Hywel Dda confirms wider rise in cases across Carmarthenshire, Pembrokeshire and Ceredigion as patients and staff are offered treatment

A HOSPITAL ward in Carmarthen has been temporarily closed following an outbreak of crusted scabies, a rare and highly contagious form of the condition.

Hywel Dda University Health Board confirmed that Steffan Ward at Glangwili Hospital has been closed while the outbreak is managed under established infection prevention and control procedures.

All patients and members of staff identified as contacts have been informed and offered treatment, including those who are not currently showing symptoms.

Additional measures have been introduced on the ward, including enhanced monitoring, treatment of identified contacts and continued support from specialist infection control teams.

The health board said the situation would remain under review and that the ward would reopen when it was considered safe to do so.

Of wider concern is the health board’s confirmation that scabies cases are increasing across Carmarthenshire, Pembrokeshire and Ceredigion, with the regional rise contributing to outbreaks within hospitals.

The reference to hospital outbreaks in the plural has prompted questions about whether other wards or hospital sites are currently affected.

The Herald has asked Hywel Dda to confirm the number of patients and staff involved, when the first case was identified and whether any other wards, hospitals, care homes or community healthcare settings are dealing with linked cases.

We have also asked what effect the closure is having on admissions, patient transfers and bed availability at Glangwili.

Previous outbreaks reported

This is not the first time scabies has caused disruption within the Hywel Dda area.

Health board papers considered in October 2025 referred to an earlier scabies outbreak on Steffan Ward which required a multidisciplinary response.

It is not currently known whether that incident and the latest outbreak are connected.

The closure also follows earlier reporting by The Herald about scabies circulating in Pembrokeshire care homes.

In November 2025, care providers said several residential settings were managing outbreaks with clinical support and guidance from Hywel Dda University Health Board.

Pharmacies in Milford Haven and Haverfordwest had also reported increased demand for scabies treatments.

The Herald has asked the health board whether the current regional increase is connected to the pattern of outbreaks reported last year and what action has since been taken to monitor and contain the spread.

UK outbreak caused months of disruption

A previous outbreak at a major UK hospital demonstrates how difficult scabies can be to control in a healthcare environment.

Raigmore Hospital in Inverness was affected by a series of scabies incidents during 2023.

One ward was closed in March and did not reopen until May, while another ward was closed to new admissions in July after further cases were identified.

The outbreak caused disruption over several months and showed that restrictions can return even after previously affected areas have reopened.

Raigmore is the largest hospital in the Scottish Highlands, meaning prolonged ward closures had consequences for capacity and the wider community it serves.

It is too early to say whether the disruption at Glangwili will reach a similar scale.

However, the situation carries an added concern because Hywel Dda has specifically identified the condition as crusted scabies.

What is crusted scabies?

Scabies is caused by tiny mites which burrow into the skin and is most commonly spread through prolonged, close skin-to-skin contact.

Symptoms can include intense itching, particularly at night, and a raised rash which often appears between the fingers, around the wrists, under the arms and near the waist or groin.

Crusted scabies is a rare and more severe form of the infestation in which exceptionally large numbers of mites can be present.

It is substantially more contagious than ordinary scabies and may spread through shorter periods of direct contact or through contaminated bedding, clothing, towels and furniture.

The condition can require more intensive treatment and extensive environmental cleaning, making outbreaks in hospitals and care settings particularly challenging to control.

Scabies is treatable, but symptoms can take several weeks to appear. Close contacts may therefore be offered treatment even when they have no symptoms, helping to reduce the risk of further transmission or reinfection.

Hywel Dda has not yet disclosed the number of confirmed cases, how many patients and staff have been treated or when Steffan Ward is expected to reopen.

The Herald will update this report when further information is received from the health board.

Additional reporting by James Sinclair

WALES’ first-ever dedicated women’s health minister has promised a major overhaul of endometriosis and abortion services. 

Addressing Senedd colleagues on July 7, Blaenau Gwent Caerffili Rhymni MS Delyth Jewell vowed to tackle the “invisibility” of women’s pain in the healthcare system

Ms Jewell, who was appointed deputy minister for social care, mental health, and women’s health in May, said these areas have lacked “sufficient attention” for too long.

