“…Nonetheless, there is substantial evidence to suggest that environmental transmission of Toxoplasma is significant. The oocyst stage is linked to large outbreaks of toxoplasmosis (Bowie et al ., 1997; Maddison et al ., 1979; Teutsch et al ., 1979; Stagno et al ., 1980; Benenson et al ., 1982; Bahia‐Oliveira et al ., 2003) whereas epidemics caused by food contamination are typically smaller and less frequently reported (Kean et al ., 1969; Fertig et al ., 1977; Robson et al ., 1995). A number of studies have convincingly related environmental factors to toxoplasmosis risk (Tenter et al ., 2000) including a recent large multicentre study in Europe linking soil contact to T. gondii infection (Cook et al ., 2000), and studies of suburban populations of Campos dos Goytacazes, Brazil, that demonstrate high T. gondii infection rates are primarily caused by exposure to tainted water (Bahia‐Oliveira et al ., 2003).…”