Take two, apply daily to prevent infection

The condition, which can progress to elephantiasis of the legs and male genitals, is caused by a combination of high altitude, high rainfall and persistent contact with irritant red clay soil.

“Footwork aims to bring together public and private partners to prevent and treat podoconiosis, integrating control with that of other neglected tropical diseases,” according to a Lancet report. “[And] partnering with organisations that work in foot-related disorders to advocate for shoes as ‘the new bed nets’.”

Lancet 2012; 379: 1004