Prevention is by frequent handwashing, not sharing personal items, and staying away from other people when sick. The disease is treatable with antibiotics, which prevent most complications. Outcomes with scarlet fever are typically good if treated. Long-term complications as a result of scarlet fever include kidney disease, rheumatic heart disease, and arthritis. In the early 20th century, before antibiotics were available, it was a leading cause of death in children. An antitoxin was produced before antibiotics; however, it was never made in sufficient quantities, and could not be used to treat any other disease as antibiotics can.
How interesting to compare our need for Green Open spaces today with the time of Bishop Tait and Scarlet fever and when he became Archbishop of Canterbury in 1869 and moved to what is now Lambeth Palace which has been the London residence of the Archbishops of Canterbury since the 13th-century. The Bishop of Carlisle held adjacent land that was then incorporated into Lambeth Palace.
When Archibald Campbell Tait became Archbishop he was greatly concerned about the welfare of the poor in London and opened some 9 acres of the palace gardens (being the land formerly owned by the Bishop of Carlisle) for the benefit of the local poor. That area of land became known as Lambeth Palace Field. It continued to be used by the public after Tait's death in 1882, but without any permanent rights to do so. A permanent public park was first proposed in 1898 by Lt-Col Charles Ford, a Progressive member of the London County Council (1892-1901). In 1900 the Metropolitan Public Gardens Association then led a campaign for the permanent and unrestricted opening of Lambeth Palace Field. This was successful, and Archbishop's Park was laid out with lawns, a playground and sports fields, surrounded by boundary trees, and was opened in 1901.
In response to the concern that the area was now densely populated yet had no formal recreation grounds, Archbishop Temple gifted much of the Lambeth Palace parkland to the people of Lambeth. And in 1904 Archbishop Temple’s Secondary School opened.
Just as during Archbishop Tait's time of crisis when he understood the need for fresh air, green open spaces for health and wellbeing, we also understand and campaign for our Green Open Spaces during this time of crisis, to safeguard them for future generations.