Daniel Engber’s piece in The Atlantic this morning, The Truth About American Food Safety, closes with the thought that our summer of contamination could have been much worse. He is right, and the reason is not the system. It is the bug. Cyclospora cayetanensis is a parasite that sends about one confirmed patient in twenty to the hospital and almost never kills anyone. Run this summer’s case count through E. coli O157:H7, Salmonella, or Listeria monocytogenes, on the same lettuce and through the same supply chain, and you are no longer counting weeks of diarrhea. You are counting hospital beds, dialysis chairs, and funerals.

Start with the numbers as they stand. CDC’s case data page, updated September 1, reports 18,445 laboratory-confirmed cases of cyclosporiasis acquired in the United States since May 1, with 990 hospitalizations and 2 deaths, in 49 states and the District of Columbia. Thousands more are still being sorted or confirmed. CDC’s outbreak page ties 11,458 of those illnesses, in 20 states, along with 495 hospitalizations and both deaths, to iceberg lettuce from Taylor Farms de Mexico. This summer’s hospitalization rate is 5.4 percent of confirmed cases. That is what Cyclospora does. FoodNet, CDC’s active surveillance network, put the Cyclosporahospitalization rate at 6 percent for 2016 through 2018 and the death rate at 0.2 percent. For scale, FoodNet’s hospitalization rates run 27 percent for Salmonella, 40 percent for E. coli O157:H7, and 96 percent for Listeria.

Salmonella: about 5,000 hospitalizations and 75 to 130 deaths

The same FoodNet report puts Salmonella at 27 percent hospitalized and 0.4 percent dead for 2016 through 2018, and at 30 percent and 0.7 percent in 2023. Apply those rates to 18,445 confirmed cases and you get 5,000 to 5,600 hospitalizations and 75 to 130 deaths. That is not a stretch for produce. The 2023 cantaloupe outbreakSalmonella on melons imported from Mexico, reached 407 confirmed cases, 158 hospitalizations, and 6 deaths; 44 percent of the people with information available were hospitalized. In CDC’s summary of the multistate outbreaks it solved in 2023, 35 percent of the people in Salmonella outbreaks went to the hospital.

E. coli O157:H7: roughly 7,400 hospitalizations and more than a thousand cases of kidney failure

FoodNet counted 276 domestically acquired O157 infections in its catchment area in 2023. Of those, 111, or 40 percent, were hospitalized, and three died. Forty percent of 18,445 is roughly 7,400 hospitalizations. Deaths run from about 75 at FoodNet’s average for all Shiga toxin-producing E. coli to about 200 at the 2023 O157 rate. Then there is hemolytic uremic syndrome, the kidney failure that O157 causes, mostly in children. In the 2018 Yuma romaine outbreak, 210 confirmed cases produced 96 hospitalizations, 27 cases of HUS, and 5 deaths. In the 2006 spinach outbreak, 205 confirmed cases produced 103 hospitalizations, 31 cases of HUS, and 3 deaths. Earlier O157 outbreaks ran about 6 percent HUS; Yuma ran nearly 13. Apply that range to this summer’s count and somewhere between 1,100 and 2,400 people, most of them children, are in kidney failure. I spent the first decade of my career on E. coli O157:H7 in hamburger, from Jack in the Box in 1993 to the ConAgra recall in 2002. I know what a few hundred cases look like from inside a pediatric intensive care unit. I do not want to learn what 18,000 look like.

Listeria does not need the case count

FoodNet puts Listeria at 96 to 97 percent hospitalized and 19 to 22 percent dead. In 2011, cantaloupe from one Colorado farm produced 147 confirmed cases; 143 of the 145 people with information available were hospitalized, 33 died, and one pregnant woman miscarried. I represented the families of all 33. Take one percent of this summer’s confirmed count, about 180 people, and at the 2011 ratios you have about 40 dead. Nobody has ever seen a listeriosis outbreak of 11,000 people, and I hope nobody ever does, because at FoodNet’s death rate the toll would be more than two thousand.

It could absolutely have happened

Cyclospora is a human parasite. It reaches a lettuce field one way: human waste, usually carried by water. On August 20, FDA said its inspections and sampling had moved from the Taylor Farms de Mexico processing plant to the iceberg lettuce growers in Mexico. A field that takes in untreated water does not have a parasite problem. It has a water problem, and water does not sort its pathogens. In 2018, CDC found the Yuma outbreak strain of E. coli O157:H7 in irrigation canal water in the growing region. Product from Taylor Farms has been linked to E. coli O157:H7 three times since 2015, in celery, slivered onions, and romaine, a record I laid out in July. Lettuce and spinach carried O157 across the country in 2006, twice in 2018, and again in 2019. The distribution system that put this lettuce into restaurants and stores in at least 31 states moves whatever is on the lettuce, and it moves it fast.

The lag does not care what the bug is

The first illness in this outbreak began June 14. The recall came July 17. CDC says it takes about six weeks to determine whether a sick person is part of a Cyclospora outbreak. With a pathogen that hospitalizes one patient in twenty, a five-week gap between first onset and recall costs weeks of diarrhea. With one that hospitalizes two in five and puts children on dialysis, every week of that gap is measured in kidneys. Engber reports research projects lost, a CDC genetics team hollowed out, and experienced staff gone; HHS told him no FDA investigators were lost. Barb Kowalcyk, who directs George Washington University’s Institute for Food Safety and Nutrition Security and who is a friend and one of the brightest people in this field, squares the two better than I can: the system went into this summer underfunded and years behind on changes it knew it needed, and the loss of experienced people since then tied its other hand behind its back. She told Engber that Jack in the Box changed USDA in 1993 and that this summer will drive the next shift; I would add that the 2006 spinach outbreak drove FSMA. I hope she is right, and I hope it happens before the arithmetic above stops being hypothetical. What is not in dispute is that the traceability rule that would let FDA follow a case of lettuce back to the field in days rather than weeks, finalized in 2022 and due this past January, has been pushed to July 2028 by FDA and by Congress. That delay applies to E. coli and Salmonella exactly as it applies to a parasite.

Engber offers his last line as both a solace and a warning. I will take the warning. We got the gentle bug this year. Nothing about how it reached the field, how it moved through the country, or how long it took to find it guarantees we get the gentle bug next time. Luck is not a food safety system.

Washington named the Sequim dairy on a web page on July 2. Two months later, not one news outlet has written a word. It is the dairy’s fourth outbreak since 2009. Its milk has been pulled from shelves six times before. Not this time.

Four people got sick with Shiga toxin-producing E. coli after drinking raw milk in late May 2026. The Washington State Department of Health investigated, concluded that raw milk from Dungeness Valley Creamery, a state-licensed dairy in Sequim, Washington, was the most likely source, and on July 2 posted its findings on an outbreak page. Then nothing. No DOH news release that I can find. No news story anywhere, not even in the Peninsula Daily News or the Sequim Gazette, which have covered every recall, alert and all-clear at this dairy for more than a decade. I missed it too. It sat there for two months.

What Washington DOH found

Four people were infected with the same highly related strain of STEC between May 28 and June 4, 2026. Two reported drinking Dungeness Valley Creamery raw milk shortly before they got sick: an Oregon resident who bought it on May 25 and a Snohomish County resident who bought it on May 28. A King County resident drank raw milk but declined to name the brand. A Texas resident tested positive while visiting Washington and could not be interviewed. DOH calls the creamery’s raw milk “the most likely source of exposure.” No one was hospitalized. No one died. There was no recall.

Why there was no recall

The Washington State Department of Agriculture samples every licensed raw milk dairy once a month. Its routine Dungeness Valley Creamery sample, collected June 16, tested negative for STEC, and on that basis DOH says no recall was recommended.

Look at the dates. The last known purchase was May 28. The sample came nineteen days later. Raw milk lasts days, not weeks; the milk those people drank was gone long before the sampler arrived. A negative result on June 16 says nothing about milk bottled in late May.

DOH knows this. In 2018, when two people got sick after drinking this dairy’s milk and every sample came back clean, state health officials told the Peninsula Daily News that the batch that infected them was unavailable for testing. That is the raw milk problem in one sentence: the investigation takes longer than the milk lasts. It happened again in May 2025, when three people were infected with STEC after drinking Cowlitz Hill Guernseys raw milk, one was hospitalized, WSDA’s May 5 sample was negative, and there was no recall.

How Washington announced past outbreaks, and this one

In December 2009, the state put out a news release naming the dairy. In September 2018, DOH issued a press release; the owner told the Sequim Gazette he learned of it from a retailer. In April 2021, DOH issued a release, and KIRO 7KING 5MyNorthwest and the Skagit County Health Department carried it within days. In July 2026, DOH posted a page that says it is sharing the information “for consumer awareness.” Awareness requires that someone be told.

Dungeness Valley Creamery outbreaks and recalls, 2009 to 2026

Dungeness Valley Creamery has held a WSDA raw milk license since 2006. The public record:

2009. At least three people were infected after drinking the creamery’s raw whole milk; E. coli O121 was confirmed and O157:H7 suspected. WSDA’s December 2 release said no E. coli was found in the current batch, but its investigation at the dairy turned up the same bacteria that caused one of the illnesses. The Peninsula Daily News has since described that outbreak as under previous ownership: the farm was then run by Jeff and Debbie Brown, whose daughter and son-in-law, Sarah and Ryan McCarthey, worked with them then and own it today.

2013. In February, WSDA warned consumers off the creamery’s raw whole milk, skim milk and cream with best-by dates of March 2 or later after a February 19 cream sample tested positive for STEC. The creamery stopped making cream. No illnesses.

2014. The owners warned customers off milk and cream with a July 2 expiration after a preliminary WSDA result on cream; follow-up tests were negative and sales resumed after three days. No illnesses.

