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The signs and symptoms of Strep A and scarlet fever as ninth child dies from outbreak

Parents have been told to 'trust their own judgement' if their child seems unwell.

Daisy Jackson Daisy Jackson - 6th December 2022

A ninth child has tragically died after contracting the bacterial infection Strep A.

Five-year-old Stella-Lilly McCorkindale has become the ninth child to die from an illness linked to the infection.

The UKHSA has issued a list of signs and symptoms that parents have been urged to look out for, including a sore throat, fever, chills and muscle aches.

Group A streptococcus (GAS) is a common bacteria often found in throats and on our skin, and can cause a number of infections.

Scarlet fever rash - Strep A symptoms
Scarlet Fever rash. Credit: NHS

Infections linked to Strep A include tonsillitis, pharyngitis, scarlet fever, impetigo and cellulitis, which ‘rarely become serious’.

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There are currently high numbers of scarlet fever cases, the signs of which start with a high temperature, a sore throat and swollen neck glands (a large lump on the side of your neck), with a rash appearing 12 to 48 hours later.

Scarlet fever is highly contagious, so concerned parents are advised to keep sick children at home.

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The UKHSA has said that investigations are underway following reports of an increase in lower respiratory tract Group A Strep infections, which have led to serious illness and several deaths.

There’s currently no evidence of a new strain.

The rise in infections is thought to be linked to that fact that children mixed less during the Covid pandemic and therefore their systems aren’t immune to a number of different infections.

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The UKHSA says: “It’s always concerning when a child is unwell. GAS infections cause various symptoms such as sore throat, fever, chills and muscle aches.

“As a parent, if you feel that your child seems seriously unwell, you should trust your own judgement.”

Advice issued to parents is as follows:

Contact NHS 111 or your GP if:

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  • 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

Featured image: UKHSA