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Trop. Med. Infect. Dis. 2018, 3(3), 98; https://doi.org/10.3390/tropicalmed3030098

Control Strategies for Scabies

1,2,3,4,* and 1,2,3,4
1
Tropical Diseases, Murdoch Children’s Research Institute, Parkville VIC 3052, Australia
2
Department of Paediatrics, University of Melbourne, Parkville VIC 3052, Australia
3
Department of General Medicine, Royal Children’s Hospital, Parkville VIC 3052, Australia
4
International Alliance for the Control of Scabies, Parkville VIC 3052, Australia
*
Author to whom correspondence should be addressed.
Received: 12 August 2018 / Revised: 3 September 2018 / Accepted: 3 September 2018 / Published: 5 September 2018
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Abstract

Scabies is a neglected tropical disease of the skin, causing severe itching and stigmatizing skin lesions. Further, scabies leads to impetigo, severe bacterial infections, and post-infectious complications. Around 200 million people are affected, particularly among disadvantaged populations living in crowded conditions in tropical areas. After almost 50 years, research into scabies control has shown great promise, particularly in highly-endemic island settings, but these findings have not been widely adopted. Newer approaches, utilizing ivermectin-based mass drug administration, appear feasible and highly effective. Inclusion of scabies in the WHO portfolio of neglected tropical diseases in 2017 may facilitate renewed opportunities and momentum toward global control. However, further operational research is needed to develop evidence-based strategies for control in a range of settings, and monitor their impact. Several enabling factors are required for successful implementation, including availability of affordable drug supply. Integration with existing health programs may provide a cost-effective approach to control. View Full-Text
Keywords: scabies; neglected tropical diseases; impetigo; mass drug administration; ivermectin scabies; neglected tropical diseases; impetigo; mass drug administration; ivermectin
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Engelman, D.; Steer, A.C. Control Strategies for Scabies. Trop. Med. Infect. Dis. 2018, 3, 98.

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