Does the level of scarlet fever remain the highest in 2017

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“We are concerned – it is quite a dramatic rise” Dr Theresa Lamagni, head of streptococcal
surveillance at public Health England who led the study.
she added: we’ve always seen cases of Scarlet fever – it is just the scale in the past has been
much lower than the alst few years”
Dr lamagni described the soaring number of cases of scarlet fever as ((baffling)), adding that
no underlying cases had been identified.
“Since 2014, the disease has been on the rise, The incidence if Scarlet fever tripled between
2013 and 2014 rising from 4700 cases to more than 15000 cases”
A joint investigation by public health authorities from across England and Wales, but since
1967 the highest level was 2016, there were more than 17000.
The majority of the out breaks were in England, in the highest level for 50 years, research in
the lancet shows.
Vietnam, China, South korea and Hong Kong…etc,several countries in East Asia have also
reported an escalation over the past five years, but there appears to be “no clear
connection”between them and England.
Typically, natural cyclical patterns of Scarlet fever incidence occur every four to six years, the
dip in 2017 suggests the sycle may have peaked in 2016.
Although the rate maybe falling in 2017 as data suggests, but experts say it is too early to
tell.
the slight decrease in the number of cases in England this year might suggest.
“we have turned a corner”, Dr Lamagni said.
“the number of cases remained high”, she added.
The symptoms includes: a sore throat, head ache and fever, occompanied, a red rash that is
rough to the touch (some times describes as “like sand paper”
So the doctors are urging the public to be aware of symptoms.
Which bacteria that causes this disease?
A streptococcus is abacteria that causes scarlet fever essentialy.

How does it spread?

It spreads through close contact with people carrying the organism often in the throat or
through contant with objects and surfaces contaminated with bacterium.
What about antibiotics?

The bacteria can be treated with antibiotics such as in the victorian era, ofter it was
acommon cause of death, although is not usually serious but it is highly contagious, so
antibiotics not enough.

So what is soulation?

Prompt treament reamains essential and it is very necessary to prevent both the spread os
the disease and risk of further complications such as pneumonia and liver damage.
When anyone diagnosed with scarlet fever is advised to stay at home at least 24 hours after
the start of treatment to acoid passing on the infection.
All cases must be reported by doctors to the local health authority because there is no
voccine against the disease.
A total of 620 out braks of the illness were reported in 2016, mostly in schools and nurseries
“we encourage parents to be a ware of the symptoms of scarlet fever and to contact their
GP if they think child might have it”, said Dr Lamagni.
About one in 40 cases is admitted to hospital, although just over half are discharged the
same day.
Molecular genetic testing has ruled out anewly emerged strain of the infection, nor was
there any suggestion that the disease had become resistant to the penicillin normally used to
treat it.
She stressed that cases of the disease are not any more serious than previously , it is just a
question of scale.
why does the scarlet fever rs more difficult to track in Scotland?
In Scotland scarlet fever is more difficult to track because doctors are no longer obliged to
not fy thheir local health authority of any out break.
What the Scotlandian are doing in this case?
“we are use upper respiratary teact group a streptococcal laboratory detections,
The bacteria that causes scarlet fever, as an indicator of the level of scarlet fever in
community”, on NHS Scotland Spokesman said.
Those bacteria are currently slightly higher than expected levels for this time of year in
Scotland.

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Does the level of scarlet fever remain the highest in 2017