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Cases of cyclosporiasis in Michigan surpass 5,000, health officials say

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Hospitalizations in Michigan linked to an outbreak of cyclosporiasis, an intestinal illness caused by a parasite, have surpassed 100, health officials said Friday.

So far, 102 people have been hospitalized, according to the Michigan Department of Health and Human Services (MDHHS). There are more than 5,000 cases in the state, an increase of nearly 700 since Thursday, officials said.

The Centers for Disease Control and Prevention and the Food and Drug Administration are warning consumers not to eat shredded iceberg lettuce sold at select Taco Bells in five states — Indiana, Kentucky, Michigan, Ohio, and West Virginia — after the ingredient was linked to the outbreak. The CDC said that shredded iceberg lettuce sold in grocery stores or served in other restaurants is not affected. 

Lettuce supplier Taylor Farms said it is voluntarily removing all iceberg lettuce sourced from central Mexico from the U.S. market.

Taylor Farms said the FDA traceback indicated a “specific farm” that accounts for “less than 1% of the U.S.’s iceberg lettuce supply” was a potential source, and they have removed all iceberg lettuce from the region indefinitely. No other Taylor Fresh Food products have been impacted and that no branded salad kits contain iceberg lettuce, Taylor Farms said. 

“As a family owned and operated company, we are deeply concerned for those who became ill, their families, and the many Americans whose trust in the safety of their fresh produce has been shaken. That trust is something we’ve worked for decades to earn, and we are committed to doing everything in our power to restore that confidence,” Taylor Farms said in a statement Friday.

Preliminary findings by Michigan health officials suggest lettuce or salad greens are the potential source of the illnesses. However, no specific type of produce, grower or supplier has been identified as the source, and federal health officials have not publicly identified a source of the outbreak.

The White House said on Thursday it is “closely monitoring” the cyclosporiasis outbreak and “has a handle on the situation.”

Press secretary Karoline Leavitt said the White House is working with the FDA and partners at the federal, state and local levels to “increase detection methods,” provide guidance and trace the outbreak.

On Tuesday, Taco Bell said it would voluntarily remove some ingredients at select restaurants as a precautionary measure.

“The health and safety of our guests is our top priority,” Taco Bell Corp said in a statement to ABC News. “Public health officials have not confirmed a link to Taco Bell or any specific ingredient, supplier, restaurant or retailer. While authorities continue their broader review, Taco Bell has voluntarily and temporarily removed limited ingredients at select restaurants as a precautionary measure. We will continue to closely monitor the situation and follow the guidance of public health authorities.

Federal health officials said cases of cyclosporiasis will continue to rise in the U.S. The season is typically considered to be from May 1 to Aug. 31.

Additionally, the CDC sent out an alert to doctors around the country on Tuesday warning them of an increase in cases of cyclosporiasis.

Michigan health officials previously told ABC News the outbreak could be linked to food contamination.

Earlier this month, MDHHS sent out recommendations to restaurants and other commercial kitchens in southeast Michigan to reduce risks of exposure.

MDHHS data shows that most cases have been among adults, with 30 to 39 year olds making up the highest share.

The outbreak was first identified on June 29, when the Monroe County Health Department announced it was investigating a cluster of cases.

The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention. It does not typically spread person-to-person. 

Foodborne outbreaks of cyclosporiasis in the past have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

At least 31 other states have reported cases of cyclosporiasis, according to an ABC News tally, analyzing CDC data and state health department data.

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

ABC News’ Karen Travers contributed to this report.

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IRS proposal would force nonprofits to disclose leaders’ terrorism convictions

