माखासे आगोमा बिथिङाव, बेयो जायखि-जायाजों जाय सनदेरजाग्रा, थोंजों सोमोनदोनि गेजेरजोंबो बारस्लायहोजानो हायो।
In some, rare cases, it can also be transmitted through direct contact with someone who is infected.