“…In Europe, C. cayetanensis oocysts were detected in 9% of samples tested of drinking water, wastewater, and recreational water in Madrid, Spain (Galvan et al, 2013) and in 15.5% of several environmental matrices including treated wastewater, soil, and vegetables in Apulia, southern Italy with a high prevalence of infection in humans (27.5%, 11/40) (Giangaspero et al, 2015b). In southern Arizona in the US, 19% of wastewater samples were positive for the parasite (Kitajima et al, 2014). The German Cyclospora outbreak and the finding of the parasite in different biological matrices in the former countries suggest that irrigation water, soil, and vegetables may represent a source of cyclosporiasis in these areas and illustrates the potential for C. cayetanensis to become endemic in industrialized nations.…”