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1

Proctor, Eileen M. "Tunga penetransAcquired while Traveling in Africa." Canadian Journal of Infectious Diseases 5, no. 2 (1994): 82–83. http://dx.doi.org/10.1155/1994/781314.

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2

Mazigo, Humphrey D., Emmanuel Behamana, Maria Zinga, and Jorg Heukelbach. "Tungiasis infestation in Tanzania." Journal of Infection in Developing Countries 4, no. 03 (2010): 187–89. http://dx.doi.org/10.3855/jidc.680.

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Tungiasis is caused by the jigger flea Tunga penetrans. We describe a case of severe infestation from Kigoma region, Western Tanzania. A 19-year-old male with epilepsy and mental disability presented with ulcerated and inflamed toes. Clinical examination revealed the presence of approximately 810 embedded jigger fleas on the feet, and another 60 lesions on the hands. The patient presented with fissures on the feet, hands and soles. He had difficulty walking and erythematous, oedematous, ulcerated and inflamed skin around the feet. Living conditions were precarious. The patient was assisted to
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3

Heukelbach, Jorg. "Tungiasis." Revista do Instituto de Medicina Tropical de São Paulo 47, no. 6 (2005): 307–13. http://dx.doi.org/10.1590/s0036-46652005000600001.

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Tungiasis is a neglected parasitic skin disease caused by the permanent penetration of the female sand flea (also called jigger flea) Tunga penetrans into the skin of its host. After penetration, most commonly on the feet, the flea undergoes an impressing hypertrophy, and some days later the abdominal segments of the flea have enlarged up to the size of about 1 cm. The flea infestation is associated with poverty and occurs in many resource-poor communities in the Caribbean, South America and Africa. In this review, a historical overview on tungiasis is given. The natural history, pathology, ep
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4

Mørkve, Åse Walle, Jackline Sitienei, and Graziella Van den Bergh. "“We Are Just Supposed to Be an NGO Helping”: A Qualitative Case Study of Health Workers’ and Volunteers’ Perceptions of the Government and Civil Society’s Role in Fighting Jiggers in Bungoma County, Kenya." Societies 14, no. 2 (2024): 28. http://dx.doi.org/10.3390/soc14020028.

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Non-governmental organizations (national and international) are important actors in addressing health issues in Kenya. Sandflea/jigger infections (tungiasis) are a public health challenge that severely affect children, older adults, and other vulnerable people in poor communities worldwide. In Kenya, NGOs have been involved in sandflea eradication for more than twenty years. Without treatment, the flea may cause debilitating infections and sores, resulting in difficulties with walking and grasping, as well as social harassment. This paper aims to shed light on health workers’ and volunteers’ p
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5

Mazigo, H. D., E. Bahemana, E. T. Konje, et al. "Jigger flea infestation (tungiasis) in rural western Tanzania: high prevalence and severe morbidity." Transactions of the Royal Society of Tropical Medicine and Hygiene 106, no. 4 (2012): 259–63. http://dx.doi.org/10.1016/j.trstmh.2011.12.001.

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6

Ugbomoiko, Uade S., Liana Ariza, and Jorg Heukelbach. "Pigs are the most important animal reservoir for Tunga penetrans (jigger flea) in rural Nigeria." Tropical Doctor 38, no. 4 (2008): 226–27. http://dx.doi.org/10.1258/td.2007.070352.

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We examined the domestic animals and rodents in a community in rural Nigeria. Of the 133 animals examined, 29 (21.8%) were infested, the highest prevalence of infestation and highest parasite load was found in the pigs (prevalence 54.8%, median = nine embedded parasites), followed by dogs (45.5%; median = 4), Rattus rattus (29.4%; median = 2) and Mus minutoides (15.4%; median = 1.5). Of all the tungiasis lesions identified 83% were found in pigs. Our data confirm that tungiasis is a zoonotic disease, and that pigs are its most important animal reservoir in this endemic community.
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7

Mørkve, Åse Walle, Jackline Sitienei, and Graziella Van den Bergh. "A qualitative case study of community experiences with Tungiasis in high prevalence villages of Bungoma County, Kenya: “The whole body aches and the jiggers are torturing me!”." PLOS Neglected Tropical Diseases 17, no. 4 (2023): e0011304. http://dx.doi.org/10.1371/journal.pntd.0011304.

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Introduction Tungiasis is a painful skin infection caused by a flea called Tunga Penetrans/jiggers, which enters the epidermis of humans and animals. If untreated it may result in bacterial infection, sepsis, necrosis, and disability. In Kenya, it is estimated that 4% of the population suffer from jigger infestation. The aim of this study was to contribute with knowledge about the experiences of those affected, perceived causes and local coping strategies, to improve the control and elimination of this neglected condition. Method A qualitative case study research design was applied involving f
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8

Klimpel, S., H. Mehlhorn, J. Heukelbach, H. Feldmeier, and N. Mencke. "Field trial of the efficacy of a combination of imidacloprid and permethrin against Tunga penetrans (sand flea, jigger flea) in dogs in Brazil." Parasitology Research 97, S1 (2005): S113—S119. http://dx.doi.org/10.1007/s00436-005-1454-z.

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9

Kiesewetter, Tim, Liana Ariza, Maria M. Martins, et al. "In VitroEfficacy of Four Insecticides Against Eggs of Tunga penetrans (Siphonaptera)." Open Dermatology Journal 7, no. 1 (2013): 15–18. http://dx.doi.org/10.2174/1874372220130723003.

