Some of these people (Kipsigis) make a subsistence living on small plots of land. Nomads (Maasai) also are in the interior part of the district Most of the water for the households is carried from seasonal springs or a small plastic tank approximately 1 km. away from the dispensary. The entire population suffers from outbreaks of waterborne diseases such as amoebiasis, typhoid, and dysentery. Rural dispensaries/clinics in Kenya may be the only “public building” for kilometers but are surrounded by many small land holdings occupied by families who make their homes away from towns. The nomads move their cattle around the district while following the greening of grass from rain. The people arrive at the dispensary after following winding foot and bike trails to seek medical advice, have their children vaccinated, receive malaria treatment and the nets to reduce exposure to mosquito bites, attend prenatal exams or monthly well baby clinics, pick up medications for TB or HIV, and receive treatment for the ever present intestinal parasites.