Cyclosporiasis in travellers returning to the United Kingdom from Mexico in summer 2017: lessons from the recent past to inform the future

During the summers of 2015 and 2016, the United Kingdom experienced large outbreaks of cyclosporiasis in travellers returning from Mexico. As the source of the outbreaks was not identified, there is the potential for a similar outbreak to occur in 2017; indeed 78 cases had already been reported as at 27 July 2017. Early communication and international collaboration is essential to provide a better understanding of the source and extent of this recurring situation.

[1]  Y. Ortega,et al.  Update on Cyclospora cayetanensis, a Food-Borne and Waterborne Parasite , 2010, Clinical Microbiology Reviews.

[2]  P. Chiodini,et al.  Cyclospora infection linked to travel to Mexico, June to September 2015. , 2015, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[3]  Michael G. Eberhart,et al.  Outbreak of Cyclosporiasis Associated with Imported Raspberries, Philadelphia, Pennsylvania, 2000 , 2002, Emerging infectious diseases.

[4]  G. Nichols,et al.  Foodborne outbreaks of cyclosporiasis have arisen in North America. Is the United Kingdom at risk? , 2000, Communicable disease and public health.

[5]  L. Chacin-Bonilla.  Epidemiology of Cyclospora cayetanensis: A review focusing in endemic areas. , 2010, Acta tropica.

[6]  R. Gilman,et al.  Cyclospora species--a new protozoan pathogen of humans. , 1993, The New England journal of medicine.

[7]  C. Seas,et al.  Cystoisospora and Cyclospora , 2013, Current opinion in infectious diseases.

[8]  M. Lebbad,et al.  A foodborne outbreak of Cyclospora infection in Stockholm, Sweden. , 2010, Foodborne pathogens and disease.

[9]  P. Karanis,et al.  Waterborne transmission of protozoan parasites: review of worldwide outbreaks - an update 2004-2010. , 2011, Water research.

[10]  R. Vonthein,et al.  Cyclosporiasis Outbreak in Germany Associated with the Consumption of Salad , 2002, Emerging infectious diseases.

[11]  L. Slutsker,et al.  2013 multistate outbreaks of Cyclospora cayetanensis infections associated with fresh produce: focus on the Texas investigations , 2015, Epidemiology and Infection.

[12]  J. Lind,et al.  Outbreak of cyclosporiasis associated with snow peas--Pennsylvania, 2004. , 2004, MMWR. Morbidity and mortality weekly report.

[13]  P. Chiodini.  A 'new' parasite: human infection with Cyclospora cayetanensis. , 1994, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[14]  R. Evans.  European Centre for Disease Prevention and Control. , 2014, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[15]  J. Ongerth,et al.  Waterborne transmission of protozoan parasites: Review of worldwide outbreaks - An update 2011-2016. , 2011, Water research.

[16]  L. Hoang,et al.  Outbreak of cyclosporiasis in British Columbia associated with imported Thai basil , 2004, Epidemiology and Infection.