100,000 in the previous week (Figures 6 and 7). This is above the baseline impact threshold of 1.96 per 100,000 within the
    moderate impact range.
    - A total of 791 hospitalised confirmed influenza admissions (405 influenza A(H1N1)pdm09, 60 influenza A(H3N2), 305
    influenza A(unknown subtype) and 21 influenza B) and have been reported in the UK since week 40 2018 via the sentinel
    scheme.

    In week 01 2019, there were 205 new admissions to ICU/HDU with confirmed influenza (53 influenza A(H1N1)pdm09, 7
    influenza A(H3N2), 143 influenza A(unknown subtype) and 2 influenza B) reported across the UK (130/143 Trusts in England)
    through the USISS mandatory ICU scheme. The rate for England (n=190) was 0.40 per 100,000 trust catchment population
    compared to 0.32 per 100,000 in the previous week (Figures 8 and 9), above the baseline threshold of 0.09 per 100,000
    within the moderate impact range. Ten influenza laboratory-confirmed deaths were reported to have occurred in ICU in week
    01 in the UK.
    - A total of 666 new ICU/HDU admissions (252 influenza A(H1N1)pdm09, 23 influenza A(H3N2), 376 influenza A(unknown subtype) and 15 influenza B) and 41 confirmed deaths have been reported in the UK since week 40 2018.

    In week 01, there were 8 new admissions for laboratory confirmed influenza (7 influenza A(H1N1)pdm09 and 1 influenza A(H3N2)) among the 6 Severe Respiratory Failure (SRF) centres in the UK. - Since week 40 there has been 18 confirmed influenza admissions (16 influenza A(H1N1)pdm09 and 2 influenza A(H3N2)) to ECMO centres



    https://assets.publishing.service.go...eek_2_2019.pdf

    Comment


    • #3
      Week 2

      Community
       Ninety-two new acute respiratory outbreaks have been reported in the past 7 days. Sixty-seven outbreaks were reported from care homes where 16 tested positive for influenza A(not subtyped), 1 influenza A(H1N1)pdm09, 1 influenza B, 1 human metapneumovirus (hMPV), 1 parainfluenza and 3 RSV. Fourteen outbreaks were reported from hospitals where 6 tested positive for influenza A(not subtyped), 2 influenza A(H1N1)pdm09 and 3 influenza A(H3). Eight outbreaks were reported from schools where 1 was positive for influenza A(H1N1)pdm09 and 1 was positive for influenza A(not subtyped). The remaining 3 outbreaks were reported from the Other settings category where 2 tested positive for influenza A(not subtyped).
      Primary Care
      The rate of influenza-like illness (ILI) was at Low intensity levels. The overall weekly ILI GP consultation rate was 19.2 per 100,000 registered population in participating GP practices for England, this is an increase from 14.8 per 100,000 in week 01 2019.
      In the devolved administrations, ILI rates were Below Baseline threshold levels for Scotland and were at Low intensity levels for Northern Ireland and at Medium intensity levels for Wales.

      USISS sentinel weekly hospitalised confirmed influenza cases, England (week 02)
      - In week 02 2019, there were 458 hospitalised laboratory confirmed influenza cases (167 influenza A(H1N1)pdm09, 43
      influenza A(H3N2), 246 influenza A(unknown subtype)and 2 influenza B) reported from 22 NHS Trusts across England
      through the USISS sentinel hospital network, with a rate of 4.75 per 100,000 trust catchment population compared to 3.54 per
      100,000 in the previous week (Figures 6 and 7). This is above the baseline impact threshold of 0.89 per 100,000 within the
      medium impact range.
      - A total of 1,211 hospitalised confirmed influenza admissions (532 influenza A(H1N1)pdm09, 100 influenza A(H3N2), 556
      influenza A(unknown subtype) and 23 influenza B) and have been reported in the UK since week 40 2018 via the sentinel
      scheme.

