Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat?
Abstract Scabies represents a global health issue and in 2017 was added to the World Health Organization’s list of neglected tropical diseases. In European and Middle Eastern countries, cases are sporadic while recent surveillance data have pointed out an increasing incidence among vulnerable popula...
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BMC
2025-02-01
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| Series: | Infectious Diseases of Poverty |
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| Online Access: | https://doi.org/10.1186/s40249-025-01279-8 |
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| author | Martina Spaziante Alessandro Agresta Maurizio D’Amato Gabriella De Carli Gilda Tonziello Valentina Vantaggio Giorgio Nicolò Malatesta Enrico Girardi Alessandra Barca Paola Scognamiglio Francesco Vairo |
| author_facet | Martina Spaziante Alessandro Agresta Maurizio D’Amato Gabriella De Carli Gilda Tonziello Valentina Vantaggio Giorgio Nicolò Malatesta Enrico Girardi Alessandra Barca Paola Scognamiglio Francesco Vairo |
| author_sort | Martina Spaziante |
| collection | DOAJ |
| description | Abstract Scabies represents a global health issue and in 2017 was added to the World Health Organization’s list of neglected tropical diseases. In European and Middle Eastern countries, cases are sporadic while recent surveillance data have pointed out an increasing incidence among vulnerable populations. Regional cases for Lazio, Italy, reported from 2017 to 2023 to the national infectious disease surveillance system were analyzed. In Lazio, just after the coronavirus disease 2019 (COVID-19) pandemic onset, a significant and immediate reduction in the incidence of scabies was recorded (− 79.6%) followed by a progressive and relevant increase (143.4% from 2020 to 2021, 142.3% from 2021 to 2022 and 170.3% from 2022 to 2023). Consistently, the number of scabies outbreaks, after a decrease following the first COVID-19 wave, has progressively increased over time, mainly due to the occurrence of outbreaks in long term facilities (750% from 2020 to 2023). The increased incidence may also be driven by the “pseudo-resistance” phenomenon (under dosed/early-discontinued treatment, suboptimal adherence, reduced drug bioavailability), but also by reduced in-vitro susceptibility to the mainly used scabicides. The rapidly evolving epidemiology of scabies in our country, as documented also in other regions, calls for a comprehensive approach to effectively address the problem. |
| format | Article |
| id | doaj-art-89a409bf49b84657b49b648533a1db92 |
| institution | Kabale University |
| issn | 2049-9957 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Infectious Diseases of Poverty |
| spelling | doaj-art-89a409bf49b84657b49b648533a1db922025-02-09T12:59:43ZengBMCInfectious Diseases of Poverty2049-99572025-02-011411310.1186/s40249-025-01279-8Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat?Martina Spaziante0Alessandro Agresta1Maurizio D’Amato2Gabriella De Carli3Gilda Tonziello4Valentina Vantaggio5Giorgio Nicolò Malatesta6Enrico Girardi7Alessandra Barca8Paola Scognamiglio9Francesco Vairo10National Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentHealth and Social PolicyNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentNational Institute for Infectious Diseases Lazzaro Spallanzani Scientific Institute for Hospitalization and TreatmentAbstract Scabies represents a global health issue and in 2017 was added to the World Health Organization’s list of neglected tropical diseases. In European and Middle Eastern countries, cases are sporadic while recent surveillance data have pointed out an increasing incidence among vulnerable populations. Regional cases for Lazio, Italy, reported from 2017 to 2023 to the national infectious disease surveillance system were analyzed. In Lazio, just after the coronavirus disease 2019 (COVID-19) pandemic onset, a significant and immediate reduction in the incidence of scabies was recorded (− 79.6%) followed by a progressive and relevant increase (143.4% from 2020 to 2021, 142.3% from 2021 to 2022 and 170.3% from 2022 to 2023). Consistently, the number of scabies outbreaks, after a decrease following the first COVID-19 wave, has progressively increased over time, mainly due to the occurrence of outbreaks in long term facilities (750% from 2020 to 2023). The increased incidence may also be driven by the “pseudo-resistance” phenomenon (under dosed/early-discontinued treatment, suboptimal adherence, reduced drug bioavailability), but also by reduced in-vitro susceptibility to the mainly used scabicides. The rapidly evolving epidemiology of scabies in our country, as documented also in other regions, calls for a comprehensive approach to effectively address the problem.https://doi.org/10.1186/s40249-025-01279-8ScabiesEpidemiologyOutbreakItaly |
| spellingShingle | Martina Spaziante Alessandro Agresta Maurizio D’Amato Gabriella De Carli Gilda Tonziello Valentina Vantaggio Giorgio Nicolò Malatesta Enrico Girardi Alessandra Barca Paola Scognamiglio Francesco Vairo Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat? Infectious Diseases of Poverty Scabies Epidemiology Outbreak Italy |
| title | Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat? |
| title_full | Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat? |
| title_fullStr | Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat? |
| title_full_unstemmed | Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat? |
| title_short | Post-COVID-19 resurgence of scabies’ cases in the Lazio Region, Italy: a new emerging public health threat? |
| title_sort | post covid 19 resurgence of scabies cases in the lazio region italy a new emerging public health threat |
| topic | Scabies Epidemiology Outbreak Italy |
| url | https://doi.org/10.1186/s40249-025-01279-8 |
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