2018. On September 7, DOH announced that a child under 5 from Island County and a person in their 70s from Clallam County had E. coli infections after drinking the creamery’s raw milk; later described as a 2-year-old and a 72-year-old woman, both recovered. The owners said DOH was speculating prematurely. WSDA tested 21 samples, fifteen from stores and six from the dairy; all were negative. Production never stopped. No recall.

2019, twice. In April the creamery recalled whole milk, skim milk and cream with best-by dates of April 6 through 20 after STEC turned up in whole milk dated April 6, one of two positives from late March and early April. More than 1,000 gallons were dumped and WSDA cleared them April 22. In June a sample dated June 5 was positive, the third of the year, and the creamery recalled product with best-by dates of June 5 through 14. Ryan McCarthey told the Peninsula Daily News the dairy had been testing through an independent lab since April. The state cleared them in three days. No illnesses.

2020. In October, after WSDA found STEC in raw cream dated September 29, the creamery advised customers to stop using milk and cream with best-by dates of September 29 and 30. Seven follow-up samples were negative. No illnesses.

2021. In April, five people who drank the creamery’s raw milk, bought in Clallam, Skagit, Kitsap and Clark counties, tested positive for Campylobacter. The creamery recalled all raw milk with best-by dates of April 13 or earlier and stopped distribution. The bacteria were traced to a single cow, which was put down. The owners told the Peninsula Daily News it was their first Campylobacter and added Campylobacter to their testingFood Safety News called it the dairy’s fifth recall and third outbreak in twelve years.

2026. Four STEC infections. Most likely source. No recall.

Since 2009, Dungeness Valley Creamery has been linked to four outbreaks and fourteen reported illnesses, and its raw milk has been pulled from sale six times. State samples were positive for STEC in 2013, three times in 2019, and in 2020. In three of the four outbreaks, 2009, 2018 and 2026, the state never found the bacteria in the milk. A license and a monthly test do not make raw milk safe. They tell you, after the fact, that something got through, and sometimes not even that.

What should change

First, when DOH names a dairy as the most likely source of an outbreak, it should say so with a news release, as it did in 2009, 2018 and 2021. A page nobody sees is not a warning.

Second, WSDA should publish each licensed raw milk dairy’s sampling and outbreak history in one place a shopper can find. The label on every bottle warns that raw milk may contain harmful bacteria. It does not say this dairy has had four outbreaks and six pulls. Buyers can decide what to do with that. They cannot decide what they are never told.

Third, DOH’s advice bears repeating: children under 5, pregnant people, older adults and anyone with a weakened immune system should not drink raw milk. Mine is simpler, and it has not changed. Nobody should. If you are going to anyway, know who you are buying from.

Four people got sick in May. The state named the dairy, tested a bottle three weeks later, found nothing, posted a page, and moved on. No reporter noticed. Neither did I, until now.

Frequently asked questions

Is Dungeness Valley Creamery raw milk linked to an E. coli outbreak?

Yes. Washington DOH says four people were infected with the same strain of Shiga toxin-producing E. coli between May 28 and June 4, 2026, and that Dungeness Valley Creamery raw milk is the most likely source. No one was hospitalized or died.

Was Dungeness Valley Creamery raw milk recalled in 2026?

No. A routine WSDA sample collected June 16, 2026, nineteen days after the last known purchase, tested negative, and DOH says no recall was recommended.

How many outbreaks and recalls has Dungeness Valley Creamery had?

Four outbreaks with fourteen reported illnesses: E. coli in 2009, 2018 and 2026, and Campylobacter in 2021. Its raw milk has been pulled from sale six times: 2013, 2014, twice in 2019, 2020 and 2021.

How many raw milk outbreaks has Washington had?

DOH counts at least eleven from 2005 through 2024: seven Shiga toxin-producing E. coli, three Campylobacter and one Salmonella. Cowlitz Hill Guernseys in 2025 and Dungeness Valley Creamery in 2026 make thirteen, not counting the ten people sickened by Twin Sisters Creamery raw milk cheese in 2025.

The Harvard Law School Food Law and Policy Clinic released a report on August 25, 2026 taking the first comprehensive look at the preemption clause inside the draft FRESH Act. Margaret Lynn and Emily Broad Leib conclude that a provision superseding any and all State requirements or prohibitions relating to the use, labeling, sale, or marketing of food would displace state additive bans, allergen and menu disclosures, heavy metal limits, PFAS rules for packaging, retail and restaurant inspection, cottage food laws, and state manufacturing licensure, in most of those areas with no federal rule required to take their place. They are right. The reach is worse than the headline suggests, and the record of who asked for this language is a matter of public filing.

The clause preempts whether or not a federal rule exists to replace it.

Congress has preempted state food law before, and it has done so with a scalpel. The Nutrition Labeling and Education Act of 1990 lists the specific categories of state labeling requirements it displaces, and a state law falls only if it is of the type covered by a federal requirement named in the statute. That structure exists for a reason. It means preemption arrives with a federal rule attached, and nothing drops into a hole.

The FRESH Act carries no such limit. As the Harvard report reads it, the draft supersedes state requirements across the board without conditioning that on the existence of any corresponding federal standard. Where a federal rule exists, the state rule yields to it. Where no federal rule exists, the state rule yields to nothing at all. That is not uniformity. That is subtraction.

The phrase added or naturally occurring substance in food reaches pathogens, not just dyes.

Nearly all of the public argument about this bill has been about food chemicals: dyes, PFAS, the GRAS loophole. That is where the fight started, and it is where the coalition backing the bill would prefer the fight to stay. CSPI and EWG both came out against the draft on those grounds within days, and both were right to. But the draft does not stop at intentionally added ingredients. It also sweeps in any substance that may be expected to become a component of food, and any added or naturally occurring substance in food.

Read that as a lawyer reads it. The Harvard report points to United States v. Anderson Seafoods, which litigated whether mercury in swordfish was added or naturally occurring, and to Continental Seafoods v. Schweiker, which litigated the same question about Salmonella in shrimp. Courts have been construing that phrase for more than forty years, and they have construed it to reach microbiological contamination. Which means a state limit on Listeria in ready-to-eat food, a state testing requirement, a state action level for a pathogen in a product sold inside its own borders, all of it sits in the preempted zone as drafted. Nobody at the April 29 hearing described the bill that way. That is what the words say.

The FDA does not inspect restaurants, and the three thousand agencies that do would be preempted.

By the FDA’s own account, more than 3,000 state, local, and tribal agencies hold primary responsibility for regulating food service and retail food in this country. The agency publishes a model Food Code, but the Food Code has no force anywhere until a state adopts it, and the FDA has no direct authority over a grocery store or a diner. That division is not an accident of history. It is the architecture.

Preempt state requirements relating to the sale of food and you have preempted state food codes, state permitting, and state inspection, with no federal inspector standing behind them and no federal appropriation to hire one. The bill does not give the FDA that authority, does not fund it, and could not compel the states to keep doing the work for free, because the federal government cannot commandeer a state into administering a federal program. I have spent thirty years reading health department inspection reports in outbreak cases. Those documents exist because a local sanitarian walked into a kitchen under state law. Take away the state law and the sanitarian has no reason to be standing there.

Any and all State requirements is the phrase that has ended tort claims before.

Here is the part that lands closest to what I do. The Federal Food, Drug, and Cosmetic Act creates no private right of action. A person injured by contaminated or misbranded food recovers, if at all, under state law: negligence, strict products liability, breach of the implied warranty of merchantability, state consumer protection statutes. Every one of those is a state requirement.

The Supreme Court held in Riegel v. Medtronic that New York common law duties count as requirements within the meaning of a federal preemption clause and preempted them. It reached a comparable result under ERISA in Pilot Life v. Dedeaux. Whether the FRESH Act clause would be read that way is not certain, and I will not pretend it is. But the phrase any and all State requirements or prohibitions is broader than the language that did the work in Riegel, and a defense lawyer would be committing malpractice not to raise it. If it works, the family of a child with hemolytic uremic syndrome is left with a federal statute that contains no remedy and a state remedy that Congress erased. That is not a technical consequence. That is the consequence.

The coalition that wanted this published its specification a year before the bill appeared.

Representative Kat Cammack of Florida, who sits on both Energy and Commerce and Agriculture, released the discussion draft on April 22, 2026 and presented it at the Energy and Commerce Health Subcommittee hearing on April 29, where it was one of twenty-eight food bills on the agenda. Her stated case is a patchwork argument: differing state requirements create real costs for manufacturers, for retailers, and ultimately for families.

I am not interested in guessing at a member’s motives, and I would not print a guess if I had one. I am interested in the paper trail, and the paper trail here is not hard to follow.

In October 2025, six months before the draft appeared, a group called Americans for Ingredient Transparency launched. Its website states the ask in a single sentence: the Federal Food, Drug, and Cosmetic Act should be amended to establish the FDA as the sole entity setting the floor and the ceiling for regulations on the marketing and sale of foods and beverages, including safety assessments, ingredient approvals, registrations, reporting requirements, and labeling requirements. Read the two nouns again. Floor and ceiling. A floor is a minimum that states may exceed, and that is what federal food law has been since 1906. A ceiling is a maximum, and it means a state may not do more to protect its own residents than Washington has gotten around to doing. The group asked for both. The FRESH Act delivers both. There is no mystery about the drafting influence, because the customer published the specification.

