There has been at least one death of a child in Wales but the data is not yet available for other nations.
Infections caused by Group A Strep bacteria are usually mild with symptoms like a sore throat or skin infections.
There are a range of symptoms which may be a sign of an invasive infection, including high fever, poor appetite, dehydration, altered behaviour and feeling very sleepy, according to Dr Colin Brown, deputy director of the UKHSA. The latest increase is most likely related to high amounts of the bug circulating and increased social mixing, said the UKHSA.
"Tragically, when there are high numbers of infections, the severe cases will also occur. We are seeing more pneumonia than usual, most likely as group A strep infections are coinciding with the peak in winter respiratory viruses which are typical for this time of year." The symptoms of scarlet fever include a sore throat, a swollen, red tongue, headache, and fever, along with a fine body rash with a sandpapery feel.
There have been 2.3 cases of the invasive Strep A per 100,000 children aged one to four in England this year, compared with an average of 0.5 in pre-pandemic seasons of 2017-19, the agency said.
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