Health

Michigan health officials say people can resume regular lettuce-eating habits as new cases of cyclosporiasis slow

Fresh greens at the market. (Maria Korneeva/Getty Images)

(NEW YORK) — Michigan health officials said on Thursday that people can resume regular lettuce- and salad greens-eating habits as new cases of cyclosporiasis slow.

It’s one of nine states in a multi-state outbreak linked to shredded iceberg lettuce served at some Taco Bell restaurants.

The iceberg lettuce was supplied by Taylor Farms and sourced from central Mexico. Taylor Farms issued a voluntary recall of all iceberg lettuce sourced from central Mexico. 

The state has seen more than 12,400 cases since June, including 279 hospitalizations and two deaths, health department data shows.

Taco Bell also said it is no longer using lettuce from Taylor Farms de Mexico at any of its restaurants. 

The update from the Michigan Department of Health and Human Services (MDHHS) said the majority of contaminated produce is “likely” no longer available to consume.

Additionally, new cyclosporiasis cases and related emergency department visits are declining, MDHHS said. Most exposures occurred in late June or early July, the department noted.

“Since the start of this outbreak, MDHHS has remained committed to providing timely, transparent information and clear recommendations to Michigan residents,” Dr. Natasha Bagdasarian, MDHHS chief medical executive, said in a press release. “As new data has emerged, our guidance has evolved to reflect the best available evidence, helping ensure that prevention recommendations are accurate, actionable and responsive to the changing situation.”

The recommendation to avoid bagged salad mixes is no longer in effect, the department said.

“Residents may resume their usual food handling practices and make choices based on their individual risk tolerance,” the release from MDHHS added.

Consumers should continue avoiding any recalled food products, health officials noted, as well as continuing to rinse fruits and vegetables and washing hands and surfaces often.

The Centers for Disease Control and Prevention has previously said it is investigating other outbreaks and illnesses of cyclosporiasis nationally that are unrelated to the nine-state outbreak.

Since May 1, cases of cyclosporiasis have topped 22,000 in 47 states, according to data updated by the CDC on Tuesday.

There are at least 10,468 laboratory-confirmed cases of cyclosporiasis, including 423 hospitalizations, the CDC data shows. The agency is also aware of at least 12,255 additional cases that have not yet been laboratory confirmed or require further investigation and analysis.

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Health

Measles exposure reported at Universal Studios Hollywood

Stock photo of a person with the measles. (Mumemories/Getty Images)

(NEW YORK) — Los Angeles County health officials said a person infected with measles visited Universal Studios Hollywood last month and potentially exposed others to the virus.

The county’s Department of Public Health said Wednesday that it is investigating the case involving the visitor who was at the theme park on July 26. Other possible locations within the county are being probed, according to the health department.

Anyone who was in the park that day between 10 a.m. and 9 p.m. is asked to confirm their protection against the virus and is warned that they may be at risk of developing measles from seven to 21 days after being exposed, according to the health department.

Health officials said that people who have been vaccinated against the virus are likely to be protected, as are people who had measles previously.

“People who are unimmunized or have unknown measles immunization status are at higher risk and should monitor for symptoms closely. Anyone who remains symptom-free for more than 21 days after being exposed is no longer considered at risk,” the health department said in a statement.

A spokesperson for Universal Studios Hollywood said in a statement Friday that the park is working with the health department in their probe.

“The safety and security of our guests and team members is our highest priority,” the company said.

Measles symptoms include fever, cough, runny nose, red eyes or a rash. The virus can spread through the air and can remain in the air or on infected surfaces for up to two hours after an infected person leaves an area.

Anyone who believes they have contracted measles is urged to call a doctor immediately, according to the health department.

“Measles spreads easily and can lead to serious complications, including pneumonia, brain swelling, and even death,” Dr. Muntu Davis, the Los Angeles County Health Officer, said in a statement.

Over 2,300 measles cases have been recorded this year, the highest number since 1991, according to the U.S. Centers for Disease Control and Prevention.

