{"id":1055,"date":"2026-07-23T18:38:43","date_gmt":"2026-07-23T18:38:43","guid":{"rendered":"https:\/\/cityrelocationnews.com\/?p=1055"},"modified":"2026-07-23T18:38:43","modified_gmt":"2026-07-23T18:38:43","slug":"grocery-shopping-in-the-age-of-explosive-diarrhea","status":"publish","type":"post","link":"https:\/\/cityrelocationnews.com\/?p=1055","title":{"rendered":"Grocery Shopping in the Age of Explosive Diarrhea"},"content":{"rendered":"
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You\u2019re reading Progress Report<\/strong>, Jessica Winter\u2019s column on family and K-12 education.<\/em><\/span><\/div>\n<\/div>\n

On July 10th, a friend sent me a text message that spoke for an anxious nation. \u201cWhat if I have the explosive-diarrhea disease?\u201d she asked. She included a link to an article about a parasitic illness, called cyclosporiasis, that was spreading across multiple states, mostly clustered around the Great Lakes region. The outbreak in Michigan, which was the most afflicted state by far, had begun in May and was up to nearly a thousand cases (compared with fifty in a typical year). Confusingly, the Centers for Disease Control and Prevention\u2019s nationwide tally of confirmed cases was just a hundred and forty-five\u2014an order of magnitude less than the number reported in Michigan alone.<\/p>\n

Read more I\u2019ll Pay Twenty Thousand Dollars to Skip Your Jazz Show<\/a><\/p>\n

Within an hour of receiving my friend\u2019s text, I had forty-eight cyclosporiasis-related tabs open on my laptop. Cyclospora, I learned, is a protozoan parasite found in produce that has been tainted with human feces\u2014perhaps because heavy rains flooded the porta-potties on the farm where the produce was grown, or because it was irrigated or washed with contaminated water. The cyclospora parasite travels inside an oocyst, a sturdy pod that can find purchase in the nooks and crannies of berries or cling to the ridges and folds of certain greens\u2014and it will die there only if cooked. Once these oocysts reach the human digestive tract, the outer coating dissolves and the parasite unleashes a Visigoth invasion of the small intestine, causing nausea, cramping, and what has been described as \u201cwatery diarrhea,\u201d \u201crelentless diarrhea,\u201d and, most vividly, \u201cexplosive diarrhea.\u201d<\/p>\n

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\u201cIt\u2019s uncontrollable and it\u2019s very liquid,\u201d Joseph Eisenberg, an epidemiologist at the University of Michigan, told me. \u201cIf you\u2019ve seen pictures from cholera wards, where the patients are on gurneys, and the gurney has a hole where your butt goes, and there\u2019s a bucket underneath the hole\u2014it\u2019s very similar.\u201d Cyclosporiasis can be treated with antibiotics and is usually not life-threatening, but the miserable symptoms may persist for a month or more.<\/p>\n

Tracking the origins of a food-borne illness traditionally demands painstaking lab work and exhaustive interviews with patients, who may struggle to recall what and where they ate weeks after the fact. Cyclospora is an especially elusive offender because, unlike such bacteria as E.\u00a0coli or salmonella, it can\u2019t be cultured in a lab. \u201cThe problem with cyclospora is that it does not grow outside of the human body, and first it needs a host,\u201d Felicia Wu, who is a professor in the Department of Food Science and Nutrition at Michigan State University, told me. \u201cYou have to wait until somebody gets sick and then test the fecal sample, and say, \u2018Yup, we see it.\u2019\u00a0\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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As cyclosporiasis cases continued to surge, amateur sleuths across social media began probing the enigma of America\u2019s booby-trapped guts. Blueberries popped up a lot in these conversations, maybe because we were approaching peak blueberry season, or maybe because people conflated the cyclosporiasis outbreak with a concurrent E.\u00a0coli outbreak\u2014which, earlier in July, had prompted a recall of frozen blueberries sent to Publix locations in eight states. Strawberries also came under a cloud, at least in my household. At a farm stand in northern Connecticut, I bought a small basket of perfect late-season strawberries\u2014plump and petite, a dappled shade of rose madder. But, back at home, when my eleven-year-old washed the berries, she worried that the usual flecks of harmless fuzz might be oocytes in disguise, and they sat in the fridge uneaten.<\/p>\n

