Cyclosporiasis outbreak of unknown source in US expected to continue through August; health officials warn of ongoing diarrhea cases
Gwen BiggerstaffCenters for Disease Control and PreventionFood and Drug AdministrationTaco Bell

Cyclosporiasis outbreak of unknown source in US expected to continue through August; health officials warn of ongoing diarrhea cases

A multistate outbreak of cyclosporiasis, affecting over 400 individuals across Michigan, Ohio, West Virginia, and Kentucky, is expected to persist through August, according to health officials. Investigations are ongoing to identify the source, with lettuce being a potential culprit, as diarrhea cases continue to rise.

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A multistate outbreak of cyclosporiasis has been reported in at least four midwestern states, with over 400 confirmed cases as of July 13, according to the CDC. The outbreak, which began in late June, is linked to ongoing investigations into potential food sources, particularly lettuce.8

The Centers for Disease Control and Prevention (CDC) has identified 1,645 lab-confirmed cases and reported 145 hospitalizations. They also noted a backlog of 5,100 cases requiring further analysis. “The true number of infections is almost certainly higher, because many people with mild illness recover,” said Gwen Biggerstaff, deputy director of the CDC’s division of foodborne, waterborne, and environmental diseases.3

Health officials are concerned about the increase in cases since May, with symptoms reported on or after June 22. Investigations are ongoing to identify the source of the outbreak, with lettuce at Taco Bell locations in Michigan being scrutinized. “We’re seeing an unusually high number of cyclosporiasis cases this summer,” Biggerstaff added.4

Cyclosporiasis is caused by the parasite cyclospora, typically transmitted through contaminated food or water. The parasite's long incubation period complicates tracking, as symptoms can take days to weeks to appear. Health officials continue to advocate for testing, as cyclosporiasis may not be included in standard stool panels.9

Key Insight
“The CDC has confirmed 1,645 cases and 145 hospitalizations across four Midwest states, with a backlog of 5,100 cases. Deputy director Gwen Biggerstaff warned the true infection count is 'almost certainly higher,' as mild cases often go undiagnosed; investigations focus on lettuce at Taco Bell in Michigan.”
Doctor shares what to know about cyclosporiasis
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Doctor shares what to know about cyclosporiasis
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1
Centers for Disease Control and Prevention | CDC (.gov)Centers for Disease Control and Prevention | CDC (.gov)
“There is a large multistate outbreak of cyclosporiasis occurring in at least four midwestern states.”
Centers for Disease Control and Prevention | CDC (.gov) →
2
The GuardianThe Guardian
“Federal health officials have said they expect the outbreaks of cyclospora – a parasite that causes watery, explosive diarrhea – across the US to continue through August as they scour the food supply chain for the culprit.”
The Guardian →
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