There are four main transmission routes whereby Enterohaemorrhagic E. coli (EHEC) may be transmitted to human: the food borne route, water, contact animal faecel material and person-to-person spread.
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The food-borne route often involves consumption of undercooked meat or meat products (mostly beef) contaminated with the organisms via faecal contact during slaughter.
Unwashed or poorly washed vegetables and fruits are common sources of foodborne illness. The 2006 North American E. coli outbreak, raw spinach was contaminated with E. coli resulting in 200 cases of infection. About 276 consumer illnesses and 3 deaths have been attributed to the tainted produce.
Common food sources of Escherichia coli