Kearney, Neb. — Two Rivers Public Health Department (TRPHD) has identified three confirmed cases of Cyclospora infection in the district. Public health nurses are investigating whether the cases are linked to the ongoing national Cyclospora outbreak by interviewing those who have confirmed laboratory tests.
Cyclospora is a parasite that causes intestinal illness (cyclosporiasis) and is spread through contaminated food or water. Symptoms usually begin about a week after exposure and can last from several days to several weeks if untreated.
Common symptoms of Cyclospora infection include:
- Frequent, watery diarrhea
- Loss of appetite
- Weight loss
- Stomach cramps or bloating
- Nausea
- Fatigue
- Low-grade fever
TRPHD encourages residents to take the following steps to help prevent Cyclospora infection:
- Wash fresh fruits and vegetables thoroughly under running water before eating, cutting, or preparing them, including produce labelled as pre-washed
- Wash hands with soap and water before handling food, after handling food, before eating, and after using the restroom.
- Prevent cross-contamination by keeping fresh produce separate from raw meats and using clean cutting boards and utensils.
- Drink safe, clean water from approved sources.
- Follow proper food safety practices when preparing and storing food.
- Cook fruits and vegetables, when feasible, to 158 degrees Fahrenheit
Individuals experiencing persistent diarrhea, stomach cramps, nausea, or other gastrointestinal symptoms should contact their healthcare provider for evaluation. Cyclospora infection requires specific laboratory testing for diagnosis and is treated with prescription antibiotics.
TRPHD will continue working with state and federal partners as the investigation progresses and will provide additional information if a connection to the national outbreak is identified.
For more information about Cyclospora and food safety, residents may contact Two Rivers Public Health Department or visit the CDC’s Cyclospora information page.