Washington — The Trump administration is weighing a proposal to require nonprofits to disclose in their annual tax filings whether their top officials have been convicted of certain financial or terrorism-related crimes, sources with direct knowledge of the matter told CBS News.The IRS disclosure requirement would be added to the Form 990, the annual return that nonprofit groups file with the agency, said the sources, who spoke on the condition of anonymity because they were not authorized to talk publicly. Federal officials have viewed it as an effort to pressure tax-exempt groups to cut ties with people who have such criminal records and ensure that donors can make informed decisions about how to best direct their money, the sources said.Convictions that would have to be reported include providing material support to terrorists, fraud, money laundering, securities fraud, tax evasion, theft and civil judgments from Securities and Exchange Commission or state securities regulators' enforcement actions.The IRS proposal would not force groups to identify which officer, director or trustee was convicted, according to the sources. It is not a violation of federal law for people with felony convictions to serve on a nonprofit board.The proposal is expected to relate to convictions that occurred within the last 10 years. Nothing has been finalized, and it is one of at least two proposed revisions to the Form 990 moving through the Treasury Department and the IRS. Another proposal announced in April would impose new disclosure requirements for nonprofits that receive government funding. "No one has a right to privacy of their criminal record," said Tom Jones, an ally of President Trump who leads the conservative American Accountability Foundation nonprofit. "If your board members are convicted criminals, I am hard pressed to understand why you have a problem with that being publicized. You should have to explain why those people are on your board."A spokesperson for the Treasury Department said that it is considering "a range of measures to strengthen accountability for nonprofit organizations" and that the agency "will continue to follow the money to ensure tax-exempt status is not exploited to facilitate illicit activity."Inside the IRS, some officials have privately raised concerns about the conviction-related proposal and what the agency could lawfully do with the information — as well as questioned how it relates to enforcement of tax laws, multiple sources familiar with the conversations told CBS News. These IRS officials have said they view the effort as a form of potential political targeting that could draw legal challenges, including on free speech grounds, sources said."This disclosure rule goes directly to guilt by association," said Roger Colinvaux, a law professor at the Catholic University of America and former counsel to the nonpartisan Joint Committee on Taxation in Congress. "There's no federal law that says a nonprofit cannot have a convicted felon on their board. It could just create a stigma and chill association. This would reach deeply into American civil society."One of the sources with direct knowledge of the proposal, who spoke on the condition of anonymity because they were not authorized to talk publicly, suggested that such a move is not much different from material disclosures that publicly traded companies are required to make to help the investing public make informed decisions. The source also suggested that the proposal could help the IRS move faster to suspend or revoke the tax-exempt status of nonprofits if they fail to disclose convictions of any of their leaders. That's because the nonprofit officials who submit the Form 990 must attest to its accuracy under the penalty of perjury, and fact-checking whether board members have undisclosed criminal convictions would be a relatively simple task for the IRS to do, the source added.The disclosure efforts come amid a broader effort by the Trump administration to target left-leaning nonprofits. Mr. Trump signed a national security memorandum last year that directed the IRS to refer groups believed to be financing "domestic terrorism" to the Justice Department. In March, CBS News was first to report that the FBI and IRS Criminal Investigation teamed up to launch a "command post" tasked with investigating possible links between nonprofits and terrorism.That followed a directive from then-Attorney General Pam Bondi late last year for law enforcement agencies and federal prosecutors to probe the anti-fascist antifa movement and other "extremist groups." The memo asked law enforcement agents to consider investigating extremist groups for potential fraud and tax crimes. Antifa, a decentralized coalition of far-left activists, is not a formal organization and has no board members or officers.A number of federal criminal investigations and prosecutions targeting nonprofits are now underway. The highest-profile prosecution focuses on the Southern Poverty Law Center, which is accused of misleading donors and banks by funneling money to informants for white supremacist groups. The SPLC has pleaded not guilty.In another matter, Neville Roy Singham, the wealthy husband of the founder of the progressive nonprofit Code Pink and benefactor of far-left political causes, is under criminal investigation in Manhattan, CBS News previously reported. That investigation began by looking into possible violations of the Foreign Agents Registration Act and has since expanded into a criminal tax probe over whether money was unlawfully funneled through nonprofits he controls and whether he lied on tax forms for those nonprofits.Earlier this year, eight people affiliated with a North Texas antifa group were sent to prison for sentences ranging from 30 to 100 years, after they were convicted for providing material support to terrorists and other offenses, including the attempted murder of an Alvarado police officer at the Prairieland Detention Center.The proposal comes as the Trump administration has also focused its attention on fraud in recent months and spotlighted the pandemic-era Feeding Our Future scandal in Minnesota as an example of abuses in the nonprofit sector. So far, the estimated $250 million scheme has resulted in 68 convictions or guilty pleas. Some states already ask tax-exempt groups a version of the question the IRS is now weighing. California requires charities soliciting donations in the state to disclose whether their officers or directors have been convicted of certain offenses, as part of an effort to prevent charitable fraud. Under state law, a court can remove a director for fraud, dishonest acts or breach of duty in a case the attorney general can bring. But federal law has no equivalent remedy, said Ellen Aprill, a senior scholar in residence at UCLA Law School's center for philanthropy and nonprofits — meaning the IRS would be collecting information it has no stated authority to act on. "I think there is the potential for a fishing expedition," Aprill said.Alexander Reid, a partner at the law firm BakerHostetler who specializes in tax-exempt organizations, said the proposal about board members would collide with the Supreme Court's 2021 decision in the case Americans for Prosperity Foundation v. Bonta. The ruling struck down a California requirement that charities turn over lists of their major donors."The bulk collection and disclosure of sensitive information from tens of thousands of charities, much of which would never be relevant to tax administration or charitable-law enforcement, would fail exacting scrutiny by chilling freedom of association without furthering a narrowly defined governmental interest," Reid said.The IRS has come under the spotlight more recently over questions about political interference. Ken Kies, who was the top tax official at the Treasury Department, was ousted in July after warning that the White House was at risk of illegally involving itself in IRS audits, The Wall Street Journal reported.Steven Toscher, a tax attorney in California, said that from a good governance perspective, he does not see a problem with requiring nonprofits to disclose terrorism-related convictions of their board members. At the same time, he said, it's fair to raise questions about why the Trump administration wants this information, what it might use it for and how it defines terrorism."It's hard to view this in isolation of just good corporate nonprofit governance because of the executive who is proposing it," he said. "They have an agenda, so it's hard to filter this." Diane Yentel, president and CEO of the National Council of Nonprofits, which represents roughly 25,000 organizations, sees the administration's proposal for officers as part of a pattern of Republicans seeking to target groups in the sector that are not aligned with Mr. Trump."Nonprofits welcome reasonable regulation as a way to maintain public trust," said Yentel, but the proposal is "a step too far when viewed in the context of all of the administration's actions and rhetoric of the last 18 months, including equating some nonprofits to 'domestic terrorists' or 'enemies' of the American people."She said complying with the disclosure "would take precious time and resources away from nonprofits' core work of serving communities."
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