London, January 29, 2024 — A surge in scabies cases, particularly among young adults, is prompting concern among dermatologists, though pinpointing the exact scale of the increase proves difficult. The intensely itchy skin condition, caused by tiny mites burrowing into the skin, is making a comeback, and experts say stigma surrounding the ailment is a key barrier to treatment.
Scabies on the Rise: Why This “Medieval Disease” Is Making a Comeback
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A highly contagious skin condition, scabies is seeing increased reports, especially in close-quarters living situations.
- Scabies cases are reportedly increasing, but precise numbers are hard to come by due to underreporting.
- Young adults, particularly those in university halls and care homes, are being disproportionately affected.
- Stigma surrounding scabies prevents many people from seeking timely diagnosis and treatment.
- Most cases can be effectively treated with over-the-counter medications, though more severe cases may require a prescription.
What exactly *is* scabies? It’s an infestation caused by the human itch mite, which burrows into the upper layer of the skin to live and lay its eggs. This triggers intense itching, often worse at night, and a characteristic rash.
The Challenge of Tracking Scabies
Dr. Tess McPherson, of the British Association of Dermatologists, acknowledged the rise in cases, stating, “There is definitely evidence of cases increasing, the exact rise was hard to quantify.” A significant factor contributing to the difficulty in tracking the spread is that many individuals don’t seek medical attention for the condition. “A lot of people don’t necessarily go to a GP, so you don’t get perfect data,” McPherson explained.
A: While intensely uncomfortable, scabies isn’t typically dangerous. However, it’s highly contagious and can lead to secondary skin infections from scratching. Prompt treatment is key to prevent spread and relieve symptoms.
Recent outbreaks have been reported in specific settings, according to the Royal College of GPs. Members have noted cases in residential and care homes, as well as a “particular prominence” in university halls of residence. However, the RCGP cautioned that statistics should be interpreted carefully, as “they could be affected by one patient receiving multiple treatments.”
Breaking Down the Stigma
Beyond the logistical challenges of tracking the disease, a significant hurdle is the social stigma associated with scabies. McPherson emphasized that scabies is often viewed as a “medieval disease,” and breaking down this perception is crucial. “I think we can all do a job to make people feel that there’s no shame in having scabies,” she said. “It’s just something which has been with humans forever, and it probably will be with humans forever.”
Treatment Options and Access
Fortunately, most cases of scabies are treatable. “The majority of people” can successfully eliminate the infestation with topical treatments available over-the-counter. For more persistent cases, a medication called ivermectin is available, but isn’t always necessary.
In Wales, and some other parts of the UK, individuals can access free consultations and treatment for scabies through their local pharmacist under the NHS common ailments service, eliminating the need for a GP appointment, according to Rhodri Thomas, the National Pharmacy Association’s Wales Manager. Thomas described scabies as “a distressing and highly infectious condition.”
If you suspect you have scabies, don’t hesitate to seek medical advice. Early diagnosis and treatment are essential to prevent further spread and alleviate the discomfort.
