Scabies may not be an issue that evokes joy, but it is certainly an important one. Imagine a tiny, sneaky mite called Sarcoptes scabiei burrows into your skin turning your world into an endless itchy fest. This microscopic intruder spreads like wildfire, especially in crowded places like schools, nursing homes, and shelters where close contact is prevalent, enabling swift spread. Understanding the root causes of scabies outbreaks is important for easing discomfort and safeguarding the well-being of our communities. 

What are scabies?

Scabies is an extremely infectious skin condition caused by a tiny mite named Sarcoptes scabiei that excavates into the skin. There are approximately 200 million cases of scabies worldwide. This infestation leads to severe itching, threadlike tracks on the skin, and rashes. The rash may appear as blisters or red bumps. The scabies mite lays its eggs in the skin that is softer and sheltered such as the armpits, between the fingers, or your groin. It spreads through close physical contact with an infected person, facilitating its prevalence in densely populated places such as schools. The itching is intense, particularly at night, and may cause sleep disturbances. Symptoms may take a few weeks to appear after exposure. 

Types of scabies

Scabies can be categorised into various types depending on the characteristics of the infestation and the population affected. Here are the main types: 
  1. Classic scabies: This is the most common form of scabies. It impacts healthy individuals and is marked by severe itching, usually at night. Rashes may appear on various parts of the body, including genitals, wrists, hands, and elbows. 
  2. Norwegian scabies (Crusted scabies): This is a more severe form of scabies and attacks individuals with weakened immune systems. It is distinguished by thick, crusted lesions that may have millions of mites. It is severely contagious and can spread more easily than classic scabies. 
  3. Nodular scabies: This type of scabies is identified by the development of raised, itchy bumps on the skin. They usually appear in areas where the mites have burrowed, such as armpits, buttocks, and genitals. 
  4. Scabies in infants and young children: In young children, scabies can show up in different forms, often affecting the scalp, palms, and soles of the feet. The symptoms may also manifest as a more extensive rash and irritation compared to adults. 

Each type of scabies needs meticulous diagnosis and proper treatment to prevent transmission and relieve symptoms. 

What are the symptoms of scabies?

The symptoms of scabies typically take 4 to 8 weeks to develop. However, if someone has had scabies before, symptoms may appear more quickly. Here are some of the most common symptoms. 
  • Intense itching which may worsen at night and can interfere with sleep. 
  • Rashes in the form of red bumps, blisters, sores, or scales. 
  • Burrows or thin, wavy lines on the skin are created by female mites as they penetrate the skin. Although they are difficult to spot but are often found in between the fingers, elbows, armpits, and genitals. 
  • Thick crusts may develop on the skin, indicating a higher mite burden. 

What is the root cause of scabies?

The root cause of scabies is an infestation by a tiny, eight-legged mite that burrows into the outer layer of the skin (epidermis) to produce eggs. The newly hatched mites are spread all over the body by scratching. It is extremely contagious and spreads through direct contact with an infected person during close physical interactions such as hugging, sharing towels, or sexual contact. Anyone can get scabies, but it is more prevalent in people aged under 15 years or over 65 years.   

Where do scabies start from?

Scabies typically start with direct physical contact with an infected individual. It is severely contagious and can be transmitted through activities like hugging, sexual contact, and sharing garments, towels, or linens, as the mites can survive temporarily on these surfaces. Scabies outbreaks are common in congested living conditions where close contact facilitates rapid transmission. 

Is scabies due to poor hygiene? 

Scabies are not directly caused by improper hygiene practices. The Sarcoptes scabiei mite enters the skin and produces itching and discomfort. Scabies may afflict people in any living arrangement, although it is more common in crowded or close-knit environments where direct skin-to-skin contact occurs. Poor hygiene is not a cause, but it might worsen the spread in circumstances with insufficient hygiene measures, such as overcrowded or unclean surroundings. Scabies is typically transmitted by prolonged direct contact with an infected person or, less often, contaminated objects. Proper cleanliness and quick treatment of those with the infection are vital for containing and avoiding scabies epidemics. 

