Antibiotics could be given to children at schools affected by Strep A infections, schools minister Nick Gibb says
Antibiotics could be given to children at schools affected by Strep A to stop the spread of the infection, schools minister Nick Gibb has said.
Mr Gibb told Sky News that the UK Health and Security Agency (UKHSA) is “working closely with the schools involved and giving very specific advice to those schools which may involve the use of penicillin”.
He added that health officials will “have more to say about that”.
“They’re providing more general advice to parents, which is to look out for the symptoms – so, sore throat, fever, high temperature and also a red or raised rash on the skin are symptoms of this invasive Strep A outbreak.”
His comments came after the eighth death of a child from the infection.
The idea was first indicated by health minister Lord Markham in the House of Lords on Monday.
The Conservative peer said: “We have given instructions to doctors that where necessary they should be proactively prescribing penicillin as the best line of defence on this, and also where there is a spread in primary schools, which we know is the primary vector for this, whether they should be working with local health protection teams, and sometimes actually look at the use of antibiotics on a prophylactic basis.”
Read more:
What is Strep A and what are the symptoms of the bacterial infection?
Strep A is common and generally causes mild infections – so why the spate of deaths now?
Overnight, the i newspaper reported that penicillin or an alternative antibiotic is to be given to all children in a year group that have been hit by a case of Strep A – even if they do not have symptoms.
GPs generally avoid mass prescription of antibiotics as it can build up resistance to serious infections in the population.
But the paper quotes health officials as confirming the plan and saying isolation among children during the pandemic may have contributed to them having reduced immunity.
The UK Health Security Agency told the PA news agency the measure of prescribing antibiotics to children in a school or nursery exposed to non-invasive Strep A was “rare”.
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What is Strep A?
The agency added the move is only considered in “exceptional circumstances” by the Outbreak Control Team (OCT) on a “case-by-case basis”.
“There is no good evidence of (antibiotics’) effectiveness in routine outbreak control in this setting (involving children who have been contacts of non-invasive Strep A),” UKHSA said.
“It can be considered in exceptional circumstances by the OCT, for example when there are reports of severe outcomes, or hospitalisations.
“In school and nursery settings, antibiotic chemoprophylaxis is not routinely recommended for contacts of non-invasive (Group A streptococcus) GAS infection.”
Asked about the recent rise in cases on Monday, Prime Minister Rishi Sunak’s official spokesman said: “We are seeing a higher number of cases of Group A strep this year compared to usual.
“The bacteria we know causes a mild infection which is easily treated with antibiotics and in rare circumstances it can get into the bloodstream and cause serious illness.
“It is still uncommon but it’s important parents are on the lookout for symptoms.”
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Strep A outbreak in charts
Strep A infections are usually mild and can be easily treated with antibiotics.
Illnesses caused by the Group A strep bacteria include the skin infection impetigo, scarlet fever and strep throat.
There has been a big leap in the number of scarlet fever cases.
There were 851 cases reported from 14 to 20 November, compared to an average of 186 for the same timeframe in previous years.
Symptoms of scarlet fever include sore throat, headache and fever, along with a fine, pinkish or red body rash with a “sandpapery” feel.
On darker skin, the rash can be harder to see but will still be “sandpapery”.
Oleksandr Usyk has become the undisputed heavyweight champion of the world after defeating Tyson Fury in boxing’s biggest fight of the century.
The Ukrainian won on a split decision following the match in Saudi Arabia.
Usyk had 115-112 and 114-113 on two cards, while Fury took the other 114-113.
Oleksandr Usyk lands a punch on Tyson Fury. Pic: PA
Fury disputed his loss after the match, saying: “I believe I won that fight. I believe he won a few rounds but I won more of them.
“Make no mistake I won that fight and I’ll be back.”
In response Usyk said he was “ready for a rematch”.
Pic: Action Images via Reuters
Fury came under early pressure, with Usyk taking the centre of the ring with an aggressive offensive from the start.
At one point Fury was pushed against the ropes and started laughing as Usyk applied pressure.
The “Gypsy King” looked relaxed as he moved around the ring in the early rounds and picked his shots.
Pic: PA
Fury lunges at Usyk. Pic: PA
But after Usyk landed a right hook in the ninth round it looked as if Fury was in serious trouble. The Ukrainian followed up by unloading freely but somehow the bookmakers’ favourite stayed on his feet and was saved by the bell.
Last night, Fury weighed in at 262lbs (18st 10lbs) – nearly three stone heavier than Usyk, who clocked in at a career heaviest of 223lbs (15st 13lbs).
Fury refused to look at his opponent during a news conference on Thursday, but did not back down at the weigh-in last night, where the pair almost came to blows before being separated by their entourages.
Usyk arrived into the ring first, dressed as a Cossack warrior.
Fury entered to songs by Barry White and Bonnie Tyler, with the “Gypsy King” spending several minutes dancing on stage before the song changed to Holding Out For A Hero.
Anthony Joshua watched from the ringside, knowing he could meet the winner early next year.
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UK
Brixham: Warning ‘heads are going to roll’ after water parasite outbreak – as ‘nearly every house in one close has someone ill’
Thousands of homes have had their boiling water restrictions lifted after a water tank infected with cryptosporidium was drained and cleaned, South West Water has said.
About 16,000 households in the Brixham area of Devon were told to boil their drinking water following 46 confirmed cases of the disease.
On Saturday afternoon South West Water lifted the boiling restrictions for 14,500 homes after water quality monitoring results found no traces of cryptosporidium in the Alston supply area.
