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Scabies Management in Institutions

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Scabies

Abstract

Scabies is a particular problem in semi-closed institutions such as residential settings for elderly people, children and those with learning disabilities; refugee camps and other settings for displaced persons; prisons; schools; hospitals and hostels. What many of these diverse places have in common is a range of transmission drivers which enable scabies to reach very high prevalence including: high densities of potential hosts, social behaviours involving prolonged contact, bed and clothes sharing, manual handling, reduced access to laundry facilities and immunocompromise. We describe the epidemiology of institutional scabies outbreaks across settings, and based primarily on recent and longstanding evidence from adult health care, we draw out general strategic priorities for case management and outbreak control. The tools and information necessary to carry out an epidemiological assessment of an institutional scabies outbreak are provided, along with guidance on control measures. A summary checklist of the key steps to take in responding to an institutional outbreak concludes the chapter.

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Authors and Affiliations

  1. Primary Care and Public Health, NIHR Global Health Research Unit on Neglected Tropical Diseases, Brighton and Sussex Medical School, Falmer, UK

    Jo Middleton

  2. Primary Care and Public Health, Brighton and Sussex Medical School, Falmer, UK

    Jackie A. Cassell

  3. Clinical Research, London School of Hygiene & Tropical Medicine, London, UK

    Stephen L. Walker

  4. Department of Dermatology; Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, UK

    Stephen L. Walker

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  1. Jo Middleton
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  2. Jackie A. Cassell
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Correspondence to Jo Middleton .

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Editors and Affiliations

  1. QIMR Berghofer Medical Research Institut, Herston, QLD, Australia

    Katja Fischer

  2. UPE-Université Paris-Est, Service de Dermatologie, Hôpital Henri Mondor, EA 7379 EpiDermE et INSERM CIC 1430, Créteil, France

    Olivier Chosidow

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Middleton, J., Cassell, J.A., Walker, S.L. (2023). Scabies Management in Institutions. In: Fischer, K., Chosidow, O. (eds) Scabies. Springer, Cham. https://doi.org/10.1007/978-3-031-26070-4_29

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