Cyclosporiasis cases across Michigan have hit 10,000 cases, making it the largest in the nation, according to the Michigan Department of Human Services.
MDHHS officials confirmed 10,386 cases with 193 hospitalizations since May.
The majority of cases have been found in southeastern Michigan, with more than 1,000 confirmed cases in both Oakland and Wayne County alone, according to state health officials.
Michigan typically has around 50 cases each year of the parasitic illness that can cause "explosive" diarrhea, according to state health officials.
CDC health officials have confirmed more than 6,000 cyclosporiasis cases with another 11,000 probable cases across 45 states since May.
On average, health officials said the entire U.S. typically sees about 3,000 cyclosporiasis cases a year.
Officials are still trying to find the source of the outbreak. They do believe lettuce and other salad mixes are tied to the outbreak, but have not yet identified an exact source.
The FDA initially targeted lettuce served at multiple Taco Bell locations across five states, including Michigan.
Taylor Farms, a lettuce supplier to some Taco Bell locations, voluntarily recalled some of its products as Taco Bell quickly stopped selling lettuce at select locations.
However, the FDA said there was a mistake during testing and could not definitely label the lettuce as the cause of the outbreak.
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