Episode Details

This week we talk about cyclospora, FoodNet, and Taylor Farms.

We also discuss iceberg lettuce, Taco Bell, and foodborne pathogens.

Recommended Book: Babel by R.F. Kuang

Transcript

Foodborne pathogens cause about 48 million illnesses and around 3000 deaths in the US alone each year.

The Centers for Disease Control and Prevention is the main agency tasked with keeping those numbers as low as possible, and the CDC’s Foodborne Diseases Active Surveillance Network, or FoodNet, is one way that they’ve tackled this pernicious, persistent problem since 1995, in partnership with the Food and Drug Administration, the US Department of Agriculture, and 10 state health departments: those of California, Colorado, Connecticut, Georgia, Maryland, Minnesota, New Mexico, New York, Oregon, and Tennessee.

Collectively, this FoodNet network covers about 16% of the US population, which seems like a small number, and in some ways it is, but that grid of laboratories and surveillance sites has typically been capable of detecting foodborne problems before they’ve scaled-up into something more significant, growing from a localized issue into a nationwide outbreak. They’re generally not capable of preventing them outright, but they can keep them relatively small and regionalized.

FoodNet was created in response to a series of huge, deadly E. coli outbreaks in 1992 and 1993, and in contrast to other common methods of detection, which are usually passive and thus a little slow to respond to potential outbreak indicators, this program was built around active surveillance methods, which means proactively gathering data from medical treatment records, hospitalizations, and even individual patient outcomes (including their travel history)—anything they can pair with diagnostic samples to better understand the context surrounding the products that contain dangerous pathogens—and this was intended to help them move faster to identify issues, triangulate the source of those issues, and then implement measures to solve these issues before they harm a bunch of people, as happened during another round of E. coli outbreaks in 2012 and 2013, which sickened dozens of people across multiple states, about half of the afflicted requiring hospitalization, in addition to at least one known death.

At its height, FoodNet tracked 9 pathogens, so it cast a pretty broad net, encompassing the most common and dangerous of these potential vectors, including listeria, campylobacter, shigella, vibrio, yersinia, cyclospora, cryptosporidium, e coli, and salmonella.

In July of 2025, as part of a larger wave of sweeping cuts across the nation’s safety nets, tracking systems, and scientific agencies, the CDC, under the second Trump administration, downgraded FoodNet so that it was only mandatory to track salmonella and E coli—the rest were no longer on the docket, because these agencies no longer had the budget to keep tracking them.

What I’d like to talk about today is a recent, and as of the day I’m recording this ongoing, outbreak of cyclospora-induced cyclosporiasis, what we know about this outbreak, and what might happen next.

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Cyclospora cayetanensis is a protozoan that can infect human beings, and which is usually transmitted via contaminated fruits and vegetables. This contamination is typically the consequence of inadequate sanitation standards, as it’s not transmitted via coughing or blood or anything like that, it’s carried via human feces.

So this parasite gets into a human, sporulates, which means it releases a bunch of spores within its host, and then usually between 1 and 2 weeks after entering its new host, the host develops cyclosporiasis, the disease caused by cyclospora producing all those spores. This disease is notorious for sometimes causing what’s colorfully called explosive diarrhea, alo