What we know about the scabies outbreak in the UK amid GPs' warning

Health professionals have raised fears about a significant increase in scabies cases across the UK.

The condition, often associated with the Victorian-era, is caused by tiny mites, leads to an intensely itchy rash and can spread rapidly through close skin contact.

Reports indicate that scabies has been on the rise for some time, with a notable surge in January.

Some doctors have described the situation as a “nightmare,” highlighting the potential health risks associated with this increase.

NHS figures show some 3,689 cases of the Victorian-era disease were detected in hospitals in England in the year to April, rising from 2,128 the year before.

The Royal College of General Practitioners (RCGP) has urged individuals not to dismiss any rash they may experience and to get it checked.

Professor Kamila Hawthorne, Chair of the RCGP, said that the number of patients presenting with scabies is exceeding the five-year average, particularly in northern England.

She emphasised the importance of seeking treatment, as many patients may feel reluctant due to the social stigma often associated with the condition.

She said: "Ignoring symptoms can worsen the situation and increase the risk of transmission, especially in close living environments like university campuses."

In January, healthcare providers highlighted a shortage of treatment options, exacerbated by supply chain issues stemming from the Ukraine conflict and rising raw material costs, complicating swift treatment for those affected.

The British Association of Dermatologists (BAD) has joined the call for vigilance, especially among those living in communal settings.

Dr Tess McPherson from the BAD urged anyone suspecting they have scabies to seek medical attention promptly, given the condition’s high contagion rate.

She warned ongoing issues such as delays in diagnosis and treatment, as well as ineffective treatment regimens that may lead to reinfestation, were aiding the spread.

An increase in cases in September may have been from students returning to universities, where scabies can quickly spread among residents, she said.

She added: "If even one individual in a group neglects treatment, reinfection can easily happen, perpetuating the outbreak."

Over-the-counter and prescription treatments are available, but they must be used correctly for effectiveness.

Quick treatment for scabies is crucial.

Experts warn that while scabies is not a serious condition, it can cause significant discomfort and is easily transmitted through close physical contact. If untreated, it can lead to complications such as secondary skin infections and aggravate pre-existing skin conditions.

Treatments include topical creams or lotions, such as permethrin cream and malathion lotion, which can be obtained from pharmacies or through a doctor’s prescription.

Patients are also advised to wash all bedding and clothing at high temperatures and to avoid close contact with others until they have completed their treatment course.

If symptoms persist after treatment, individuals should consult their GP.