Three cases of myiasis have been reported near Damascus, marking the first appearance of the flesh-eating maggot disease in Syria, UN health experts said Friday.

Myiasis, an affliction caused when flies lay their eggs in wounds, is not lethal for humans, but its appearance says a lot about worsening living conditions in war-ravaged Syria, the World Health Organization said.

It has already issued an alert about the reappearance of polio in the north of the country, where tuberculosis, typhoid and scabies have again become endemic.

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“Three cases of myiasis, otherwise called screw flies, were reported on November 19 in Syria,” WHO spokesman Christian Lindmeier told AFP.

The cases were spotted in Douma, a rebel bastion northeast of the capital held by a Salafist group, which has been under government siege for more than a year, with residents facing dwindling food and medical supplies.

“This disease is not so much a danger in itself, but should rather be seen as an indicator for very bad water supply, sanitary and hygienic, as well as socioeconomic circumstances in besieged and hard-to-reach areas,” Lindmeier said.

He pointed out that neighbouring Damascus, which usually has a daily supply of around 350,000 cubic meters of water, “has lost two thirds of its drinking water supply”.

The UN health body said it was launching a hygiene promotion and water rationalization campaign in Syria in a bid to help people avoid behaviors that can lead to myiasis and other water and hygiene-related diseases.

The multi-sided Syrian conflict has killed more than 195,000 people since it began three and a half years ago as an uprising against President Bashar Assad’s regime.