The majority of measles cases in 2026 have been confirmed among children and teenagers aged 19 and younger, according to the CDC. About one in 10 children under age 5 diagnosed with measles this year have been hospitalized.

About 93% of cases this year are among people who are unvaccinated or whose vaccination status is unknown, CDC data shows.

The CDC currently recommends that people receive two doses of the MMR vaccine, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective against measles, the CDC says.

-ABC News’ Mary Kekatos contributed to this report.

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Health Local news

Salmonella outbreak linked to jalapenos served at Chipotle expands to Qdoba: FDA

Jalapeño peppers on display at a local street market in San Antonio, Texas. (Getty Images/Gabriel Perez)

(NEW YORK) — Health officials are expanding an investigation into jalapenos served at Chipotle restaurants to include Qdoba restaurants. The Food and Drug Administration said the jalapenos may be a possible source of a growing salmonella outbreak that has infected 345 people across 27 states.

Both restaurants have removed the jalapenos from their stores, the FDA said.

Qdoba said in a statement to ABC News that it is “cooperating with public health authorities” in the investigation and have pulled jalapenos from their restaurants.

“Out of an abundance of caution, we have proactively removed jalapenos from all our restaurants at this time,” the restaurant chain said. “We take any report involving guest health seriously and are committed to responding appropriately based on the facts and guidance from public health authorities.”

“Food safety is our highest priority,” Qdoba added. “We maintain rigorous food safety standards and work closely with our suppliers, distribution partners, and restaurant teams to help ensure the safety and quality of the food we serve.”

Chipotle previously told ABC News they had removed jalapenos from affected restaurants in multiple states as well.

“We have a robust ingredient traceability system and, upon learning of a potential Salmonella outbreak in the supply chain impacting several food service retailers, we proactively identified jalapenos as a potential common ingredient from a common lot, removed them from the restaurants where they had been distributed, and replaced them with product from different growers,” Laurie Schalow, Chipotle’s chief corporate affairs and food safety officer, said in a statement.

The FDA identified through a traceback investigation that both Chipotle and Qdoba received food ingredients that were grown in Mexico and imported by Coast Citrus Distributors from Sinaloa. Coast Citrus Distributors has since agreed to recall jalapeno product from the market, per the FDA.

Salmonella are bacteria that can cause a common foodborne illness called salmonellosis, according to the Centers for Disease Control and Prevention. Infections tend to occur more in the summer, when warmer weather presents ideal conditions for the bacteria to grow, the agency states.

Symptoms of a salmonella infection may include watery diarrhea, stomach cramps, headache, nausea, vomiting, and a loss of appetite, according to the CDC. Symptoms can start anywhere from six hours to six days after infection and can last from four to seven days, the agency says.

According to the CDC, the highest number of reported salmonella cases are currently located in Minnesota and Colorado, with at least 110 cases in each state so far. Overall, there have been zero deaths reported but 36 have been hospitalized, the CDC said.

The Minnesota Department of Health previously told ABC News the agency expects the number of salmonella cases to potentially increase in the coming days, noting that “it takes us a while to detect cases in surveillance.”

“Our investigations often start with speaking to persons diagnosed with a foodborne illness that were reported to the health department as part of our surveillance,” the department said. “We’d like to ask the public to please answer our calls. The information they provide is critical to solving outbreaks quickly.”

The FDA said it does not consider there to be an ongoing risk from eating at Qdoba or Chipotle restaurants. 

Each year, the CDC estimates the U.S. sees about 1.35 million salmonella infections.

ABC News has reached out to GrubMarket, which owns Coast Citrus Distributors for comment.

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Health Local news

Trump administration to end Medicare Part D subsidy program in 2027

Dr. Mehmet Oz speaks at the Wisconsin Air National Guard facility at Milwaukee Mitchell International Airport on July 8, 2026, in Milwaukee, Wisconsin. (Photo by Mark Schiefelbein-Pool/Getty Images)

(WASHINGTON) — The Trump administration is ending a key health insurance subsidy program that aimed to keep premiums for seniors’ prescription drug plans in check, claiming that it benefits corporate insurance companies, according to Centers for Medicare & Medicaid Services Administrator Mehmet Oz.

