The Parasite Causing Explosive Diarrhea

Summary

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What A Day – July 23, 2026

Episode: The Parasite Causing Explosive Diarrhea
Host: Jane Coaston
Guest: Julie Rovner (Chief Washington Correspondent, KFF Health News)
Main Theme: Understanding the Cyclospora parasite outbreak behind a spike in foodborne illness, and examining the underlying causes, government response, and broader implications for food safety in America.

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Episode Overview

This episode dives into the Cyclospora parasite—responsible for an unprecedented national outbreak of foodborne illness, especially linked to bagged lettuce. Host Jane Coaston speaks with public health journalist Julie Rovner to clarify how the parasite spreads, why outbreaks are worsening, the role of America’s food system, and whether slashed federal public health resources are leaving Americans more at risk. The show also briefly reviews headline national and international news.

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Key Discussion Points & Insights

Latest National & International News (00:26–03:47)

• Trump’s Tariffs & Approval Ratings:

  • Harry Anton (CNN): "[Since] March 29, 2025...every single poll that meets CNN standards for publication, Donald Trump has had a negative net approval rating...what happened...it was the tariffs." (00:38)
  • Jane notes a "Little Mermaid" quip about Trump's political status, poking fun at political metaphors.

• Middle East Conflict Update:

  • Jane notes heightened tensions: The Houthis in Yemen, backed by Iran, attack oil tankers, risking escalation as global oil prices soar; US threatens more military action.
  • Ukrainian drones strike major Russian commercial targets to undermine the wartime economy.

• Electricity & Tech Companies:

  • President Trump claims a new ratepayer protection pledge will shield consumers from higher utility bills driven by data centers, but Jane questions whether this will truly help:
    • "It's unclear, with electricity demand already growing, whether consumers would see genuine savings. Let's see if he can follow through on one of his favorite slogans, promises made, promises kept." (03:47)

• FDA Revisits Peptide Bans:

  • The FDA is reconsidering seven banned peptide injections under political and influencer pressure, raising questions about regulation in the wellness industry.

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Main Segment: Cyclospora Outbreak (“Explosive Diarrhea”)

Lead-In
Jane introduces the parasitic outbreak, noting 11,000+ cases—several times the average year—with new clusters nationwide and a likely link to bagged lettuce from Taylor Farms.

“Let’s talk about explosive diarrhea, which isn’t my first choice for an interview topic. And yet here we are.” (06:28)

What is Cyclospora, and How Does It Spread? (06:45–09:36)

• Source:

  • Julie Rovner: “It comes from human feces...usually in irrigation water.” (07:18)
    • The parasite contaminates water used in agriculture, especially for produce that grows close to the ground: “Think strawberries and lettuce and herbs.” (07:28)
  • Notable Fact: Simple washing doesn't reliably remove Cyclospora; only cooking kills it.

    “You can get rid of some of it, but washing isn’t really enough to kill it. You actually have to cook it to kill it.” (08:00, re-emphasized from episode open)

• Bagged Lettuce Risks:

  • Aggregation of produce from many farms means contamination in one supply can spread nationally:

    "Bagged lettuce comes from so many different places...If there’s contaminated lettuce at a farmer’s market, that’s isolated. With bagged lettuce, it's widespread." (08:50)

• Why Summer?

  • Cyclospora thrives in warm conditions; foodborne illness outbreaks spike in summer, but 2026’s numbers are unusually high.

Why Is This Year Worse? Reduced Public Health Capacity (14:19–16:18)

• Federal Staff Cuts:

  • Jane references “Doge cuts” at FDA and CDC that laid off thousands.
  • Julie Rovner explains:
    • “Probably not the size and scale of the outbreak, but...we don’t really know where the outbreak came from...An enormous amount of expertise on things like Cyclospora was walked out the door of these federal agencies, which makes everything harder to deal with.” (14:44)
    • Cuts, early retirements, and staff departures due to frustration have all played a role in weakening the response.

