02291nas a2200421 4500000000100000008004100001260001200042100001500054700001200069700001300081700001300094700001300107700001500120700001400135700001400149700001400163700001400177700001400191700001400205700001500219700001400234700000900248700001600257700001500273700001400288700002200302700001300324700001400337700001200351700001300363700001400376245003700390856009900427300001300526490000700539520130900546022001401855 2021 d c09/20211 aEngelman D1 aMarks M1 aSteer AC1 aBeshah A1 aBiswas G1 aChosidow O1 aCoffeng L1 aDofitas B1 aEnbiale W1 aFallah MP1 aGasimov E1 aHopkins A1 aJacobson J1 aKaldor JM1 aLy F1 aMackenzie C1 aMcVernon J1 aParnaby M1 aRainima-Qaniuci M1 aSokana O1 aSankara D1 aYotsu R1 aYajima A1 aCantey PT00aA framework for scabies control. uhttps://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009661&type=printable ae00096610 v153 a

Scabies is a neglected tropical disease (NTD) that causes a significant health burden, particularly in disadvantaged communities and where there is overcrowding. There is emerging evidence that ivermectin-based mass drug administration (MDA) can reduce the prevalence of scabies in some settings, but evidence remains limited, and there are no formal guidelines to inform control efforts. An informal World Health Organization (WHO) consultation was organized to find agreement on strategies for global control. The consultation resulted in a framework for scabies control and recommendations for mapping of disease burden, delivery of interventions, and establishing monitoring and evaluation. Key operational research priorities were identified. This framework will allow countries to set control targets for scabies as part of national NTD strategic plans and develop control strategies using MDA for high-prevalence regions and outbreak situations. As further evidence and experience are collected and strategies are refined over time, formal guidelines can be developed. The control of scabies and the reduction of the health burden of scabies and associated conditions will be vital to achieving the targets set in WHO Roadmap for NTDs for 2021 to 2030 and the Sustainable Development Goals.

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