The CDC’s data are current as of 5pm EDT, 08/23/2013. Data are preliminary and subject to change. A total of 610 cases of Cyclospora infection have been reported from 22 states and New York City. The number of cases identified in each area is as follows: Texas (258), Iowa (156), Nebraska (86), Florida (31)¶, Wisconsin (16), Illinois (11)†, Arkansas (10)†, New York City (7)†, Georgia (5), Missouri (5)†, Kansas (4)‡, Louisiana (3)‡, New Jersey (3)†, Connecticut (2), Minnesota (2), New York (2)†, Ohio (2), Virginia (2), California (1)†, New Hampshire (1), South Dakota (1), Tennessee (1), and Wyoming (1)†.

  • † Includes one case that may have been acquired out of state.
  • ‡ Includes two cases that may have been out of state.
  • ¶ May include one travel-associated case.

However, Texas continues to report a total of 278 cases of Cyclospora infection in Texas in 2013 with the vast majority having onsets in June and July. Most Texas cases are reported from the Dallas/Fort Worth area. DSHS is investigating the cases to identify possible common exposures and to determine whether they are linked to an outbreak in other states.

Iowa and Nebraska have linked cases in their area to a bagged salad mix distributed to some restaurants. Past outbreaks have been associated with eating imported fresh produce. Thorough washing of fresh produce is recommended as a general precaution.

The following counties have reported Cyclospora infection: Austin, Bell, Brazoria, Cameron, Collin, Coryell, Dallas, Denton, El Paso, Ellis, Fort Bend, Galveston, Guadalupe, Harden, Harris, Henderson, Hidalgo, Hood, Hunt, Johnson, Kaufman, Kendall, Matagorda, Montague, Navarro, Parker, Potter, Smith, Tarrant, Tom Green, Travis, Van Zandt, Victoria, Walker, Wichita, Williamson, Wise.