Status of COVID-19

Feb 2 2022

As of 19 March 2020, COVID-19 is no longer considered to be a high consequence infectious disease (HCID) in the UK. There are many diseases which can cause serious illness which are not classified as HCIDs.

The 4 nations public health HCID group made an interim recommendation in January 2020 to classify COVID-19 as an HCID. This was based on consideration of the UK HCID criteria about the virus and the disease with information available during the early stages of the outbreak. Now that more is known about COVID-19, the public health bodies in the UK have reviewed the most up to date information about COVID-19 against the UK HCID criteria. They have determined that several features have now changed; in particular, more information is available about mortality rates (low overall), and there is now greater clinical awareness and a specific and sensitive laboratory test, the availability of which continues to increase.

The Advisory Committee on Dangerous Pathogens (ACDP) is also of the opinion that COVID-19 should no longer be classified as an HCID.

The World Health Organization (WHO) continues to consider COVID-19 as a Public Health Emergency of International Concern (PHEIC), therefore the need to have a national, coordinated response remains and this is being met by the government’s COVID-19 response.

Cases of COVID-19 are no longer managed by HCID treatment centres only. All healthcare workers managing possible and confirmed cases should follow the updated national infection and prevention (IPC) guidance for COVID-19, which supersedes all previous IPC guidance for COVID-19. This guidance includes instructions about different personal protective equipment (PPE) ensembles that are appropriate for different clinical scenarios.

List of high consequence infectious diseases

A list of HCIDs has been agreed by a joint Public Health England (PHE) and NHS England HCID Programme:

Contact HCIDAirborne HCID
Argentine haemorrhagic fever (Junin virus)Andes virus infection (hantavirus)
Bolivian haemorrhagic fever (Machupo virus)Avian influenza A H7N9 and H5N1
Crimean Congo haemorrhagic fever (CCHF)Avian influenza A H5N6 and H7N7
Ebola virus disease (EVD)Middle East respiratory syndrome (MERS)
Lassa feverMonkeypox
Lujo virus diseaseNipah virus infection
Marburg virus disease (MVD)Pneumonic plague (Yersinia pestis)
Severe fever with thrombocytopaenia syndrome (SFTS)Severe acute respiratory syndrome (SARS)*

*No cases reported since 2004, but SARS remains a notifiable disease under the International Health Regulations (2005), hence its inclusion here

**Human to human transmission has not been described to date for avian influenza A(H5N6). Human to human transmission has been described for avian influenza A(H5N1), although this was not apparent until more than 30 human cases had been reported. Both A(H5N6) and A(H5N1) often cause severe illness and fatalities. Therefore, A(H5N6) has been included in the airborne HCID list despite not meeting all of the HCID criteria.

The list of HCIDs will be kept under review and updated by PHE if new HCIDs emerge that are of relevance to the UK.

https://www.gov.uk/guidance/high-consequence-infectious-diseases-hcid

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