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The outbreak affected 21 out of 158 children in the kindergarten with 19 confirmed and 2 probable cases: 12 (57.1%) boys and 9 (42.9%) girls. Here, an epidemiological analysis was conducted to identify the possible route of transmission and to recommend appropriate control measures to prevent future outbreaks of scarlet fever. A field epidemiologist from Gyeonggi Provincial Government conducted an investigation and implemented control measures. On April 3, 2017, an outbreak of scarlet fever among children at a kindergarten was reported to the local public health department by the local pediatric clinic. Nevertheless, the annual number of scarlet fever reported has greatly increased from 0.3 cases/100,000 persons in 2008 to 23.08 cases/100,000 persons in 2016 in the Republic of Korea, and 8.98 cases/100,000 persons in 2013 to 27.77/100,000 persons in 2016 at Gyeonggi Province, Korea. Scarlet fever was known to be highly fatal in the early 1900s however, it only causes mild illness recently due to the development of antibiotics and improvement of hygiene and living environment. Antibiotic (penicillin) administration for 10 days is the treatment of choice with the loss of transmissibility within a day following proper antibiotic treatment. The incubation period ranges from 2 to 10 days and the transmission usually persist from 10 to 21 days without appropriate treatment.
SUDDEN ATTACK 2 SCARLET SKIN
GAS causes diverse clinical symptoms associated with sudden onset of fever (38.5☌), sore throat, strawberry tongue, and skin rash. Scarlet fever is an infection caused by group A streptococcus (GAS), Streptococcus pyogenes, which produces a pyrogenic exotoxin.