Medicare Part D — the government health insurance program’s prescription drug benefit — is used by tens of millions of older or disabled beneficiaries.

The program’s subsidies are set to expire at the end of the year, the administration announced Tuesday.

That move will likely result in higher prescription costs and increase premiums for about half of recipients, according to an administration official.

The changes are anticipated to happen in 2027 and enrollees will find out the new monthly cost later this fall, administration officials said.

Currently the government pays billions of dollars to insurance companies as a subsidy to keep prescription drug insurance at an average of $36 per person per month, according to KFF, a health policy nonprofit. 

Ending the subsidies may increase premiums for some by as much as $20 a month, according to KFF.

The move comes as Affordable Care Act subsidies have expired and health care costs remain a top issue for voters ahead of the midterm elections. The ACA subsidies helped lower the out-of-pocket costs for monthly premiums for people who purchased health care through the health insurance marketplace.

Trump administration officials decried the Biden administration for signing the Inflation Reduction Act, which they allege bailed out major insurance companies and resulted in increased premiums for Americans. Trump officials also claim that billions of dollars were funneled to the companies through Biden’s signature legislation

At the time, Biden officials touted the Inflation Reduction Act for allowing the government to negotiate with drug companies about the pricing for some of their most expensive medicines.  

“We are stabilizing the market so this bailout is no longer needed,” Oz wrote in a post on X. “Premiums will go up by less than $10 for most Medicare recipients, with many even seeing LOWER premiums.”

“Every Medicare beneficiary still has access to low-cost plans, and we will continue to lower prescription drug prices for every American patient, from more MFN deals to our policy giving seniors access to GLP-1s for $50 a month,” he added, referring to “most favored nation” deals under which pharmaceutical companies charge U.S. patients the same rate as they charge in other countries.

The news about the Medicare Part D subsidies ending was first reported by The Wall Street Journal.

About half of enrollees will either see a premium increase of less than $10 or a premium decrease and most will have plans available at $10 or less, according to a Trump administration official.

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Health Local news

More than 18,000 cyclosporiasis cases reported across 45 states: CDC

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (Centers for Disease Control and Prevention)

(WASHINGTON) — Cases of cyclosporiasis, an intestinal illness caused by a parasite, have topped 18,000 in 45 states, according to updated data Wednesday from the Centers for Disease Control and Prevention.

Since May 1, at least 6,707 cases have been laboratory-confirmed, including 423 hospitalizations, the CDC noted.

Additionally, the agency said it is “aware” of more than 11,500 additional cases that are not laboratory confirmed or require further investigation and analysis. Many of these additional cases have been reported by Michigan and Ohio, which have linked the bulk of their cases to now recalled iceberg lettuce.

The CDC notes that this parasite typically spikes in the summer months, so other states could be seeing cases tied to other sources. 

Health officials have previously said that increases in cases may reflect reporting delays rather than a fresh wave of infections.

The CDC said it can take up to six weeks to determine if a sick person should be counted in the agency’s tally.

Additionally, the average time between infection and when symptoms appear is one week but can take up to two weeks or longer, according to the CDC. This means it may take some time for diagnosis and reporting to catch up.

The ages of those who have fallen ill ranges from 1 to 98 years old, the data shows. No deaths have been reported. 

While health officials have linked some of these cases to shredded iceberg lettuce served at some Taco Bell restaurants in nine states, the agency said it is possible there are other potential sources — something officials continue to investigate. 

The lettuce at Taco Bell was supplied by Taylor Farms and sourced from central Mexico. Earlier this month, Taylor Farms de Mexico issued a voluntary recall of all iceberg lettuce sourced from central Mexico, with the recall affecting 27 states.

