Cyclospora outbreak linked to iceberg lettuce expanded to four new states

CDC ·

A CDC food safety alert regarding a multistate outbreak of cyclosporiasis infections has been updated at https://www.cdc.gov/cyclosporiasis/outbreaks/07-26/index.html . Since the last update on July 18, 2026, 4 states have been added to the multistate outbreak, and the total case count is now 1,947. The 4 additional states are Illinois, Kansas, Oklahoma, and Pennsylvania. Illnesses have now been reported from Illinois, Indiana, Kansas, Kentucky, Michigan, Ohio, Pennsylvania, Oklahoma, and West Virginia. At least 98 people have been hospitalized, and no deaths have been reported. Epidemiologic and traceback data continue to show that iceberg lettuce from Taylor Farms de Mexico was contaminated with Cyclospora and has made people sick. This alert only includes illnesses that are lab confirmed and have been linked to this product, not all cyclosporiasis illnesses being reported to and by CDC. CDC is also investigating other outbreaks and illnesses of cyclosporiasis nationally that are unrelated to this outbreak. Do not eat any recalled Taylor Farms iceberg lettuce. Throw it away or return it. If you have symptoms of cyclosporiasis, contact your healthcare provider to receive care and report symptoms. You may need to request that your healthcare provider tests you for Cyclospora . Some people may not experience symptoms. Symptoms can include watery diarrhea, loss of appetite, and weight loss. Symptoms usually begin about one week after becoming infected. Without treatment, symptoms can last anywhere from a few days to a month or longer. If you have symptoms, stay well hydrated. If you have questions about cases in a particular state, please call that state's health department. If you are a member of the media, please fill out this Request for Comment form to submit your media inquiry to CDC. ### U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC’s world-leading experts protect lives and livelihoods, national security and the U.S. economy by providing timely, commonsense information, and rapidly identifying and responding to diseases, including outbreaks and illnesses. CDC drives science, public health research, and data innovation in communities across the country by investing in local initiatives to protect everyone’s health.

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Four new cases of Cyclospora illness linked to Icelandic Ractopamine-tainted lettuce have emerged expanding the outbreak. As a result, US Ractopamine demand may decline, potentially affecting related industries negatively.

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Cyclospora illness linked to Icelandic Ractopamine-tainted lettuce has expanded to four new cases in the US.

This expansion suggests a possible decline in US Ractopamine demand,

and potentially a negative impact on the related industry.

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