The Michigan Department of Health and Human Services added 274 more cases of cyclosporiasis to its outbreak database on Tuesday
The Michigan Department of Health and Human Services says it has counted 11,503 of cases as of Aug. 4, up from the 11,234 cases as of Aug. 3. Tracking of an outbreak of the intestinal ailment began in Michigan on June 22
Health officials say 193 of those Michigan residents received hospital treatment as of July 30. There were also two deaths among patients whom state officials said on Aug. 3Â had “significant underlying health conditions.”
Cases across the country
The Michigan numbers are different from the CDC’s tally. The CDC says its surveillance updates do not include probable cases, only laboratory-confirmed cases. The CDC works with state officials to update the counts as additional information becomes available.Â
Michigan normally sees around 50 cases of cyclosporiasis per year
Michigan health officials report case numbers Monday through Friday. Hospital reports are updated once a week on Thursdays
Tracking the disease
Michigan’s outbreak was first detected in Monroe County in late June and has since spread to 70 counties, with Southeast Michigan bearing the heaviest burden.Â
Oakland and Wayne counties each have reported more than 1,000 cases. Eaton, Genesee, Ingham, Lenawee, Monroe, Muskegon, Oakland, Shiawassee, Washtenaw and Wayne counties are all reporting more than 300 cases each. Â
The Wayne County Public Health agency in Michigan said on July 30 that it is reaching out to community residents with a survey to gather more information about the outbreak. “If we contact you, please take a few minutes to answer our questions. Your response helps us identify possible County Public Health said.Â
Michigan officials said on July 13 that testing pointed to lettuce or salad greens as a potential
On July 24, the Centers for Disease Control said a lettuce supplier to fast-food giant Taco Bell has been linked to the outbreak. Taylor Farms voluntarily pulled all of its iceberg lettuce grown in central Mexico from the market.Â
However, federal officials said there are multiple clusters of the ailment active in the United States.Â
Health officials are encouraging residents to continue eating fresh produce while taking steps to reduce their risk of illness
Canadian officials notice increased cases
The Windsor-Essex County Health Unit in Ontario said it is urging its residents to take precautions when traveling to Michigan, given the significant increase in cases of cyclosporiasis
As of July 31, Windsor-Essex has identified 24 cases of cyclosporiasis in 2026. In a typical year, the region averages only around three cases. “Local public health investigations have identified travel to Michigan as a common exposure among many recent cases,” the county health department said
Symptoms of cyclosporiasisÂ
Cyclospora cayetanensis is a parasite that causes the diarrheal illness cyclosporiasis. The Centers for Disease Control and Prevention says the most common symptoms associated with the illness are frequent watery diarrhea, loss of appetite, bloating, nausea and fatigue. Some people may also experience body aches, headache or vomiting.  Â
Symptoms typically begin about a week after infection, and remain from about two days to two weeks or longer. Â
“Without treatment, illness can last for weeks and may come and go,” Wayne County health officials said.Â
Tips to prevent cyclosporiasis
Michigan health officials shared the following tips for avoiding the illness:
- Wash all fruits and vegetables thoroughly, under running water, before cutting, cooking or eating.
- Scrub firm fruits and vegetables, such as melons and cucumbers, with a produce brush when cleaning.
- Cut away any damaged or bruised areas of produce before preparing and eating.
- Refrigerate any cut, peeled or cooked produce within two hours of preparing it.
The above video originally aired on August 3, 2026

