Scabies Surge: A Growing Public Health Concern in Italy
A concerning trend is emerging in Italy, particularly in the Lazio region, with a dramatic increase in scabies cases. Reports from February 8, 2026, indicate a staggering 750% rise in cases over the past five years. This resurgence is prompting health officials to investigate the underlying causes and potential solutions.
The Scale of the Problem: Lazio and Beyond
The Lazio region is currently experiencing the most significant outbreak, but the issue extends to other areas like Emilia-Romagna, likewise reporting a 750% increase. Focal points for transmission include vulnerable settings such as nursing homes, schools, hospitals, and even homeless shelters. Data from 2024 shows a peak in cases, with the Bambino Gesù pediatric hospital in Rome treating 103 minors, a 45.2% increase from the previous year.
Factors Contributing to the Rise
Several factors are believed to be driving this increase. Intensified migration and tourism flows are cited as key contributors, facilitating the spread of the highly contagious skin condition. However, access to affordable treatment remains a significant barrier. Currently, no medications for scabies are provided free of charge by the Italian National Health Service. Treatment costs range from 80 to 250 euros, placing a substantial financial burden on those with limited resources.
Vulnerable Populations at Risk
Individuals experiencing socioeconomic hardship, including those experiencing homelessness, are disproportionately affected. The lack of access to affordable healthcare and adequate hygiene conditions exacerbates the problem. Children under 14 and adults between 18 and 44 are particularly susceptible. Increasing drug resistance and improper treatment protocols are hindering effective control efforts.
Challenges in Treatment and Prevention
The World Health Academy of Dermatology and Pediatrics highlights the issue of drug resistance, where the scabies mite develops the ability to neutralize the active ingredients in common treatments like permethrin. This necessitates longer treatment durations and, in some cases, the use of alternative medications. The cost of treating an entire family can be substantial, ranging from 560 to 690 euros depending on the chosen medication.
The Role of Public Health Infrastructure
The Istituto Spallanzani has been monitoring the situation closely, noting a significant increase in outbreaks, particularly in long-term care facilities, since 2020. While scabies is a notifiable disease requiring monitoring by local health authorities, the lack of free medication and the rising costs of treatment pose significant challenges to effective public health interventions.
Frequently Asked Questions
What are the symptoms of scabies?
Intense itching, especially at night, and a pimple-like skin rash. Common locations include between the fingers, wrists, elbows, and waist.
Is scabies contagious?
Yes, scabies is highly contagious and spreads through direct, prolonged skin-to-skin contact.
How is scabies treated?
Scabies is typically treated with topical creams or oral medications prescribed by a doctor.
Pro Tip: Maintaining good hygiene practices, such as regular handwashing and avoiding close contact with infected individuals, can assist prevent the spread of scabies.
If you suspect you or a family member may have scabies, it is crucial to consult a healthcare professional for diagnosis and treatment. Further research and investment in affordable treatment options are essential to address this growing public health concern.
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