The group’s own partner page names the backers: the Coca-Cola Company, PepsiCo, Nestlé USA, Kraft Heinz, General Mills, Conagra, Tyson Foods, Hormel, McCormick, Mondelez, Ferrero, Keurig Dr Pepper, Ocean Spray, Sargento, Sysco and Ken’s Foods, alongside the Consumer Brands Association, FMI, the National Restaurant Association, the National Retail Federation, the Meat Institute, the American Bakers Association, American Beverage, the Corn Refiners Association, the American Farm Bureau Federation and a dozen more. Its two senior advisors are Julie Gunlock, who directs the Independent Women’s Network and wrote a book arguing that alarm about food chemicals is itself the problem, and Andy Koenig, a founding partner of Kwinn Consulting who served as a special assistant to President Trump in the Office of Legislative Affairs and was previously vice president of policy at the Freedom Partners Chamber of Commerce. The footer of the site reads, paid for by Americans for Ingredient Transparency. Whatever else that is, it is not a consumer group.

One member company disclosed lobbying on state additive bans three months before the coalition existed.

Conagra Brands filed a lobbying report for the second quarter of 2025, signed by Megan Garcia on July 21, 2025, listing under its food issue area: issues related to FDA’s Generally Recognized as Safe regulations, and issues related to state food additive bans and labeling laws. Two in-house lobbyists are named on the page. That filing predates the launch of Americans for Ingredient Transparency by three months and the FRESH Act draft by nine.

I have made the point before that the useful move is to stop arguing about intent and go read the disclosures. When the Guardian did exactly that on the Food Traceability Rule, the filings named the organizations that had asked Congress to push compliance to 2028, in their own words, on their own forms. The same method works here, and it will keep working, because the law requires these people to write down what they are lobbying for.

This is the same play, run twice, eighteen months apart.

In 2024 and 2025, industry asked Congress to delay the traceability rule and then to defund its enforcement, and Congress obliged through the appropriations process. In 2026, industry is asking Congress to erase the authority of every state to regulate food inside its own borders. The delay argument was that one rule was too hard to comply with. The preemption argument is that fifty standards are too many to comply with. Both arguments end in the same place, which is fewer obligations and less traceable accountability, and both were made by many of the same trade associations.

I will grant industry its strongest point, because it is a real one. A different warning label statute in every state, each with its own list and its own threshold, is a bad way to run a national food supply, and a manufacturer cannot print a different box for every state line. Uniformity has value. The Association of Food and Drug Officials made the right observation at the April hearing, which is that preemption should be applied carefully and deliberately, so that it strengthens rather than strains the federal and state partnership. Careful and deliberate describes the NLEA. It does not describe this draft.

A federal floor is worth building. A federal ceiling is not.

The states did not wander into food chemical regulation out of boredom. They moved because the FDA did not. California banned ephedra before the FDA acted. New York City and California banned trans fats years before the federal ban. California acted on four additives in 2023, West Virginia acted on dyes, and more than thirty states introduced legislation of that kind in 2025 alone. The FDA’s own mandatory GRAS proposal, published this month, still does not require premarket approval and would not bind anyone until roughly 2029. I represented 339 of the people sickened by the Daily Harvest crumbles, and the ingredient in that product was never reviewed by anybody before it was sold. State legislatures noticed. That is what a laboratory of democracy looks like when the laboratory upstairs has the lights off.

The FRESH Act is still a discussion draft. It has no bill number, it has not been marked up, and there is time to fix the clause without abandoning the parts of the bill worth keeping. Take the preemption provision out or narrow it the way the 1990 Congress narrowed its own, and the GRAS registry and the post-market review program can be argued on their merits. Leave it in and Congress will have voted to take away nearly every tool the states have, replace almost none of them, and close the courthouse door on the way out.

Read the report. It is footnoted to the statutes and the cases, and it is the most careful thing written about this bill so far.

The cyclosporiasis season that CDC defines, May 1 through August 31, closed yesterday, August 31, 2026. It closes with 17,180 laboratory-confirmed cases of cyclosporiasis acquired in the United States, 922 hospitalizations and two deaths across forty-eight states and the District of Columbia, against 1,180 for the entire 2025 season. It closes with 11,458 of those illnesses in twenty states tied by CDC and FDA to recalled Taylor Farms de Mexico iceberg lettuce, with at least 495 hospitalizations and both deaths inside that outbreak. And it closes with a fifty-state count, built from what each state health department has been willing to publish, of 32,857 as of this morning, September 1. Cyclosporiasis is the intestinal illness caused by Cyclospora cayetanensis, a parasite that reaches produce when human waste reaches a field or the water that runs through it. The calendar closed on Monday. Nothing about the parasite did.

The federal record closes the season at roughly fifteen times last year, and it is still counting July.

CDC posted the last weekly update of the season on August 25, with data through August 24: 17,180 laboratory-confirmed domestic cases, 922 hospitalizations, two deaths, cases in forty-eight states plus the District of Columbia, and at least 11,844 more that are not laboratory confirmed or still need work to decide whether they were acquired here. Another 1,805 confirmed cases are travel-associated and sit on top of that. The median onset date is July 7 and the range runs from May 1 to August 19. On June 18 the same surveillance pageshowed 145 domestic cases in seventeen states. That is more than a hundredfold in ten weeks.

The outbreak pages moved last on Thursday, August 27, as I wrote that night: 11,458 illnesses from twenty states, illness onsets from June 14 through August 15, at least 495 hospitalizations and the two Michigan deaths, with Georgia, Tennessee and Texas added that week. CDC says genotyping shows the parasites from sick people in this outbreak are genetically related, which ties the patients to each other and not yet to the lettuce, and FDA says its inspections and sampling at iceberg lettuce growers and the processing facility in Mexico are ongoing and its status is still Ongoing. Neither agency has said what the end of the season means for this investigation, and neither page mentions it.

Most people with cyclosporiasis never get a stool test, because the parasite is missed by the routine ova and parasite exam and has to be asked for by name. The standard estimate of that gap comes from Scallan and colleagues in Emerging Infectious Diseases in 2011, which puts the underdiagnosis multiplier for Cyclospora at 83.1. Applied to the 17,180 confirmed cases, that puts the real number near 1,428,000.

Seven state rows moved in the last week of the season, and one of them is a correction I owe the reader.

Michigan reported 14,510 cases and 356 hospitalizations as of August 27, up 233 cases and 21 hospitalizations from the week before, its second-smallest week of the outbreak. Indiana stands at 2,090 as of August 26, up 21, with Allen County at 508. Kansas is at 829 as of August 26, up 22, with 36 hospitalizations; the state counted 687 cases in July and 66 in August. West Virginia is at 315 as of August 28, up two, with 21 hospitalized. Washington is at 76 as of August 28, up five, and it still publishes the breakdown nobody else does: of 25 cases with no international travel, twelve traveled to an outbreak state, three of them are counted in the Taco Bell outbreak, and nine never left Washington. New Hampshire stood at 94 as of August 25, up 25 from the 69 my chart had carried since August 4, and the hospital at the center of its cluster declared that cluster over the next day.

The correction is Florida. My chart has carried Florida at 407 through August 8 for two weeks, while the report it links to said 450 through August 15. The number was in my own source and I did not read it. Florida moves to 450, a plus of 43, and its calendar-year count stood at 486 through August 22. North Carolina holds at 940 but its as-of date is corrected to August 25, which is when the state posted it. The net of all seven rows is 351, and the floor moves from 32,506 to 32,857.

Three states have already stopped counting out loud, and the season gave them permission.

Virginia now says at the top of its page that the season runs May 1 to September 1, that its cases have been decreasing, and that starting September 1 it will resume normal case reporting. Its last weekly table is dated August 24, at 234, and the Monday table that would have carried August 31 did not appear. New York said it would update every Wednesday through the end of August. The page still reads last updated August 19, at 939 cases from May 1 through August 17, and the August 26 update never posted. New York City, on its own page, counts 643 cases since May 1 through August 24. Indiana updated its dashboard every weekday afternoon in July. It now says the data is updated every Wednesday. Ohio has published no statewide figure since August 13, when it stood at 5,452, and that is nineteen days of silence from the second-largest state in this outbreak.

None of that is a scandal. Every one of those departments spent the summer doing work it was never staffed for. But a season end is a permission slip, and the pattern is what I said it would be when the count crossed thirty thousand: the number you get depends on who is still willing to print one. The forty-one counted rows in the table below have as-of dates ranging from July 11 to August 28. Every one is a floor, and the older ones are further below the truth than they were a week ago.

August 31 is a line on a web page. The parasite did not read it.

CDC says on its own surveillance page that the season is May 1 through August 31 and, in the next sentence, that clusters of cyclosporiasis have been detected outside that range in some years. The last onset date in the outbreak is August 15. The latest domestic onset on the national page is August 19. CDC says it takes about six weeks from the first symptom for a case to reach Atlanta, which means the September updates will still be filling in July and August. The season definition is what makes 17,180 comparable to last year’s 1,180, because both were counted in the same window. It is not a statement that anybody stopped getting sick.

What to watch this week, as I set out over the weekend: CDC’s Case Data page has moved on Tuesdays, and today is one; the outbreak pages have moved on Thursdays, which puts the next one on September 3; Michigan reports Thursday; West Virginia posts Friday; Missouri publishes on Sundays and its August 30 figure had not reached anyone I can find by this morning. The thing to watch is not which of those numbers moves. It is which of the pages stops.

Two of every three confirmed cases are tied to the lettuce. Nobody has named a product for the rest.

Set the two federal series side by side. CDC has attributed 11,458 illnesses to the recalled Taylor Farms de Mexico lettuce, as of August 27. It has confirmed 17,180 domestically acquired cases, as of August 24. The pull dates are three days apart, so I will say roughly two in three rather than print a percentage. Against the 29,024 cases CDC has either confirmed or is still working through, the outbreak is about four in ten. Against the 32,857 the states themselves publish it is about a third. The remainder is 5,722 confirmed illnesses with no attributed source, and 427 of the country’s 922 hospitalizations sit in that pile. The attribution is not by laboratory. No product sample has ever tested positive, and CDC’s genotyping ties the parasites from sick people to each other, not to a head of lettuce. It rests on interviews and on FDA’s traceback to a single supplier.

