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Volume 31, Number 2—February 2025
Research

Cyclospora Genotypic Variations and Associated Epidemiologic Characteristics, United States, 2018–2021

John Shen, Vitaliano A. Cama1, David Jacobson, Joel Barratt, and Anne Straily1Comments to Author 
Author affiliation: Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA (J. Shen); Centers for Disease Control and Prevention, Atlanta, Georgia, USA. (J. Shen, V.A. Cama, D. Jacobson, J. Barratt, A. Straily)

Main Article

Table 4

Patient-reported produce consumption in the 2 weeks before symptom onset, overall and by Cyclospora species exposure, in study of Cyclospora genotypic variations and associated epidemiologic characteristics United States, 2018–2021*

Produce Overall Infected with C. ashfordi Infected with C. cayetanensis p value
No. patients
1,538
437
1,101

Produce consumed more commonly by patients infected with C. ashfordi
Cilantro <0.001
Y 356 (33) 145 (44) 211 (28)
N 725 (67) 183 (56) 542 (72)
Missing, no. 457 109 348
Plum 0.015
Y 63 (6.1) 28 (8.8) 35 (4.9)
N 978 (94) 292 (91) 686 (95)
Missing, no. 497 117 380
Lemon or lime 0.014
Y 390 (37) 137 (43) 253 (35)
N 652 (63) 182 (57) 470 (65)
Missing, no. 496 118 378
Mango 0.024
Y 150 (14) 58 (18) 92 (13)
N 896 (86) 264 (82) 632 (87)
Missing, no. 492 115 377
Squash 0.010
Y 110 (11) 46 (14) 64 (8.9)
N 931 (89) 278 (86) 653 (91)
Missing, no. 497 113 384
Onion 0.018
Y 459 (44) 159 (49) 300 (41)
N 596 (56) 166 (51) 430 (59)
Missing, no. 483 112 371
Pico de gallo 0.022
Y 288 (27) 103 (32) 185 (25)
N 782 (73) 223 (68) 559 (75)
Missing, no. 468 111 357
Guacamole 0.003
Y 271 (25) 102 (31) 169 (23)
N 799 (75) 224 (69) 575 (77)
Missing, no.
468
111
357

Produce more commonly consumed among patients infected with C. cayetanensis
Iceberg lettuce 0.001
Y 509 (46) 128 (39) 381 (49)
N 592 (54) 201 (61) 391 (51)
Missing, no. 437 108 329
Bagged salad kit 0.013
Y 142 (13) 30 (9.4) 112 (15)
N 925 (87) 290 (91) 635 (85)
Missing, no. 471 117 354
Carrot 0.018
Y 298 (28) 73 (23) 225 (30)
N 779 (72) 248 (77) 531 (70)
Missing, no. 461 116 345
Cauliflower <0.001
Y 202 (19) 34 (11) 168 (23)
N 865 (81) 289 (89) 576 (77)
Missing, no. 471 114 357

*Values are no. (%) except as indicated. We included produce items with statistically significant differences by χ2 test.

Main Article

1These senior authors were co–principal investigators.

Page created: December 30, 2024
Page updated: January 22, 2025
Page reviewed: January 22, 2025
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