The Texas Health Department advised healthcare providers July 16 to test patients for cyclospora if they have diarrhea lasting more than a couple days or diarrhea accompanied by severe anorexia or fatigue.
“It is too soon to tell if any of the cases are connected to a multi-state outbreak in Nebraska and Iowa,” said Texas health department spokeswoman Christine Mann. “Past outbreaks in the U.S. have been associated with consumption of imported fresh produce.”
The most recent widespread outbreak in North America was in 1996 when more than 850 cases, mostly in the U.S., were linked to imported raspberries from Guatemala, according to the CDC website. Fresh basil and lettuce have also been linked to U.S. outbreaks.