Alan is home on leave from working as a cook with a scientific research team in the Arctic region. He has itchy red lumps on his arms and lower legs. He thinks he may have scabies as one of the team has had it in recent weeks. €We all live in quite close quarters,€ he says. Discuss with the pharmacist and your team:

• What further questions would you ask Alan?
• What are the signs and symptoms of scabies?
• How common is scabies?
• Could these itchy lumps be caused by anything else? If so, what?
• How would the pharmacist like you to handle this request?
• What treatment might you recommend? What advice would you give alongside the treatment?