I’m not the kind of girl who ordinarily irons her underwear. But two weeks ago I found myself hunched over a flimsy wooden board doing just that. I was visiting friends in Mozambique, and they assured me that everything must be ironed—shirts, pants, sheets, towels, and, yes, even underwear. It’s not about aesthetics. You need the heat to kill the tiny eggs that a female mango fly might have laid on your damp clothes while they dried on the line. If you don’t iron, the eggs will hatch, and the mango fly larvae will burrow into your skin, feast on your flesh, and emerge a week or so later as plump, white maggots.
So this is why I spent a sunny afternoon while on vacation ironing. You can imagine what a nuisance these insects would be if they infiltrated your underwear. Oh wait. You don’t have to imagine. Here’s a case report of an 11-year-old boy who showed up at a British emergency room with “a firm, ovoid, motile mass” on the head of his penis. Motile because the mass contained a wriggling maggot about the size of a pinto bean. The boy had recently visited Somalia. Continue reading


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