How is hookworm spread?
Hookworm eggs are passed in the feces of an infected person. If an infected person defecates outside (near bushes, in a garden, or field) or if the feces from an infected person are used as fertilizer, eggs are deposited on soil. They can then mature and hatch, releasing larvae (immature worms). The larvae mature into a form that can penetrate the skin of humans. Hookworm infection is transmitted primarily by walking barefoot on contaminated soil. One kind of hookworm (Anclostoma duodenale)can also be transmitted through the ingestion of larvae.