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A high-risk clone ST69 (clonal complex 69) was also observed in the farm environment. This study provides genetic evidence that E. coli antimicrobial resistance factors in farm environments originate in the clinic or in livestock, and suggests that Good Agricultural Practice in farming is important to inhibit the spread of antimicrobial resistance to fresh produce.BACKGROUND Respiratory syncytial virus (RSV) typically causes winter outbreaks in temperate climates. During summer 2017, the Minnesota Department of Health (MDH) received a re