Cyclospora outbreak linked to iceberg lettuce expanded to four new states.

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.

Key Points:

• 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.

What You Should Do:

• 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.

Cyclosporiasis Symptoms:

• 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.

Thank you, CDC News Media Branch