A measles outbreak that began in South Carolina at the start of October is showing no signs of slowing as officials on Tuesday reported 27 new cases since Friday. Those cases bring the outbreak total to 111.

The southern state’s outbreak now rivals outbreaks ongoing in Utah and Arizona, which have tallied 115 and 176 cases, respectively. The outbreaks are threatening to cost the country its measles elimination status, which was earned in 2000 after vaccination efforts stopped the virus from spreading continuously. If the current transmission of the virus isn’t halted by January, the virus will have circulated for 12 consecutive months, marking it once again as an endemic disease in the US.

In an update on Tuesday, South Carolina’s health department suggested the spread is far from over. Of the state’s 27 new cases, 16 were linked to exposure at a church, the Way of Truth Church in Inman. And amid the new cases, new exposures were identified at Inman Intermediate School. That’s on top of exposures announced Friday at four other schools in the region, which led to well over 100 students being quarantined.

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If you need some motivation to keep from eating too much this Thanksgiving, here it is: Doctors in Romania pulled an 11 cm (4.3 inch) living, writhing round worm from a woman’s left eyelid.

According to a report in the New England Journal of Medicine, the worm likely hatched from a hard lump in her right temple, which the woman recalled first spotting a month beforehand. She also noticed that the nodule had vanished just a day before the worm apparently made a squiggly run for her eye.

When she went to an ophthalmologist the next day, doctors immediately noted the “mobile lesion” on her eyelid, which was in the suspicious shape of a bunched-up worm just under her skin with a little redness and swelling.

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