The recalled products were distributed from June 29 through July 16 and have best-if-used-by dates up to Aug. 3. 

Additionally, Taco Bell said it is no longer using lettuce from Taylor Farms de Mexico at any of its restaurants. 

ABC News’ Mary Kekatos contributed to this report.

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Health

Federal health officials have investigated 5 different clusters of cyclosporiasis cases, FDA says

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(WASHINGTON) — Federal health officials have been investigating five different clusters of cyclosporiasis cases since the start of parasite season in May, the Food and Drug Administration (FDA) said during a press conference on Monday.

Three of those clusters are considered over, acting FDA Commissioner Kyle Diamantas said. Meanwhile, the largest cluster, linked to shredded iceberg lettuce served at Taco Bell locations in five states, has seen cases as recently as last week.

The majority of cases have been reported in Michigan, where there are now 6,148 cases, according to an update Monday morning from the Michigan Department of Health and Human Services (MDHHS). This is an increase of more than 1,000 cases since Friday.

“I want to stress that our investigation continues, including into other potential sources and commodities for other clusters of illnesses,” Diamantas said during Monday’s press conference. 

So far, the CDC has confirmed 1,644 infections linked to the outbreak in Indiana, Kentucky, Michigan, Ohio and West Virginia, and has advised the public not to eat shredded iceberg lettuce served at Taco Bell locations in those five states.

The agency said the true number of cases in the outbreak is “likely much higher than the number reported” because many people recover from the illness without medical care and are not tested for the Cyclospora parasite.

Diamantas also addressed a false positive test result over the weekend from a sample of iceberg lettuce from Taylor Farms de Mexico. 

Last week, Taylor Farms de Mexico issued a voluntary recall of all iceberg lettuce sourced from central Mexico, with the recall affecting 27 states. The recalled products were distributed from June 29 through July 16 and have a best-by dates up to Aug. 3.

Taco Bell said Friday that it is no longer using lettuce from Taylor Farms de Mexico at any of its restaurants.

Over the weekend, the FDA said a sample of shredded iceberg lettuce supplied by Taylor Farms, which was not part of the recall, tested positive.

However, the agency later clarified that during a re-review of the sample results, it determined the result was a false positive. Taylor Farms issued a statement on Sunday, saying “we were informed that FDA made a mistake.”

“To be clear, at this moment, FDA has not identified a single positive product test result for Cyclospora,” Taylor Farms wrote in its statement Sunday.

“Based on initial information provided by health officials, in an abundance of caution, we completed a voluntary recall of iceberg lettuce from central Mexico. Recalled product was limited to iceberg lettuce grown and processed in central Mexico,” the Taylor Farms statement continued. “All other Taylor Farms products, including all Taylor Farms brand products available for purchase, are not involved in the recall.”

Diamantas said Monday that the false positive did not change the FDA’s findings that linked cases to shredded lettuce from Taylor Farms. 

“I also want to be clear that our weakened communications around a false positive test result do not change the basis for FDA’s ongoing outbreak investigation or the epidemiological data supporting the current voluntary recall by Taylor Farms,” Diamantas said. 

The FDA similarly shared a post on X Monday afternoon, saying that the epidemiological data supporting the Taylor Farms lettuce recall was “overwhelming.”

“FDA’s traceback investigation and outbreak data continue to converge on shredded iceberg lettuce from Taylor Farms locations in central Mexico,” the FDA’s post read, in part. “FDA will continue to work with federal and state partners to investigate this multistate outbreak and ensure products implicated in this outbreak have been removed from the market.” 

The CDC said it’s also investigating other cyclosporiasis outbreaks and illnesses unrelated to the larger outbreak. At least 29 other states have confirmed domestically acquired cases since May 1, the CDC reports.

Additionally, 440 cases in 35 states have been confirmed among people who ate or drank food or water that made them sick while traveling outside the U.S. in the days before they came ill, according to the CDC.

