Escherichia coli O157 infections are the cause of sporadic or epidemic cases of often bloody diarrhea that can progress to hemolytic uremic syndrome (HUS), a systematic microvascular syndrome with predominately renal and neurological complications. HUS is responsible for most deaths associated with E. coli O157 infection. From March 2002 to February 2004, approximately 13,000 fecal pat samples from 481 farms with finishing/ store cattle throughout Scotland were examined for the presence of E. coli O157. A total of 441 fecal pats from 91 farms tested positive for E. coli O157. From the positive samples, a point estimate for high-level shedders was identified using mixture distribution analysis on counts of E. coli O157. Models were developed based on the confidence interval surrounding this point estimate (high-level shedder, greater than 10 3 or greater than 10 4 CFU g ؊1 feces). The mean prevalence on high-level-shedding farms was higher than that on low-levelshedding farms. The presence of a high-level shedder on a farm was found to be associated with a high proportion of low-level shedding, consistent with the possibility of a higher level of transmission. Analysis of risk factors associated with the presence of a high-level shedder on a farm suggested the importance of the pathogen and individual host rather than the farm environment. The proportion of high-level shedders of phage 21/28 was higher than expected by chance. Management-related risk factors that were identified included the type of cattle (female breeding cattle) and cattle stress (movement and weaning), as opposed to environmental factors, such as water supply and feed.Verocytotoxin-producing Escherichia coli (VTEC), such as E. coli O157, is an important zoonotic agent with worldwide distribution. E. coli O157 may cause sporadic or epidemic cases of often bloody diarrhea that can progress to hemorrhagic colitis, thrombotic thrombocytopenic purpura, and hemolytic uremic syndrome (HUS) (21). HUS is a systematic microvascular syndrome that is initiated by secreted shiga toxins, with predominately renal and neurological complications, which are responsible for most deaths associated with E. coli O157 infection, particularly among elderly patients (22). Infection with E. coli O157 is a leading cause of acute renal failure in children (8). The incidence of E. coli O157 infection in Scotland is substantially higher than elsewhere in Great Britain (28) Healthy cattle shed E. coli O157 in their feces (9,17,35), and this pathogen is present in most cattle operations (48). Cattle are the main reservoir host for E. coli O157 and other VTEC in the developed world (1) and play a significant role in the epidemiology of human infections (13). Outbreaks are attributed to consumption of contaminated food and water, animal contact, and person-to-person transmission (51). However, case control studies of sporadic infections, which account for the majority of cases of E. coli O157 infection in Scotland, have indicated direct contact with animals, their feces, and/...