A framework for scabies control

Daniel Engelman, Michael Marks, Andrew C. Steer, Abate Beshah, Gautam Biswas, Olivier Chosidow, Luc E. Coffeng, Belen Lardizabal Dofitas, Wendemagegn Enbiale, Mosoka Fallah, Elkhan Gasimov, Adrian Hopkins, Julie Jacobson, John M. Kaldor, Fatimata Ly, Charles D. Mackenzie, Jodie McVernon, Matthew Parnaby, Merelesita Rainima-Qaniuci, Oliver SokanaDieudonne Sankara, Rie Yotsu, Aya Yajima, Paul T. Cantey

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Abstract

Scabies is a neglected tropical disease (NTD) that causes a significant health burden, particularly in disadvantaged communities and where there is overcrowding. There is emerging evidence that ivermectin-based mass drug administration (MDA) can reduce the prevalence of scabies in some settings, but evidence remains limited, and there are no formal guidelines to inform control efforts. An informal World Health Organization (WHO) consultation was organized to find agreement on strategies for global control. The consultation resulted in a framework for scabies control and recommendations for mapping of disease burden, delivery of interventions, and establishing monitoring and evaluation. Key operational research priorities were identified. This framework will allow countries to set control targets for scabies as part of national NTD strategic plans and develop control strategies using MDA for high-prevalence regions and outbreak situations. As further evidence and experience are collected and strategies are refined over time, formal guidelines can be developed. The control of scabies and the reduction of the health burden of scabies and associated conditions will be vital to achieving the targets set in WHO Roadmap for NTDs for 2021 to 2030 and the Sustainable Development Goals.

Original languageEnglish
Article numbere0009661
Pages (from-to)e0009661
JournalPLoS Neglected Tropical Diseases
Volume15
Issue number9
DOIs
Publication statusPublished - 1 Sep 2021

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