Strep A 攻撃する，衝突するs Europe: Health 長，指導者s 警告する of spike in children becoming 本気で ill with usually-穏やかな bug in wake of Covid

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Strep A 事例／患者s are 殺到するing across Europe, health 公式の／役人s have 確認するd in the first 調印する that it's not just the UK 存在 攻撃する，衝突する by 異常に high levels of the bug.

A spike in 事例／患者s 'several 倍の-higher than pre-pandemic levels' have been logged in フラン and the UK. Ireland, the Netherlands, Spain and Sweden have also 報告（する）／憶測d upticks, によれば the World Health Organization.

The bacterial 感染, which is usually 穏やかな, has so far killed at least 16 children in the UK. Although low, the （死傷者）数 is higher than 推定する／予想するd for this time of year.

It comes as 公式の／役人s 警告する companies 供給（する）ing the 決定的な 抗生物質s used to 扱う／治療する the 感染 they 直面する 潜在的に 存在 罰金d if they are 設立する to be inflating prices.

What are the symptoms of Strep A? How does it spread? And is it the same as scarlet fever? Everything you need to know about the 殺し屋 bug 広範囲にわたる Britain?

What is Strep A?

Group A Streptococcus (Group A Strep or Strep A) bac teria can 原因（となる） many different 感染s.

The bacteria are 一般的に 設立する in the throat and on the 肌, and some people have no symptoms.

感染s 原因（となる）d by Strep A 範囲 from minor illnesses to serious and deadly 病気s.

They 含む the 肌 感染 impetigo, scarlet fever and strep throat.

While the 広大な 大多数 of 感染s are 比較して 穏やかな, いつかs the bacteria 原因（となる） an illness called invasive Group A Streptococcal 病気.

What is invasive Group A Streptococcal 病気?

Invasive Group A Strep 病気 is いつかs a life-脅すing 感染 in which the bacteria have 侵略するd parts of the 団体／死体, such as the 血, 深い muscle or 肺s.

Two of the most 厳しい, but rare, forms of invasive 病気 are necrotising fasciitis and streptococcal 有毒な shock syndrome.

Necrotising fasciitis is also known as the 'flesh-eating 病気' and can occur if a 負傷させる gets 感染させるd.

Streptococcal 有毒な shock syndrome is a 速く 進歩ing 感染 原因（となる）ing low 血 圧力/shock and 損失 to 組織／臓器s such as the ki dneys, 肝臓 and 肺s.

This type of 有毒な shock has a high death 率.

READ MAILONLINE'S FULL Q&A ON STREP A.

宣伝

Strep A bacteria can 原因（となる） a myriad of 感染s, 含むing impetigo, scarlet fever and strep throat.

While the 広大な 大多数 of 感染s are 比較して 穏やかな, いつかs the bacteria can, in exceptionally rare 事例／患者s, 原因（となる） invasive Group A Streptococcal (iGAS) ― a life-脅すing 複雑化.

Two of the most 厳しい, but rare, forms of this invasive 病気 are necrotising fasciitis and streptococcal 有毒な shock syndrome.

In a 共同の 声明, the 世界保健機構 and the European Centre for 病気 予防 and 支配（する）／統制する (ECDC) 警告するd about the 増加する in iGAS の中で under-10s since September.

However, it 公式文書，認めるd only some European countries 知らせる it of Strep A and iGAS 感染s, so 事例／患者s may be more 普及した.

事例／患者s of Strep A usually 頂点（に達する） during the winter months and 早期に spring.?

But in Britain and フラン, 事例／患者s of iGAS in 最近の months have been 'several-倍の higher than pre-pandemic levels'.?

The UK has logged 169 iGAS 感染s の中で children 老年の 14 and under since September.?

Data from the UK Health 安全 機関 (UKHSA) 示唆するs this is up to five times higher than this point in the last bad year.

The UK, Ireland, フラン and Spain have all 報告（する）／憶測d deaths の中で children.

The 世界保健機構 gave no 指示，表示する物 whether more children are dying than 推定する／予想するd for this time of year.

But the UKHSA, which is 調査（する）ing Britain's 現在進行中の 突発／発生, said this year's death （死傷者）数 is 異常に high.

The 世界保健機構 公式文書，認めるd that the 殺到する in Strep A （機の）カム after a 'period of 減ずるd incidence of 感染s' during the pandemic.?

There is usually a 殺到する in iGAS 事例／患者s every three to four years but social distancing during the Covid pandemic is thought to have interrupted this cycle.?

This has left some youngsters with 減ずるd 免疫 to Strep A?― with a high number of children never having 遭遇（する）d the bacteria in their lifetime?― some have 示唆するd.

