Streptococcal Disease (Streptococcal Sore Throat, Scarlet Fever)
Group A Beta Hemolytic Streptococci
SIGNS AND SYMPTOMS:
High fever, sore throat with pain on swallowing and vomiting. Within 12 hours of onset of rash can develop. Most common in children aged 5 to 10 especially during the months of October to April.
Time from contact to the development of signs and symptoms usually 28 to 72 hours after close contact. Incidence is highest among small children.
MODE OF TRANSMISSION:
Usually by direct or intimate contact via airborne droplets, i.e.: sneezing and coughing. Occasionally transmitted via contaminated food. Treated cases usually do not transmit after 48 hours. Untreated cases can transmit as long as 21 days.
Stressing the need for bed rest and isolation from others until antibiotic treatment is effective, completing medication, hand washing and properly disposing of soiled tissues.
PERIOD OF COMMUNICABILITY:
If untreated, uncomplicated cases 10-21 days.
IMPLICATIONS FOR SCHOOL:
Exclude those with respiratory illnesses or skin lesions from food handling. Exclude student from school for at least 24-48 hours, until antibiotic therapy begins. Student must have a note from a healthcare provider to return to school.