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The mode of transmission of Mhf is poorly understood. Several possibilities have been proposed but none have been able to be reliably demonstrated. These include:
 
The mode of transmission of Mhf is poorly understood. Several possibilities have been proposed but none have been able to be reliably demonstrated. These include:
 
* Biting and fighting activities. Infection by this route has not been able to be demonstrated experimentally.  
 
* Biting and fighting activities. Infection by this route has not been able to be demonstrated experimentally.  
*[[Fleas|Fleas]]. The fact that Mhf infection can be prevalent in areas where fleas are uncommon makes this less likely<ref name="Jensen"> Jensen WA, Lappin MR, Kamkar S et al (2001) Use of a polymerase chain reaction assay to detect and differentiate two strains of ''Haemobartonella felis'' in naturally infected cats. '''Am J Vet Res''' 62(4):604-8 </ref>
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*[[Fleas|Fleas]]. The fact that Mhf infection can be prevalent in areas where fleas are uncommon makes this less likely.<ref name="Jensen"> Jensen WA, Lappin MR, Kamkar S et al (2001) Use of a polymerase chain reaction assay to detect and differentiate two strains of ''Haemobartonella felis'' in naturally infected cats. '''Am J Vet Res''' 62(4):604-8 </ref>
*[[Arthropods|Arthropods]]. Geographic variation in rates of Mhf infection does exist and could be due to transmission by an arthropod <ref name="Willi">Willi B, Boretti FS, Baumgartner C et al (2006) Prevalence, risk factor analysis and follow-up of infections caused by three feline haemoplasma species in Switzerland. '''J Clin Microbiol''' 44(3):961-9</ref>.
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*[[Arthropods|Arthropods]]. Geographic variation in rates of Mhf infection does exist and could be due to transmission by an arthropod. <ref name="Willi">Willi B, Boretti FS, Baumgartner C et al (2006) Prevalence, risk factor analysis and follow-up of infections caused by three feline haemoplasma species in Switzerland. '''J Clin Microbiol''' 44(3):961-9</ref>
     
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