Public Health Wales monitoring Welsh hospitals as rarely-detected infection rises in England

Public Health Wales on High Alert as Unusual Infection Spreads in England
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Demand for vigilance rises as a rarely-detected infection, Candida auris, emerges in parts of England, prompting Public Health Wales to closely monitor Welsh hospitals for any signs of the dangerous fungus. The UK Health Security Agency (UKHSA) has sounded the alarm following a surge in cases in London and the south-east of England.

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Candida auris, also known as Candidozyma, is a fungal pathogen that can pose a serious threat. Although no cases have been reported in Wales yet, health officials are keeping a watchful eye on the situation. Public Health Wales is actively providing support to the National Health Service (NHS) by offering guidance on infection prevention and control measures.

The pathogen, which typically resides on the skin, can go undetected in carriers but becomes problematic within healthcare settings. In hospitals, Candida auris can lead to infections in surgical wounds or the bloodstream, with symptoms ranging from minor issues to more severe complications such as pus at a wound site, elevated temperature, and overall feeling of illness if medical devices like drip lines or urinary catheters are infected.

Patients diagnosed with Candida auris are usually isolated in individual rooms and prescribed antifungal medications. UKHSA data from January 2013 to December 2024 revealed a total of 637 cases in England, with a notable increase in recent years – 26 cases in 2021, 38 in 2022, 93 in 2023, and a substantial leap to 178 in 2024.

A spokesperson from Public Health Wales reassured the public by stating, “At present, most of the identified cases in the UK appear to be concentrated in London and the South-East of England, with a small number reported in the South-West. While there is currently no evidence of Candida auris transmission or infection in Wales, we are continuing to monitor the situation closely and are supporting NHS Wales with infection prevention and control advice.”

As part of routine surveillance, Public Health Wales has mechanisms in place to accurately detect Candida bloodstream infections, confirming no cases of Candida auris infection in Wales from April 2018 onwards. Despite the absence of reported cases in Wales, ongoing vigilance and support for infection control measures remain a top priority for health officials.

The emergence of this fungal infection serves as a reminder of the importance of robust surveillance systems and rapid response mechanisms within healthcare settings. Public Health Wales’s proactive stance in monitoring the situation and providing necessary support demonstrates their commitment to safeguarding public health in Wales against emerging threats.

This development underscores the critical role of health authorities in swiftly addressing public health concerns and underscores the need for a coordinated response to combat infectious diseases effectively. The collaborative efforts between Public Health Wales and NHS Wales exemplify the proactive approach needed to mitigate the risks associated with emerging infections and ensure the safety of patients and healthcare workers across the region.