Institutions such as nursing homes, extended-care facilities, and prisons are often sites of scabies outbreaks. Scabies can spread rapidly under crowded conditions where close body and skin contact is frequent. Scabies is found worldwide and affects people of all races and social classes. The scabies mite usually is spread by direct, prolonged, skin-to-skin contact with a person who has scabies. The most common symptoms of scabies are intense itching and a pimple-like skin rash. The microscopic scabies mite burrows into the upper layer of the skin where it lives and lays its eggs. Scabies is an infestation of the skin by the human itch mite ( Sarcoptes scabiei var.
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