• Consequences:

  • The capacity to trace outbreaks and communicate clearly has declined, even with public health critics now running those agencies:

    “I have found myself sort of admiring the karma of the fact that the Department of Health and Human Services is now being run by all of the people who complained during COVID about how bad public health communication was. And now they're discovering that public health communication is hard.” (15:57)

The Big Ag Problem: Taylor Farms, Food Safety, and Political Influence (16:20–19:19)

• Taylor Farms’ Track Record:

  • Not the first outbreak tied to Taylor Farms (2013: salads at Olive Garden and Red Lobster, 2024: E. coli in McDonald's onions).
  • Julie: The real issue is Big Ag and how nationwide sourcing magnifies risk:

    “It’s one of these aggregators that gets its produce from so many different people...when there's something wrong...we get regional or nationwide outbreaks of problems.” (16:44)

• International Supply Chain Risks:

  • This year’s Cyclospora may originate in Mexico, but staff shortages make detailed tracing nearly impossible.

• Political Influence Allegations:

  • Journalist allegations: Taylor Farms might have received favorable treatment after donating to President Trump; questions raised about whether the FDA’s walk-back of a positive Cyclospora test was influenced by politics.
    • Julie: “Of course the FDA says that they did not apologize to Taylor Farms...false positives, particularly for Cyclospora, [are] not that rare...But certainly it's legitimate to be asking questions…whether they got some kind of preferential treatment because of their closeness and their ability to reach out directly to the White House.” (18:10, 19:00)

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Notable Quotes & Memorable Moments

• Julie Rovner on produce habits:

  • “I don’t eat bagged lettuce as a rule, but I certainly wouldn’t be eating it these days. And I feel a little bit smug because I went and did a whole bunch of pick your own a couple of weeks ago.” (06:50)

• Jane Coaston on the subject matter:

  • “Let’s talk about explosive diarrhea, which isn’t my first choice for an interview topic. And yet here we are.” (06:28)

• On the limits of washing produce:

  • “Washing isn’t really enough...you actually have to cook it to kill it.” ([00:00] and repeated [08:00])

• On Big Ag and systemic risk:

  • “This is the nationalization of our food supply showing up to bite us.” (17:13)

• On public health staff shortages:

  • “An enormous amount of expertise on things like Cyclospora was walked out the door...these were things [the administration] didn’t look at when they were making decisions about what to cut.” (14:44)

• On Trump critics now running health agencies:

  • “I have found myself sort of admiring the karma...now they're discovering that public health communication is hard.” (15:57)

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Important Timestamps

• 00:26–03:47: Headlines — Trump’s tariffs, Middle East conflict, Ukraine-Russia, energy pledges, peptide regulation.
• 06:45–09:36: Interview starts; what is Cyclospora, how does it spread, and why bagged lettuce?
• 09:36–10:08: Washing vs. cooking produce, brief humor on “boiled lettuce.”
• 14:19–16:18: Impact of FDA/CDC cuts, loss of expertise, and tracing outbreaks.
• 16:20–17:51: Taylor Farms background, issues with nationwide and internationalized food systems.
• 17:51–19:19: Allegations of political influence in FDA decisions.
• 19:22: Julie Rovner signs off.

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Takeaways

• Cyclospora is a persistent parasite that standard washing can’t eliminate from produce. Only cooking is guaranteed, but it's not practical for lettuce.
• Bagged lettuce and other mass-aggregated produce substantially increase outbreak risk and geographic reach.
• U.S. food safety systems are under strain from resource cuts, reducing their ability to trace and contain outbreaks.
• Political and economic interests may influence food safety actions and messaging, though direct evidence of interference remains unproven.
• Consumers are left with few easy protections—avoiding bagged lettuce during outbreaks is recommended; local or home-sourced produce may be safer.

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Episode Tone and Style

• Wry and analytical: Jane uses sharp wit to comment on both the science and politics of food safety.
• Public interest journalism: The interview prioritizes clear explanations, structural context, and pressing questions about accountability.

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For listeners who missed the episode, this summary will ground you in the stakes of the Cyclospora outbreak, its systemic causes, and why the nation’s food safety future hangs in the balance.

Transcript

[Julie Rovner]

Bagged lettuce comes from so many different places. And of course, this particular parasite, Cyclospora doesn't come off when you just wash the vegetables. That's part of the problem. You can get rid of some of it, but washing isn't really enough to kill it. You actually have to cook it to kill it.

