Cyclospora outbreak linked to iceberg lettuce spreads to 15 states, two deaths confirmed

Food and Drug Administration

Coverage spread: 2 sources — 1 left · 1 center

Lean ratings via AllSides / Media Bias-Fact-Check. How this works.

Where they agree

  • The outbreak was first identified in July after people who ate shredded iceberg lettuce at Taco Bell got sick.
  • Federal investigators have focused on Taylor Farms, which recalled iceberg lettuce grown in central Mexico.
  • The number of states with outbreak-linked cases grew from 9 to 15 this week, with six new states added.
  • Two deaths have now been confirmed in connection with the outbreak, prompting an expanded investigation.

Where they differ

  • CBS News provides far more detail on the investigation’s mechanics, including the FDA’s false-positive test retraction and expert commentary on why cyclospora outbreaks are hard to trace.
  • CBS News includes public-health staffing cuts as a complicating factor, cited by a Michigan health official, which The Hill’s excerpt does not mention.
  • The Hill’s article is truncated and focuses narrowly on the outbreak’s expansion and the newly confirmed deaths, offering less background than CBS News.
  • CBS News situates the outbreak historically, noting 2019 was the worst year on record with about 4,700 cases, adding context The Hill’s excerpt lacks.

The Food and Drug Administration and the Centers for Disease Control and Prevention have expanded their investigation into a multistate Cyclospora outbreak tied to recalled iceberg lettuce, after confirming the first two deaths connected to the outbreak. The number of states with cases linked to the outbreak grew from nine to 15 this week, and officials say the parasite has been reported in at least 47 states nationwide this year, though not all of those cases are confirmed to be connected.

Which states are now involved?

The CDC added six states to its list this week: Arkansas, Iowa, Missouri, Nebraska, New Hampshire and North Carolina. Those join Illinois, Indiana, Kansas, Kentucky, Michigan, Ohio, Oklahoma, Pennsylvania and West Virginia, bringing the total to 15 states with cases tied to the outbreak specifically. Separately, cyclospora infections of any kind — not necessarily linked to this outbreak — have shown up in at least 47 states so far this year.

What triggered the investigation?

Investigators first identified the outbreak in July after people who ate shredded iceberg lettuce at Taco Bell restaurants got sick. Officials then traced the lettuce back to Taylor Farms, and the company recalled iceberg lettuce grown in central Mexico. Federal officials say Taylor Farms remains the focus of the investigation as the likely source.

Why did the FDA’s story on the lettuce sample seem to change?

Last month the FDA created confusion when it announced that a Taylor Farms lettuce sample that had initially tested positive for cyclospora was actually a false positive. The agency clarified the following day that its investigation and the overall evidence still “converge” on shredded iceberg lettuce from Taylor Farms’ central Mexico operations, meaning the recall and the focus on that supplier stood despite the retracted test result.

Is the outbreak under control?

Health officials say it’s too early to say so. Dr. Ulysses Wu, chief epidemiologist for Hartford HealthCare, told CBS News last month that even if the implicated lettuce is removed from the supply chain, that doesn’t rule out other produce being involved. The CDC has also said it can take up to six weeks for officials to confirm whether a sick person’s illness is actually part of this outbreak, which means the case count and state list could keep shifting as more lab results and interviews come in.

Why are these outbreaks hard to track down?

Dr. Juan Luis Marquez, medical director of the Washtenaw County and Livingston County health departments in Michigan, pointed to several reasons cyclospora outbreaks are difficult to investigate: there’s often a long lag between exposure and when symptoms appear, the parasite is harder to detect and analyze in lab settings than more common pathogens, and tracing a common source requires extensive interviews with sick patients. He also said staffing cuts across federal, state and local public health agencies have reduced the resources and capacity available to run these investigations.

How serious is a Cyclospora infection?

Cyclospora is a microscopic parasite that infects the intestines and spreads through fecal contamination. It typically causes watery diarrhea, described by the CDC as sometimes frequent and explosive, along with other gastrointestinal symptoms common to foodborne illness. It’s less common than illnesses caused by salmonella or E. coli, and many cases are never traced back to a specific food or source. Outbreaks tend to peak in late spring and summer. The worst year on record in the U.S. was 2019, when roughly 4,700 illnesses were reported.

What’s the bigger picture here?

This is the first time deaths have been confirmed in connection with this particular outbreak, a development that has prompted the expanded federal investigation. While the case count has grown steadily since July, health officials caution that the six-week lag in confirming outbreak-linked cases means the current figures likely undercount the true scope. The situation also highlights broader strain on the public health system’s ability to respond quickly to foodborne illness outbreaks amid reported staffing reductions.

Sources

Featured photo: The U.S. Food and Drug Administration via Wikimedia Commons (Public domain)

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