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Five more children are confirmed to have died in England from Strep A, according to the latest figures from the UKHSA.

Seven days ago, when the last figures were released, 16 were said to have died in England.

The latest figures say 21 are now known to have died in England from the most serious form of Strep A, called iGAS.

Three others are known to have died in Wales and Northern Ireland, bringing the total who have died since September to at least 24. The latest figures for the rest of the UK are yet to be released.

The latest UKHSA figures say that there have been 249 iGAS reports in children under 18 years in England in the season to date.

There have been 94 deaths in total in England, including the 21 children.

The children’s age group that has seen the most cases of iGAS is in those aged 1 to 4. The number of iGAS cases since September in that age group has now risen to 126, from 111 seven days ago.

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That compares to 194 cases in that age group across the whole year between 2017 and 2018, the last time the figures peaked.

This has led to a shortage of drugs, with pharmacists now able to supply an alternative form of penicillin without the patient having to go back to a GP if the prescribed one is out of stock.

Increased number of deaths in a ‘relatively short period’

The UKHSA said in its latest release: “Elevations in rates of iGAS infection in children in this early part of this season have resulted in an increased number of deaths over a relatively short period.”

It comes amid a spike in cases of scarlet fever, which is caused by the Strep A bacteria and can lead to iGAS in a small number of cases if the bacteria gets into the bloodstream.

Projected UKHSA figures show that the number of likely reportable cases of scarlet fever could be as high as 10,000 in the week ending 11 December.

Between 2017 and 2018, there were just 30,768 reports of scarlet fever across the entire year.

The organisation said the number of GP consultations are “currently showing exceptional levels of activity during this early point in the season”.

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Strep A driving ‘near record’ demand

It comes as the number of patients in hospital with flu in England has “skyrocketed” and Strep A is driving a “near record” demand for NHS 111 services.

An average of 1,939 people with flu were in hospital each day last week, up 67% on 1,162 the previous week, according to NHS England.

This is also a sharp increase on the daily average of 482 at the end of November.

There has also been a surge in the number of flu patients in critical care beds in England, with the daily average standing at 149 last week, up 72% from 87 the previous week.

At the equivalent point last year, the NHS had only two flu patients a day in critical care and 32 in general beds.

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England and Scotland fans discover where their opening World Cup games will be played

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England and Scotland fans discover where their opening World Cup games will be played

England and Scotland fans have found out where their World Cup group games will be played when the tournament kicks off in June.

England, who are in Group L, will begin their tournament against Croatia in Dallas at 4pm EST (9pm BST) on 17 June. They will then go on to face Ghana in Boston at 4pm EST (9pm BST) on 23 June and Panama in New Jersey, New York, at 5pm EST (10pm BST) on 27 June.

Scotland are in Group C, and their first match will be against Haiti in Boston at 9pm EST on 13 June (2am GMT the following morning).

They will go up against Morocco also in Boston at 6pm EST (11pm GMT) on 19 June and then Brazil in Miami at 6pm EST (11pm GMT) on 24 June.

Fans are expected to rush to sort their travel and accommodation plans now that they know where and when the matches take place.

Read more: Unapologetically political – a World Cup draw like no other

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England and Scotland learn World Cup fate

Wales and Northern Ireland have yet to find out if they will qualify.

Wales must face a play-off against Bosnia and Herzegovina in Cardiff, then either Italy or Northern Ireland, if they are victorious.

If they beat these play-off opponents, they will secure their place in Group B alongside Canada, Qatar and Switzerland.

However, Northern Ireland will also be vying to guarantee their spot in the same group if they can beat Italy and then either Wales or Bosnia and Herzegovina.

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World Cup 2026 – who England, Scotland, Wales, Northern Ireland and the Republic of Ireland will play

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World Cup  2026 - who England, Scotland, Wales, Northern Ireland and the Republic of Ireland will play

Scotland and England now know who they will face in the group stage of the next summer’s world cup.

But the fates of Northern Ireland, the Republic of Ireland and Wales won’t be determined until they compete in pre-tournament play-off matches in March.

England are in Group L along with Croatia, Panama and Ghana. Their first match will be against Croatia, who beat them in the semi-finals of the 2018 World Cup in Russia.

Pic: Reuters
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Pic: Reuters

Scotland’s first match will be against Haiti, in Group C.

Brazil and Morocco are the other Group C teams – both countries were also in the same opening group as Scotland in the 1998 World Cup in France.