[Jane Coston]

I'm Jane Coston. This is what a day, a show show celebrating President Donald Trump's love of the one thing every American, every single one seems to hate, tariffs. Here's CNN's Harry Anton.

[Harry Anton]

Every single poll since March 29, 2025, that is over a year ago, in fact, days in a row. It's 482 days in which every single poll that meets CNN standards for publication, Donald Trump has had a negative net approval rating. Well, what happened right around March of 20, March 29, 2025, all, all polls just before Liberation Day 2025, it was the tariffs. It was the massive implication of those tariffs, the implementation of it that of course, many of them got overturned that turned the American people once and for all against Donald Trump in his second term as president.

[Jane Coston]

Now, one quibble later in this segment, Harry says that Trump is so underwater, he's like, quote the Little Mermaid. He doesn't even come up for air anymore. But as I recall, a major plot point of the Little Mermaid is that she does in fact spend a lot of time not in water. On today's show, we talk about the brand new intestinal parasite that's entered our villa. Sorry, country with KFF health news. Julie Ravner. Before we get into all that, here's what we're following today, Thursday, July 23rd.

[Harry Anton]

I think the Houthis frankly got snookered into this thing by the Iranians and they were smart to stay out of it and they should stay out of and they should stop. We'll see what happens there. Obviously, it's not a positive development.

[Jane Coston]

Secretary of State Marco Rubio spoke to reporters today about the latest in the Middle east. And the latest isn't looking so great. Yemen's Iran backed Houthi rebel said they attacked two Saudi oil tankers in the Red Sea, potentially widening the Iran war as international oil topped $100 a barrel. The Houthis have threatened to shut down a key trade route that connects the Red Sea to the Gulf of Aden. That would be a double whammy considering the world economy is already reeling from Iran's closure of the Strait of Hormuz. As the US Continues to carry out strikes across Iran. Trump threatened major military punishment against the Houthis if their attacks on ships continue. Ukraine has targeted Russia's largest online marketplace, Wildberries, in an aerial campaign aiming to undermine Russia's wartime economy. Ukrainian drones first hit the company's warehouses over the weekend. Two more were attacked early Wednesday. At least nine people were killed in the attacks. The strikes on Wildberries, which is Russia's equivalent of Amazon, are meant to make Russian citizens feel the consequences of the Kremlin's all out invasion of Ukraine. While Ukrainian President Volodymyr Zelensky did not name Wildberries directly, he has said the facilities Ukraine hit were involved in supplying gear and various technical components to the Russian military. A Kremlin spokesman disputed the claim and accused Kyiv of continuing to strike civilian targets.

[Donald Trump]

We are here today to continue the incredible progress we're making in communities nationwide to ensure that as new data centers go up and it's they're going up all over, electricity bills for American families will actually come down. You know you're going to be building your own data centers and you're going to be building your own electric plants. You're essentially becoming a utility like Con Edison in New York, but maybe at a level that nobody's ever seen before because we've seen some of the plants that they're building are absolutely incredible.

[Jane Coston]

