Scabies outbreak in prisoners, Phuket Provincial Prison, 1 Jan–2 June 2016

Main Article Content

วิทิตา แจ้งเอี่ยม
อรนิดา พุทธรักษ์
เมธินี แหล่งหล้าเลิศสกุล

Abstract

Background: On 18th May 2016, staffs from Social medicine department of Vachira Phuket Hospital was on field to service prisoners and to monitor possible outbreaks. A duty nurse reported scabies-like symptoms of 67 patients from January – May 2016. We coordinated various related sectors including doctors, nurses and laboratory officers to start the investigation from 2nd June 2016.


Methods: This study aimed to confirm the incidence, to find out causes and the level of association and to purpose appropriate prevention using descriptive epidemiology by reviewing scabies breakouts. Suspected cases were defined as having itching with rash, vesicles, scratch mark, burrows or dermatitis. The confirmed diagnosis was made by physicians in the team of investigation and control. Risk analytic epidemiological study was performed in disease and non-disease group and in environmental exploration. Disease control was done in patients, contacted person and in environment.


Results: Suspicious cases (351) were found among 1752 male and female prisoners, accounting in 20.03 %.The mean age of cases was 31.02 years-old. Onset of most cases was in the end of March 2016. Peak of the outbreak were in May 2016. Possible risks factors were bedroom, inadequate treatment, crowded living, inappropriate environment, personal belongings sharing and history of scabies.


Conclusions and discussions: This was a breakout of scabies among inmates of Phuket Provincial Prison. Disease control was performed by adequate treatment in confirmed cases, putting cream on all contact cases. Clothing and linens were laundered and dried with heat, Fumigation and insecticide sprays in living area and around the temple were conducted. Giving education in keeping hygiene especially in body and utensil cleaning and in not sharing them with others. After all processes, all cases were cured and no new case was found. However, disease monitoring guideline and continuous surveillance system were implement with settlement from Phuket Provincial Prison.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
แจ้งเอี่ยมว, พุทธรักษ์อ, แหล่งหล้าเลิศสกุลเ. Scabies outbreak in prisoners, Phuket Provincial Prison, 1 Jan–2 June 2016. jdpc7kk [Internet]. 2019Aug.30 [cited 2020Sep.26];26(2):14-3. Available from: https://he01.tci-thaijo.org/index.php/jdpc7kk/article/view/212885
Section
Research Article

References

1. ประชาธิป ดิษเจริญ, จักรพงศ์ พุ่มทอง, ศรศักดิ์ บุญมั่น. การสอบสวนการระบาดของโรคหิด ในสามเณรวัดหนองขุนชาติ ตำบลหนองสรวง อำเภอหนองฉาง จังหวัดอุทัยธานี [อินเทอร์เน็ต].2551[เข้าถึงเมื่อ 15 ม.ค.2560]. เข้าถึงได้จาก: http://www.epiduthai.com

2. กรมควบคุมโรค กระทรวงสาธารณสุข. กรมราชทัณฑ์ กระทรวงยุติธรรม. แนวทางปฏิบัติการเฝ้าระวังป้องกัน ควบคุมโรคหิดและภัยสุขภาพในเรือนจำ.กรุงเทพมหานคร : อักษรกราฟฟิคแอนด์ดีไซด์; (มปท).

3. สถาบันโรคผิวหนัง. Clinical Practice Guideline for Scabies [online]. 2006[เข้าถึงเมื่อ 15 ม.ค.2560]. เข้าถึงได้จาก: http://www.inderm.go.th.

4. Division of Infectious Disease Epidemiology, Bureau for Public Health West Virginia. Guidelines for scabies outbreaks institutions (Health Care Facilities, Prisons, Dormitories, Shelters). August 2010 [cited 2015 May 10]. Available from:
http://www.dhhr.wv.gov/oeps/disease/AtoZ/Documents/Guidelines%20for%20Scabies%20outbreaks.pdf

5. Micali G, Lacarrubba F, Verzi AE, Chosidow O, Schwartz RA. Scabies: Advances in Noninvasive Diagnosis. PLoS Negl Trop Dis. 2016;10 (6):e0004691ุ

6. Hafner C. Scabies. Hautarzt. 2009;60 (2):145-59, quiz 60-1.

7. Suwandhi P, Dharmarajan TS. Scabies in the nursing home. Curr Infect Dis Rep 2015; 17(1): 453.