It is odd to me that demodectic rosacea is a controversy at all when you consider all the research papers on this subject. I have collected a list of such clinical research papers and the number is staggering and I doubt if any other subject studying rosacea has more articles. The most recent article on this subject concluded:
"We recommend the use of SSSB [standardized skin surface biopsy] for the measurement of Dd [density of Demodex folliculorum] as more patients with demodicosis can be diagnosed with this method compared with the DME [direct microscopic examination of fresh secretions from sebaceous glands] method."
What this means is that the researchers have concluded what I have been recommending since 2007 that rosacea sufferers should get a skin biopsy and test for demodex density count.
There are several methods to eradicate demodex:
Ivermectin (Stromectol), Tea Tree Oil, IPL, Camphor Oil, metronidazole, Oil of Oregano, Seabuckthorn Oil, ZZ cream, topically-applied ivermectin to name a few.