All water for washing or drinking must be boiled, or treated and filtered. Local transportation is on foot or on bicycles. Flat tires are a daily occurrence, often miles from any way to fix them. Horrendous Matatu accidents are common on the extremely poorly maintained highway. There is no electricity except in the bars.
Mosquitos are everywhere and carry the deadliest form of malaria.
The Malaria pills, one's only real protection, often have unpleasant side effects. Typhoid, hepititus, TB and on and on. People are very poor, get sick, are hungry and die. Our kids, who we know and love, get sick and some die. All are innocent, none deserve these things that happen to them.