{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:22:06Z","timestamp":1792272126243,"version":"4.4.0"},"update-to":[{"DOI":"10.1371\/journal.pntd.0010153","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T00:00:00Z","timestamp":1656979200000}}],"reference-count":21,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010665","name":"H2020 Marie Sk\u0142odowska-Curie Actions","doi-asserted-by":"publisher","award":["713660 \u2013 PRONKJEWAIL \u2013 H2020 \u2013 MSCA-COFUND-2015"],"award-info":[{"award-number":["713660 \u2013 PRONKJEWAIL \u2013 H2020 \u2013 MSCA-COFUND-2015"]}],"id":[{"id":"10.13039\/100010665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007442","name":"Gratama Stichting","doi-asserted-by":"publisher","award":["661232"],"award-info":[{"award-number":["661232"]}],"id":[{"id":"10.13039\/501100007442","id-type":"DOI","asserted-by":"publisher"}]}],"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 global health concern disproportionately affecting vulnerable populations such as refugees and asylum seekers. Greece is a main point of entry in Europe for refugees, but epidemiological data on scabies in this population are scarce. We aimed to describe the epidemiology of scabies, including trends over the study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methodology\/Principal findings<\/jats:title>\n                    <jats:p>Data were collected from June, 2016 to July, 2020, using the surveillance system of the Greek National Public Health Organization. Daily reports on scabies and other infectious diseases were submitted by staff at health centers for refugees\/asylum seekers. Observed proportional morbidity for scabies was calculated using consultations for scabies as a proportion of total consultations.<\/jats:p>\n                    <jats:p>There were a total of 13118 scabies cases over the study period. Scabies was the third most frequently observed infectious disease in refugees\/asylum seekers population after respiratory infections and gastroenteritis without blood in the stool. The scabies monthly observed proportional morbidity varied between 0.3% (August 2017) to 5.7% (January 2020). Several outbreaks were documented during the study period. The number of cases increased from October 2019 until the end of the study period, with a peak of 1663 cases in January 2020, related to an outbreak at one center. Spearman correlation test between the number of reported scabies cases and time confirmed an increasing trend (\u03c1 = 0.67).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Conclusions\/Significance<\/jats:title>\n                    <jats:p>Scabies is one of the most frequently reported infectious diseases by health care workers in refugee\/asylum seekers centers in Greece. Observed proportional morbidity for scabies increased over time and there were several outbreaks. The current surveillance system with daily reports of the new cases effectively detects new cases in an early stage. Public health interventions, including mass drug administration, should be considered to reduce the burden of scabies in refugee\/migrant populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pntd.0010153","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T13:37:46Z","timestamp":1655905066000},"page":"e0010153","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":37,"title":["Scabies epidemiology in health care centers for refugees and asylum seekers in Greece"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8682-0805","authenticated-orcid":true,"given":"Christina","family":"Louka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanouil","family":"Logothetis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Engelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eirini","family":"Samiotaki-Logotheti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyros","family":"Pournaras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ymkje","family":"Stienstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"issue":"3","key":"pntd.0010153.ref001","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.jaad.2019.05.109","article-title":"Ectoparasites: Scabies","volume":"82","author":"C Thomas","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"pntd.0010153.ref002","unstructured":"WHO. Fact sheets. Scabies [cited 4 January 2022]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/scabies"},{"issue":"4","key":"pntd.0010153.ref003","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/j.1469-0691.2012.03798.x","article-title":"Scabies in the developing world\u2014its prevalence, complications, and management","volume":"18","author":"RJ Hay","year":"2012","journal-title":"Clin Microbiol Infect"},{"key":"pntd.0010153.ref004","volume-title":"Regional Dimensions and Developments\u2019 in IOM (2017), World Migration Report 2018","author":"IOM (2017) \u2019Migration and Migrants"},{"issue":"5","key":"pntd.0010153.ref005","first-page":"570","article-title":"Infectious disease outbreaks in centralized homes for asylum seekers in Germany from 2004\u20132014","volume":"59","author":"A K\u00fchne","year":"2016","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"issue":"2","key":"pntd.0010153.ref006","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1111\/j.1365-4632.2011.04948.x","article-title":"Skin diseases in Greek and immigrant children in Athens","volume":"51","author":"A Katsarou","year":"2012","journal-title":"Int