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Friday, March 29, 2024

Strep A: Pupil dies at Belfast school which reported case

Black Mountain Primary School in west BelfastGoogle

A girl who attended a Belfast primary school which reported a severe case of the bacterial infection strep A has died, BBC News NI understands.

The five-year-old became severely ill last week and was treated at the Royal Belfast Hospital for Sick Children.

On Friday the Public Health Agency sent a letter to parents of P1 to P3 children at Black Mountain Primary School.

It said one of its pupils was diagnosed with a severe form of strep A.

Children were asked to attend a clinic to be seen by a doctor and receive a preventative course of antibiotics.

BBC News NI understands the girl had been treated in intensive care but passed away on Monday.

On Monday the principal of Brackenagh West Primary School near Kilkeel in County down said dozens of pupils were suffering from strep A infections.

The Public Health Agency is asking parents to be vigilant.

BBC News NI understands the authorities are working closely with those schools that are affected.

Community groups are also being contacted about affected children who may have used their facilities.

What is strep A?

Most strep A infections are mild – a sore throat or a skin infection that can be easily treated with antibiotics. But some people who catch it can get very sick.

Some people develop scarlet fever, which causes a skin rash (that feels like sandpaper) and flu-like symptoms, including a high temperature.

Figures show there were at least 104 cases of scarlet fever in Northern Ireland in November, up from 43 in October.

Very rarely, strep A can cause something called invasive group A streptococcal infection or iGAS, which can be deadly.

  • Strep A: Why it can be dangerous and what to know

Invasive disease happens when the bacteria get past your body’s immune defences.

In the rest of the UK, eight children have died due to complications from strep A bacterial infections since September.

Of those, seven were in England and the other was a seven-year-old in Wales.

The government said that during a similar period in 2017-18 – the last “high season for iGAS infection” – there were four deaths in England.

Warning signs of invasive disease include:

  • fever (a high temperature above 38C)
  • severe muscle aches

Urgent, early medical help is essential.

The UKHSA advises that anyone with a high fever, severe muscle aches, pain in one area of the body and unexplained vomiting or diarrhoea should seek medical help immediately.

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Analysis: Cases are likely to rise

Parents need to be vigilant – that is the message from health officials and local doctors.

While those looking after children may be nervous about this unfolding story, it is important to remember a majority of cases are mild.

The UK is experiencing an outbreak because for two years, and during the pandemic, children didn’t mix and their systems are not immune to a number of different infections.

There is a warning that the number of cases of both strep A and scarlet fever will rise over the coming weeks.

It is highly contagious so the advice from experts is keep sick children at home.

Parents of children who deteriorate quickly should seek urgent medical advice.

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What should parents do?

As a parent, if you feel that your child seems seriously unwell, you should trust your own judgement. Contact your GP if:

  • your child is getting worse
  • your child is feeding or eating much less than normal
  • your child has had a dry nappy for 12 hours or more or shows other signs of dehydration
  • your baby is under three months old and has a temperature of 38°C, or is older than three months and has a temperature of 39°C or higher
  • your baby feels hotter than usual when you touch their back or chest, or feels sweaty
  • your child is very tired or irritable

Call 999 or go to A&E if:

  • your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
  • there are pauses when your child breathes
  • your child’s skin, tongue or lips are blue
  • your child is floppy and will not wake up or stay awake
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