Scabies is an infestation caused by tiny mites that burrow and lay eggs under the skin. Humans are the source of infestation, animals do not spread human scabies. Scabies affects people from all socioeconomic levels with no regard to sex, age, or personal hygiene. 

Symptoms
Rash and intense itching that may be more severe at night. Rash is commonly seen in the folds of skin between fingers, around wrists elbows and armpits. Other areas where rash may appear are knees, waistline, thighs, male genitals, abdomen, chest, and lower portions of the buttocks. Children younger than 2 may be infested on the head, neck, palms, and soles of the feet. Itching can last for weeks after treatment. 

Exclusion

Child Care and School: Children should be excluded at least until they conclude their first treatment. 

Prevention/Control

1. Items such as underwear, pajamas, bedding, and towels should be machine-washed and dried in hot temperatures at the time of treatment. If it cannot be laundered, store clothing in a plastic bag for one week. 

2. Vacuum furniture and carpets. Do not use insecticide sprays. 

3. If you suspect scabies in your family members, see your healthcare provider. 

4. Household members and very close contacts should be treated at the same time as the infested individual, even if no signs or symptoms are present.

Is it Reportable?

Parents/guardians: Inform your school/child care provider if your child has this illness.