High 率s of other respiratory ウイルスs ― 含むing flu, RSV and norovirus ― may also be putting children at higher 危険 of co-感染s with Strep A, leaving them more susceptible to 厳しい illness, the 世界保健機構 said.

It 確認するd the 殺到する is not linked to a new 緊張する or an 増加する in 抗生物質 抵抗.

The 突発／発生 提起する／ポーズをとるs just a low 危険 to the public 予定 to the '比較して low' number of 事例／患者s, the 感染 is 一般に 平易な to 扱う／治療する and no new 緊張する is in 循環／発行部数, the 世界保健機構 said.

But it 警告するd all European nations to be 'vigilant' for a 類似の rise in 事例／患者s as seen in some nations.

Dr Hans Kluge, 世界保健機構 地域の director for Europe, called on countries to '増加する vigilance to iGAS 事例／患者s, 特に when respiratory ウイルスs are 広範囲にわたって 広まる in children'.?

The 地図／計画する shows the 率 of iGAS per 100,000 people in England between September 12 and December 4. 率s were highest in Yorkshire (1.8) and the South East (1.4)

The UKHSA has logged 6,601 事例／患者s of scarlet fever ― which is 原因（となる）d by Strep A ― between September 1 2 and December 4 (green line). For comparison, just 2,538 事例／患者s had been 報告（する）／憶測d by this point in 2017/18 (thin blue line), which was considered a 'bad' season

Between September 12 and December 4, the UKHSA was 通知するd of?659 iGAS 事例／患者s (grey line). 率s are 現在／一般に higher than the previous five winters

The 機関 公式文書，認めるd that 早期に 治療 'can be life-saving', so 国家の health 機関s should 上げる 認識／意識性 の中で the public and doctors.

It also encouraged the '誘発する 実験（する）ing and 治療' of Strep A 感染s and for の近くに 接触するs to be 'managed'.

Dr Andrea Ammon, director of the ECDC, 公式文書，認めるd that iGAS 'can be managed easily if （悪事，秘密などを）発見するd in a timely manner'.?

The 世界保健機構 勧めるd countries to 上げる ワクチン接種 against Covid and flu ― as 避けるing these ウイルスs will likely 減ずる the 危険 of a child developing iGAS.?

Schools should also 確実にする good 手渡す hygiene and ventilation is in place to 減ずる the 危険 of 伝達／伝染, it 追加するd.?

It comes as 専門家s 警告する that the 殺到する in the winter bug could put 攻撃を受けやすい 年輩の people at 危険 of getting Strep A from their grandchildren over Christmas.

While 16 deaths were 確認するd in the UK by Friday ― 14 in England and one each in むちの跡s and Northern Ireland ― there has also been 23 の中で older people.

Professor Paul Hunter, an epidemiologist at the University of East Anglia, said: 'There has been a lot of 焦点（を合わせる） on Group A Strep in children but it is 価値（がある） remembering it can kill at both ends of the age spectrum.

'Christmas is a time when older people and their grandchildren come together and mix.

'So families with 年輩の, 攻撃を受けやすい grandparents should think about the 危険 from Strep A, 特に if there is a child who has a sore throat 権利 before Christmas, and perhaps rethink their 計画（する）s.

'The 危険 is not 抱擁する but one to be aware of, and older people should make sure they have their flu jabs.'

It comes as parents across the UK 直面する difficulties getting antibio tics for sick children まっただ中に the Strep A 突発／発生.

Phenoxymethylpenicillin, amoxicillin and clarithromycin are three 抗生物質s used to 扱う／治療する Strep A 感染s.?Children are usually given them as a syrup.

Health 長，指導者s have advised doctors to have a 'low threshold' for 定める／命ずるing these to youngsters who have 嫌疑者，容疑者／疑うd Strep A.?

But a Mail on Sunday 調査する of 化学者／薬剤師s 設立する that most had no or very low 供給（する）s of liquid penicillin. Pharmacies are now asking GPs for fresh prescriptions for tablets they can 鎮圧する up.

Pharmacists have said the 薬／医学 is?'飛行機で行くing off the 棚上げにするs', leaving them with 非，不，無 left and 自信のない when they will get more?― labelling it a '国家の 不足'.

It contrasts with the message in 最近の days from 公式の／役人s, who have 繰り返して 明言する／公表するd there is no 供給者 不足.

On 最高の，を越す of the 不足, pharmacists （人命などを）奪う，主張する 卸売業者s are inflating prices.?

The cost of amoxicillin syrup rose more than fourfold in a month, one East of England 化学者／薬剤師 said, 供給するing screenshots showing a 100ml 瓶／封じ込める at a strength for older children was £2.49 in 中央の-November but £11.22 now.?

