UK Scabies Surge: Victorian Disease Spreads!

Scabies cases have seen a significant spike across the UK over the past three years, prompting concern from health officials. The UK Health Security Agency reported a notable increase, with general practitioners documenting nearly 900 cases in England alone, a nearly 20% rise compared to the previous year. This resurgence of the intensely itchy skin condition is partly blamed on public misunderstanding and the stigma surrounding it, according to dermatology experts.

Professor Tess McPherson of the University of Oxford highlighted that misinformation leads people to dismiss or misidentify scabies, which is spread through skin-to-skin contact. This makes it prevalent in close-contact environments like shared housing, university halls, and care homes. Factors contributing to the rise include delayed diagnosis, treatment initiation, and embarrassment, which hinders effective management and can lead to reinfection.

The microscopic mites causing scabies burrow into the skin, leading to a characteristic itchy rash, often starting between the fingers. While historically treated with permethrin cream, there is growing evidence of mite resistance. Consequently, Ivermectin, an oral tablet, was approved by the NHS in 2023 as an alternative, though its effectiveness is debated and it remains costly. Health authorities advise rigorous cleaning of bedding and clothing at high temperatures, alongside avoiding close contact during outbreaks.