Cyclosporiasis

• Sudden, explosive, watery diarrhea (can be prolonged or relapsing)
• Loss of appetite and weight loss
• Abdominal cramps, bloating, and increased gas
• Nausea and fatigue
• Less common: Vomiting, low-grade fever, muscle aches

Cyclosporiasis is transmitted through the fecal-oral route, primarily by ingesting food or water contaminated with mature *Cyclospora cayetanensis* oocysts. Direct person-to-person transmission is unlikely because the oocysts passed in stool are not immediately infectious; they require days to weeks to sporulate (mature) in the environment. Outbreaks are frequently associated with contaminated fresh produce such as raspberries, basil, or leafy greens.

• Thoroughly wash all fresh fruits and vegetables, especially berries, lettuce, and herbs, before consumption.
• Avoid drinking untreated water from lakes, streams, or unverified sources.
• Practice good hand hygiene, particularly after using the restroom and before handling food.
• When traveling to areas where Cyclosporiasis is common, avoid raw produce and opt for cooked foods.