It was a quiet Sunday morning, and the usual chatter of families filled the local park. Parents watched their children play while catching up on neighborhood gossip. #miteinfection #rashtreatment #scabies #skininfestation
It was a quiet Sunday morning, and the usual chatter of families filled the local park. Parents watched their children play while catching up on neighborhood gossip. #miteinfection #rashtreatment #scabies #skininfestation
#BBCNews - GPs in England advise not to ignore #scabies symptoms
https://www.bbc.com/news/articles/c5ym51myg63o
I'm off to the #BASHH conference in #Bournemouth next month, but my coach tickets mean I'm going to have to leave early.
Just checking the program to see what I'm going to miss:
+ BASHH national guidelines
+ #Scabies Guidelines - What's new for 2024?
+ #DoxyPEP Guideline Update
+ Management of #Gonorrhoea Guide
‘It is shameful’: why the return of Victorian-era diseases to the UK alarms health experts #scurvy #scabies https://www.theguardian.com/society/2024/feb/18/return-of-victorian-era-diseases-to-the-uk-scabies-measles-rickets-scurvy
"There has been a surge in cases of #scabies and #measles – both highly contagious – as well as #rickets and #scurvy, conditions we thought had been eradicated"
"...the surge...reflects the cost of living crisis and decade-long cuts to social services and public health, which have left Britain with one of the poorest and most vulnerable populations in Europe"
https://www.theguardian.com/society/2024/feb/18/return-of-victorian-era-diseases-to-the-uk-scabies-measles-rickets-scurvy
🔸Consequences of electing a dysfunctional govt?🤔
#UK #PublicHealth
‘It is shameful’: why the return of Victorian-era diseases to the #UK alarms health experts - https://www.theguardian.com/society/2024/feb/18/return-of-victorian-era-diseases-to-the-uk-scabies-measles-rickets-scurvy "There has been a surge in cases of #scabies and #measles – both highly contagious – as well as #rickets and #scurvy, conditions we thought had been eradicated. Are public health cuts to blame?" rhetorical question, methinks...
I'm quoted in a great WIRED article on surging #scabies cases in Britain (particularly in care homes & universities), & my research on the need to up supply of oral #ivermectin for outbreak control & sexual health clinics. https://www.wired.com/story/scabies-outbreak-uk-europe-treatment-shortages-drug-resistance-permethrin-ivermectin/
#scabies #publichealth #parasitology #outbreakcontrol #medicine #dermatology
Scabies Is Making a Comeback
Cases of #scabies are on the rise across Europe. The UK in particular is struggling with a shortage of treatments.
#Scabies Is Making a Comeback - https://www.wired.com/story/scabies-outbreak-uk-europe-treatment-shortages-drug-resistance-permethrin-ivermectin/ "UK in particular is struggling with a shortage of treatments" #brexit a factor, of course...
I was quoted in The Mail on Sunday yesterday after they interviewed me about the ongoing UK scabies surge & need to up #ivermectin supplies for it (not COVID19!): https://dailymail.co.uk/health/article-12959997/NHS-horse-dewormer-Scabies-ivermectin.html. My related @TheLancet piece: https://thelancet.com/journals/lancet/article/PIIS0140-6736(19)32619-4/fulltext
#scabies #publichealth #parasitology #outbreakcontrol #medicine
This afternoon I shared with local authority public health leads and practioners across Kent, Surrey & Sussex *UK) the outputs & recommendations from our
#scabies work. Looking forward to working with them on next steps. Recent outputs:
Middleton, Cassell, Walker. 2023. Scabies Management in Institutions. In Fischer & Chosidow (eds.) Scabies. Berlin: Springer Nature. ISBN 978-3-031-26069-8. https://link.springer.com/chapter/10.1007/978-3-031-26070-4_29
Richardson… Middleton. 2023. Scabies outbreak management in refugee/migrant camps across Europe 2014-17: a retrospective qualitative interview study of healthcare staff experiences and perspectives. BMJ Open. https://bmjopen.bmj.com/content/13/11/e075103
Great to see Brighton & Sussex Medical School website highlight #scabies work by myself & friends. Our work to control scabies
in institutions spans #refugee camps to #carehomes. To learn more about this & other impact case studies & emerging impact see: https://bsms.ac.uk/research/impact-case-studies-2021.aspx
#publichealth #parasites #microbiology #outbreakcontrol #epidemiology #dermatology
And so now the #NHScrisis in all it dimensions lies behind another health scare: this time the surge in #scabies across the country.
