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Widespread Cyclosporiasis Outbreak Sickens Over 4,000 Across U.S., Linked to Produce
A significant cyclosporiasis outbreak is affecting multiple U.S. states, with Michigan reporting over 3,000 cases as of July 14, a stark increase from its typical annual count of around 50 cases. Health officials in Michigan have identified lettuce or salad greens as a potential source, while federal and state authorities are investigating a possible link to Taco Bell restaurants in some cases. The Centers for Disease Control and Prevention (CDC) has issued a national health alert, urging clinicians to specifically test for the *Cyclospora cayetanensis* parasite in patients with prolonged gastrointestinal illness, especially since the CDC made tracking this disease optional last year, potentially leading to underreported cases in other states.
UPDATE: The Ebola outbreak in the Democratic Republic of Congo (DRC) continues to escalate, with 1,963 confirmed cases and 719 deaths reported as of July 13, including 31 new cases and 10 deaths since July 12. In response to the ongoing risk, the CDC issued an order on July 13, 2026, continuing the suspension of the right to introduce specified foreign nationals from DRC and Uganda into the United States for 30 days.
The U.S. is experiencing the onset of a summer COVID-19 wave, with national test positivity increasing from 1.0% to 1.4% between late June and early July. Wastewater surveillance data from WastewaterSCAN indicates rising SARS-CoV-2 levels nationally and regionally, with the South's regional wastewater category elevated to "high" this week, and the CDC's forecasting center estimating growing cases in 11 states, primarily across the South and West.
The Bottom Line
Public health agencies are contending with multiple infectious disease threats, from a rapidly spreading foodborne illness with potential underreporting challenges to an escalating Ebola outbreak requiring international travel restrictions, alongside the emergence of a new domestic COVID-19 wave. These concurrent challenges underscore the critical need for robust surveillance, rapid response, and sustained public health funding.
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