Clusters of illness were identified in Texas, Wisconsin,
and Georgia. Most (319, 58 percent of 546) ill people experienced onset of
illness on or after May 1, 2015, and did not report international travel within
two weeks before illness onset. These 319 people were from the following
states: Arkansas (3), California (2), Connecticut (5), Florida (13), Georgia
(26), Illinois (9), Iowa (1), Kansas (2), Maryland (1), Massachusetts (12),
Michigan (2), Missouri (1), Montana (3), Nebraska (1), New Jersey (7), New
Mexico (2), New York (32), North Carolina (1), Texas (179), Utah (1), Virginia
(3), Washington (2), Wisconsin (11).
Clusters
of illnesses were identified in Texas, Wisconsin, and Georgia. The FDA;
the Texas Rapid Response Team; Texas Department of State Health Services; the
Wisconsin Department of Health Services; the Wisconsin Department of
Agriculture, Trade and Consumer Protection; the Georgia Rapid Response Team;
and the Georgia Department of Public Health have collaborated on traceback
investigations related to these illness clusters. These investigations
found that cilantro from the state of Puebla, Mexico was supplied to
restaurants at which people identified in the illness clusters ate, indicating
that some illnesses in these states were linked to fresh cilantro from Puebla,
Mexico. As of September 16, 2015, the CDC reported that case numbers have
returned to baseline levels.
The CDC and
state public health officials have identified annually recurring outbreaks (in
2013 and 2014) of cyclosporiasis in the United States which have been associated
with fresh cilantro from the state of Puebla, Mexico. Although not confirmed by
epidemiological means, the FDA reviewed a cluster of Cyclosporiasis illnesses
from 2012 in which the state of Texas had previously identified cilantro as one
of multiple possible suspect vehicles. The FDA determined that cilantro from
the state of Puebla, Mexico, was supplied to the point of service implicated in
that outbreak and was already found as the potential source of the 2012
outbreak.
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