Putative Cyclospora cayetanensis detection in wastewater metagenomic datasets

Cyclosporiasis is a foodborne illness caused by the parasite Cyclospora cayetanensis. Clinical surveillance often lags infection by weeks because diagnosis depends on a clinician ordering a test that is not part of routine parasite panels. Wastewater metagenomic sequencing does not depend on care seeking, which may be useful for early detection and community monitoring. We designed 1,670 31-mers from C. cayetanensis mature ribosomal RNA and retained 1,464 without an exact non-target match in the 28 July 2025 NCBI core_nt release. By analyzing 293 public wastewater metagenomes, we selected a threshold of 24 distinct diagnostic 31-mers on one read. Applying that threshold to 2,333 public runs from BioProject PRJNA1247874 yielded putative C. cayetanensis reads in 81 runs, or 3.5%, and in 24 of the 30 longitudinally sampled sewersheds. Detections rose through the summer in two consecutive years, matching the known seasonality of cyclosporiasis. The most parsimonious explanation is that these reads come from parasites shed into wastewater, although undescribed Cyclospora species absent from reference databases cannot be excluded. The same approach can be applied to other pathogens in existing wastewater sequencing data.