I know what you ate this summer

Something’s happening in Michigan's food supply: the state typically identifies around 50 cases of cyclosporiasis (an intestinal illness caused by foodborne parasite, Cyclospora) each year; as of last Tuesday, it had reported over 4,300—with cases continuing to climb nationally. Last week, the FDA briefly traced the outbreak to “shredduce,” then retracted the finding as a false positive. The investigation comes at an interesting moment for public health. Six years after the COVID-19 pandemic drew accelerated investment in innovative approaches to disease surveillance, a subsequent pullback in resources is presenting new outbreak challenges.

Even as public health resources tighten, advancements in sensing technologies and AI are expanding the toolkit for digital disease surveillance. Companies like Biobot Analytics, for example, are scaling wastewater surveillance analytics to track pathogens and substance use trends across communities before they become widespread. At home, connected devices—including smart toilet offerings like Throne, Kohler Health, and WithingsU-Scan—are generating longitudinal urinary and digestive health data that could help identify meaningful health changes earlier. Public health practice is evolving alongside these sensing technologies. Last week, the Coalition for Health AI (CHAI) launched PULSE, a national initiative to help state and local public health agencies implement generative AI. Early areas of focus include biosurveillance and public communication, with the aim to pilot key programs and translate learnings into vendor-agnostic playbooks for broader adoption.

As disease surveillance gains new data inputs and public health agencies take on new efforts to implement AI, the time between the first biological signal and a public health response could shrink from weeks to days. Unfortunately, none of those innovations can un-eat a contaminated salad. So maybe this week, skip your mom's advice…and don't eat your greens.

Our latest speaker drop for Rock Health Summit 2026 is here. Newly announced to join us on October 14 in San Francisco: Susannah Fox, Author of Rebel Health; Deena Shakir, Partner at Lux Capital; and Glen Tullman, CEO at Transcarent. Register now to save your spot!

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