Kentucky sees spike in ‘cyclosporiasis’ cases as health officials urge caution with fresh produce


By Jennifer Jahn
NKyTribune staff writer

The Kentucky Department for Public Health issued a warning on the sharp increase in cases of cyclosporiasis on July 10, with about 100 reported illnesses since May and 61 confirmed cases across the state.

The increase is part of a larger multi-state spike across the Midwest. Ohio has reported 177 cases, Indiana is seeing increasing case numbers, and Michigan has reported more than 1,200 cases, according to state health officials. All reported numbers are from July 10.

While cyclosporiasis typically experiences seasonal outbreaks between May and August, health officials say this year’s numbers are nearly double the state’s usual annual average.

Cyclosporiasis is an intestinal illness caused by the microscopic parasite Cyclospora. People become infected by consuming fresh produce or water contaminated with the parasite. Symptoms often do not appear for days, around 7-14 days, after exposure. This makes it difficult to identify the original source of an outbreak.

According to KDPH, the most common symptoms include watery diarrhea, frequent and sometimes explosive bowel movements, and fatigue. Other symptoms may include bloating, nausea, vomiting, fever, abdominal cramping, and headaches. Symptoms can vary from person to person depending on overall health and medical history.

Treatment typically includes staying well hydrated with electrolyte-containing fluids, getting plenty of rest, and taking antibiotics prescribed by a healthcare provider.

Health officials say the best defense against cyclosporiasis is proper food safety.

Consumers should thoroughly wash all fresh fruits and vegetables under running water, wash their hands before and after handling produce, and clean cutting boards, knives, and other food preparation surfaces after use.

KDPH also recommends purchasing whole heads of lettuce rather than bagged lettuce or salad mixes when possible.

Remove the outer two or three leaves before washing the remaining leaves under running water. People at higher risk of infection should avoid eating raw produce.

Anyone who believes they may have been exposed to cyclosporiasis or who develops symptoms should contact their primary healthcare provider promptly.

Additional information about the illness, symptoms, and prevention is available in the Kentucky Department for Public Health’s Cyclospora Fact Sheet.