What President Trump expanded on a promise to Americans today at a ratepayer protection pledge event, Trump had governors and electricity companies join a voluntary pledge to shield US Consumers from higher utility bills from data centers. He announced the pledge earlier this year, but that initial commitment has done little to comfort voters who worry about competing for electricity, water and land with tech companies controlled by billionaires. I wonder why it's unclear, with electricity demand already growing, whether consumers would see genuine savings. Let's see if he can follow through on one of his favorite slogans, promises made, promises kept. Seeing as he has yet to keep pretty much any promise anyone actually wanted, the FDA is holding an advisory committee hearing today and tomorrow on a subject near and dear to the hearts of Health and Human Services Secretary RFK Jr and every Instagram influencer. You've never heard of peptides. Specifically, the FDA is deciding whether or not to allow seven peptide injections the agency banned three years ago over safety concerns. Peptides are chains of amino acids that can perform a range of functions in the human body. Insulin is a peptide, and so are GLP1s. But if you've spent any time on Fitness, Instagram or TikTok, you know that there are tons of other peptides users and influencers are claiming can help you build muscle and lose weight or clear up your skin. Most of those peptides have undergone little to no testing in humans, and they can cause some pretty serious side effects. But back in October 2024, RFK Jr promised to end the quote war on peptides. And clearly today is the first step of that fight. A fight that is unsurprisingly pretty one sided in favor of peptides. Because how could you resist looking more like RFK Jr. And that's the news. Let's talk about explosive diarrhea, which isn't my first choice for an interview topic. And yet here we are. By now you've probably heard more than you ever wanted to hear about Cyclospora, a parasite that spreads via infected water and food and causes, you guessed it, explosive diarrhea. According to the Food and Drug Administration, there are now six clusters of Cyclosporiasis infections nationwide, including a new outbreak announced just night that has already gotten at least 72 people sick, which is not comforting. This has been a very bad year for psychospiriasis. According to the New York Times, the Centers for Disease Control and Prevention typically report an average of 2,800 cases of the illness in the US every year. But this year the CDC says there have been more than 11,000 cases in 41 states, and one of those outbreaks has been linked to produce company Taylor Farms. For more on our summer of cyclospirasis and why you should maybe skip the bagged lettuce. I spoke to Julie Rovner. She's the chief Washington correspondent at KFF Health News and host of the what the Health podcast. Julie, welcome back to whataday.

[Julie Rovner]

My pleasure.

[Jane Coston]

Julie, are you eating bagged lettuce these days?

[Julie Rovner]

I don't eat bagged lettuce as a rule, but I certainly wouldn't be eating it these days. And I feel a little bit smug because I went and did a whole bunch of pick your own a couple of weeks ago, so I know where my produce came from.

[Jane Coston]

So the reason I'm asking is because of the Cyclospora outbreak that has been all over the news and apparently all over bagged lettuce. But it's been super confusing. So first, where does this parasite come from?

[Julie Rovner]

It comes from human feces either, usually in irrigation water. Sorry about that.

[Jane Coston]

I hate, I hate those words.

[Julie Rovner]

Yeah, it's gross. And it gets into food and it often gets into food that have lots of little sort of nooks and crannies and grow close to the Ground. So think strawberries and lettuce and herbs and things like that.

[Jane Coston]

You mentioned that this can happen when human excrement finds its way into water supplies, which are then used to irrigate herbs, vegetables, fruits that are low to the ground. Now, looking at this outbreak specifically, there were reports that lettuce from the company Taylor Farms tested positive for the parasite. Then the FDA said it was a false positive, but actually they're still pretty confident that iceberg lettuce from Taylor Farms is the culprit. So what do we know right now about this huge cyclospora outbreak?

[Julie Rovner]

That it's probably from multiple different sources. And of course, this quote, false positive test that we got back was after, after a different recall of Taylor Farms produce had already begun. That hasn't changed. So basically, iceberg lettuce from almost anywhere right now is suspect.

[Jane Coston]

Now it feels like whenever we hear about a big outbreak of foodborne illness, it's either weird, gross meat or bagged lettuce in the summer. Why?

[Julie Rovner]

Well, this particular parasite, Cyclospora, does tend to flourish in the summer. And of course, we had a bagged spinach outbreak a few years ago. So it's not just bagged lettuce. Some of it is that it's coming from lots of different places and it's very hard to figure out where. If there's contaminated lettuce that's coming from a farmer's market that's going to be isolated to the people who eat that lettuce from probably that farm. Bagged lettuce comes from so many different places. And of course, this particular parasite, Cyclospora, doesn't come off when you just wash the vegetables. That's part of the problem. You can get rid of some of it, but washing isn't really enough to kill it. You actually have to cook it to kill it.

[Jane Coston]

Which one doesn't do with lettuce?

[Julie Rovner]

I am told that there are suddenly lots of recipes about cooking lettuce.

[Jane Coston]

Delicious. We love boiled lettuce, so I love

[Julie Rovner]

boiled cabbage, but it is definitely a summer thing. But this year it's a much bigger summer thing than it has been in previous summers. And as I'm sure we'll get to, it is not helped by the cuts that we've seen at the Food and Drug Administration, the Centers for Disease Control and Prevention.

