DETROIT (AP) — Two people have died in the cyclospora outbreak in Michigan, state health officials announced Monday, the first deaths confirmed in the U.S. related to the microscopic parasite. The Michigan Department of Health and Human Services said both people had underlying health conditions that may have been impacted by the intestinal illness and dehydration. Many cases are never linked to a specific food or other source and, for years, few U.S. cyclospora outbreaks were reported. Previously, 2019 saw the most reported U.S. cyclosporiasis cases, with about 4,700. But CDC numbers can lag state reports, which suggest the number is more than 20,000 nationwide.