Wednesday, July 4, 2018

PRO/EDR> Cyclosporiasis - USA (05): (TX)

CYCLOSPORIASIS - USA (05): (TEXAS)
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Date: Tue 3 Jul 2018, 9:39 PM PDT
Source: Kron4 [edited]
<https://www.kron4.com/news/national/intestinal-parasite-outbreak-in-texas/1282489470>


Texas health officials say they are investigating 56 cases of illness
due to the _Cyclospora_ parasite since the beginning of May [2018].

Sixteen of the cases are from Travis County, more than any other
county in the state.

The Department of State Health Services says it is working with local
health departments around the state and country after seeing an
outbreak of Cyclosporiasis, which is an intestinal illness caused by
consuming food or water contaminated with the microscopic parasite.

Watery diarrhea is the main symptom, lasting a few days to a few
months. Additional symptoms may include loss of appetite, fatigue,
weight loss, abdominal cramps, bloating, increased gas, nausea,
vomiting and a low fever. The department says symptoms may come and go
multiple times over a period of weeks or months. Anyone with symptoms
that sound like they could be related to _Cyclospora_ should contact
their local healthcare provider.

Past outbreaks have been associated with imported fresh produce,
including pre-packaged salad mix, raspberries, basil, snow peas and
mesclum greens, the state health department said, including Texas'
multiple outbreaks linked to cilantro.

DSHS recommends thoroughly washing all fresh produce, but that may not
entirely eliminate the risk because _Cyclospora_ can be very difficult
to wash off. Cooking will kill the parasite. The department says
infection is generally not transmitted directly from
person-to-person.

There were 319 cases of Cyclosporiasis in Texas reported last year
[2017].

Since May [2018], these cases have been reported in the following
counties:

County: Count
Bexar: 11
Brazoria: 1
Brazos: 1
Collin: 2
Dallas: 2
Fort Bend: 1
Galveston: 1
Grimes: 1
Guadalupe: 1
Harris: 6
Hidalgo: 5
Jackson: 1
Kerr: 1
Montgomery: 3
Starr: 1
Tarrant: 1
Travis: 16
Victoria: 1
Waller: 1
Washington: 1

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[The wide geographical spread of cases suggest a common source and it
would be interesting to know if the vegetable trays identified as the
source of the outbreaks in Minnesota and Wisconsin were also sold in
Texas. - Mod.EP

HealthMap/ProMED map available at:
Texas, United States: <http://healthmap.org/promed/p/245>]

[See Also:
Cyclosporiasis - USA (04): (WI, MN) vegetable tray, recall:
http://promedmail.org/post/20180623.5872047
Cyclosporiasis - USA (03): additional states:
http://promedmail.org/post/20180619.5863566
Cyclosporiasis - USA (02): (WI,MN):
http://promedmail.org/post/20180618.5861210
Cyclosporiasis - USA: (WI, MN):
http://promedmail.org/post/20180616.5859069
2017
----
Cyclosporiasis - USA (06): nationwide increase
http://promedmail.org/post/20170927.5344698
Cyclosporiasis - USA (05): nationwide increase
http://promedmail.org/post/20170923.5335655
Cyclosporiasis - USA (04): background
http://promedmail.org/post/20170817.5255726
Cyclosporiasis - USA (03): nationwide increase, alert
http://promedmail.org/post/20170815.5250731
Cyclosporiasis - UK: ex Mexico
http://promedmail.org/post/20170814.5249389
Cyclosporiasis - USA (02): (TX)
http://promedmail.org/post/20170801.5219001
Cyclosporiasis - USA: (TX)
http://promedmail.org/post/20170719.5189199
Cyclosporiasis - Canada (02): (ON, BC)
http://promedmail.org/post/20170716.5177711
Cyclosporiasis - France ex Mexico: (QR)
http://promedmail.org/post/20170714.5174986
Cyclosporiasis - Mexico: (GJ) RFI
http://promedmail.org/post/20170708.5159937
Cyclosporiasis - Canada: (ON, BC)
http://promedmail.org/post/20170703.5146527
2016
----
Cyclosporiasis - USA: (TX) alert
http://promedmail.org/post/20160807.4399338
Cyclosporiasis - UK (02): ex Mexico (Riviera Maya) alert
http://promedmail.org/post/20160805.4396881
Cyclosporiasis - UK: ex Mexico
http://promedmail.org/post/20160730.4381665
2015
----
Cyclosporiasis - UK, Canada: ex Mexico, RFI
http://promedmail.org/post/20151101.3759380
Cyclosporiasis - USA (05): ex Mexico
http://promedmail.org/post/20150827.3606898
Cyclosporiasis - USA (04): ex Mexico
http://promedmail.org/post/20150813.3576519
Cyclosporiasis - Canada http://promedmail.org/post/20150810.3569701
Cyclosporiasis - USA (03) http://promedmail.org/post/20150802.3553403
Cyclosporiasis - USA (02): (TX)
http://promedmail.org/post/20150702.3479116
Cyclosporiasis - USA: (TX) increase in cases
http://promedmail.org/post/20150624.3462421
2014
----
Cyclosporiasis - USA (02): multistate
http://promedmail.org/post/20140730.2646220
Cyclosporiasis - USA: (TX)
http://promedmail.org/post/20140727.2638219
2013
----
Cyclosporiasis - USA (14) http://promedmail.org/post/20130906.1926983
2011
----
Cyclosporiasis - USA (02): background
http://promedmail.org/post/20111002.2967]
.................................................sb/ep/ao/jh
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