07 December 2022


You may be aware from the media that the UK is seeing a high number of Group A strep cases this year.  The bacteria usually cause a mild infection which can lead to sore (strep) throats, impetigo or scarlet fever, that can be easily treated by antibiotics.

Scarlet fever is usually a mild illness, but it is highly infectious.  Look out for symptoms in your child, which include a sore throat, headache, and fever, along with a fine, pinkish or red body rash with a sandpapery feel.  On darker skin the rash can be more difficult to detect visually but will have a sandpapery feel.  Click here for NHS guidance on scarlet fever.

Contact NHS 111 or your GP if you suspect your child has scarlet fever, because early treatment of scarlet fever with antibiotics is important to reduce the risk of complications such as pneumonia or a bloodstream infection.  If your child has scarlet fever, keep them at home until at least 24 hours after the start of antibiotic treatment to avoid spreading the infection to others.

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

Contact NHS 111 if or your GP 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

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

Good hand and respiratory hygiene are important for stopping the spread of many bugs.  By teaching your child how to wash their hands properly with soap for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up, or spreading, infections.  We will be increasing hand washing routines at THNS and promoting good hygiene.

Please be reassured that we currently have no reported cases in the nursery.

Please see the letter to schools from Rachel Flowers (Director of Public Health, Croydon Council) and Shelley Davies (Director of Education, Croydon Council).

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Published on 7th December, 2022

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