This. As an infectious disease epidemiologist, the number of people who will work their way into laboratory confirmed case reports is a small fraction of the total number of people impacted.
replyYou are almost certainly not reflected in those numbers.
Furthermore the present CDC was gutted by an administration whose solution to Covid was to stop counting
replyAnd whose solution to "Is cyclospora a problem?" was to remove the monitoring and presumably stick their fingers in their ears.[0]
reply[0] https://www.newsweek.com/donald-trump-cdc-food-net-monitorin...
The FoodNet thing, while bad, has a bit of nuance in the system was not meant to do outbreak detection, so likely wouldn't have helped here.
replyBut it does cripple our ability to ask if this was a one-off, or if we're seeing long term trends that should be worrisome.