Strep Throat Surge In NJ: What To Know

NEW JERSEY — Cases of invasive group A strep infections continue to sicken people in New Jersey and several other places around the country, public health officials warned this week.

The Centers for Disease Control and Prevention said its preliminary 2023 data shows group A strep infections are occurring at rates above those seen before the pandemic.

The New Jersey Department of Health asks anyone who has been diagnosed with Group A strep to report their diagnosis to the local health department within 24 hours. The bacteria can cause severe and sometimes fatal disease if they get into the blood, muscles, or lungs according to state health officials.

The bacteria is commonly carried by people in their noses and throats or on the skin, but in its invasive form, it can invade parts of the body that are normally free from germs. This more severe type of strep is usually seen in children, but the CDC said some areas of the country are seeing it more often in adults, including those 65 and older.

Any strep A case warrants a trip to the doctor, health officials say. Typical symptoms include fever, sore throat and difficulty swallowing.

Parents and caregivers should also keep an eye out for symptoms of toxic shock syndrome — fever, chills, muscle aches, nausea and vomiting — and the so-called “flesh-eating” disease, necrotizing fasciitis — a fast-spreading swollen area on the skin, severe pain and fever, along with blisters, changes in skin color or pus at the infected area.

Like other contagious illnesses, invasive group Strep A cases dropped during the social distancing of the pandemic, falling to the lowest number of cases on record since 1997 among school-aged kids.

Mild and moderate strep infections are usually treated with amoxicillin, which is in short supply. Alternative therapies are available. Invasive group Strep A roared back last year amid the shortage of drugs to treat it, although there’s no data link as yet between those developments, the CDC said.

A week after the CDC’s December warning of an uptick in cases, the World Health Organization reported invasive Group A infections were also increasing in several other countries.

Invasive group strep A is both dangerous and rare, with anywhere between 14,000 and 25,000 illnesses a year in the United States. The fatality rate is around 1,500 to 2,300 people a year, according to the CDC.

Patch’s national desk contributed to this report.