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Foodborne outbreaks of cryptosporidiosis in which the vehicle of transmission was identified are few and only one outbreak in Maine was definitively associated with contaminated fresh-pressed apple cider [ 28 ] . Other foodborne outbreaks due to cryptosporidiosis have implicated food handlers [ 29 ] and social events [ 30 31 ] . Person-to-person outbreaks have been better documented, such as those in hospitals [ 32 33 34 35 36 37 ] and day care centers [ 38 39 ] . It is becoming increasingly evident that cryptosporidiosis is one of the multitude of enteric pathogens that is endemic in hospital and day care settings [ 40 41 42 43 ] . Other routes of exposure to Cryptosporidium may be responsible for sporadic disease in the general population such as specific sexual contact with an infected individual [ 44 45 46 ] , travel to endemic countries [ 47 48 49 50 ] , and contact with animals, both domestic and livestock [ 1 2 51 52 ] . Recent studies in Australia have demonstrated that exposure to persons with diarrhea and swimming in public pools rather than consumption of untreated tap water are the sources of community-acquired cryptosporidiosis in that country [ 53 ] . The relative contribution for each of these modes of transmission to the total burden of sporadic cryptosporidiosis among immunocompetent persons continues to be unknown in the U.S.