A big problem for trust in government is that high-quality governance is usually invisible. When the various agencies designed to protect the American people from all manner of threats are working perfectly, most potential disasters are detected and prevented before they happen. A lot of highly trained government workers do diligent and difficult work for little pay and less recognition, heading off crisis after crisis, and the ignorant swing-voting layman assumes that all his tax dollars are being squandered.

So one hopes that the voting public is learning a hard—or I should say watery—lesson about how important good government is, by way of the manifold consequences of Donald Trump, Elon Musk, and Robert Kennedy hacking away at American state capacity. The latest consequence can be heard in the groaning emanating from thousands of bathrooms across the country: the worst cyclosporiasis outbreak in American history. It deserves a name, so I’m calling it the MAHA Trots.

Cyclosporiasis is caused by Cyclospora cayetanensis, a single-celled parasite that lives exclusively in humans and causes particularly violent and long-lasting diarrhea. Infection is almost always through ingesting food or water contaminated with feces containing cyclospora oocysts; these take many days to become infectious, so person-to-person transmission is very unlikely. The oocysts are difficult to wash off and resistant to common disinfectants, including vinegar and bleach, so the only reliable way to kill them is by cooking past 158 degrees Fahrenheit.

In an American context, cyclosporiasis outbreaks are almost always caused by improper sanitation at farms or food processing facilities. Farmers around the world routinely refuse to provide adequate toilet or handwashing facilities for their workers if they think they can get away with it, to save money. When exploited raspberry or spinach pickers have no choice but to relieve themselves in a hole next to the field of crops, the potential consequences are obvious. A 2013 outbreak in Texas, for instance, was tied to contaminated cilantro. Contaminated irrigation water is another potential culprit.