{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T18:53:36Z","timestamp":1789239216020,"version":"build-2803163510"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"16","license":[{"start":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T00:00:00Z","timestamp":1428883200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>The 2013 multistate outbreaks contributed to the largest annual number of reported US cases of cyclosporiasis since 1997. In this paper we focus on investigations in Texas. We defined an outbreak-associated case as laboratory-confirmed cyclosporiasis in a person with illness onset between 1 June and 31 August 2013, with no history of international travel in the previous 14 days. Epidemiological, environmental, and traceback investigations were conducted. Of the 631 cases reported in the multistate outbreaks, Texas reported the greatest number of cases, 270 (43%). More than 70 clusters were identified in Texas, four of which were further investigated. One restaurant-associated cluster of 25 case-patients was selected for a case-control study. Consumption of cilantro was most strongly associated with illness on meal date-matched analysis (matched odds ratio 19\u00b78, 95% confidence interval 4\u00b70\u2013\u221e). All case-patients in the other three clusters investigated also ate cilantro. Traceback investigations converged on three suppliers in Puebla, Mexico. Cilantro was the vehicle of infection in the four clusters investigated; the temporal association of these clusters with the large overall increase in cyclosporiasis cases in Texas suggests cilantro was the vehicle of infection for many other cases. However, the paucity of epidemiological and traceback information does not allow for a conclusive determination; moreover, molecular epidemiological tools for cyclosporiasis that could provide more definitive linkage between case clusters are needed.<\/jats:p>","DOI":"10.1017\/s0950268815000370","type":"journal-article","created":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T05:07:26Z","timestamp":1428901646000},"page":"3451-3458","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":73,"title":["2013 multistate outbreaks of\n                    <i>Cyclospora cayetanensis<\/i>\n                    infections associated with fresh produce: focus on the Texas investigations"],"prefix":"10.1017","volume":"143","author":[{"given":"F.","family":"ABANYIE","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. R.","family":"HARVEY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. R.","family":"HARRIS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. E.","family":"WIEGAND","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"GAUL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"DESVIGNES-KENDRICK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"IRVIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"WILLIAMS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. L.","family":"HALL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"HERWALDT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. B.","family":"GRAY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"QVARNSTROM","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. E.","family":"WISE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"CANTU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. T.","family":"CANTEY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"BOSCH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. J.","family":"DA SILVA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"FIELDS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"BISHOP","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"WELLMAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"BEAL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"WILSON","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. E.","family":"FIORE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"TAUXE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"LANCE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"SLUTSKER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"PARISE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Multistate Cyclosporiasis Outbreak Investigation Team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,4,13]]},"reference":[{"key":"S0950268815000370_ref13","unstructured":"Adams DA , Summary of notifiable diseases \u2013 United States, 2011. Morbidity and Mortality Weekly Report 2013; 60: 1\u2013117."},{"key":"S0950268815000370_ref15","unstructured":"Florida Department of Health. Florida morbidity statistics report, 2011 (http:\/\/www.floridahealth.gov\/diseases-and-conditions\/disease-reporting-and-management\/disease-reporting-and-surveillance\/data-and-publications\/_documents\/2011-section2.pdf). Accessed 27 February 2015."},{"key":"S0950268815000370_ref16","unstructured":"Centers for Disease Control and Prevention. Cyclosporiasis outbreak investigations - United States, 2014 (http:\/\/www.cdc.gov\/parasites\/cyclosporiasis\/outbreaks\/2014\/). Accessed 26 February 2015."},{"key":"S0950268815000370_ref1","doi-asserted-by":"publisher","DOI":"10.1086\/314051"},{"key":"S0950268815000370_ref12","unstructured":"Centers for Disease Control and Prevention. U.S. foodborne outbreaks of cyclosporiasis - 2000-2013 (http:\/\/www.cdc.gov\/parasites\/cyclosporiasis\/outbreaks\/foodborneoutbreaks.html). Accessed 27 February 2015."},{"key":"S0950268815000370_ref3","unstructured":"Centers for Disease Control and Prevention. Outbreak of cyclosporiasis associated with snow peas \u2013 Pennsylvania, 2004. Morbidity and Mortality Weekly Report 2004; 53: 876\u2013878."},{"key":"S0950268815000370_ref14","unstructured":"U.S. Food and Drug Administration. Environmental assessment: 2013 cyclosporiasis outbreak in Iowa and Nebraska \u2013 findings and recommendations (http:\/\/www.fda.gov\/Food\/RecallsOutbreaksEmergencies\/Outbreaks\/ucm375732.htm). Accessed 8 January 2014."},{"key":"S0950268815000370_ref17","unstructured":"U.S. Food and Drug Administration. FDA investigates outbreak of cyclosporiasis (http:\/\/www.fda.gov\/food\/recallsoutbreaksemergencies\/outbreaks\/ucm411990.htm). Accessed 26 February 2015."},{"key":"S0950268815000370_ref2","unstructured":"Hall RL , Jones JL , Herwaldt BL . Surveillance for laboratory-confirmed sporadic cases of cyclosporiasis \u2013 United States, 1997\u20132008. Morbidity and Mortality Weekly Report. Surveillance Summaries 2011; 60: 1\u201311."},{"key":"S0950268815000370_ref10","doi-asserted-by":"publisher","DOI":"10.1078\/1438-4221-00252"},{"key":"S0950268815000370_ref18","doi-asserted-by":"publisher","DOI":"10.3201\/eid1508.081585"},{"key":"S0950268815000370_ref6","unstructured":"Centers for Disease Control and Prevention. National Notifiable Diseases Surveillance System (NNDSS) (http:\/\/wwwn.cdc.gov\/nndss\/). Accessed 8 January 2014."},{"key":"S0950268815000370_ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199705293362202"},{"key":"S0950268815000370_ref5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199305063281804"},{"key":"S0950268815000370_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S1084-8592(99)80050-2"},{"key":"S0950268815000370_ref20","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1005741"},{"key":"S0950268815000370_ref11","doi-asserted-by":"publisher","DOI":"10.3201\/eid0808.020012"},{"key":"S0950268815000370_ref8","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/10618600.1992.10474574","article-title":"Exact stratified linear rank tests for ordered categorical and binary data","volume":"1","author":"Mehta","year":"1992","journal-title":"Journal of Computational and Graphical Statistics"},{"key":"S0950268815000370_ref7","unstructured":"U.S. Food and Drug Administration. FDA investigates multistate outbreak of cyclosporiasis (http:\/\/www.fda.gov\/Food\/RecallsOutbreaksEmergencies\/Outbreaks\/ucm361637.htm#updates). Accessed 26 February 2014."},{"key":"S0950268815000370_ref21","doi-asserted-by":"publisher","DOI":"10.4315\/0362-028X.JFP-12-126"},{"key":"S0950268815000370_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.meegid.2013.07.015"},{"key":"S0950268815000370_ref22","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1215837"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268815000370","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T06:38:36Z","timestamp":1717828716000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268815000370\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,13]]},"references-count":22,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["S0950268815000370"],"URL":"https:\/\/doi.org\/10.1017\/s0950268815000370","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,13]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 2015\u00a0This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/3.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}