      Number of new admissions and fatal confirmed influenza cases in ICU/HDU (USISS mandatory ICU scheme),
      UK (week 02)
      - In week 02 2019, there were 237 new admissions to ICU/HDU with confirmed influenza (71 influenza A(H1N1)pdm09, 18
      influenza A(H3N2), 147 influenza A(unknown subtype) and 1 influenza B) reported across the UK (128/143 Trusts in England)
      through the USISS mandatory ICU scheme. The rate for England (n=232) was 0.50 per 100,000 trust catchment population
      compared to 0.42 per 100,000 in the previous week (Figures 8 and 9), above the baseline threshold of 0.09 per 100,000
      within the high impact range. Twenty-six influenza laboratory-confirmed deaths were reported to have occurred in ICU in
      week 02 in the UK.
      - A total of 932 new ICU/HDU admissions (341 influenza A(H1N1)pdm09, 43 influenza A(H3N2), 532 influenza A(unknown
      subtype) and 16 influenza B) and 68 confirmed deaths have been reported in the UK since week 40 2018.

      All-cause death registrations, England and Wales
      - In week 01 2019, an estimated 10,955 all-cause deaths were registered in England and Wales (source: Office for National
      Statistics). This is an increase compared to the 7,131 estimated death registrations in week 52 2018

      In week 02 2019 in England, no statistically significant excess
      mortality by week of death above the upper 2 z-score threshold was
      seen overall, by age group and sub-nationally (all ages), after
      correcting ONS disaggregate data for reporting delay with the
      standardised EuroMOMO algorithm. This data is provisional due to the
      time delay in registration; numbers may vary from week to week

      https://assets.publishing.service.go...eek_3_2019.pdf

      Comment


      • #4
        Week 3

        Primary Care
        The rate of influenza-like illness (ILI) was at Low intensity levels. The overall weekly ILI GP consultation rate was 19.6 per 100,000 registered population in participating GP practices for England, this is similar to 19.2 per 100,000 in week 02 2019.
        In the devolved administrations, ILI rates were Below Baseline threshold levels for Scotland and Northern Ireland and were at Medium intensity levels for Wales.

        Influenza confirmed hospitalisations (provisional)
        In week 03 2019, there were 441 hospitalised confirmed influenza cases (185 influenza A(H1N1)pdm09, 25
        influenza A(H3N2), 230 influenza A(unknown subtype)and 1 influenza B) reported through the USISS sentinel
        hospital network across England (21 NHS Trusts). There were 272 new admissions to ICU/HDU with confirmed
        influenza (79 influenza A(H1N1)pdm09, 14 influenza A(H3N2), 177 influenza A(unknown subtype) and 2 influenza
        B) reported through the USISS mandatory ICU/HDU surveillance scheme across the UK (138/143 NHS Trusts in
        England).

        Number of new admissions and fatal confirmed influenza cases in ICU/HDU (USISS mandatory ICU scheme),
        UK (week 03)
        - In week 03 2019, there were 272 new admissions to ICU/HDU with confirmed influenza (79 influenza A(H1N1)pdm09, 14
        influenza A(H3N2), 177 influenza A(unknown subtype) and 2 influenza B) reported across the UK (138/143 Trusts in England)
        through the USISS mandatory ICU scheme. The rate for England (n=268) was 0.54 per 100,000 trust catchment population
        compared to 0.55 per 100,000 in the previous week (Figures 8 and 9), above the baseline threshold of 0.09 per 100,000
        within the high impact range. Thirty-one influenza laboratory-confirmed deaths were reported to have occurred in ICU in week
        03 in the UK.
        - A total of 1,254 new ICU/HDU admissions (441 influenza A(H1N1)pdm09, 62 influenza A(H3N2), 733 influenza A(unknown
        subtype) and 18 influenza B) and 102 confirmed deaths have been reported in the UK since week 40 2018.

