At least 646 people have now fallen ill with Cyclospora infections in connection with an outbreak that hit 24 states between June and August, according to the latest update from the U.S. Centers for Disease Control and Prevention. At least 44 of those individuals have been hospitalized. Those ill range in age from less than one year to 92 years old, with a median age of 52. According to CDC’s count, the number ill by state is as follows: Texas (283 illnesses), Iowa (154), Nebraska (86), Florida (32), Wisconsin (17), Illinois (12), Arkansas (12), New York (9), Georgia (5), Missouri (5), Kansas (4),  New Jersey (4), Louisiana (3), Minnesota (3), Virginia (3), Connecticut (2), Michigan (1), Ohio (2), California (1), New Hampshire (1), South Dakota (1), Tennessee (1), and Wyoming (1). The Texas Department of State Health Services has reported a total of 307 cases of Cyclospora infection in the state this year, causing a minor discrepancy with CDC’s count. But that’s because CDC’s count only includes cases believed to be associated with the Cyclospora outbreak, whereas the Texas count includes all known Cyclospora illnesses in the state dating back to January 2013, according to health department spokeswoman Christine Mann. Public health officials in Iowa and Nebraska have connected the 238 illnesses in those states to salad mix produced by Taylor Farms de Mexico and served at Olive Garden and Red Lobster restaurants. On Aug. 12, Taylor Farms de Mexico voluntarily halted operations for an investigation from the U.S. Food and Drug Administration, which did not find any environmental contamination of Cyclospora. Health investigators have determined that the cases in Texas and the remaining states are not connected to Iowa and Nebraska, and they are still investigating the probable source of contamination. The illnesses in those states peaked a full two weeks after the illnesses in Iowa and Nebraska, suggested they came from another source. Map for September 10, 2013 Epi Line Graph for August 28, 2013