The parasite — the larvae of the new world screwworm fly — can devastate cattle herds and is rife in parts of Central America.
Release Date
08/25/2025
The first human case of the flesh-eating parasite “New World screwworm” has been detected in the United States, the Department of Health and Human Services said early Monday.
The case, involving a person who had recently traveled to El Salvador, was confirmed to be screwworm by the Centers for Disease Control and Prevention and the Maryland Department of Health on Aug. 4.
The Maryland Department of Health said in a Monday statement that the resident has recovered “from the infection, and the investigation confirmed there is no indication of transmission to any other individuals or animals.”
“This is the first human case of travel-associated New World screwworm myiasis (parasitic infestation of fly larvae) from an outbreak-affected country identified in the United States,” HHS spokesperson Emily G. Hilliard said in a statement.
“The risk to public health in the United States from this introduction is very low,” he said.
The parasite — the larvae of the New World screwworm fly — can devastate cattle herds and is rife in parts of Central America and Mexico. It can destroy wildlife and even kill household pets.
There were serious outbreaks in the 1980s and 1990s in Central America and it was eradicated at great expense, only to return in the last two years.
U.S. Secretary of Agriculture Brooke L. Rollins traveled to Texas to announce a five-part plan to combat the screwworm on Aug. 15
This includes plans to breed billions of sterile flies and dump them from the air over southern Texas and Mexico in the hope of stopping the parasite’s spread.
The sterilized male flies mate with females, but the eggs don’t hatch. Eventually, the population reduces and dies out. This technique worked in the 1960s when the U.S. suffered its last screwworm outbreak.
And the federal government may face calls to accelerate its work on this: When first announced in June, the sterilization plan wasn’t due to be operational for “two to three years.”
Texas Gov. Greg Abbot, commenting on the federal government scheme, said the state agriculture industry, with its 2 million jobs, was worth $867 billion. “All of this is at risk because of the New World screwworm.”
A report from the USDA last year estimated an outbreak of screwworm could cost Texas at least $1.8 billion due to livestock deaths, labor costs and medication.
The little parasitic flies — also known as cochliomyia hominivorax — have an effect that’s vast and devastating, but in isolation quite disgusting. The females can lay eggs in any warm-blooded animal, which then hatch unleashing hundreds of screwworm larvae, so-called because of their sharp mouths and their burrowing being compared to the motion of a screw.
Human infections can be fatal but are rare and most cases can be treated.
The USDA has said that screwworms have been making their way north into Mexico from other parts of Central America. The fly is endemic in Cuba, Haiti, the Dominican Republic and some South South American nations it said.
Mexico reported a case in Ixhuatlan de Madero, Veracruz, in July, 370 miles from the Texas border, prompting DHH to immediately shut down cross-border cattle trade, following similar stops in November and May.
