02417nas a2200517 4500000000100000008004100001260005300042653001200095653001500107653002900122653002000151653000900171653001500180100001400195700001100209700001600220700001200236700001500248700001700263700001700280700001500297700001100312700001100323700001500334700001400349700001300363700001400376700001200390700001100402700001400413700001300427700001400440700001500454700001300469700001500482700001100497700001300508700001500521700001300536700001200549245012600561856005900687300001100746520112800757022001401885 2026 d c07/2026bSpringer Science and Business Media LLC10aScabies10aIvermectin10aMass drug administration10aSolomon islands10aFiji10aPrevalence1 aAndrews H1 aLake S1 aAndersson S1 aTavui A1 aMatavesi K1 aKoroivueta A1 aKoroivueta J1 aVuniduvu R1 aVuki M1 aRosa V1 aZinihite J1 aTavalia J1 aSosopu A1 aHuniehu J1 aGhemu S1 aRotu D1 aParnaby M1 aHughes T1 aGrobler A1 aEngelman D1 aRomani L1 aTuicakau M1 aKama M1 aKaldor J1 aSahukhan A1 aSokana O1 aSteer A00aScabies and impetigo prevalence following ivermectin-based mass drug administration campaigns in Solomon Islands and Fiji uhttps://www.nature.com/articles/s44360-026-00162-6.pdf a1 - 223 a
Scabies is a neglected tropical skin disease that is endemic in Pacific Island countries. Ivermectin-based mass drug administration (MDA) trials have led to reductions in scabies and impetigo prevalence. The World Scabies Program supported ministries of health with national scabies MDA campaigns in Solomon Islands (two annual rounds, 2022–2024) and Fiji (one round, 2022). Here we conducted population-based national prevalence surveys before and after MDA in both countries to assess scabies and impetigo prevalence. We compared scabies and impetigo prevalence before MDA with the prevalence 6 to 12 months after. Over 9,000 participants were surveyed at each time point. In Solomon Islands, following two MDA rounds, scabies prevalence decreased from 23.2% to 3.9% while impetigo prevalence decreased from 9.2% to 1.6%. In Fiji, scabies prevalence decreased from 6.2% to 3.4% and that of impetigo decreased from 4.3% to 1.2%. We observed substantial reductions in the prevalence of scabies and impetigo following MDA in both countries, providing evidence to support similar large-scale scabies interventions.
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