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Lettuce: A Hidden Danger in Your Salad?
27 Jul
Summary
- Lettuce is a common culprit due to high consumption and difficulty in cleaning.
- Parasites and bacteria can hide in leaves and are hard to wash off.
- Cooking lettuce to 158°F is the only way to kill the cyclospora parasite.

Lettuce has become a primary source of cyclosporiasis outbreaks in the U.S., causing severe symptoms like explosive diarrhea and dehydration. This recurring issue has seen numerous past outbreaks linked to various lettuce products, including salads and Caesar kits, across multiple states. Its prevalence in American diets, with an average annual consumption of 25 pounds per person, contributes significantly to its role in foodborne illnesses.
Several factors make lettuce a common vehicle for contamination. Its crevices make thorough washing difficult, allowing bacteria and parasites to linger. Growing close to the soil increases exposure to contaminated water, a likely source for widespread outbreaks. Even pre-washed lettuce may retain microbes, and the parasite cyclospora is only eradicated by heating lettuce to 158°F. Herbs like parsley and cilantro share similar risks due to raw consumption and cleaning difficulties.