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The economic impact of a screwworm epidemic in the U.S. would total in the billions.

A Maryland resident has become the first U.S. patient in years diagnosed with a screwworm infestation—a parasite infamous for eating living flesh. While the patient has recovered and health officials insist the risk to the public is minimal, the case is a grim reminder: the New World screwworm is moving north. If it takes hold, the impact wouldn’t just be medical—it could devastate America’s livestock industry, with losses projected at nearly $2 billion.

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