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To better understand the regional epidemiology, we analysed clinical and environmental blaVIM-positive Enterobacteriaceae through the area. Clinical samples were collected inside the Toronto Invasive Bacterial Diseases Network (2010-2016); ecological water examples were collected in 2015. We collected patient information on place of residence and medical center admissions before the analysis. Clients with and without plausible source of purchase were contrasted regarding risk exposures. M