Determinants of scabies outbreak in Takusa district of Amhara Region, Northwest Ethiopia
Background: Human scabies is a highly contagious human dermatitis disease. As indicated by the national and regional reports, the epidemic of scabies became a major public health problem in Ethiopia since 2015.
Objective: To identify the determinant factors of scabies outbreak in Takusa district, Northwest Ethiopia, 2017.
Methods: A community based unmatched case-control study among 188 participants (63 cases and 125 controls) was conducted in Takusa district from September to October 2017. Data were collected using a pretested structured questionnaire. Multivariable logistic regression analysis was computed using SPSS version 22 to identify factors associated with scabies. Odds ratio at 95% CI and p-value less than 0.05 were used to describe the strength of the association and statistical significance.
Results: The median age of cases was 20 years (ranges1-61). Presence of person with itching in the family (AOR=7.7, 95% CI:1.9-30.5), sleeping with scabies patient (AOR=3.99, 95% CI:1.37-11.7), travel to scabies epidemic area in the last six weeks (AOR=3.79, 95%CI:1.28-11.1) and infrequent use of detergent for showering (AOR=4.85; 95% CI: 1.3-17.9)) were found to be determinant factors of scabies outbreak.
Conclusion: Frequent contact with people who develop scabies at home, not using detergents for washing, and mobility of people from non-epidemic to the epidemic areas were determinant factors. Giving special emphasis on regular awareness creation to the rural community is important to prevent scabies outbreak.
WHO. lymphatic filariasis and epidemiology of scabies 2016 [http://www.who.int/lymphatic_filariasis/epidemiology/scabies/en/ ].
How Do You Get Scabies? https://www.emedicinehealth.com/how_do_you_get_scabies/article_em.htm [Internet].
Zeyneba Jemal Yassin, Abel Fekadu Dadi, Behailu Tariku Derseh, Habtamu Yimer Nega, Wondesen Asegidew. Scabies Outbreak Investigation among “Yekolo Temaris” in Gondar Town, North Western Ethiopia, November 2015. Journal of Biology. 2017;13(3).
Chosidow O. Clinical practices Scabies. N Engl J Med. 2006;354(16):1718–27.
Walton SF, Holt DC, Currie BJ, Kemp DJ. Scabies: new future for a neglected disease. Advances in parasitology. 2004;57:309-76.
R. J. Hay, A. C. Steer, Engelman D, Walton S. Scabies in the developing world—its prevalence, complications, and management. Clin Microbiol Infect. 2012;18(313–323).
Burkhart CG, Burkhart CN, Burkhart KM. An epidemiologic and therapeutic reassessment of scabies. Cutis. 2000;65(4):233-40.
Andersen LK, Davis MD. The effects of the El Niño Southern Oscillation on skin and skin-related diseases: a message from the International Society of Dermatology Climate Change Task Force. Int J Dermatol. 2015;54(12):1343-51.
FDRE. Scabies out break preparedness and Response Plan. In: Health MO, editor. Addis Ababa, Ethiopia2015.
Wondimu Wochebo, Haji Y, Asnake S. Scabies outbreak investigation and risk factors in Kechabira district, Southern Ethiopia: unmatched case control study. BMC Research Notes. 2019;12(305).
Ejigu K, Haji Y, Toma A, Tadesse BT. Factors associated with scabies outbreaks in primary schools in Ethiopia: a case–control study. Research and Reports in Tropical Medicine. 2019;10(119–127).
Jackie A Cassell, Jo Middleton, Ananth Nalabanda, Stefania Lanza, Michael G Head, Jennifer Bostock, et al. Scabies outbreaks in ten care homes for elderly people: a prospective study of clinical features, epidemiology, and treatment outcomes. Lancet Infect Dis. 2018;18(894–902).
Jarso Sara, YusufHaji , Gebretsadik A. Scabies Outbreak Investigation and Risk Factors in East Badewacho District, Southern Ethiopia: Unmatched Case Control Study. Dermatology Research and Practice. 2018;0.
Mansour Nazar, Aziz Azizi. Epidemiological Pattern of Scabies and Its Social Determinant Factors in West of Iran. Health. 2014;6(1972-1977).
hegab Ds, Kato aM, Kabbash Ia, Dabish gM. scabies among primary schoolchildren in egypt: sociomedical environmental study in Kafr el-sheikh administrative area. Clinical, Cosmetic and Investigational Dermatology. 2015;8 (105–111).
Lucia Romani, Josefa Koroivueta, Andrew C. Stee, Mike Kama, John M. Kaldor, Handan Wand, et al. Scabies and Impetigo Prevalence and Risk Factors in Fiji: A National Survey. PLOS Neglected Tropical Diseases. 2015;9(3):e0003452.
Gaspard L, Laffitte E, Michaud M, Eicher N, Lacour O, Toutous-Trellu L. [Scabies in 2012]. Rev Med Suisse. 2012;8(335):718-22, 24-5.
Suleman S, Ullah H. Epidemiological study of scabies in district Haripur, Pakistan. Arthropods,. 2016;5(4):151-61.
Dagne H, Dessie A, Destaw B, Yallew WW, Gizaw Z. Prevalence and associated factors of scabies among schoolchildren in Dabat district, northwest Ethiopia, 2018. Environmental Health and Preventive Medicine. 2019;24(67).
Amhara public health institute (APHI). Scabies report. 2017.
Ohio Department of health. Scabies Prevention and Control Guidelines. 2019.
- Abstract views: 3832
- PDF: 107
- HTML: 0
Copyright (c) 2020 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.