The Food and Drug Administration has expanded its list of states affected by a multistate Cyclospora outbreak, adding Massachusetts and Maine and bringing the total to 17 states and 9,481 reported illnesses, federal officials said Friday.
Product tied to outbreak, federal action underway
Federal investigators have linked the illnesses to shredded iceberg lettuce produced by Taylor Farms de Mexico. The lettuce was served in several settings, including at Taco Bell restaurants in multiple states, according to information released by the FDA.
The agency said many of the illnesses occurred before the company issued a recall of the iceberg lettuce on July 17, 2026. In response to the outbreak, FDA inspectors began onsite sampling and an inspection at the Taylor Farms de Mexico facility in cooperation with Mexican authorities.
States and scope of the outbreak
The FDA’s tally lists 9,481 illnesses associated with this outbreak across the following states:
- Arkansas
- Iowa
- Illinois
- Indiana
- Kansas
- Kentucky
- Massachusetts
- Maine
- Michigan
- Missouri
- Nebraska
- New Hampshire
- North Carolina
- Ohio
- Oklahoma
- Pennsylvania
- West Virginia
| Metric | Value |
|---|---|
| States affected | 17 |
| Reported illnesses | 9,481 |
| Product recalled | Shredded iceberg lettuce (Taylor Farms de Mexico) |
Symptoms and public-health guidance
Cyclospora is a microscopic parasite that can cause prolonged gastrointestinal illness. Health authorities list common symptoms as diarrhea, stomach cramps, nausea, vomiting, weight loss, fever, headache and body aches; some infected people may not show any symptoms at all.
Public-health officials advise that people who develop symptoms after eating ready-to-eat salads, shredded lettuce or meals from restaurants where the implicated product was used should seek medical advice. Diagnosis typically requires laboratory testing of stool samples, and treatment often involves specific antibiotics prescribed by a clinician.
Local impact and what residents should do
The FDA’s addition of Massachusetts to the outbreak map means local health departments and healthcare providers will be monitoring for related cases and coordinating with state and federal partners. Restaurants and retailers that used the recalled product were instructed to remove it from distribution and to notify customers where appropriate.
Practical steps for residents:
- Check your home and refrigerator for recalled shredded iceberg lettuce from Taylor Farms de Mexico; dispose of any suspected product.
- Review recent meals if you have developed gastrointestinal symptoms and tell your healthcare provider about potential exposure to prepackaged or restaurant-served lettuce.
- Follow updates from the Massachusetts Department of Public Health and the FDA for new information, inspection results, or further recalls.
Health departments typically rely on laboratory confirmation and interviews to link cases to a common source, and that process can take time. Federal officials have said many of the illnesses predate the recall, underscoring the lag between exposure, onset of symptoms and reporting.
Ongoing investigation
The FDA has described the effort as an active, ongoing investigation that includes sampling at the production facility in Mexico and cooperation with Mexican health authorities. Results of those inspections and any additional regulatory actions will be released as they become available.
For now, consumers and food-service operators should assume that any shredded iceberg lettuce produced by Taylor Farms de Mexico and subject to the July recall may be associated with the outbreak and should be treated accordingly.
State and local health agencies are the primary points of contact for testing and care questions. Residents who believe they have been affected should contact their healthcare provider or local health department for next steps and testing.
The FDA provided the case and state data to media outlets via a recall notice. WE NEWS will continue to follow state public-health updates and any new federal findings related to the investigation.