Scarlet fever: reducing the spread of infection to help lower the risk of more serious life-threatening diseases | Children's Charity

Scarlet fever: reducing the spread of infection to help lower the risk of more serious life-threatening diseases

Over the past few years, doctors have been witnessing a steep and unexpected increase in scarlet fever – with more than 19,000 children reported to have been diagnosed with the infection in England and Wales in 2016.1 While the disease itself isn’t usually serious, the type of bacteria behind it (Group A streptococcus or “strep A”) can also cause more life-threatening conditions. Professor Shiranee Sriskandan at Imperial College London, together with experts at Public Health England, is carrying out an important new programme of work to find ways to slow down the spread of scarlet fever with the hope of saving children’s lives from invasive strep A infections.

How are children’s lives affected now?

Scarlet fever, a highly infectious disease, is experiencing a worrying comeback. Thankfully, it is usually not serious – with symptoms including a blotchy rash, sore throat and a high temperature usually clearing up with antibiotics.

But the strep A bacteria that cause scarlet fever can also have a much darker side – in rare cases, they can trigger more dangerous illnesses - such as pneumonia, meningitis, toxic shock, necrotising fasciitis (sometimes called the ‘flesh-eating’ disease) and sepsis.

 “Strep A infections can affect different children in very different ways – usually causing a sore throat or occasionally scarlet fever – but rarely, they can develop into something more life-threatening,” says Professor Sriskandan. “And although complications are very rare, sadly some children will die – or have long-term problems such as scarring, organ dysfunction and limb loss.”

“Given the current magnitude of scarlet fever outbreaks each year, it’s really important that we find out how we can control it better.” says Professor Sriskandan.

How could this research help?

 “We aim to build our understanding of how scarlet fever infects children and spreads so we can identify the best ways to slow down transmission in future outbreaks,” says Professor Sriskandan. “We hope that this will, in turn, save children’s lives from more dangerous conditions caused by the same bacteria.”

The team plan to identify key attributes of the bacteria that help them to spread and find out which antibiotics are most effective at slowing them down. They will also test whether current hygiene interventions and recommendations for disease control – such as hand washing, classroom cleaning, antibiotic treatment and staying away from school or nursery – are enough to reduce the risk of the spread of scarlet fever during an outbreak.

“Our results will help inform public health strategy, as surveillance could be used to monitor which strains are circulating in a season and highlight what is needed to prevent an outbreak,” says Professor Sriskandan. “Should our study suggest that the current guidelines need adjusting, our team is well-placed to ensure this happens as quickly as possible.”

References

Public Health England. NOIDS weekly report. Statutory notification of infectious diseases in England and Wales. Week 2016/52 ending 01/01/2017. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/581408/NOIDS-weekly-report-week_52-2016.pdf

Project LeaderProfessor Shiranee Sriskandan, FRCP PhD
Project team
  • Dr Theresa L Lamagni, MSc PhD HonMFPH
  • Dr Rebecca J Cordery, BSc MBBS MRCP MD MPH FFPH
LocationDepartment of Medicine, Imperial College London
Other locations
  • National Infection Service, Public Health England
  • South London Health Protection Team, Public Health England
DurationTwo years
Grant awarded20 July 2017
Provisional start date1 November 2017
Provisional end date31 October 2019
Grant amount£188,536.00
Grant codeGN2596

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