#USA, #Hawaii: Dept. of Health Confirms Fourth Case Of #Cyclosporiasis (DOH, August 1 '26)

 

    HONOLULU — The Hawaiʻi Department of Health (DOH) has confirmed a case of cyclosporiasis in a member of the military based in Hawaiʻi.

    The individual traveled internationally before returning to Hawaiʻi prior to getting sick. 

    Based on their travel history, symptom onset and the known incubation period it is not known at this time if the infection was acquired in Hawaiʻi or while traveling. 

    However, at this point in the DOH investigation, there is no evidence that this case changes the risk of cyclosporiasis in Hawaiʻi. 

    The assessment of risk of cyclosporiasis to the public in Hawaiʻi remains low.

    This case brings the total number of confirmed cyclosporiasis cases reported in Hawaiʻi in 2026 to four. 

    The first case involved a non-resident visitor whose infection also was acquired outside of Hawaiʻi. The next two cases involved two Hawaiʻi residents who traveled internationally.

    Cyclosporiasis is an intestinal illness caused by the microscopic parasite Cyclospora cayetanensis. Eggs of the parasite shed in the feces of infected persons must mature outside the host, in the environment, before they become infectious to another person. 

    People become infected by consuming food or water contaminated with the parasite. In the United States, outbreaks have most often been linked to certain fresh produce items. The illness is not typically spread directly from person to person.

    Symptoms usually begin about one week after exposure but can appear anywhere from two days to two weeks later. 

    The most common symptom is frequent, watery diarrhea. Other symptoms may include loss of appetite, weight loss, stomach cramps or bloating, nausea, increased gas, fatigue and, less commonly, vomiting or low-grade fever. Without treatment, symptoms may last for several weeks or longer and can come and go.

    The DOH routinely investigates reportable diseases to identify potential sources of infection and monitors for any signs of local transmission.

    People can help reduce their risk of cyclosporiasis by:

        ° Washing hands thoroughly with soap and water before preparing or eating food and after using the restroom.

        ° Washing fresh fruits and vegetables under running water before eating, cutting or cooking them.

        ° Following safe food handling practices when preparing meals.

        ° Seeking medical care if they experience prolonged or severe diarrhea, particularly after recent travel or eating fresh produce from an area associated with an outbreak.

    Cyclosporiasis is treatable with prescription antibiotics. Individuals experiencing persistent diarrhea should contact their healthcare provider. Healthcare providers who suspect cyclosporiasis are encouraged to report cases to the DOH and submit appropriate specimens to commercial laboratories for testing.

    The DOH will continue to monitor for additional cases and work closely with healthcare providers and public health partners to protect the health of Hawaiʻi residents and visitors.

(...)

Source: 

Link: https://health.hawaii.gov/news/newsroom/doh-confirms-fourth-case-of-cyclosporiasis/

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#UK, Sharp rise in #cyclospora #infections linked to #Mexico #travel (UKHSA, July 31 '26)

 

    The UK Health Security Agency (UKHSA) has published new data showing a sharp rise in cyclospora infections among travellers returning from Mexico.

    UKHSA is advising all travellers to take precautions when travelling abroad including maintaining good food and water hygiene to reduce their risk of infection.

    Cyclospora is a parasite that causes explosive diarrhoea. Contaminated food specifically herbs, salad and soft fruit are common sources of outbreaks and infections. Infection is acquired via consumption of contaminated food. Cyclospora doesn’t naturally occur in the UK and there is no risk of spread from person to person.

    Symptoms of infection can include frequent watery diarrhoea, abdominal cramping, bloating, nausea, flatulence, low-grade fever, loss of appetite and weight loss. While cyclosporiasis is usually mild and most people improve typically in a few days without any treatment, infections can be more serious or prolonged in people who are immunocompromised and antibiotics may be prescribed.

    The latest data, published today, shows that 67 cases have been reported in returning travellers in England (30 cases) Wales and (10 cases) Scotland (27 cases) between 30 April and 15 July 2026; a sharp rise this year when compared to the annual average of 93 cases recorded between 2022 and 2025.

    Travel information is available for 52 out of the 67 cases; of these, 48 reported travel to Mexico, with one also reporting travel to the USA. One further case reported travel to the USA only, and one to Kenya.

