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. 2022 Jun 24;17(6):e0268865.
doi: 10.1371/journal.pone.0268865. eCollection 2022.

Increasing incidence of reported scabies infestations in the Netherlands, 2011-2021

Babette van Deursen  1 , Mariëtte Hooiveld  2   3 , Susan Marks  4 , Ingrid Snijdewind  4 , Hans van den Kerkhof  2 , Bas Wintermans  5 , Ben Bom  2 , Barbara Schimmer  2 , Ewout Fanoy  1
Affiliations

Increasing incidence of reported scabies infestations in the Netherlands, 2011-2021

Babette van Deursen et al. PLoS One. .

Abstract

Introduction: Several Public Health Services and general practitioners in the Netherlands observed an increase in scabies in the Netherlands. Since individual cases of scabies are not notifiable in the Netherlands, the epidemiological situation is mostly unknown. To investigate the scabies incidence in the Netherlands, we described the epidemiology of scabies between 2011 and 2021.

Methods: Two national data sources were analysed descriptively. One data source obtained incidence data of scabies (per 1,000 persons) of persons consulting in primary care from 2011-2020. The other data source captured the number of prescribed scabicides in the Netherlands from 2011-2021. To describe the correlation between the incidence of diagnoses and the number of dispensations between 2011 and 2020, we calculated a correlation coefficient.

Results: The incidence of reported scabies has increased by more than threefold the last decade (2011-2020), mainly affecting adolescents and (young) adults. This was also clearly reflected in the fivefold increase in dispensations of scabicide medication during 2011-2021. The incidence and dispensations were at an all-time high in 2021. We found a strong correlation between the reported incidence and the number of dispensations between 2011 and 2020.

Conclusions: More awareness on early diagnosis, proper treatment and treatment of close contacts is needed.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. The incidence of scabies diagnoses per 1,000 persons as recorded by the general physicians from 2011–2020, the Netherlands.
Fig 2
Fig 2. Number of dispensations of scabicides (permethrin, ivermectin and benzyl benzoate) per month between 2011–2021, the Netherlands.
Fig 3
Fig 3. Total number of dispensations of permethrin and ivermectin by age group, 2011–2021, the Netherlands.
See this image and copyright information in PMC

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