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What is a major prevention measure for Shigella spp. infections?

  1. Avoid drinking water

  2. Cook all foods thoroughly

  3. Wash hands often

  4. Limit raw foods

The correct answer is: Wash hands often

Handwashing is a critical preventive measure for Shigella spp. infections because these bacteria are primarily spread through fecal-oral transmission, often from contaminated hands. Proper handwashing with soap and water, especially after using the restroom and before handling food, significantly reduces the risk of transmitting Shigella. This is essential in environments like food service and child care, where the potential for outbreaks is heightened. While the other options mention useful food safety practices—such as cooking foods thoroughly and limiting raw foods—these may not directly address the main transmission route of Shigella, which is often linked to poor hand hygiene. Avoiding drinking water without understanding its source may not effectively prevent infection if hands are not properly washed. Therefore, frequent handwashing is the most essential and effective prevention measure for reducing the risk of Shigella infections.