Scarlet Fever

All Schools
National Health Protection in Schools and Other Child Care Facilities guidance

As per national Health Protection in Schools and Other Child Care Facilities guidance, children and adults with suspected scarlet fever should be excluded from nursery / school / work for 24 hours after the commencement of appropriate antibiotic treatment.

Good hygiene practice such as hand washing remains the most important step in preventing and controlling spread of infection.

In summary:

  • Incidence of invasive group A streptococcus (iGAS) is higher than expected for this time of year
  • Notifications have increased in 2022 returning to pre-pandemic levels and reaching a similar level to the last high incidence year of 2018
  • The increase has been prominent in children under 10 years old
  • Of concern is the unusual seasonal pattern. Spring activity did not decrease over the summer and sustained high levels continued into June-July. Early indications suggest a possible decline in cases in children in August, although these may rise with start of the school term

Letter from UK Health Security Agency