The Plaid Cymru MS said she would champion carers, and said she would work to ensure more carers receive the real living wage and “parity of esteem”,

She said: “Why is it that social care receives less prominence in debate than the NHS? Why shouldn’t care workers hold the same space in our psyche as nurses and doctors?”

Speaking on the importance of mental health care, Ms Jewell highlighted the need for “a fundamental change” in how services are delivered, moving towards “open-access, same-day mental health support”.

The deputy minister revealed she had met with Professor Ann John, national adviser for suicide prevention and self-harm, and pledged to provide a written statement setting out the government’s priorities – with a focus on male suicide.

Ms Jewell also said: “For too long, women’s health has been treated as an afterthought” – and pledged to tackle women’s pain in healthcare.

“How many women have been told, ‘this might hurt’, and have been afraid to speak up and say that they are in pain?” Ms Jewell asked.

“Women’s voices should be heard. Their pain should not simply be endured. I am determined to change this.”

Ms Jewell continued: “We will be refreshing elements of the NHS Wales women’s health plan, with action this year focused on improving endometriosis and abortion services.

“I will want to hear from women directly. We’ll be commissioning work to gather women’s feedback, and we’re also carefully considering the women’s health hub model to improve consistency.”

Ms Jewell confirmed plans to host a ministerial summit on the matter on July 16, and pledged to help those struggling to get appointments, families waiting too long for diagnoses, and women who have not been believed.

She said: “I want to bring hope, to bring change, and, most of all, to be a voice for those who have not been heard. I promise I am listening.”

James Evans, Reform’s shadow minister for health and prevention, congratulated Ms Jewell on her appointment but reminded her that “warm words […] need to be matched by delivery, deadlines and accountability”.

Mr Evans quizzed his opposite number on her plans for a national care service, something Ms Jewell pledged would be created this Senedd term alongside a new national care academy.

But Mr Evans said he has “long opposed” its creation, describing it as an “unnecessary additional level of bureaucracy and a drain on vital public money”.

He added: “A national care academy, fair pay and conditions, better support for unpaid carers – there’s something we all want – and those significant commitments that you’ve made also need to be matched by funding.”

Mr Evans called for a “practical timetable” on this, asking when the national care academy will be online, and how the Welsh Government will ensure the national care service does not become “another layer of bureaucracy”. 

In response, Ms Jewell said: “We want to make sure that what we have for people is greater than the sum of those parts, that actually there is parity of esteem for people in the workforce.

“[…] It’s bizarre, isn’t it, that there’s never been a founding moment for the care service in the way that we’ve had with the NHS. We celebrated the NHS’s birthday a few days ago; when I was talking about the same space in our psyche, we should be celebrating this work.

“Most people will come into contact with the NHS and with other areas of public service throughout the course of our lives.”

Ms Jewell spoke of the importance of increasing the status of the sector and said: “Most people only come into contact with the care service when something has either gone wrong with them or someone else they love.”

Answering Mr Evans’ questions on timescale, Ms Jewell admitted a lot of the work will take the course of the Senedd term but that some elements, such as the academy, she wants to bring forward “far earlier”.

Mr Evans also pressed Ms Jewell on her plans for suicide prevention, and welcomed the focus on male suicide.

He said: “One of the biggest groups that does suffer from suicide is young white men, and young men in general. They are the people who suffer the most and they do need to be supported.”

Mr Evans called for a dedicated men’s health plan, adding that it should not be limited solely to suicide prevention but also other issues such as cardiovascular disease and fathers struggling with newborns.

In response, Ms Jewell said: “I am prepared to engage with you and other members on this as a concept, because, of course, you’re right that certain health issues are either only apparent in men, or have a disproportionate effect on men.

“And there’s lots of work, including what I’ve said about male suicide. The upcoming cancer plan will look at improving rates of diagnosis in areas like prostate cancer. Whether we need to bring that together in one men’s health plan, I am open to the idea – let’s have further conversations.”

Labour’s spokesperson for public and preventative health, Jayne Bryant, told the Siambr that “for far too long, women’s voices and experiences in the healthcare system have not been given their due weight.”

Ms Bryant, of Casnewydd Islwyn, drew attention to the work of the previous Labour government to support women’s health – from “free period products, to menopause support, to creating women’s health hubs in every health board.”

