Scabies, the highly contagious skin infestation caused by microscopic mites, is on the rise in Ireland, with a staggering 96% increase in reported outbreaks in just one year. The Health Protection Surveillance Centre (HPSC) has delivered these alarming findings in a recent bulletin, highlighting the troubling trend in one of Europe's most well-known health crises.

In 2024, Ireland documented a total of 51 outbreaks of scabies, a striking contrast to just 26 outbreaks reported in 2023. This steep escalation marks a clear upward trajectory since 2021, when only four outbreaks were recorded. Monthly reports in 2024 show scabies affecting communities across the country, with peaks in May and October, revealing an urgent public health challenge that cannot be ignored.

Nursing homes have emerged as hotbeds for these outbreaks, with 23 incidents reported last year, representing nearly 45% of all notifications. A total of 185 individuals fell victim to this uncomfortable and sometimes painful condition, which often results in severe itching and skin rashes primarily affecting sensitive areas between fingers, the genital region, and more.

The broadening scope of these outbreaks also includes incidents in private households, residential institutions, and hospitals. Notably, various settings such as schools and childcare facilities have also reported cases, raising concerns about the contagion's spread within vulnerable populations, including the elderly and those in close quarters.

Health officials suggest that the increase in scabies cases may be attributed to various interconnected factors. The movement of populations, particularly individuals coming from regions with high incidences of scabies, along with crowded living conditions, could be contributing to the increasing outbreak notifications. Moreover, a resurgence in cases among adolescents and young adults hints at shifting social behaviors; increased connectivity within this demographic may facilitate quicker transmission, including through sexual contact.

The HPSC has recently formed an expert advisory group to tackle the rising tide of scabies outbreaks and to formulate effective management strategies. There are indeed pressing concerns about delayed diagnosis and treatment, which can exacerbate the spread. Experts emphasize the importance of timely medical intervention and adherence to treatment guidelines to curb the rampant rise of this infestation.

With travel patterns returning to normal after pandemic restrictions, the potential for scabies to spread further is significant, presenting a pressing public health challenge. As communities grapple with this resurgence, education on prevention and treatment becomes paramount. Governments and health organizations must act swiftly to protect those at risk and mitigate the spread of this relentless skin condition.

Stay informed and vigilant—scabies is on the rise, and understanding how it spreads could be key to protecting yourself and your loved ones!