A fourth person in Pennsylvania has died of measles, the state health department confirmed Tuesday. The latest death was in an unvaccinated 18-year-old resident of Mifflin County.

In the announcement, the state health department also confirmed a county coroner's report over the weekend of the death of an unvaccinated 40-year-old woman in Jefferson County. The state had previously reported two deaths in Lancaster County; both were infants—a newborn boy and a 6-week-old girl, both too young to be vaccinated.

According to the Mifflin County coroner, Andrea L. Alcalde, the 18-year-old's cause of death was determined to be acute disseminated encephalomyelitis (ADEM), which is a rare but known severe complication of measles. The condition is characterized by a rapidly progressing autoimmune disorder in which aberrant inflammation from an infection strips away the protective coverings of nerve cells in the brain and spinal cord. Before measles vaccines were widely used, ADEM was commonly associated with measles, though other viral infections can also spur its development.

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The Food and Drug Administration announced on Wednesday that it's investigating yet another outbreak of Cyclospora, the unicellular foodborne parasite behind a nationwide surge in explosive watery diarrhea illnesses. The FDA said 72 cases have been identified in this outbreak, but the agency provided no details on the situation.

This announcement marks the sixth Cyclospora outbreak investigation the FDA has opened this year. Overall, the Centers for Disease Control and Prevention has gotten reports of more than 11,500 cases (including 4,173 confirmed and over 7,400 probable) from 41 states. Among the cases, there have been 308 hospitalizations and no deaths.

This year's tally so far—just in July—greatly exceeds the normal number of cases the US sees in a whole year. In recent years, the US has reported between 2,000 and 5,000 cases in a year, according to CDC data. With a new outbreak announced, the tally of cases is likely to continue climbing. Nevertheless, when asked about the national surge in cases earlier this week, anti-vaccine Health Secretary Robert F. Kennedy Jr. said the situation was "under control."

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Federal officials on Friday announced that shredded iceberg lettuce imported from Mexico and served at Taco Bell restaurants in five states is a source of Cyclospora, the foodborne parasite causing the nationwide surge in cases of explosive, watery diarrhea. The five states are Indiana, Kentucky, Michigan, Ohio, and West Virginia.

A traceback investigation by the Centers for Disease Control and Prevention and the Food and Drug Administration identified a single supplier in Mexico as the source of iceberg lettuce for Taco Bell restaurants where sick people reported eating. While federal authorities did not name the supplier, sources told the Washington Post that it is Taylor Farms.

Taylor Farms was also implicated in a 2024 multi-state E. coli outbreak linked to contaminated onions served at McDonald's and other fast-food restaurants. At the time, FDA inspectors found multiple violations at a Taylor Farms facility in Colorado.

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Lettuce and salad greens have become the prime suspects in an explosive outbreak of the diarrheal parasite Cyclospora, which is surging nationwide but erupting to extraordinary heights in Michigan.

In recent years, Michigan has typically reported around 50 cases of cyclosporiasis, which causes urgent bouts of watery diarrhea, abdominal cramps, and nausea. But, this year, as of July 14, the state has reported 3,309 cases of the food-borne pathogen. Of those 44 have been hospitalized.

Based on interviews with more than 1,000 people sickened in Michigan, the latest data is pointing to leafy greens as the source, according to the Michigan Department of Health and Human Services (MDHHS).

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