The online cyclospora chatter soon coalesced around bagged lettuce and salad mixes, and, for once in my parenting career, I could feel good about my kids\u2019 resistance to uncooked greens. On Reddit, Facebook, TikTok, and beyond, the primary suspect was the California-based Taylor Fresh Foods, a multibillion-dollar produce supplier\u2014one of the largest in the U.S. The company has been implicated in numerous food recalls and food-borne illnesses, including a cyclosporiasis outbreak in 2013 and an E.\u00a0coli outbreak in 2024. It has also been accused of union-busting and a litany of labor violations, including allegedly forcing employees to work amid a chemical spill at a California facility and failing to address unsafe conditions at a New Jersey plant, where a worker was fatally injured. (The company did not respond to a request for comment.)<\/p>\n

The consumer who wishes to avoid Taylor Fresh Foods and its subsidiaries, whether for reasons of conscience or reasons of diarrhea avoidance, can easily skip the Taylor Farms-branded salad mixes and prepared salads found at most chain supermarkets. But the company also sells produce to Sysco, the largest wholesale food distributor in the U.S., and supplies ingredients for store-branded (or so-called private-label) salad bowls and kits at Costco, Trader Joe\u2019s, Walmart, and the Kroger supermarket chain, among others. In other words, Taylor Farms\u2019 lettuce is everywhere in our food systems but not necessarily visible as such, rather like microplastics and antibiotics and little bits of mold and earwig. It\u2019s all one big wilted salad.<\/p>\n

Two days after I received my friend\u2019s text, in the checkout line at my local supermarket, in Massachusetts, I noticed an elderly man behind us, who looked to be shopping for one. Amid his modest haul was a little bushel of blueberries and a bagged salad mix. \u201cMake sure you wash everything really well,\u201d I told him. He cupped a hand to his ear, and I repeated myself. \u201cThere\u2019s that terrible virus going around,\u201d I added. He gave me a polite nod, patiently awaiting the end of this uninvited encounter. It only occurred to me in the parking lot that cyclosporiasis is not a virus, and that I had been spreading misinformation.<\/p>\n

Robert F. Kennedy, Jr., the Secretary of the Department of Health and Human Services and the hero of the Make America Healthy Again movement, is a gold-standard superspreader of misinformation. But what has characterized his agency\u2019s response to the cyclospora outbreak is the relative absence of information, and that owes partly to an absence of staff. Neither the Food and Drug Administration nor the C.D.C. nor the office of the Surgeon General currently has a Senate-confirmed leader. Since the start of President Donald Trump\u2019s second term, when Elon Musk\u2019s Department of Government Efficiency commenced disembowelling the federal civil service, the F.D.A. has lost about twenty per cent of its staff, including food-safety scientists and key support staff for food inspectors. The Department of Agriculture, which regulates poultry and most red meats, has lost about ten per cent of its food-safety-and-inspection team.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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The C.D.C. was hit even harder. It has shed roughly a quarter of its workforce, including scores of people from the agency\u2019s Epidemic Intelligence Service, which trains and deploys \u201cdisease detectives\u201d to trace and respond to outbreaks and other public-health challenges. \u201cThe people who are still at C.D.C. are working under incredibly constrained circumstances,\u201d Arthur Reingold, a professor emeritus of epidemiology at the School of Public Health at the University of California, Berkeley, and a former disease detective at the C.D.C., told me. \u201cWe have a markedly reduced capacity to do the kinds of studies that underpin a lot of our prevention-and-control strategies, and there has been a huge exodus of highly qualified people.\u201d<\/p>\n

