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PAHO issues first guide for tungiasis treatment — Level A1 — woman in black tank top with white face mask

PAHO issues first guide for tungiasis treatmentCEFR A1

16 Sept 2025

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Adapted from Agustín Gulman, SciDev • CC BY 2.0

Photo by engin akyurt, Unsplash

Level A1 – Beginner
2 min
70 words
  • Tungiasis is a skin disease caused by fleas.
  • The flea is called Tunga penetrans.
  • It causes pain, burning and strong itching.
  • The feet often have the parasite.
  • Millions in Latin America, Caribbean and Africa suffer.
  • Children and older adults suffer most from it.
  • PAHO published the first treatment guide.
  • PAHO recommends low-viscosity dimethicone as treatment.
  • If dimethicone is unavailable, use ivermectin.
  • Never pull fleas out with needles or pins.

Difficult words

  • tungiasis — a disease caused by a sand flea.
  • disease — a health problem in the body.
  • skin — the outer layer of the body.
  • itch — to have a tickling feeling on the skin.
  • cream — a thick liquid for skin.
  • treat — to help someone feel better.
  • rules — guidelines to follow.

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • How can we help people with tungiasis?
  • Why do you think poor areas have more cases?
  • What do you think of the new treatment rules?

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