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Scabies is transmitted after skin-to-skin contact when one person is infected and the mites are able to walk across to the new patient. I have patients tell me they are worried about hugging their loved ones, and caregivers who are concerned about how to go about helping out with day-to-day activities. The best answer is to get the original patient cured. It's usually successful after a few treatments. Prevention means limiting skin-to-skin contact, using gloves if you have to until the first person is cured. What I recommend to loved ones is that maybe for now trade hugs for holding gloved hands.

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