Cyclospora Case Data

For Everyone

Key points

  • This page shows cyclosporiasis surveillance data reported to CDC for cases with symptom onset dates during the 2026 cyclosporiasis season (May 1–August 31, 2026).
  • CDC no longer updates this page weekly because the number of infections has significantly declined.
  • Due to the unprecedented number of cases this season, cases that occurred earlier in the season may continue to be reported to CDC.
  • The true number of people sick with cyclosporiasis is likely higher than the number reported. This is because some people recover without medical care and are not tested for Cyclospora.
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What to know

Clusters of cyclosporiasis

CDC and FDA investigated multiple clusters of cyclosporiasis in 2026. These clusters are listed on FDA's active investigation table.

Cyclosporiasis is a gastrointestinal infection caused by the parasite Cyclospora cayetanensis. Most cases in the United States occur in spring and summer. Learn more about how CDC collects cyclosporiasis data and investigates outbreaks.

Cases acquired in the U.S.

Cyclosporiasis season

The U.S. cyclosporiasis season is May 1 through August 31, the period with the highest number of Cyclospora cases in a typical year. Due to the unprecedented number of cases that occurred this season, cases that occurred earlier in the season may continue to be reported to CDC.

CDC has received reports of 20,996 laboratory-confirmed cases of cyclosporiasis acquired in the United States with symptom onset dates during the 2026 cyclosporiasis season (May 1–August 31, 2026). For comparison, 1,180 cases were reported in the United States between May 1 and August 31, 2025.

These data include the cases reported in the multistate outbreak linked to iceberg lettuce that recently ended. The data also include cases not linked to that outbreak. Multiple jurisdictions have reported an increase of cases compared with the same period in 2025.

May 1 - August 31, 2026:

Laboratory-confirmed cases
20,996
Hospitalizations
1,161
Deaths

2

States reporting cases

49 plus the District of Columbia

Median age of cases
47 years (range 1 to 99 years)
Sex of cases

56% female

44% male

Median date symptoms started for cases
July 8, 2026 (range May 1 to August 30, 2026)

These people became sick in the United States and did not report any international travel during the 14 days before they got sick.

State health departments may have more information about the situation in their jurisdictions. Additionally, states may report higher case counts than CDC because they may include cases that do not meet CDC's formal reporting criteria.

There were 13,002 laboratory-confirmed cases of cyclosporiasis reported to CDC requiring further investigation to determine whether they were acquired in the United States or during travel.

U.S. case locations

CDC has received reports of 20,996 laboratory-confirmed cases of cyclosporiasis acquired in the United States with symptom onset dates during the 2026 cyclosporiasis season (May 1 - August 31, 2026). The map shows the states in which these people lived at the time of reporting. Potential Cyclospora infections are typically investigated by the state or local health department where people live, even if they were exposed to the parasite in another state. Cyclosporiasis cases may not be limited to the locations of known cases. The true number of people sick with cyclosporiasis is likely higher than the number reported. This is because some people recover without medical care and are not tested for Cyclospora.

Note: Hover over the map to see the range of cyclosporiasis cases for each state.

These data include case data reported directly to the CDC Cyclospora program. Case counts may not match exactly those listed in the Nationally Notifiable Diseases Surveillance System tables. New York State includes case reports from New York City. In Pennsylvania, cases are reported voluntarily. Data are preliminary and subject to change. For questions related to the number of cases reported in each state, contact that state's health department.

U.S. cases by symptom onset

The chart below, called an epi curve, shows laboratory-confirmed Cyclospora cases with symptom onset dates between May 1 - August 31, 2026, that were acquired in the United States.

Daily case counts are preliminary and subject to change. The true number of people sick with cyclosporiasis is likely higher than the number reported. This is because some people recover without medical care and are not tested for Cyclospora. It takes about six weeks from the start of symptoms to when CDC receives the case information.

How we use epi curves

An epi curve helps public health investigators monitor an outbreak and understand whether illnesses continue to occur or have stopped. This information can guide decisions about public health actions.

Cases acquired outside the U.S.

These cases are in addition to those acquired in the United States.

May 1 - August 31, 2026:

Laboratory-confirmed cases
2,218
Hospitalizations
85
Deaths

0

States reporting cases

46 plus Puerto Rico

Median age of cases
45 years (range 10 months to 89 years)
Sex of cases

57% female

43% male

Median date symptoms started for cases

June 27, 2026 (range May 1 to August 31, 2026)

These people became sick after eating food or drinking water while they were traveling outside the United States during the 14 days before they got sick.

Content Source
National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)
About This Page
Published: August 25, 2026
Updated: October 23, 2026

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: October 23, 2026

The information on this page was last reviewed by subject matter experts to ensure accuracy.