US federal health officials widen an investigation into cyclosporiasis linked to recalled iceberg lettuce, with cases now confirmed in 20 states. The expansion includes three additional states announced by federal agencies on Thursday, bringing the total beyond earlier reports and marking the largest outbreak of its kind in the United States.
The FDA and the Centers for Disease Control and Prevention (CDC) are coordinating the probe. Health officials continue to link illnesses to lettuce associated with recalls and advise the public on preventing exposure. Reporting across outlets focuses on the widening geographic scope and describes the outbreak as the largest U.S. cyclosporiasis event to date, while citing the same federal agencies as the sources of the updated state-by-state case confirmations.