Tracking Cyclosporiasis: 30 more in Wake diagnosed with diarrhea-causing bug

Key Points:

• Wake County has reported over 30 new Cyclosporiasis cases on Thursday, bringing the total to 270, with five hospitalizations linked to the parasite causing severe gastrointestinal symptoms.
• North Carolina has seen more than 300 cases statewide recently, with 14 hospitalizations, while the CDC is tracking over 1,500 cases across five states linked to shredded iceberg lettuce from Taco Bell; however, North Carolina has not yet identified the illness source locally.
• Investigations are complicated by the parasite's incubation period of 2-14 days, making it difficult for patients to recall specific foods consumed, and by the short shelf life of fresh produce, which may be discarded before identification.
• Past outbreaks have been traced to ingredients like cilantro, parsley, and shrimp salads, prompting North Carolina health agencies to enhance coordination with the CDC, FDA, and agriculture departments for more effective food history interviews and testing.
• Health officials advise thoroughly washing fresh produce and recommend that individuals with severe or persistent gastrointestinal symptoms seek medical care, cautioning against early testing before seven days as many diarrhea cases resolve without intervention.