Background: Scabies is a neglected tropical disease caused by the mite Sarcoptes scabiei that burrows under the skin. It is a major health problem in tropical areas, largely affecting children. Scabies is common and highly contagious and in schoolchildren spreads quite rapidly, due to overcrowding and close contact within the schools. This study aimed to determine the risk factors associated with scabies infestation among primary schoolchildren in Bashagard County, one of the low socio-economic areas in southeast of Iran. Methods: To conduct this community-based, descriptive, and cross-sectional study, four primary schools were randomly selected in the Bashagard County. All students in these schools were selected and examined for scabies. Clinical examination and sociodemographic profile of students were assessed using a pre-tested structured questionnaire. Chi-square test, and binary logistic regression were used to analyse the factors associated with scabies infestation by SPSS version 21 software. Results: Out of 480 studied schoolchildren, 15 cases of scabies with a prevalence of 3.1 % were observed. The frequency of infestation in males was 1.6 % and it was 4.7 % in females. Independent factors associated with a high risk of scabies infestation in unadjusted analysis were being student of grade 5–6 (cOR = 13.12, 95 % CI 2.92–58.89, p = 0.0001), low educational level of father (cOR = 4.37, 95 % CI 0.97–19.59, p = 0.036), low educational level of mother (cOR = 4.14, 95 % CI 1.92–18.57, p = 0.045), joblessness of father (cOR = 14.77, 95 % CI 4.97–43.89, p = 0.0001), employment of mother (cOR = 5.28, 95 % CI 1.38–20.16, p = 0.007), large family size (cOR = 3.34, 95 % CI 1.05–10.64, p = 0.031), use of shared articles (cOR = 33.37, 95 % CI 10.82–102.90, p = 0.0001), and absence of bathroom in the house (cOR = 11.77, 95 % CI 2.16–63.94, p = 0.0001). Conclusions: Results of this study confirmed that scabies is still one of the most important health problems in the primary schools of the Bashagard County. Low socioeconomic status and personal hygiene of the schoolchildren were the most important factors influencing the prevalence of scabies. Improvement of socioeconomic conditions and implementation of appropriate educational programs and active surveillance system to quickly detect and treat scabies cases are necessary in order to reduce the prevalence of scabies in schoolchildren in this area.

To determine the effects of environmental parameters of larval habitats on distribution and abundance of anopheline mosquitoes in Rudan county of Iran. This cross-sectional study was conducted during the mosquito breeding season from February 2010 to October 2011. The anopheline larvae were collected using the standard dipping method. The specimens were identified using a morphological-based key. Simultaneously with larval collection, environmental parameters of the larval habitats including water current and turbidity, sunlight situation, and substrate type of habitats were recorded. Water samples were taken from breeding sites during larval collection. Before collection of samples, the water temperature was measured. The water samples were analysed for turbidity, conductivity, total alkalinity, total dissolved solid, pH and ions including chloride, sulphate, calcium, and magnesium. Statistical correlation analysis and ANOVA test were used to analyze the association between environmental parameters and larval mosquito abundance. In total 2 973 larvae of the genus Anopheles were collected from 25 larval habitats and identified using morphological characters. They comprised of six species: An. dthali (53.21%), An. stephensi (24.22%), An. culicifacies (14.06%), An. superpictus (4.07%), An. turkhudi (3.30%), and An. apoci (1.14%). The most abundant species was An. dthali which were collected from all of the study areas. Larvae of two malaria vectors, An. dthali and An. stephensi, co-existed and collected in a wide range of habitats with different physico-chemical parameters. The most common larval habitats were man-made sites such as sand mining pools with clean and still water. The anopheline mosquitoes also preferred permanent habitats in sunlight with sandy substrates. The results indicated that there was a significant relationship between mean physico-chemical parameters such as water temperature, conductivity, total alkalinity, sulphate, chloride, and mosquito distribution and abundance. The results of this study showed a correlation between certain environmental parameters and mosquito larvae abundance, and these parameters should be considered in planning and implementing larval control programs.

Since malaria is one of the foremost public health problems in Iran, a malaria elimination phase has been initiated and application of long-lasting insecticidal nets (LLINs) is an important strategy for control. Success and effectiveness of this community based strategy largely dependent on proper use of LLINs. In this context, to determine the community’s knowledge and practices about malaria and LLINs, a study was conducted in Rudan County, one of the important malaria endemic areas in southeast of Iran.

