A scabies outbreak at the Geriatric Hospital has prompted public health authorities to review infection prevention protocols at the facility, particularly as it prepares to transition to a new location at Waterford.
Confirmation of the scabies diagnosis among elderly patients and the actions taken by health officials came on Tuesday during a press briefing at the Pan American Health Organisation (PAHO) headquarters on Dayrells Road, where Chief Medical Officer Dr Kenneth George, flanked by health officials, told journalists that although uncomfortable, scabies poses no major public health threat.
A team from the Ministry of Health had visited the Beckles Road, St Michael hospital on Monday and found that nine patients examined by a dermatologist were diagnosed with partially treated scabies, Dr George confirmed.
Scabies, a skin infection caused by mites burrowing into the skin, leads to intense itching and can spread through close contact. While not considered a disease of serious public health significance, Dr George acknowledged that it can be intensely uncomfortable for affected individuals.
“I must be clear, scabies is not a disease of public health significance,” he said. “However, it is very uncomfortable, it is very itchy, and it can spread. This is not the first time we have had scabies in the Geriatric Hospital, and as I have said from time to time, the patient population at the Geriatric Hospital is indeed susceptible—they are a vulnerable population.”
This outbreak follows a previous announcement last week in which health officials acknowledged reports of an unusual skin condition affecting patients at the facility. Since then, the ministry has been quietly investigating the situation. Dr George noted that the issue gained attention after a staff member was diagnosed with scabies.
“There was a staff member who went to a private sector doctor, and he diagnosed her with scabies. That led to red flags on our end,” he said. “The public needs to know that we will get over this. This is not a cause for major concern or uncertainty. What we need to do is to make sure that we can contain it. We understand what the situation is; treatment has been instituted. It’s a single-dose treatment which may be repeated at another time. The single-dose treatment—we have two options, and we are exploring those options.”
Alvin Hart, the Geriatric Hospital’s infection prevention and control officer, stressed that protocols at the facility were being reviewed in the wake of the outbreak, particularly as the hospital prepares for the transfer to the new facility at Waterford.
“We are looking at all of our protocols, the training of our staff, we are exposing more staff to a lot of these things because, as healthcare workers, we can’t run from these things,” he said. “These things will happen. We had COVID-19 and we recovered from it, and this is in no way comparable to what COVID-19 was. We will continue to ensure that supplies are there; only yesterday I was told that one of our suppliers is extending a hand in donating some items to the hospital as well.”
Hart also acknowledged the challenges in identifying the initial source of the outbreak, given that scabies can remain asymptomatic for up to six weeks, allowing silent transmission. He added that supplies are being maintained and even bolstered, with one supplier offering to donate essential items to assist in the hospital’s response.
Consultant at the Geriatric Hospital, Dr Shayna Parris, stressed that the treatment currently being given to patients and staff affected is working: “Those who have already received treatment have reported that they have already had a significant reduction in the itching that is associated with scabies, and that is reassuring to us. Additional treatments have been prescribed at the recommendation of the dermatologist to alleviate this itching even further.”
Dr Parris added: “It can persist for a period of up to six weeks, so we do expect that some patients may have a protracted course; however, we will do everything we can to support them through this process.” (SB)
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