UKHSA alert over ‘highly contagious’ infection that isn’t covid or flu

March 19, 2025
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The UK Health Security Agency (UKHSA) has issued a warning about a ‘highly contagious’ health concern that could escalate into a serious condition if not addressed promptly. The Government body is advising anyone who notices five particular symptoms to get in touch with their GP, who might then recommend a course of antibiotics.

“Scarlet fever mostly affects young children,” the UKHSA said in an X post yesterday. “While it’s usually a mild illness, it can become serious if left untreated. “If you or your child have symptoms, contact your GP practice online or over the phone first, as it is highly contagious.”

Although primarily affecting young children, scarlet fever can be contracted by individuals of any age. Initial symptoms are similar to those of Covid, often starting with a high temperature and sore throat, as well as possible swelling of the neck glands. Then within 12 to 48 hours, the more distinctive signs of scarlet fever typically emerge.

One such symptom is a rough rash that feels akin to ‘sandpaper’. This rash commonly forms on the chest or stomach and may spread across the body.

The NHS clarifies that while such a rash may appear pink or red on white skin, these colour changes are often more difficult to spot on black or brown skin. Nevertheless, the texture should remain consistent regardless of skin tone.

Another tell-tale sign of the infection is a ‘strawberry tongue’, characterised by an unusually swollen and redder tongue, dotted with small bumps. An abnormal white coating might also be visible on the surface, coupled with inflamed tonsils.

“Scarlet fever lasts for around one week,” NHS guidance adds. “You can spread scarlet fever to other people until 24 hours after you take your first dose of antibiotics.

“If you do not take antibiotics, you can spread the infection for two to three weeks after your symptoms start. If you or your child has scarlet fever, stay away from nursery, school or work for 24 hours after you take the first dose of antibiotics.”

Scarlet fever complications, though uncommon, can escalate into ear infections, sinusitis, meningitis, and even pneumonia. However, taking antibiotics significantly lowers the risk of these serious complications.

“The symptoms are the same for children and adults, although scarlet fever is less common in adults,” the NHS adds. “…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. Contact a GP if you get symptoms.”

Find out about the symptoms you need to watch out for and get health advice with our free health newsletter from the Daily Express

The UKHSA urges anyone with these five key symptoms to seek GP advice:

  1. Strawberry tongue
  2. Swollen tonsils
  3. Bumpy rash
  4. Fever
  5. Sore throat

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