The decimation of the national public-health apparatus has had a direct impact amid the cyclosporiasis crisis. The C.D.C.\u2019s parasite-surveillance team, which was instrumental in tracing the origin of the 2013 cyclospora outbreak, had eleven scientists before DOGE<\/em>, and now it has three. Until last year, the FoodNet program, a joint project of the C.D.C., F.D.A., and U.S.D.A., mandated proactive surveillance of eight pathogens in ten states, including cyclospora; that list of pathogens has been cut to two, and it no longer includes our diarrhea parasite. \u201cThat leaves states more and more on their own,\u201d Eisenberg said.<\/p>\n

There are still scores of infections and conditions\u2014including cyclosporiasis\u2014that health-care providers are mandated to report to their state health departments; if a state observes a spike in cases, it will provide the relevant data to the C.D.C., which may decide to intervene. In the aftermath of DOGE<\/em>, \u201cthat system still exists, but it\u2019s been hindered by mass public-health layoffs,\u201d Alexander Sundermann, an assistant professor of epidemiology at the University of Pittsburgh School of Public Health, told me. In tracing back the source of an outbreak, an especially time-intensive task for state epidemiologists is conducting interviews with afflicted patients. \u201cIt can take two to three hours to go through a questionnaire, and that\u2019s for every single case,\u201d Sundermann said. \u201cWe have a lot fewer people to do that work, and so it\u2019s going to be much slower than it used to be.\u201d The longer it takes for researchers to pinpoint a pathogen, the more people may get sick.<\/p>\n

It is entirely possible that hundreds or thousands of Americans could have avoided spending much of the early summer on the toilet if the federal Food Traceability Rule, which was finalized in 2022, had taken effect in January, as originally planned. The rule, once in place, would put far more investigatory onus on companies, requiring them to track and record data on most F.D.A.-regulated foods\u2014including fruits and vegetables, fish, and dairy products\u2014and to provide that data to the government within twenty-four hours of a request. But, in March, 2025, following intense Big Ag lobbying, Congress pushed back implementation of the rule to 2028, reflecting the deregulatory spirit of Trump II. (The attorney and public-health advocate Matthew Cortland recently dug up Federal Election Commission forms showing that Taylor Fresh Foods made a million-dollar donation to MAGA<\/em> Inc., a pro-Trump super PAC<\/em>, also in March of last year.)<\/p>\n

After the Food Traceability Rule was delayed, the C.E.O. of the Food Industry Association, a trade group, expressed relief, saying that the rule would impose \u201cunnecessary complexity that would burden the supply chain and increase food costs to consumers.\u201d Perhaps the cyclospora outbreak provides an image of an unburdened supply chain, and what it costs.<\/p>\n

Read more Jane Wickline Is Down to Clown in \u201cDukes\u201d<\/a><\/p>\n

By July 13th, Michigan had logged two thousand six hundred and forty cases of cyclosporiasis. (The C.D.C.\u2019s national count of confirmed cases still trailed behind, at eight hundred and forty-three.) That same day, Michigan flagged a breakthrough in the investigation, announcing that lettuce was the likely villain of the outbreak. Across social media, speculation about Taylor Farms escalated. Kennedy, who still had not made a public statement about cyclospora, remained mum on the subject. He posted a brief video urging his followers to reverse America\u2019s \u201cchronic-disease burden\u201d through the power of personal responsibility: \u201cIt begins with you taking back your own health,\u201d he says. Then Rob Schneider, the anti-vaxxer and star of \u201cDeuce Bigalow: Male Gigolo,\u201d steps into the frame. \u201cYou can do it!\u201d he exclaims. \u201cGet active! Eat real food!\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Three days later, the C.D.C. and F.D.A. finally made a concrete and actionable statement on cyclosporiasis\u2014one that, if anything, was bizarre in its specificity. The statement described a \u201cmultistate outbreak of Cyclospora<\/em> infections linked to shredded iceberg lettuce served at Taco Bell locations in 5 states.\u201d Its advice to consumers was narrow: \u201cDo not eat shredded iceberg lettuce at Taco Bell locations in Indiana, Kentucky, Michigan, Ohio, and West Virginia.\u201d The lettuce came from an unnamed \u201csingle supplier\u201d in Mexico. \u201cShredded iceberg lettuce sold in grocery stores or served in other restaurants is not affected,\u201d it said.<\/p>\n

