Lettuce and salad greens have become the prime suspects in an explosive outbreak of the diarrheal parasite Cyclospora, which is surging nationwide but erupting to extraordinary heights in Michigan.

In recent years, Michigan has typically reported around 50 cases of cyclosporiasis, which causes urgent bouts of watery diarrhea, abdominal cramps, and nausea. But, this year, as of July 14, the state has reported 3,309 cases of the food-borne pathogen. Of those 44 have been hospitalized.

Based on interviews with more than 1,000 people sickened in Michigan, the latest data is pointing to leafy greens as the source, according to the Michigan Department of Health and Human Services (MDHHS).

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Cases of an explosive diarrheal parasite continue to skyrocket in Michigan, which is reporting 1,251 cases as of July 9. Of those, 44 were hospitalized. Meanwhile, across the border in Ohio, cases are also quickly rising, with news reports of a case total over 500.

The outbreak in Michigan began with two cases reported on June 22 and rose steeply at the start of July. The Michigan Department of Health and Human Services (MDHHS) reported 572 cases on July 4. On Wednesday, July 8, 239 cases were reported, the highest single-day tally so far. The current total of 1,251 cases includes 159 case reports received on July 9.

The epicenter of the outbreak is in the southeastern corner of the state, where health officials from multiple jurisdictions are working furiously to identify and interview cases to track the source, or sources, of the parasite, which spreads through food and water.

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Cases of a diarrhea-causing intestinal parasite have exploded in Michigan over the last two weeks in an outbreak that still has no clear source.

As of July 6, the state has received reports of over 700 cases since June 22, along with 36 hospitalizations, the Michigan Department of Health and Human Services (MDHSS) told Ars Technica on Tuesday.

On June 30, the health department reported 170 cases, which rose to 572 on July 4.

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