Scarlet fever has returned and health bosses are urging the public to be aware of how to protect themselves from the virus.

In recent years have seen a rise in the number of cases, and in the week beginning November 6, 218 cases were reported in England and Wales, health bosses have said.

The infection, which causes headaches, rashes, fever and sore throats, is particularly prevalent among young children aged between two and eight. However, anyone can contract it.

Steps are being taken to reduce the risk of flu among children
Scarlet fever mainly targets children but can affect anyone

Dr Theresa Lamagni, from Public Health England, said: "We are strongly urging people with symptoms of scarlet fever, which include a sore throat, headache and fever accompanied by a characteristic rash, to consult their GP. Scarlet fever should be treated with antibiotics to reduce the risk of complications.

"Once children or adults are diagnosed with scarlet fever we strongly advise them to stay at home until at least 24 hours after the start of antibiotic treatment to avoid passing on the infection."

It is a seasonal infectionion with the first cases usually emerging in September and peaking during the early months of the year.

Symptoms include a pinky-red blotchy rash, red face and a white or red swollen tongue. Other signs could include a high temperature, swollen glands, sore throat and a headache.

What should I do?

Contact your GP or call NHS 111 as soon as possible. Scarlet fever is treatable with antibiotics and the sooner they are administered the quicker recovery is likely to be. Patients typically start feeling better within a couple of days of taking them.

In severe cases scarlet fever can lead to secondary infections such as pneomonia.

How to stop scarlet fever spreading

Scarlet fever is very contagious. It's spread in the tiny droplets found in an infected person's breath, coughs and sneezes.

You can be infected if the droplets get into your mouth, nose or eyes – either by being in close contact with an infected person, or by touching something that has droplets on it.

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