No state publishes its own split, and CDC’s first state-level table, published August 27, shows how far the two series sit apart: 4,846 Michigan illnesses attributed against the 14,510 the state reports, 2,679 in Ohio against 5,452, twenty in Texas against 315, two in North Carolina against 940. For the rest, the record is a list of things health departments have said out loud. North Carolina says its cases do not appear tied to the multistate outbreak and that parsley and cilantro were reported more often than expected. Alabama named two clusters at Mexican-style restaurants that it says plainly are not Taco Bell. New York has 939 cases and no named source at all. Hawaii is investigating a case with no travel in a state that never received the lettuce. FDA’s investigation table carries at least six other Cyclospora clusters whose sources are not confirmed. Not one of them has produced a second recall. The Taylor Farms lettuce is the only product recalled for Cyclospora in this country this year.

Taylor Farms de Mexico recalled all iceberg lettuce sourced from central Mexico on July 17, 2026. FDA puts the foodservice distribution at June 29 through July 16 to thirty-one states, and the retail product at Walmart stores in fifteen states under the Marketside label, with best-by dates through August 3. CDC publishes the epidemic curve for this outbreak on its timeline page, and I rebuilt it from CDC’s own data table on August 27 with the recall date marked. It is built on the 9,256 people, of 11,458, who have an onset date on file. Of those, 8,959, which is 96.8 percent, got sick before the recall. The week of July 6 through July 12 alone holds 5,287 people. The single worst day, July 10, holds 1,001.

Illnesses in the multistate Cyclospora outbreak by the date symptoms began. Source: CDC outbreak epidemic curve data table, downloaded August 27, 2026, built on the 9,256 people of 11,458 for whom an onset date is available. Rust bars are onsets before the July 17 recall; blue bars are on or after it. The bars sum to 9,256.

Are people still getting sick since the recall? By onset date, barely. The 297 people whose illness began on or after July 17 are 3.2 percent of the curve, and because the incubation period runs up to two weeks, an onset in the last days of July can still be lettuce eaten before the recall, and product dated through August 3 could lawfully have been in a kitchen until then. The fifteen August onsets are the ones that need explaining, and the last of them is August 15. CDC’s national page shows domestic onsets as late as August 19 and does not say whether any of them belong to this outbreak. What is rising is the count, not the illness. Every number that moved this week was a July illness reaching a database. A falling curve and a rising count are not a contradiction. They are what a six-week reporting lag looks like from the outside.

Here is where all fifty states stand this morning. The Lettuce column is whether FDA has confirmed that recalled Taylor Farms de Mexico lettuce reached that state. The last column is whether anybody has tied that state’s illnesses to Taylor Farms at all; it now reads Linked for twenty states, because CDC added Georgia, Tennessee and Texas on August 27.

State2026 casesAs ofAll of 2025LettuceTaylor Farms
Michigan14,510Aug 2750YesLinked
Ohio5,452Aug 1376YesLinked
Missouri2,152Aug 23none reportedYesLinked
Indiana2,090Aug 2627YesLinked
Illinois1,437Aug 18301YesLinked
North Carolina940Aug 25300YesLinked
New York939Aug 17694YesUnknown
Kansas829Aug 2629YesLinked
Kentucky620Jul 2945YesLinked
Oklahoma544Aug 1841YesLinked
Florida450Aug 15210YesUnknown
Iowa327Aug 2064YesLinked
Texas315Aug 11512YesLinked
West Virginia315Aug 288YesLinked
Arkansas287Aug 2413YesLinked
Virginia234Aug 24115YesUnknown
Nebraska218Aug 651YesLinked
Wisconsin216Aug 565YesUnknown
Colorado150Jul 17205NoUnknown
Massachusetts145Aug 574YesLinked
New Hampshire94Aug 257YesLinked
Alabama85Aug 319YesUnknown
Pennsylvania82Jul 29not notifiableYesLinked
Washington76Aug 28not availableMay haveTravel link
Maryland69Jul 17123YesNo link found
New Jersey46Jul 11180YesUnknown
California41Jul 14not availableMay haveUnknown
Minnesota41Jul 17none reportedNoUnknown
Connecticut35Jul 1741YesUnknown
Maine27Aug 74YesLinked
Oregon23Jul 24not availableNoTravel link
Arizona19Jul 1749NoUnknown
Georgia11Jul 17116YesLinked
Tennessee11Jul 1738YesLinked
Mississippi7Jul 22not notifiableYesUnknown
Hawaii6Aug 26not availableNoNo link found
Alaska5Jul 166NoUnknown
Rhode Island4Jul 176May haveNo link found
South Dakota3Jul 163May haveUnknown
Louisiana1Jul 1799YesUnknown
Utah1Jul 1737NoNo link found
Delawareno count published1May haveUnknown
Idahono count publishednot notifiableNoUnknown
Montanano count published8NoUnknown
Nevadano count publishednot notifiableNoUnknown
New Mexicono count published9NoNo link found
North Dakotano count published4May haveUnknown
South Carolinano count published45YesUnknown
Vermontno count published3May haveUnknown
Wyomingno count published0NoUnknown
All fifty states32,857  3120

Counts as published by each state health department, compiled from the linked sources on September 1, 2026. Forty-one states publish a 2026 count and those forty-one sum to 32,857, which is 351 above the 32,506 published August 26; the seven moves are Michigan, Indiana, Kansas, West Virginia, Washington, New Hampshire and the Florida correction. Nine states publish no count at all. Florida is shown on its May 1 series; its calendar-year count is higher. Every figure is a floor.

The questions I am getting this week.

How many of the cases are linked to Taylor Farms? CDC has tied 11,458 illnesses to the recalled lettuce, against 17,180 laboratory-confirmed domestic cases, so roughly two in three confirmed cases and about a third of the 32,857 the states publish. The remaining 5,722 confirmed illnesses have no attributed source. The link rests on interviews and traceback; no product sample has tested positive.

Are any of the Taylor Farms cases outside Taco Bell, and if so, where? Yes. Since August 5, CDC’s definition has included anyone who reported exposure to the recalled lettuce served or purchased at various locations, not only Taco Bell, and the outbreak count went from 1,947 to 6,358 in the twelve days after that change. CDC has never published the split. The named places on the public record are few. New Hampshirehas tied 43 of its 94 cases to a recalled product, and 39 of those to Taylor Farms lettuce served at the Cheshire Medical Center cafeteria salad bar in Keene between early June and July 20. The hospital counts 34 cases on its own laboratory, 21 of them employees, and declared its cluster over on August 26 after two weeks without a new case. It is the only location in New Hampshire tied to an outbreak, and the only named non-Taco Bell establishment in the country. Maine tied ten of its 27 cases directly to the recalled lettuce without naming where it was served, in a state that is not on the distribution list at all. Missouri’s federal description includes people who handled the lettuce at work, not just people who ate it. Washington’s three outbreak cases all ate at Taco Bell. The other customers on the recall record, Subway, Sysco, US Foods, Jack in the Box and Walmart’s Marketside bags, have had no illness publicly tied to them by any agency.

Are the other cases linked to any other product? No product has been named. North Carolina points to parsley and cilantro, Alabama to two restaurant clusters that are not Taco Bell, and FDA lists at least six other clusters with sources not confirmed. The Taylor Farms lettuce is the only product recalled for Cyclospora in the United States this year.

When was the recall, and what did it cover? July 17, 2026. Taylor Farms de Mexico recalled all iceberg lettuce sourced from central Mexico. Foodservice product went to thirty-one states between June 29 and July 16, and Marketside-brand bags reached Walmart stores in fifteen states, with best-by dates through August 3.

Are people still getting sick since the recall? By onset date, almost none. Of the 9,256 outbreak cases with an onset date, 8,959 got sick before July 17. Fifteen have an August onset and the last is August 15. The count keeps rising because it takes about six weeks for a case to reach CDC, not because the lettuce is still out there.

Is the outbreak over now that the season is? The exposure appears to have ended in mid-July. The season is a counting window, not a finding. CDC and FDA both still call the investigation ongoing, and the counting will run into the fall.

Do I still need to worry about lettuce? The recalled product is long past its dates and FDA says it is confident it is off the market; Taco Bell stopped using that supplier on July 17. No other lettuce has been recalled in this outbreak. Wash produce, cook what you can, and know that washing does not reliably remove this parasite.

I got sick in August and never got tested. Am I too late to count? No. Call your doctor and ask specifically for Cyclospora testing; a routine stool panel does not look for it, symptoms relapse for a month or more, and it is treatable. A case confirmed in September is still a 2026 case, whatever the season calendar says.

A season is a bookkeeping convention. It tells CDC when to start a comparison and when to stop one, and it lets a state health department decide the extra work is finished. It does not tell a parasite anything. Two people are dead, 922 have been hospitalized, and the state health departments that were willing to print a number this summer printed 32,857 of them. Some of them stopped printing this week. I will keep adding them up for as long as any of them keeps publishing, and I will say so when they stop.

The Food and Drug Administration’s outbreak response network, CORE, closed the ByHeart infant botulism investigation with an Executive Incident Summary dated May 1, 2026, filed as CARA #1350. It counts 48 infants in 17 states, 28 confirmed and 20 probable, with illness onsets from December 24, 2023 to November 29, 2025, everyone hospitalized and treated with BabyBIG. Its conclusion is a sentence the public has not seen stated this plainly: “Even though there are several hypotheses, investigational findings could not identify the source or root cause of contamination of the powdered infant formula.” I received it under FOIA request 2026-4033. It is heavily redacted. What survived is worth reading. What was removed is worth asking about.

