Cyclospora in Maryland: Cases more than double since last week - WBAL-TV

The Maryland Department of Health has confirmed 69 cases of cyclosporiasis so far this year, more than double the 32 cases reported roughly a week earlier, marking a sharp rise in a state that typically sees only a few cases annually.
Cyclosporiasis is caused by a parasite found in contaminated food and water, and Dr. Greg Schrank of the University of Maryland Medical Center said the biggest health risk is dehydration from the diarrhea and vomiting it causes, a particular concern amid the current extreme heat.
The wide geographic spread and high number of cases nationwide suggest the source of contamination lies far up in the food supply chain, according to Schrank.
Health officials advise avoiding bagged salad, spinach, and lettuce, peeling the outer layers of fruits and vegetables since the parasite clings to surfaces, and cooking produce when possible to reduce the risk of illness.
Buying from local farmers' markets is considered lower risk; at the Catonsville Farmers Market, vendor Cynthia Yingling said awareness of the outbreak has drawn customers, noting her produce is picked, packaged, and sold directly with minimal handling and no wash water.
The illness is generally not life-threatening, but Schrank recommends seeing a doctor for testing if diarrhea persists more than one or two days, adding that an antibiotic can shorten and ease symptoms for those diagnosed.