The NHS 支払う／賃金s pharmacies £2.69 to dispense it.

Midlands 化学者／薬剤師 Raza Ali said it was '不当利得行為', 追加するing that some pharmacists 嫌疑者，容疑者／疑う 卸売業者s are hoarding 在庫／株 to 運動 需要・要求する and raise prices.

But 麻薬 卸売業者s have 非難するd 製造業者s?― explaining that the price they 告発（する），告訴（する）／料金 卸売業者s will be 反映するd in the price 卸売業者s 告発（する），告訴（する）／料金 化学者／薬剤師s.?

The 殺到する in prices led the Department of Health to tell 警告する 供給者s that they 危険 存在 referred to the 競争 regulator?― which can dish out 罰金s to companies that 乱用 their 支配的な position.

An 専門家 has 非難するd the GP 任命 危機 for fuelling the UK's 異常に bad Strep A 突発／発生?

A five-year-old 無能にするd girl, with tell-tale Strep A symptoms,?was left without 抗生物質s?for 24 hours after pharmacies were left 'out of 在庫／株' まっただ中に 突発／発生

A 12-year-old girl in Hove, Sussex, has become the UK's 16th Strep A death this winter

From the 'bubbly' seven-year-old whose father 猛烈に tried CPR to save, to the four-year-old who loved 調査するing: All the 犠牲者s of Strep A so far

Muhammad Ibrahim Ali

The four-year-old boy …に出席するd Oakridge School and Nursery in High Wycombe, Bucks.

He died at home from a cardiac 逮捕（する） in 中央の-November after 契約ing a Strep A 感染.

He was 定める／命ずるd 抗生物質s.

His mother Shabana Kousar told the Bucks 解放する／自由な 圧力（をかける）: 'The loss is 広大な／多数の／重要な and nothing will 取って代わる that.?

'He was very helpful around the house and やめる adventurous, he loved 調査するing and enjoyed the forest school, his best day was a Monday and said how Monday was the best day of the week.

Muhammad Ibrahim Ali, who …に出席するd Oakridge School and Nur sery in High Wycombe, Bucks, died after 契約ing the bacterial 感染

Hannah Roap?

The 'bubbly' and 'beautiful' seven-year-old is the only child to have died from Strep A in むちの跡s so far.

Her 荒廃させるd parents told how their 'hearts had broken into a million pieces'.?

The first 調印するs of the 感染 were 穏やかな, Hanna's father Abul took his daughter to the GP after cough got worse 夜通し.?

She was 定める／命ずるd steroids and sent home, but she died いっそう少なく than 12 hours later.?

Mr Roap 解任するd how he 猛烈に tried to resuscitate his child: 'She stopped breathing at 8pm but we were not すぐに aware because she was sleeping.

'I did CPR, I tried to 生き返らせる her but it didn't work. Paramedics arrived and continued the CPR but it was too late.'???

Mr Roap said the family was 'utterly 荒廃させるd' and を待つing answers from the hospital.

The family believe she might have lived if she was 最初 given 抗生物質s.?

Hanna Roap, who …に出席するd Victoria 最初の／主要な School in Penarth, むちの跡s, died after 契約ing Strep A last month. Her family say they have been 'traumatised' by her death

Stella-Lily McCorkindale

Five-year-old Stella-Lily McCokindale is the ninth British child to have died に引き続いて a Strep A 感染, and the first in Northern Ireland.?

She died on December 5 at?王室の Belfast Hospital.

In a 尊敬の印 on social マスコミ, her father Robert said the pair had 'loved every minute' of 存在 together as they went on scooter and bike rides.

'If prays, thoughts, feelings and love could of worked she would of walked out of that hospital 持つ／拘留するing her daddy's 手渡す,' he said.??

Stella …に出席するd 黒人／ボイコット Mountain 最初の／主要な School, who said she was 'a 有望な and talented little girl' and 述べるd her death as a '悲劇の loss'.?

Five-year-old Stella-Lily McCokindale who …に出席するd?黒人／ボイコット Mountain 最初の／主要な School in Belfast died in 早期に December after 契約ing Strep A

Five of the 13 other deaths 含む:

• An 身元不明の six-year-old pupil who …に出席するd Ashford Church of England 最初の／主要な School in England in Surrey.
• A 最初の／主要な school pupil who …に出席するd St John's School in Ealing, west London.?
• A 12-year-old boy …に出席するing?Colfe's School in Lewisham, south east London.?
• An 身元不明の child at?Morelands 最初の／主要な School in Waterlooville
• A 12-year-old girl from Sussex who …に出席するd?Hove Park School