Western North Carolina Sees Surge in Rare Parasitic Infections
Two counties in western North Carolina have recently experienced an unusual uptick in cases of cyclosporiasis, a rare intestinal infection, surpassing their annual averages. Henderson County, in a news release, confirmed seven cases since July 2, while Buncombe County reported four cases since June 24. Despite the increase, the counties have not identified a common source for the infections. Their health departments are collaborating with local medical professionals and environmental health experts to monitor any further cases.
The rise in local cases aligns with a broader trend across North Carolina and the United States. From May 1 to July 14, the state documented 307 cyclosporiasis cases, including 13 hospitalizations, as per the North Carolina Department of Health and Human Services. Wake County, in particular, has been heavily affected, with 270 cases reported this year.
According to the CDC, the infection is caused by the microscopic Cyclospora cayetanensis parasite, which contaminates food or water through fecal contact. State health experts point out that contamination typically happens at the agricultural level, often involving fresh produce and herbs like cilantro, parsley, and lettuce.
Symptoms such as watery diarrhea, nausea, fatigue, cramping, and bloating usually manifest about a week after exposure, as noted by NCDHHS. However, some infected individuals may remain asymptomatic. The condition is treatable with antibiotics.
Carl Williams, the state’s public health veterinarian, explained that tracing infections back to their source is challenging. “Many individuals may not even realize they have consumed the ingredient that is making them sick,” Williams mentioned in a July 14 news release. “For example, someone may recall that they had pico de gallo with their dinner, but not that it included cilantro.”
Residents in Henderson and Buncombe counties are advised to be vigilant for symptoms and seek medical advice if they experience persistent diarrhea. Health officials suggest preventive measures such as washing hands before and after handling food, thoroughly rinsing fruits and vegetables, and cooking produce when feasible to minimize risk.
For additional food safety tips, visit the CDC’s website. To check the latest statistics in North Carolina, consult the NCDHHS’s dashboard, updated weekly.



