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Scabies: parasites beneath the skin

There has been a recent spate of reports about the spread of scabies, an infectious skin disease caused by parasites. So how dangerous is scabies, and what can you do to protect yourself?

AuthorSWICA Content Team
3 minutes reading time08. April 2026
An unusual red rash that itches or burns intensely, particularly at night, could indicate a scabies infestation. The rash is caused by tiny mites that feed on flakes of skin and embed themselves in the outer layers of a person's skin, making small "burrows" where they reproduce and lay their eggs. This leads to intense itching of the infected sites and the formation of small red blisters or papules; in some cases the burrows beneath the skin can even be seen.

How is scabies transmitted?

Scabies is normally spread through close skin-to-skin contact. Because the mites cannot move that fast and are very tiny, contact needs to last several minutes. Brief periods of contact such as hugs and handshakes don't generally last long enough to facilitate their spread. Transmission is often between parents and children or within couples.

However, it can also take place via textiles shared with an infected persons, such as bed linen, clothing or upholstery on public transport. The increased spread of scabies in recent years can be attributed in part to the upturn in travel, with people sleeping more in hotel beds and other forms of shared accommodation. The parasites cannot live long without a human host, however, making transmission via textiles a much less common route.

How do you get rid of these unwelcome visitors?

Scabies had been considered to have almost died out, but cases in Switzerland have been on the rise in recent years, and particularly since the start of this year. The infection is not dangerous, but the itching in particular makes the condition very unpleasant for sufferers. Scabies should be treated as follows:
  • A medical professional diagnoses the condition using a dermatoscope and prescribes suitable medication. Treatment is normally with antiparasitics in tablet form and a cream to treat the skin.
  • All members of the household should be treated with the drug at the same time, so that the mites cannot move from host to host.
  • Nails must be cut before starting treatment, to prevent the parasites from lingering underneath.
  • All textiles that people have come into contact with for an extended period must either be washed at 60° (clothing, bed linen, etc.), kept in an airtight plastic container for a week (non-washable linens) or treated with mite spray (sofas, car seats, etc.).

Follow-up

Following treatment, everyone in the household should be closely monitored for any signs of further itching. If there are any doubts, you should have the skin re-examined. Santé24 offers dermatological consultations for SWICA customers. SWICA also works with the OnlineDoctor platform, which SWICA customers can use to ask medical experts to assess their skin problems.

For your health: santé24 and SWICA Benecura

Do you have a health question? Our physicians and healthcare professionals at santé24 are available 24/7 on +41 44 404 86 86 for SWICA customers. In addition to telephone health advice, patients whose conditions are appropriate for telemedicine can receive medical services such as diagnostics, treatment, and even e-prescriptions for prescription medications.

Do you feel ill? The SWICA Benecura medical app makes it easy to carry out a digital SymptomCheck. You will receive a personal recommendation about what to do next. Send your information in encrypted form to the santé24 online practice for your telephone consultation to significantly shorten the assessment.

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