        USISS Severe Respiratory Failure Centre confirmed influenza admissions, UK (week 03)
        - In week 03, there were 8 new admissions for laboratory confirmed influenza (6 influenza A(H1N1)pdm09 and 2 influenza
        A(unknown subtype)) among the 6 Severe Respiratory Failure (SRF) centres in the UK.
        - Since week 40 there has been 36 confirmed influenza admissions (32 influenza A(H1N1)pdm09, 1 influenza A(H3N2) and 3
        influenza A(unknown subtype)) to ECMO centres

        In week 03 2019, no statistically significant excess all-cause mortality by week of death was observed
        overall and by age group in England, through the EuroMOMO algorithm. In the devolved
        administrations, no statistically significant excess all-cause mortality for all ages was observed in
        Wales and Northern Ireland in week 03 2019 and in Scotland in week 01 2019.


        https://assets.publishing.service.go...eek_4_2019.pdf

        Comment


        • #5
          Thank you tetanto

          Comment


          • #6
            Week 4

            The rate of influenza-like illness (ILI) wasatLow intensitylevels. The overall weekly ILI GP consultation rate was 17.5per 100,000 registered population in participating GP practices for England, this is a decrease from 19.6 per 100,000 in week 032019.In the devolved administrations, ILI rates were Below Baselinethreshold levels for Scotland andNorthern Irelandand were at Lowintensitylevels for Wales

            All-cause mortalityIn week 042019, no statistically significant excess all-cause mortality by week of death was seen overall and by age group in England. In the devolved administrations, no statistically significant excess all-cause mortality for all ages was observed in Northern Irelandand Wales in week 04; statistically significant excess all-cause mortality was observed inScotlandin week 022019.


            USISS sentinel weekly hospitalised confirmed influenza cases, England (week 04)-In week 042019, there were 575hospitalised laboratory confirmed influenza cases(210influenza A(H1N1)pdm09, 60influenza A(H3N2)and 350influenza A(unknown subtype))reported from 21NHS Trusts across England through the USISS sentinel hospital network, with a rate of 6.11 per 100,000 trust catchment population compared to 5.12per 100,000 in the previous week (Figures 6 and 7). This is above the baseline impact threshold of 0.89 per 100,000 within the highimpact range. -A total of2,269hospitalised confirmed influenza admissions (953 influenza A(H1N1)pdm09, 192influenza A(H3N2),1,100influenza A(unknown subtype) and 24 influenza B) and have been reported in the UK since week 40 2018 via the sentinel scheme


            Number of new admissions and fatal confirmed influenza cases in ICU/HDU (USISS mandatory ICU scheme), UK (week 04)-In week 042019, there were 275new admissionsto ICU/HDU with confirmed influenza (69 influenza A(H1N1)pdm09, 19 influenza A(H3N2) and187 influenza A(unknown subtype)) reported across the UK (135/143 Trusts in England) throughthe USISS mandatory ICU scheme. The ratefor England (n=271) was0.56per 100,000 trust catchment population compared to 0.57per 100,000 in the previous week (Figures 8 and 9), above the baseline threshold of 0.09 per 100,000within the high impact range. Twenty-sixinfluenza laboratory-confirmeddeaths werereported to have occurred inICU in week 04in the UK.-A total of 1,548new ICU/HDU admissions (522influenza A(H1N1)pdm09,85influenza A(H3N2), 923 influenza A(unknown subtype) and 18influenza B) and 131confirmed deaths havebeen reported in the UK since week 40 2018


            USISS Severe Respiratory Failure Centre confirmed influenza admissions, UK (week 04)-In week 04,there were 8new admissionsfor laboratory confirmed influenza(6 influenza A(H1N1)pdm09 and 2 influenza A(unknown subtype)) among the 6 Severe Respiratory Failure (SRF) centres in the UK. -Since week 40 there has been 48confirmed influenza admissions(40influenza A(H1N1)pdm09, 4influenza A(H3N2)and 4 influenza A(unknown subtype)) to ECMO centres

            https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/775384/Weekly_national_influenza_report_week_5_2019.pdf

