A facility and community-based assessment of scabies in rural Malawi.
<h4>Background</h4>Scabies is a neglected tropical disease of the skin, causing severe itching, stigmatizing skin lesions and systemic complications. Since 2015, the DerMalawi project provide an integrated skin diseases clinics and Tele-dermatology care in Malawi. Clinic based data sugge...
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2021
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oai:doaj.org-article:9cb5eb957546416c8fec0071e684ff5e2021-11-25T06:31:49ZA facility and community-based assessment of scabies in rural Malawi.1935-27271935-273510.1371/journal.pntd.0009386https://doaj.org/article/9cb5eb957546416c8fec0071e684ff5e2021-06-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009386https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Scabies is a neglected tropical disease of the skin, causing severe itching, stigmatizing skin lesions and systemic complications. Since 2015, the DerMalawi project provide an integrated skin diseases clinics and Tele-dermatology care in Malawi. Clinic based data suggested a progressive increase in scabies cases observed. To better identify and treat individuals with scabies in the region, we shifted from a clinic-based model to a community based outreach programme.<h4>Methodology/principal findings</h4>From May 2015, DerMalawi project provide integrated skin diseases and Tele-dermatological care in the Nkhotakota and Salima health districts in Malawi. Demographic and clinical data of all patients personally attended are recorded. Due to a progressive increase in the number of cases of scabies the project shifted to a community-based outreach programme. For the community outreach activities, we conducted three visits between 2018 to 2019 and undertook screening in schools and villages of Alinafe Hospital catchment area. Treatment was offered for all the cases and school or household contacts. Scabies increased from 2.9% to 39.2% of all cases seen by the DerMalawi project at clinics between 2015 to 2018. During the community-based activities approximately 50% of the population was assessed in each of three visits. The prevalence of scabies was similar in the first two rounds, 15.4% (2392) at the first visit and 17.2% at the second visit. The prevalence of scabies appeared to be lower (2.4%) at the third visit. The prevalence of impetigo appeared unchanged and was 6.7% at the first visit and 5.2% at the final visit.<h4>Conclusions/significance</h4>Prevalence of scabies in our setting was very high suggesting that scabies is a major public health problem in parts of Malawi. Further work is required to more accurately assess the burden of disease and develop appropriate public health strategies for its control.Cristina Galván-CasasOriol MitjáSara EstebanJacob KafulafulaTexon PhiriÍñigo Navarro-FernándezConcepción Román-CurtoHassani MtenjeGerald ThauzeniElizabeth HarawaStephano KaluziMphatso DiereMary MkandawireShaibu MalizaniAlex ChifundoMarta Utrera-BusquetsMónica Roncero-RiescoSara López Martín-PrietoIosune Vilanova-UrdánizGisela H PetitiMaría Victoria de Gálvez ArandaNuria No PérezMaría Rueda Gómez-CalcerradaPilar IranzoPilar Escalonilla García-PatosMagdalena de Troya-MartínJavier Romero GomezEsther Cardeñoso-AlvarezSofia Lucas TruyolsLibe Aspe UnanueCristina Bajo Del PozoAlicia Comunión ArtiedaMaria Isabel Martínez GonzálezOmar F López-LópezEsther Moreno-ArteroXavier CubiróIago Meilán-SánchezAlejandra Tomás-VelázquezCristina López-SánchezEva M Sánchez-MartínezHarrison A EdwardsMaria Herrera MoruecoJulia Zehe RubieraLaura Salguero CalderaUrbano Blanes-MorenoMaria Uribarren-MovillaMichael MarksPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009386 (2021) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| 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 Cristina Galván-Casas Oriol Mitjá Sara Esteban Jacob Kafulafula Texon Phiri Íñigo Navarro-Fernández Concepción Román-Curto Hassani Mtenje Gerald Thauzeni Elizabeth Harawa Stephano Kaluzi Mphatso Diere Mary Mkandawire Shaibu Malizani Alex Chifundo Marta Utrera-Busquets Mónica Roncero-Riesco Sara López Martín-Prieto Iosune Vilanova-Urdániz Gisela H Petiti María Victoria de Gálvez Aranda Nuria No Pérez María Rueda Gómez-Calcerrada Pilar Iranzo Pilar Escalonilla García-Patos Magdalena de Troya-Martín Javier Romero Gomez Esther Cardeñoso-Alvarez Sofia Lucas Truyols Libe Aspe Unanue Cristina Bajo Del Pozo Alicia Comunión Artieda Maria Isabel Martínez González Omar F López-López Esther Moreno-Artero Xavier Cubiró Iago Meilán-Sánchez Alejandra Tomás-Velázquez Cristina López-Sánchez Eva M Sánchez-Martínez Harrison A Edwards Maria Herrera Morueco Julia Zehe Rubiera Laura Salguero Caldera Urbano Blanes-Moreno Maria Uribarren-Movilla Michael Marks A facility and community-based assessment of scabies in rural Malawi. |
