A facility and community-based assessment of scabies in rural malawi
Galván-Casas, Cristina (DerMalawi Project)
Mitjà, Oriol (Lihir Medical Centre-International SOS)
Esteban, Sara (Hospital Universitario de Cruces (Barakaldo, País Basc))
Kafulafula, Jacob (Nkhotakota District Hospital)
Phiri, Texon (Alinafe Health Center)
Navarro-Fernández, Íñigo (Department of Dermatology. Hospital Universitario de Cabueñes)
Román-Curto, Concepción (Department of Dermatology. Complejo Asistencial Universitario de Salamanca)
Mtenje, Hassani (Alinafe Health Center)
Thauzeni, Gerald (Mwansambo Health Center)
Harawa, Elisabeth (Kapiri Health Center)
Kaluzi, Stephano (Benga Health Center Benga)
Diere, Mphasto (Thavite Health Center)
Mkandawire, Mary (Alinafe Health Center)
Malizani, Shaibu (Alinafe Health Center)
Chifundo, Alex (Alinafe Health Center)
Utrera-Busquets, Marta (Hospital General La Mancha Centro)
Roncero-Riesco, Mónica (Complejo Asistencial Universitario de Salamanca)
López Martín-Prieto, Sara
Vilanova-Urdániz, Iosune (Hospital General Universitario de Elche)
Petiti, Gisela H. (Hospital de Sant Joan Despí Moisès Broggi)
de Gálvez Aranda, María Victoria (Universidad de Málaga. Facultad de Medicina)
No Pérez, Núria (Complexo Hospitalario Universitario de Vigo)
Gómez-Calcerrada, María Rueda (Hospital Viamed Virgen de la Paloma)
Iranzo, Pilar (Hospital Clínic i Provincial de Barcelona)
Escalonilla García-Patos, Pilar (Complejo Asistencial de Ávila)
de Troya-Martín, Magdalena (Hospital Costa del Sol (Marbella))
Romero Gomez, Javier (Hospital Quironsalud)
Cardeñoso-Alvarez, Esther (Complejo Asistencial Universitario de Salamanca)
Lucas Truyols, Sofía (Consorci Hospital General Universitari)
Aspe-Unanue, Libe (Arabako Unibertsitate Ospitalea (Vitoria, País Basc))
Bajo del Pozo, Cristina (Complejo Hospitalario de Palencia)
Comunión Artieda, Alicia (Centro de Diagnóstico Médico. Ayuntamiento de Madrid)
Martínez González, María Isabel (Arabako Unibertsitate Ospitalea (Vitoria, País Basc))
López-López, Omar F.
Moreno-Artero, Esther (Clínica Universidad de Navarra)
Cubiró, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Meilán-Sánchez, Iago (Complejo Hospitalario Universitario de A Coruña)
Tomás-Velázquez, Alejandra (Clínica Universidad de Navarra)
López-Sánchez, Cristina (Institut d'Investigació Biomèdica Sant Pau)
Sánchez-Martínez, Eva María (Hospital Universitari Doctor Peset (València))
Edwards, Harrison A. (University of Queensland. Diamantina Institute)
Herrera Morueco, María Angeles (Hospital Universitario Infanta Leonor)
Zehe Rubiera, Julia (Hospital Plat)
Salguero Caldera, Laura (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Blanes-Moreno, Urbano (Francisco de Vitoria University)
Uribarren-Movilla, María (Universidad de Alcalá)
Marks, Michael (London School of Hygiene & Tropical Medicine)

Data:	2021
Resum:	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-dermatologi-cal 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.
Nota:	Altres ajuts: CantabriaLabs; Martiderm; Italfarmaco; Fundación CSAI; Ayuntamiento de Villanueva de la Cañada; Spanish Academy of Dermatology (CG); Colegio Oficial de Médicos de Madrid (CG); Fundación Mutua Madrileña (CG); Celia Delgado Matías Association; Universidad de Salamanca.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Acaricides ; Adolescent ; Adult ; Child ; Child, Preschool ; Community Health Services ; Female ; Humans ; Infant ; Malawi ; Male ; Rural Population ; Scabies ; Young Adult
Publicat a:	PLoS neglected tropical diseases, Vol. 15 Núm. 6 (june 2021) , p. e0009386, ISSN 1935-2735

DOI: 10.1371/journal.pntd.0009386
PMID: 34061851

11 p, 875.2 KB

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