    Among those who travelled to Mexico, cases reported staying at a range of different hotels in the Riviera Maya and Cancún regions and consuming a variety of food and drink as part of all-inclusive holiday packages. Further investigations around the cases are ongoing.

    UKHSA anticipates a continued rise in travel-associated cases linked to increased summer travel to Mexico and a potential increase in cases linked to travel to the USA, where a widespread outbreak has been reported.

    Dr Philip Veal, Consultant in Travel Health at UKHSA, said:

        ''We have recently detected a rise in Cyclospora infections among travellers returning from Mexico. These infections are caused by a parasite and can affect the stomach and intestines.

        ''Travellers to Mexico and other areas where the infection is more common can reduce their risk by following good food and water hygiene measures, including drinking bottled water and eating thoroughly cooked food, even when staying in high-end all-inclusive resorts. We also advise avoiding certain foods such as fresh uncooked berries and herbs, unpeeled fruit and salad items.

        ''If you develop symptoms after returning from travel, such as watery diarrhoea, loss of appetite, weight loss, stomach cramps or pain, bloating, increased wind, nausea, fatigue or other flu-like symptoms, please seek medical attention and inform your healthcare professional of your travel history.

        ''The TravelHealthPro website has more information on the steps you can take to keep yourself and your family well.

(...)

Source: 

Link: https://www.gov.uk/government/news/sharp-rise-in-cyclospora-infections-linked-to-mexico-travel

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#USA, #Cyclospora #outbreak linked to iceberg #lettuce expanded to four new states (CDC, July 25 '26)

 

A CDC food safety alert regarding a multistate outbreak of cyclosporiasis infections has been updated at https://www.cdc.gov/cyclosporiasis/outbreaks/07-26/index.html.

Key Points:

    ° Since the last update on July 18, 2026, 4 states have been added to the multistate outbreak, and the total case count is now 1,947. The 4 additional states are Illinois, Kansas, Oklahoma, and Pennsylvania.

    ° Illnesses have now been reported from: 

        § Illinois, 

        § Indiana, 

        § Kansas, 

        § Kentucky, 

        § Michigan, 

        § Ohio, 

        § Pennsylvania, 

        § Oklahoma, and 

        § West Virginia.

    ° At least 98 people have been hospitalized, and no deaths have been reported.

    ° Epidemiologic and traceback data continue to show that iceberg lettuce from Taylor Farms de Mexico was contaminated with Cyclospora and has made people sick.

    ° This alert only includes illnesses that are lab confirmed and have been linked to this product, not all cyclosporiasis illnesses being reported to and by CDC.

    ° CDC is also investigating other outbreaks and illnesses of cyclosporiasis nationally that are unrelated to this outbreak.

What You Should Do:

    ° Do not eat any recalled Taylor Farms iceberg lettuce. Throw it away or return it.

    ° If you have symptoms of cyclosporiasis, contact your healthcare provider to receive care and report symptoms.

    ° You may need to request that your healthcare provider tests you for Cyclospora.

Cyclosporiasis Symptoms:

    ° Some people may not experience symptoms.

    ° Symptoms can include watery diarrhea, loss of appetite, and weight loss.

    ° Symptoms usually begin about one week after becoming infected.

    ° Without treatment, symptoms can last anywhere from a few days to a month or longer.

    ° If you have symptoms, stay well hydrated.

    ° If you have questions about cases in a particular state, please call that state's health department.

    ° If you are a member of the media, please fill out this Request for Comment form to submit your media inquiry to CDC.

Thank you, CDC News Media Branch

Source: 

Link: https://www.cdc.gov/media/releases/2026/cyclospora-outbreak-linked-to-iceberg-lettuce-expanded-to-four-new-states.html

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#Hostilities in the occupied #Palestinian territory (oPt) - 11 November 2025 - Public Health #Situation #Analysis (PHSA) (#WHO, summary)

 

SUMMARY OF CRISIS AND KEY FINDINGS 

The fragile Gaza ceasefire announced on 9 October 2025 marked a momentous but precarious juncture in the ongoing conflict.{3} 

The ceasefire remains in place but is fragile, and violations from both sides continue.{4} 

