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Outbreak of pruritic rashes associated with mites--Kansas, 2004
Abstract:
In late August 2004, the Kansas Department of Health and Environment (KDHE) received reports from the Crawford County Health Department (CCHD) of approximately 300 residents of Pittsburg, Kansas (2000 population: 19,243), seeking care for a pruritic rash of unknown etiology. In early September, three neighboring counties in Kansas and two neighboring states (Missouri and Nebraska) also reported such cases. These events prompted KDHE to request assistance from CDC. Additional cases subsequently were reported in Oklahoma and Texas. This report describes the investigation in Crawford County, Kansas, by public health agencies and entomologists to identify the etiology of the pruritic rash and to assess the extent of the outbreak. A microscopic itch mite (Pyemotes herfsi) was identified as the likely cause of the outbreak, which affected an estimated 54% of the Crawford County population (2000 population: 38,242). Entomologists confirmed the return of P. herfsi in Kansas in August 2005 and have recommended prevention measures, such as use of DEET-containing products, to help minimize exposure for persons outdoors.
Insights
A widespread pruritic rash outbreak in Kansas was caused by the microscopic itch mite, Pyemotes herfsi. Public health officials identified the mite and recommended prevention measures to reduce exposure.
Area of Science:
- Public Health
- Entomology
- Epidemiology
Background:
- In late August 2004, a pruritic rash outbreak was reported in Pittsburg, Kansas.
- Cases rapidly spread to neighboring counties and states, prompting a public health investigation.
Purpose of the Study:
- To identify the cause of the widespread pruritic rash.
- To determine the extent of the outbreak in Crawford County, Kansas.
Main Methods:
- Public health agencies and entomologists collaborated on the investigation.
- Microscopic examination was used to identify the causative agent.
- Epidemiological data was collected to assess the outbreak's scope.
Main Results:
- The microscopic itch mite, Pyemotes herfsi, was identified as the likely cause.
- An estimated 54% of the Crawford County population was affected by the rash.
- Pyemotes herfsi was confirmed to be present in Kansas in August 2005.
Conclusions:
- Pyemotes herfsi is the probable cause of the 2004 pruritic rash outbreak.
- Prevention measures, including DEET-containing products, are recommended for outdoor exposure.
- Continued entomological surveillance is important for managing future outbreaks.
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