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Health

Cases of cyclosporiasis in Michigan surpass 5,000, health officials say

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Hospitalizations in Michigan linked to an outbreak of cyclosporiasis, an intestinal illness caused by a parasite, have surpassed 100, health officials said Friday.

So far, 102 people have been hospitalized, according to the Michigan Department of Health and Human Services (MDHHS). There are more than 5,000 cases in the state, an increase of nearly 700 since Thursday, officials said.

The Centers for Disease Control and Prevention and the Food and Drug Administration are warning consumers not to eat shredded iceberg lettuce sold at select Taco Bells in five states — Indiana, Kentucky, Michigan, Ohio, and West Virginia — after the ingredient was linked to the outbreak. The CDC said that shredded iceberg lettuce sold in grocery stores or served in other restaurants is not affected. 

Lettuce supplier Taylor Farms said it is voluntarily removing all iceberg lettuce sourced from central Mexico from the U.S. market.

Taylor Farms said the FDA traceback indicated a “specific farm” that accounts for “less than 1% of the U.S.’s iceberg lettuce supply” was a potential source, and they have removed all iceberg lettuce from the region indefinitely. No other Taylor Fresh Food products have been impacted and that no branded salad kits contain iceberg lettuce, Taylor Farms said. 

“As a family owned and operated company, we are deeply concerned for those who became ill, their families, and the many Americans whose trust in the safety of their fresh produce has been shaken. That trust is something we’ve worked for decades to earn, and we are committed to doing everything in our power to restore that confidence,” Taylor Farms said in a statement Friday.

Preliminary findings by Michigan health officials suggest lettuce or salad greens are the potential source of the illnesses. However, no specific type of produce, grower or supplier has been identified as the source, and federal health officials have not publicly identified a source of the outbreak.

The White House said on Thursday it is “closely monitoring” the cyclosporiasis outbreak and “has a handle on the situation.”

Press secretary Karoline Leavitt said the White House is working with the FDA and partners at the federal, state and local levels to “increase detection methods,” provide guidance and trace the outbreak.

On Tuesday, Taco Bell said it would voluntarily remove some ingredients at select restaurants as a precautionary measure.

“The health and safety of our guests is our top priority,” Taco Bell Corp said in a statement to ABC News. “Public health officials have not confirmed a link to Taco Bell or any specific ingredient, supplier, restaurant or retailer. While authorities continue their broader review, Taco Bell has voluntarily and temporarily removed limited ingredients at select restaurants as a precautionary measure. We will continue to closely monitor the situation and follow the guidance of public health authorities.

Federal health officials said cases of cyclosporiasis will continue to rise in the U.S. The season is typically considered to be from May 1 to Aug. 31.

Additionally, the CDC sent out an alert to doctors around the country on Tuesday warning them of an increase in cases of cyclosporiasis.

Michigan health officials previously told ABC News the outbreak could be linked to food contamination.

Earlier this month, MDHHS sent out recommendations to restaurants and other commercial kitchens in southeast Michigan to reduce risks of exposure.

MDHHS data shows that most cases have been among adults, with 30 to 39 year olds making up the highest share.

The outbreak was first identified on June 29, when the Monroe County Health Department announced it was investigating a cluster of cases.

The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention. It does not typically spread person-to-person. 

Foodborne outbreaks of cyclosporiasis in the past have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

At least 31 other states have reported cases of cyclosporiasis, according to an ABC News tally, analyzing CDC data and state health department data.

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

ABC News’ Karen Travers contributed to this report.

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Health

Dr. Erica Schwartz appears before Senate committee for confirmation hearing as next CDC director

President Donald Trump has nominated Dr. Erica Schwartz, to be the Director of the CDC, April 16, 2026. (Department of Health and Human Services)

(WASHINGTON) — A confirmation hearing began on Wednesday for Dr. Erica Schwartz to be the next director of the Centers for Disease Control and Prevention (CDC).

Schwartz, a formal deputy surgeon general, was nominated by President Donald Trump in April. Trump made the announcement in a post on Truth Social, describing Schwartz as “incredibly talented.”