When the ceasefire was agreed in mid-October, the UN Relief Chief Tom Fletcher outlined a 60-day plan to deliver vital aid to people in Gaza, stressing that full implementation requires more crossings, rapid and unimpeded access, sustained fuel entry, restored infrastructure, protection of aid workers, and adequate funding.{5}  

While humanitarian aid has begun to flow into Gaza offering a measure of relief, uncertainty persists. Meanwhile, the Rafah Crossing as well as other crossings in the north remain closed, limiting efforts to alleviate Gaza’s humanitarian crisis.{6} 

According to the Ministry of Health (MoH) in Gaza, the casualty toll among Palestinians since 7 October 2023, as reported by MoH, is 67 938 fatalities and 170 169 injuries.{7} 

Following the announcement of the ceasefire, large-scale population movements have been observed across Gaza as families attempt to return home after months of displacement. Over 533 000 people have moved from south to north since 10 October.{8} 

Most people in Gaza reside in inadequate shelters that fail to meet basic emergency standards, leaving them exposed to harsh winter conditions.{9} 

The UN Satellite Centre reported that as of 23 September, the extent of damage in Gaza City encompassed approximately 83% of all structures.{10}  

Médecins Sans Frontières (MSF) report diseases directly linked to poor living condition (such as skin infections, eye infections, aches and pains) account for 70% of all outpatient consultations in health care centres in southern Gaza.{11} 

According to Early Warning, Alert and Response System (EWARS) reporting, acute watery diarrhoea and acute respiratory infections are 17.5% of all consultations in Gaza as of October 2025.{12} 

Ongoing attacks and resource shortages have severely weakened the health system. Every hospital is overrun.{13} 

A total of 50% (18 out of 36) of hospitals are functional, all partially.{14} 

Many health facilities have been shut down in Gaza City and in the North, leaving hundreds of thousands of people with limited access to lifesaving medical services. As of 15 August 2025, Famine (IPC Phase 5)—with reasonable evidence—was confirmed in Gaza Governorate. Access constraints severely limit the quantity of aid that agencies can bring in to stabilize the markets and address people’s needs. 

Anticipation of food inflows upon the ceasefire drove food prices down. However, liquidity constraints persist, with cash withdrawal fees still between 20-24%.{15} 

While attention has been fixed on Gaza, violence and restrictions in the West Bank have intensified. Military operations in Jenin, Nur Shams, and Tulkarm refugee camps have displaced over 30 000 people, yet humanitarian groups remain barred from assessing the full scale of destruction.{16} 

More broadly, oPt has endured a protracted cycle of conflict, hunger and despair for over five decades. In 2023, this cycle reached unprecedented new peaks as tensions escalated in the occupied Gaza Strip and the West Bank on 7 October, resulting in civilian fatalities, widespread destruction, massive displacement, rising food prices and a declining currency.{17} 

The unprecedented impact of the current war on Gaza demands a transformative shift in addressing mounting immediate needs, revaluating long-term systemic challenges to relief efforts, and confronting the root causes of the conflict by ending the occupation and upholding international law.{18} 

(...)

{1} UNDSS (2024), Security Travel Advisory, available at: https://dss.un.org/Welcome-to-UNDSS?returnurl=%2f 

{2} Inform Risk Index 2025 (2024), available at: https://drmkc.jrc.ec.europa.eu/inform-index 

{3} United Nations (2025), Fragile Gaza ceasefire marks ‘a momentous but precarious juncture,’ UN envoy tells Security Council 

{4} WFP (2025), WFP Palestine’s Emergency Response External Situation Report #71 (7 November 2025) 

{5} OCHA (2025), Humanitarian Situation Update #331 | Gaza Strip [EN/AR/HE] 

{6} WFP (2025), WFP Palestine’s Emergency Response External Situation Report #71 (7 November 2025) 

{7} OCHA (2025), Humanitarian Situation Update #331 | Gaza Strip [EN/AR/HE] 

{8} WFP (2025), WFP Palestine’s Emergency Response External Situation Report #71 (7 November 2025) 

{9} UNRWA (2025), UNRWA Situation Report #192 on the Humanitarian Crisis in the Gaza Strip and the occupied West Bank, including East Jerusalem [EN/AR] 

