Cyclosporiasis epidemiology and demographics: Difference between revisions
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===Outbreak of Cyclosporiasis in the United States in 2013=== | ===Outbreak of Cyclosporiasis in the United States in 2013=== | ||
On June 28, 2013, CDC was notified of 2 laboratory-confirmed cases of Cyclospora infection in Iowa residents who had become ill in June and did not have a history of international travel during the 14 days before the onset of illness. Since that date, CDC has been collaborating with public health officials in multiple states and the US Food and Drug Administration (FDA) to investigate an outbreak of cyclosporiasis. As of July 18, 2013, CDC has been notified of more than 200 cases of Cyclospora infection in residents of multiple states, including Iowa, Nebraska, Texas, and Wisconsin. Illinois has also notified CDC of one case that may have been acquired out of state. Most of the illness onset dates have ranged from mid-June through early July. At least 8 persons reportedly have been hospitalized. No food items have been implicated to date, but public health authorities are pursuing all leads. Previous outbreak investigations have implicated various types of fresh produce. It is not yet clear whether the cases from all of the states are part of the same outbreak. No common events (e.g., social gatherings) have been identified among the case patients. | On June 28, 2013, CDC was notified of 2 laboratory-confirmed cases of Cyclospora infection in Iowa residents who had become ill in June and did not have a history of international travel during the 14 days before the onset of illness. Since that date, CDC has been collaborating with public health officials in multiple states and the US Food and Drug Administration (FDA) to investigate an outbreak of cyclosporiasis. As of July 18, 2013, CDC has been notified of more than 200 cases of Cyclospora infection in residents of multiple states, including Iowa, Nebraska, Texas, and Wisconsin. Illinois has also notified CDC of one case that may have been acquired out of state. Most of the illness onset dates have ranged from mid-June through early July. At least 8 persons reportedly have been hospitalized. No food items have been implicated to date, but public health authorities are pursuing all leads. Previous outbreak investigations have implicated various types of fresh produce. It is not yet clear whether the cases from all of the states are part of the same outbreak. No common events (e.g., social gatherings) have been identified among the case patients. | ||
[[File:Cyclosporiasis Outbreak Investigations Map.jpg|left|thumb|600px|Cyclosporiasis cases notified to CDC, June—August 2013, by state<ref> | |||
http://www.cdc.gov/parasites/cyclosporiasis/outbreaks/investigation-2013-maps.html</ref>]] | |||
[[File:Cyclosporiasis Epi Curves.jpg|left|thumb|600px|Confirmed Cyclosporiasis Cases, by Groups of States, June—August 2013<ref>http://www.cdc.gov/parasites/cyclosporiasis/outbreaks/investigation-2013-epicurve.html</ref>]] | |||
[[File:Cyclosporiasis Epi Curves 2.jpg|left|thumb|600px|Confirmed Cyclosporiasis Cases by Week of Illness Onset, United States<ref>http://www.cdc.gov/parasites/cyclosporiasis/outbreaks/investigation-2013-epicurve.html</ref>]] | |||
==References == | ==References == |
Revision as of 19:01, 18 September 2014
Cyclosporiasis Microchapters |
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Cyclosporiasis epidemiology and demographics On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]
Overview
Cyclosporiasis occurs in many countries, but the disease seems to be most common in tropical and subtropical regions. In areas where cyclosporiasis has been studied, the risk for infection is seasonal. However, no consistent pattern with respect to environmental conditions such as temperature or rainfall has been identified.
Epidemiology
People become infected with Cyclospora by ingesting sporulated oocysts, which are the infective form of the parasite. This most commonly occurs when food or water contaminated with feces is consumed. An infected person sheds unsporulated (immature, non-infective) Cyclospora oocysts in the feces. The oocysts are thought to require days to weeks in favorable environmental conditions to sporulate and become infective. Therefore, direct person-to-person transmission is unlikely, as is transmission via ingestion of newly contaminated food or water.
Cyclosporiasis occurs in many countries, but it seems to be most common in tropical and subtropical regions. In areas where cyclosporiasis has been studied, the risk for infection is seasonal. However, no consistent pattern has been identified regarding the time of year or the environmental conditions, such as temperature or rainfall. In the United States, foodborne outbreaks of cyclosporiasis since the mid-1990s have been linked to various types of imported fresh produce, including raspberries, basil, snow peas, and mesclun lettuce; no commercially frozen or canned produce has been implicated. U.S. cases of infection also have occurred in persons who traveled to Cyclospora-endemic areas. To reduce the risk for infection, travelers should take precautions. Travelers also should be aware that treatment of water or food with chlorine or iodine is unlikely to kill Cyclospora oocysts.
Outbreak of Cyclosporiasis in the United States in 2013
On June 28, 2013, CDC was notified of 2 laboratory-confirmed cases of Cyclospora infection in Iowa residents who had become ill in June and did not have a history of international travel during the 14 days before the onset of illness. Since that date, CDC has been collaborating with public health officials in multiple states and the US Food and Drug Administration (FDA) to investigate an outbreak of cyclosporiasis. As of July 18, 2013, CDC has been notified of more than 200 cases of Cyclospora infection in residents of multiple states, including Iowa, Nebraska, Texas, and Wisconsin. Illinois has also notified CDC of one case that may have been acquired out of state. Most of the illness onset dates have ranged from mid-June through early July. At least 8 persons reportedly have been hospitalized. No food items have been implicated to date, but public health authorities are pursuing all leads. Previous outbreak investigations have implicated various types of fresh produce. It is not yet clear whether the cases from all of the states are part of the same outbreak. No common events (e.g., social gatherings) have been identified among the case patients.


