Screwworms are larvae of the New World Screwworm fly (Cochliomyia hominivorax) and Old World Screwworm fly (Chrysomya bezziana). Screwworm flies lay eggs in open wounds on animals and people. One female can lay up to 400 eggs at a time, which can hatch within 12 hours. After hatching, larvae feed on exposed tissue. As larvae feed, they make the wound larger and deeper. Screwworm infestation is fatal if not treated.
New World Screwworm flies are found in parts of Central and South America, and in certain Caribbean Islands. The United States, Mexico, and Canada are considered free of screwworm. Old World Screwwrom flies are found in Africa, the Indian subcontinent, and southeast Asia.
Yes, people can develop Screwworm infestation through open wounds. Open wounds should be cleaned and treated immediately to deter C. hominivorax or C. bezziana flies. Any suspected Screwworm infestation should be referred to a doctor immediately for appropriate treatment.
Treatment for Screwworm involves killing and removing larvae. The wound should be treated with an effective and approved pesticide. Antibiotics may be given to treat secondary infection. Any animal suspected of having a Screwworm infestation should be reported to the State Veterinarians or USDA Area Veterinarian in Charge immediately.
All animals entering the United States from Screwworm endemic areas must be thoroughly inspected for the presence of larvae.
Alexander, JL. Screwworms. JAVMA. 2006;228(3):357-366