Epidemic scabies in four Caribbean islands, 1981–1988

Reid, H. F. M.; Birju, B.; Holder, Yvette; Hospedales, James; Poon-King, Theo

doi:10.1016/0035-9203(90)90296-q

Cited by 26 publications

(22 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the under 15 year olds, the prevalence rate decreased from 7-8 % on the first visit to 2-3 % on the second visit (P = 0-0654) but this difference was not statistically significant. DISCUSSION An increasing number of cases of scabies continues to be reported to the National Surveillance Unit of Trinidad and Tobago [2]. In 1988, there were 8439 cases reported compared with 7110 in 1987, an increase of 187%.…”

Section: Distribution Of Households By Number Of Occupants and Occurrmentioning

confidence: 98%

“…Simultaneously, increasing streptococcal isolates from skin lesions and increasing numbers of cases of post-streptococcal acute glomerulonephritis have been recorded [2]. Hence, in Trinidad, scabies infestation poses a serious public health problem and, therefore, must not only be treated effectively, but followed up to ascertain the effect of treatment and to reduce the risk of reinfections and possible sequelae.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, in Trinidad, scabies infestation poses a serious public health problem and, therefore, must not only be treated effectively, but followed up to ascertain the effect of treatment and to reduce the risk of reinfections and possible sequelae. Secondarily infected lesions with nephritogenic streptococci can lead to post-streptococcal glomerulonephritis [1][2][3] and, subsequently, chronic renal disease [4]. Various treatment regimens for scabies have been suggested and tried but more recently, the favoured drugs are aqueous 0 5 % malathion [5] and 5 % monosulfiram soap, the efficacy of which has been recently recommended for use in children and for lactating women [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Scabies infestation: the effect of intervention by public health education

Reid¹,

Thorne²

1990

Epidemiol. Infect.

View full text Add to dashboard Cite

SUMMARYThe objectives of this study were to determine the prevalence of scabies in an infested village; to educate the residents on self-treatment and prevention by the use of 5% monosulfiram soap; to evaluate the short term effectiveness of this intervention by determining, 2 weeks later, the compliance to self-treatment and prevention; and to determine the prevalence rate on the second visit. In 59 households (967 % of the village) containing 313 persons, an educational session was held and a leaflet distributed on the use and availability of the soap. Thirteen persons (4-2 %) from eight households (13-6 %) had scabies. After 2 weeks, 7 persons (2-2 %) (2 persisting and 5 new cases) from 5 households (8-5 %) were infested. Thus a cure rate of 85 % was obtained though the prevalence rate showed no statistically significant difference. Among the under 15 year olds, the numbers infected decreased from 10 to 3 while among the over 15 year olds, the numbers infected increased from 3 to 4, neither reading significance at the 5 % level.

show abstract

Section: Distribution Of Households By Number Of Occupants and Occurrmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Scabies infestation: the effect of intervention by public health education

Reid¹,

Thorne²

1990

Epidemiol. Infect.

View full text Add to dashboard Cite

show abstract

“…In addition to the discomfort caused by the intensely pruritic lesions, infestations often become secondarily infected, especially with group A streptococci and Staphylococcus aureus. Epidemic acute poststreptococcal glomerulonephritis (APSGN) is often associated with endemic scabies in the affected community (29,96). Despite the availability of chemotherapy, repeated scabies infestations and the resultant recurrent pyoderma have now been identified as important cofactors in the extreme levels of renal and rheumatic heart disease observed in Aboriginal communities (30,63,112).…”

Section: Introductionmentioning

confidence: 99%

Problems in Diagnosing Scabies, a Global Disease in Human and Animal Populations

2007

View full text Add to dashboard Cite

SUMMARY Scabies is a worldwide disease and a major public health problem in many developing countries, related primarily to poverty and overcrowding. In remote Aboriginal communities in northern Australia, prevalences of up to 50% among children have been described, despite the availability of effective chemotherapy. Sarcoptic mange is also an important veterinary disease engendering significant morbidity and mortality in wild, domestic, and farmed animals. Scabies is caused by the ectoparasitic mite Sarcoptes scabiei burrowing into the host epidermis. Clinical symptoms include intensely itchy lesions that often are a precursor to secondary bacterial pyoderma, septicemia, and, in humans, poststreptococcal glomerulonephritis. Although diagnosed scabies cases can be successfully treated, the rash of the primary infestation takes 4 to 6 weeks to develop, and thus, transmission to others often occurs prior to therapy. In humans, the symptoms of scabies infestations can mimic other dermatological skin diseases, and traditional tests to diagnose scabies are less than 50% accurate. To aid early identification of disease and thus treatment, a simple, cheap, sensitive, and specific test for routine diagnosis of active scabies is essential. Recent developments leading to the expression and purification of S. scabiei recombinant antigens have identified a number of molecules with diagnostic potential, and current studies include the investigation and assessment of the accuracy of these recombinant proteins in identifying antibodies in individuals with active scabies and in differentiating those with past exposure. Early identification of disease will enable selective treatment of those affected, reduce transmission and the requirement for mass treatment, limit the potential for escalating mite resistance, and provide another means of controlling scabies in populations in areas of endemicity.

show abstract

“…3,6,7 As in most countries scabies is not a notifiable disease, usually only large outbreaks tend to be reported. 27 By consequence, what is known about the epidemiology of scabies is mainly based on data from hospital and outpatient records or certain high-risk groups. 6,[28][29][30][31][32][33][34][35][36] Risk factors for occurrence of disease have rarely been studied in Africa and Asia, 1,2,7,20 but have not been investigated in the Americas.…”

mentioning

confidence: 99%