RT Journal Article T1 A facility and community-based assessment of scabies in rural Malawi. A1 Galván-Casas, Cristina A1 Mitjá, Oriol A1 Esteban, Sara A1 Kafulafula, Jacob A1 Phiri, Texon A1 Navarro-Fernández, Íñigo A1 Román-Curto, Concepción A1 Mtenje, Hassani A1 Thauzeni, Gerald A1 Harawa, Elizabeth A1 Kaluzi, Stephano A1 Diere, Mphatso A1 Mkandawire, Mary A1 Malizani, Shaibu A1 Chifundo, Alex A1 Utrera-Busquets, Marta A1 Mónica Roncero-Riesco, A1 López Martín-Prieto, Sara A1 Vilanova-Urdániz, Iosune A1 Petiti, Gisela H A1 de Gálvez Aranda, María Victoria A1 No Pérez, Nuria A1 Rueda Gómez-Calcerrada, María A1 Iranzo, Pilar A1 Escalonilla García-Patos, Pilar A1 de Troya-Martín, Magdalena A1 Romero Gomez, Javier A1 Cardeñoso-Alvarez, Esther A1 Lucas Truyols, Sofia A1 Aspe Unanue, Libe A1 Bajo Del Pozo, Cristina A1 Comunión Artieda, Alicia A1 Martínez González, Maria Isabel A1 López-López, Omar F A1 Moreno-Artero, Esther A1 Cubiró, Xavier A1 Meilán-Sánchez, Iago A1 Tomás-Velázquez, Alejandra A1 López-Sánchez, Cristina A1 Sánchez-Martínez, Eva M A1 Edwards, Harrison A A1 Herrera Morueco, Maria A1 Zehe Rubiera, Julia A1 Salguero Caldera, Laura A1 Blanes-Moreno, Urbano A1 Uribarren-Movilla, Maria A1 Marks, Michael AB 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. 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. 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. YR 2021 FD 2021-06-01 LK http://hdl.handle.net/10668/17857 UL http://hdl.handle.net/10668/17857 LA en DS RISalud RD Apr 9, 2025