The East Midlands has the highest number of cases of scarlet fever in the country, according to the latest figures from Public Health England.
They say there have been more than 1,200 cases since September. In the West Midlands, 530 cases have been diagnosed, with Staffordshire seeing the most.
More than 7,000 new cases have been recorded across the country in total.
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Five NHS trusts in the Midlands have come under fire after it emerged bosses were sitting on more than £134 million of spare cash.