E.coli spreads in a variety of ways. It can be aerosolized from wastewater plants and toilets. It can be found in the air in and around poultry farms. Through sampling you can find E.coli on money, door knobs, elevator buttons or any other commonly touched item. E.coli is on floors, shoes, cart wheels and any other item that touches floors. Because it is on touch points it also is move through the environment on hands.

All forms of biology move through the environment using different modes of movement. All modes must be addressed with a good infection control program. Bugs move on or in food, water, clothing, air, surfaces, and hands. It is not a difficult concept to understand but the medical community has viewed this incorrectly for decades. It is time to realize that our environment impacts our health and that all facility managers must take infection control seriously.

Transfer Efficiency of Bacteria and Viruses from Porous and Nonporous Fomites to Fingers under Different Relative Humidity Conditions
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3754157/

Microbial Exchange via Fomites and Implications for Human Health
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149182/

Predictors of growth of Escherichia coli on lab coats as part of hospital-acquired infection transmission through healthcare personnel attire

https://pubmed.ncbi.nlm.nih.gov/34486786/

Persistence of Nosocomial Pathogens on Various Fabrics
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4261405/

Handwashing in Communities: Clean hands Save Lives
https://www.cdc.gov/handwashing/why-handwashing.html

Contamination of health-care workers' hands with Escherichia coli and Klebsiella species after routine patient care: a prospective observational study

https://www.sciencedirect.com/science/article/pii/S1198743X19306020

Airborne Survival of Escherichia coli under Different Culture Conditions in Synthetic Wastewater
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926559/

Survival of Escherichia coli in Airborne and Settled Poultry Litter Particles
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8833766/

Emission strength of airborne pathogens during toilet flushing
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165531/