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The public health control of scabies: priorities for research and action.
Open accessAbstract
Scabies is a parasitic disease of the skin that disproportionately affects disadvantaged populations. The disease causes considerable morbidity and leads to severe bacterial infection and immune-mediated disease. Scientific advances from the past 5 years suggest that scabies is amenable to population-level control, particularly through mass drug administration. In recognition of these issues, WHO added scabies to the list of neglected tropical diseases in 2017. To develop a global control programme, key operational research questions must now be addressed. Standardised approaches to diagnosis and methods for mapping are required to further understand the burden of disease. The safety of treatments for young children, including with ivermectin and moxidectin, should be investigated. Studies are needed to inform optimum implementation of mass treatment, including the threshold for intervention, target, dosing, and frequency. Frameworks for surveillance, monitoring, and evaluation of control strategies are also necessary.
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“Scabies among adults frequently is sexually acquired, although scabies among children usually is not (1400–1402).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1401]
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Metadata
- Authors
- Engelman, D., Cantey, P. T., Marks, M., Solomon, A. W., Chang, A. Y., Chosidow, O., Enbiale, W., Engels, D., Hay, R. J., Hendrickx, D., Hotez, P. J., Kaldor, J. M., Kama, M., Mackenzie, C. D., McCarthy, J. S., Martin, D. L., Mengistu, B., Maurer, T., Negussu, N., Romani, L., Sokana, O., Whitfeld, M. J., Fuller, L. C., & Steer, A. C.
- Affiliations
- Royal Children's Hospital (AU)
- World Health Organization (CH)
- London School of Hygiene & Tropical Medicine (GB)
- University of California, San Francisco (US)
- Université Paris-Est Créteil (FR)
- Bahir Dar University (ET)
- King's College London (GB)
- The Kids Research Institute Australia (AU)
- Baylor College of Medicine (US)
- UNSW Sydney (AU)
- Ministry Of Health (FJ)
- The Task Force for Global Health (US)
- QIMR Berghofer Medical Research Institute (AU)
- Centers for Disease Control and Prevention (US)
- Federal Ministry of Health (ET)
- National Health Service (GB)
- Corresponding author
- Engelman, Daniel
- ORCID
- Engelman, Daniel
- Cantey, Paul T
- Marks, Michael
- Solomon, Anthony W
- Chang, Aileen Y
- Chosidow, Olivier
- Enbiale, Wendemagegn
- Hay, Roderick J
- Hendrickx, David
- Hotez, Peter J
- Kaldor, John M
- Mackenzie, Charles D
- McCarthy, James S
- Martin, Diana L
- Mengistu, Birhan
- Maurer, Toby
- Romani, Lucia
- Sokana, Oliver
- Whitfeld, Margot J
- Fuller, L Claire
- Steer, Andrew C
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 394
- Issue
- 10192
- Pages
- 81-92
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC11257500
- OpenAlex
- W2948825612
- Cited by
- 223
- References
- 158
- Citations by year
- 2026: 35 · 2025: 32 · 2024: 43 · 2023: 28 · 2022: 27 · 2021: 26 · 2020: 27 · 2019: 5
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- The Lancet (publishedVersion)
- UWA Profiles and Research Repository (UWA) (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Heart Foundation of Australia
- American Chemical Society
- National Health Research Institutes
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Keywords
- scabies, public health control, mass drug administration, neglected tropical diseases, ivermectin, moxidectin, diagnosis, surveillance and monitoring
- MeSH terms
- Mass Drug Administration, Humans, Population Surveillance, Public Health, Scabies, Global Health, World Health Organization, Neglected Diseases
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