A few days ago, I spoke to a senior official at the World Health Organisation (WHO). I asked her if she knew how many people lived their lives on our planet without shoes. The reason I asked her this question is because I was wondering about Tungiasis, an ailment caused by the infection that results from the entry of a female sand flea (Tunga penetrans) into the skin. This problem has a variety of names in many different languages – from jigger or chigoe to niguá (Spanish) or bicho do pé (Portuguese) to funza (Kiswahili) or tukutuku (Zande). It is a terrible problem that disfigures the feet and makes mobility difficult. Shoes prevent these fleas from burrowing into the skin. She was not sure about the number but presumed that at least a billion people must live without shoes.

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