In Australia, it seems more to be a terrestrial transmission whereas in Africa, for example, the strain is very different and is mostly transmitted through aquatic ecosystems. Andres Garchitorena More Quotes by Andres Garchitorena More Quotes From Andres Garchitorena One possibility is maybe there's some resistance to the antibiotics that they are using, it is difficult to prevent a disease when it is not known how infection is acquired. Andres Garchitorena health-news The way it creates the ulcers is that when it's inside your skin, it multiplies, and it produces a toxin, it mostly affects the fatty tissue. It starts generally with a small nodule, but over time, it opens up and creates an ulcer. Andres Garchitorena health-news