creation of a new route for cattle rustling. Health and education Malaria is a problem is some parts of the county. In 2011, long lasting mosquito nets were being distributed to women and children under the age of five by Population Services International - Sudan, an NGO. In the first quarter of 2011, 136 cases of Dracunculiasis (guinea worm disease) were reported from Kapoeta East out of 194 cases for all of South Sudan. The disease is caught by drinking stagnant contaminated water. In 2009 there were plans to launch a vaccination program against Meningitis in the county, following reports of 62 cases of Meningitis A in Kapoeta North and South. Kapoeta East has the poorest level of health care coverage of Eastern Equatoria with just one facility for every 66,000 people. The Catholic Diocese of Torit operates a primary health care center in Narus with 25 beds for in-patients. The center provides clinical care, laboratory services, ANC, Immunization, Health Education and Child care. The Kuron Primary Health Care Unit at Kuron Peace Village, in the extreme east of the county is supervised by the Narus center. The diocese also operates a primary health care center at Nanyangachor, towards the Ethiopian border in the east of the county. This center has a catchment population of over 300,000 people from the Toposa and Nyangatom ethnic groups. A 2008 survey found that less than 30% of school age children were enrolled in schools in the Eastern Equatoria State. Prevalent cultural values did not favor education, particularly of girls, and girls lacked support while at school. Following a program initiated by UNICEF assisted by other organizations such as SNV Netherlands, a slight increase in enrollment was achieved. In 2009, 6,090 pupils (3,799 boys, and 2,291 girls) were enrolled in Kapoeta East County compared to 6,041 pupils (3,754 boys and 2,287 girls) in 2008. Issues For many years the Toposa people of Kapoeta have exchanged cross-border cattle raids with the Turkana people of Kenya, and have been involved in conflict over pasturage and access to water points. The two governments began intensive bottom-up conflict resolution approaches in May 2010. By July 2011 the Kapoeta East county commissioner Titus Lokwacuma reported that the situation was much calmer than it had been in the past. The border crossing at Nadapal on the road from Narus to Lokichogio in Kenya has a vital role in supply of