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Giardia infection is transmitted by the fecal oral route and results from the ingestion of Giardia cysts through the consumption of fecally contaminated food or water or through person to person (or, to a lesser extent, animal to person) transmission. The cysts are infectious immediately upon being excreted in feces. The infectious dose is low; ingestion of 10 cysts has been reported to cause infection (8).

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