| description |
<h4>Background</h4>Scabies is a neglected tropical disease of the skin, causing severe itching, stigmatizing skin lesions and systemic complications. Since 2015, the DerMalawi project provide an integrated skin diseases clinics and Tele-dermatology care in Malawi. Clinic based data suggested a progressive increase in scabies cases observed. To better identify and treat individuals with scabies in the region, we shifted from a clinic-based model to a community based outreach programme.<h4>Methodology/principal findings</h4>From May 2015, DerMalawi project provide integrated skin diseases and Tele-dermatological care in the Nkhotakota and Salima health districts in Malawi. Demographic and clinical data of all patients personally attended are recorded. Due to a progressive increase in the number of cases of scabies the project shifted to a community-based outreach programme. For the community outreach activities, we conducted three visits between 2018 to 2019 and undertook screening in schools and villages of Alinafe Hospital catchment area. Treatment was offered for all the cases and school or household contacts. Scabies increased from 2.9% to 39.2% of all cases seen by the DerMalawi project at clinics between 2015 to 2018. During the community-based activities approximately 50% of the population was assessed in each of three visits. The prevalence of scabies was similar in the first two rounds, 15.4% (2392) at the first visit and 17.2% at the second visit. The prevalence of scabies appeared to be lower (2.4%) at the third visit. The prevalence of impetigo appeared unchanged and was 6.7% at the first visit and 5.2% at the final visit.<h4>Conclusions/significance</h4>Prevalence of scabies in our setting was very high suggesting that scabies is a major public health problem in parts of Malawi. Further work is required to more accurately assess the burden of disease and develop appropriate public health strategies for its control. |
| format |
article |
| author |
Cristina Galván-Casas Oriol Mitjá Sara Esteban Jacob Kafulafula Texon Phiri Íñigo Navarro-Fernández Concepción Román-Curto Hassani Mtenje Gerald Thauzeni Elizabeth Harawa Stephano Kaluzi Mphatso Diere Mary Mkandawire Shaibu Malizani Alex Chifundo Marta Utrera-Busquets Mónica Roncero-Riesco Sara López Martín-Prieto Iosune Vilanova-Urdániz Gisela H Petiti María Victoria de Gálvez Aranda Nuria No Pérez María Rueda Gómez-Calcerrada Pilar Iranzo Pilar Escalonilla García-Patos Magdalena de Troya-Martín Javier Romero Gomez Esther Cardeñoso-Alvarez Sofia Lucas Truyols Libe Aspe Unanue Cristina Bajo Del Pozo Alicia Comunión Artieda Maria Isabel Martínez González Omar F López-López Esther Moreno-Artero Xavier Cubiró Iago Meilán-Sánchez Alejandra Tomás-Velázquez Cristina López-Sánchez Eva M Sánchez-Martínez Harrison A Edwards Maria Herrera Morueco Julia Zehe Rubiera Laura Salguero Caldera Urbano Blanes-Moreno Maria Uribarren-Movilla Michael Marks |
| author_facet |
Cristina Galván-Casas Oriol Mitjá Sara Esteban Jacob Kafulafula Texon Phiri Íñigo Navarro-Fernández Concepción Román-Curto Hassani Mtenje Gerald Thauzeni Elizabeth Harawa Stephano Kaluzi Mphatso Diere Mary Mkandawire Shaibu Malizani Alex Chifundo Marta Utrera-Busquets Mónica Roncero-Riesco Sara López Martín-Prieto Iosune Vilanova-Urdániz Gisela H Petiti María Victoria de Gálvez Aranda Nuria No Pérez María Rueda Gómez-Calcerrada Pilar Iranzo Pilar Escalonilla García-Patos Magdalena de Troya-Martín Javier Romero Gomez Esther Cardeñoso-Alvarez Sofia Lucas Truyols Libe Aspe Unanue Cristina Bajo Del Pozo Alicia Comunión Artieda Maria Isabel Martínez González Omar F López-López Esther Moreno-Artero Xavier Cubiró Iago Meilán-Sánchez Alejandra Tomás-Velázquez Cristina López-Sánchez Eva M Sánchez-Martínez Harrison A Edwards Maria Herrera Morueco Julia Zehe Rubiera Laura Salguero Caldera Urbano Blanes-Moreno Maria Uribarren-Movilla Michael Marks |
| author_sort |
Cristina Galván-Casas |
| title |
A facility and community-based assessment of scabies in rural Malawi. |
| title_short |
A facility and community-based assessment of scabies in rural Malawi. |
| title_full |
A facility and community-based assessment of scabies in rural Malawi. |
| title_fullStr |
A facility and community-based assessment of scabies in rural Malawi. |
| title_full_unstemmed |
A facility and community-based assessment of scabies in rural Malawi. |
| title_sort |
facility and community-based assessment of scabies in rural malawi. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/9cb5eb957546416c8fec0071e684ff5e |
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