As an outbreak of Cyclospora cayetanensis continues in the United States, some people in Orange County have reported falling sick from the parasite, according to the county health department.
An alert shared by the Orange County Health Department on Wednesday said at least eight cases of cyclosporiasis have been reported so far as the nation grapples with a historic amount of cases this summer and searches for its source. The microscopic cyclospora parasite is believed to be causing the illness in people who consumed food or water contaminated by it — causing intense, watery diarrhea along with other stomach issues like cramping, bloating, nausea and more.
This undated photo taken through a microscope provided by the CDC shows Cyclospora cayetanensis oocysts found in a fresh stool sample which had been prepared with a formalin solution and stained with safranin. (CDC via AP)
The Orange County Health Department shared reminders to community members on how to take precautions. Notably, the department said intestinal illness caused by cyclospora only occurs in humans and is not likely to be transmitted from person-to-person. But the parasite spreads through fecal matter, so washing hands with soap and water after using the bathroom — as well as before and after handling fresh fruits and vegetables — is an important piece of hygiene.
Chemical disinfection and sanitization of fresh produce or water is unlikely to kill cyclospora, Wednesday’s release said, but soap and water will help clean it. The health department recommended all fruits and vegetables be washed thoroughly under running water before eating, cutting or cooking it, and firmer produce like melons and cucumbers can be scrubbed with a produce brush. Other tips include cutting away any damaged or bruised areas of fruits and vegetables before preparing or eating, and refrigerating prepared produce within two hours to prevent the parasite from returning.
Orange County Health leaders also shared guidance for food service, childcare, camp, and congregate living facility operators to take special precautions amid the cyclospora outbreak, saying businesses “play a critical role in preventing foodborne illness outbreaks, especially when preparing food in large quantities.” Its suggestions to those people include:
- Follow proper washing procedures for all produce, including leafy greens, berries, and herbs — especially any served raw
- Source produce from reputable suppliers and be aware of any recalls or advisories related to cyclospora contamination
- Train kitchen staff on food safety protocols, including proper handwashing, cross-contamination prevention and safe food storage
- Keep detailed records of where produce is purchased in case traceback investigations are needed
- Calling 919-245-2360 to speak with OCHD Environmental Health staff to get more resources and guidance
For those who are experiencing symptoms of cyclosporiasis, the county health department recommends people contact their healthcare provider. Any community member who would like to speak with the department’s communicable disease unit can call 919-245-2400, option 7. The good news, according to health officials, is that cyclosporiasis can be treated with antibiotics and most people who become sick recover — but symptoms can last for weeks and return in waves if untreated.
More information about cyclospora and its illness can be found on the Centers for Disease Control and the North Carolina Department of Health and Human Services websites.
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