Michigan crossed ten thousand this morning. MDHHS reported 10,077 cyclosporiasis cases since June 22, up from 9,680 on Tuesday. A state that identifies about fifty cases in an ordinary year has now identified two hundred years of them in five weeks, and 160 of those people were sick enough to be hospitalized.

The federal outbreak number did not move. CDC’s outbreak page still reads 1,947 people in nine states with at least 98 hospitalizations, and it has read that since July 24. Every one of the 1,947 qualified by reporting exposure to a Taco Bell.

CDC’s surveillance page is the other federal number, and it is a different animal: 6,707 laboratory-confirmed domestic cases since May 1, plus more than 11,500 more that are not laboratory confirmed or still need international travel ruled out. The agency says it is now publishing that page weekly, that it estimates a six-week lag between when somebody gets sick and when the case reaches Atlanta, and that the illnesses in the series began on May 1 with a median onset of July 2. The outbreak definition starts June 22.

Here is the arithmetic that made this morning worth redrawing the map for. Add up what all fifty states publish about themselves and the total is 18,209. Add CDC’s own two figures together and you get something north of eighteen thousand two hundred. The fifty-state hand count and the federal government’s own numbers have converged. They are not measuring the same thing and they never were, but they are now describing a population of the same size — while the number the government calls the outbreak sits at 1,947, which is under eleven percent of it.

Two things changed on the map since Tuesday. Michigan went from 9,680 to 10,077. And Florida is corrected from 106 to 158 — the 106 was a stale figure sitting in a wire roundup, while Florida’s own health department has reported 158 since May 1 across 36 counties, with Miami-Dade highest at 33. Florida averaged 246 cases a year from 2015 through 2025, so 158 by mid-July is not by itself alarming; it is simply not 106.

Which raises the thing I want to flag about this table rather than bury in it. Fourteen of the fifty numbers below trace to a single national roundup, and that roundup has not been updated since July 17. Its Michigan entry still says 4,312. Its Ohio entry still says 177. Those two states have since gone to 10,077 and past 2,500. There is no reason to think Arizona, Colorado, Georgia, Iowa, Louisiana, Maryland, Massachusetts, Minnesota, Nebraska, Rhode Island, Tennessee, Utah and Wisconsin are frozen in real life; they are frozen in the only public record I can find. Every one of those numbers is twelve days old and every one of them is a floor.

The nine outbreak states now hold 15,452 of the 18,209. CDC’s outbreak count for those same nine states is 1,947. That leaves 13,505 people who are sick with this parasite, in the nine states the government has named, who are not in the number the government publishes — because they did not report eating at a Taco Bell. Eighty-seven percent of the illness inside the outbreak states sits outside the outbreak count.

The other sixteen green states — the ones that received recalled Taylor Farms lettuce but are not among the nine — report 1,720 between them. Seventeen of those 1,720 have a named source, and all seventeen of them are in one hospital cafeteria in Keene, New Hampshire.

Two questions crossed against each other for all fifty states: did the state receive iceberg lettuce that Taylor Farms de Mexico recalled on July 17, and does the state publish a 2026 Cyclospora count of its own.

Every case number on the map, the color it produced, and a link to where it came from.

State2026 cases reportedMap colorWhere the number comes from
AlabamaNo count publishedYellowFDA distribution list
Alaska5 (Jul 16)BlueAlaska DOH health advisory
Arizona19 (Jul 17)BlueAZ DHS, via roundup
Arkansas92 (Jul 27); 56 in Benton CountyGreenArkansas DOH via KARK
California41 provisional (Jul 14)BlueCDPH news release NR26-024
Colorado150 (Jul 17); 4 hosp.BlueCDPHE, via roundup
Connecticut35GreenCT DPH press release
DelawareNo count publishedGreyCDC surveillance
Florida158 since May 1 (Jul 18)GreenFDOH via WGCU
Georgia11-30 since May 1 (Jul 17)GreenGA DPH, via roundup
HawaiiNo count publishedGreyCDC surveillance
IdahoNo count publishedGreyCDC surveillance
Illinois513 (Jul 24)GreenCNN
Indiana954 (Jul 28)GreenIDOH via FOX59
Iowa57 (Jul 17)GreenIowa HHS, via roundup
Kansas289 (Jul 22)GreenKDHE newsflash
Kentucky468 (Jul 24)GreenCNN
Louisiana1-10 (Jul 17)GreenLA DOH, via roundup
MaineNo count publishedGreyCDC surveillance
Maryland69 (Jul 17)GreenMD DOH, via roundup
Massachusetts18 (Jul 17)GreenMA DPH, via roundup
Michigan10,077 (Jul 29); 160 hosp. as of Jul 23GreenMDHHS via ClickOnDetroit
Minnesota41 since May 1 (Jul 17)BlueMDH, via roundup
MississippiNo count publishedYellowFDA distribution list
Missouri216 (Jul 19)GreenKBIA
MontanaNo count publishedGreyCDC surveillance
Nebraska49 (Jul 17)BlueNE DHHS, via roundup
NevadaNo count publishedGreyCDC surveillance
New Hampshire33 confirmed (Jul 28); 2 hosp.; 17 tied to recalled Taylor Farms lettuce at Cheshire Medical CenterGreenNH DHHS release / exposure locations / NHPR
New Jersey46 (May 1-Jul 11)GreenNJDOH news release
New MexicoNo count publishedGreyCDC surveillance
New York666 incl. NYC (Jul 25)BlueOutbreak News Today
North Carolina718 (Jul 28); 24 hosp.GreenNCDHHS press release
North DakotaNo count publishedGreyCDC surveillance
Ohio2,574 statewide (Jul 24); NW Ohio alone 2,785 (Jul 28)GreenCNN / Toledo Blade
Oklahoma303 (Jul 28); 18 hosp.GreenOSDH via KSWO
Oregon23 in 2026 (Jul 24)BlueOregon Health Authority
Pennsylvania48 (Jul 24); not a reportable conditionGreenCNN
Rhode Island4 since May 1 (Jul 17)BlueRI DOH, via roundup
South CarolinaNo count publishedYellowFDA distribution list
South DakotaNo count publishedGreyCDC surveillance
Tennessee11-30 (Jul 17)GreenTN DOH, via roundup
Texas68 (Jul 13); 15 hosp.GreenTexas DSHS
Utah1-10 (Jul 17)BlueUT DHHS, via roundup
VermontNo count publishedGreyCDC surveillance
Virginia126 confirmed (Jul 23)GreenVirginia DH
Washington38 (May 1-Jul 17)BlueWashington DOH
West Virginia226 (Jul 24); 19 hosp.GreenWV OEPS
Wisconsin61 (May 1-Jul 15)GreenWI DHS, via roundup
WyomingNo count publishedGreyCDC surveillance
Nine outbreak states15,4529 
All green states17,17225 
All blue states1,03711 
All fifty states18,20950 

A green state is not a state where the lettuce is proven to have sickened anybody, and a blue state is not a state where it is proven not to have. The map shows where product went and where illness was counted. What it keeps showing, four redraws in, is that the government’s outbreak number is not tracking the outbreak. It is tracking the questionnaire.