Cryptosporidiosis is caused by a tiny parasite and can lead to vomiting, stomach cramps and watery diarrhoea lasting about two weeks.
More cases are expected to be confirmed due to a delay in developing symptoms – and about 100 more people around Brixham were reporting signs of it on Friday.
South West Water believes the parasite probably entered supplies through a damaged pipe in a field containing animal faeces.
A contaminated water tank at Hillhead reservoir, where cryptosporidium was detected, was drained overnight and “thoroughly cleaned” on Saturday, South West Water said.
One local resident said she knew of only four houses out of 21 in Raddicombe Close, on the outskirts of Brixham, which have not had at least one person fall ill with cryptosporidiosis.
The local MP has warned “heads are going to roll” over the incident.
Tory MP Anthony Mangnall, whose constituency includes Brixham, told LBC: “This is such a serious matter that yes, I think heads are going to roll over this.”
He claimed the supplier had been too slow to issue its safety alert.
16,000 businesses and residents are affected by the boil water notice. Pic: South West Water
Mr Mangnall said: “From starting this week with a denial from South West Water that it was anything to do with them, delaying the fact that the boil water notice came in – meaning thousands of people used the water network – to then issuing it on Wednesday, and there are a lot of people who are very ill.”
He called it an “absolutely disastrous week” and said locals were furious.
South West Water has said it’s “deeply sorry” and that it’s been “working tirelessly” to identify the source of the problem and fix it.
Bottled water stations have been set up in the area.
Read more:
What we know about parasite found in drinking water
Parasite outbreak has ‘destroyed’ business
Liberal Democrat leader Sir Ed Davey accused the government of not doing enough to hold water companies to account.
He told Sky News the firms were “putting profit over the environment, over public health” after multiple cases of sewage being released into rivers and seas.
“We [Liberal Democrats] wouldn’t wait for fines for pollution,” Sir Ed said.
“There should be a sewage tax on the profits of these water companies so we can get the money now.
“There needs to be much tougher regulation… and we may need to look at restructuring the whole water industry.”
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Kelly Holmes joins anti-sewage protest
It comes as dozens of protests over sewage releases were planned for Saturday.
Surfers Against Sewage is promoting “paddle-out” demonstrations at 30 locations, with Olympian Dame Kelly Holmes among those at the event in Brighton.
The confirmed cases of a waterborne disease caused by a parasite have more than doubled.
There are now 46 confirmed cases of cryptosporidiosis, a diarrhoeal illness, the UK Health Security Agency (UKHSA) has said – with more than 100 further people reporting similar symptoms in the Brixham area.
Other reported cases of diarrhoea and vomiting in residents and visitors to the south Devon town are also under investigation. Hundreds of locals have also reported feeling unwell over the last two weeks on social media.
MPs and South West Water officials have confirmed the parasite most likely entered water supplies through animal faeces, but an investigation is still ongoing.
What is cryptosporidiosis disease?
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‘Cow faeces’ infected Devon water
The UKHSA first confirmed cases of the disease at around midday on Wednesday, while locals were initially told by South West Water that their tap water was uncontaminated and safe to drink.
But after testing supplies in the Hillhead reservoir, the water company found “small traces” of the parasite cryptosporidium – which causes cryptosporidiosis – and told residents in parts of Brixham and Alston to boil their drinking water on Wednesday.
A total of 16,000 households and businesses in Brixham, Boohay, Kingswear, Roseland and North West Paignton were impacted and offered £15 compensation at first.
Over the next two days, South West Water apologised to those affected and increased the offer to £115. Amid the chaos, one primary school closed its doors on Thursday due to not having safe running drinking water.
16,000 businesses and residents are affected by the boil water notice. Pic: South West Water
‘Very hard questions for water company’
Speaking to Sky News yesterday, South West Water’s chief customer officer Laura Flowerdew confirmed it was likely a broken air valve contaminated by animal faeces that had caused the outbreak.
However, she refused to give a timeframe on how long the incident would be ongoing – leaving thousands of residents facing an uncertain future.
Speaking on Friday at the University of Exeter, Health Secretary Victoria Atkins said there will be “very, very hard questions” for South West Water over the outbreak.
“At the moment I think we probably need to give them the space to conduct their investigation; we know that they have identified the source,” she said.
“The public will want to know how on earth that source happened, what was the chain of events that led to this, because of course we all understand the expectation that we all have when we turn our taps on is that [we get] clean drinking water and we want to be able to trust it.”
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Most cases of cryptosporidiosis pass in two weeks. Symptoms include diarrhoea and vomiting. File pic: Dr_Microbe/iStock
‘Expect to see more cases’
Totnes MP Anthony Mangnall also warned the boil notice could last “at least a further six or seven days” and called for more transparency.
Professor Paul Hunter, a specialist in medical microbiology at the University of East Anglia, told Sky News if the parasite was “a continuous thing” present in water supplies for a prolonged period, then “you’d expect to see more cases” for another two weeks.
It comes as hotel owners in the area told Sky News the outbreak has led to people cancelling their stay, while a head chef said “I can’t wash salad in the sink”.
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‘Destroyed our business’
Stephen Colemansfield, owner of Redlands Guest House in Brixham, told Sky News the outbreak has “destroyed our business at the moment”.
“Our guests have cancelled because of the mixed messages that are being sent out by South West Water.”
Rob, head chef at the Steam Packet Inn in Kingswear near Dartmouth, also said his brother-in-law is one of the 46 confirmed cases of cryptosporidiosis and has been sick for two weeks.
The UKHSA is working with Torbay Council, South West Water, NHS Devon and the Environment Agency on the incident.
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