The organism was found from the dairy dryer to the sealed can, and FDA still cannot say where it started.

FDA collected 26 samples. Two were positive for Clostridium botulinum type A: a base-mix retain from Blendhouse Allerton in Iowa, and a retain of powdered milk from Dairy Farmers of America in Fallon, Nevada. Five samples run at New York’s Wadsworth Center produced two more positives, an unopened can from Arizona, lot 251481P2, and a second DFA milk-powder retain. The California Department of Public Health found it in an opened can, lot 251131P2. ByHeart’s own laboratory reported 12 positives across finished product, base powder and organic whole milk powder, including toxin type B in finished lot 252161P2 and both A and B in the milk powder. The 35 opened consumer cans CDC tested were all negative.

Sequencing sorted 37 isolates, 16 from infants and 21 from product, into 17 distinct strains. Strain 11 ties a DFA milk-powder retain, ByHeart’s milk powder, ByHeart finished formula, the unopened Arizona can and a sick infant in New Jersey at a mean of 7.5 SNPs, the cluster FDA first described publicly in February. Strain 2 ties a second DFA retain to finished lot 251261P2, the lot seven infants reported being fed. Strain 8 ties a California infant to ByHeart product and base powder; strain 6 ties three infants to the opened California can. In the report’s words, “the distribution and comingling of ingredients likely contributed to the widespread nature of the contamination.” A full preventive-controls inspection at the DFA dryer “did not find any objectional findings.” Of 12 field assignments, one produced a Form 483, at Allerton on January 22, 2026: no qualified individual documenting corrective actions, food-contact surfaces not shown to be cleaned and sanitized, and process-specification deviations not evaluated for public health significance. Portland got none.

Three matches the report does not explain. Strain 11 also matches a 2022 isolate from broccoli and cheddar soup. The Washington infant’s isolate, strain 4, matches a 2011 isolate from Aichi, Japan at one SNP and nothing in the product. Strain 1, in finished formula and FDA’s base mix, is an “inconclusive match” to a 2015 Ohio potato salad cluster.

FDA had been inside the Allerton plant nine months before the outbreak and wrote it up.

The Incident Briefing lays out the inspection history. Allerton was inspected in February 2025 and classified Voluntary Action Indicated, with a three-item 483: an ingredient, its name redacted, “not held under conditions to prevent adulteration”; failure to eliminate harborage “when issues with rodents arose during the year 2024-2025”; and floor conditions not adequately monitored “when there were findings of confirmed Cronobacter sakazakii.” A 2022 inspection at the same plant cited insanitary conditions and inadequate written preventive controls and was followed by a regulatory meeting. The Reading, Pennsylvania plant drew a Warning Letter in August 2023, and an Official Action Indicated inspection that December, and has not run since September 30, 2023. Portland, inspected in March 2025, drew no action. I have written about this history before. The briefing adds the number that should have moved things: ByHeart held roughly 1 percent of powdered formula sales, yet of 36 BabyBIG-treated infants with any powdered formula exposure between August 1 and November 10, 2025, 15 had been fed ByHeart. FDA’s analysts called that “highly unusual” and “a significant epidemiological signal.”

The log records a death complaint the final count does not mention.

The Incident Objectives entry for November 28, 2025 reads in full: “CORE received a new consumer complaint – a second death reported FL case – case reported consuming ByHeart formula and passed away August 31st. No medical records / death certificate yet.” Nothing in the released file returns to it. The summary reports that “none died,” and Florida is not among the 17 states. It may have been resolved as no exposure or no botulism. The record as released shows the complaint arriving and never shows it closing. It also calls this a “second” death report, and the first appears nowhere. Families who fed this formula are entitled to know how both were run down.

Six companies received the contaminated milk powder lots, and every name is blacked out.

On January 28 and February 3, 2026, CORE sent six traceability assignments to firms that had received Organic West Milk lots of whole milk powder that tested positive for C. botulinum, asking for all distribution to infant formula manufacturers over the prior two years. The result: “None of the firms identified any infant formula manufacturers as customers that were supplied whole milk powder.” All six company names are withheld under Exemption 4 as confidential commercial information. Nara Organics had been selling formula through Target and its own site since July 2025, inside the window FDA asked about. Eight weeks after the last assignment closed, Nara-fed infants in California, Pennsylvania and Washington began falling ill, and on August 27 FDA reported that a Nara infant’s isolate matches a ByHeart clinical sample, a ByHeart base-powder sample and four unopened ByHeart cans, and that the shared supplier and dryer “indicate that there is a common source of contamination between the two outbreaks.” I wrote in June that an incomplete customer list left Nara off during the ByHeart trace-forward. Whether any of the six sold to Nara or its contract manufacturer is the question this file could answer and does not.

Also withheld under Exemption 4: every base-mix and milk-powder lot number; the number of lots traced at each step back to the 22 dairies; the region those dairies sit in; and three of the retailers that carried the product.

Every objective the response team set is withheld as deliberative.

The Incident Objectives form for Operational Period 7, February 17 to March 27, 2026, has its objectives box redacted in full under Exemption 5. The Incident Briefing’s “Current and Planned Objectives” page is redacted in full the same way. A separate block, withheld under Exemptions 6 and 7(D), personal privacy and confidential source, appears twice directly after the description of the plants. Exemption 5 is discretionary. On an outbreak that hospitalized 48 babies and is now genetically joined to a second, the objectives the response team set for itself are the part of this file the public has the strongest claim to read.

What the public should take from this file.

Five things. The Health Hazard Evaluation signed December 5, 2025 rated the hazard “life-threatening” and “likely to occur,” and no root cause was ever found. The contamination was in the incoming milk powder, from a dryer that serves more than one formula brand, and the file will not say where else those lots went. CDC expanded the case definition on December 5, 2025 back to March 23, 2022, the first day of production, and five days later added ten confirmed infants sickened between December 2023 and July 2025, none earlier. ByHeart told FDA one of its positive lots carried a November 15, 2024 production date, yet the recall reached only lots still within expiry: the 2023 and 2024 babies were fed formula that was never recalled. FDA had 70 consumer complaints by November 20, 2025, and had to send warning letters to four retailers on December 12 because recalled formula was still on shelves. And FDA’s Nara page, updated August 27, says its root cause investigation is ongoing, and it cannot yet tell whether the milk was contaminated before or during drying. The next day ByHeart announced FDA has “no further questions” on its root cause submission, a submission the public has not yet seen.

What the public should still see from this file.

FDA should release the objectives pages and the six company names; a supplier’s interest in keeping its customer list private does not outweigh the interest of parents in knowing what that supplier’s milk went into. FDA should say how the Florida death report, and the one before it, were resolved. ByHeart should release the submission it is citing. Fifty-two babies across two brands were hospitalized on the same supply chain, and the t-shirts go to Congress in September because the rule that would require testing this ingredient for this organism still does not exist.

Full Report:

https://www.marlerblog.com/files/2026/08/FOIA-2026-4033_Redacted.pdf

As of August 31, 2026, 55 people in 15 states are sick with Salmonella Agona or one of three strains of Shiga toxin-producing E. coli after eating alfalfa sprouts, four of them hospitalized, none dead, with illness onsets running May 31 through August 8. Until today the only company in this outbreak was Everything Sprouts, LLC of Minneapolis, which recalled its Calco and Everything Sprouts alfalfa on August 22. This afternoon FDA updated its advisory to say those sprouts are “one of the sources of illnesses” and “do not explain all the illnesses,” that at least one other grower sprouted the same lot of alfalfa seed, and that the seed supplier has not responded to FDA’s request to recall it.

FDA has moved this outbreak from one sprouter to one seed lot.

Eleven days ago I wrote that four organisms in one bag of sprouts is a seed signal, not a kitchen signal, because a leaking roof gives you whatever is in roof water and does not plausibly deliver Salmonella and three separate STEC serogroups into one product in five weeks. FDA’s August 31 update says its traceback “has identified at least one additional sprout grower who received and used the same lot of alfalfa sprout seeds under investigation in this outbreak from a common seed supplier,” and that the agency “is continuing to investigate contamination of the implicated alfalfa sprout seed.” That is the agency’s phrasing, not mine.

It also explains the map. Minnesota and Wisconsin hold 38 of the 55 cases, and Everything Sprouts shipped only to those two states. The other 17 sick people live in 13 states, ten of them with a single case, from Florida to Washington to New Hampshire. A second grower with a different distribution footprint is the simplest account of those 17, and FDA has now said the Everything Sprouts product cannot account for them. Whether the second grower sits in one of those 13 states is not something FDA has said.

The seed supplier told its customers to stop using the lot. FDA asked for something else, and the supplier has not answered.

According to FDA, the supplier “has instructed its customers not to use, grow, sell, transfer, or redistribute the implicated seed lot, and to return or dispose of any remaining seed.” That is a stock recovery letter. It reaches seed sitting in a sprouter’s warehouse. It does not reach the sprouts already grown from that seed and already sold.

FDA asked for both. The advisory says FDA “recommended that the common seed supplier voluntarily recall the implicated lot of alfalfa seeds and contact their downstream customers to initiate recalls of sprouts grown from the implicated seed lot.” Then FDA wrote the sentence that prompted this post: “At this time, the common seed supplier has not responded to FDA’s recall recommendation, has not sent a recall notice to downstream customers, and has not instructed the customers who received the implicated alfalfa sprout seed lot to initiate recalls.”

Three negatives. No response, no notice, no downstream recall. I will hold the line I held on August 21 about Everything Sprouts: “has not responded” is what FDA wrote, and it is not the same word as refused. Refusal is a finding under section 423 that only FDA can make. Silence is a fact, and it is the fact on the record tonight.

