WICHITA, Kan. (KWCH) – As health officials gain insight into the nationwide outbreak of the intestinal illness, cyclosporiasis, data from the Kansas Department of Health and Environment show a sharp increase in cases within the Sunflower State.

As of Wednesday, KDHE is reporting 55 cases of the “explosive diarrhea” outbreak for the year, including 25 this month. A breakdown of the Kansas cases shows a balance of cases among males and females. The state data doesn’t break down county-by-county numbers, but on Tuesday, Sedgwick County confirmed five cases for the year, a total that is likely to jump with the additional statewide confirmations.

Also on Tuesday, the Michigan Department of Health and Human Services said it identified lettuce and other salad greens as a potential source of the outbreak.

Adding to the concern about produce, Taco Bell issued a statement saying it had “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,” the restaurant chain said.

Sedgwick County offered guidance on ways to protect yourself from cyclosporiasis and bacterial illnesses connected with produce:

• Wash fruits and vegetables thoroughly under running water before eating, cutting, or preparing them.
  • Scrub firm fruits and vegetables, such as melons and cucumbers, with a clean produce brush.
  • Cut away any damaged or bruised areas on fruits and vegetables before preparing and eating.
  • Avoid bagged lettuce or salad mixes. When eating a whole head of lettuce, remove the first two or three layers of leaves and thoroughly wash the inner leaves under running water. Separate the leaves as you wash them.
• Heating food to 158 degrees or higher kills the parasite.
• Practice good hand hygiene by washing hands with soap and water before preparing or eating food and after using the bathroom or changing diapers.
• Travelers to cyclosporiasis-endemic areas should follow food and water precautions, including avoiding foods and beverages that may be contaminated.
• Be aware that Cyclospora is unlikely to be killed by routine chemical disinfection or sanitizing methods.
• If you develop symptoms of cyclosporiasis, especially persistent watery diarrhea, contact a healthcare provider for evaluation and treatment recommendations.

David C. Miller, MD, MPH, Chief Executive Officer of Michigan Medicine and Executive Vice President for Medical Affairs for the University of Michigan, has been chosen to succeed Jeff Balser, MD, PhD, as the next President and CEO of Vanderbilt Health and Dean of Vanderbilt University School of Medicine. Miller will assume the role at Vanderbilt on Jan. 1, 2027. 

Earlier this year, Balser announced plans to retire on Dec. 31, after serving Vanderbilt in both leadership roles for nearly two decades.

Miller’s selection as the new senior leader for Vanderbilt Health (VH) and Vanderbilt University School of Medicine (VUSM) finalizes an extensive national search by the VH Board of Directors to identify Balser’s successor.  

“From an incredibly strong field of applicants, Dr. Miller’s personal warmth, prior leadership experiences, and commitment to organizational culture stood out. David has presented an exciting vision for advancing the Medical Center’s missions and is the ideal candidate to succeed Dr. Balser.  We look forward to welcoming David, his wife, Inge, and family to the Nashville community,” said Edie Carell Johnson, JD, Chair of the VH Board of Directors. 

“On behalf of the Board, I want to again express my deep appreciation to Dr. Balser for his many years of dedication to the Medical Center’s growth and success. Jeff will be remembered for his commitment to excellence and as a leader whose contributions will continue to impact generations of patients and families now and into the future.”

Miller has spent the bulk of his career with the University of Michigan and Michigan Medicine where he has held a variety of administrative and academic roles and has been instrumental in enhancing quality, safety and patient experience and expanding access to health care services across Michigan through operational growth and strategic partnerships.

Similar in size and scale to Vanderbilt Health, Michigan Medicine is a statewide academic health system with 12 hospitals, 5,800 clinicians, 2,500 physicians-in-training, 97,000 annual discharges, 4.7 million outpatient visits and $820 million in annual research awards.

As the new leader of VH and VUSM, Miller will be responsible for shaping the institution’s core missions of advancing health care delivery, scientific discovery, health care training and education, and community engagement while championing a culture of collaboration, service and clinical excellence amidst a period of rapid growth.    

“Serving as CEO and Dean has been tremendously rewarding, and I’m forever grateful for everyone’s support. I want to congratulate Dr. Miller and welcome him into the Vanderbilt family,” said Balser. “David is a seasoned leader with deep, career-long experience in our core missions of health care, research and teaching. He joins us at an exciting and transformative moment in history. I am confident he will sustain our positive momentum while nurturing the distinctive and caring culture we all treasure.”   

Miller will be responsible for the development, implementation and fulfillment of strategies spanning VH and VUSM and will be central to maintaining the scholarly activities shared by the Medical Center and University. 

“Vanderbilt University and Vanderbilt Health together form one of the largest and most eminent research enterprises in American higher education — one that turns discovery into better treatments and educates the next generation of physicians and scientists,” said Daniel Diermeier, PhD, Chancellor, Vanderbilt University. “Our School of Medicine sits at the heart of that work, which is why this appointment matters well beyond our campus. I am delighted to welcome Dr. Miller as its Dean and a partner in this transformative work, and I look forward to what we will accomplish together.”

Prior to his service as the CEO of Michigan Medicine, Miller served as Executive Vice Dean for Clinical Affairs for the University of Michigan Medical School and President of U-M Health, a clinical enterprise with approximately 20,000 employees caring for more than 1.3 million patients, where he oversaw all aspects of strategic, operational, clinical, cultural and financial performance. During his tenure at Michigan Medicine, Miller also led the clinical, business and cultural integration of the statewide academic health system.

Before serving as U-M Health’s President, Miller served as Chief Clinical Officer for Michigan Medicine’s University Hospital and the Frankel Cardiovascular Center. As a Professor in the Department of Urology, he also maintained a clinical practice focused on the diagnosis and management of patients with prostate cancer. 

