Cases will likely be in all of these states soon: Arkansas, Illinois, Indiana, Iowa, Kansas, Missouri, Michigan, Minnesota, Missouri, Nebraska, North Dakota, South Dakota and Wisconsin. Salads contaminated with Cyclospora were sold at other stores (Walmart). All salads appear to have been manufactured by one processor (Fresh Express)
122 people with laboratory-confirmed Cyclospora infections and who reported eating bagged salad mix before getting sick have been reported from 7 Midwestern states (Illinois, Iowa, Kansas, Missouri, Minnesota, Nebraska, and Wisconsin). Illnesses started on dates ranging from May 11, 2020 to June 15, 2020. 19 people have been hospitalized. No deaths have been reported.
Epidemiologic evidence indicates that ALDI Little Salad Bar brand Garden Salad, Hy-Vee brand Garden Salad, or Jewel-Osco brand Signature Farms Brand Garden Salad are a likely source of this outbreak.

