Scarlet fever situations among young children in England at highest level given that 1990

GP examines sick child

A GP examines a sick kid on a home pay a visit to. Situations of scarlet fever in England are at their highest degree for many many years, authorities have warned. Photograph: Ianni Dimitrov / Alamy/Alamy

Scarlet fever cases among younger youngsters in England are at their highest for a lot more than 20 years, public overall health experts mentioned on Friday.

The when daily life-threatening and nonetheless hugely contagious illness can usually be contained with a ten-day program of antibiotics, but colleges and GPs have been warned to seem out for symptoms while households have been “strongly suggested” to hold their children at residence for 24 hours after starting therapy. There is no preventative vaccine.

Youngsters aged in between two and eight are the most at danger of catching scarlet fever, which is characterised by a rash and can be baffled with that induced by measles, says Public Well being England (PHE).

Formal notifications of the illness to authorities because the infection season began in September final yr now stand at three,548 compared with an average of 1,420 more than the identical period for the last decade. Far more than 4,000 situations have been reported in 1989/90, the last time ailment levels had been so higher.

Theresa Lamagni, PHE’s head of streptococcal infection surveillance, stated: “The very first signs and symptoms of scarlet fever typically incorporate a sore throat, headache, fever, nausea, and vomiting. Amongst 12 to 48 hours following this, a characteristic rash develops. Cases are much more common in children despite the fact that grownups can also develop scarlet fever. Signs usually clear up soon after a week and the majority of situations can be treated with a program of antibiotics to decrease chance of complications.”

A century ago, there were up to 150,000 instances a 12 months, said Lamagni, but because the 2nd world war and the development of antibiotics there had been a steady total drop, despite cyclical rises and falls in incidence. The final registered fatality occurred in the mid-1990s.

Scarlet fever carries a small chance of problems this kind of as an ear infection, a throat abscess, sinusitis, pneumonia and meningitis, in accordance to the NHS. Rarer problems that may well create later on consist of rheumatic fever, kidney or liver damage, bone infection, blood poisoning, the flesh-eating ailment necrotising fascitis, or toxic shock syndrome.

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