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Maryland Individual Identified with New World Screwworm Following Trip to El Salvador

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A has been with New World screwworm returning from El Salvador, marking the first confirmed U.S. case linked to from an outbreak area. The for Disease Control and Prevention () confirmed the on August 4, 2023. Fortunately, the individual has fully recovered, and no further transmission has occurred to other people or animals.

New World screwworm is a parasitic fly whose larvae infest open wounds, consuming living tissue. While it primarily impacts livestock, are rare and can manifest as wounds, visible maggots, and foul odors. Treatment usually involves surgically removing the larvae.

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Despite the Maryland case raising alarms, the overall risk to public health in the United States remains , as the infection does not spread from person to person. However, concerns have intensified among livestock producers due to the recent northward spread of the parasite through America and Mexico. In response, the U.S. Department of Agriculture (USDA) has halted imports of cattle from Mexico and is investing in a sterile fly facility in Texas to curb further spread.

Health officials stress the significance of vigilance, particularly for travelers to areas where the parasite is endemic. Recommended keeping open wounds clean and covered, applying insect repellent, and avoiding livestock in affected regions.

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The Maryland case highlights the necessity for ongoing monitoring and rapid response to prevent the reintroduction of New World screwworm into the United States, as establishment could pose severe risks to both human and animal health. are focused on ensuring the parasite does not gain a foothold in the .

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