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Prevalence of Tungiasis and its associated risk factors among residents of Kipkelion West Sub-county, Kericho County, Kenya. Doctoral dissertation, Jomo Kenyatta University of Agriculture and Technology, 2016. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/ir.jkuat.ac.ke\/bitstream\/handle\/123456789\/2214\/Cheuri\" xlink:type=\"simple\">http:\/\/ir.jkuat.ac.ke\/bitstream\/handle\/123456789\/2214\/Cheuri<\/ext-link>"},{"issue":"10","key":"ref7","doi-asserted-by":"crossref","first-page":"e0005925","DOI":"10.1371\/journal.pntd.0005925","article-title":"Prevalence, intensity and risk factors of tungiasis in Kilifi County, Kenya: I. 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Morbidity, Risk Factors, and flea species responsible for Tungiasis in selected villages in Kisumu County, Kenya. Masters dissertation, Kenyatta University. 2015. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/ir-library.ku.ac.ke\/handle\/123456789\/13298\" xlink:type=\"simple\">http:\/\/ir-library.ku.ac.ke\/handle\/123456789\/13298<\/ext-link>"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1590\/S0036-46652005000600001","article-title":"Tungiasis","volume":"47","author":"J Heukelbach","year":"2005","journal-title":"Revista do Instituto de Medicina Tropical de S\u00e3o Paulo"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.trstmh.2005.06.033","article-title":"Identifying risk factors for tungiasis and heavy infestation in a resource-poor community in northeast Brazil","volume":"100","author":"M Muehlen","year":"2006","journal-title":"Transactions of the Royal Society of Tropical Medicine and Hygiene"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1186\/s12879-018-3373-5","article-title":"Prevalence and risk factors of tungiasis among children of Wensho district, southern Ethiopia","volume":"18","author":"M Girma","year":"2018","journal-title":"BMC infectious diseases"},{"key":"ref15","unstructured":"Wright, K.A. Web GIS as a DIsease Management Workspace: Enabling Advocacy at Multiple Scales Across Multiple Continents with the Case of Tungiasis. Master\u2019s thesis, University of Southern California. 2017. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/spatial.usc.edu\/wp-content\/uploads\/2017\/08\/Wright_Katherine\" xlink:type=\"simple\">https:\/\/spatial.usc.edu\/wp-content\/uploads\/2017\/08\/Wright_Katherine<\/ext-link>"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"141","DOI":"10.4081\/gh.2007.262","article-title":"Integrated disease mapping in a polyparasitic world","volume":"1","author":"S Brooker","year":"2007","journal-title":"Geospatial health"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S0065-308X(05)62007-6","article-title":"Global epidemiology, ecology and control of soil-transmitted helminth infections","volume":"62","author":"S Brooker","year":"2006","journal-title":"Advances in parasitology"},{"issue":"6","key":"ref18","first-page":"499","article-title":"Spatial modelling and the prediction of Loa loa risk: decision making under uncertainty","volume":"101","author":"PJ Diggle","year":"2007","journal-title":"Annals of Tropical Medicine & Parasitology"},{"issue":"7","key":"ref19","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S0169-4758(00)01687-2","article-title":"Towards an atlas of human helminth infection in sub-Saharan Africa: the use of geographical information systems (GIS)","volume":"16","author":"S Brooker","year":"2000","journal-title":"Parasitology Today"},{"key":"ref20","unstructured":"Ngugi E. Exploring Kenta\u2019s inequality. Pooling together or pooling apart? 2013. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.knbs.or.ke\/download\/vihiga-county-pdf\/\" xlink:type=\"simple\">https:\/\/www.knbs.or.ke\/download\/vihiga-county-pdf\/<\/ext-link>"},{"key":"ref21","unstructured":"Vihiga County first integrated development plan 2013\u20132017. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/roggkenya.org\/wp-content\/uploads\/docs\/CIDPs\/Vihiga-County-Integrated-Development-Plan_CIDP_2013-2017\" xlink:type=\"simple\">https:\/\/roggkenya.org\/wp-content\/uploads\/docs\/CIDPs\/Vihiga-County-Integrated-Development-Plan_CIDP_2013-2017<\/ext-link>."},{"key":"ref22","article-title":"Biostatistics: A Foundation for Analysis in the Health Sciences","author":"WW Daniel","year":"1999"},{"issue":"1","key":"ref23","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1177\/004947559702700108","article-title":"Conducting a descriptive survey: 2. Choosing a sampling strategy","volume":"27","author":"SB Macfarlane","year":"1997","journal-title":"Tropical doctor"},{"key":"ref24","first-page":"9","article-title":"Practical issues in calculating the sample size for prevalence studies","volume":"1","author":"L Naing","year":"2006","journal-title":"Archives of orofacial Sciences"},{"issue":"2","key":"ref25","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00436-002-0817-y","article-title":"Investigations on the biology, epidemiology, pathology and control of Tunga penetrans in Brazil: I. Natural history of tungiasis in man","volume":"90","author":"M Eisele","year":"2003","journal-title":"Parasitology research"},{"issue":"1","key":"ref26","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1186\/1471-2458-9-464","article-title":"Spatial autocorrelation analysis of health care hotspots in Taiwan in 2006","volume":"9","author":"PJ Tsai","year":"2009","journal-title":"BMC Public Health"},{"key":"ref27","unstructured":"Ministry of Health Kenya, division of environmental health. National Policy Guidelines on Prevention and Control of Jigger Infestations; 2014."},{"issue":"4","key":"ref28","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.trstmh.2011.12.001","article-title":"Jigger flea infestation (tungiasis) in rural western Tanzania: high prevalence and severe morbidity","volume":"106","author":"HD Mazigo","year":"2012","journal-title":"Transactions of the Royal Society of Tropical Medicine and Hygiene"},{"issue":"4","key":"ref29","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1111\/j.0269-283X.2004.00532.x","article-title":"The animal reservoir of Tunga penetrans in severely affected communities of north\u2010east Brazil","volume":"18","author":"J Heukelbach","year":"2004","journal-title":"Medical and veterinary entomology"},{"issue":"4","key":"ref30","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1258\/td.2007.070352","article-title":"Pigs are the most important animal reservoir for Tunga penetrans (jigger flea) in rural Nigeria","volume":"38","author":"US Ugbomoiko","year":"2008","journal-title":"Tropical Doctor"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1007\/s00436-007-0840-0","article-title":"Investigations on the biology, epidemiology, pathology, and control of Tunga penetrans in Brazil: VII. 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