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I don't think worms are much more nuanced than sanitation -- I think even with good health care practices a number cases would happen, given their living conditions. The abstract linked in the article says Lowndes County was chosen specifically because of previous hookworm problems, high poverty, and bad sewage management. My takeaway was that we have people in our country living with 3rd world sewage sanitation, and 1/3 of the people tested have hookworm because of it.

I agree with your points, I just wanted to defend going barefoot a bit.