Consumers should avoid eating shredded iceberg lettuce from Mexico at Taco Bell locations in at least five states including Indiana, Kentucky, Michigan, Ohio, and West Virginia, according to a statement from the USDA.
On Wednesday, the Kansas Department of Health and Environment reported 55 total cases of cyclosporiasis so far in 2026 in Kansas. The Missouri Department of Health and Senior Services said the state has identified more than 80 positive cases in the past week.
Since May 2026, Nebraska has reported 49 cases of cyclosporiasis. At this time, there have been no reported cases of cyclosporiasis in Nebraska related to the recent outbreak in the United States.
Symptoms of Cyclospora Infection
Most people infected with Cyclospora develop diarrhea, with frequent, bowel movements. Other common symptoms include loss of appetite, weight loss, stomach cramps/pain, bloating, increased gas, nausea, and fatigue. Vomiting, body aches, headache fever may be noted. Some people who are infected with Cyclospora do not have any symptoms. If not treated, the illness may lead to dehydration and severe complications that may require higher levels of care. These complications may last from a few days to a month or longer. Symptoms may seem to go away and then return one or more times (relapse). Immunocompromised persons may experience more severe illness of longer duration along with complications requiring close medical attention.
Stores affected:
Taco Bell locations in IN, KY, MI, OH, and WV. Additional states may be added to this advisory as more information becomes available. Taco Bell is working to stop use of all lettuce implicated by this investigation. Not all Taco Bell locations in these states received implicated product.
- Do not eat food items with shredded iceberg lettuce from Mexico served at Taco Bell locations in Indiana, Kentucky, Michigan, Ohio, and West Virginia.
- If you have symptoms of cyclosporiasis, contact your health care provider to report symptoms and receive care, especially if you ate shredded iceberg lettuce in the two weeks before you got sick.
- If you purchased or received food items with shredded iceberg lettuce served at Taco Bell at one of these locations, carefully clean and sanitize any surfaces or containers that it touched. Follow FDA’s safe handling and cleaning advice to reduce the risk of cross-contamination.
- Follow FDA’s safe handling and cleaning advice to reduce the risk of cross-contamination.
- Read FDA’s Cyclospora information for additional information about Cyclospora and what consumers can do.