J. Heukelbach, S. Franck, H. Feldmeier; High attack rate of Tunga penetrans (Linnaeus 1758) infestation in an impoverished Brazilian community. Trans R Soc Trop Med Hyg 2004; 98 (7): 431-434. doi: 10.1016/j.trstmh.2003.12.004
Tungiasis (jigger) is endemic in many impoverished communities in many parts of Brazil. Forty-seven individuals entering an endemic area were followed up for a period of six weeks and regularly examined for the presence of newly embedded sand fleas. At the end of the third week, the attack rate of Tunga penetrans infestation had already approached 100%.