The CDC, along with FDA and state and local partners continue to investigate a multistate outbreak of Cyclospora infections linked to salad products that were made by Fresh Express containing iceberg lettuce, red cabbage, and carrots and that was sold in several regions of the United States. The investigation includes Fresh Express-branded products as well as products made by Fresh Express for retail store brands sold at ALDI, Giant Eagle, Hy-Vee, Jewel-Osco, ShopRite, and Walmart. On June 27, 2020, Fresh Express recalled products containing iceberg lettuce, red cabbage, or carrots. The products are branded with the Fresh Express label or store brand labels of ALDI Little Salad Bar, Giant Eagle, Hy-Vee, Jewel-Osco Signature Farms, ShopRite Wholesome Pantry, and Walmart Marketside. As of July 8, 2020, a total of 509 people with laboratory-confirmed Cyclospora infections associated with this outbreak have been reported from 8 states: Illinois (151), Iowa (160), Kansas (5), Minnesota (63), Missouri (46) Nebraska (48), North Dakota (6), and Wisconsin (30). In Canada, PHAC also issued a notice about the ongoing Cyclospora investigations of the outbreak of Cyclospora infections occurring in three Canadian provinces. Exposure to certain Fresh Express brand salad products containing iceberg lettuce, carrots, and red cabbage, has been identified as a likely source of the outbreak.@ https://www.cdc.gov/parasites/cyclosporiasis/outbreaks/2020/index.html
Update-Outbreak Investigation of Cyclospora in bagged salads of June 2020
Cyclosporiasis Outbreak Investigations — United States, 2020
CDC and federal, state, and local public health partners are investigating an increase in reported cases of Cyclospora infection (cyclosporiasis). Reports of cases tend to increase during summer months in the United States.