Dear Parents/ Carers,

As you will be aware from reports in the news, across the country we are seeing four times more Scarlet Fever cases than is usual for this time of year. Therefore, it is important to be able to recognise the signs and symptoms of Scarlet Fever. Please see the information below.

What is Group A Strep (GAS)?

Group A Strep is the name of a bacteria that most commonly causes throat infections, skin infections / Scarlet Fever. It is also able to cause more serious infections, but this does not happen very often. Signs & Symptoms of Scarlet Fever

The symptoms are the same for children and adults, although scarlet fever is less common in adults. Scarlet Fever most commonly happens in children aged under 10 years old and it can be treated with antibiotics.

The first symptoms of Scarlet Fever are the same as those caused by viruses that commonly cause infection at this time of year and they include: sore throat, headache, fever (may be 38.3˚C (101˚F) or higher), nausea & vomiting. At this stage of the infection Scarlet Fever is hard to diagnose unless your child had been in contact with another child who has already been diagnosed with Scarlet Fever. And not every child will get all the symptoms, some people don’t get any symptoms.

12-48 hours after the initial symptoms a fine rash may appear first on the chest and tummy and then it spreads quickly to the rest of the body. When you feel the rash, it feels rough like sandpaper.

This rash appears pink or red on white skin and may not be as obvious on someone with brown / black skin.

It is common for children with Scarlet Fever to have a white coating on their tongue that peels off and then the tongue appears red and swollen. If your child’s skin is pale, they may also have red cheeks. Symptoms can also include swollen lymph glands.

NHS Web-site

When should I contact my GP / NHS 111?

Scarlet fever is very easily spread. Check with a GP before you go in. They may suggest a phone consultation.

• Contact your GP as soon as possible if your child has symptoms of Scarlet Fever or are feeling unwell and have been in contact with someone who has scarlet fever.
• Let your GP know if your child does not get better in a week (after seeing a GP), are ill again, weeks after scarlet fever got better as this can be a sign of a complication, such as rheumatic fever.
• It is also important that you let your GP know if your child gets chickenpox at the same time as Scarlet Fever

You should also contact your GP / NHS 111 if as a parent, you feel that your child seems seriously unwell. You should trust your own judgement. Contact your GP / NHS 111 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

If it is Scarlett Fever your GP may prescribe antibiotics. Antibiotics will shorten the length of time your child is infectious (can pass the bacteria unto someone else) and can help toreduce the chance of them developing a more serious infection. Your child can return to school 24 hours after starting antibiotic treatment for Scarlet Fever if they are well enough and their temperature has settled. It is important that they continue to take all their antibiotic treatment even if they start to feel better.

When should I call 999 / go to A & E?

• 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 o your child’s skin, tongue or lips are blue
• your child is floppy and will not wake up or stay awake

Should I let anyone else know if my child has Scarlet Fever?