What a recall produces that a customer letter does not is the point I made when Everything Sprouts was in this exact posture ten days ago: a lot number, a distribution list, notification down the chain, an entry in FDA’s enforcement report, a press release. A seed supplier’s customer list is the list of every sprouter that grew this lot. Its customers’ customer lists are the list of every store and restaurant that sold those sprouts. Neither list exists in public today, and the second one cannot be assembled until the first one is.

The second grower is not named, and its sprouts have not been recalled.

FDA named Everything Sprouts on August 21, two days after its investigators walked into the plant and before the company had recalled anything. It has not named the seed supplier, and it has not named the second grower. The advisory’s consumer advice reads, in full, “Do not eat, sell, or serve recalled sprouts.” Nothing grown by the second grower has been recalled. A person in South Carolina or Washington who bought alfalfa sprouts this week has been told nothing she can act on, because the only brand names on the federal pagesbelong to a company that never shipped to her state.

I understand why an investigation holds a name while traceback is being confirmed. That reason ran out on August 31, when FDA itself published that the grower “received and used” the lot. The grower is identified. The seed is implicated. The public is the only party still in the dark.

FDA has been able to order this recall since 2011. Seed is food.

Section 423 of the Food, Drug, and Cosmetic Act, added by the Food Safety Modernization Act in 2011, lets FDA order a recall when there is a reasonable probability that a food is adulterated and that exposure to it will cause serious adverse health consequences or death. FDA’s own recall guidance lists alfalfa sprouts contaminated with Salmonella as its example of that risk. The agency has needed to issue a mandatory recall order once, in April 2018, against a kratom seller.

Seed for sprouting is not “covered produce” under the Produce Safety Rule, and a supplier might be tempted to read that as an exemption. FDA closed that door in 2022 when it issued its seed guidance: seed used for sprouting is food under the Act. Section 423 applies to food. The supplier also has its own duty under the Reportable Food Registry to report, within 24 hours, that it holds a food with a reasonable probability of causing serious harm, and that duty does not wait for a recall.

The statute’s steps are short. A written opportunity to recall voluntarily. If the firm does not, an order to cease distribution, with an informal hearing within two days. Then a recall order, which only the Commissioner can sign. Kyle Diamantas has been acting Commissioner since May. FDA’s seed guidance says contaminated seed has been identified as the likely source of most sprout outbreaks since the 1990s, and it describes a 2016 outbreak in which the entire seed lot was recalled. The investigators who found this common lot did their job. What happens next is not their decision.

The radish mix expansion now has a stated reason, and it shipped four days past the alfalfa recall.

Everything Sprouts expanded its recall on August 28 to Robust Radish Sprout Mix in 5-ounce cups, lots 223, 226, 230 and 233. The company’s notice gave no reason. FDA’s update does: “the potential for cross-contamination” from the recalled alfalfa. Lot 233 appears in no earlier notice. The radish mix was distributed from August 13 through August 26, which is four days after the company recalled its alfalfa on August 22. Food Poison Journal carries the lot numbers for all four products.

Here is where the outbreak stands on the last day of August. The seed is implicated, in FDA’s own words. A second grower used it and is unnamed. Its sprouts are unrecalled. The supplier has been asked for a recall by the agency that can order one, and has not answered. Every one of those sentences can change tomorrow with a recall notice, a name, or a signature. Fifty-five people, four of them in the hospital, are waiting on one of the three.

Happy Hens, the Ramona poultry farm San Diego County named as the source of the eggs in the SalmonellaEnteritidis outbreak that has sickened twenty-three people and hospitalized seven, announced on its own Instagram account on Sunday, August 31, 2026, that FDA testing has returned two samples positive for SE, that all product from the affected sites is being held from sale, that four thousand eggs will be tested over the next two weeks, and that if more positives are confirmed, approximately ten thousand hens may need to be depopulated. As I write this, not one of the agencies that has those results — not FDA, not San Diego County, not the California Department of Food and Agriculture, not the California Department of Public Health — has published a word about them.

The regulated party announced the regulator’s test results.

The announcement came twice on Sunday: a video from the farm, and a written post on the @trulyhappyhens account headlined “FDA TESTING RESULTS ARE IN.” Screenshots of both, captured August 31, are below. The written post says the farm pulled its own samples before the outbreak was public and those were negative; that FDA has since conducted additional testing and two samples tested positive for SE; that product from the affected sites is held from sale pending more testing; and that a positive follow-up could mean depopulating roughly ten thousand hens. FDA’s CORE investigations table, last updated August 26, has no entry for this outbreak. The County’s newsroom still shows only its July 28 bulletin and its August 17 update. The only place the public can learn that federal testing at this farm came back positive is the farm’s own social media feed, with the farm’s own spin attached.

Figure 1: The Happy Hens Instagram video, August 31, 2026 — two FDA samples positive for SE, product held from sale, 4,000 eggs to be tested, roughly 10,000 hens possibly depopulated.

The numbers in the farm’s announcement are the federal egg rule running exactly as written.

Happy Hens did not invent the four-thousand-egg figure. Under FDA’s shell egg rule, 21 C.F.R. Part 118, a covered producer whose environment tests positive for Salmonella Enteritidis must begin egg testing — four samplings of one thousand eggs each — and must divert eggs away from the table market to pasteurization until the flock tests clean. “Affected sites,” “affected barns,” a hold on sale, and a 4,000-egg testing plan is that machinery, described almost verbatim. The plain reading is that FDA’s two positives were environmental samples, taken house by house, and that the farm now knows which houses. Depopulation is the farm’s own word, not the rule’s — the rule requires diversion — but ten thousand hens out of a flock its owner has put at roughly fourteen thousand tells you the positives are not confined to one corner of the operation. And FDA’s own guidance on the rule says the agency considers eggs containing SE adulterated and expects most positive egg tests to end in a recall.

Figure 2: The written post — “No recall has been issued” offered as reassurance, and the family “still here to tell the tale” after eating eggs from the affected barns.

This is the same account that spent two weeks calling the link impossible.

Happy Hens denied the connection on Instagram when the County named it on August 17. A co-owner told Fox 5 the family had shrugged off the investigation expecting “all negative reports,” and said the farm had just pulled its own swabs. She told another station she was confident enough in the eggs to drink them raw. A video followed saying the farm followed Salmonella prevention protocols. Sunday’s post now says the farm’s samples were pulled before anything was publicly known — which is not the sequence the owner described on camera. Both accounts cannot describe the same testing, and the difference matters, because “our tests were negative” is the entire public defense. It is also less than it sounds. SE is shed intermittently and contaminates the egg from inside the hen, so a clean swab in August says nothing about the eggs laid in June that made people sick. That is precisely why the rule treats a single positive the way it does.

The farm’s “facts” list does not match the County’s own numbers.

The post says eighteen of twenty-one reported cases are “directly associated with a kitchen in Ramona.” The County’s current accounting, reported August 21, is twenty-three cases split two ways: eighteen tied to the raw-egg mayonnaise at Ramona Family Naturals Market, and five in people sickened by Happy Hens eggs directly, with no connection to the deli. The farm kept the stale total and dropped exactly the five cases that implicate the farm rather than the kitchen. “No recall has been issued” is likewise offered as reassurance. The accurate sentence is that eggs from barns where FDA has now found Salmonella kept moving into commerce in three counties until this hold.

A wink emoji, and seven people in the hospitalization count.

The post closes with the family still eating eggs from the “affected” barns “and we’re still here to tell the tale,” followed by a wink. Seven people in this outbreak were not here to tell it from home — they told it from hospital beds, one of them still admitted in mid-August. My firm filed suit on August 18 for one of them, a thirty-six-year-old Ramona mother of three who ate a deli sandwich she did not know contained raw eggs.

The post’s last line is that integrity means showing up when things are hard. On the disclosure record, the farm has a point — just not the one it intended. In the December 2025 Vega Farms egg outbreak, CDPH issued its own press release, sampled the farm, matched a sample to the patient strain by whole genome sequencing, and the eggs were recalled. In the August 2025 Country Eggs outbreak, the health agencies announced the link themselves and a nationwide recall followed. In this outbreak, the pattern I wrote about two weeks ago has not changed: two County releases, no serotype details, no customer list, no sampling results — and now federal test results reaching the public through the defendant’s Instagram. What should happen this week is not complicated. FDA or the County should publish what was sampled, which houses were positive, and whether the isolates are being sequenced against the outbreak strain, and the County should release the list of stores that received these eggs. If the egg testing comes back positive, FDA’s own guidance calls those eggs adulterated and expects a recall. The farm says it will be transparent every step of the way. The government should not be less transparent than the defendant.

CNBC’s Brandon Gomez published a piece on Friday on how Taylor Farms became integral to America’s food supply — roughly $7.3 billion in sales last year, 40 percent of the salad kits sold in American grocery stores, and a customer list that runs from Walmart, Kroger, Whole Foods and Target to McDonald’s, Taco Bell and Chipotle. The scale is real, and CNBC’s central point is the right one: when a supplier this size has a problem, the problem has the supplier’s reach. What the piece compresses into a paragraph is the record behind that point. Since 2009, eight multistate outbreaks have traced to Taylor Farms product, and in three of the largest, no recall ever reached the public.

The scale CNBC describes is national infrastructure.

Taylor Farms was founded in 1995 and grew by acquisition into one of the world’s largest fresh-cut produce companies, handling much of the chain itself — washing, chopping, packaging, labeling, refrigerating and shipping what hundreds of farms grow. Chains buy from Taylor Farms because it can deliver consistent product at a volume almost no one else can. That is precisely what makes the company something more than a vendor. A supplier moving 40 percent of the country’s grocery salad kits is infrastructure, and this summer showed what happens when infrastructure fails: Walmart recalling bagged salads, Taco Bell pulling lettuce at restaurants, and a parasite counted in every corner of the country.

