FDA continues to investigate Cyclospora outbreak, but added no new states

The U.S. Food and Drug Administration released this Cyclospora outbreak update August 20, 2026:

The FDA and CDC, in collaboration with state and local partners, are investigating a multistate outbreak of Cyclospora infections linked to iceberg lettuce sourced from central Mexico and recalled by Taylor Farms de Mexico. 

Since the last update on August 13, 2026, state and local health officials have continued to interview additional sick people with cyclosporiasis and CDC has added them to this multistate outbreak.  

The outbreak includes people who reported exposure to processed iceberg lettuce from Taylor Farms de Mexico served or purchased at various locations, including people who previously reported eating at Taco Bell. Most of these illnesses began before the Taylor Farms de Mexico iceberg lettuce recall on July 17, 2026. The total case count associated with this multistate outbreak is now 10,930 illnesses reported from 17 states. Since the last update, no additional states have been added.

FDA has initiated onsite inspections and sampling at iceberg lettuce growers in Mexico in coordination with Mexican officials. FDA remains confident that all recalled iceberg lettuce related to this specific Cyclospora outbreak is off the market. FDA will continue to work with federal and state and international partners to investigate this multistate outbreak.

Case Counts

Total Illnesses: 10,930
Hospitalizations: 454
Deaths: 2
Last Illness Onset: August 11, 2026
States with Cases:  AR, IA, IL, IN, KS, KY, MA, ME, MI, MO, NE, NH, NC, OH, OK, PA, and WV

U.S. Product Distribution*:  AL, AR, CT, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MO, MS, NC, NE, NH, NJ, NY, OH, OK, PA, SC, TN, TX, VA, WI, and WV

*Distribution has been confirmed for states listed above, but product may have been distributed further, reaching additional states: CA, DC, DE, ND, PR, RI, SD, VT, and WA