Church R E, Knowelden J
Br Med J. 1978 Mar 25;1(6115):761-3. doi: 10.1136/bmj.1.6115.761.
From June 1972 to May 1973 the medical officer of health and general practitioners in Sheffield referred all suspected cases of scabies to the Hallamshire Hospital skin department. Contact tracing, similar to that in VD departments, was carried out by a specially trained state registered nurse. In all, 1482 cases were found in 609 households. This was ten times the number referred to the skin department in 1971. Infestation was introduced to households mainly by schoolchildren and teenagers, especially by girls. The commonest sources were friends and relatives outside the home. Schools did not play an appreciable part in spread. The secondary attack rate in households was 38%. Notification of cases, adequate treatment within the home, and contact tracing are recommended to halt the present epidemic of scabies.
1972年6月至1973年5月期间，谢菲尔德的卫生医疗官员和全科医生将所有疑似疥疮病例转诊至哈勒姆郡医院皮肤科。由一名经过专门培训的国家注册护士进行类似于性病科的接触者追踪。总共在609户家庭中发现了1482例病例。这是1971年转诊至皮肤科病例数的10倍。疥疮感染主要由学童和青少年引入家庭，尤其是女孩。最常见的传染源是家庭以外的朋友和亲戚。学校在传播过程中并未起到显著作用。家庭中的二代发病率为38%。建议通过病例报告、在家中进行充分治疗以及接触者追踪来遏制当前的疥疮流行。