[Jane Coston]

If you also do not want to boil your lettuce, stick around. We'll get back to my conversation with Julie Rovner in a moment. In the Meantime, leave a five star review on Spotify and Apple Podcasts. Watch us on YouTube and share with your friends. More to come after some ads Whataday is brought to you by the International Rescue Committee. I know the headlines can be overwhelming. There's so much happening and it can make us feel a bit hopeless. Like what can we do to make a difference? How can we help? Well, for people living in places like Gaza and Sudan, you can make a difference with a gift to the International Rescue Committee. Albert Einstein helped found the organization that became the International Rescue Committee. Ingenuity, fortitude and optimism remain at the heart of the work. The IRC helps people whose lives and livelihoods are shattered by conflict and disaster to survive, recover and gain control of their futures in conflict zones around the world, and they respond within 72 hours after an emergency strikes. They stay as long as they are needed, helping people rebuild their lives. When you make a tax deductible gift to the International Rescue Committee, you are contributing to one of the best rated charities in the world. For more than 90 years, the IRC has been providing effective and efficient humanitarian aid to millions of families caught in crisis worldwide. With new opportunities for aid delivery opening, the IRC is determined to deliver aid to the 2 million Palestinians, half of them children, struggling to access sufficient water, food and medical care. But the situation in Gaza is still horrific. Famine is still a deadly reality for thousands. For children whose bodies have been severely weakened by hunger, malnutrition, illness and trauma, every day will be a fight for survival. Everyone in Gaza is now in need of humanitarian assistance. Most of the population is displaced and infrastructure, including hospitals and schools has been systematically decimated. Gaza's infrastructure is shattered. Over 90% of homes in Gaza have been damaged or destroyed, leaving nearly 2 million Palestinians displaced. Most of them are living in tents, makeshift shelters and buildings damaged by the conflict. The IRC's immediate priority now is to ensure that life saving assistance reaches those who need it most. IRC programs will continue to focus on nutrition, water and sanitation protection and early childhood development. Donate today by visiting rescue.org rebuild what a day is brought to you by Nutrafol Summer is full of vacations, weekend getaways and spending more time outdoors and and when you're packing for a trip, the last thing you want to be worrying about is your hair. Nutrafol is the 1 dermatologist recommended hair growth supplement brand and it's the 1 hair growth supplement brand personally used by dermatologists. Nutrafol's hair growth supplements are peer reviewed, NSF certified for sport and clinically tested. Let your hair be one less thing to worry about. See visibly thicker, stronger, faster Growing hair in three to six months with Nutrafol. For a limited time, Nutrafol is offering our listeners $10 off your first month subscription and free shipping when you visit nutrafool.com and enter promo code DAYTEN that's nutrafool.com spelled N U T R-A F O L.com promo code DAYTEN this episode

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[Jane Coston]

Let's get back to my conversation with Julie Rovner. So cyclospora is not new. The US sees cases of the parasite every year, though definitely not on the scale but you just alluded to. We're maybe a year and a half out from Doge cuts that eliminated thousands of jobs at the FDA and cdc. And correlation is not causation. But I have to wonder, do those cuts have anything to do with the size and scale of this outbreak?

[Julie Rovner]

Probably not the size and scale of the outbreak, but probably the fact that we don't really know where the outbreak came from. The people who trace this back, the people who do the testing at the CDC and the fda, there are fewer of those people than there were. And some of it was the Doge cut, some of it was the early retirements that were offered, some of it were people who just left because they got frustrated, feeling that they couldn't do their jobs anymore. But the fact is, an enormous amount of expertise on things like Cyclospora was walked out the door of these federal agencies, which makes everything harder to deal with. I mean, these were Things that I think the Doge folks didn't really think about when they said, well, why are there all these people at all these science agencies? And why is there somebody who specializes in this one tiny little parasite that, by the way, is now sickening thousands of people across the country? These were just things they didn't look at when they were making decisions about what to cut.

[Jane Coston]

Knowing that the US Public health apparatus is operating with fewer people and less resources than usual, how would you rate the reliability of the FDA and CDC to keep Americans healthy right now when it comes to food safety?

