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Objective.

To adapt, implement and evaluate a model of scabies control in an Australian Aboriginal community.

Methods.

After initially examining the population, we offered all residents treatment with 5% permethrin cream. Visits were made during the ensuing 25 months to rescreen and to treat newcases of scabies and contacts.

Results.

The prevalence of scabies was reduced from 28.8% before the program to< 10% during the entire period (from 32.3% to< 10% in children)(P< 0.01 for each visit). The initial prevalence of pyoderma in children was 69.4%, which was reduced and maintained at approximately one-half that rate during the last 16 months (P< 0.004 for the last 4 visits). Residual pyoderma in children was significantly less severe and no longer scabies-related.

Conclusions.

This simplified model of scabies control had a substantial effect on scabies prevalence and on pyoderma prevalence and severity …