{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:03:28Z","timestamp":1772179408358,"version":"3.50.1"},"update-to":[{"DOI":"10.1371\/journal.pntd.0009386","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T00:00:00Z","timestamp":1623369600000}}],"reference-count":25,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"CantabriaLabs"},{"name":"Martiderm"},{"DOI":"10.13039\/501100014383","name":"Italfarmaco","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100014383","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Ayuntamiento de Villanueva de la Ca\u00f1ada"},{"name":"students from Secondary School \u201cLas Encinas\u201d from Villanueva de la Ca\u00f1ada, Madrid"},{"name":"Spanish Academy of Dermatology","award":["International Cooperation Awards"],"award-info":[{"award-number":["International Cooperation Awards"]}]},{"name":"Colegio Oficial de M\u00e9dicos de Madrid (ICOMEM),","award":["Beca Cooperaci\u00f3n Internacional Bartolom\u00e9 Beltr\u00e1n 2016"],"award-info":[{"award-number":["Beca Cooperaci\u00f3n Internacional Bartolom\u00e9 Beltr\u00e1n 2016"]}]},{"DOI":"10.13039\/100008061","name":"Fundaci\u00f3n Mutua Madrile\u00f1a","doi-asserted-by":"publisher","award":["Premio Cooperaci\u00f3n Internacional 2015"],"award-info":[{"award-number":["Premio Cooperaci\u00f3n Internacional 2015"]}],"id":[{"id":"10.13039\/100008061","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Secci\u00f3n Centro Academia Espa\u00f1ola de Dermatolog\u00eda","award":["Premio Cooperaci\u00f3n Internacional 2018"],"award-info":[{"award-number":["Premio Cooperaci\u00f3n Internacional 2018"]}]},{"name":"Asociaci\u00f3n Celia Delgado Mat\u00edas","award":["Ayuda Cooperaci\u00f3n Internacional 2018"],"award-info":[{"award-number":["Ayuda Cooperaci\u00f3n Internacional 2018"]}]},{"name":"University of Salamanca"}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scabies is a neglected tropical disease of the skin, causing severe itching, stigmatizing skin lesions and systemic complications. Since 2015, the DerMalawi project provide an integrated skin diseases clinics and Tele-dermatology care in Malawi. Clinic based data suggested a progressive increase in scabies cases observed. To better identify and treat individuals with scabies in the region, we shifted from a clinic-based model to a community based outreach programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methodology\/Principal findings<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Conclusions\/Significance<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pntd.0009386","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T16:58:41Z","timestamp":1622566721000},"page":"e0009386","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":13,"title":["A facility and community-based assessment of scabies in rural 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