Reid H F, Birju B, Holder Y, Hospedales J, Poon-King T
Trinidad and Tobago Public Health Laboratory, Port of Spain.
Trans R Soc Trop Med Hyg. 1990 Mar-Apr;84(2):298-300. doi: 10.1016/0035-9203(90)90296-q.
Scabies infestation has been reported to the PAHO/WHO Caribbean Epidemiology Centre (CAREC) from Trinidad and Tobago (T&T), Grenada, Dominica, the Turks and Caicos Islands (T&CI) and, more recently, St Lucia. Epidemic scabies was being reported from T&CI in 1981 (1200/100,000 population), but there were no reports from T&T until 1982 (8/100,000). The first phase of the bimodal epidemic in Grenada occurred between 1982 and 1984 (132/100,000) and the explosive second phase from 1985 to 1987 (474-699/100,000). In T&T there was a low incidence of scabies until 1985 (0-59/100,000) and in Dominica the rate fluctuated (67-14/100,000) during the same period. From 1986 to 1988, scabies infestation reached epidemic proportions in T&T (410-709/100,000) and fluctuated in Dominica (108-117/100,000). In Tobago alone, scabies was not reported until March 1986, and by December the incidence rate was 105/100,000; by 1988 it had increased to 1124/100,000 population. Although no secondary infections have been reported from Grenada, Dominica, T&CI or St Lucia, T&T has reported increased streptococcal skin infections and epidemic post-streptococcal acute glomerulonephritis (PSAGN). The observed trend of increasing scabies infestation, increasing streptococcal isolates from skin lesions, and increasing PSAGN in T&T is noteworthy.
据向泛美卫生组织/世界卫生组织加勒比地区流行病学中心（CAREC）报告，特立尼达和多巴哥（T&T）、格林纳达、多米尼克、特克斯和凯科斯群岛（T&CI）以及最近的圣卢西亚均有疥疮感染病例。1981年，特克斯和凯科斯群岛报告了流行性疥疮（每10万人中有1200例），但直到1982年特立尼达和多巴哥才出现报告病例（每10万人中有8例）。格林纳达双峰流行的第一阶段发生在1982年至1984年之间（每10万人中有132例），第二阶段爆发于1985年至1987年（每10万人中有474 - 699例）。在特立尼达和多巴哥，直到1985年疥疮发病率一直较低（每10万人中有0 - 59例），同期多米尼克的发病率有所波动（每10万人中有67 - 14例）。1986年至1988年期间，特立尼达和多巴哥的疥疮感染达到流行程度（每10万人中有410 - 709例），多米尼克则有所波动（每10万人中有108 - 117例）。仅在多巴哥，直到1986年3月才报告有疥疮病例，到12月发病率为每10万人中有105例；到1988年，发病率已增至每10万人中有1124例。尽管格林纳达、多米尼克、特克斯和凯科斯群岛或圣卢西亚均未报告有继发感染病例，但特立尼达和多巴哥报告称链球菌性皮肤感染以及流行性链球菌感染后急性肾小球肾炎（PSAGN）有所增加。特立尼达和多巴哥观察到的疥疮感染增加、皮肤病变中链球菌分离株增加以及PSAGN增加的趋势值得关注。
