year(s)*month(s)*jurisdiction(s)*no. of cases†food vehicle and source, if identified‡ 2000maygeorgia19raspberries and/or blackberries (suspected) 2000junepennsylvania54raspberries 2001january–februaryflorida39 2001januarynew york city3 2001–02december–januaryvermont22raspberries (likely) 2002april–maymassachusetts8 2002junenew york14 2004februarytexas38 2004februaryillinois57basil (likely) 2004maytennessee12 2004may–junepennsylvania96snow peas from guatemala 2005march–mayflorida582 ¶basil from peru 2005maysouth carolina6 2005aprilmassachusetts58 2005maymassachusetts16 2005juneconnecticut30basil (suspected) 2006juneminnesota14 2006junenew york20 2006julygeorgia3 2008marchwisconsin4sugar snap peas (likely) 2008julycalifornia45 ¶raspberries and/or blackberries (likely) 2009junedistrict of columbia34 2011juneflorida12 2011julygeorgia100 2012june–julytexas16 2013**juneiowa and nebraska161bagged salad mix from mexico 2013**june–julytexas38cilantro from mexico 2013julywisconsin8berry salad (suspected) 2014junemichigan14 2014††june–julytexas26cilantro from mexico 2014julysouth carolina13 * the entries in the first three columns refer to the known or likely year(s), month(s), and jurisdiction(s) in which the exposure(s) to cyclospora occurred. ** for additional details, see summary information about the outbreak investigations in 2013. for the purposes of this table, the exposure month(s) and case counts are limited to those explicitly linked in the investigations to the food item specified in the last column. † the case counts include laboratory-confirmed and probable cases of cyclosporiasis. by definition, each outbreak included at least two linked cases, at least one of which was laboratory confirmed. ‡ a food vehicle is specified only if a single ingredient or commodity was identified in an outbreak investigation. ¶ cases that occurred in canadian travelers to the united states were not included. †† for additional perspective, see summary information about outbreak investigations in 2014. for the purposes of this table, the exposure months and the case count for the outbreak in texas are limited to those explicitly linked in the investigations to the food item specified in the last column. 2013 united states outbreak map of states reporting cyclospora infections as of august 19, 2013, from cidrap at least 285 people in 11 states had been affected as of july 26, 2013. the exact cause of the outbreak had not yet been identified according to the u.s. centers for disease control and prevention (cdc). the majority of cases were located in the midwest, with 138 reported cases in iowa and 70 in nebraska. the other states affected are: texas, florida, georgia, wisconsin, connecticut, illinois, kansas, minnesota, new jersey, and ohio. as of july 29, 2013, the cdc reported 373 people in 15 states had been affected by the outbreak, and 21 patients from three states had been hospitalized, with no deaths reported. no food source had been identified, but health officials in iowa—the state reporting the most cases—said they suspected imported vegetables. on july 30, 2013, the nebraska department of health & human services and the iowa department of health announced that a restaurant chain's packaged salad was the disease vector for the parasite. however, the cdc and the u.s. food and drug administration (fda) continued to assess information from other states to see if the findings applied to illnesses there. in an august 1, 2013, update, the cdc reported 397 cases, while iowa and texas added another 22 more. this pushed the unofficial count to over 400 cases. additionally, louisiana reported its first case, bringing the total number of states affected to 16. on august 3, 2013, cnn reported that the outbreak was traced to packaged salad served at olive garden and red lobster restaurants that was manufactured by taylor farms de mexico. on august 15, 2013, the cdc reported nine more cyclospora infections, raising its case count to 548. the number of affected states remained at 19, but the cdc said that not all cases were confirmed to be linked to an outbreak in iowa and nebraska traced to a contaminated salad mix from mexico. on august 19, 2013, the cdc reported 10 more cyclospora cases, raising the unofficial count to over 600. tennessee also reported its first case, bringing the number of states affect to 20. the cdc still cautions that whether cases in all of the states are related to outbreaks in iowa and nebraska is not clear. as of august 27, 2013, the origin of the outbreak still remained a mystery. the fda said it found no food safety violations at the taylor farms de mexico salad plant that was linked to some of the illnesses. 2015 texas outbreak in an fda statement, the cdc is quoted, "there is currently (in july 2015) another ongoing outbreak of cyclosporiasis in the united states in which both the texas department of state health services and the wisconsin department of health services and the wisconsin department of agriculture, trade and consumer protection have identified cilantro from the mexican state of puebla as a suspect vehicle with respect to separate illness clusters." last year, texas had 200 cases, some of which were associated with cilantro from the puebla region. 2016 texas outbreak health officials said more than a dozen cases of cyclosporiasis had been confirmed in north texas' four major counties and that the source was likely contaminated food. the texas department of state health services said wednesday the parasite was found in dallas, tarrant, collin and denton counties and that the origin may have been linked to a fresh produce item. county officials told nbc 5 there were four cases recorded in dallas county, three in collin county, four in denton county and seven in tarrant county. the denton county cases and at least four of the tarrant county cases had recently traveled out of the country—calling into question the point of origin. across the state, there were currently 66 confirmed cases of cyclosporiasis—though the sources of infection were unconfirmed. for most people, the symptoms were not serious. "but for those who are very young and those who are older, or those who have a suppressed immune system, this illness can cause major problems," said dr. khang tran, chief medical officer at the medical center of plano. in recent years, 2012–2015, cyclospora outbreaks were associated with fresh cilantro imported from puebla, mexico. since the summer of 2015, the food and drug administration has instituted ban on imports from that region between from april through august. 2018 midwestern del monte vegetable outbreak del monte recalled packaged del monte fresh produce vegetable trays, which contained broccoli, carrots, cauliflower, celery sticks, and dill dip, from certain retailers, including kwik trip and peapod, according to the cdc. residents in four states — iowa, michigan, minnesota, and wisconsin got sick from cyclospora. 2018 midwestern mcdonald's salad outbreak mcdonald's stopped selling salads supplied by fresh express at some 3,000 locations across the country mostly in the midwest united states due to a multistate parasite outbreak that had sickened 551 people caused by cyclospora. 2020 midwestern fresh express bagged garden salad outbreak in june 2020, the cdc and other regulatory bodies began investigating an outbreak of cyclosporiasis in the midwestern united states linked to bagged salad mix. on june 27, 2020, fresh express announced a voluntary recall of over 91 fresh express and private label salad products. yearcase countincidence rate 2015316 2014*2000.7 2013*3511.3 2012*440.2 2011*140.1 201090.0 2009100.0 200860.0 200720.0 200610.0 200510.0 200440.0 200310.0 200210.0 200100.0 ir=incidence rate per 100,000 * incidence rates are based on projected census data obtained from the dshs center for health statistics.