{10} UNRWA (2025), UNRWA Situation Report #192 on the Humanitarian Crisis in the Gaza Strip and the occupied West Bank, including East Jerusalem [EN/AR] 

{11} MSF (2025), Post-ceasefire, Palestinians in Gaza are still living in dire conditions 

{12} WHO (2025) EWARS Unified Disease Surveillance Dashboard - The Gaza Strip · Dashboard · Metabase 

{13} MSF (2025), “Medicine is being strangled”: MSF doctor on the collapse of Gaza's health system 

{14} WHO (2025), HeRAMS occupied Palestinian territory: Gaza infographics September 2025 https://app.powerbi.com/view?r=eyJrIjoiZjI3ODU4N2YtZmE4Yi00NzcwLTgwMmQtN2JhOTU2YjZkNTQ1IiwidCI6ImY2MTBjMGI3LWJkMjQtN GIzOS04MTBiLTNkYzI4MGFmYjU5MCIsImMiOjh9 

{15} WFP (2025), WFP reaches families most at risk with food assistance as post-ceasefire scale-up gathers pace  

{16} NRC (2025), West Bank: Impunity deepens the occupation amid increasing restrictions on aid 

{17} WFP (29 March 2024),  State of Palestine Annual Country Report 2023 - Country Strategic Plan 2018 - 2028 

{18} ESCWA (2 January 2024), October 2023 in Gaza: the deadliest month in a twenty-first century war? [EN/AR] 

(...)

Source: World Health Organization, https://cdn.who.int/media/docs/default-source/emergencies-trauma-care/who-phsa-opt-111125-final.pdf?sfvrsn=efa97590_1&download=true

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#Cholera – Multi-country with a focus on countries experiencing current surges (#WHO D.O.N., August 29 '25)

 

{Summary}

Situation at a glance

The global cholera situation continues to deteriorate, driven by conflict and poverty, posing a significant public health challenge across multiple WHO regions. 

Between 1 January and 17 August 2025, a total of 409 222 cholera/Acute Watery Diarrhoea (AWD) cases and 4738 deaths were reported globally, from 31 countries, with six of the 31 countries reporting case fatality rates above 1%, indicating serious gaps in case management and delayed access to care. 

Cholera is resurging in a number of countries, including some that had not reported substantial case numbers in years, like Chad and the Republic of Congo, while other countries, such as the Democratic Republic of the Congo, South Sudan, and Sudan, are experiencing outbreaks that are continuing from 2024, with significant geographic expansion. This complicates containment efforts and strains fragile health systems. 

Conflict, mass displacement, disasters from natural hazards, and climate change have intensified outbreaks, particularly in rural and flood-affected areas, where poor infrastructure and limited healthcare access delay treatment. 

These cross-border factors have made cholera outbreaks increasingly complex and harder to control. 

Safe drinking water, sanitation and hygiene are the only long-term and sustainable solutions to ending this cholera emergency and preventing future ones. 

Given the scale, severity, and interconnected nature of these outbreaks, the risk of further spread within and between countries is considered very high. 

Without urgent and coordinated public health measures, based on:

- strengthened surveillance, 

- improved case management, 

- WASH interventions, 

- vaccination campaigns, and 

- cross-border collaboration, 

cholera transmission is likely to expand across countries. 

WHO collaborates with the Ministries of Health, partners and stakeholders in affected countries. 

WHO supports countries in all pillars of cholera control, including: 

- strengthening epidemiological surveillance, 

- reinforcing laboratory capacity, 

- improving access to and quality of treatment, 

- implementing appropriate WASH and IPC practices, 

- promoting community engagement in cholera prevention and control and 

- facilitating OCV access and campaign implementation. 

On 26 August, the Africa CDC and WHO launched the Continental Cholera Emergency Preparedness and Response Plan for Africa 1.0, alongside a joint Incident Management Team. This initiative follows the commitment of African Heads of State and Government, who have elevated cholera to a continental priority through their recent high-level Call to Action, pledging to control and eliminate outbreaks by 2030.

(...)

Source: World Health Organization, https://www.who.int/emergencies/disease-outbreak-news/item/2025-DON579

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