First Known Deaths in Largest US Cyclosporiasis Outbreak Linked to Taylor Farms Lettuce

Two people in Michigan have died from cyclosporiasis, marking the first known fatalities in the ongoing multi-state outbreak, which has sickened over 18,000 people across 45 states. The deaths, reported on August 3, involved individuals with significant underlying health conditions. The outbreak, the largest ever recorded in the US, has been linked to iceberg lettuce from Taylor Farms in central Mexico, served at Taco Bell and other establishments, and has been recalled. Michigan is the epicenter with over 11,500 cases, including 193 hospitalizations. Experts suspect other sources may be involved, as the single implicated food does not explain all cases. The CDC is investigating, but gaps in reporting and patient recall hinder identification. New cases in Michigan are declining, offering hope that the outbreak is subsiding. Preventive measures include avoiding recalled food, thorough handwashing, and washing produce, with cooking to 158°F killing the parasite. The outbreak is caused by Cyclospora cayetanensis, a parasite spread via contaminated food or water, with symptoms including diarrhea and nausea.