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From: Hantavirus Pulmonary Syndrome Red Book® 2015, 2015 Figure Legend: Transmission of hantaviruses. The virus is horizontally transmitted between rodents through intraspecific aggressive behaviors, such as biting. The virus is transmitted to humans from aerosolized rodent excreta, particularly urine. Transmission to humans also can occur from inhalation of secondary aerosols and from rodent bites or other direct contact of infectious material with mucous membranes or broken skin. Courtesy of Centers for Disease Control and Prevention Date of download: 5/6/2017 Copyright © 2017 American Academy of Pediatrics. All rights reserved.