Public Health England (PHE) has reported a continuation of the high levels of scarlet fever across the country with 405 new cases reported in the last week (from 21 to 27 April). A total of 8,305 new cases have now been reported since the season began in September 2013.

While data from recent weeks suggest a decline in incidence, close monitoring continues to assess the impact of children returning to school after the Easter break. Scarlet fever is a seasonal disease and this is the time of year when we would expect to see a decline in the number of cases. Given the unusual rise in incidence seen this year, this seasonal pattern may not be observed.scarlet-fever PHE will continue working closely with healthcare professionals to assess the impact of the high levels of scarlet fever on the number of complications reported. Investigations also continue across the country to assess whether a new strain may have emerged.

Dr Theresa Lamagni, PHE’s head of streptococcal infection surveillance, said: “We are still observing exceptionally high numbers of cases and will continue to monitor the situation closely to see if there is a sustained fall over the coming weeks. “We strongly urge people to remain vigilant and to go to their GP if they develop symptoms which suggest scarlet fever such as a sore throat, fever, headache and rash.”

Whilst scarlet fever is usually a mild illness it should be treated with antibiotics to reduce the risk of further complications. It is mainly a childhood disease, most common between the ages of two and eight years, although adults can also develop scarlet fever. Schools, nurseries and childcare settings should embed good hand hygiene practice within daily routines for pupils and staff and alert local PHE Health Protection Teams if an outbreak of scarlet fever is suspected. Children and adults should be encouraged to cover their mouth and nose with a tissue when they cough and sneeze and to wash their hands after using or disposing of tissues.