We are seeing an increased number of cases of Group A
streptococcus (Strep A) compared to normal at this time of year.
There is no evidence that a new strain is circulating and the
increase is most likely related to high amounts of circulating
bacteria and social mixing.
If you suspect your child may have Strep A they should not attend
school and you should contact your doctor (or 999 in an
emergency). If there are confirmed or suspected cases in an
education setting there is no reason for children to be kept at
home if they are well.
There are some circumstances where a school or provider may need
to contact their local UK Health Security Agency (UKHSA)
healthcare protection teams (HPTs) for advice.
Further information for staff on how and when to do this can be
found here: Managing outbreaks and
incidents - GOV.UK (www.gov.uk).
As a precaution, here we provide information for schools and
early years providers and parents on the signs and symptoms of
Strep A infections and what to do if you think a child has
developed these.
What are scarlet fever and Strep A?
Scarlet fever is caused by bacteria called Group A streptococci
(Strep A). The bacteria usually cause a mild infection that can
be easily treated with antibiotics.
In very rare occasions, the bacteria can get into the bloodstream
and cause an illness called invasive Group A strep (iGAS).
How can I prevent Strep A?
Good hand and respiratory hygiene are important for stopping the
spread of many bugs.
By teaching children how to wash their hands properly with soap
for 20 seconds, using a tissue to catch coughs and sneezes, and
keeping away from others when feeling unwell, they will be able
to reduce the risk of picking up or spreading infections.
What are the symptoms of Strep A/scarlet fever?
Symptoms can include a sore throat, headache, and fever, along
with a fine, pinkish or red body rash with a sandpapery feel. On
darker skin, the rash can be more difficult to detect visually
but will have a sandpapery feel.
My child is unwell and may have scarlet fever – what
should I do?
If your child becomes unwell with these symptoms, you should
contact your GP practice or contact NHS 111 (which operates a
24/7 service) to seek advice.
It is important to contact NHS 111 or your GP if you suspect your
child has scarlet fever, because early treatment of scarlet fever
with antibiotics is important to reduce the risk of complications
such as pneumonia or a bloodstream infection.
You must tell NHS 111 or your GP if you or your child have been
in contact with someone who has had Strep A recently.
If your child has scarlet fever, keep them at home until at least
24 hours after the start of antibiotic treatment to avoid
spreading the infection to others.
As a parent, if you feel that your child seems seriously
unwell, you should trust your own judgement. Contact NHS 111 if
or your GP if:
- your child is getting worse
- your child is feeding or eating much less than normal
- your child has had a dry nappy for 12 hours or more or shows
other signs of dehydration
- your baby is under 3 months and has a temperature of 38C, or
is older than 3 months and has a temperature of 39C or higher
- your baby feels hotter than usual when you touch their back
or chest, or feels sweaty
- your child is very tired or irritable
Call 999 or go to A&E if:
- your child is having difficulty breathing – you may notice
grunting noises or their tummy sucking under their ribs
- there are pauses when your child breathes
- your child’s skin, tongue or lips are
blue
- your child is floppy and will not wake up or stay awake.
Where can I get the latest information?
The most accurate and up-to-date information can be found on the
UKSHA website: UKHSA update on scarlet
fever and invasive Group A strep - GOV.UK (www.gov.uk).