Schwartz is the fourth person named or nominated as head of the CDC since last summer. If confirmed by the Senate, Schwartz will replace Dr. Jay Bhattacharya, director of the National Institutes of Health, who took over as acting CDC director in February.

Schwartz earned a medical degree from Brown University and served in the U.S. Navy until 2005.

She served in the U.S. Public Health Service Commissioned Corps, as the Coast Guard Chief Medical Officer and as Deputy Surgeon General from 2019 to early 2021, during the first Trump administration.

“I was very pleased to see Dr. Schwartz nominated to be the next director of the CDC,” Dr. Richard Besser, former acting director of the CDC during the Obama administration, told ABC News. “What struck me is how refreshing it felt to see someone nominated for this job who actually has deep experience in public health and has the credentials necessary to lead a complex public health organization.”

Besser expressed concern about whether Schwartz, if confirmed, will have the independence from Health and Human Services Secretary Robert F. Kennedy Jr. to make public health recommendations, referencing a previous CDC director: Susan Monarez.

Monarez was confirmed as CDC director in July 2025, but she held the post for less than a month. Monarez was fired by Kennedy for reportedly not rubber-stamping the health secretary’s vaccine agenda or firing high-ranking CDC leaders whom he opposed.

The turmoil led to both Kennedy and Monarez appearing in front of Senate committees to address the ousting.

At a Senate hearing, Kennedy denied telling Monarez to accept vaccine recommendations without scientific evidence and claimed she was fired in part because she told him she was untrustworthy.

Besser said he expects that Schwartz will be asked by members of the Senate Committee on Health, Education, Labor and Pensions (HELP) about her perspectives on vaccinations, the Ebola outbreak in the Democratic Republic of the Congo and the rise of measles in the U.S.

“Those are some of the critical areas I think she’ll be asked about. There are so many other areas that are of concern to those who have relied on the CDC to prevent illness and promote health,” he said.

Sean Kaufman is also appearing before the Senate HELP Committee for his confirmation hearing on Wednesday. Kaufman was nominated to lead the Administration for Strategic Preparedness and Response, which was recently absorbed under CDC as part of an HHS reorganization in 2025.

Kaufman has claimed without evidence that the COVID-19 vaccine caused “excessive death and injury … in the United States and globally.” Health officials have said COVID-19 vaccines are safe and effective following clinical trials that involved tens of thousands of people and have since helped save millions of lives.

“What concerns me about Mr. Kaufman is that he has expressed very strong anti-vaccine views, and the ASPR is responsible for the strategic national stockpile,” Besser said. “So, I hope that the committee asks him questions to fully understand the approach that he would take in that role.”

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Health

Dr. Erica Schwartz to appear before Senate committee for confirmation hearing as next CDC director

President Donald Trump has nominated Dr. Erica Schwartz, to be the Director of the CDC, April 16, 2026. (Department of Health and Human Services)

(WASHINGTON) — Dr. Erica Schwartz is set to appear before a Senate committee on Wednesday for her confirmation hearing as the next director of the Centers for Disease Control and Prevention (CDC).

Schwartz, a formal deputy surgeon general, was nominated by President Donald Trump in April. Trump made the announcement in a post on Truth Social, describing Schwartz as “incredibly talented.”

Schwartz is the fourth person named or nominated as head of the CDC since last summer. If confirmed by the Senate, Schwartz will replace Dr. Jay Bhattacharya, director of the National Institutes of Health, who took over as acting CDC director in February.

Schwartz earned a medical degree from Brown University and served in the U.S. Navy until 2005.

She served in the U.S. Public Health Service Commissioned Corps, as the Coast Guard Chief Medical Officer and as Deputy Surgeon General from 2019 to early 2021, during the first Trump administration.

“I was very pleased to see Dr. Schwartz nominated to be the next director of the CDC,” Dr. Richard Besser, former acting director of the CDC during the Obama administration, told ABC News. “What struck me is how refreshing it felt to see someone nominated for this job who actually has deep experience in public health and has the credentials necessary to lead a complex public health organization.”