Eight outbreaks in seventeen years is also part of how the company became integral.

Credit to Gomez for doing what too few business stories do — going to the record. His piece cites the list I compiled of every verifiable Taylor Farms outbreak and whether each one led to a recall, and notes the five complaints Marler Clark has filed so far in this outbreak, in Ohio, Michigan and Kentucky. The chronology in that post: Salmonella Typhimurium in shredded lettuce in 2009; Cyclospora in 2013, with 631 people sick across 25 states and a traceforward running through the same Guanajuato growing region at issue today; E. coli O157:H7 in celery in Costco chicken salad in 2015; E. coli O121 in romaine served at Panera and Chipotle in late 2021; a Cyclospora cluster at a single Colorado restaurant, Taco del Gnar, in 2023; E. coli O157:H7 on slivered onions served on McDonald’s Quarter Pounders in October 2024; E. coli O157:H7 in romaine in November 2024; and Cyclospora in iceberg lettuce in 2026. Alongside the outbreaks sits a recall roster — SalmonellaListeriaE. coli, undeclared allergens — stretching across more than a dozen Taylor Farms corporate entities.

The gap between the outbreak list and the recall list is the part CNBC did not have room for.

Three of the largest outbreaks on that list — 2013, the 2021 romaine cluster, and November 2024 — produced no recall at all. Two more produced direct notice to foodservice customers and nothing the public could read. The two outbreaks that killed someone are also the two where the public was never given a recall notice. And 2026 added a third category: a recall that arrived on time, in public, at enormous scale — FDA’s own enforcement file puts it at 236,192 cases across products well beyond iceberg lettuce — and still could not reach food that had already been eaten, because Cyclospora’s incubation period outruns the shelf life of a salad.

The $200 million food safety claim has to sit next to the outcome.

Taylor Farms told CNBC it spends more than $200 million a year on food safety, its biggest area of funding by several orders of magnitude. Taken at face value, that is under three cents of every sales dollar — but the honest measure of a food safety program is never the spend. It is the outcome. As of FDA’s August 27 update, the agency counts 11,458 cases across 20 states with 495 hospitalizations, and on August 28 it classified the recall Class I. CDC’s August 25 update counts 17,180 confirmed cases, 11,844 more unconfirmed, 922 hospitalizations, and illness in 48 states plus the District of Columbia. My own state-by-state tally puts the floor above 32,500. CDC’s surveillance season for cyclosporiasis runs May 1 through August 31 — it closes today, and this outbreak filled it.

CNBC also notes, correctly, that FDA has never reported a positive product sample — symptoms take weeks to appear and lettuce is long gone by the time anyone looks. That is not a point in the company’s favor. It is the reason you cannot test your way out of Cyclospora. Prevention at the source — clean water, sanitation, the water testing Taylor Farms promised at this same plant in 2013 — and traceability fast enough to matter are the only tools that work.

Consolidation makes transparency and traceability non-negotiable.

None of this is an argument that big is bad. It is an argument that big carries obligations proportionate to reach. When one company’s product touches nearly every major grocer and restaurant chain in the country, its food safety failures are national events, and the rules should treat them that way: full FSMA 204 traceability implemented without further delay, a public recall notice every time contaminated product ships — not quiet direct notice to foodservice accounts — and the names of companies named while people can still act on them. Taylor Farms has now suspended iceberg sourcing from central Mexico and commissioned an outside review of the facility there. Both steps are welcome. Both are also admissions that the company’s scale demanded more than the system ever required of it.

CNBC asked how Taylor Farms became integral to America’s food supply. The answer includes the acquisitions, the refrigerated trucks, and forty percent of the salad aisle. It also includes seventeen years of outbreaks — and a recall record that too often left the public reading nothing at all.

On July 13, 2026, the FDA sent a letter to the infant formula industry and its supply chain partners. It was the agency’s third letter to that industry naming Clostridium botulinum since March 2023. Between the first letter and the third, 48 infants in 17 states were hospitalized after drinking ByHeart Whole Nutrition Infant Formula, and four more, in California, Pennsylvania and Washington, were hospitalized after drinking Nara Organics Whole Milk Organic Powdered Infant Formula. As of today, August 20, 2026, the federal rule that says what powdered formula must be tested for before it ships names two organisms, and neither of them is the one that paralyzed those babies.

I went back to that letter five weeks after it was issued because Kevin Famuyiro walked through it in the Los Angeles Times. Agency letters land, get a day of coverage, and disappear. Somebody staying on the story after the cycle moves on is how the rest of us get a second look at it, and this one earned one.

Three letters in three years, and fifty-two hospitalized babies between the first and the third.

The first letter went out on March 8, 2023, addressed to every manufacturer, packer, distributor, importer and retailer of powdered infant formula in the country and signed by the Commissioner of Food and Drugs and the Director of the Center for Food Safety and Applied Nutrition. It named Clostridium botulinum by genus and species. It told the industry the agency had already investigated infant botulism among babies who drank powdered formula from a variety of manufacturers. And it told the industry that an ingredient which gets no lethal treatment at the formula plant is an extension of the formula plant, so the hazard has to be controlled at the supplier. I have written about that letter before, because it ends the argument about foreseeability.

The second went out on December 15, 2025, three days after the agency had to send warning letters to Target, Walmart, Kroger and Albertsons for leaving recalled ByHeart formula on shelves — in one case with promotional signage over it more than two weeks after the recall began. That letter reminded the industry of its legal obligations during a recall.

The third is the July letter. Same subject. Same audience. Fifty-two babies further along.

The July letter asks the industry to do what the regulations already required.

Read it with a lawyer’s eye and what stands out is the verbs. FDA “expects manufacturers to exercise substantive oversight of their suppliers.” It recommends that companies stay abreast of recalls, outbreak investigations and import alerts. It calls for increased vigilance. It says the agency is prepared to work with industry to identify best practices.

Now look at what it cites. 21 C.F.R. Part 106, for production and in-process controls from receipt of raw materials through distribution — on the books since long before any of these children were born. 21 C.F.R. Part 117, Subpart G, for hazard analysis, supplier approval and supplier verification — FSMA, 2015. Section 424(b) of the Food, Drug, and Cosmetic Act, for redundancy risk management plans — FDORA, 2022. Every legal duty in the letter existed before the first ByHeart baby got sick. The letter creates no new requirement, sets no new standard, and imposes no consequence on a company that files it in a drawer. It is signed by Donald A. Prater, the Acting Deputy Commissioner for Food.

FDA went looking in the milk powder and found a botulinum toxin gene on the first pass.

The part of the July release that got the least attention is the part that should have gotten the most. In February 2026, the agency ran an initial surveillance sampling assignment: 48 samples of powdered milk from four suppliers to infant formula manufacturers, twelve samples each. Forty-six were negative by PCR. Two were positive — both organic nonfat milk powder, both from the same firm, their sequences within three substitutions of each other. Whole genome sequencing identified Clostridium sporogenes carrying a gene highly associated with botulinum toxin B1.

I will state the caveats the way FDA states them, because they matter. The agency says this suggests but does not confirm that the organism could produce toxin under some conditions. It confirmed that this particular powder was not used to make infant formula. The sequences matched nothing previously reported, clinical or otherwise. This is not evidence about the root cause of either outbreak, and I am not going to pretend it is.

Here is what it is. On a forty-eight sample first look at the dairy ingredient stream that feeds American infant formula, the government found a spore-former carrying a botulinum toxin gene, twice, at one company. That is a reason to keep sampling, on a much larger assignment, and to publish what comes back. It is also a reason to name the firm. Regulators have gotten comfortable telling the public that a hazard was found at an unnamed facility, and the public has gotten used to accepting it. In the ByHeart investigation, whole genome sequencing tied two samples from one lot of organic whole milk powder at a Dairy Farmers of America plant to a clinical sample and to a finished formula sample. We know that name only because the outbreak forced it into the open. Nara Organics, for its part, still has not publicly named the German manufacturer that actually made the formula it sold to American parents. Parents should not have to wait for an outbreak to learn where their formula’s ingredients come from — and they should not have to wait past one, either.

The test the industry actually runs did not find it, and that is now published.

There is a reason FDA is asking outside bodies to revisit the science, and it is more concrete than the letter lets on. In June 2026, Frontiers in Microbiology published an analysis by IEH Laboratories of unopened containers of the recalled formula and of the base powder before packaging. Read it with the disclosure attached: the work was commissioned by ByHeart, and one of the authors works there.

It matters anyway, because the finding cuts against the whole industry rather than one company. Clostridium botulinumwas in the finished product and in the base powder, and isolates from one finished lot and a base powder were genetically identical. The detections came from samples in which sulfite-reducing clostridia were not detectable at all. That is the indicator organism dairy processors screen for as a stand-in for this family of bacteria — the one ICMSF has recommended. The authors concluded that indicator screening would not have prevented the outbreak even if it had been running beforehand, and that C. botulinum should be treated as a hazard reasonably likely to occur in these ingredients.

That last phrase is not rhetoric. Under 21 C.F.R. Part 117, a hazard reasonably likely to occur is exactly what triggers a required preventive control. If that is what this organism is, the analysis in every powdered formula plant in the country is already out of date, and no letter is needed to say so.

FDA, for its part, has asked the International Commission on Microbiological Specifications for Foods to reconsider its published position on whether testing for C. botulinum in powdered formula and dairy ingredients is useful. It has supported a Codex request for scientific advice from the Joint FAO/WHO Expert Meeting on Microbiological Risk Assessment covering C. botulinum and Bacillus cereus. It has engaged Cornell’s Pathogenic Spore Consortium on controlling spore-formers in milk. Those are the right questions. They are being asked after fifty-two children were hospitalized, and they are being asked of bodies that issue advice rather than rules.