            Comment


            • #7
              Week 5

              Primary CareThe rate of influenza-like illness (ILI) wasatLow intensitylevels. The overall weekly ILI GP consultation rate was 19.7per 100,000 registered population in participating GP practices for England, this is aslightincrease from 17.5 per 100,000 in week 04 2019. In the devolved administrations, ILI rates were Below Baselinethreshold levels for Northern Irelandand were atLow intensitylevels forScotland and Medium intensity levels forWales

              RCGP (England)-The weekly ILI consultation rate through the RCGP surveillance was at 19.7 per 100,000 registered population in participating GP practices in week 05 2019, this is a a slight increase from 17.5 per 100,000 in week 04. This is abovethe baseline threshold (13.1 per 100,000) (Figure 4*). By age group, the highest rates were seen in 45-64 year olds (24.3 per 100,000)and in 15-44 year olds (22.9 per 100,000).

              USISS sentinel weekly hospitalised confirmed influenza cases, England (week 05)-In week 05 2019, there were 583 hospitalised laboratory confirmed influenza cases(238 influenza A(H1N1)pdm09, 56 influenza A(H3N2), 288 influenza A(unknown subtype) and 1 influenza B)reported from 22NHS Trusts across England through the USISS sentinel hospital network, with a rate of 5.92 per 100,000 trust catchment population compared to 5.99 per 100,000 in the previous week (Figures 6 and 7). This is above the baseline impact thresholdof 0.89 per 100,000 within the high impact range. -A total of2,881 hospitalised confirmed influenza admissions (1,199 influenza A(H1N1)pdm09, 249 influenza A(H3N2),1,141 influenza A(unknown subtype) and 25 influenza B) and have been reported in the UK since week 40 2018 via the sentinel scheme.

              Number of new admissions and fatal confirmed influenza cases in ICU/HDU (USISS mandatory ICU scheme), UK (week 05)-In week 05 2019, there were 285 new admissionsto ICU/HDU with confirmed influenza (75 influenza A(H1N1)pdm09, 10 influenza A(H3N2) and 200 influenza A(unknown subtype)) reported across the UK (135/143 Trusts in England) throughthe USISS mandatory ICU scheme. The ratefor England (n=270) was0.56per 100,000 trust catchment population compared to 0.56 per 100,000 in the previous week (Figures 8 and 9), above the baseline threshold of 0.09 per 100,000within the high impact range. Twenty-six influenza laboratory-confirmeddeaths werereported to have occurred inICU in week 05in the UK.-A total of 1,884 new ICU/HDU admissions (626influenza A(H1N1)pdm09,98influenza A(H3N2), 1,141 influenza A(unknown subtype) and 19influenza B) and 168confirmed deaths havebeen reported in the UK since week 40 2018.

              USISS Severe Respiratory Failure Centre confirmed influenza admissions, UK (week 05)-In week 05,there were 6new admissionsfor laboratory confirmed influenza(5 influenza A(H1N1)pdm09 and 1 influenza A(unknown subtype)) among the 6 Severe Respiratory Failure (SRF) centres in the UK. -Since week 40 there have been 54confirmed influenza admissions(45 influenza A(H1N1)pdm09, 4 influenza A(H3N2)and 5 influenza A(unknown subtype)) to ECMO centres

              In week 052019, no statistically significant excess all-cause mortality by week of death was observed overall and by age groupin England, through the EuroMOMO algorithm. In the devolved administrations,no statistically significant excess all-cause mortality for all ages was observedin Walesin week 052019 and inScotlandin week 032019.

              https://assets.publishing.service.go...eek_6_2019.pdf

              Comment


              • #8
                Thank you

                Comment


                • #9
                  Week 6

                  One-hundred and one new acute respiratory outbreaks have been reported in the past 7 days. Sixty outbreaks were reported from care homes where 21 tested positive for influenza A(not subtyped), 2 for RSV and 1 for human metapneumovirus (hMPV). Fifteen outbreaks were reported from hospitals where 6 tested positive for influenza A(not subtyped), 1forinfluenza A(H1N1)pdm09 and 1forseasonal coronavirus. Nineteen outbreaks were reported from schools where 3 were positive for influenza A(not subtyped) and 1for influenza A(H1N1)pdm09.The remaining 7 outbreaks were reported from the Other settings category where 2 tested positive for influenza A(not subtyped) and 1 for influenza A(H1N1)pdm09

