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The ongoing outbreak of cyclospora tied to iceberg lettuce has raised new concerns about the safety of imported produce and underscores a worrisome trend: The U.S. is conducting fewer inspections to catch contaminated food. International food inspections by the Food and Drug Administration are down about 35% since 2019, the year before the COVID-19 pandemic, according to agency records reviewed by The Associated Press. The pandemic kicked off a wave of retirements and departures among FDA inspectors that continues to this day. But even before COVID the agency had failed to hit its targets for foreign inspections. Recent staffing cuts and reorganizations at the agency suggest the numbers may fall even lower.

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FILE - Doctors and nurses wearing protective gears attend a patient on ventilator at the intensive care unit of Szent Laszlo Hospital treating COVID-19 patients during the pandemic of new coronavirus COVID-19 in Budapest, Hungary, on Dec. 13, 2021. (Zoltan Balogh/MTI via AP, File)

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President Donald Trump has picked Dr. Heidi Overton to lead the Food and Drug Administration. Overton is a deputy director of the White House Domestic Policy Council and a trusted figure in Trump's administration. Overton has worked on several of Trump's health initiatives. But the new FDA commissioner will face challenges balancing Trump's priorities, traditional Republican interests and Health Secretary Robert F. Kennedy Jr.'s anti-corporate stance. Overton will need Senate confirmation and face questions from the Senate health committee. The previous FDA head, Dr. Marty Makary, resigned in May, leaving unfinished projects like work on ultra-processed foods, antidepressants and COVID-19 shots.

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FILE - WWII veteran and Navajo Code Talker Peter MacDonald Sr. is photographed at his home on the Navajo reservation in Tuba City, Ariz., April 28, 2020. (AP Photo/Carolyn Kaster, File)