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Cyclospora Surge Expands to 31 States as Source Remains Unknown

Investigators are tracing fresh produce supply chains with no single product or supplier yet linked to rising case counts.

Overview

  • Federal updates on July 9–10 show 843 confirmed domestically acquired cases in 31 states with 86 hospitalizations while CDC staff are reviewing more than 1,500 additional potential cases.
  • Michigan has reported 1,562 cases and dozens hospitalized in a fast-moving cluster that far exceeds the state’s normal annual totals and is driving much of the national concern.
  • CDC, FDA and state teams have opened multiple cluster probes and supply-chain tracebacks focused on fresh fruits, vegetables and herbs but have not identified any common product, grower or supplier.
  • Investigators face long delays because Cyclospora takes days to weeks to become infectious, diagnosis needs specialized stool tests, and genomic tools provide limited linkage, so counts are expected to rise.
  • Health officials urge thorough handwashing and produce-washing, advise cooking produce when possible, and recommend testing and treatment with trimethoprim-sulfamethoxazole for symptomatic patients to prevent dehydration and hospital stays.