Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.

Rheumatic heart disease (RHD) and acute rheumatic fever (ARF) disproportionately affect individuals in low-resource settings. ARF is attributed to an immune response to Group A Streptococcus (GAS) following GAS pharyngitis and potentially GAS impetigo in which infection can be initiated by scabies i...

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Main Authors: Victoria J Brookes, Caitlin E Henning, Kate A Worthing, Chris Degeling
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-05-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0012115
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author Victoria J Brookes
Caitlin E Henning
Kate A Worthing
Chris Degeling
author_facet Victoria J Brookes
Caitlin E Henning
Kate A Worthing
Chris Degeling
author_sort Victoria J Brookes
collection DOAJ
description Rheumatic heart disease (RHD) and acute rheumatic fever (ARF) disproportionately affect individuals in low-resource settings. ARF is attributed to an immune response to Group A Streptococcus (GAS) following GAS pharyngitis and potentially GAS impetigo in which infection can be initiated by scabies infestation. The burden of ARF and RHD in Aboriginal and Torres Strait Islander people in Australia is among the highest globally. Following recent calls to include dog management programs in ARF and RHD prevention programs, we believe it is timely to assess the evidence for this, particularly since previous recommendations excluded resources to prevent zoonotic canine scabies. While phylogenetic analyses have suggested that the Sarcoptes mite is host specific, they have differed in interpretation of the strength of their findings regarding species cross-over and the need for canine scabies control to prevent human itch. Given that there is also indication from case reports that canine scabies leads to human itch, we propose that further investigation of the potential burden of zoonotic canine scabies and intervention trials of canine scabies prevention on the incidence of impetigo are warranted. Considering the devastating impacts of ARF and RHD, evidence is required to support policy to eliminate all risk factors.
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spelling doaj-art-be3f45e7013d4a9c8dfcad75f5b1312c2024-12-23T05:31:49ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352024-05-01185e001211510.1371/journal.pntd.0012115Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.Victoria J BrookesCaitlin E HenningKate A WorthingChris DegelingRheumatic heart disease (RHD) and acute rheumatic fever (ARF) disproportionately affect individuals in low-resource settings. ARF is attributed to an immune response to Group A Streptococcus (GAS) following GAS pharyngitis and potentially GAS impetigo in which infection can be initiated by scabies infestation. The burden of ARF and RHD in Aboriginal and Torres Strait Islander people in Australia is among the highest globally. Following recent calls to include dog management programs in ARF and RHD prevention programs, we believe it is timely to assess the evidence for this, particularly since previous recommendations excluded resources to prevent zoonotic canine scabies. While phylogenetic analyses have suggested that the Sarcoptes mite is host specific, they have differed in interpretation of the strength of their findings regarding species cross-over and the need for canine scabies control to prevent human itch. Given that there is also indication from case reports that canine scabies leads to human itch, we propose that further investigation of the potential burden of zoonotic canine scabies and intervention trials of canine scabies prevention on the incidence of impetigo are warranted. Considering the devastating impacts of ARF and RHD, evidence is required to support policy to eliminate all risk factors.https://doi.org/10.1371/journal.pntd.0012115
spellingShingle Victoria J Brookes
Caitlin E Henning
Kate A Worthing
Chris Degeling
Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.
PLoS Neglected Tropical Diseases
title Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.
title_full Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.
title_fullStr Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.
title_full_unstemmed Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.
title_short Eliminate all risks: A call to reexamine the link between canine scabies and rheumatic heart disease.
title_sort eliminate all risks a call to reexamine the link between canine scabies and rheumatic heart disease
url https://doi.org/10.1371/journal.pntd.0012115
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AT caitlinehenning eliminateallrisksacalltoreexaminethelinkbetweencaninescabiesandrheumaticheartdisease
AT kateaworthing eliminateallrisksacalltoreexaminethelinkbetweencaninescabiesandrheumaticheartdisease
AT chrisdegeling eliminateallrisksacalltoreexaminethelinkbetweencaninescabiesandrheumaticheartdisease