English: Contact with objects, household items and surfaces or eating food contaminated with urine, faeces, saliva or blood of infected rats.
Igbo: 'Imetụ ihe, ihe di n’ime ụlọ maọbụ iri nri metụrụ mamịrị, nsị, ọnụ mmiri maọbụ ọbara oke bu ọrịa ahụ.