Miller has been awarded research funding for urologic cancer by the National Institutes of Health, the Agency for Healthcare Research and Quality, and the American Cancer Society. A frequently invited speaker on urologic cancer, Miller is the author or co-author of more than 300 peer-reviewed articles, editorials and abstracts. In addition to his clinical practice, Miller served as Director of the Michigan Urological Surgery Improvement Collaborative (MUSIC) from 2011 through 2020, a coalition of more than 40 urology practices improving urological care in Michigan.  

“I am honored to be named the leader of one of the most highly regarded academic health care organizations in the country,” Miller said. “Vanderbilt is synonymous with exemplary patient care and world-leading innovation and medical education; I am humbled to be following in Dr. Balser’s footsteps. I am eager to begin meeting faculty, staff and students to learn what makes Vanderbilt such an exceptional organization with an unparalleled culture. My wife, Inge, and I are also excited about getting to know Nashville and the entire state.”

Miller earned a Bachelor of Science from the University of Michigan, Doctor of Medicine from Washington University School of Medicine, and a Master of Public Health with emphasis in epidemiology from the University of Michigan School of Public Health. His residency training in urology was at the University of Michigan, followed by a health services research and clinical fellowship in urologic oncology at the University of California, Los Angeles.   

Related

Heavy smoke from several large wildfires blazing in Canada and Minnesota is expected to engulf large swaths of the Midwest and Northeast U.S. this week, exposing millions of people to dangerous air pollution.

Over 100 wildfires currently are burning in Canada and winds are carrying the smoke southeast. Warnings about dangerous, unhealthy air extended Wednesday from Minnesota through Toronto and into New York. Unusually hot summer temperatures were expected too.

The best advice is to stay indoors to avoid both the smoke and the extreme heat, said Tyler Hasenstein, meteorologist with the National Weather Service in Chanhassen, Minnesota.

“Those two things coinciding with each other is not good from a health perspective,” he said.

Rangers try to get thousands of campers out of remote Minnesota wilderness

In far northeastern Minnesota, rangers were trying to warn people that the Boundary Waters Canoe Area Wilderness was closed Tuesday because about 17 fires caused by lightning more than a week ago were spreading through the vast wilderness accessible primarily by canoe.

Rangers estimated anywhere from 6,000 to 10,000 people were inside the 1.1-million-acre wilderness, which is almost the size of Delaware, Superior National Forest spokesperson Joy VanDrie said.

“It’s an arduous job,” VanDrie said of rangers and campers having to canoe for hours or even carry their boats over land to evacuate.

No injuries or deaths have been reported. Rangers were going through every lake and waterway and officials estimated they had about 90% of the people out Wednesday.

Campers rescued this week said skies quickly darkened from smoke and they could feel the heat as they paddled or were taken by boat to safety.

Jan Bailey was camping with her husband, daughter, son-in-law, two grandchildren and three dogs when they noticed wispy smoke on the horizon. Two hours later, they could see a raging firestorm. A paddleboarder with a satellite phone fled to their campsite and they called forestry rangers who sent a boat to rescue them and others.

“We had fire on both sides of us at that time,” Bailey told Minnesota Public Radio. “So we’re just weaving between the lakes. It’s a little smoky. Campsites are going up.”

Even the Canadian Air Force pitched in. They rescued two groups of youth campers Wednesday who had crossed the border. One group was stuck on an isolated sandbar, Minnesota Gov. Tim Walz said.

VanDrie didn’t know when the area might reopen. Minnesota officials said some fires in the Boundary Waters will be allowed to burn indefinitely but will be monitored to ensure they don’t threaten people or property.

Severe drought and heat have led to a busy wildfire season

Dan Westervelt, associate professor at Columbia University’s Climate School, said severe drought conditions combined with heat in Canada and the U.S. have created “a perfect storm for really dry conditions to provide a lot of fuel for these wildfires to burn.” Research shows warming temperatures from burning coal, oil and gas are making fires more frequent and intense.

High levels of fine particulate matter in the air from wildfire smoke may be unhealthy for sensitive groups, such as children and people with heart or lung conditions. The particulates can cause shortness of breath, coughing, dizziness or fatigue and aggravate heart and lung diseases and other chronic health issues.

Experts suggest wearing a N95 mask if you have to be outside and keeping your indoor air cleaner by closing windows and running an air purifier or air conditioner.

It’s been a particularly busy and deadly fire season in the U.S. About four dozen large fires are currently burning across 15 states, from Minnesota and North Carolina to Colorado, Utah, Idaho, Oregon and California, according to the National Interagency Fire Center.

Prolonged drought and record-low snowpack levels combined to make conditions ripe for rapid fire growth. More than 16,800 people are assigned to fighting blazes across the county. The fires have burned over 5,678 square miles (9,138 square kilometers) — more than the size of Yellowstone and Grand Canyon national parks combined, the agency said.

Comparison view of clear vs. smoky conditions in Larsen, Wisconsin:

Smoke spreads as officials warn wildfires could burn for months

In Minnesota, officials warned large fires could burn for months. In Minneapolis, the high Wednesday was expected to be 96 degrees F and temperatures above 90 F were expected the rest of the week.

“It could well be we’re having significant fires throughout the summer until we have snow. Snow would be a good thing,” said Patty Thielen, director of the state Department of Natural Resources.

Officials in Michigan and Wisconsin warned residents about air quality issues that could last for days and the problems extended even to Maine, where residents were reporting a yellowish and brownish color in the sky.

The most intense smoke could spread as far south as Washington, D.C., by midday Thursday.

___

Associated Press writers Susan Montoya Bryan and Jeffrey Collins contributed to this report.