Nearly 13,000 reported cyclospora cases were tied to the multistate outbreak, federal officials say.
Cyclospora is a microscopic, spherical parasite that commonly causes watery diarrhea “with frequent and sometimes explosive bowel movements,” according to the CDC. Outbreaks tend to occur most often in the late spring and summer.
Even with the outbreak deemed over, several questions remain, including about its origin. The parasite is spread through human feces, and it still isn't clear how sewage could have contaminated enough food to sicken so many people.
“This contamination can happen if produce is grown in soil or comes into contact with water that has been contaminated,” said Ellen Shumaker, director of outreach for a North Carolina State University food safety program, Safe Plates.
Michigan was the hardest hit state, with the most reported cases and the two U.S. deaths tied to the outbreak.
In this outbreak, investigators initially zeroed in on lettuce served at Taco Bell. Federal officials subsequently focused on Taylor Farms as the source of the lettuce, and the company recalled iceberg lettuce grown in central Mexico.
The Taylor Farms recall involved thousands of packaged salad products combining iceberg lettuce with other vegetables. The products were shipped to major U.S. restaurant chains, including Yum Brands, which owns Taco Bell, Pizza Hut and KFC.
The FDA has ended its on-site inspections and sample collection at iceberg lettuce growers and the processing facility in Mexico, the agency said Friday. Samples from the on-site inspections are pending analysis, the FDA said.