This project assessed the current state of health of three rural Panamanian communities and evaluated the effectiveness of care provided by annual global health trips. Data collected from prior trips determined that the incidence of Sarcoptes scabiei (scabies) in these communities had significantly decreased and the incidence of Pediculus humanus capitis (head lice) increased from 2016 to 2017. We hypothesized that we would observe a similar pattern in 2018. A global health team consisting of 5 medical students and one dermatologist provided health care services to the rural Panamanian villages of Cerro de Plata, Los Valles, and Cañazas over a course of 5 days. Clinic patients and children from local schools were screened for evidence of dermatologic pathology. Each diagnosis was confirmed by the attending physician and medical information was documented by the students. We observed a dramatic decrease in the incidence of scabies in Cañazas and neighboring communities. In 2016, 12% of all cases seen were scabies. In 2018, 2% of all cases seen were scabies. In addition, the incidence of lice is decreasing but continues to be an issue. In 2017, 13% of all cases seen were lice while 10% were seen in 2018. The incidence of scabies dramatically decreased due to several factors including continued community education of scabies prevention by annual global health trips, increased medications for local health care providers, and empowered health care workers that provided appropriate health care. Further investigation of the cause of scabies decrease with local providers is warranted.