She told the Senedd it was “disappointing” to see “no dedicated action” for women’s health in Plaid Cymru’s pledges for the first 100 days in government. 

She called for the deputy minister to share the government’s plans to address endometriosis – a condition which affects one in ten women in Wales.

Ms Bryant told the Siambr that “advances are being made in diagnosis” and Wales must make sure it’s ready to adapt.

She said: “Rapid endometriosis tests have just been given the go-ahead by the National Institute for Health and Care Excellence, which will help to significantly reduce the time it takes for women to be told whether they have the condition.

“One test, I believe, provides that result in 45 minutes. Currently, getting a diagnosis can take years. So, when does the minister expect women in Wales to be able to access those new tests?”

Ms Jewell paid tribute to the work done by Labour’s Sarah Murphy and Eluned Morgan on women’s health in the last Senedd term.

She said: “It should not be normal for women to have to go for so many appointments before they get the symptom diagnosis that they deserve.

“So, I want to look at this in terms of how it is working in hubs, how it’s working in primary care, all the way through to tertiary services as well. It’s going to be a focus of the women’s health plan.”

Conservative spokesperson for health and social care, Natasha Asghar, questioned the deputy minister on endometriosis and polyendocrine metabolic ovarian syndrome (PMOS), formerly known as polycystic ovary syndrome.

Ms Asghar told colleagues that NICE published draft guidelines on PMOS last week which recommended “faster diagnosis and an annual review of women and girls aged ten and over to include symptoms and signs of PMOS.”

She called on Ms Jewell to consider annual reviews of the condition alongside the training of doctors and health professionals across Wales to ensure they can spot the signs of PMOS. 

Ms Jewell acknowledged the draft guidance but noted the final recommendations won’t be available until December.

Ms Asghar, of Casnewydd Islwyn, also highlighted the importance of quality education on menstrual health and menopause.

She said: “All too often, women and girls cope with endometriosis and PMOS because they believe that heavy and painful periods are a normal part of their menstrual journey.”

Ms Asghar said she had asked the previous education minister about “ensuring universal menstrual health education within the curriculum”, and asked Ms Jewell how she will ensure “quality menstrual health education” is available Wales-wide.

She also said she has raised “consistent concerns” about the delivery of advice and support for menopause alongside menstrual health.

Ms Asghar noted that Cardiff and Vale University Health Board has launched a menopause hub in Ely, and asked about their Wales-wide rollout.

In response, Ms Jewell said she is “willing and eager” to work cross-party to ensure the message gets out to women and to “empower them to use their voice”.

A £26,273 donation from the West Wales Prostate Cancer Support Group has helped create a calmer and more comfortable space for patients undergoing cancer treatment

A GENEROUS charitable donation has helped transform the patient waiting room at Glangwili Hospital’s Chemotherapy Day Unit.

Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, has used a £26,273 donation from the West Wales Prostate Cancer Support Group to fund a major refurbishment of the unit’s waiting room and adjacent kitchen.

The West Wales Prostate Cancer Support Group is a patient-led group of volunteers working across West and South West Wales, offering support to prostate cancer patients, as well as their families and friends.

The project has created a more welcoming, comfortable and calming environment for patients receiving treatment, along with relatives and carers who accompany them to appointments.

Before the refurbishment, the waiting area was described as dated, dark and uninviting, in contrast to the compassionate care provided by staff within the unit. Patients can often spend long periods in the space before treatment or clinic appointments.

The work included the removal of old fixtures, full redecoration, new flooring and ceiling, the purchase of more comfortable furniture, and the addition of artwork to help improve the atmosphere.

Gina Beard, Lead Cancer Nurse, said: “We are so grateful for the donation from the West Wales Prostate Cancer Support Group, which has enabled us to transform the space.

“This has made a real difference to our patients. We’ve been able to create a space that feels less clinical and more comforting. The calming colours and comfortable seating help ease anxiety and make a difficult time a little more bearable for patients and their loved ones.”

Nicola Llewelyn, Head of Hywel Dda Health Charities, added: “We are deeply grateful to the West Wales Prostate Cancer Support Group for their donation.

“Your generosity has enabled us to create a pleasant and relaxing space for patients and their families.”

Hywel Dda Health Charities supports NHS patients and staff across Carmarthenshire, Ceredigion and Pembrokeshire.