A Diarrhea-Causing Parasite Is Spreading. Should You Stop Eating Salad?
Salad greens could be a source of the growing cyclospora outbreak, but officials haven't identified a specific product, grower or supplier.
- The cyclospora outbreak in the US has sickened at least 210 people across 12 states as of early June 2025, though the CDC warns the true number may be higher due to underreporting.
- No single produce item or supplier has been confirmed; previous cyclospora outbreaks have been linked to imported cilantro from Mexico (2018, 304 cases) and bagged salad mixes from US farms (2020, 701 cases).
- Cyclospora cayetanensis has an incubation period of about 7 days (range 2–14 days), making it hard to trace back to a specific meal or purchase.
- Unlike bacteria, cyclospora oocysts are chlorine-resistant, meaning commercial wash processes may not eliminate them—only heat above 145°F (63°C) reliably kills the parasite.
- The CDC recommends seeking medical care if watery diarrhea persists more than 3 days, especially with fever or blood in stool; diagnosis requires a specific stool test often not ordered by default.
Frequently Asked Questions
Cyclospora is a microscopic parasite that infects the small intestine, causing cyclosporiasis. It spreads through ingestion of contaminated food or water, most often fresh produce like cilantro, basil, raspberries, and salad greens that have been exposed to fecally contaminated water.
Common symptoms include watery diarrhea lasting several days to weeks, loss of appetite, weight loss, stomach cramps, bloating, nausea, and fatigue. Some people may also have low-grade fever. Symptoms typically appear about 7 days after exposure.
Diagnosis requires a specific stool test that looks for Cyclospora oocysts; routine tests often miss it. Treatment involves a course of antibiotics such as trimethoprim-sulfamethoxazole (Bactrim). People with compromised immune systems may need longer treatment.
The CDC has not issued a blanket warning against all salads, but advises thoroughly washing all produce under running water, even if pre-washed. Cooking kills cyclospora, so cooked greens are safe. If you are in an outbreak area, consider alternatives like roasted vegetables until the source is identified.
Standard washing with water reduces surface dirt but does not reliably kill cyclospora oocysts. Commercial chlorine washes also fail. Freezing is ineffective; only heat above 145°F (63°C) kills the parasite.
Without treatment, symptoms can last from a few days to a month or longer, sometimes relapsing. Dehydration is a risk, so staying hydrated is critical. Seek medical care if diarrhea persists beyond three days or is severe.
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www.cnet.com
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