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Multistate Cyclospora Outbreak Focuses on Lettuce as Thousands Fall Ill

Public-health teams are tracing complex produce supply chains while biological delays and reduced surveillance make it hard to find a single confirmed source.

Overview

  • Federal data in mid-July 2026 show 1,645 laboratory-confirmed Cyclospora cases since May 1 with more than 5,100 additional reports under investigation across about 30–34 states.
  • Michigan has emerged as the outbreak epicenter, reporting several thousand cases after investigators completed more than 1,000 patient interviews that frequently listed lettuce or salad greens in recent meals.
  • Officials are examining multiple supply chains and reports that include a major fast-food chain, but no specific product, producer, supplier or national recall has been confirmed and the chain says health authorities have not linked it definitively to the outbreak.
  • Traceback is complicated because Cyclospora oocysts take days to weeks in the environment to become infectious and changes to U.S. surveillance since July 2025 mean many infections are likely missed or reported inconsistently.
  • About one in 11 confirmed cases have needed hospital care so far and no deaths have been reported; public advice stresses seeking care for persistent diarrhea and that cooking produce to at least 70°C kills the parasite while washing may not fully remove it.