J Dermatol"},{"issue":"5","key":"pntd.0010153.ref007","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1093\/eurpub\/cky126","article-title":"Infectious and dermatological diseases among arriving migrants on the Italian coasts.","volume":"28","author":"E Di Meco","year":"2018","journal-title":"Eur J Public Health"},{"key":"pntd.0010153.ref008","unstructured":"United Nations High Commissioner for Refugees. Operational data portal. Mediterranean situation. Greece [cited 20 December 2020] Available from: https:\/\/data2.unhcr.org\/en\/situations\/mediterranean\/location\/5179"},{"key":"pntd.0010153.ref009","unstructured":"National Public Health Organization. Scabies. Prevention and response measures in crowded conditions [cited 20 December 2020]. Available from: https:\/\/eody.gov.gr\/wp-content\/uploads\/2019\/05\/Scabies_protocol_2020.pdf"},{"key":"pntd.0010153.ref010","unstructured":"Map of refugee\/migrants camps in Greek mainland and islands. Google maps [cited 20 December 2020] Available from: http:\/\/www.bit.ly\/greececamps"},{"issue":"5","key":"pntd.0010153.ref011","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1111\/bjd.18943","article-title":"The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies","volume":"183","author":"D Engelman","year":"2020","journal-title":"Br J Dermatol"},{"key":"pntd.0010153.ref012","unstructured":"National Public Health Organization. System of epidemiological surveillance in points of care for refugees\/migrants [cited 20 December 2020] Available from: https:\/\/eody.gov.gr\/en\/epidemiological-statistical-data\/system-of-epidemiological-surveillance-in-points-of-care-for-refugees-migrants\/"},{"key":"pntd.0010153.ref013","unstructured":"National Public Health Organization. System of epidemiological surveillance in points of care for refugees\/migrants. Weekly Report. Week 2\/2020 (06\/01 to 12\/01) Available from: https:\/\/eody.gov.gr\/wp-content\/uploads\/2020\/01\/Surveillance-refugees-weekly-EN-2020-02.pdf"},{"issue":"21","key":"pntd.0010153.ref014","article-title":"Health status of rescued people by the NGO Open Arms in response to the refugee crisis in the Mediterranean Sea","volume":"14","author":"G Ca\u00f1ardo","year":"2020","journal-title":"Confl Health"},{"issue":"3","key":"pntd.0010153.ref015","doi-asserted-by":"crossref","first-page":"e1003076","DOI":"10.1371\/journal.pmed.1003076","article-title":"Comprehensive infectious disease screening in a cohort of unaccompanied refugee minors in Germany from 2016 to 2017: A cross-sectional study","volume":"17","author":"A Janda","year":"2020","journal-title":"PLoS Med"},{"key":"pntd.0010153.ref016","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.tmaid.2018.04.014","article-title":"Infectious disease profiles of Syrian and Eritrean migrants presenting in Europe: A systematic review","volume":"25","author":"E Isenring","year":"2018","journal-title":"Travel Med Infect Dis"},{"issue":"12","key":"pntd.0010153.ref017","doi-asserted-by":"crossref","first-page":"e0226948","DOI":"10.1371\/journal.pone.0226948","article-title":"Asylum seekers\u2019 perspectives on vaccination and screening policies after their arrival in Greece and The Netherlands","volume":"14","author":"C Louka","year":"2019","journal-title":"PLoS One"},{"issue":"5","key":"pntd.0010153.ref018","doi-asserted-by":"crossref","first-page":"e0006401","DOI":"10.1371\/journal.pntd.0006401","article-title":"Efficacy of ivermectin mass-drug administration to control scabies in asylum seekers in the Netherlands: A retrospective cohort study between January 2014\u2014March 2016","volume":"12","author":"DT Beeres","year":"2018","journal-title":"PLoS Negl Trop Dis"},{"issue":"10192","key":"pntd.0010153.ref019","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0140-6736(19)31136-5","article-title":"The public health control of scabies: priorities for research and action","volume":"394","author":"D Engelman","year":"2019","journal-title":"Lancet"},{"key":"pntd.0010153.ref020","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijid.2020.06.062","article-title":"COVID-19 preventive measures showing an unintended decline in infectious diseases in Taiwan","volume":"98","author":"CJ Galvin","year":"2020","journal-title":"Int J Infect Dis"},{"issue":"10","key":"pntd.0010153.ref021","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.3201\/eid2610.203193","article-title":"Effects of COVID-19 Prevention Measures on Other Common Infections, Taiwan","volume":"26","author":"HH Lee","year":"2020","journal-title":"Emerg Infect Dis"}],"updated-by":[{"DOI":"10.1371\/journal.pntd.0010153","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T00:00:00Z","timestamp":1656979200000}}],"container-title":["PLOS Neglected Tropical Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0010153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T14:25:17Z","timestamp":1657031117000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0010153"}},"subtitle":[],"editor":[{"given":"Roderick","family":"Hay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,6,22]]},"references-count":21,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,6,22]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pntd.0010153","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2022.01.10.22268996","asserted-by":"object"}]},"ISSN":["1935-2735"],"issn-type":[{"value":"1935-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,22]]}}}