An increase in invasive group A streptococcal infections among children in Europe, including deaths, alerted the European Center for Disease Prevention and Control (ECDC) at the end of 2022. The observed increases were reported to ECDC and the WHO Regional Office for Europe and followed a period of reduced incidence of Group A Streptococcus infections during the COVID-19 pandemic. The rise in cases of scarlet fever in children is also associated with increased circulation of respiratory viruses, including seasonal influenza and respiratory syncytial virus (RSV), because coinfection of viruses with group A Streptococcus can increase the risk of invasive disease.

In some European countries there were indications that for the first 9 weeks of 2023, the registered cases of scarlet fever have increased nearly 80 times compared to the same period last year. It is important, when an invasive type of infection is suspected, that the causative agent is laboratory proven and timely therapy is started. The sick person should be isolated and everyone around him should be tested (especially if he is in a kindergarten or school). Among the specialists, there is a significant increase in the number of people tested and the interest in proving scarlet fever in laboratories in the country, among personal doctors, as well as in specialized children's institutions.

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