KEENE, N.H. (MyKeeneNow) Cheshire Medical Center is working with state health officials after identifying 16 people who were exposed to cyclossporiasis as part of a nationwide outbreak involving the foodborne parasite cyclospora.

Hospital officials said the group includes 10 employees, and nine of the cases have been confirmed by the New Hampshire Department of Health and Human Services. The medical center reported the cases to the state as they were identified.

According to the Department of Health and Human Services, investigators believe several of the cases are associated with recalled Taylor Farms lettuce that was available at Cheshire Medical Center’s cafeteria salad bar before the nationwide recall was announced.

Hospital officials emphasized that no patients admitted to Cheshire Medical Center contracted the illness during their hospital stay.

After learning of the possible connection, the medical center removed all recalled products from service and temporarily closed its salad bar as an added precaution. Officials said the salad bar will remain unavailable until they are confident it is safe to reopen.

Cheshire Medical Center said it is continuing to coordinate with the state health department as the investigation continues and will adjust its operations as needed based on guidance from public health officials and the U.S. Food and Drug Administration.

Cyclosporiasis is an intestinal illness caused by the parasite Cyclospora. While it is generally not life-threatening, it can cause severe gastrointestinal symptoms. The parasite spreads through contaminated food or water.

Health officials recommend washing hands thoroughly with soap and water, or using hand sanitizer when soap and water are unavailable, and rinsing fresh produce—including lettuce, broccoli and berries—before eating.