Summary The probability of observing more than 10 human cases of New World screwworm (NWS) in the United States during 2026 is extremely low, assessed at just 4%. As of June 10, 2026, there have been zero human cases reported in the US. While there is an ongoing large-scale outbreak among animals in Central America and Mexico, with recent detections in Texas and New Mexico, NWS predominantly affects animals, not humans. Historically, human infestations in the US are exceedingly rare. Even during previous localized animal outbreaks, such as the 2016 event in Florida, human cases were essentially non-existent. A scenario where over 10 human cases occur would require an unprecedented breakdown in public health surveillance, vector control, and agricultural response. The US has robust healthcare systems and highly effective agricultural mitigation strategies, such as the sterile insect technique, which rapidly contain NWS spread. The overall probability distribution reflects a steep drop-off for multiple cases: there is a 41% chance of at least one human case, dropping to 8% for over 5 cases, and just 4% for over 10 cases. This illustrates that while a singular travel-associated or rare local transmission event is plausible, a widespread outbreak involving double-digit human cases is highly improbable. Strongest Arguments for Yes
- The ongoing NWS outbreak in Central America and Mexico is severe and has already led to animal cases spilling over into border states like Texas and New Mexico.
- Increased cross-border travel and agricultural trade could introduce more cases, increasing the baseline risk for humans.
- If eradication efforts fail to contain the animal outbreak quickly, a larger infected fly population could increase the incidental risk to humans, particularly agricultural workers or vulnerable individuals in rural areas. Strongest Arguments for No
- As of mid-June 2026, there are zero reported human cases in the US, meaning at least 11 cases would need to occur in the remaining months of the year.
- NWS is overwhelmingly a veterinary issue; human cases are historically extraordinarily rare even when animal cases are actively spreading.
- The US employs aggressive and highly effective mitigation strategies, including the sterile insect technique, which quickly suppresses and eradicates NWS populations before they can sustain transmission.
- The robust US healthcare system and strong public health surveillance mean any initial cases would trigger massive preventative measures, preventing a cluster of over 10 cases. Key Uncertainties
- Effectiveness of animal outbreak containment: Whether agricultural authorities can rapidly deploy eradication techniques to eliminate the current animal outbreaks in border states will directly impact the risk to humans.
- Progression of the international outbreak: If the situation south of the US border worsens significantly, the volume of imported NWS could rise, testing US border biosecurity.
- Travel-associated importation: An unexpected cluster of travelers returning to the US from heavily affected regions with NWS infections could rapidly inflate the case count without requiring local transmission.