The cyclosporiasis outbreak just turned deadly.Two people died in Michigan after contracting cyclosporiasis, the state’s health department announced Monday. They’re the first confirmed deaths in the country that have been tied to the public health crisis spurred by a single-celled parasite found on iceberg lettuce.Both people had “significant underlying health conditions that may have been impacted by cyclosporiasis and dehydration,” the Michigan Department of Health and Human Services said in a statement, noting that no additional information about the specific cases will be shared.“Cyclosporiasis is generally not a life-threatening illness,” the statement continued. “Death resulting from cyclosporiasis is uncommon in the United States.”So far, the state health agency has tallied 11,234 cases and 193 confirmed hospitalizations associated with the illness.Those numbers would indicate that federal health agencies are far behind in their own analysis of the parasite’s spread—or, at the very least, are failing to inform the American people as to the true nature of the nationwide threat. As of Monday, the CDC’s “fast facts” page on cyclosporiasis recorded “at least 1,947” cases and 98 hospitalizations across nine states.In a July 28 memo, the CDC said that it had received reports of at least 6,707 laboratory-confirmed domestic cases of cyclosporiasis, though an additional 11,500 cases had not yet been confirmed.An analysis by The New Republic of state health agency data found at least 18,517 cases across the nine states listed by the CDC. The survey compiled reported figures from Michigan, Illinois, Indiana, Kansas, Kentucky, Oklahoma, Pennsylvania, Ohio, and West Virginia. However, several of those states had not updated their own public-facing data within days or even weeks, suggesting that the current case tally could be much higher.Health officials said that anyone experiencing symptoms should reach out to a health care provider right away. Symptoms of cyclosporiasis can include sudden, prolonged diarrhea; bloating, severe stomach cramps, loss of appetite, extreme lethargy, and even a low-grade fever, though many people infected by the parasite show no symptoms at all, according to the Cleveland Clinic.Those most at risk of serious illness from the parasite are the elderly, infants, and people with compromised immune systems.Health and Human Services Secretary Robert F. Kennedy Jr. said Thursday that public health investigators were having a difficult time tracking the disease as it can take one to two weeks to exhibit symptoms after the consumption of infected food.The current outbreak has been linked to iceberg lettuce served at Taco Bell restaurants, supplied by one of the largest fresh-produce suppliers in the country, Taylor Farms. The pro-Trump produce supplier sells products to Walmart, Sam’s Club, Kroger, SYSCO, Aldi, Target, and Dollar General. It also sells food for private label brands such as Whole Foods’ “365” line, and offers assembly-line products for a slew of fast food chains including McDonald’s, KFC, Pizza Hut, Subway, and more.Investigators are also examining other possible causes for the uptick, which has seen cases of cyclosporiasis increase across 45 states in 2026 thus far, though it is not clear if the cases are all tied to the contaminated lettuce, according to the CDC.