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Official case counts likely capture only a fraction of US cyclosporiasis infections, and the outbreak is likely to get worse before it gets
The US’s explosive diarrhea problem is worse than you think—and it’s about to get even messier.
The country is grappling with a large and fast-spreading outbreak of cyclosporiasis, a parasitic infection that causes extreme gastrointestinal distress. There are nearly 7,000 potential cases, more than 3,300 of which are in Michigan alone as of Tuesday, and state officials have identified tainted lettuce as the likely culprit.
The actual case count is almost certainly higher, though, because most people don’t seek medical care when they get diarrhea. And even when they do, labs don’t routinely test for cyclosporiasis, says Jeanne Marrazzo, CEO of the Infectious Diseases Society of America. She estimates the number of cases is at least double the Centers for Disease Control and Prevention’s tallies.
“That’s because of underdiagnosis and also because there are cases that are likely to be mild. Many people aren’t going to declare themselves and get counted,” she says. Cyclosporiasis isn’t as common as other foodborne illnesses, meaning it’s not included in standard panels that test for several types of gastrointestinal disease.
But for many folks who get sick, the effects are, let’s just say, not pleasant. “A lot of times with diarrhea, you have an episode and you feel better,” says Marrazzo. “With this, it just can kind of go on and on, and it really takes people out.”
Bad enough, yes. But what about that whole getting worse thing?
Public health officials have urged people to thoroughly clean produce, and some restaurants have taken precautions. Notably, Taco Bell has said it had “voluntarily and temporarily removed limited ingredients at select restaurants as a precautionary measure.” While that might help those trying to live más avoid contracting cyclosporiasis, it’s not the only part of the produce supply chain that can become affected.
Norman Beatty, associate professor of medicine in the division of infectious diseases and global medicine at the University of Florida, says the cyclospora has unique mechanisms that allow it to lodge into the crevices of fruits and vegetables. It’s most commonly found in fresh, raw produce, particularly herbs, lettuce, and berries.
Unlike some of the more common foodborne pathogens, cyclospora is resistant to bleach and common sanitizers used by food manufacturers. “Despite the commercial approaches to washing the produce that ends up in our grocery stores, the oocysts can continue to stick,” says Beatty. (Oocysts are the infectious stage of the parasite.)
Cooking destroys the parasite, but because lettuce and berries are usually eaten raw, there’s no easy way to eliminate it before consumption.
Bill Marler, a lawyer who specializes in food poisoning cases, says that, historically, most cyclosporiasis cases have been linked to imported produce. But the last decade has seen the US’s first All-American cyclospora outbreaks, such as when bagged lettuce from a plant in Illinois sickened more than 700 people.
Marler described cyclospora as becoming “like pythons in the Everglades.” The invasive snakes have infamously taken over the wetlands of South Florida, outcompeting native fauna and inspiring a year-round python hunting season. Cyclospora threatens to do the same, using our guts as the host environment. As more people get cyclospora and poop it out, it becomes more likely that water gets infected. That in turn increases the risk of outbreaks.
“Likely what happens is, it gets into the water supply that’s utilized to irrigate crops,” Marler says. He adds that agricultural workers typically get blamed for outbreaks, but “this is unlikely to be one lone worker not washing his or her hands, or someone pooping in the field. Something has gotten a water supply contaminated, spreading over a larger amount of produce.”
The parasite is also resistant to chlorine, the primary disinfectant used in most municipal water and wastewater treatment systems.
Beatty says it’s likely that thousands more people around the country have been infected.
“This shows us how easily an organism can be distributed to one location within the United States to multiple locations pretty quickly through the networks that we have set up for food distribution,” he says. “This could end up being reported in all 50 states.”
Hi, these bees are babies! They’re not clumsy at all, this is what is called orientation flights. After birth and before beginning their careers as foragers (as all Honey bees cycle through all the jobs in the Hive throughout their lifespan), Honey bees take short flights back and forth, to and from the Hive, to orient themselves with their wings and their home so they can learn its location and how to get back home after foraging! Everyone has to learn, these are just smol little baby turkeys. Bees use the angle of the sun for location so adults have a better and more direct sense of location than any human
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Namaygoosisagagun First Nation/Collins has burned to the ground. The entire community is nothing but ashes after being quickly consumed by wildfires. They did not have any support from emergency services, and no one offered aid. The community saved themselves by escaping into boats because no one came.
Mishkeegogamang and Cat Lake have lost power. Families are ending up in shelters with nothing. Armstrong, Lac La Croix, Whitesand, Gull Bay, Lac des Mille Lacs are currently in the fires path and all members are being evacuated.
All this loss, all this devastation, and it was entirely preventable.
After steadily underfunding wildland firefighting and purposefully excluding Indigenous wildland firefighters and Indigenous wildfire organizations from wildfire operations, firefighter training, decisionmaking, and resource exchanges, in 2025, Doug Ford slashed the forest firefighting budget.
It's hard to ignore his decision to cut funding and leave us out of adequate fire training (even though we've lived with forest fires for thousands of years—far longer than settlers have been in Canada—and made sure fires like the ones we're all seeing today were prevented through kinisitotēn) when, despite making up less than 5% of the population, we account for 42% percent of all wildfire evacuations in Canada.
And when we are successfully evacuated, we face discrimination and racism—like Kashechewan—because it's always been easier to blame us than it is to blame the true culprit: denialism, corportate greed, and colonization.
The people of Collins and every other impacted community deserve better.
Right now, the AFN is currently accepting donations to help Collins First Nation. If you're able to, please consider donating.
ONWA (Ontario Native Women's Association) is another great place to donate to. They have outreach vans going to motels and inns and offering food, water, resources, and cultural support to those impacted by the wildfires.
Other places to consider donating to are Mikinakoos Emergency Fund, Red Cross, True North Aid, Indigenous Climate Action. You can also send donations directly to Whitesand First Nation via e-transfer ([email protected]) and they request that you add your full name in the e-transfer comment section to receive a tax receipt.
*Before sending money, verify that the appeal appears on an official First Nation, Tribal Council or registered charity channel.
If you can't offer financial support, please consider donating items of need. Moontime Connections is currently accepting drop-off donations. If you live in the Thunder Bay area, Namaygoosisagagun Health Office is also taking in donations! They can also bemailed to Superior Inn Hotel & Conference Centre at 555 West Arthur Street, Thunder Bay, ON, P7E 5P8.
airpods are literally such a massive downgrade like remember when headphones cost £2 didn’t need charging didn’t randomly disconnect and didn’t get lost all the time. remember when tech kinda worked for kinda cheap
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Author/illustrator Trung Le Nguyen has been live posting reading Pride and Prejudice for the first time on bluesky and just hit the first proposal. The replies are basically the sickos meme
Theres a met gala bracket and Kylie is currently losing her round, which is a shame because despite her being massively unlikable otherwise, I thought her outfit was incredibly on theme
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