---
title: Cyclospora....the new salad topping?
description: Cyclospora....the new salad topping?
---

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## Cyclospora....the new salad topping?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f292878f5/1498845308686//img.jpg.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f292878f6/1498843853078/1000w/>

I would hazard a guess that prior to July 28th, most  
 people had never heard of Cyclospora....unless you've travelled to a tropical  
 or subtropical destination and gotten "[traveller's diarrhea](http://travel.gc.ca/travelling/health-safety/diseases/diarrhea)"!   A quick Google search this morning resulted  
 in 53 000 hits with news articles, blogs and updates from all the major media  
 outlets, and of course the appropriate governmental agencies such as the [CDC](http://www.cdc.gov/parasites/cyclosporiasis/outbreaks/investigation-2013.html), [FDA](http://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm361637.htm),  
 etc. Of particular interest is how the use of electronic messaging and media  
 attention in the early stages of this outbreak investigation helped public  
 health agencies identify cases which might not otherwise have been considered  
 by health care providers or their patients.

The outbreak has spread through 16 states with a case  
 count of 466 as of Aug 5th, at least 24 of which have hospitalized in five of  
 the affected states.  Iowa has the most  
 reported Cyclospora infections with 146 cases, followed by Texas with 113 cases  
 and Nebraska with 81 cases.  Nebraska and  
 Iowa have concluded that the cause of the outbreak was due to the supply of  
 pre-packaged salad mix to restaurants in those states by Taylor Farms de  
 Mexico, a processor of foodservice salads.   The FDA  
 investigation found that illness clusters at restaurants including Olive  
 Garden and Red Lobster, both of which are owned by Darden Restaurants, were  
 traced to a common supplier. It has been confirmed that the salad mix linked to  
 the outbreak is no longer available.

[Cyclospora c](http://emedicine.medscape.com/article/236105-overview) [ayetanensis](http://emedicine.medscape.com/article/236105-overview) is a parasite composed of one  
 cell and is too small to be seen without a microscope.   Cyclosporiasis occurs in many countries, but  
 is most commonly found in tropical and subtropical regions.   The risk for infection is seasonal; however  
 no consistent pattern has been identified regarding the time of year or the  
 environmental conditions, such as temperature or rainfall.   In the United States, foodborne outbreaks of  
 Cyclosporiasis since the mid-1990s have been linked to various types of  
 imported fresh produce, including raspberries, basil, snow peas, and mesclun  
 lettuce.   No commercially frozen or  
 canned produce has been implicated.

People become infected with Cyclospora by ingesting fecal  
 matter contaminated with sporulated oocysts, which are the infective form of the  
 parasite. This most commonly occurs when food or water contaminated with feces  
 is consumed.  An infected person sheds  
 unsporulated (non-infective) Cyclospora oocysts in the feces. The oocysts are  
 thought to require days to weeks in favorable environmental conditions to  
 become infective; therefore direct person-to-person transmission and  
 transmission via ingestion of newly contaminated food or water is unlikely.

The time between becoming infected and becoming sick is  
 usually about 1 week.  Cyclospora infects  
 the small intestine causing watery diarrhea with frequent, sometimes explosive,  
 bowel movements.  Other common symptoms  
 include loss of appetite, weight loss, stomach cramps/pain, bloating, nausea,  
 and fatigue.  Vomiting, body aches,  
 headache, fever, and other flu-like symptoms have also been noted as associated  
 symptoms.

As Cyclospora is transmitted only by [ingesting contaminated food](http://www.cdc.gov/foodsafety/prevention.html), avoiding food or water that may have been contaminated with  
 feces is the best way to prevent Cyclosporiasis.   Although it is prudent to thoroughly wash  
 produce that will be eaten raw, this practice may not eliminate the risk of  
 transmission of Cyclospora as treatment with chlorine or iodine is unlikely to  
 kill the Cyclospora oocysts.

It's summer - our traditional salad season.  I can't say I'll stop eating salads over  
 concern about becoming infected with Cyclospora, but I definitely will try to  
 buy from local farms and avoid any packaged salad mix from countries with  
 endemic Cyclospora and poor sanitation programs, *THANKFULLY* Ohio has only had  
 one case of Cyclospora, so I should be pretty safe on my trip to Cincinnati  
 this week!

*Bugging Off!*

*  
*

Nicole

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