Section 106.55 still lists Salmonella and Cronobacter, and that is all.

21 C.F.R. § 106.55 requires a manufacturer to test each production aggregate of powdered formula before it is distributed, and deems the product adulterated if it exceeds the limit. The table names Salmonella and Cronobacter, both at zero tolerance. There is no entry for Clostridium botulinum. There is no entry for Bacillus cereus, which is what produced the cereulide that sickened nearly 150 babies across ten countries this past winter through contaminated ARA oil.

Meanwhile § 106.55(b) sends liquid formula to 21 C.F.R. Part 113, the low-acid canned food regulations — an entire federal regime built around keeping botulism out of a sealed can. Same disease, same babies. A can of liquid gets the full apparatus of American food safety law. A tub of powder gets a letter. I laid that hole out in detail in an open letter to the man who now runs the agency, and it is still there.

A letter is what an agency writes when it is not prepared to write a rule.

Letters are fast. No notice and comment, no interagency review, no cost-benefit analysis, no litigation risk. They are also unenforceable. A company that ignores the July 13 letter has broken nothing.

None of this is aimed at the people who did the work. California’s Infant Botulism Treatment and Prevention Program caught the ByHeart signal by noticing a rise in BabyBIG requests, which is exactly the kind of catch a surveillance system exists to make. The traceback that ran the sequence from a sick infant back to a lot of milk powder at a dryer was careful, difficult work. The failure is not down at that level. It is that after all of it, the agency’s considered response was to write to industry about a hazard it has now named in writing three times, without putting that hazard in the rule.

If any of this reads as abstract from College Park, I would offer what I have been offering for thirty years, and what I wrote out in full last week: spend an hour with one of these families. It changes what the word “vigilance” sounds like.

Congress can close the gap in a sentence — add the spore-formers to the table at § 106.55 and require the dairy ingredients to be sampled upstream, where the spores actually live, instead of only in the last can on the line. That is H.R. 7867, the Infant Formula Safety Modernization Act of 2026. The House returns on August 31 and the Senate on September 14, and in September the 535 t-shirts sitting in my office go out, one to every member, to make the same argument in six words.

Three letters. Fifty-two babies. No rule. The next one FDA writes should not be a letter.

CDC defines the cyclosporiasis season as May 1 through August 31, so by the government’s own calendar it ended today, Monday, August 31, 2026. It ends with FDA counting 11,458 people sick in the outbreak it attributes to iceberg lettuce from Taylor Farms de Mexico, 495 of them hospitalized and two dead, in twenty states. And it ends with thirteen letters from Congress, sent between July 14 and August 13 to HHS, FDA, CDC and Taylor Farms, and not one published reply to any of them. The last deadline on the board, Senator Elizabeth Warren’s, was Thursday, August 27. It passed like the seven before it.

I last updated this list on August 25. Here is where it stands.

Nothing came in, and nothing new went out

Senator Warren’s letter asked for a transcript of the call the Wall Street Journal reported between the company and the White House, for HHS’s estimate of what this outbreak has cost, and for a state-by-state list of which states stopped reporting cyclosporiasis after the surveillance change of July 2025. I searched her office’s releases, the agency newsrooms and the wires through this morning and found no response and no follow-up letter. She may have received something privately; if so, nobody has said.

I also looked for a fourteenth letter. With Congress out of Washington for most of the month I did not expect one, and I did not find one. The count is still thirteen: five from the House, eight from the Senate, all thirteen from Democrats.

Here is the list. The right-hand column has not changed in a month.

DateWho wrote, and to whomWhat was asked forDeadline and status
Jul 14Sen. Amy Klobuchar (MN) to CDC and FDARestore FoodNet, FERN, inspection staffing and public health grantsNone set. No answer found
Jul 15Rep. Greg Stanton (AZ) to Sec. KennedySix questions: who ordered the surveillance change, what funding was cut, how many staff lostAug 3. Passed, no answer found
Jul 16Sen. Jon Ossoff (GA) to Sec. KennedyThree questions on restoring Cyclosporatracking and the state of the investigation72 hours, Jul 19. Passed, no answer found
Jul 17Reps. Dingell, McDonald Rivet, Scholten and Tlaib (MI) to CDC and FDATen questions from inside the outbreak, including whether the agencies agree with Michigan on the sourceJul 24. Passed, no answer found
Jul 20Rep. Josh Gottheimer (NJ) to CDCRestore FoodNet to mandatory active surveillance, plus two billsNone set. No answer found
Jul 20Sens. Blumenthal (CT) and Booker (NJ) to CDCA briefing on how the outbreak was tracked and whether staffing cuts caused delayUndated. No answer found
Jul 24Sen. Ossoff, second letter, to Sec. KennedyThe same three questions, plus the fact that the first letter went unansweredNone set. No answer found
Jul 27Rep. Robert Garcia (CA), Oversight Ranking Member, to Bruce TaylorFive categories of documents and five written questions, including facility records back to 2013Aug 10. Passed, no production found
Jul 28Sen. Kirsten Gillibrand (NY) to CDC and FDASix questions on the collapse of the federal laboratory networkJul 31. Passed, no answer found
Jul 30Sen. Blumenthal, PSI Ranking Member, to FDAAll records, including every communication with the White House and with the companyAug 13. Passed, no answer found
Jul 30Sen. Blumenthal, PSI Ranking Member, to Bruce TaylorAll records, including every communication with the White House and with FDAAug 13. Passed, no production found
Jul 30Reps. Veasey, Dingell and Sewell with about fifty colleagues, to CDC and FDATransparency and immediate action to identify the sourceNone set. No answer found
Aug 13Sen. Elizabeth Warren (MA) to Sec. KennedyNine questions on the retracted test, the White House call, what the outbreak has cost, and which states still reportAug 27. Passed, no answer found

I believe that is every letter, but I am not certain it is. I built the list from press releases, posted PDFs and reporting, and I have had to add a letter four separate times. The status column says no answer found, which means exactly that and nothing more; agencies answer members privately and neither side has to publish it. If you have an answer to any of these, send it to me and I will correct this post and say plainly that I had it wrong.

The answers keep arriving. They just never arrive in reply to a letter.

Two more turned up this week. Sunday, Politico reported, and Reuters carried, that USDA is shutting two of its three Cyclospora research projects and moving the third from Beltsville, Maryland, to Iowa, and that none of its parasite scientists agreed to go. A USDA spokesperson told Reuters that none of the research has been disrupted and pointed at Congress for the defunding. Senator Warren’s letter named Beltsville and its two Cyclospora labs eighteen days earlier. The department’s answer went to a wire service, not to her.

And the government’s own pages moved. On August 27 FDA added Georgia, Tennessee and Texas to the outbreak, twenty states now, raised the count to 11,458 and the hospitalizations to 495, and said its inspections and sampling at the lettuce growers and at the Doctor Mora processing plant are ongoing. On August 28 it classified the July 17 recall as Class I, its highest risk category, with a statement that it changes nothing about the recall itself. Those are updates. They are not answers. Neither page says who was on the July 16 call, what the plant’s records show back to 2013, or which states quit reporting.

They join what was already there. HHS press secretary Emily Hilliard told The Hill on August 13 that political contributions have no bearing on FDA or CDC outbreak investigations. Taylor Fresh Foods told Scripps News that week that it categorically rejects any suggestion it sought or received favorable treatment. And the company’s own information hub answers the political-influence question with a no and gives a day-by-day account of July 15 through July 19 that no committee has seen under oath.

A statement to a reporter is not an answer to a letter

A press statement is not sworn and is not a document production. It can be revised or deleted with no notice, which has happened repeatedly this summer on the government’s pages and on the company’s; the FAQ page alone has been rewritten at least five times in place. What the letters asked for, the call, the records, the state-by-state list, sits in federal file cabinets and on company servers today. Nothing in a letter can make anybody walk to one.

The counting is not over

CDC’s case page, updated August 25, shows 17,180 laboratory-confirmed cases nationally since May 1 across 48 states and the District of Columbia, 922 hospitalizations and two deaths, with 11,844 more reports still unconfirmed, against 1,180 cases in the same stretch of last year. Illness onsets in that series run through August 19. It takes about six weeks for a case to reach the federal count, so the numbers will climb into October whether or not anyone else gets sick. Adding up what the fifty states publish, my own count stands at 32,500, and it is a floor rather than an estimate.

If they will not answer the mail, a subpoena to a hearing will

Every tool that would get an answer belongs to the majority, and Congress is back after Labor Day. The Senate Permanent Subcommittee on Investigations can issue a subpoena. Senator Blumenthal wrote as its ranking member and copied Chairman Ron Johnson on both July 30 letters; a ranking member cannot subpoena alone and a chairman can. The House Oversight majority could adopt Representative Garcia’s document request as its own tomorrow. The HELP Committee has jurisdiction over both agencies. Section 780, the appropriations rider that pushed the traceability rule to 2028 and made this outbreak so much harder to trace, is a provision, and a provision is struck by a vote, not a letter.

The precedent is on PSI’s own website. PSI held a hearing on Cyclospora in imported raspberries in July 1998. Same subcommittee, same parasite, twenty-eight years ago.

A hearing puts a person in a chair on a date, under oath, with a transcript nobody can edit at two in the morning. Thirteen members asked, and the mail went unanswered. I am watching, and so are thirty-two thousand five hundred other people, and not one of us chose to be part of this. Put the acting commissioner, the acting director and Bruce Taylor at one table and ask them the questions that are already written down. If a letter will not get them there, a subpoena will.