Trump and Infantino at the World Cup draw
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Trump and Infantino at the World Cup draw

Wales have yet to find out if they will qualify as they must face a play-off against Bosnia and Herzegovina in Cardiff, and then either Italy or Northern Ireland, if they are victorious.

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If they can overcome these play-off opponents then they will secure their place in Group B along with Canada, Qatar and Switzerland. But Northern Ireland will also be vying and hoping to guarantee their spot in the same group if they can beat Italy and then either Wales or Bosnia and Herzegovina.

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‘Bring it on!’: Scotland fans react to World Cup draw

The Republic of Ireland also need to get through the play-offs first and are paired against the Czech Republic for their semi-final. Should Ireland win that match, they will need to beat either North Macedonia or Denmark to get to the finals where an opening group containing joint hosts Mexico, South Africa and South Korea awaits.

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Crafted for one man – this was a World Cup draw like no other

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Crafted for one man - this was a World Cup draw like no other

This was a World Cup draw like no other. Crafted less for the teams but for one man.

The choice of venue. The creation of a new trophy. The closing music act.

Donald Trump was lavished with the adulation he craves by FIFA President Gianni Infantino and feels others unfairly deny him.

Knowing how much being overlooked by the Nobel Committee hurt the US president, there was Mr Infantino with FIFA’s newly-created Peace Prize to hand over. And a medal for Mr Trump to wear.

“This is truly one of the great honours of my life,” he said. “And beyond awards, Gianni and I were discussing this. We saved millions and millions of lives.”

This was all on the stage in front of an audience who turned up to find out who they will be playing at the World Cup.

England handed an undaunting route past Croatia, Panama and Ghana. Scotland paired with newcomers Haiti before tricky reunions from their last men’s World Cup in 1998 against Brazil and Morocco.

More on Donald Trump

Pic: Reuters
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Pic: Reuters

But the show before the draw could even begin – presided over by Rio Ferdinand – took almost as long as a football match, at 87 minutes after the noon kick-off was delayed.

There was a walk of self-promotion to complete – “I guess they have to wait” – before taking his seat in the Kennedy Center. Or the Trump Kennedy Center as the president takes to calling the venue picked 1.5 miles from the White House.

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England manager Thomas Tuchel reacts to draw

“It was falling apart,” he said, delaying the walk into the auditorium. “And now it’s, it’s pretty much back.”

Mr Infantino could only watch on, beaming, at his friend.

“We had a dead country,” Mr Trump went on, “and now we have the hottest country anywhere in the world”.

There was the awkwardness of being reminded, before receiving the peace accolade, about threats to launch military strikes on Venezuela to stop the drugs trade.

“I did settle eight wars, and we have a ninth coming,” he swatted away the question. “Which nobody’s ever done before. But I want to really save lives. I don’t need prizes.”

But FIFA knew how much he wanted more gold for the collection with the prize.

More on this story:
What draw means for England, Scotland, Wales, Northern Ireland and Republic of Ireland

Donald Trump and FIFA president Gianni Infantino. Pic: Reuters
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Donald Trump and FIFA president Gianni Infantino. Pic: Reuters

Pic: Reuters
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Pic: Reuters

And for all the mockery and disdain targeted at FIFA, how many sports would relish having the US president spend several hours attending a procedural event determining the placing of teams in groups for a tournament?

How many would dish out the same flattery to secure direct lines to the leader of the nation staging their championship?

Many have benefited from Mr Trump’s stardust and swagger being attached to this spectacle.

Even Port Vale’s most famous fan – Robbie Williams – secured a walk-on role, exceeding his profile this side of the Pond.

And the Village People are reaping the rewards of becoming the unlikeliest of Trump hype acts.

The festivities ended with eyes fixed back up to the presidential seating and the YMCA dance being performed.

This was an afternoon that dispelled any pretence that FIFA keeps a distance from politics. It was unapologetically political. But few speak out in the FIFA world as the redistributed wealth keeps rolling back in their direction.

It would be easy to forget this isn’t entirely America’s World Cup. They’re sharing hosting with Canada and Mexico.

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‘Bring it on!’: Scotland fans react to World Cup draw

And eventually the spotlight was ceded to their leaders – very briefly – as Mexican President Claudia Sheinbaum and Canadian Prime Minister Mark Carney drew out their countries’ names.

But it did live up to FIFA’s mantra that football can unite the world.

The neighbours were brought together here on a snowy day in Washington. And tensions – often stoked by Mr Trump with Canada and Mexico – thawed in the name of football.

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