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i hope this email kills us both instantly
if youre in the US (especially the northeast + michigan) i would avoid bagged salads/greens and generally wash your produce very thoroughly unless you want the diarrhea parasite
Michigan is experiencing its largest outbreak of a parasitic infection that causes severe diarrhea. Nearly 1,000 people have been diagnosed
this is not life-threatening, but also who wants weeks of diarrhea and a fucking parasite in them lol. if you suspect you've already had this and it's passed, i would see a doctor. you might need an antiparasitic anyway. if you're actively sick, see a doctor and they might be able to prescribe medication to help you get over it faster.
try to avoid eating raw vegetables, scrub fruit with a produce brush and rinse thoroughly with water. again, don't bother with premade greens or bagged salads. if you buy lettuce, remove the outer 2-3 layers of leaves.
there are UNVERIFIED rumors that the greens have been linked to a company that sources to taco bell. some locations have been actively pulling fresh ingredients like lettuce, avocado, and pico de gallo to mitigate the threat, so i would avoid any products from them just in case. considering how vast supply chains are, i'd be wary of any fast food greens in general for now.
also note this is a PARASITIC infection. most diarrhea-causing pathogens you expect to contaminate your greens are bacteria (e.g. e. coli and salmonella), which are a different domain of organism altogether. cyclospora is a protozoan, which is bigger and more complicated than a bacteria (for reference, malaria is also caused by a protozoan). bacterial diarrhea can be dangerous, but you might also expect to weather it and survive unscathed. do NOT fuck with PARASITIC contamination. you should be scared of this one!
#idk anything abt cyclospora but i do NOT trust a parasitw
respectfully, this is a very classic case of "people on Tumblr who self-admittedly don't know anything about the etiology or pathophysiology of a foodborne outbreak saying confidently incorrect things in a fear-mongering way." this reblog is going around on a post with thousands of notes and unnecessarily scaring and misinforming possibly hundreds or thousands of people.
cyclospora cayetanensis generally causes:
self-limiting^1 explosive/watery diarrhea & associated cramping/nausea/fatigue/weight loss
sometimes low-grade fever, vomiting, body aches, and other flu-like symptoms
^1 this means the infection will ultimately resolve itself, even without treatment
if left untreated, the course of the infection may last a few days up to a month or longer. it can often follow a relapsing course, wherein the person recovers for a period before experiencing another bout of the illness (e.g. in the more prolonged infections). in the large majority of cases where an immunocompetent person is infected, they will recover without any complications. as with any infectious disease, immunocompromised people are at higher risk and should follow more stringent avoidance precautions + seek treatment more urgently if ill.
incubation period ranges from 2 days to 2 weeks; if you come down with symptoms after eating fresh fruits or veggies/drinking contaminated water (or suspecting that cross-contamination with fresh fruits/vegetables/water has occurred), you should see a provider and get an O&P done to check your stool for evidence of the parasite. it can be treated with the medication TMP-SMX to shorten the course of the illness.
the "for reference, malaria is also caused by a protozoan" line as an attempt to provide context or reference point for how afraid people should be is uninformed fearmongering. this line is like if i said "be careful not to come down with a case of bacterial food poisoning--for reference, the black plague is also caused by bacteria!" it is completely nonsensical to imply that this organism is going to leave the average person reading the reblog surviving 'scathed,' as it were, or even not surviving at all, simply because there's another, different single-celled eukaryote that happens to cause malaria. you could have people going to their doctors afraid that they have something like malaria over what ultimately generally amounts to a treatable stomach flu.
and implying that cyclospora cayetanensis is inherently worse or more likely to be lethal than a bacterial infection, simply because it's "bigger and more complicated," is equally out of touch with the realities of bacterial infection. viewing bacterial food poisoning as "dangerous, but something you can expect to weather and survive unscathed" while seeing all parasitic infections as automatically akin to malaria is, quite simply, the result of having heard less about parasitic infections, and automatically assuming that the thing you (think you) know less about is scarier and worse by dint of being unfamiliar. go read about hemolytic uremic syndrome in addition to the above-linked articles on cyclospora, and then think about if e. coli should be de facto implicitly framed as no big deal compared to any given parasitic infection.
ultimately, as you said, you don't know anything about cyclospora. you just presumably live in a country that does not experience very many parasitic outbreaks, view parasites as "those scary mysterious things that only happen Elsewhere, to Other People, like Malaria...", and consequently, feel comfortable confidently asserting fearful assumptions as if they were useful education. and, like, i am ultimately sympathetic to attempts to help provide information for other people, but it is exhausting to see confident misinformation circulating every single time there's an outbreak mentioned on tumblr. and i wish people would do more thoughtful research before scaring themselves and others. there is an entire internet full of sources in both medical and plain language at all of our fingertips.
i appreciate the correction! I didnt expect my addition to get that much traction, I thought it would stay in my circle where my tags would be visible. and I swear I wasn't making the comparison to malaria to equivocate their severity, that was me reaching to explain how bacteria and protozoans are different domains of life with the most accessible example I could think of. I do see what you mean about the comparison sounding much more alarming, that's my bad. I genuinely did not mean to say "this is the same as getting malaria." again, appreciate the more through information, hope this correction picks up instead!
yeah, i can see how the comparison to malaria (or plasmodium spp., if we want to be precise about the organisms that cause malaria) would come to mind as an accessible-feeling way of noting that it's different domains of life. it was specifically the "do not fuck with PARASITIC contamination, you should be SCARED [in contrast to bacteria]" that made it feel particularly disproportionate, and portrayed an inherent tie between domain of life and severity of disease.
but the domain is definitely relevant, and not wrong to bring up in itself--some other useful points i'd add are:
that this particular organism is not easily washed off from nooks&crannies (hence why firm scrubbing/peeling of firm fruits/veggies is important, and things like bagged salads where you couldn't firmly wash it without just tearing it all to shreds are a no-go)
once it's shed in stool, it must develop into a more mature form in the environment for 1-2 weeks before being infectious, so it cannot be transmitted via direct/immediate fecal-oral (that is, you won't catch the infection from being around a sick person)
as mentioned above, being a parasite means that it's diagnosed via an ova & parasites examination of your stool, and you will likely need to provide a stool sample to receive a diagnosis (which your healthcare provider should inform you how to provide/package properly to allow proper inspection/diagnosis)
if you end up explaining the disease to anyone else in your life again, i think comparing the organism to amoebas could be a less-frightening and equally accessible way to explain that it's protozoan--tbh there are probably more people who know what amoebas are than people who could off-the-cuff tell you that malaria is caused by a protozoan
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