Prevalence and risk factors of scabies among orphans: A cross-sectional study in Bangladesh

Md Abdur Rafi1, Md Golam Hossain2, Md Rashidul Hasan3

  • 1Tropical Disease and Health Research Center, Dhaka, Bangladesh.

PubMed

Insights

Scabies affects one-third of children in Bangladeshi orphanages. Male gender, crowded living conditions, and contact with infected peers increase scabies risk in this vulnerable population.

Area of Science:

  • Neglected Tropical Diseases
  • Pediatric Dermatology
  • Public Health

Background:

  • Scabies is a prevalent neglected tropical disease, disproportionately affecting children in low socio-economic settings.
  • Orphanages represent a unique environment where disease transmission can be amplified due to close living quarters.

Purpose of the Study:

  • To determine the prevalence of scabies among children residing in orphanages in Bangladesh.
  • To identify factors associated with scabies infection in this population.

Main Methods:

  • A cross-sectional study was conducted in five orphanages in Dhaka city, Bangladesh.
  • Screening for scabies followed the International Alliance for the Control of Scabies (IACS) guidelines (2020).
  • Logistic regression analysis was employed to identify associated risk factors.

Main Results:

  • The overall prevalence of scabies was 31.6% among 471 children screened.
  • Prevalence was categorized as mild (60.4%), moderate (28.2%), and severe (11.4%).
  • Factors significantly associated with increased scabies odds included male gender, higher child density per room, and contact with symptomatic peers.

Conclusions:

  • Approximately one-third of children in Bangladeshi orphanages are affected by scabies.
  • Male children, those in crowded accommodations, and those with exposure to infected individuals face elevated scabies risk.
  • Findings highlight the need for targeted interventions in orphanage settings to control scabies transmission.
Abstract

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