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A facility and community-based assessment of scabies in rural Malawi.
Galván-Casas, Cristina; Mitjá, Oriol; Esteban, Sara; Kafulafula, Jacob; Phiri, Texon; Navarro-Fernández, Íñigo; Román-Curto, Concepción; Mtenje, Hassani; Thauzeni, Gerald; Harawa, Elizabeth; Kaluzi, Stephano; Diere, Mphatso; Mkandawire, Mary; Malizani, Shaibu; Chifundo, Alex; Utrera-Busquets, Marta; López Martín-Prieto, Sara; Vilanova-Urdániz, Iosune; Petiti, Gisela H; de Gálvez Aranda, María Victoria; No Pérez, Nuria; Rueda Gómez-Calcerrada, María; Iranzo, Pilar; Escalonilla García-Patos, Pilar; de Troya-Martín, Magdalena; Romero Gomez, Javier; Cardeñoso-Alvarez, Esther; Lucas Truyols, Sofia; Aspe Unanue, Libe; Bajo Del Pozo, Cristina; Comunión Artieda, Alicia; Martínez González, Maria Isabel; López-López, Omar F; Moreno-Artero, Esther; Cubiró, Xavier; Meilán-Sánchez, Iago; Tomás-Velázquez, Alejandra; López-Sánchez, Cristina; Sánchez-Martínez, Eva M; Edwards, Harrison A; Herrera Morueco, Maria; Zehe Rubiera, Julia; Salguero Caldera, Laura; Blanes-Moreno, Urbano; Uribarren-Movilla, Maria; Marks, Michael.
Affiliation
  • Galván-Casas C; Faculty of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain.
  • Mitjá O; Department of Dermatology, Hospital Universitario de Mostoles, University Rey Juan Carlos, Madrid, Spain.
  • Esteban S; DerMalawi Project, Nkhotakota, Malawi.
  • Kafulafula J; Fight AIDS and Infectious Diseases Foundation, Badalona, Spain.
  • Phiri T; Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
  • Navarro-Fernández Í; Lihir Medical Centre-International SOS, Londolovit, Lihir Island, Papua New Guinea.
  • Román-Curto C; Department of Dermatology, Hospital Universitario de Cruces, Bilbao, Spain.
  • Mtenje H; Nkhotakota District Hospital, Nkhotakota, Malawi.
  • Thauzeni G; Alinafe Health Center, Njewa, Malawi.
  • Harawa E; Department of Dermatology, Hospital Universitario de Cabueñes, Gijón, Spain.
  • Kaluzi S; Department of Dermatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
  • Diere M; Alinafe Health Center, Njewa, Malawi.
  • Mkandawire M; Mwansambo Health Center, Mwansambo, Malawi.
  • Malizani S; Kapiri Health Center, Kapiri, Malawi.
  • Chifundo A; Benga Health Center Benga, Malawi.
  • Utrera-Busquets M; Thavite Health Center, Thavite, Malawi.
  • Mónica Roncero-Riesco; Alinafe Health Center, Njewa, Malawi.
  • López Martín-Prieto S; Alinafe Health Center, Njewa, Malawi.
  • Vilanova-Urdániz I; Alinafe Health Center, Njewa, Malawi.
  • Petiti GH; Department of Dermatology, Hospital General La Mancha Centro, Ciudad Real, Spain.
  • de Gálvez Aranda MV; Department of Dermatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
  • No Pérez N; Consulta privada, Seville, Spain.
  • Rueda Gómez-Calcerrada M; Department of Dermatology, Hospital General Universitario de Elche, Alicante, Spain.
  • Iranzo P; Department of Dermatology, Hospital Mòisses Broggi, Barcelona, Spain.
  • Escalonilla García-Patos P; Faculty of Medicine, Universidad de Málaga, Málaga, Spain.
  • de Troya-Martín M; Department of Dermatology, Complejo Hospitalario Universitario de Vigo, Vigo, Spain.
  • Romero Gomez J; Department of Dermatology, Hospital Viamed Virgen de la Paloma, Madrid, Spain.
  • Cardeñoso-Alvarez E; Department of Dermatology, Hospital Clínic, Barcelona, Spain.
  • Lucas Truyols S; Department of Dermatology, Complejo Asistencial de Ávila, Ávila, Spain.
  • Aspe Unanue L; Department of Dermatology, Hospital Costa del Sol, Marbella, Spain.
  • Bajo Del Pozo C; Department of Dermatology, Hospital Quironsalud, Málaga, Spain.
  • Comunión Artieda A; Department of Dermatology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
  • Martínez González MI; Department of Dermatology, Consorci Hospital General Universitari, València, Spain.
  • López-López OF; Department of Dermatology, Hospital Universitario Araba, Vitoria-Gasteiz, Spain.
  • Moreno-Artero E; Department of Dermatology, Complejo Hospitalario de Palencia, Palencia, Spain.
  • Cubiró X; Department of Dermatology, Centro de Diagnóstico Médico, Ayuntamiento de Madrid, Madrid, Spain.
  • Meilán-Sánchez I; Department of Dermatology, Hospital Universitario Araba, Vitoria-Gasteiz, Spain.
  • Tomás-Velázquez A; Consulta privada, A Coruña, Spain.
  • López-Sánchez C; Department of Dermatology, Clínica Universidad de Navarra, Madrid, Spain.
  • Sánchez-Martínez EM; Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
  • Edwards HA; Department of Dermatology, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain.
  • Herrera Morueco M; Department of Dermatology, Clínica Universidad de Navarra, Pamplona, Spain.
  • Zehe Rubiera J; Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
  • Salguero Caldera L; Department of Dermatology, Hospital Universitario Doctor Peset, Valencia, Spain.
  • Blanes-Moreno U; Department of Dermatology, Princess Alexandra Hospital, Brisbane, Australia.
  • Uribarren-Movilla M; School of Public Health, University of Queensland, Brisbane, Australia.
  • Marks M; Dermatology Research Centre, University of Queensland, Diamantina Institute, Brisbane, Australia.
PLoS Negl Trop Dis ; 15(6): e0009386, 2021 06.
Article in En | MEDLINE | ID: mdl-34061851
ABSTRACT

BACKGROUND:

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. METHODOLOGY/PRINCIPAL

FINDINGS:

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. CONCLUSIONS/

SIGNIFICANCE:

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.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Scabies / Community Health Services Type of study: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: Africa Language: En Journal: PLoS Negl Trop Dis Journal subject: MEDICINA TROPICAL Year: 2021 Document type: Article Affiliation country: Spain

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Scabies / Community Health Services Type of study: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: Africa Language: En Journal: PLoS Negl Trop Dis Journal subject: MEDICINA TROPICAL Year: 2021 Document type: Article Affiliation country: Spain