CDC now says more than 4,000 confirmed cases; Michigan count tops 7,000
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Michigan officials reported that another 600 cyclospora patients were identified overnight, bringing the total in the state to 7,171.
The Michigan patients are part of a multistate outbreak related to iceberg lettuce products produced by Taylor Farms. The next closest state count is from Ohio where there are 2,029 patients. A number of patients in Michigan reported eating iceberg lettuce on items from Taco Bell. The restaurant chain has stopped using lettuce from Taylor Farms.
The produce company recalled its shredded iceberg lettuce and salad kits containing iceberg lettuce from central Mexico on July 17. Its customers include Walmart, Costco, Target, Whole Foods, McDonald’s and Taco Bell, as well other fast food chains and Sysco, which is the country’s largest food service supplier. Sysco supplies a number of restaurant chains in addition to hospitals, schools, hotels and other foodservice operators.
As of July 21, the CDC is reporting that since May 1 it has received reports of 4,173 laboratory-confirmed domestic cases of cyclosporiasis and is aware of more than 7,400 additional cases that are not yet laboratory confirmed and require further investigation and analysis. Many of the additional cases have been reported by Michigan and Ohio.
The discrepancies in the state counts and the total being reported by the CDC come from the fact that the agency stopped counting cyclospora infections in 2025. At that time the agency stopped tracking six out of eight foodborne pathogens.
The Food and Drug Administration reported on July 18 that it had a positive result for the cyclospora parasite on a sample of Taylor Farms iceberg lettuce from Mexico. However, the agency walked back that announcement on July 19 saying that the test result was a false positive.
Preliminary patient counts from the states are as follows:
| State | 2026 cases reported | Part of the Taco Bell outbreak? | Source |
| Alabama | No 2026 count published | Not reported as part of the outbreak | CDC |
| Alaska | 5; 3 travel-related | No – AK DOH: no link to the outbreak | AK DOH / Epoch |
| Arizona | 19 | Cases reported; not in cluster | AZ DHS / Epoch |
| Arkansas | 26 year-to-date | Under investigation for outbreak link | AR DOH / Epoch |
| California | 41 provisional (Jul 14); CDC lists 97 | No – CDPH: no local acquisition identified | CDPH |
| Colorado | 150; 4 hospitalized; 8 of 120 domestic | No – CDPHE: not part of the Midwest outbreak | CDPHE / Epoch |
| Connecticut | 35 (up from 19 in 2025) | Links its cases to the national outbreak | CT DPH |
| Delaware | No 2026 count published | Not reported as part of the outbreak | CDC |
| Florida | 106 | No – FL DOH: seasonal disease Florida sees yearly | FL DOH / Epoch |
| Georgia | 11-30 domestic since May 1; CDC lists 71 | No – GA DPH: no Georgia-specific cluster | GA DPH / Epoch |
| Hawaii | No 2026 count published | Not reported as part of the outbreak | CDC |
| Idaho | No 2026 count published | Not reported as part of the outbreak | CDC |
| Illinois | 277 (Jul 16); 23 hospitalized; CDC lists 87 | No – IDPH: higher than average, no single cause | IDPH / TODAY |
| Indiana | 327 total; at least 47 tied to the outbreak | YES – fifth Taco Bell outbreak state; daily updates | IN DOH / Epoch |
| Iowa | 57; about half domestic | No – IA HHS: not connected to national investigations | IA HHS / Epoch |
| Kansas | 55 (Jul 15); 37 domestic | Domestic cases rising; no Kansas source found | KDHE |
| Kentucky | 192 (Jul 15); 108 confirmed; 7 hospitalized | YES – Taco Bell outbreak state; weekly updates | KY DPH / Epoch |
| Louisiana | 1-10 | Not declared part; not in cluster | LA DOH / Epoch |
| Maine | No 2026 count published | Not reported as part of the outbreak | CDC |
| Maryland | 69; some travel-related | No – no common link identified | MD DOH / Epoch |
| Massachusetts | 18 (normal seasonal amount) | No – MA DPH: not affected by the Midwest outbreak | MA DPH / Epoch |
| Michigan | 6,571 (Jul 21); 102 hospitalized (Jul 16); 23 out-of-state pending | YES – leads the outbreak; 2,408 new cases in the week to Jul 18 | MDHHS |
| Minnesota | 41 since May 1 | No – MDH: no increase over expected | MDH / Epoch |
| Mississippi | No 2026 count published | Not reported as part of the outbreak | CDC |
| Missouri | No 2026 count published | Not reported as part of the outbreak | CDC |
| Montana | No 2026 count published | Not reported as part of the outbreak | CDC |
| Nebraska | 49 | No – NE DHHS: none related to the wider outbreak | NE DHHS / Epoch |
| Nevada | No 2026 count published | Not reported as part of the outbreak | CDC |
| New Hampshire | 1-10 | Cases reported; not in cluster | NH DHHS / Epoch |
| New Jersey | 46 (May 1-Jul 11); within typical range | No – NJDOH: no clusters or outbreaks | NJDOH |
| New Mexico | No 2026 count published | Not reported as part of the outbreak | CDC |
| New York | 517 (May 1-Jul 13) incl. NYC; CDC lists 539 | No – NYSDOH: not a major deviation from the norm | NYSDOH / Epoch |
| North Carolina | 307 (Jul 14); 13 hospitalized | No – NCDHHS: does not appear linked to the Taco Bell outbreak | NCDHHS |
| North Dakota | No 2026 count published | Not reported as part of the outbreak | CDC |
| Ohio | 1,316 statewide (Jul 16); 96 hospitalized. Northwest Ohio alone reports 2,029 (Jul 20) | YES – Taco Bell outbreak state; state updates weekly | ODH / Toledo-Lucas |
| Oklahoma | 57; 6 hospitalized | Part of the national outbreak; no Oklahoma source | OSDH / Epoch |
| Oregon | No 2026 count published | Not reported as part of the outbreak | CDC |
| Pennsylvania | 28; reporting is voluntary | No – mostly travel-related | PA DOH / Epoch |
| Rhode Island | 4 since May 1 | Cases reported; not in cluster | RI DOH / Epoch |
| South Carolina | No 2026 count published | Not reported as part of the outbreak | CDC |
| South Dakota | No 2026 count published | Not reported as part of the outbreak | CDC |
| Tennessee | 11-30 | Investigating; not in cluster | TN DOH / Epoch |
| Texas | 68 (Jul 13); 15 hospitalized; all domestic | Meets CDC case definition; no source identified | TX DSHS |
| Utah | 1-10 | No – UT DHHS: not related to the wider outbreak | UT DHHS / Epoch |
| Vermont | No 2026 count published | Not reported as part of the outbreak | CDC |
| Virginia | 37 through Jul 4; CDC lists 61 | No – VDH: no evidence of a Virginia outbreak | VDH |
| Washington | 27 since May 1; 5 domestic or possibly domestic | No – WA DOH: not associated with other states | WA DOH / Epoch |
| West Virginia | 195 (Jul 21); 15 hospitalized – nearly tripled since Jul 13 | YES – Taco Bell outbreak state; updates Tuesdays and Fridays | WV Dept. of Health |
| Wisconsin | 61 (May 1-Jul 15); 11 domestic | No – WI DHS: no common food item identified | WI DHS / Epoch |
| Wyoming | No 2026 count published | Not reported as part of the outbreak | CDC |
Coral Beach
Managing Editor Coral Beach is a print journalist with more than 35 years experience as a reporter and editor for daily newspapers, trade publications and freelance clients including the Kansas City Star and Independence Examiner.
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