Images in Cardiovascular Medicine

These data should inform outdoor educators as they discuss trek hygiene.Since nearly a third of backcountry users may carry fecal material on their hands, attention should be paid to food preparation, sharing of food from common containers, as well as hand-washing or the use of chemical gels.In contrast to North American wilderness waters, which have never been shown to have meaningful fecal contamination, trek participants themselves may well be reservoirs of enteric disease.