Home remedies for scabies

Although home treatments for scabies can be helpful, they should not be used in place of professional medical treatment. Here are a few options to choose from: 
  • Tea tree oil: Tea tree oil is known for its antibacterial qualities and may assist in reducing itching. Dilute a few drops with carrier oil and apply to the afflicted areas. 
  • Aloe vera: Aloe vera's calming qualities can help relieve inflammation and irritation. Put pure aloe vera gel directly on the rash. 
  • Oatmeal baths: A lukewarm bath with colloidal oatmeal may soothe inflamed skin and relieve itching. 
  • Neem oil: Neem contains antibacterial properties. Apply diluted neem oil on the affected areas to alleviate symptoms. 
  • Coconut oil: Coconut oil is a moisturiser that may help calm inflammation. You may apply a small coating on the impacted areas. 
  • Baking soda: Combine baking soda and water to make a paste to help reduce irritation and inflammation. Apply the paste to the rash and rinse after 10-15 minutes. 
  • Epsom salt baths: Adding Epsom salts to your bath might lessen swelling and irritation. 

When to see a doctor?

If you have chronic itching, especially at night, or if you see a rash with tiny, red bumps and blisters, generally in skin folds, wrists, or between fingers, you should consult a doctor. If over-the-counter medications do not relieve symptoms of scabies, or if the rash worsens, see a doctor. Seek medical attention if you have a weak immune system, are pregnant, or if scabies symptoms impact multiple people in your family. Early diagnosis and treatment are critical for properly managing scabies and preventing consequences. 

How can Hola Health help?

Hola Health provides comprehensive telehealth services that effectively meet a variety of health requirements from home, reducing the risk of spreading the illness: 
  • Virtual consultations allow you to consult with a health practitioner from the comfort of your home within 15 minutes, eliminating travel requirements and minimising wait time. Medical experts offer medical advice, diagnosis, and treatment for various illnesses, including scabies and other skin concerns.  
  • Online Prescriptions are a convenient way to get scripts online instantly from a registered health practitioner.  
  • Get a medical certificate online from AHPRA-registered medical practitioners in minutes if you need leave from work, school, uni or need to take care of someone with scabies.  
  • Get online referrals to skin specialists from home in minutes to eliminate the need to travel with this disease. 
  • Online medicine delivery can be a boon when suffering from a contagious illness, schedule your delivery or get same-day pharmacy delivery with Hola.  
Our telehealth services ensure you receive high-quality medical care while being convenient and private.  

Frequently Asked Questions about scabies

What are the risk factors for scabies?

Individuals living in close quarters, such as nursing homes or shelters, are more susceptible to contracting scabies. People with compromised immune systems, such as those with HIV/AIDS, are more vulnerable since they have a lower ability to fight infections. While scabies are not directly connected to poor personal hygiene, the risk is increased in settings where people have restricted access to clean facilities or are in close, continuous contact with infected people. 

How do scabies spread?

Scabies are typically transmitted by prolonged, direct skin-to-skin contact with an infected individual. This close touch helps scabies mites to spread from one person to another. Although less prevalent, scabies can spread via sharing objects such as beds, towels, or clothing that have met the skin of an affected individual. Mites can persist on these surfaces for a limited period, although direct touch is still the major reason for transmission. 

Can it be prevented?

To avoid scabies, avoid prolonged skin-to-skin contact with people who are infected. Maintaining proper hygiene practices, such as regularly washing bedding, towels, and clothing, can assist in reducing the risk. It is critical to properly clean and disinfect these items, particularly in scabies-infested situations. Furthermore, if someone in your home or close contacts has scabies, all afflicted individuals should undergo proper treatment at the same time to prevent the disease from spreading further. 

While scabies may be a troublesome little invader, it is imperative to acknowledge that awareness is the strongest protection against it. Efficient care along with healthy hygiene measures and community awareness can assist us in evicting this undesired intruder. So, let’s quench the hunger for knowledge and unite efforts to ensure our communities stay happy, healthy, and scabies-free! 

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Disclaimer

This content is created for informational purposes only. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000.