WARNING: This footage is not only graphic, but also extremely sensitive — viewer discretion is advised.

On the streets of Gambia, Africa, there’s an epidemic of stray dogs who are susceptible to countless diseases, including ticks and other parasites.

Fortunately, there are charitable organizations — such as Animal Care Association of Gambia — that are ensuring these animals are nurtured to health and placed in loving homes.

The organization has put up a video in which a six-week-old puppy is treated for a Mangoworm infestation.

mangoworm puppy

The vet says Mangoworms are very common in Gambia.

In the footage, the innocent animal can be heard whimpering in pain as more than 100 worms are squeezed from beneath the surface of the skin.

In the video, a volunteer vet who works with the charitable organization explains that this painful process is a necessary one.

mangoworm puppy

A close-up of the volunteer removing the Mangoworms from the poor pup

He says, “They have to come out, that’s the only way. Either when they are ready and fully developed by themselves, or by the owner or caretaker before that. The problem is that the owner/caretaker often does not give a sh-t or does not exist. We have a huge amount of dogs on the streets of the Gambia. That’s my main work.”

To help other homeless or sick dogs in Gambia, visit the Vet Clinic’s website for more information.