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most commonly rodents. The bacteria are spread to humans through animal urine or feces, or water or soil contaminated with animal urine and feces, coming into contact with the eyes, mouth, or nose, or breaks in the skin. In developing countries, the disease occurs most commonly in pest control, farmers, and low-income people who live in areas with poor sanitation. In developed countries, it occurs during heavy downpours and is a risk to pest controllers, sewage

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