Some states say Cyclospora outbreak is slowing

Some states say Cyclospora outbreak is slowing

The two states with the highest patient counts in a nationwide Cyclospora outbreak are stepping back from daily reporting, saying that the pace of the outbreak is slowing.

At last count, posted Aug. 6, Michigan reported 12,485 patients, up from 12,218 on Aug. 5. The state has had two confirmed deaths and 279 hospitalizations.

The Ohio state health department is reporting 4,949 cases of cyclosporiasis across 82 counties.

Nationally, the Centers for Disease Control and Prevention is reporting 6,358 patients across 15 states in a Cyclospora outbreak linked to iceberg lettuce from the Taylor Farms growing operation in Central Mexico. 

The CDC is also reporting a group of outbreaks across 47 states with 10,468 laboratory-confirmed cases of cyclosporiasis and more than 12,255 additional cases that are not laboratory-confirmed or require further investigation. The CDC is reporting patient counts once a week.

Unlike Michigan and Ohio, officials in some other states are continuing to see sharp increases in patient counts. Missouri health officials say 1,577 people in the state have now tested positive, which reflects a 44 percent increase in confirmed cases from the previous week.

Both Michigan and Ohio have stopped daily reporting of case counts as of August. 10. Michigan’s health department will update patient counts on Thursdays moving forward. Also, Ohio has discontinued its regional cyclosporiasis hotline because of “a decreasing rate of new positive cases in northwest Ohio.”

“Since the start of this outbreak, (the Michigan health department) has remained committed to providing timely, transparent information and clear recommendations to Michigan residents,” said Dr. Natasha Bagdasarian, chief medical executive.

In addition to stepping back from daily patient count updates, the Michigan health department is advising residents that they can go back to routine guidance for consuming lettuce and salad greens.

“As new data has emerged, our guidance has evolved to reflect the best available evidence, helping ensure that prevention recommendations are accurate, actionable and responsive to the changing situation,” Bagdasarian said.

The state totals are as follows:

State 2026 cases As of All of 2025 Lettuce
Michigan 12,485 Aug 6 50 Yes
Ohio 4,900 Aug 4 76 Yes
Indiana 1,893 Aug 10 27 Yes
Missouri 1,095 Aug 2 none reported Yes
Illinois 995 Aug 4 301 Yes
North Carolina 867 Aug 4 300 Yes
New York 753 Jul 27 694 Yes
Kentucky 620 Jul 29 45 Yes
Kansas 615 Aug 5 29 Yes
Oklahoma 426 Aug 4 41 Yes
Florida 342 Aug 1 210 Yes
West Virginia 291 Aug 7 8 Yes
Arkansas 237 Aug 7 13 Yes
Iowa 226 Jul 30 64 Yes
Nebraska 218 Aug 6 51 No
Texas 198 Aug 5 512 Yes
Virginia 162 Jul 30 115 Yes
Wisconsin 160 Jul 29 65 Yes
Colorado 150 Jul 17 205 No
Massachusetts 145 Aug 5 74 Yes
Alabama 85 Aug 3 19 Yes
Pennsylvania 82 Jul 29 not notifiable Yes
Maryland 69 Jul 17 123 Yes
New Hampshire 69 Aug 4 7 Yes
New Jersey 46 Jul 11 180 Yes
California 41 Jul 14 not available No
Minnesota 41 Jul 17 none reported No
Washington 36 Aug 7 not available No
Connecticut 35 Jul 17 41 Yes
Oregon 23 Jul 24 not available No
Arizona 19 Jul 17 49 No
Georgia 11 Jul 17 116 Yes
Tennessee 11 Jul 17 38 Yes
Alaska 5 Jul 16 6 No
Rhode Island 4 Jul 17 6 No
Louisiana 1 Jul 17 99 Yes
Utah 1 Jul 17 37 No
Delaware no count published 1 No
Hawaii no count published not available No
Idaho no count published not notifiable No
Maine no count published 4 No
Mississippi no count published not notifiable Yes
Montana no count published 8 No
Nevada no count published not notifiable No
New Mexico no count published 9 No
North Dakota no count published 4 No
South Carolina no count published 45 Yes
South Dakota no count published 3 No
Vermont no count published 3 No
Wyoming no count published 0 No
All fifty states 27,357     50

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