We have a case of Scarlet Fever in the Nursery. As scarlet fever is highly contagious, children diagnosed with scarlet fever are advised to stay off school until at least 48 hours after the start of the antibiotic treatment to avoid passing on the infection. The key early signs are: sore throat, headache, fever, characteristic pinkish/red sandpapery rash appearing within a day or two of other symptoms, typically on the chest and stomach but then spreading to other parts of the body and bright red “strawberry” tongue. Please be aware that there has been a significant increase in the number of cases of scarlet fever reported across all parts of the country including Bristol. Scarlet fever is most common in children aged between two and eight years old. It is spread by close contact with someone who has been infected by indirect contact with objects and surfaces contaminated with the bacterium. There is no vaccine but it can be treated with antibiotics, which minimise the risk of the complications which once made it a very serious illness. Pregnancy – 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.