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To the Editor.—
I read Dr Milton Orkin's editorial on scabies in the November issue of the Archives (111:1431-1432, 1975). He really should try not to fall into the American habit of equating "Southeast Asia" with Vietnam.I would like to assure him, and your readers, that children arriving from Malaysia will probably not have scabies, and this is so for a reason he has pointed out. We have recently recovered from an epidemic of scabies, the incidence is diminishing annually, and we are now in the rest period. As the latest epidemic makes its stately progress across the world, it may well have reached Vietnam much later than it reached us (the same is certainly true in the Philippines) for geographical or political reasons. Perhaps Dr Arnold in Hawaii should hoist a storm warning, and maybe the index of suspicion for scabies should be maintained when treating young people
Pettit JHS. Scabies in Malaysia. Arch Dermatol. 1976;112(9):1324. doi:10.1001/archderm.1976.01630330078030