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Strep A Guidance for Schools

Following concerns about the increase in Strep A infections, we’ve put together some guidance for members working in schools.

Last updated: 14 December 2022

What is Strep A?

Strep A is a bacterial infection, and while mostly mild and easily treated with antibiotics, some infections are more serious. Please consult the NHS Strep A guidance page if you think that you or someone else is unwell.

Common symptoms include:

  • flu-like symptoms, such as a high temperature, swollen glands or an aching body
  • sore throat (strep throat or tonsillitis)
  • a rash that feels rough, like sandpaper (scarlet fever)
  • scabs and sores (impetigo)
  • pain and swelling (cellulitis)
  • severe muscle aches
  • nausea and vomiting

Precautions against Strep A

As well as the NHS guidance, please refer to the Department for Education’s advice for parents, schools, colleges and Early Years providers.

In general, we advise that Covid-type precautions be taken, such as:

  • Wearing masks, particularly medical grade ones e.g. FFP2/3 face masks
  • Maintaining distancing
  • Good hand hygiene, with regular washing
  • Including Strep A in Risk Assessments

For further guidance on precautions, see our Covid health and safety guidance.

We suggest that musicians who are teaching ask schools and employers for their policies, and contact their Regional Office if there are any concerns.

Some members may prefer to finish their teaching for this year if they have option, or move their teaching online. There is likely to be a clearer picture in January 2023.

Risk Assessments to include Strep A

Risk Assessments should be in place and should include Strep A – if you are working in a school, college or other setting you should be provided with one. If you are self-employed and/or teaching privately you should complete your own Risk Assessment.

You can refer to our Covid Risk Assessment guidance and templates.

If you are an MU member and you have concerns about a Risk Assessment contact your Regional Office.

Strep A advice in Wales

Please refer to the NHS Wales guidance

You can read the Minister for Health and Social Services, Eluned Morgan’s written statement regarding the Strep A cases, which outlines guidance and information specific to Wales.

You can also find up-to-date information and advice on streptococcal A infections at 111.wales.nhs.uk

Strep A advice in Scotland

Please see Public Health Scotland's blog for more information, and the NHS Inform guidance on Strep A.

Strep A advice in Northern Ireland

Please refer to the Public Health Agency’s Scarlet fever guidance page, and their statement about group A strep infections.

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