The prevalence of scabies in Monrovia, Liberia: A population-based survey.
Scabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-urban settings to inform scale up of scabies control efforts. There have been anecdotal report...
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ftdoajarticles:oai:doaj.org/article:3410eb6b2a0c493d9c125b125cef5888 2023-05-15T15:14:57+02:00 The prevalence of scabies in Monrovia, Liberia: A population-based survey. Shelui Collinson Joseph Timothy Samuel K Zayzay Karsor K Kollie Eglantine Lebas Neima Candy Katherine E Halliday Rachel Pullan Mosoka Fallah Stephen L Walker Michael Marks 2020-12-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0008943 https://doaj.org/article/3410eb6b2a0c493d9c125b125cef5888 EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0008943 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0008943 https://doaj.org/article/3410eb6b2a0c493d9c125b125cef5888 PLoS Neglected Tropical Diseases, Vol 14, Iss 12, p e0008943 (2020) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.1371/journal.pntd.0008943 2022-12-31T05:51:16Z Scabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-urban settings to inform scale up of scabies control efforts. There have been anecdotal reports of scabies being a public health problem in Liberia but robust data are lacking. We conducted a cross-sectional cluster-randomised prevalence survey for scabies in a peri-urban community in Monrovia, Liberia in February-March 2020. Participants underwent a standardised examination conducted by trained local health care workers. Health related quality of life (HRQoL) was assessed using age-appropriate versions of the dermatology life quality index (DLQI). Prevalence estimates were calculated accounting for clustering at community and household levels and associations with key demographic variables assessed through multivariable random-effects logistic regression. 1,318 participants from 477 households were surveyed. The prevalence of scabies was 9.3% (95% CI: 6.5-13.2%), across 75 (19.7%) households; impetigo or infected scabies prevalence was 0.8% (95% CI: 0.4-1.9%). The majority (52%) of scabies cases were classified as severe. Scabies prevalence was lower in females and higher in the youngest age group; no associations were found with other collected demographic or socio-economic variables. DLQI scores indicated a very or extremely large effect on HRQoL in 29% of adults and 18% of children diagnosed with scabies. Our study indicates a substantial burden of scabies in this peri-urban population in Liberia. This was associated with significant impact on quality of life, highlighting the need for action to control scabies in this population. Further work is needed to assess the impact of interventions in this context on both the prevalence of scabies and quality of life. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pacific PLOS Neglected Tropical Diseases 14 12 e0008943 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Shelui Collinson Joseph Timothy Samuel K Zayzay Karsor K Kollie Eglantine Lebas Neima Candy Katherine E Halliday Rachel Pullan Mosoka Fallah Stephen L Walker Michael Marks The prevalence of scabies in Monrovia, Liberia: A population-based survey. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Scabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-urban settings to inform scale up of scabies control efforts. There have been anecdotal reports of scabies being a public health problem in Liberia but robust data are lacking. We conducted a cross-sectional cluster-randomised prevalence survey for scabies in a peri-urban community in Monrovia, Liberia in February-March 2020. Participants underwent a standardised examination conducted by trained local health care workers. Health related quality of life (HRQoL) was assessed using age-appropriate versions of the dermatology life quality index (DLQI). Prevalence estimates were calculated accounting for clustering at community and household levels and associations with key demographic variables assessed through multivariable random-effects logistic regression. 1,318 participants from 477 households were surveyed. The prevalence of scabies was 9.3% (95% CI: 6.5-13.2%), across 75 (19.7%) households; impetigo or infected scabies prevalence was 0.8% (95% CI: 0.4-1.9%). The majority (52%) of scabies cases were classified as severe. Scabies prevalence was lower in females and higher in the youngest age group; no associations were found with other collected demographic or socio-economic variables. DLQI scores indicated a very or extremely large effect on HRQoL in 29% of adults and 18% of children diagnosed with scabies. Our study indicates a substantial burden of scabies in this peri-urban population in Liberia. This was associated with significant impact on quality of life, highlighting the need for action to control scabies in this population. Further work is needed to assess the impact of interventions in this context on both the prevalence of scabies and quality of life. |
format |
Article in Journal/Newspaper |
author |
Shelui Collinson Joseph Timothy Samuel K Zayzay Karsor K Kollie Eglantine Lebas Neima Candy Katherine E Halliday Rachel Pullan Mosoka Fallah Stephen L Walker Michael Marks |
author_facet |
Shelui Collinson Joseph Timothy Samuel K Zayzay Karsor K Kollie Eglantine Lebas Neima Candy Katherine E Halliday Rachel Pullan Mosoka Fallah Stephen L Walker Michael Marks |
author_sort |
Shelui Collinson |
title |
The prevalence of scabies in Monrovia, Liberia: A population-based survey. |
title_short |
The prevalence of scabies in Monrovia, Liberia: A population-based survey. |
title_full |
The prevalence of scabies in Monrovia, Liberia: A population-based survey. |
title_fullStr |
The prevalence of scabies in Monrovia, Liberia: A population-based survey. |
title_full_unstemmed |
The prevalence of scabies in Monrovia, Liberia: A population-based survey. |
title_sort |
prevalence of scabies in monrovia, liberia: a population-based survey. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2020 |
url |
https://doi.org/10.1371/journal.pntd.0008943 https://doaj.org/article/3410eb6b2a0c493d9c125b125cef5888 |
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Arctic Pacific |
geographic_facet |
Arctic Pacific |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 14, Iss 12, p e0008943 (2020) |
op_relation |
https://doi.org/10.1371/journal.pntd.0008943 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0008943 https://doaj.org/article/3410eb6b2a0c493d9c125b125cef5888 |
op_doi |
https://doi.org/10.1371/journal.pntd.0008943 |
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PLOS Neglected Tropical Diseases |
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14 |
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12 |
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e0008943 |
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