Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme.
INTRODUCTION:Scabies is a major public health problem in the Pacific and is associated with an increased risk of bacterial skin infections, glomerulonephritis and rheumatic fever. Mass drug administration with ivermectin is a promising strategy for the control of scabies. Mass treatment with ivermec...
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ftdoajarticles:oai:doaj.org/article:91b46976901d44c7b3cfa27ab967a4a2 2023-05-15T15:09:30+02:00 Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. Michael Marks Betty Taotao-Wini Lorraine Satorara Daniel Engelman Titus Nasi David C Mabey Andrew C Steer 2015-12-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0004246 https://doaj.org/article/91b46976901d44c7b3cfa27ab967a4a2 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4666486?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0004246 https://doaj.org/article/91b46976901d44c7b3cfa27ab967a4a2 PLoS Neglected Tropical Diseases, Vol 9, Iss 12, p e0004246 (2015) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles https://doi.org/10.1371/journal.pntd.0004246 2022-12-30T22:12:19Z INTRODUCTION:Scabies is a major public health problem in the Pacific and is associated with an increased risk of bacterial skin infections, glomerulonephritis and rheumatic fever. Mass drug administration with ivermectin is a promising strategy for the control of scabies. Mass treatment with ivermectin followed by active case finding was conducted in five communities in the Solomon Islands between 1997 and 2000 and resulted in a significant reduction in the prevalence of both scabies and bacterial skin infections. METHODS:We conducted a prospective follow-up study of the communities where the original scabies control programme had been undertaken. All residents underwent a standardised examination for the detection of scabies and impetigo. RESULTS:Three hundred and thirty eight residents were examined, representing 69% of the total population of the five communities. Only 1 case of scabies was found, in an adult who had recently returned from the mainland. The prevalence of active impetigo was 8.8% overall and 12.4% in children aged 12 years or less. DISCUSSION:We found an extremely low prevalence of scabies 15 years after the cessation of a scabies control programme. The prevalence of impetigo had also declined further since the end of the control programme. Our results suggest that a combination of mass treatment with ivermectin and intensive active case finding may result in long term control of scabies. Larger scale studies and integration with other neglected tropical disease control programmes should be priorities for scabies control efforts. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pacific PLOS Neglected Tropical Diseases 9 12 e0004246 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Michael Marks Betty Taotao-Wini Lorraine Satorara Daniel Engelman Titus Nasi David C Mabey Andrew C Steer Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
INTRODUCTION:Scabies is a major public health problem in the Pacific and is associated with an increased risk of bacterial skin infections, glomerulonephritis and rheumatic fever. Mass drug administration with ivermectin is a promising strategy for the control of scabies. Mass treatment with ivermectin followed by active case finding was conducted in five communities in the Solomon Islands between 1997 and 2000 and resulted in a significant reduction in the prevalence of both scabies and bacterial skin infections. METHODS:We conducted a prospective follow-up study of the communities where the original scabies control programme had been undertaken. All residents underwent a standardised examination for the detection of scabies and impetigo. RESULTS:Three hundred and thirty eight residents were examined, representing 69% of the total population of the five communities. Only 1 case of scabies was found, in an adult who had recently returned from the mainland. The prevalence of active impetigo was 8.8% overall and 12.4% in children aged 12 years or less. DISCUSSION:We found an extremely low prevalence of scabies 15 years after the cessation of a scabies control programme. The prevalence of impetigo had also declined further since the end of the control programme. Our results suggest that a combination of mass treatment with ivermectin and intensive active case finding may result in long term control of scabies. Larger scale studies and integration with other neglected tropical disease control programmes should be priorities for scabies control efforts. |
format |
Article in Journal/Newspaper |
author |
Michael Marks Betty Taotao-Wini Lorraine Satorara Daniel Engelman Titus Nasi David C Mabey Andrew C Steer |
author_facet |
Michael Marks Betty Taotao-Wini Lorraine Satorara Daniel Engelman Titus Nasi David C Mabey Andrew C Steer |
author_sort |
Michael Marks |
title |
Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. |
title_short |
Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. |
title_full |
Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. |
title_fullStr |
Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. |
title_full_unstemmed |
Long Term Control of Scabies Fifteen Years after an Intensive Treatment Programme. |
title_sort |
long term control of scabies fifteen years after an intensive treatment programme. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2015 |
url |
https://doi.org/10.1371/journal.pntd.0004246 https://doaj.org/article/91b46976901d44c7b3cfa27ab967a4a2 |
geographic |
Arctic Pacific |
geographic_facet |
Arctic Pacific |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 9, Iss 12, p e0004246 (2015) |
op_relation |
http://europepmc.org/articles/PMC4666486?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0004246 https://doaj.org/article/91b46976901d44c7b3cfa27ab967a4a2 |
op_doi |
https://doi.org/10.1371/journal.pntd.0004246 |
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PLOS Neglected Tropical Diseases |
container_volume |
9 |
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12 |
container_start_page |
e0004246 |
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