First U.S. travel-linked screwworm case confirmed in Maryland resident

One person infected with screwworm parasites; condition can be fatal if untreated.
The risk to public health in the United States is very low
CDC assessment of the single confirmed travel-associated screwworm case in Maryland.
Mark

So this is the first case of screwworm in a U.S. resident. How worried should people be?

Mimi

The CDC itself says the public health risk is very low. This is one person who got infected while traveling and came home. It's not spreading in the community.

Luke

Right, but we should be clear about what "low risk" means. It's low because screwworm doesn't naturally occur here. If it did establish in livestock, that's a different story entirely.

Mark

Which is why they're building that sterile fly facility in Texas?

Mimi

Exactly. The USDA is trying to prevent the parasite from ever getting a foothold in American livestock. The economic projections for Texas alone are staggering—$1.8 billion.

Luke

Though I'd note that's an estimate of what *could* happen, not what has happened. No animal cases confirmed yet.

Mark

What actually happens to someone who gets screwworm?

Mimi

The fly larvae burrow into your tissue and eat it. You develop a growing lump as they feed. It can be fatal if you don't catch it early.

Luke

And this patient—we don't know the outcome, do we? The source just confirms the diagnosis.

Mark

So the real concern is livestock, not travelers?

Mimi

Travelers are the vector, but yes. Livestock are highly vulnerable. That's where the economic and agricultural threat lives.

Luke

And that's why the surveillance matters. Catching travel cases early helps prevent accidental introduction to animals.

  • A Maryland resident returned from El Salvador carrying screwworm larvae — parasites that burrow into living flesh and can kill if left untreated.
  • The CDC confirmed the diagnosis on August 4, marking the first travel-associated human screwworm case ever recorded in the United States.
  • Health officials are urging calm: the infection is isolated to a single traveler, fits a known pattern of tropical exposure, and poses very low risk to the general public.
  • Beneath the human case runs a deeper agricultural alarm — screwworm establishing itself in U.S. livestock could cost Texas alone an estimated $1.8 billion in losses.
  • The USDA is already moving, with plans for a sterile fly facility in Texas designed to intercept the parasite before it can take hold in cattle, sheep, and goat populations.

A Maryland traveler returning from Central America has become the first person in the United States confirmed to carry screwworm, a parasitic fly larvae infection capable of consuming living tissue. The case, jointly investigated by the CDC and Maryland health officials, reflects the ancient and persistent reality that borders offer no true barrier to the biological world. Public health authorities assess the risk to the broader population as very low, yet the diagnosis arrives amid growing agricultural concern about what such a parasite could mean if it ever found purchase in American livestock.

A Maryland resident who had recently traveled to Central America was diagnosed with screwworm on August 4, confirmed by the CDC after examination of larvae samples — the first travel-associated human case of the parasitic infection recorded in the United States. The investigation was conducted jointly by the CDC and the Maryland Department of Health.

Screwworm, medically termed myiasis, occurs when female flies deposit eggs near wounds, the nose, or ears. The hatching larvae burrow into living tissue and feed on flesh, forming a growing lump beneath the skin. Without early treatment, the infection can be fatal. Female flies can also transmit eggs indirectly through ticks or mosquitoes, broadening the routes of exposure for travelers in endemic regions.

A spokesperson for the Department of Health and Human Services described the public health risk from this single case as very low. The CDC notes that myiasis is uncommon in the United States, with nearly all diagnosed cases tied to travel in tropical regions — a pattern this patient's case follows precisely.

The confirmation arrives as agricultural officials have grown sharply attentive to screwworm's potential to reach U.S. livestock. USDA Secretary Brooke Rollins announced plans this summer to build a sterile fly facility in Texas as a preventive measure. Economists warn that a screwworm outbreak among Texas cattle, sheep, and goats could inflict up to $1.8 billion in losses from animal deaths, treatment, and labor.

No animal cases have been confirmed in the United States this year. The Maryland diagnosis remains an isolated event — but it serves as a quiet reminder that surveillance systems exist precisely because the natural world does not observe the boundaries we draw.

A Maryland resident who recently traveled to Central America has been diagnosed with screwworm, marking the first travel-associated case of the parasitic infection confirmed in the United States. The Centers for Disease Control and Prevention confirmed the diagnosis on August 4 after examining larvae samples from the patient, who had returned from El Salvador. The case was investigated jointly by the CDC and the Maryland Department of Health.

Screwworm, medically known as myiasis, is a parasitic infestation caused by fly larvae that consume living tissue. The infection occurs when female flies deposit their eggs directly onto or near a person's wound, nose, or ears. The larvae can also reach humans indirectly when flies attach their eggs to ticks or mosquitoes, which then transmit the infection. As the larvae develop, they burrow into tissue and feed on flesh, creating a growing lump. Left untreated in its early stages, the infection can prove fatal.

According to Andrew Nixon, a spokesperson for the Department of Health and Human Services, the risk to the American public from this single case is very low. The CDC notes on its website that myiasis remains uncommon in the United States, with the vast majority of diagnosed cases occurring in people who contracted the infection while traveling to tropical regions where the parasite is endemic. This patient's case fits that pattern—a traveler who acquired the infection abroad and brought it home.

The discovery comes as U.S. agricultural officials have grown increasingly concerned about the potential for screwworm to establish itself in livestock populations. The parasite poses a significant economic threat to cattle, sheep, and goats. Earlier this summer, U.S. Department of Agriculture Secretary Brooke Rollins announced plans to construct a sterile fly facility in Texas as part of a broader strategy to prevent screwworm outbreaks. Economists estimate that if the parasite were to spread through Texas livestock, the state's economy could absorb as much as $1.8 billion in losses from animal deaths, labor costs, and treatment expenses.

No animal cases of screwworm have been confirmed in the United States this year. The Maryland case represents an isolated human infection in a traveler, not the beginning of a broader outbreak. Still, the confirmation underscores how readily infectious diseases can cross borders and the importance of surveillance systems that catch such cases early. The patient's diagnosis also highlights why travelers to Central America and other screwworm-endemic regions should take precautions to protect any wounds from insect exposure.

The risk to public health in the United States from this introduction is very low.
— Andrew Nixon, Department of Health and Human Services spokesperson
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