[Julie Rovner]

Well, I think it's clearly not as reliable as it has been in the past. I have found myself sort of admiring the karma of the fact that the Department of Health and Human Services is now being run by all of the people who complained during COVID about how bad public health communication was. And now they're discovering that public health communication is hard.

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[Jane Coston]

So let's. Let's talk about Taylor Farms. Because Taylor Farms has been identified as a source of past foodborne illnesses. A cyclospora outbreak in 2013 was linked to some of their salad mixes at Olive Garden and red lobster. In 2024, their onions were found to be the source of an E. Coli outbreak from McDonald's Quarter Pounders. Obviously, there's this. What do we know about Taylor Farms? Is this something specific to them?

[Julie Rovner]

I think this is more about Big Ag than about Taylor Farms. As I said, it's one of these aggregators that gets its produce from so many different people. And it frankly enables us to go to Olive Garden anywhere in the country or go to McDonald's anywhere in the country and get the same quality produce. But the problem is when there's something wrong with the quality of that produce, then we get regional or nationwide outbreaks of problems.

[Jane Coston]

So this would probably not be happening if McDonald's or these big chains were sourcing from more localized farms like this is a. This is the nationalization of our food supply showing up to bite us.

[Julie Rovner]

It is. And the internationalization of our food supply. I mean, there is still suspicion that this current outbreak of cyclospora is probably coming from Mexico. We don't know that for sure yet because as we talked about, the CDC and the FDA is having trouble tracing it back. But we have certainly seen problems in imported produce in the past.

[Jane Coston]

There's another aspect of this that's popped up recently which raises a lot of questions. There has been some journalists alleging that Taylor Farms has donated a lot of money to President Trump could this have anything to do with the FDA's retraction or the so called apology Taylor Farms says it received from the fda?

[Julie Rovner]

Well, of course the FDA says that they did not apologize to Taylor Farms. There is some question about whether what turned out to be the false positive result was delayed while they discussed things with Taylor Farms. I should point out that false positives, particularly for cyclospora, not that rare because it's actually really difficult to find in some of these microscopic tests. It's not as easy as things like E. Coli.

[Jane Coston]

But I want to ask, like this is tied to not just the FDA and the cdc, but also to this massive company that has made contributions to the president. How much weight would that have on how Taylor Farms is treated by the Trump administration and therefore on how this outbreak ends?

[Julie Rovner]

Well, we don't know for sure, but certainly it's legitimate to be asking questions and I know a lot of reporters are, and I'm also interested in the answers to whether they got some kind of preferential treatment because of their closeness and their ability to reach out directly to the White House. But we don't know that for sure yet.

[Jane Coston]

Julie, as always, thank you so much for joining me.

[Julie Rovner]

Always a pleasure, Jane.

[Jane Coston]

That was my conversation with Julie Rovner, Chief Washington Correspondent and host of the what the Health Podcast at KFF Health News. Before we go, Stacey Abrams is on a mission to understand what's broken in our political system, figure out what's really happening, and help us all feel a little more empowered to make change in our communities. On the latest episode of Assembly Required, she's talking with historian Heather Cox Richardson and award winning Cherokee journalist Rebecca Nagle to discuss how the way we frame our past can shape our civil discourse and progress today. Check out Assembly Required Every Tuesday on YouTube or wherever you get your podcasts. That's all for today. If you like the show, make sure to subscribe, leave a review, contemplate how much people seem to hate Vice President J.D. vance and tell your friends to listen. And if you're into reading, not just about how new polling from the University of New Hampshire shows that support for Vance as a presidential candidate in the critical state has plummeted from 53% to 36% since February. Like me, Water Day is also a nightly newsletter. Check it out and [e-mail] subscribe I'm Jane Coston and as usual, I was just ahead of the curve on the hate tray. What a Day is a production of Crooked Media. Our show was produced by Caitlin Plummer, Emily Foer, Erica Morrison and Adrienne Hill. Our team includes Hayley Jones, Greg Walters, Matt Berg, Joseph Dutra, Johanna Case and Desmond Taylor. Our music is by Kyle Murdoch and Jordan Kanter. We had help today from the Associated Press. Our production staff is proudly unionized with the Writers Guild of America East.

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