Scarlet Fever

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Friday, 19 July 2019
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Dear Parents,

I am writing to advise you that we have been informed that 2 children who attend the nursery have been diagnosed with suspected scarlet fever.

Although scarlet fever is usually a mild illness, it should be treated with antibiotics to minimise the risk of complications and reduce the spread to others.

The symptoms of scarlet fever include a sore throat, headache, fever, nausea and vomiting. This is followed by a fine red rash which typically first appears on the chest and stomach, rapidly spreading to other parts of the body. On more darkly-pigmented skin, the scarlet rash may be harder to spot, but it should feel like 'sandpaper'. The face can be flushed red but pale around the mouth.

If you think you, or your child, have scarlet fever:

·       see your GP or contact NHS 111 as soon as possible

·       make sure that you/your child takes the full course of any antibiotics prescribed by the doctor.

·       stay at home, away from nursery, school or work for at least 48 hours after starting the antibiotic treatment, to avoid spreading the infection.


Children who have had chickenpox recently are more likely to develop more serious infection during an outbreak of scarlet fever and so parents should remain vigilant for symptoms such as a persistent high fever, cellulitis (skin infection) and arthritis (joint pain and swelling). If you are concerned for any reason, please seek medical assistance immediately.

If your child has an underlying condition which affects their immune system, you should contact your GP or hospital doctor to discuss whether any additional measures are needed.

As I am sure you will appreciate, at this age germs are easily spread through the children’s close contact with each other and as their immune systems are still developing this can have a more significant impact.

Please could I ask for your support to reduce the risk of the spread of this and other similar conditions by ensuring you are giving your child sufficient time away from nursery to recover if they are unwell.

A fact sheet regarding Scarlet Fever will be available in your child’s tray or given to you to ensure you have the most up to date information. 

Yours sincerely,

Katie Poulton

Nursery Manager



        4Street Nursery                          Northwood Nursery
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