To determine the effects of environmental characteristics of larval habitats on distribution and abundance of anopheline mosquitoes in Bashagard county, a malarious area in southeast of Iran. Larvae were collected monthly using the standard dipping method and identified using a morphological-based key. Environmental characteristics of the larval habitats were recorded. Water samples were taken from habitats during larval collection for physico-chemical characterization. Statistical analyses were performed. In total 5 150 anopheline larvae from 36 larval habitats were collected and identified. They comprised of six species: Anopheles culicifacies (29.36%), Anopheles moghulensis (25.20%), Anopheles dthali (18.02%), Anopheles superpictus (17.24%), Anopheles turkhudi (5.17%) and Anopheles stephensi (5.01%). The most common larval habitats were natural and clear water bodies such as riverbeds with sandy substrates and still water. Furthermore, the anopheline larvae were abundant in permanent and full sunlight habitats without vegetation and algae. Larval density was positively correlated with water temperature. Chemical characteristics including conductivity, total alkalinity, sulphate and chloride had significant effects on distribution and abundance of anopheline species. The result of this study indicates a correlation between some environmental characteristics and anopheline larvae abundance which can be considered for effective planning and implementing malaria elimination program in Iran.

Head lice infestation is a common public health problem that is most prevalent in primary school children throughout the world, especially in developing countries including different parts of Iran. This study aimed to determine the prevalence and risk factors associated with head lice infestation and pediculicidal effect of 1% permethrin shampoo in primary schools girls of Bashagard County, one of the low socioeconomic areas in southeast of Iran. In this interventional study six villages with similar demographical situations were selected and randomly assigned into intervention and control areas. In each area 150 girl students aged 7–12 years were selected randomly and screened for head lice infestation by visual scalp examination. In intervention area, treatment efficacy of 1% permethrin shampoo was evaluated via re-examination for infestation after one, two, and three weeks. Pre-tested structured questionnaire was used to collect data on socio-demographic and associated factors of head lice infestation. The prevalence of head lice infestation was 67.3%. There was significant association between head lice infestation and school grade, family size, parents’ literacy, bathing facilities, frequency of hair washing, and use of shared articles (p < 0.05). The effectiveness of 1% permethrin shampoo for head lice treatment was 29.2, 68.9, and 90.3% after the first, second, and third weeks, respectively. The head lice infestation is a health problem in primary school girls of Bashagard County. Improvement of socioeconomic status and providing appropriate educational programs about head lice risk factors and prevention can be effective for reduction of infestation in this area. This trial has been registered and approved by Hormozgan University of Medical Sciences ethical committee (Trial No.764). Trial registration date: March 17 2014.

Malaria is a major vector-borne disease in tropical and sub-tropical countries caused by Plasmodium infection. It is one the most important health problem in south and southeast of Iran. Since Iran has recently launched to the elimination phase of malaria and vector control is one of the main strategies for elimination, this study was conducted to determine the topographical distribution of malaria vectors in Minab County, one of the important malaria endemic areas in south of Iran. In this cross-sectional study, six villages in three topographically different sites namely coastal plain, foothill and mountainous areas were selected by simple random sampling. The anopheline larvae were collected using the standard dipping method. The specimens were identified using a morphology based-key. Statistical analyses were performed using SPSS ver.16 software. In total, 3,841 anopheles larvae were collected from 24 larval habitats. They consisted of ten species: Anopheles moghulensis (25.23%), Anopheles stephensi (24.47%), Anopheles dthali (19.14%), Anopheles culicifacies (9.63%), Anopheles fluviatilis (7.52%), Anopheles superpictus (5.62%), Anopheles turkhudi (5.55%), Anopheles pulcherrimus (1.93%), Anopheles multicolor (0.47%), and Anopheles apoci (0.44%). Most species were distributed in different topographies and only An. Stephensi and An. culicifacies, the main malaria vectors in Iran, were significantly associated with the altitude of studied areas. An. moghulensis, An. stephensi and An. dthali were the most widespread species and were, respectively predominant in Coastal plain, foothill and mountainous areas. Results of this study have revealed that there are many malaria vectors that are distributed in Minab County and some of them are expected to be predominant in areas with special topographic characteristics. This finding can provide a basis for effective planning and implementation of evidence-based malaria vector intervention strategies towards vector control, which may help in malaria elimination in the study area.