Group A Streptococcus

Part of 4. Topical Questions – in the Senedd at 3:38 pm on 7 December 2022.

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Photo of Baroness Mair Eluned Morgan Baroness Mair Eluned Morgan Labour 3:38, 7 December 2022

Diolch yn fawr. Can I add my expressions of condolence to, in particular, the family who've recently lost a child? I think we all understand the real concern that many parents are suffering today because of the increase that we are seeing in strep A in our communities.

Public Health Wales issued advice to schools and nurseries at the end of November. Staff should be aware of the possibility of this infection in children who become ill with a fever, sore throat or rash. So, already that advice has gone out. Parents of unwell children are being advised to seek medical advice for diagnosis and treatment.

A child who's got scarlet fever will be asked to withdraw from the setting for 24 hours after the commencement of appropriate antibiotic treatment. Where there are two or more cases of scarlet fever in a setting within the same 10-day period, schools and nurseries have been asked to notify the local health protection team for further guidance. It is at that point that they will take a judgment as to whether you do need to give out antibiotics to the entire class or just to people who've been in close contact. Obviously, they'll make an assessment of whether there's a need for a paediatrician at that point.

So, I think it's really important for us to understand that there are degrees here and, obviously, it's only when it becomes very complex that the real danger kicks in. It's when you get invasive strep A that we really need to be concerned. But, obviously, taking those antibiotics at an appropriate time means that people can be helped.

In terms of the shortage of antibiotics, the good news is that all of the relatively mild illnesses caused by strep A can be treated with common antibiotics. Obviously now we have seen an increase in demand for antibiotics to treat those suspected cases of strep A, and that has led to some pharmacies in Wales experiencing shortages of stock. Now, we're confident that suppliers are working to address any supply issues, and, if people find difficulty obtaining a prescription locally, they may need to visit a different pharmacy, and, if they're still not able to, then they can go back to the GP and they can prescribe an alternative treatment. So, we are working with the UK Government medicine supply team and other partners to make sure that pharmacies in Wales have the supplies that they need.