Lab technician and informal mycetoma specialist John Ekai (L), 30, inspects the infected foot of mycetoma patient Mark Ekaru, 28, (R) during a consultation at Lodwar County Referral Hospital in Lodwar on April 1, 2025. Mycetoma is a fungal or bacterial infection that enters the body through any open wound, often as tiny as a thorn prick, and initially manifests as barely-noticeable bumps under the skin before slowly eroding the tissue, muscles and bone. The fungal variety is endemic across the so-called 'mycetoma belt', including Somalia, Sudan, Yemen and northern Kenya, with both funding and research desperately lacking. (Photo by Luis TATO / AFP)