Michigan health officials have confirmed the first two deaths linked to the country's ongoing cyclospora outbreak, a parasitic infection that causes severe diarrhoea.

Both victims suffered from significant underlying health conditions that may have been exacerbated by cyclosporiasis and dehydration, the state department said.

The outbreak now covers 45 states, with almost 7,000 laboratory‑confirmed cases reported nationwide by the Centers for Disease Control and Prevention (CDC). While thousands are infected, deaths are rare because the parasite is generally not life‑threatening.

Michigan is the epicentre of the spread, recording over 11,000 cases and 193 hospitalisations, though many infections remain unconfirmed.

cyclospora is a heat-loving parasite that infects the intestines and is transmitted via faecal contamination. Past outbreaks often involved fruits or vegetables irrigated with contaminated water.

CDC recommends extensively washing all produce under running water, even pre‑washed items, but notes that washing alone may not eliminate the parasite. Cooking to at least 70 °C (158 °F) can kill it. Officials linked this year’s outbreak to lettuce imported from Taylor Farms in Mexico, a key supplier for many U.S. food outlets.

Fast‑food chain Taco Bell announced it will remove the affected lettuce from its menu, while Taylor Farms voluntarily recalled the lettuce sourced from central Mexico. UK health officials also warned travellers of the risk, highlighting cases among visitors returning from affected regions.