Defining the need for public health control of scabies in Solomon Islands
| العنوان: | Defining the need for public health control of scabies in Solomon Islands |
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| المؤلفون: | Lucia Romani, Anneke Grobler, Dickson Boara, Margot J. Whitfeld, John M. Kaldor, Titus Nasi, Susanna J. Lake, Millicent H. Osti, Michael Marks, Daniel T. Engelman, Oliver Sokana, Andrew C Steer, Ross M. Andrews |
| المصدر: | PLoS Neglected Tropical Diseases PLoS Neglected Tropical Diseases, Vol 15, Iss 2, p e0009142 (2021) |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Impetigo, Epidemiology, Ectoparasitic Infections, Health Care Providers, RC955-962, Nurses, Social Sciences, Skin infection, Geographical locations, Scabies, 0302 clinical medicine, Medical Conditions, Arctic medicine. Tropical medicine, Prevalence, Medicine and Health Sciences, Psychology, Public and Occupational Health, 030212 general & internal medicine, Medical Personnel, Child, Age Factors, Middle Aged, Professions, Infectious Diseases, Child, Preschool, Female, Sensory Perception, Public aspects of medicine, RA1-1270, Research Article, Neglected Tropical Diseases, Adult, Skin Infections, medicine.medical_specialty, Adolescent, 030231 tropical medicine, Oceania, Sexually Transmitted Diseases, Dermatology, Skin Diseases, 03 medical and health sciences, Sex Factors, Signs and Symptoms, Environmental health, Solomon Islands, medicine, Parasitic Diseases, Humans, Mass drug administration, business.industry, Public health, Pruritus, Public Health, Environmental and Occupational Health, Cognitive Psychology, Infant, Biology and Life Sciences, medicine.disease, Tropical Diseases, Health Care, Relative risk, Medical Risk Factors, Attributable risk, Lesions, Cognitive Science, Population Groupings, Perception, Melanesia, People and places, Clinical Medicine, business, Neuroscience |
| الوصف: | Pacific Island countries have a high burden of scabies and impetigo. Understanding of the epidemiology of these diseases is needed to target public health interventions such as mass drug administration (MDA). The aim of this study is to determine the prevalence of scabies and impetigo in Solomon Islands as well as the relationship between them and their distribution. We conducted a prevalence study in 20 villages in Western Province in Solomon Islands. All residents of the village were eligible to participate. Nurses conducted clinical assessments including history features and skin examination. Diagnosis of scabies was made using the 2020 International Alliance for the Control of Scabies diagnostic criteria. Assessments were completed on 5239 participants across 20 villages. Overall scabies prevalence was 15.0% (95%CI 11.8–19.1). There was considerable variation by village with a range of 3.3% to 42.6%. There was a higher prevalence of scabies in males (16.7%) than females (13.5%, adjusted relative risk 1.2, 95%CI 1.1–1.4). Children aged under two years had the highest prevalence (27%). Overall impetigo prevalence was 5.6% (95%CI 4.2–7.3), ranging from 1.4% to 19% by village. The population attributable risk of impetigo associated with scabies was 16.1% (95% CI 9.8–22.4). The prevalence of scabies in our study is comparable to previous studies in Solomon Islands, highlighting a persistent high burden of disease in the country, and the need for public health strategies for disease control. Author summary Scabies is a skin disease caused by infestation with the mite Sarcoptes scabiei var. hominis. The mite burrows under the skin causing intense itch. Scabies lesions are commonly infected with bacteria, causing impetigo. Pacific Island countries have a high burden of scabies due to overcrowding, the tropical environment and limited access to treatment. We aimed to assess the prevalence of scabies and impetigo in 20 villages in Western Province of Solomon Islands. We used the International Alliance for the Control of Scabies 2020 diagnostic criteria to diagnoses scabies. We found that 15% of the 5239 people surveyed had scabies, and 5.6% had impetigo. While the prevalence of scabies was comparable to other studies there were fewer cases of impetigo than observed previously. The burden of disease was highest among children. Mass drug administration, where the whole community is given treatment for a condition regardless of whether they have symptoms of the disease, has been shown to reduce the prevalence of scabies. This study supports the need for mass drug administration for scabies in Solomon Islands. |
| وصف الملف: | application/pdf |
| تدمد: | 1935-2735 1935-2727 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b2ce11a41f5b1e9b712e94431c8b1789 https://pubmed.ncbi.nlm.nih.gov/33617544 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b2ce11a41f5b1e9b712e94431c8b1789 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19352735 19352727 |
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