{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:12:09Z","timestamp":1791223929919,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Scabies remains a major cause of morbidity among Bangladeshi children, particularly in overcrowded and resource\u2010limited settings. This perspective synthesizes current evidence to contextualize the surge of pediatric scabies outbreaks reported across Bangladesh in 2025. This perspective aimed to map outbreak hotspots, identify key risk determinants, and highlight health system gaps in surveillance and diagnosis, and therapeutic management of scabies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Evidence was compiled from published literature, national health data, WHO reports, media alerts, interviews with 50 registered dermatologists, and ArcGIS\u2010based visualization of affected regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Outbreaks were widespread across urban slums, religious school (Madrasa), Rohingya refugee camps, university dormitories, flood\u2010affected districts, rural communities and multiple districts including Cumilla, Barisal, Noakhali, Rajshahi, Sylhet, Khulna, Mymensingh, and Cox's Bazar driven by poverty, overcrowding, poor sanitation, seasonal humidity, and limited access to dermatologic care. Treatment practices reported by surveyed physicians revealed that 5% permethrin cream remains the first\u2010line therapy, while oral ivermectin is increasingly used for severe, recurrent outbreaks, although availability and affordability remain inconsistent across districts. Reinfection rates in institutional settings and the absence of national surveillance systems further complicate control efforts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This perspective emphasizes the urgent need for integrated strategies, including strengthened surveillance, improved treatment access, community\u2010based hygiene interventions, and alignment with WHO's NTD roadmap. Strengthening these components is essential to reduce pediatric morbidity, prevent complications, and enhance Bangladesh's progress toward effective scabies control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72450","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T06:01:01Z","timestamp":1777356061000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Scabies Outbreak in Pediatric Populations of Bangladesh: A Perspective on Therapeutic Management, Risk Factors, and Public Health Implications"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9785-2549","authenticated-orcid":false,"given":"Hemayet","family":"Hossain","sequence":"first","affiliation":[{"name":"Department of Veterinary Science and Animal Husbandry Teesta University Rangpur Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8754-9905","authenticated-orcid":false,"given":"Md. Al","family":"Muktadir","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Hygiene Bangladesh Agricultural University Mymensingh Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1924-2229","authenticated-orcid":false,"given":"Snigdha Sharmin","family":"Binte Sayeed","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Hygiene Bangladesh Agricultural University Mymensingh Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1186-973X","authenticated-orcid":false,"given":"Sojib","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Pathology Sylhet Agricultural University Sylhet Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3815-5679","authenticated-orcid":false,"given":"Md. Hasan","family":"Ali","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary, Animal and Biomedical Sciences Sylhet Agricultural University Sylhet Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9380-2579","authenticated-orcid":false,"given":"Khadiza Akter","family":"Brishty","sequence":"additional","affiliation":[{"name":"Department of Zoology (GSSC) University of Dhaka Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0210-6581","authenticated-orcid":false,"given":"Md. Shahidur Rahman","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Medicine Sylhet Agricultural University Sylhet Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2062-8471","authenticated-orcid":false,"given":"Md. Mahfujur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Medicine Sylhet Agricultural University Sylhet Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"e_1_2_16_2_1","volume-title":"Scabies","author":"World Health Organization","year":"2024"},{"key":"e_1_2_16_3_1","unstructured":"E.Co2017\u201cAbout Neglected Tropical Diseases and Three Major Infectious Diseases \u201d Eisai Co. Ltd. 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