I'm quoted in a great WIRED article on surging cases in Britain (particularly in care homes & universities), & my research on the need to up supply of oral for outbreak control & sexual health clinics. wired.com/story/scabies-outbre

This afternoon I shared with local authority public health leads and practioners across Kent, Surrey & Sussex *UK) the outputs & recommendations from our
work. Looking forward to working with them on next steps. Recent outputs:

Middleton, Cassell, Walker. 2023. Scabies Management in Institutions. In Fischer & Chosidow (eds.) Scabies. Berlin: Springer Nature. ISBN 978-3-031-26069-8. link.springer.com/chapter/10.1

Richardson… Middleton. 2023. Scabies outbreak management in refugee/migrant camps across Europe 2014-17: a retrospective qualitative interview study of healthcare staff experiences and perspectives. BMJ Open. bmjopen.bmj.com/content/13/11/

Great to see Brighton & Sussex Medical School website highlight work by myself & friends. Our work to control scabies
in institutions spans camps to . To learn more about this & other impact case studies & emerging impact see: bsms.ac.uk/research/impact-cas

📕 Chuffed to pick up hardcopy of new @springernature Scabies book. Includes my chapter on managing institutional outbreaks from care homes to refugee camps: link.springer.com/chapter/10.1. Abstract + more info➡️

Middleton et al. Scabies Management in Institutions

Abstract
Scabies is a particular problem in semi-closed institutions such as residential settings for elderly people, children and those with learning disabilities; refugee camps and other settings for displaced persons; prisons; schools; hospitals and hostels. What many of these diverse places have in common is a range of transmission drivers which enable scabies to reach very high prevalence including: high densities of potential hosts, social behaviours involving prolonged contact, bed and clothes sharing, manual handling, reduced access to laundry facilities and immunocompromise. We describe the epidemiology of institutional scabies outbreaks across settings, and based primarily on recent and longstanding evidence from adult health care, we draw out general strategic priorities for case management and outbreak control. The tools and information necessary to carry out an epidemiological assessment of an institutional scabies outbreak are provided, along with guidance on control measures. A summary checklist of the key steps to take in responding to an institutional outbreak concludes the chapter.

Thank you to @nihrresearch for funding support.

This is part of the first comprehensive book on scabies, written by experts from across the world. You can order the full 31 chapter ebook and hardback for your uni/clinical library here: link.springer.com/book/10.1007

Presented at Royal Sussex County Hospital on my (Brighton and Sussex Medical School) work with forest communities in co-planning & introducing health services into indigenous-led conservation collaborations: link.springer.com/article/10.1. The tool-kit we developed for combined clinical and rapid anthropological assessments with parallel treatment of urgent cases is available free for wider use ( bmjopen.bmj.com/content/10/10/) & I am always happy to chat with people who may find the methodologies we developed helpful in their own work.

Thanks go out to my amazing group of interdisciplinary co-investigators from institutions in the UK, PNG, & Czech Republic: Jackie Cassell, Gavin Colthart, Francesca Dem, James Fairhead, Michael Head, Dr Moses Laman, Hayley MacGregor, Vojtech Novotny, Mika Peck, Willie Pomuat, João Inácio, Steve Walker, & Alan J Stewart.

Our research poster from Harvard Medical School last month (PDF: drive.google.com/file/d/1z3ehn) with key findings about 43 projects that have integrated provision & . mapping.

Delighted earlier this week to do joint Q&A following screening of experimental documentaries (including an ) at Towner Art Gallery in with Uni and Brighton and Sussex Medical School colleagues from UK & . Local newspaper report: sussexexpress.co.uk/news/peopl

Just joined, so thought some links to my recent work can help folk see what I am about. First up, a piece from me back in May in Regional Health Western : 'Can mass drug administrations to control also reduce skin & soft tissue ? Hospitalizations and presentations lower after a large-scale trial in '. thelancet.com/journals/lanwpc/

Planning in a medically neglected community? If so, you can use this free-to-use health needs assessment toolkit. Developed as part of our Brighton and Sussex Medical School work in New Gyinea. Published in BMJ OPEN: bmjopen.bmj.com/content/10/10/

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