An outbreak of infections from the Cyclospora parasite has impacted 145 people. The source of the parasite has not yet been determined.
Patients have been reported by 17 states. These people became sick after eating food in the United States and did not report any travel during the 14 days before they got sick.
Sick people ranged in age from 5 to 86 years, with a median age of 42. The median illness onset date was May 13, with a range of May 1 to June 6. Of 145 people with information available, 20 were hospitalized. No deaths have been reported.
Local, state, and federal public health authorities are investigating several clusters of cases in more than one state. Investigations to identify potential sources are ongoing.
The map shows where the 145 people with cyclosporiasis acquired in the United States since May 1, 2026, lived. Cyclosporiasis cases may not be limited to these states with known cases.
The true number of people sick with cyclosporiasis is likely higher than the number reported. This is because some people recover without medical care and are not tested for Cyclospora.
Cyclosporiasis is a nationally notifiable disease and is reportable in 47 states, the District of Columbia, and New York City. Even if it is not reportable in a state, it is important for healthcare providers and the public to inform local health departments about potential cases and clusters of the disease so that they can take appropriate action to prevent additional cases.
About Cyclospora
Anyone who has developed symptoms of Cyclospora infection, and has reason to believe they have been exposed to the parasite, should seek medical attention. Specific tests are required and antibiotics are used to fight the parasite.
Cyclospora infection can cause severe abdominal pain, watery diarrhea, nausea, vomiting, body aches, and fatigue. Symptoms can develop between two and 14 days after exposure. Though symptoms can be severe enough to send people to the hospital, it's rare for people to die from Cyclospora infections.
Cyclospora is a type of protozoa, which is a tiny, single-celled organism. It is transmitted when people somehow ingest contaminated feces, typically through contaminated food or water. It can be spread only through human waste, unlike E. coli and salmonella, which can also be spread from animal fecal matter.
Previous U.S. outbreaks of cyclosporiasis have been linked to various types of fresh produce, including basil, cilantro, mesclun lettuce, raspberries, and snow peas.
Food safety experts say there's no evidence that washing the produce will remove the parasite.