To those who were following the outbreak closely, the statement was confounding. Cyclosporiasis was afflicting thousands of people outside the five named states: three hundred and seventy-four cases had been reported in New York, three hundred and seven in North Carolina, and two hundred and twenty-seven in Illinois. The Taco Bell connection was not in question\u2014the F.D.A. cited one group of patients in Michigan where nine out of ten had eaten a product containing lettuce at the chain before falling ill\u2014but that still left a lot of sick Michiganders who didn\u2019t report eating there. And certainly one would not need to be a partisan of the Doritos Locos Tacos Supreme, the Nachos BellGrande, or other potentially iceberg-involved menu items to wonder why Taco Bell, which does not grow its own lettuce, was being cast as the lone villain of the cyclosporiasis disaster.<\/p>\n

The Washington Post<\/em> and the Times<\/em> soon reported what many alcoves of the internet had long since concluded: Taylor Farms\u2014specifically, its branch in central Mexico, where cyclospora is endemic\u2014was the likely source of the tainted lettuce. On July 17th, one day after the federal government singled out Taco Bell, Taylor Fresh Foods announced that it was \u201cvoluntarily removing all iceberg lettuce sourced from central Mexico from the U.S. market,\u201d which had been shipped to distributors, big-box stores, and restaurants in twenty-seven states.<\/p>\n

The company\u2019s recall notice, which the F.D.A. later pasted onto its own site, took a near-cryptographic approach to full disclosure, listing the affected products and stores by obscure codes such as \u201cPV\u201d and \u201cMKTSD\u201d and \u201cBLEND LETT\/ROM 80\/20 WITH SEP BAGGIES 4\/5#.\u201d Bill Marler, an attorney specializing in food safety whose blog has been indispensable in understanding the cyclosporiasis crisis, wrote that, had the Food Traceability Rule been implemented on schedule, the states and codes listed in Taylor Fresh Foods\u2019 recall notice \u201cwould have been in FDA\u2019s hands in a day\u2014in May. Instead we got them in the third week of July, from a corporate website, as abbreviations.\u201d<\/p>\n

Kennedy broke his silence at last, and chose a morning-drive talk-radio show in Tampa, Florida, as his forum. Cyclosporiasis is very treatable, he told the host, Ryan Gorman. There are \u201coutbreaks every summer,\u201d he said. (This is true, but those outbreaks typically affect a few dozen people per state; Kennedy made similarly context-free comments about the deadly measles outbreak of the late winter.) The notion that cyclosporiasis wasn\u2019t being actively tracked was \u201cfake news,\u201d Kennedy scoffed, and listeners could hop onto the F.D.A. website to see the \u201cresult of our investigation.\u201d He did not note that the investigation was still ongoing\u2014that there was no \u201cresult\u201d to see\u2014nor did he explain why the agencies he oversees had briefly marked all non-Taco Bell lettuce as safe. \u201cNow that we know the probable culprit,\u201d Kennedy said, \u201cI think it\u2019s going to be much easier for people to make healthy choices.\u201d Michigan had just crossed five thousand cases.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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How do people \u201cmake healthy choices\u201d under these circumstances? How do you \u201ctake back your health,\u201d per Kennedy, in the age of explosive diarrhea? The \u201cMAHA<\/em> moms\u201d and other MAHA<\/em>-aligned influencers have responded according to type, by hawking what they claim to be parasite-killing supplements and musing aloud about deep-state PsyOps to keep us from our leafy greens. The public-health messaging from Kennedy\u2019s agencies has been so garbled and spotty that your average grocery shopper may not know how to respond at all. Last time I checked TikTok, the algorithm showed me someone tossing bleach solution on their leafy greens. My kids, at present, will only eat fruits with a peel, because then the poop can\u2019t get in. They knew all along that salad was bad for you.<\/p>\n