                  Primary CareThe rate of influenza-like illness (ILI) wasatLow intensitylevels. The overall weekly ILI GP consultation rate was 23.1per 100,000 registered population in participating GP practices for England, this is aslight increase from 19.7 per 100,000 in week 05 2019. In the devolved administrations, ILI rates were Below Baselinethreshold levels for Northern Irelandand Scotland and were at Medium intensity levels forWales

                  Microbiological surveillancePrimary care:74sample tested positive for influenza (47influenza A(H1N1)pdm09,16influenza A(H3) and 11 influenza A(not subtyped) witha positivity of 56.1% through the UK GP sentinel swabbing schemes.Secondary care:Influenza percent positivity was 31.0%, Above Baselinethreshold level, this is an increase from26.3% in week 05. There were 891detections recorded through the DataMart scheme (402 influenza A(H1N1)pdm09, 200influenza A(H3), 284 influenza A(not subtyped) and 5influenza B).

                  USISS sentinel weekly hospitalised confirmed influenza cases, England (week 06)-In week 062019, there were 680hospitalised laboratory confirmed influenzacases(273 influenza A(H1N1)pdm09, 67 influenza A(H3N2), 340influenza A(unknown subtype))reported from 23NHS Trusts across England through the USISS sentinel hospital network, with a rate of 6.75per 100,000 trust catchment population compared to 6.05per 100,000 in the previous week (Figures 6 and 7). This is above the baseline impact threshold of 0.89 per 100,000 within the high impact range. -A total of3,591hospitalised confirmed influenza admissions (1,478influenza A(H1N1)pdm09, 316influenza A(H3N2),1,772influenza A(unknown subtype) and 25 influenza B) and have been reported in the UK since week 40 2018 via the sentinel scheme.

                  Number of new admissions andfatal confirmed influenza cases in ICU/HDU (USISS mandatory ICU scheme), UK (week 06)-In week 062019, there were 269new admissionsto ICU/HDU with confirmed influenza (82influenza A(H1N1)pdm09, 14 influenza A(H3N2),171influenza A(unknown subtype)and 2 influenza B) reported across the UK (140/143 Trusts in England) throughthe USISS mandatory ICU scheme. The ratefor England (n=261) was0.52per 100,000 trust catchment population compared to 0.57per 100,000 in the previous week (Figures 8 and 9),above the baseline threshold of 0.09 per 100,000within the high impact range. Twenty-seveninfluenza laboratory-confirmeddeaths werereported to have occurred inICU in week 06in the UK.-A total of 2,182new ICU/HDU admissions (737influenza A(H1N1)pdm09,113influenza A(H3N2), 1,311 influenza A(unknown subtype) and 21influenza B) and 195confirmed deaths havebeen reported in the UK since week 40 2018

                  USISS Severe Respiratory Failure Centre confirmed influenza admissions, UK (week 06)-In week 06,there were 6new admissionsfor laboratory confirmed influenza(5 influenza A(H1N1)pdm09 and 1 influenza A(unknown subtype)) among the 6 Severe Respiratory Failure (SRF) centres in the UK. -Since week 40 there have been 68confirmed influenza admissions(54 influenza A(H1N1)pdm09, 4 influenza A(H3N2)and 10influenza A(unknown subtype)) to ECMO centres

                  In week 062019, no statistically significant excess all-cause mortality by week of death was observed overall and by age groupin England, through the EuroMOMO algorithm. In the devolved administrations,no statistically significant excess all-cause mortality for all ages was observedin Walesand Northern Irelandin week 062019 and inScotlandin week 042019.


                  https://assets.publishing.service.go...eek_7_2019.pdf

                  Comment


                  • #10
                    Tetanto

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