Two people have died in Michigan as a result of the cyclosporiasis outbreak, the state’s health department reported Monday. The deaths — apparently the first in the multi-state outbreak — come as cases in the Great Lakes State top 11,000 infections. Both people had “significant underlying health conditions” that could have been affected by cyclosporiasis and the symptoms that accompany the illness, the health department said. Weeks into the outbreak, Michigan and Ohio are still considered the epicenters. “This is a complicated outbreak,” Michael Osterholm, director of the University of Minnesota’s center for infectious disease research, wrote on X in July, referencing the cyclosporiasis outbreak.