Aug 06, 2026

Outbreak of diarrhea-causing parasite now linked to Nebraska

Posted Aug 06, 2026 12:00 PM
CDC image
CDC image

The FDA and CDC, in collaboration with state and local partners, are investigating a multistate outbreak of Cyclospora infections linked to iceberg lettuce sourced from central Mexico and recalled by Taylor Farms de Mexico, according to a statement on the CDC website.

Since the last update on July 24, 2026, state and local health officials have continued to interview additional cases of cyclosporiasis and CDC has added them to this multistate outbreak.

Due to the additional interview data, the outbreak now includes people who reported exposure to Taco Bell or recalled Taylor Farms de Mexico iceberg lettuce. Many of these illnesses began before the Taylor Farms de Mexico iceberg lettuce recall on July 17, 2026. The total case count associated with this multistate outbreak is now 6,358 illnesses reported from 15 states. This includes the addition of 6 states since the last update: Arkansas, Iowa, Missouri, Nebraska, New Hampshire, and North Carolina. 

This increase in cases is due, in part, to the inclusion of people who reported exposure to Taco Bell or recalled Taylor Farms de Mexico iceberg lettuce and the identification and addition of six new states that are now linked to this outbreak. We also expect to continue to see the number of confirmed cases rise, despite the recall, due to the fact that it can take as long as six weeks for CDC and state officials to determine if a sick person is part of this outbreak.

Illnesses linked to this outbreak began on June 22 and onset dates have continued through July 31, 2026. There have been at least 278 hospitalizations. Two deaths have been reported in Michigan. Both of these individuals had significant underlying health conditions that may have been adversely impacted by cyclosporiasis and dehydration. Based on information provided to FDA by the state of Michigan, both of these individuals had illness onset dates prior to the date of Taylor Farms de Mexico’s voluntary recall on July 17, 2026. 

The true number of sick people in this multistate outbreak is likely higher than the number reported, and the outbreak may not be limited to the states with known illnesses. This is because some people recover without medical care and are not tested for Cyclospora. In addition, recent illnesses may not yet be reported because it can take as long as 6 weeks to determine if a sick person is part of a Cyclospora outbreak. States in this outbreak may show different illness counts on their websites, as they may also include probable illnesses or update their websites at different frequencies. CDC and FDA are only reporting laboratory confirmed cases. 

After receiving information that identified potential food vehicles as potential source of illness, FDA immediately began traceback activities. These efforts ultimately traced the potentially contaminated product to central Mexico. At the same time, FDA increased screening and sampling of products at the border to help prevent additional contaminated lettuce from entering the U.S. food supply. 

FDA will continue to work with federal and state partners to investigate this multistate outbreak and help ensure products linked to this outbreak have been removed from the market.  

International Distribution

The Taylor Farms de Mexico recall impacts markets outside of the United States. Customer information provided by the firm shows that recalled product was sold to consumers in Mexico.