People are being tortured by the outbreak which doctors fail to spot and which is also ‘really difficult to get rid of’
It begins innocently enough: a persistent itch, perhaps an occasional rash. For many, these symptoms might provoke a simple trip to the pharmacy. But for countless individuals across the UK, these initial signs of scabies devolve into a multi-month ordeal, marred by misdiagnoses, stigma, and an acute loss of quality of life. Among the growing number of cases, reports suggest thousands are grappling with the complexities of this “medieval” ailment—one that modern medicine fails to fully recognize or adequately treat.
The Rising Tide of Scabies
Recent data reveals a staggering 44% increase in scabies diagnoses at sexual health services between 2023 and 2024, with figures exceeding pre-pandemic levels. The Royal College of GPs (RCGP) has identified residential homes and university halls as hotspots for outbreaks, while Dr. Donald Grant, a GP in Wales, notes that reported cases have “steadily risen” in recent years. “There’s definitely a greater awareness now, but many people aren’t getting the right treatments,” he comments, highlighting the dual challenges of identification and societal stigma.
Dr. Tess Mcpherson from the British Association of Dermatologists echoes this sentiment, stating, “A lot of people don’t necessarily visit a GP, leading to underreported cases. We’re particularly seeing younger people presenting with troublesome scabies.” Many in this demographic are unaware that scabies is not a function of poor hygiene, further complicating the issue.
Understanding Scabies
“Scabies is caused by the Sarcoptes scabiei mite, which burrows into the skin,” explains Dr. Miriam Mikicki, a GP and functional medicine practitioner. “The infestation elicits an allergic reaction, resulting in intense itching and a characteristic rash.” Initial symptoms may take weeks to appear, with many unknowingly spreading the condition before realizing they are infected. But what are the telltale signs to look for?
Common Symptoms to Watch
- Intense itching, particularly at night
- Burrows appearing as small, curved lines on the skin
- Red, inflamed patches and spots, often resembling severe eczema
Dr. Aleksandar Godic, a consultant dermatologist in London, points out that “keratin-rich areas of the body” often bear the brunt of infestation. Skin between the fingers, armpits, waist, and external genitalia are prime locations for this stubborn parasite, underscoring the importance of early diagnosis.
The Emotional Toll
For those affected, scabies can result in far more than physical discomfort. Jane Grandon, 43, from Caerphilly, recalls her experience: “The itching drove me insane. I was misdiagnosed several times, losing earnings due to being off work. It became a nightmare.” Her sentiments are shared by many, who describe scabies not merely as an annoying itch but as a disease that imposes significant emotional distress and social isolation.
Dr. Grant highlights the psychological impact as well, stating, “Many people delay treatment due to stigma. The feeling of embarrassment can be crippling, impacting their willingness to seek help.” This societal shaming further complicates public health efforts to control outbreaks, as many put off treatment longer than is advisable.
Addressing Stigma and Treatment Options
Combatting the stigma surrounding scabies is crucial. Dr. Mcpherson emphasizes the need for public health campaigns that educate and normalize discussions about the condition. “Scabies is not a reflection of one’s cleanliness. It’s a condition that has plagued humans for centuries and likely will continue to do so.”
For most, effective treatment exists. Typical regimens involve topical creams or, in more stubborn cases, oral ivermectin. “The majority of individuals can clear the infestation with proper topical treatments available over-the-counter,” notes Dr. Mikicki. However, all household members must be treated simultaneously to avoid reinfestation—a challenge when many are too embarrassed to acknowledge their condition.
Future Implications and Public Health
The UK government has started to take notice of the rising trends. An increase in consultations—over 12,000 in Wales alone in 2023-24 compared to just 1,300 in 2018-19—signals an urgent need for intervention. Experts caution that the rise in reported cases could be inflated by individuals seeking multiple treatments, yet the underlying insistence on treating scabies remains essential.
In light of these findings, health professionals urge individuals with persistent symptoms, especially in high-contact environments, to seek immediate medical advice. “If you notice multiple household members exhibiting similar symptoms or develop secondary infections, don’t hesitate to act,” advises Dr. Sophie Momen, a consultant dermatologist. “Scabies is highly contagious, and early detection is vital.”
Prevention and Awareness
Prevention is possible through practical measures:
- Avoid prolonged skin contact with infected individuals
- Do not share personal items like clothes or bedding
- Maintain good personal hygiene in high-risk environments
Although scabies may appear to be a relic of the past, its enduring presence highlights the multifaceted challenges that exist in diagnosing and treating this condition. With increased awareness and education, we can combat the misunderstandings surrounding an ailment that, while irritating, needn’t lead to lengthy suffering.
Source: www.mirror.co.uk
