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London reported the lowest number of cases relative to its population.

Scarlet fever is caused by a bacteria known as group A steptococcus (GAS), which are found on the skin and the throat.

Scarlet fever has risen to its highest level for ten years, public health experts say.

Almost 3,000 cases of the disease, which claimed thousands of lives in the 19th century, were recorded last year in England and Wales.

Scarlet fever is highly contagious and children aged two to eight are most at risk.

Dr Theresa Lamagni, PHE's head of streptococcal infection surveillance, said: "Individuals who think they or their child may have scarlet fever should seek advice from their GP without delay as prompt antibiotic treatment is needed.

The problem is that if left untreated, it can return and spread to other areas of the body, like the kidneys, and cause serious health problems in the future.’’Ms Garbayo has worked in the childcare industry for two decades, but had never seen anything like the rash that Cohen developed late last month.In Liverpool, 12 suspected cases were reported last week.This is more than twice the city’s average in recent months, according to the While scarlet fever is much less common than it used to be, outbreaks of the illness appear to be on the rise, especially in winter when infections are more frequent.She searched health websites, and learnt that his symptoms of fever, red rash and sandpaper-like skin were classic signs of scarlet fever.However she said the GP at an Illawarra medical centre dismissed that theory, putting the symptoms down to a skin condition.Public Health England was notified of at least 12,906 cases of scarlet fever last winter – up from 5,746 the year before and 2,830 between September 2013 and March 2014.