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Human scabies and pediculosis in Ecuador: spatial distribution and environmental determinants.

Title: Human scabies and pediculosis in Ecuador: spatial distribution and environmental determinants.
Authors: Vinueza-Veloz AF; Research Group on Human Food and Nutrition (GIANH), Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador.; Calispa M; Independent Researcher.; Carpio-Arias TV; Research Group on Human Food and Nutrition (GIANH), Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador.; Tapia-Veloz E; Departamento de Farmacia, Facultad de Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Spain.; Dea-Ayuela MA; Departamento de Farmacia, Facultad de Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Spain.; Mira Naranjo M; Grupo de Investigación en Ciencias Veterinarias, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador.; Vinueza-Veloz P; Grupo de Investigación en Ciencias Veterinarias, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador.
Source: Parasitology [Parasitology] 2026 Apr 24, pp. 1-8. Date of Electronic Publication: 2026 Apr 24.
Publication Model: Ahead of Print
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Cambridge University Press Country of Publication: England NLM ID: 0401121 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-8161 (Electronic) Linking ISSN: 00311820 NLM ISO Abbreviation: Parasitology Subsets: MEDLINE
Imprint Name(s): Original Publication: London, New York, Cambridge University Press.
Abstract: Parasitic diseases, including scabies and pediculosis, pose significant public health concerns, particularly in developing countries. Despite their non-lethal nature, these diseases can cause considerable morbidity. This study aimed to assess the national and subnational burden of scabies and pediculosis in Ecuador during 2021 and explore the spatial correlations between these diseases and environmental factors. An observational, cross-sectional study was conducted using 2021 outpatient data from Ecuador's Ministry of Public Health. Municipal incidence rates were calculated for scabies (ICD-10 B86) and pediculosis (ICD-10 B85). Local Indicators of Spatial Association analysis was performed to identify epidemiological hot and cold spots. Associations with climatic variables (rainfall, temperature and altitude) were examined using Wilcoxon tests and ordinary least squares regression. A total of 20 722 scabies cases and 3558 pediculosis cases were identified, with national incidences of 118.45 and 20.33 per 100 000 population, respectively. Both diseases were more frequent in women. Scabies hot spots were located in the Coast and Amazon regions and associated with higher rainfall, higher temperature and lower altitude. Pediculosis hot spots were located exclusively in the Amazon region and associated with higher rainfall and higher altitude. Climatic factors explained 24.3% of scabies variance but only 6.3% for pediculosis. This study underscores the importance of climatic and socio-environmental factors in the transmission of scabies and pediculosis and provides valuable epidemiological data for future control efforts in Ecuador.
Contributed Indexing: Keywords: Ecuador; environmental determinants; pediculosis; scabies; spatial distribution
Entry Date(s): Date Created: 20260424 Latest Revision: 20260507
Update Code: 20260507
DOI: 10.1017/S0031182026102078
PMID: 42027187
Database: MEDLINE

Journal Article