The Rise of Scabies: A Growing Public Health Concern
For many people, especially in the UK, scabies has become a dreaded diagnosis that evokes feelings of shame and isolation. The tiny mites that burrow under human skin can cause intense itching, discomfort, and emotional distress. Louise, a 44-year-old mother of three, knows this all too well. After developing scabies symptoms on her own body in September, she soon saw them appear on her children's bodies as well.
The experience was "hell," says Louise, who was forced to take drastic measures to rid their home of the mites. She packed bin bags with fresh essentials, including clothes and bedding, and quarantined anything that couldn't be washed or steamed daily. The laundry cycle became a never-ending nightmare, with hundreds of disposable gloves being used to minimize contact.
The treatment was grueling, but Louise's family eventually found relief after using permethrin cream twice, which is usually prescribed by GPs for scabies. However, even with treatment, the condition can persist due to factors like "pseudo-resistance," where the mites adapt to repeated treatments or patients fail to apply the cream correctly.
Experts point to several reasons behind the surge in scabies cases, including a delay in seeking medical attention and inadequate tracing of contacts. Young people, particularly those living in communal settings, are often affected more frequently than others.
"I wouldn't wish it on my worst enemy," Louise says candidly about her experience with scabies. The condition can be so debilitating that it affects not just the individual but also their loved ones. For John, a 20-year-old who contracted scabies after seeing a new partner, the emotional toll was significant. "I'm going to have quite significant scarring from this as well," he says, referring to the painful and potentially long-lasting effects of the condition.
As the British Association of Dermatologists' Professor Tess McPherson notes, freshers' week has become a peak transmission time for young people living in close proximity. The financial burden of frequent laundry cycles can be overwhelming, making it difficult for students to afford treatment.
Scabies is often stigmatized due to its association with poor hygiene, which leads to delayed seeking medical attention and inadequate treatment. As Dr. Lea Solman, a consultant paediatric dermatologist at Great Ormond Street hospital, notes, "The shame around scabies is one of the biggest obstacles we face in controlling outbreaks."
In Kingston-Upon-Thames, south-west London, consultant Dr. Lewis Haddow sees an increase in scabies cases among young, heterosexual men who often visit STI clinics without proper diagnosis.
The UK Health Security Agency's report shows a significant rise in scabies cases, with 44% more diagnoses recorded in 2024 compared to the previous year. As Professor Michael Marks of the London School of Hygiene & Tropical Medicine notes, "the reasons for the ongoing rise are unclear," but factors like outbreaks in crowded settings and delays in treatment may be contributing to the problem.
Ultimately, effective scabies treatment requires not only prompt medical attention but also a comprehensive approach that includes education about proper hygiene practices, awareness of the condition's transmission risks, and the importance of reporting cases.
For many people, especially in the UK, scabies has become a dreaded diagnosis that evokes feelings of shame and isolation. The tiny mites that burrow under human skin can cause intense itching, discomfort, and emotional distress. Louise, a 44-year-old mother of three, knows this all too well. After developing scabies symptoms on her own body in September, she soon saw them appear on her children's bodies as well.
The experience was "hell," says Louise, who was forced to take drastic measures to rid their home of the mites. She packed bin bags with fresh essentials, including clothes and bedding, and quarantined anything that couldn't be washed or steamed daily. The laundry cycle became a never-ending nightmare, with hundreds of disposable gloves being used to minimize contact.
The treatment was grueling, but Louise's family eventually found relief after using permethrin cream twice, which is usually prescribed by GPs for scabies. However, even with treatment, the condition can persist due to factors like "pseudo-resistance," where the mites adapt to repeated treatments or patients fail to apply the cream correctly.
Experts point to several reasons behind the surge in scabies cases, including a delay in seeking medical attention and inadequate tracing of contacts. Young people, particularly those living in communal settings, are often affected more frequently than others.
"I wouldn't wish it on my worst enemy," Louise says candidly about her experience with scabies. The condition can be so debilitating that it affects not just the individual but also their loved ones. For John, a 20-year-old who contracted scabies after seeing a new partner, the emotional toll was significant. "I'm going to have quite significant scarring from this as well," he says, referring to the painful and potentially long-lasting effects of the condition.
As the British Association of Dermatologists' Professor Tess McPherson notes, freshers' week has become a peak transmission time for young people living in close proximity. The financial burden of frequent laundry cycles can be overwhelming, making it difficult for students to afford treatment.
Scabies is often stigmatized due to its association with poor hygiene, which leads to delayed seeking medical attention and inadequate treatment. As Dr. Lea Solman, a consultant paediatric dermatologist at Great Ormond Street hospital, notes, "The shame around scabies is one of the biggest obstacles we face in controlling outbreaks."
In Kingston-Upon-Thames, south-west London, consultant Dr. Lewis Haddow sees an increase in scabies cases among young, heterosexual men who often visit STI clinics without proper diagnosis.
The UK Health Security Agency's report shows a significant rise in scabies cases, with 44% more diagnoses recorded in 2024 compared to the previous year. As Professor Michael Marks of the London School of Hygiene & Tropical Medicine notes, "the reasons for the ongoing rise are unclear," but factors like outbreaks in crowded settings and delays in treatment may be contributing to the problem.
Ultimately, effective scabies treatment requires not only prompt medical attention but also a comprehensive approach that includes education about proper hygiene practices, awareness of the condition's transmission risks, and the importance of reporting cases.