Update: 586+ cases of Cyclospora in 20 states, 36 hospitalizations

Posted on August 19, 2013 by

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  • As of August 16, 2013 (5pm EDT), CDC has been notified of 586 ill persons with of Cyclospora infection from 20 states: Arkansas, California, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Jersey, New Hampshire, New York (including New York City), Ohio, Tennessee, Texas, Virginia, and Wisconsin.
  • Among 440 ill persons with available information, 36 (8%) have reported being hospitalized. No deaths have been reported.

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As of August 15, 2013 (5pm EDT), CDC has been notified of 576 ill persons with of Cyclospora infection from 19 states: Arkansas, California, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Jersey, New Hampshire, New York (including New York City), Ohio, Texas, Virginia, and Wisconsin.

  • Among 423 ill persons with available information, 36 (9%) have reported being hospitalized. No deaths have been reported.

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As of August 14, 2013 (5pm EDT), CDC has been notified of 557 cases of Cyclospora infection from the following 19 states: Arkansas, California, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York (including New York City), Ohio, Texas, Virginia, and Wisconsin.

  • At least 35 persons reportedly have been hospitalized.

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As of August 13, 2013 (5pm EDT), CDC has been notified of 548 cases of Cyclospora infection from the following 19 states: Arkansas, California, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York (including New York City), Ohio, Texas, Virginia, and Wisconsin.

  • Most of the illness onset dates have ranged from mid-June through mid-July.
  • At least 34 persons reportedly have been hospitalized.

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  • As of August 12, 2013 (5pm EDT), CDC has been notified of 539 cases of Cyclospora infection from the following 19 states: Arkansas, California, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York (including New York City), Ohio, Texas, Virginia, and Wisconsin.
  • Most of the illness onset dates have ranged from mid-June through mid-July.
  • At least 32 persons reportedly have been hospitalized in five states.

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As of August 9, 2013 (5pm EDT), CDC has been notified of 535 cases of Cyclospora infection from the following 18 states: Arkansas, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York (including New York City), Ohio, Texas, Virginia, and Wisconsin.

At least 32 persons reportedly have been hospitalized in five states.

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As of August 8, 2013 (5pm EDT), CDC has been notified of 514 cases of Cyclospora infection from the following 17 states: Arkansas, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York (including New York City), Ohio, Texas, and Wisconsin.

  • Most of the illness onset dates have ranged from mid-June through early July.
  • At least 30 persons reportedly have been hospitalized in five states.

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  • As of August 7, 2013 (5pm EDT), CDC has been notified of 504 cases of Cyclospora infection from the following 16 states: Arkansas, Connecticut, Florida, Georgia, Iowa, Illinois, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Jersey, New York (including New York City), Ohio, Texas, and Wisconsin.
  • Most of the illness onset dates have ranged from mid-June through early July.
  • At least 30 persons reportedly have been hospitalized in five states.

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CDC has added another case of Cyclospora today bringing the total to 467 cases.
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Update: August 7, 2013 10:45AM EST

CDC has been notified of 466 cases of Cyclospora infection from the following 16 states: Arkansas, Connecticut, Florida, Georgia, Iowa, Illinois, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Jersey, New York (including New York City), Ohio, Texas, and Wisconsin.

At least 27 persons reportedly have been hospitalized in five states.

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CDC has been notified of 425 cases of Cyclospora infection from the following 16 states: Arkansas, Connecticut, Florida, Georgia, Iowa, Illinois, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Jersey, New York (including New York City), Ohio, Texas, and Wisconsin.

Most of the illness onset dates have ranged from mid-June through early July.

At least 24 persons reportedly have been hospitalized in five states.

Nebraska and Iowa have performed investigations within their states and have shared the results of those investigations with CDC. Based on their analysis, Cyclospora infections in their states are linked to a salad mix. CDC will continue to work with federal, state, and local partners in the investigation to determine whether this conclusion applies to the increase in cases of cyclosporiasis in other states.

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FDA Traceback

On July 30, 2013, the states of Iowa and Nebraska announced that their analysis indicated that the outbreak in those states was linked to a salad mix. In follow-up to that announcement, the U.S. Food and Drug Administration is providing an update on its investigation.

