The number of people reporting a food-borne intestinal illness in Iowa and Nebraska continues to rise.
Iowa has reported 81 cases of cyclosporiasis spread across 25 counties including one in Woodbury.
The Iowa Department of Public Health says at least five people have been hospitalized.
Nebraska has reported 53 cases mostly in the eastern part of the state. Three people were hospitalized but released.
Public health officials from both states say the illness, which causes prolonged diarrhea, comes from eating food or drinking water contaminated with feces containing the cyclospora parasite.