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Scabies is a parasitic infestation caused by tiny mites that burrow into the skin and lay eggs, causing intense itching and a rash. 

Healthcare workers must maintain alert for scabies when in high-density settings like residential aged care facilities (RACFs) and hospitals, vigilance and rapid containment are critical to avoiding widespread transmission. 

Public health advice 

• Maintain clinical vigilance and early detection – Screen new admissions, identify typical presentations and confirm diagnosis by medical evaluation.  

• Implement containment protocols – arrange contact precautions for any suspected or confirmed cases, exclude symptomatic staff until one day after they complete their appropriate treatment.  

• Coordinate appropriate treatment for residents and patients.  

• Arrange environmental decontamination – ensure environmental cleaning occurs as per guidelines, launder contaminated fabrics and ensure contact tracing occurs to patients/residents' families.   

• For further advice please contact the Local Public Health Unit on 0260 481 000 

Facilities should ensure they follow the Scabies control guidelines - https://www.health.vic.gov.au/infectious-diseases/scabies-control-guidelines