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Systematic assessments of control measures against the jigger flea Tunga penetrans are scarce, and there are no published data available on the efficacy of environmental insecticides against immature stages. We tested four environmental contact insecticides used by Brazilian authorities for disease control (deltamethrin, bifenthrin, dichlorvos and etofenprox) against T. penetrans eggs. Eggs were reared in vitro. Hatch rates were observed under standardized conditions and compared to a control group (40 eggs in each group). No larvae hatched after treatment with the organophosphate dichlorvos (
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10

Abrha, Solomon, Julia K. Christenson, John McEwen, et al. "Treatment of tungiasis using a tea tree oil-based gel formulation: protocol for a randomised controlled proof-of-principle trial." BMJ Open 11, no. 7 (2021): e047380. http://dx.doi.org/10.1136/bmjopen-2020-047380.

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IntroductionTungiasis (sand flea disease or jigger infestation) is a neglected tropical disease caused by penetration of female sand fleas, Tunga penetrans, in the skin. The disease inflicts immense pain and suffering on millions of people, particularly children, in Latin America, the Caribbean and sub-Saharan Africa. Currently, there is no standard treatment for tungiasis, and a simple, safe and effective tungiasis treatment option is required. Tea tree oil (TTO) has long been used as a parasiticidal agent against ectoparasites such as headlice, mites and fleas with proven safety and efficacy
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11

Mørkve, Åse Walle, and Mai Camilla Munkejord. "Reducing Prejudice against Children with Tungiasis: A Qualitative Study from Kenya on How a School Intervention May Raise Awareness and Change Attitudes towards Neglected Diseases." Societies 13, no. 6 (2023): 139. http://dx.doi.org/10.3390/soc13060139.

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Tungiasis/jiggers, which is caused by the sand flea, tunga penetrans, is a ferocious but neglected disease that affects millions of people in more than 80 low-income countries. If left untreated, jiggers may not only cause pain and secondary infection, but also lead to disabilities, including difficulties grasping and walking, concentration problems, sleep disturbance, skin issues and, among children, exclusion from school due to stigma and prejudice. This study aims to shed light on how a sensitising school intervention may increase awareness and improve attitudes towards jiggers among non-af
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12

Mekonen, Teweldemedhn, Shishay Markos, Kibrom Esak, and Tesfay Ataklti. "Flock Dynamics, Production Challenges and Opportunities of Indigenous Goat and Sheep Populations in North Western and Western Zones of Tigray Region, Ethiopia." International Journal of Veterinary Medicine and Animal Science 1, no. 1 (2024): 32–45. http://dx.doi.org/10.54536/ijvmas.v1i1.2975.

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The survey was conducted before the war (before October 2020) in Tigray Regional State, Ethiopia. Indigenous (102 Begait, 106 Hassan and 181 Arado) goat respondents and sheep respondents (126 Begait, 37 Rutanna and 90 Arado) were randomly involved in the head to head interview. Statistical Package for Social Sciences, index ranking and mathematical formulas were used for data analysis. The objective of this survey was to assess flock dynamics, production challenges and opportunities of indigenous goat and sheep populations. Very limited numbers of goat respondents (17% of Begait, 1% of Hassan
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13

Okumu, Thomas Opiyo. "The Burden of Tungiasis (Jiggers’ Infestation) and Its Impact on Rural Vulnerable Populations in Kenya: A Comprehensive Health Assessment on Muranga County, Kenya." International Journal of TROPICAL DISEASE & Health 45, no. 4 (2024): 46–52. http://dx.doi.org/10.9734/ijtdh/2024/v45i41527.

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Tungiasis, commonly known as jiggers’ infestation, poses significant health challenges within the vulnerable rural population in Kenya. This parasitic skin disease is caused by the female sand flea Tunga penetrans and primarily affects individuals living in impoverished and overcrowded conditions. The infestation leads to severe discomfort, pain, inflammation, and secondary infections, impacting the physical and mental well-being of those affected. This abstract aims to assess the health challenges brought by tungiasis in rural Kenya and especially in Muranga County, highlighting the need for
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14

Yen, Jiun Y., Katherine M. Broadway, and Birgit E. Scharf. "Minimum Requirements of Flagellation and Motility for Infection of Agrobacterium sp. Strain H13-3 by Flagellotropic Bacteriophage 7-7-1." Applied and Environmental Microbiology 78, no. 20 (2012): 7216–22. http://dx.doi.org/10.1128/aem.01082-12.

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ABSTRACTThe flagellotropic phage 7-7-1 specifically adsorbs toAgrobacteriumsp. strain H13-3 (formerlyRhizobium lupiniH13-3) flagella for efficient host infection. TheAgrobacteriumsp. H13-3 flagellum is complex and consists of three flagellin proteins: the primary flagellin FlaA, which is essential for motility, and the secondary flagellins FlaB and FlaD, which have minor functions in motility. Using quantitative infectivity assays, we showed that absence of FlaD had no effect on phage infection, while absence of FlaB resulted in a 2.5-fold increase in infectivity. AflaAdeletion strain, which p
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15

Gerald, Amatre, Bunny Lejju Julius, and Andama Morgan. "Jigger Flea (Tunga penetrans) Infestations and Use of Soil-Cow Dung-Ash Mixture as a Flea Control Method in Eastern Uganda." International Journal of Biological, Life and Agricultural Sciences 11.0, no. 6 (2018). https://doi.org/10.5281/zenodo.1317146.

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Despite several interventions, jigger flea infestations continue to be reported in the Busoga sub-region in Eastern Uganda. The purpose of this study was to identify factors that expose the indigenous people to jigger flea infestations and evaluate the effectiveness of any indigenous materials used in flea control by the affected communities. Flea compositions in residences were described, factors associated with flea infestation and indigenous materials used in flea control were evaluated. Field surveys were conducted in the affected communities after obtaining preliminary information on jigg
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