Occurrence of Tungiasis in Cear State, Northeast Brazil: Results of a Rapid Assessment Method

Background: Systematic data on the occurrence of tungiasis are scarce.Methods: We analyzed data on tungiasis in humans and animals from all municipalities of Ceara State, Northeast Brazil, using a rapid assessment questionnaire.Results: Among the 184 municipalities, 181 (98.3%) reported tungiasis in the past (before 2021) or currently, 120 (65.2%) reported current occurrence, 155 (84.2%) reported severe cases in the past or currently, 47 (25.5 %) reported severe cases currently, and 132 (71.7%) reported tungiasis in animals.Conclusions: Tungiasis is a significant public health concern in Ceara. A One Health approach is required to reduce the disease burden in humans and animals.