Outbreak of scabies among school pupils, Accra, Ghana, 2017
Basil Benduri Kaburi1,&, George Adu Asumah1, Dora Dadzie1, Emmanuel Kwame Tender1, Smith Vincent Addeh1, Theophilus Aryee1, Donne Kofi Ameme1, Ernest Kenu1
1Ghana Field Epidemiology and Laboratory Training Program, Ghana
Basil Benduri Kaburi, Ghana Field Epidemiology and Laboratory Training Program, Ghana
though ubiquitous, scabies presents a major public health threat to developing
countries. Post-infective complications from secondary infections cause renal
and cardiovascular morbidities. Globally, its prevalence varies from 0.3% to
46%; with an estimated 1.5 million years lived with disability. Its prevalence
in Ghana is estimated at 5.1%. We report the findings of a scabies outbreak
investigation among school children in Ghana that aimed at stopping the outbreak
and instituting preventive measures to minimize the risk of future outbreaks.
between March 14 and May 17, 2017, we conducted an outbreak investigation of scabies in Presec Staff Basic School situated in an urban community in Accra. A case was defined as a schoolchild who on clinical examination, had an intensely pruritic rash on at least one typical predilection site with or without a burrow or positive skin scrapings on microscopy. We line listed cases and captured data which included socio-demographic and other risk factors, body parts affected and complications of scabies. We conducted an environmental assessment and performed descriptive statistics on the data.
a total of 823 school children were screened. Overall attack rate was 11.2% (92/823). The attack rate among the nursery category was 25.1% (52/207). Their ages ranged from one to seven years; with a modal age of 3 years. Males affected were 51% and frequently affected body parts were: face (77.2%) and neck (54.3%). Nearly 10.0% of cases had pyoderma from secondary infection. Pupils sat close together in pairs and share sleeping mats.
a scabies outbreak affecting mostly children aged 3 years occurred in a basic school in Accra. We recommend avoidance of sharing of sleeping mats by school children. Benzyl benzoate mass treatment, disinfecting of classrooms and sleeping mats, and health education were done.
1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)
Dates: 18 Sep 17 - 21 Sep 17
Venue: Swiss Spirit and Suites Alisa Hotels
Organizers: Ghana Field Epidemiology and Laboratory Training Programme
Contact person: Dr. Ernest Kenu (firstname.lastname@example.org)