Common problems for donkeys arriving at the clinics include signs of exhaustion, malnutrition and ailments of the teeth and feet. Donkeys may also be infested with worms or lice or have open wounds caused by poor harnessing or whipping. Injuries from road traffic accidents are also increasingly common and in some areas, terrible wounds can be inflicted by packs of dogs or hyenas, particularly to young foals. In Egypt, Ethiopia, India, Kenya and Mexico, the Donkey Sanctuary provides services in remote areas with high donkey populations.