FIFTY-one cases of scarlet fever have been recorded in Cumbria so far this year.

South Lakeland has recorded seven cases, with five of those cases confirmed in the second week of February.

Scarlet fever is a very contagious disease which occurs most often in the winter and spring.

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Public Health England has urged vigilance about spotting the signs following a substantial increase in reported cases across England in 2017 to 2018.

The symptoms are non-specific in early illness and may include sore throat, headache, fever, nausea and vomiting.

After 12 to 48 hours a red, generalised pinhead rash develops, typically first appearing on the chest and stomach and rapidly spreading to other parts of the body, giving the skin a sandpaper-like texture.

Patients typically have flushed cheeks and paleness around the mouth which may be accompanied by a ‘strawberry tongue’.

It is a notifiable disease in England and Wales, which means health professionals must inform local health protection teams of suspected cases.

Nick Phin, deputy director at Public Health England, said: "It’s not uncommon to see a rise in cases of scarlet fever at this time of year. Scarlet fever is not usually a serious illness and can be treated with antibiotics to reduce the risk of complications and spread to others. We are monitoring the situation closely and remind parents to be aware of the symptoms of scarlet fever and to contact their GP for assessment if they think their child might have it.

"Whilst there has been a notable increase in scarlet fever cases when compared to last season, greater awareness and improved reporting practices may have contributed to this increase."