A disease caused by a parasite called Cyclospora has been recorded in 45 states this summer, the Centers for Disease Control and Prevention said in an update.
Delaware, Oregon, South Dakota, and Vermont have now logged cases of the disease, called cyclosporiasis, the CDC said on July 28.
The CDC in its previous update had said 41 states had reported cases.
The number of confirmed cases across the 45 states since May 1 is up to 6,707, according to the CDC. More than 11,500 other cases have been reported but are pending laboratory confirmation or “further investigation and analysis, such as ruling out international travel,” the CDC said. The agency is not counting cases involving international travel or probable cases.
Patients have ranged in age from 1 to 98, with a median age of 44.
“We estimate a 6-week reporting lag between illness onset and case reporting to CDC, so we anticipate that case counts will continue to rise as data are received,” the CDC stated.
Cyclosporiasis typically appears in the summer, but the number of cases this year is much higher than normal. The main symptom of the disease is diarrhea.
Cyclospora is present in produce contaminated with feces.
Federal officials have said the cases in nine states are linked to contaminated lettuce from Taylor Farms that was served at Taco Bell, while officials in North Carolina suspect parsley and cilantro as causes in addition to lettuce.
More than 400 of the people whose cases have been confirmed have been hospitalized. No deaths have been reported.
A sign at a Taylor Farms facility in Salinas, Calif., on July 17, 2026. Benjamin Fanjoy/Getty Images
The Oregon Health Authority said in a statement that two Oregon residents recently developed cyclosporiasis cases after traveling to other states “involved in the recent nationwide recall of pre-shredded iceberg lettuce associated with the outbreak.” So far, authorities there said, the number of cases in the state is up to 23 this year, which is lower than the numbers reported in 2025 and 2024.
Officials in Delaware, South Dakota, and Vermont have not provided information on the cases in those states.
Diners Avoid Restaurants
Traffic is down at Taco Bell and other restaurants in recent weeks.
Foot traffic at Taco Bell dropped by 20.8 percent on Thursday, July 23, from the Thursday average between Jan. 1 and July 6, according to data from Placer.ai.
Foot traffic was also down by 12.2 percent at salad chain Chopt; 1.4 percent at Chipotle Mexican Grill; and 3.1 percent at Panera Bread on July 23, compared with the prior six-month average for Thursdays, the analytics company said.
A Taco Bell fast food restaurant in Taylor, Mich., on July 14, 2026, Paul Sancya/AP Photo
Chipotle declined to comment on the drop, while Taco Bell, Chopt, and Panera Bread did not respond to requests for comment. Taco Bell has said it removed lettuce from Taylor Farms—which recalled the lettuce under direction from the Food and Drug Administration—from its restaurants as of July 17.
Paul Sellew, CEO and founder of Little Leaf Farms, which grows lettuce in the eastern United States, said worries about infections have driven down sales by double digits.
“The entire fresh produce category at retail is down,” Sellew said. “The consumer has been motivated by fear.”
According to market research firm NielsenIQ’s data, U.S. unit sales for fresh lettuce in the week ending on July 18 were down by 9 percent from a week earlier and by 19 percent from two weeks before.
Reuters contributed to this report.
