Four cases of scarlet fever across north and west Cumbria have been reported to Public Health England.

Doctors in England and Wales are obliged by law to notify the authorities of suspected cases of certain infectious diseases, of which scarlet fever is one.

Others include mumps, rubella and tuberculosis.

In the week ending November 12, three scarlet fever cases were reported in the Carlisle area and one in Copeland.

In total, there were 43 cases reported across the north west, which includes Lancashire, Merseyside and Greater Manchester, during the week.

What are the symptoms of scarlet fever?
Symptoms of scarlet fever develop within a week of being infected.
Early signs include a sore throat, a headache, a high temperature (38.3C/101F or above), swollen glands in the neck and being sick.
This may be followed by a rash on the body, a red face and a white or red tongue.

What does the rash look like?

  • It usually starts on the chest or tummy, before spreading to other areas
  • Is made up of pink-red blotches that may join up
  • Feels like sandpaper (this may be the most obvious sign in someone with dark skin)
  • May be brightest red in body folds, such as the armpits or elbows
  • Turns white if you press a glass on it.

What is the treatment for scarlet fever?
Your GP will prescribe antibiotic tablets (or liquid for young children) to take for five or 10 days.
You or your child should start feeling better after a day or two but make sure you finish the whole course of treatment.

How long is a patient contagious for?
Scarlet fever usually clears up within a week, although the skin may peel for a few weeks after the other symptoms have passed.

The infection is contagious from before the symptoms appear, until 24 hours after starting antibiotic treatment or up to two or three weeks later if you don't take antibiotics.

What if I'm pregnant?
There's no evidence to suggest that getting scarlet fever during pregnancy will harm your baby. But it can make you feel unwell, so it's best to avoid close contact with anyone who has it.
If you do get symptoms of scarlet fever, see your GP for treatment.
The antibiotics used for scarlet fever are usually safe to take during pregnancy.

How to help stop the infection spreading

  • Keep your child away from nursery or school for at least 24 hours after starting antibiotic treatment – adults should stay off work for at least 24 hours after starting treatment
  • Cover your mouth and nose with a tissue when you cough or sneeze – throw away used tissues immediately
  • Wash your hands with soap and water often, especially after using or disposing of tissues
  • Avoid sharing utensils, cups and glasses, clothes, baths, bed linen, towels or toys.