The FDA traceback investigation has confirmed that the salad mix identified by Iowa and Nebraska as being linked to the outbreak of cyclosporiasis in those states was supplied to restaurants in those states by Taylor Farms de Mexico, S. de R.L. de C.V., a processor of foodservice salads.    The FDA traceback investigation found  that illness clusters at restaurants were traced to a common supplier,  Taylor Farms de Mexico, S. de R.L. de C.V. The restaurants in Iowa and Nebraska include Olive Garden and Red Lobster, both of which are owned by Darden Restaurants.

FDA’s investigation has not implicated consumer packages sold in grocery stores.

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IT’S TAYLOR FARMS! THE SOURCE REVEALED Of CYCLOSPORA IN 2 STATES, OUTBREAK LINKED TO OLIVE GARDEN & RED LOBSTER.

The FDA traceback investigation has confirmed that the salad mix identified by Iowa and Nebraska as being linked to the outbreak of cyclosporiasis in those states was supplied to restaurants in those states by Taylor Farms de Mexico, S. de R.L. de C.V., a processor of foodservice salads.    The FDA traceback investigation found  that illness clusters at four restaurant were traced to a common supplier,  Taylor Farms de Mexico, S. de R.L. de C.V.  

FDA’s investigation has not implicated consumer packages sold in grocery stores.

Taylor Farms de Mexico, S. de R.L. de C.V. has been cooperating with all FDA requests during the investigation.  The FDA and the firm will be conducting an environmental assessment of the firm’s processing facility in Mexico, to try to learn the probable cause of the outbreak and identify preventive controls to put in place to try and prevent a recurrence. The most recent inspection, in 2011, of the processing facility of Taylor Farms de Mexico, S. de R.L. de C.V. conducted by FDA found no notable issues.  Additionally, as a result of the current investigation FDA is increasing its surveillance efforts on green leafy products exported to the U.S. from Mexico.

Mexican food regulatory authorities, the Federal Commission for Protection against Sanitary Risks (COFEPRIS) and the National Agro-Alimentary Health, Safety and Quality Service (SENASICA),  are also collaborating with FDA in the investigation of this outbreak.
 

The Iowa Department of Inspections and Appeals (DIA) and the Nebraska Department of Health and Human Services have announced that they believe the contaminated salad is no longer in the food supply in those states.  The last date that someone reportedly became ill with cycloporiasis in Iowa was on July 1, and in Nebraska on July 2.  The typical shelf life for a salad mix is up to 14 days.  
 

It is not yet clear whether the cases reported from other states are all part of the same outbreak. The investigation of increased cases of cyclosporiasis in other states continues.    

According to the Des Moine Register, a Food and Drug Administration spokeswoman said the salads were sold at Olive Garden and Red Lobster restaurants.

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As of August 1, 2013,  CDC has been notified of 400 cases of Cyclospora infection from the following 17 health departments: Iowa, Texas, Nebraska, Florida, Wisconsin, New York City, Georgia, Illinois, Arkansas, Kansas, Louisiana, Missouri, Connecticut, Minnesota, New Jersey, New York, and Ohio.

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Unofficially, according to CIDRAP, the Cycospora count has risen again.

The count of people sickened in a multistate Cyclospora outbreak pushed past 400 today, at least unofficially, as the Centers for Disease Control and Prevention (CDC) reported 397 cases, and Iowa and Texas added another 22 on top of that.

In addition, Louisiana reported its first cases today, which raised the number of affected states to 16, according to the CDC.

  • As of July 31, 2013 (5pm EDT), CDC has been notified of 397 cases of Cyclospora infection from the following 17 health departments: Iowa, Texas, Nebraska, Florida, Wisconsin, Illinois, New York City, Georgia, Kansas, Louisiana, Missouri, Arkansas, Connecticut, Minnesota, New Jersey, New York, and Ohio.
  • Most of the illness onset dates have ranged from mid-June through early July.
  • At least 22 persons reportedly have been hospitalized in five states.
  • NebraskaExternal Web Site Icon and IowaExternal Web Site Icon have performed investigations within their states and have shared the results of those investigations with CDC. Based on their analysis, Cyclospora infections in their states are linked to a salad mix.

No direct source has been named.

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