Besser expressed concern about whether Schwartz, if confirmed, will have the independence from Health and Human Services Secretary Robert F. Kennedy Jr. to make public health recommendations, referencing a previous CDC director: Susan Monarez.

Monarez was confirmed as CDC director in July 2025, but she held the post for less than a month. Monarez was fired by Kennedy for reportedly not rubber-stamping the health secretary’s vaccine agenda or firing high-ranking CDC leaders whom he opposed.

The turmoil led to both Kennedy and Monarez appearing in front of Senate committees to address the ousting.

At a Senate hearing, Kennedy denied telling Monarez to accept vaccine recommendations without scientific evidence and claimed she was fired in part because she told him she was untrustworthy.

Besser said he expects that Schwartz will be asked by members of the Senate Committee on Health, Education, Labor and Pensions (HELP) about her perspectives on vaccinations, the Ebola outbreak in the Democratic Republic of the Congo and the rise of measles in the U.S.

“Those are some of the critical areas I think she’ll be asked about. There are so many other areas that are of concern to those who have relied on the CDC to prevent illness and promote health,” he said.

Sean Kaufman will appear before the Senate HELP Committee for his confirmation hearing on Wednesday. Kaufman was nominated to lead the Administration for Strategic Preparedness and Response, which was recently absorbed under CDC as part of an HHS reorganization in 2025.

Kaufman has claimed without evidence that the COVID-19 vaccine caused “excessive death and injury … in the United States and globally.” Health officials have said COVID-19 vaccines are safe and effective following clinical trials that involved tens of thousands of people and have since helped save millions of lives.

“What concerns me about Mr. Kaufman is that he has expressed very strong anti-vaccine views, and the ASPR is responsible for the strategic national stockpile,” Besser said. “So, I hope that the committee asks him questions to fully understand the approach that he would take in that role.”

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Health

Cyclosporiasis cases in Michigan surpass 3,000 as health officials say lettuce or salad greens could be source

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Reported cases of cyclosporiasis, an intestinal illness caused by a parasite, have surpassed 3,000 in Michigan, the state’s health department said on Tuesday.

Cases jumped more than 600 since Monday. There have been a total of 3,309 cases since June 22, according to the Michigan Department of Health and Human Services (MDHHS). At least 44 people have been hospitalized. Michigan typically sees about 50 cases per year.

Most cases have been reported in southeastern Michigan, including Wayne County, where Detroit is located, according to MDHHS.

On Monday, Michigan health officials said lettuce or salad greens could be the source of illnesses in the state.

MDHHS data shows that most cases have been among adults, with 30 to 39 year olds making up the highest share.

The outbreak was first identified on June 29, when the Monroe County Health Department announced it was investigating a cluster of cases.

Michigan health officials previously told ABC News the outbreak could be linked to food contamination. So far no produce, grower or supplier have been identified.

Earlier this month, MDHHS sent out recommendations to restaurants and other commercial kitchens in southeast Michigan to reduce risks of exposure.

The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention. It does not typically spread person-to-person. 

Foodborne outbreaks of cyclosporiasis in the past have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

At least 31 other states have reported cases of cyclosporiasis, according to an ABC News tally, analyzing CDC data and state health department data.

As of Friday, New York has reported the second-highest number of cases at 470 cases since May 1, followed by Ohio at 364, state health officials told ABC News. Meanwhile, Illinois and Florida are each reporting more than 100 cases as of Friday, according to their respective health departments.

The CDC said it has confirmed 843 domestic cases from May 1 to July 9. The agency wrote on its website that it is “aware that states are likely to report higher case counts of cyclosporiasis than reflected in CDC data and is working closely with states to update numbers as additional cases are confirmed.”

The agency said it expects a six-week reporting lag between illness onset and case reporting to the CDC as it receives and reviews the data. 

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

ABC News’ Youri Benadjaoud contributed to this report.

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