A facility and community-based assessment of scabies in rural Malawi.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Galván-Casas Cristina, Mitjá Oriol, Esteban Sara, Kafulafula Jacob, Phiri Texon, Navarro-Fernández Íñigo, Román-Curto Concepción, Mtenje Hassani, Thauzeni Gerald, Harawa Elizabeth, Kaluzi Stephano, Diere Mphatso, Mkandawire Mary, Malizani Shaibu, Chifundo Alex, Utrera-Busquets Marta, Mónica Roncero-Riesco, López Martín-Prieto Sara, Vilanova-Urdániz Iosune, Petiti Gisela H, de Gálvez Aranda María Victoria, No Pérez Nuria, Rueda Gómez-Calcerrada María, Iranzo Pilar, Escalonilla García-Patos Pilar, de Troya-Martín Magdalena, Romero Gomez Javier, Cardeñoso-Alvarez Esther, Lucas Truyols Sofia, Aspe Unanue Libe, Bajo Del Pozo Cristina, Comunión Artieda Alicia, Martínez González Maria Isabel, López-López Omar F, Moreno-Artero Esther, Cubiró Xavier, Meilán-Sánchez Iago, Tomás-Velázquez Alejandra, López-Sánchez Cristina, Sánchez-Martínez Eva M, Edwards Harrison A, Herrera Morueco Maria, Zehe Rubiera Julia, Salguero Caldera Laura, Blanes-Moreno Urbano, Uribarren-Movilla Maria, Marks Michael
Аннотация
METHODOLOGY/PRINCIPAL FINDINGS: 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.
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.