“…paratuberculosis (MAP)is present in pasteurized milk (Millar et al, 1996;Ellingson et al, 2005), infant formula made from pasteurized milk (Hruska et al, 2005), surface water (Pickup et al, 2005;Whan et al, 2005;Pickup et al, 2006), soil (Pickup et al, www.intechopen.com Environmental Triggers of Type 1 Diabetes Mellitus -Mycobacterium Avium Subspecies Paratuberculosis 235 2005), cow manure ''lagoons'' that can leach into surface water, cow manure in both solid and liquid forms that is applied as fertilizer to agricultural land (Grewal et al, 2006), and municipal tap water , providing multiple routes of transmission to humans. In a recent study in Ohio the DNA of MAP was detected in over 80% of domestic water samples (Beumer et al, 2010). Normal water treatment processes such as filtration and chlorination amplify rather than eliminate mycobacteria organisms by killing off their competitors (Falkinham, 2003).…”