Health Department
By Mpho Moloi
The Gauteng Department of Health has refuted allegations of a widespread outbreak of myiasis infections in the Tshwane region. This clarification comes after social media reports suggested an escalation of cases involving maggot infestations in Pretoria North clinics. 
Investigation and Findings
Over the past weekend, five patients presented at Odi District Hospital in Tshwane with suspected myiasis infections. Upon thorough medical evaluation:
• Two individuals were diagnosed with abscesses unrelated to myiasis.
• Three patients were confirmed to have myiasis but were subsequently treated and discharged.
Following these incidents, the department’s Public Health Directorate and Tshwane District Health Services conducted comprehensive investigations. Spokesperson Motalatale Modiba stated that there was no evidence supporting claims of a widespread outbreak. He emphasized that myiasis is not a contagious disease, and the reported cases do not indicate an epidemic. 
Understanding Myiasis
Myiasis is a parasitic infestation caused by the larvae of certain fly species depositing eggs on human or animal tissues. The larvae penetrate the skin, leading to various clinical manifestations. The condition is categorized based on the affected body area:
• Cutaneous Myiasis: Larvae invade the skin, resulting in boil-like sores.
• Intestinal Myiasis: Occurs when larvae are ingested, leading to abdominal discomfort.
• Urogenital Myiasis: Involves infestation of the urinary tract, causing symptoms like dysuria and hematuria.
Individuals with untreated or open wounds are at a higher risk, especially in tropical and subtropical regions. However, myiasis cannot be transmitted from person to person; it requires direct contact with fly larvae. 
Symptoms and Treatment
Common signs of cutaneous myiasis include:
• Painful, swollen boils on the skin.
• A lump in the tissue where the larva resides.
• Movement sensation under the skin as the larva grows.
Treatment typically involves:
• Mechanical Removal: Extracting the larvae manually, often by applying pressure around the lesion or using forceps.
• Occlusion Therapy: Covering the breathing hole of the larva with substances like petroleum jelly to force it to the surface due to lack of oxygen.
• Surgical Intervention: In cases where larvae are deeply embedded, minor surgical procedures may be necessary.
Post-removal, the wound should be cleaned and disinfected to prevent secondary bacterial infections. 
Public Assurance
The Gauteng Department of Health urges the public to remain calm, reiterating that there is no widespread myiasis outbreak in Pretoria North. Residents are advised to maintain proper hygiene and seek medical attention if they notice unusual skin lesions or symptoms indicative of myiasis. The department remains vigilant and continues to monitor the situation to ensure public health and safety. 
Preventive Measures
To minimize the risk of myiasis:
• Personal Hygiene: Keep skin clean and promptly treat any wounds or sores.
• Protective Clothing: Wear appropriate clothing to reduce skin exposure, especially in areas prone to flies.
• Environmental Sanitation: Proper waste disposal and maintaining clean surroundings can reduce fly populations.
• Clothing Care: Avoid drying clothes on the ground or in areas accessible to flies. Ironing clothes, especially in endemic regions, can kill any eggs or larvae present.
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