A ProMED-mail post
ProMED-mail is a program of the International Society for Infectious Diseases
Date: Wed 2 Oct 2024
Source: Prensa Latina [in Spanish, machine trans., edited]
Panama warns of new outbreak of screwworm epidemic
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Panamanian authorities have warned of a new epidemic the country is currently facing with cases of the cattle screwworm which also affects humans.
In statements to Prensa Latina, Carlos Moreno, from the Panama-United States Commission for the Eradication of the Screwworm (COPEG) specified the rise of the plague in mid-2023 was due to the lack of vigilance by both citizens and authorities during the COVID-19 pandemic.
In addition, he explained, the increase in cases, some 27 330 from 2022 to date, was due to other factors such as climate change, movement control, and greater awareness among the population.
The screwworm is not only affecting livestock; humans and other animal species are also being harmed.
In Panama, the Ministry of Health (MINSA) has recorded some 79 cases, according to epidemiologist Damaris Contreras, who called on people not to treat wounds at home but to go to health centers or hospitals.
The screwworm, which is laid by the fly _Cochliomyia hominivorax_, feeds on the living tissue of animals and can be fatal if not treated properly. This fly seeks to lay its eggs in “fresh wounds” of any type of warm-blooded animal. In a single wound, this fly can lay between 150 and 300 eggs, explained Lester Reyes, from Animal Health Epidemiology at the Ministry of Agricultural Development (MIDA). Once the larvae develop, they leave the wound and drop to the ground, where they bury themselves until they reach the pupal stage and thenbecome adult flies. Therefore, when healing these wounds, the maggots must be removed and eliminated immediately, because if they are left alive they turn into flies.
Panama has the only plant for the production of sterile flies which counteract the reproduction of flies laying the eggs of the screwworm. Specifically, the impact is occurring in other countries has led Panama to suspend the distribution of sterile flies, said Reynaldo Vivero, from MIDA, who also explained sterile flies are not being distributed in the country, since they are being sent to other countries to control the outbreak.
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Note: The screwworm fly historically was endemic in the USA and was eradicated by the first SIT program. The fly eventually was pushed south of Mexico, with Panama being the southern border maintained by surveillance and further fly releases. Panama has the only remaining sterile fly production facility. The fly is still endemic in parts of South America. Northern dispersal, if not immediately contained, would require a large scale eradication effort that would be very costly.