Human scabies and sarcoptic mange in northeast Brazil: Results from a rapid assessment method covering an entire state

Abstract

Scabies is a neglected tropical disease and has been highlighted as a target for control. Sarcoptic mange affects animals, but mange is also considered a zoonosis. We present rapid assessment data on scabies and sarcoptic mange collected from key informants via a web-based questionnaire in Ceará State (1265 data entries). A total of 181/184 (98.3%) municipalities reported the occurrence of human scabies; 149 (80.9%) current occurrence; 168 (91.3%) severe cases; and 113 (61.4%) severe cases currently. Sarcoptic mange was reported from 149/184 (80.9%) municipalities, and severe mange from 128 (69.9%), most commonly in dogs (117 municipalities), cats (79), pigs (17), cattle (15), horses (15), and goats (2). Respondents from 171 (92.9%) municipalities observed seasonality of occurrence. Scabies and sarcoptic mange are important public health issues in a northeast Brazilian state. The wide distribution of severe cases requires an integrated One Health approach effectively and sustainably to reduce the disease burden.

Keywords

Scabies mange Brazil rapid assessment epidemiology neglected tropical disease control

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References

Heukelbach

Wilcke

Winter

, et al. Epidemiology and morbidity of scabies and pediculosis capitis in resource-poor communities in Brazil. Br J Dermatol 2005; 153: 150–156.

Heukelbach

Feldmeier

. Ectoparasites–the underestimated realm. Lancet 2004; 363: 889–891.

Moroni

Rossi

Bernigaud

, et al. Zoonotic episodes of scabies: a global overview. Pathogens 2022; 11: 13.

Alasaad

Rossi

Heukelbach

, et al. The neglected navigating web of the incomprehensibly emerging and re-emerging Sarcoptes mite. Infect Genet Evol 2013; 17: 253–259.

World Health Organisation (WHO). Ending the neglect to attain the Sustainable Development Goals: a road map for neglected tropical diseases 2021–2030. Geneva: World Health Organization, 2020.

Romani

Koroivueta

Steer

, et al. Scabies and impetigo prevalence and risk factors in Fiji: a national survey. PLoS Negl Trop Dis 2015; 9: e0003452.

Worth

Heukelbach

Fengler

, et al. Impaired quality of life in adults and children with scabies from an impoverished community in Brazil. Int J Dermatol 2012; 51: 275–282.

Heukelbach

Mazigo

Ugbomoiko

. Impact of scabies in resource-poor communities. Curr Opin Infect Dis 2013; 26: 127–132.

World Health Organisation (WHO). Informal consultation on a framework for scabies control: World Health Organization Regional Office for the Western Pacific: Manila, Philippines, 19–21 February 2019: meeting report. Geneva: World Health Organization, 2020.

10.

Instituto de Pesquisa e Estratégia Econômica do Ceará (IPECE). Sistema de informações geossocioeconômicas do Ceará 2023, http://ipecedata.ipece.ce.gov.br/ipece-data-web/ (accessed 20 October 2023).

11.

Silva

Alves

JMB

, et al. Avaliação da relação entre a climatologia, as condições sanitárias (lixo) e a ocorrência de arboviroses (dengue e chikungunya) em Quixadá-CE no período entre 2016 e 2019. Rev Bra Met 2020; 35: 485–492.

12.

Heukelbach

Silva

. A rapid assessment method for the estimation of the occurrence of epidermal parasitic skin diseases in Brazil: tungiasis and scabies as case studies. One Health Implement Res 2023; 3: 1–10.

13.

Silva

Alencar

Calheiros

CML

, et al. Occurrence of Tungiasis in Ceará State, Northeast Brazil: results of a rapid assessment method. Rev Soc Bras Med Trop 2023; 56: e02742023.

14.

Engelman

Marks

Steer

, et al. A framework for scabies control. PLoS Negl Trop Dis 2021; 15: e0009661.

15.

Ugbomoiko

Oyedeji

Babamale

, et al. Scabies in resource-poor communities in Nasarawa State, Nigeria: epidemiology, clinical features and factors associated with infestation. Trop Med Infect Dis 2018; 3: 59.

16.

Karimkhani

Colombara

Drucker

, et al. The global burden of scabies: a cross-sectional analysis from the Global Burden of Disease Study 2015. Lancet Infect Dis 2017; 17: 1247–1254.

17.

Heukelbach

. One health & implementation research: improving health for all. One Health Implement Res 2021; 1: 1–3.

18.

Heukelbach

. One health approach to control human and zoonotic hookworm infections. In: Mehlhorn

Heukelbach

(eds) Infectious tropical diseases and one health in Latin America. Parasitology research monographs. Vol 16. Cham: Springer, 2022, pp.235–239.

19.

Niedringhaus

Brown

Sweeley

, et al. A review of sarcoptic mange in North American wildlife. Int J Parasitol: Parasites Wildlife 2019; 9: 285–297.

20.

Escobar

Carver

Cross

, et al. Sarcoptic mange: an emerging panzootic in wildlife. Transbound Emerg Dis 2022; 69: 927–942.

21.

Laha

. Sarcoptic mange infestation in pigs: an overview. J Parasit Dis 2015; 39: 596–603.

22.

Ferreyra

Rudd

Foley

, et al. Sarcoptic mange outbreak decimates South American wild camelid populations in San Guillermo National Park, Argentina. PLoS ONE 2022; 17: e0256616.

23.

Liu

Wang

Chang

, et al. The effects of climate factors on scabies. A 14-year population-based study in Taiwan. Parasite 2016; 23: –7.

24.

Kerr

LRFS

Kendall

. The COVID-19 pandemic and the disaster of the response of a right-wing government in Brazil. One Health Implement Res 2021; 1: 80–83.