Over the weekend of July 18th, the F.D.A. announced that a sample of iceberg lettuce from Taylor Farms\u2014a sample, importantly, not from the recalled lettuce but from greens still in circulation\u2014had tested positive for cyclospora, then swiftly retracted the finding, calling it a \u201cfalse positive.\u201d The casual observer might hear this news and understandably assume that there was no evidence linking Taylor Farms to the outbreak after all. The company alleged that the F.D.A. had apologized for the false positive and emphasized that the agency \u201chas not identified a single positive product test result for Cyclospora.\u201d (The F.D.A. denied apologizing.)<\/p>\n

It\u2019s one mystery among many why the F.D.A. would choose to publish such a consequential finding without first double-checking its work, sowing yet more doubt in our blighted public-health systems. But the false positive did nothing to undercut the epidemiological and trace-back data linking Taylor Farms to the outbreak, Sandra Eskin, the C.E.O. of the Chicago-based nonprofit Stop Foodborne Illness, told me. \u201cA huge number of people who got sick ate lettuce at Taco Bell, and that lettuce came from Taylor Farms,\u201d Eskin said. \u201cWhen you have strong epidemiological evidence and strong trace-back, you don\u2019t need product testing to prove the connection, and Taylor Farms knows that.\u201d The F.D.A. and the C.D.C., she added, \u201cjust really weren\u2019t good at communicating this.\u201d<\/p>\n

By July 21st, the C.D.C. had received reports of cyclosporiasis from forty-one states. Michigan was approaching seven thousand; northwest Ohio had more than two thousand. At a press conference, Kennedy said, \u201cWe do have the outbreak under control.\u201d This statement appeared to contradict statements from his own staff at the F.D.A., which was and still is investigating possible sources of cyclospora in the food chain. \u201cIt\u2019s hard to know what \u2018under control\u2019 means when there are so many mixed messages about what food products are involved and why people are getting sick,\u201d Eskin said.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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When \u201ctaking back your health,\u201d it helps if public-health leaders are good at communicating basic information about dangers in our food supply; it helps if they don\u2019t leave this work to busybodies in the supermarket. It helps if the agencies entrusted with our health have proper funding and staffing. It helps if you\u2019re able to find out where your food is coming from, and which company produced it. It helps if corporations are compelled by law to provide exacting data to public-health agencies, and barred from making enormous monetary donations to the entities that regulate them. And it helps if the person tasked with making America healthy again doesn\u2019t appear to view most diseases as akin to an especially rigorous juice cleanse, meant to test our mettle and leave us even stronger.<\/p>\n

\u201cIt\u2019s hard for the public to recognize when public health is working, because when it works, you don\u2019t see it,\u201d Sundermann told me. \u201cThis is where the U.S. has struggled, in demonstrating that prevention matters and we should invest in it.\u201d He invoked President Trump\u2019s withdrawal of the U.S. from the World Health Organization, in January. \u201cTen or twenty years from now, when there\u2019s rampant antimicrobial resistance and we can die from an infection because no antibiotics work against it, we\u2019ll look back and say, \u2018Hmm, maybe we shouldn\u2019t have left the W.H.O.\u2019 Those are the long-term consequences. But the short-term consequences are what we\u2019re seeing right now. We are only going to see more of this going forward.\u201d On July 22nd, the day after Kennedy declared cyclospora to be \u201cunder control,\u201d the F.D.A. announced that it was investigating a new outbreak of the parasite, seventy-two cases to date, origins \u201cnot yet identified.\u201d\u00a0\u2666<\/p>\n

Read more \u201cLost Chapters\u201d Weaves Literary Mysteries Into Family Bonds<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

The cyclospora outbreak lays bare our underfunded and overwhelmed public-health system. 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