Jiggers or Chigoe fleas are sand fleas found in the sub-Saharan Climate that burrow into the skin and lay eggs. They are locally referred to as chinyende. Jigger infestation is one of the neglected public health problems in Kenya affecting over 4% of the population especially among the poorest households in endemic and high transition counties.
Out of the 306 villages in Bungoma County, 84 villages including Binyenya and Masaba are heavily infested with jiggers. 327 households in Sirisia are infested with jiggers with 803 known cases raging from moderately affected to severely affected.