The UK is facing unusually large scabies outbreaks, with over 3,600 hospital diagnoses nationwide. Scabies is caused by mites and spreads through close contact. Symptoms include “intense itching, especially at night” and a rash or red spots, often appearing between fingers, around wrists, underarms, waist, groin, and bottom. In young children, elderly people, and those with weakened immune systems, the rash may also appear on the head, neck, palms, and soles.

A severe type, crusted scabies, can occur in immunocompromised individuals, causing a thick, flaky rash on elbows, knees, hands, and feet. Prof. Kamila Hawthorne, chairwoman of the Royal College of General Practitioners, warns that many avoid seeking treatment because of the “social stigma” linked to the infection.

“While not a serious condition, scabies can be very itchy and irritating,” she said. “If not properly treated, it can spread and increase a patient’s risk of complications, such as secondary skin infections or make existing skin conditions worse.”

Doctors urge people not to ignore symptoms and to seek medical care promptly. One factor worsening the outbreak is a shortage of treatment, making it harder to control the spread.