Scabies is a skin disease caused by an infestation of the human itch mite, which burrows itself under the skin. Scabies can spread rapidly; usually via prolonged skin-to-skin contact with another person. On occasion, it can also be spread indirectly by sharing the clothing or bedding of a scabies-infected person, or by exposing skin to infected furnishings.

It is important to note that infested persons may take weeks to show symptoms but can still pass on the insect through skin-to-skin contact during this time. When a case of scabies is discovered, a thorough outbreak and surveillance plan must immediately be put in place to ensure the infestation is contained and eliminated. This plan must include cohabitants who live in close quarters, care staff and visitors of the infected person. Failure to implement a proper outbreak and surveillance plan can increase the size of the affected population in a residence, hospital or group.

Crusted Scabies is a severe and highly transmissible form of scabies. Even brief skin-to-skin contact or contact with contaminated surfaces can spread the disease. In many institutional settings, prolonged scabies outbreaks are typically…