Lets be clear; you cannot defund the #NHS, attack & demean in staff while engineering the environment for failure (to push #patients into the arms of private #healthcare) and not thinks you will see a series of crises in public health.
Where the #Tories always go wrong is thinking they can buy their & their chums way out of danger!
https://www.theguardian.com/society/2024/jan/01/doctors-report-nightmare-surge-in-scabies-across-uk
Doctors report ‘nightmare’ surge in #scabies across #UK
Exclusive: Proliferation comes amid treatment shortage and poses major #PublicHealth threat, say experts
https://www.theguardian.com/society/2024/jan/01/doctors-report-nightmare-surge-in-scabies-across-uk
📕 Chuffed to pick up hardcopy of new @springernature Scabies book. Includes my chapter on managing institutional #scabies outbreaks from care homes to refugee camps: https://link.springer.com/chapter/10.1007/978-3-031-26070-4_29. Abstract + more info➡️
Middleton et al. Scabies Management in Institutions
Abstract
Scabies is a particular problem in semi-closed institutions such as residential settings for elderly people, children and those with learning disabilities; refugee camps and other settings for displaced persons; prisons; schools; hospitals and hostels. What many of these diverse places have in common is a range of transmission drivers which enable scabies to reach very high prevalence including: high densities of potential hosts, social behaviours involving prolonged contact, bed and clothes sharing, manual handling, reduced access to laundry facilities and immunocompromise. We describe the epidemiology of institutional scabies outbreaks across settings, and based primarily on recent and longstanding evidence from adult health care, we draw out general strategic priorities for case management and outbreak control. The tools and information necessary to carry out an epidemiological assessment of an institutional scabies outbreak are provided, along with guidance on control measures. A summary checklist of the key steps to take in responding to an institutional outbreak concludes the chapter.
Thank you to @nihrresearch for funding support.
This is part of the first comprehensive book on scabies, written by experts from across the world. You can order the full 31 chapter ebook and hardback for your uni/clinical library here: https://link.springer.com/book/10.1007/978-3-031-26070-4
#NTDs #Scabies #Refugeehealth #carehomes #outbreakcontrol #epidemiology #publichealth #medicalacarology #acarology #prisonhealth #parisitology #globalhealth #parasites
''Disease #surveillance systems are hampered, but syndromic surveillance has noted increases in infectious diseases, including acute respiratory infections, #scabies, #jaundice, #diarrhoea, and bloody diarrhoea. Shelters in the south are also reporting cases of acute jaundice syndrome, a worrisome signal of #hepatitis.''
Home Office-funded hotels attract 1,400 complaints from migrant people | openDemocracy
https://www.opendemocracy.net/en/home-office-hotel-complaints-migrant-help-rwanda-slave/
#HomeOffice
#Hotels
#AsylumSeekers
#Abuse
#SexualAbuse
#NapierBaracks
#Napier
#CouncilForTheWelfareOfImmigrants
#OneStrongVoice
#Serco
#MearsGroupPLC
#Racism
#Scabies
Introduced invasive pathogen, a threat to native wildlife
"Research suggests the spread of the mites around the world is associated with European colonialism... In Australia, the mites were likely introduced multiple times over the past 230 years."
"In southern Australia, sarcoptic mange is mostly a concern for wildlife health. It can be deadly to bare-nosed wombats, as well as some other species including koalas and quenda (also known as western brown bandicoots). In tropical northern Australia, scabies is a significant (although rarely life-threatening) human health issue."
"A sarcoptic mange outbreak in a population of bare-nosed wombats in central Tasmania, which caused a population decline of more than 80%."
https://theconversation.com/disease-in-the-dirt-how-mange-causing-mites-decimated-a-tasmanian-wombat-population-211992
#SarcopticMange #wildlife #biodiversity #wombats #koalas #EuropeanColonialism #dogs #scabies #Australia
Scabies, a highly contagious skin infestation caused by the Sarcoptes scabiei mite, can be an incredibly uncomfortable and distressing condition. Fortunately, nature has provided us with a potential solution in the form of sulfur soap. With its centuries-old reputation for treating various skin conditions, sulfur soap has gained popularity as an adjunctive treatment for scabies.