Rats expose people to several rat-borne diseases, especially when they live near food, water, trash, or hidden nesting spots in your home.
The answer to what diseases can rats cause includes bacterial, viral, and parasite-related illnesses that spread through bites, droppings, urine, contaminated food, or infected fleas.

The biggest risks come from exposure to rat urine, droppings, bites, and contaminated surfaces. Your best protection is fast cleanup, good sanitation, and strong rodent control.
If you wonder how rats spread disease, the answer usually comes down to contact and contamination. Rats also carry pests that pass infection to people, which makes early cleanup and prevention important.
Major Illnesses Linked To Rats
Rats spread several serious infections, and a few of them can become dangerous if you miss the early signs.
Some spread through urine or droppings, while others come from bites, scratches, contaminated food, or fleas.

Leptospirosis And Rat Urine Exposure
Leptospirosis is a bacterial infection often tied to rat urine, contaminated soil, or water. It can cause fever, headache, muscle aches, vomiting, and in severe cases kidney or liver problems.
The American Lung Association notes that rodents spread illness through contact with contamination in indoor spaces.
Hantavirus, HPS, And HFRS
Hantavirus spreads when you inhale dust contaminated by rat droppings, urine, or saliva. In the United States, hantavirus pulmonary syndrome, or HPS, is the main concern.
Hemorrhagic fever with renal syndrome, or HFRS, is more associated with other regions and rodent species. Seoul virus is another hantavirus linked to rats and can cause a milder illness or more serious disease in some cases.
Salmonellosis From Contaminated Food
Salmonellosis occurs when rat droppings or urine contaminate food, countertops, or cooking tools. Salmonella infections often cause diarrhea, stomach cramps, fever, and vomiting.
If rodents access pantries, pet food, or kitchen storage, the risk goes up.
Rat-Bite Fever After Rat Bites And Scratches
Rat-bite fever spreads through rat bites and scratches, and sometimes through contact with saliva, urine, or feces. The bacteria involved include Streptobacillus moniliformis and Spirillum minus.
Symptoms may include fever, rash, muscle pain, and joint pain, which can become serious without treatment.
Plague, Bubonic Plague, And Yersinia pestis
Yersinia pestis causes plague and fleas that feed on infected rats usually spread it. Bubonic plague is the most recognized form and can cause fever and swollen lymph nodes.
Though rare in the U.S., plague still matters because infected fleas can move between wild rodents and people.
Tularemia, Typhus, LCM, And Other Notable Infections
Tularemia can affect people after contact with infected animals or contaminated environments, and rodents may play a role in local spread. Lymphocytic choriomeningitis, or LCM, is caused by an arenavirus and can spread from rodents, including rats, through contaminated materials.
Other illnesses sometimes mentioned with rodents include lassa fever, toxoplasmosis, and angiostrongylus exposure. These are not all caused by rats in the same way or with the same level of risk.
How Exposure Happens Inside And Around The Home
Exposure often starts with simple contact, then moves through contaminated air, surfaces, food, or pests that travel with rodents. Wild rats, mice, and other rodents leave behind more than visible mess, so the route of transmission matters as much as the species.

Direct Contact With Rats, Rat Bites, And Rat Droppings
People can get infected when they touch rats, their droppings, or surfaces contaminated with rat urine. Rat bites and scratches are especially risky because they can break the skin and let germs enter quickly.
Even small contact can matter if you have cuts or touch your face afterward.
Airborne And Surface Exposure From Rodent Droppings And Nesting Areas
Rodent droppings and nesting material can dry out and become airborne when swept, vacuumed, or disturbed. That is one reason disease transmission can happen indoors even when you never see a rat.
Indirect transmission through contaminated dust and surfaces is a major concern in attics, basements, garages, and wall voids.
Indirect Transmission Through Fleas, Mites, And Ticks
Rats carry ectoparasites such as fleas, mites, and ticks. These pests may bite people after leaving a rat or nesting area, and some can carry infections like plague, typhus, lyme disease, or babesiosis.
If you find rats, consider the pests they may have brought with them.
Food And Water Contamination Risks
Contaminated food and water are common pathways for rat-related illness. Open containers, pet bowls, pantry items, and exposed drink sources can all be affected by rodent droppings or urine.
Sealed storage and quick cleanup reduce the chance of accidental ingestion.
Warning Signs And Risk Reduction Steps
A rat infestation is easier to stop when you catch it early. Look for physical evidence, clean safely, and block the access points that let a rodent infestation grow.

Signs Of Rat Infestation To Watch For
Common warning signs include gnaw marks, droppings, greasy rub marks, scratching sounds, shredded nesting material, and tracks along walls. A strong odor or repeated sightings of one rat often means more are nearby.
If you see these signs in different rooms, you may be dealing with rat infestations rather than a single visitor.
Safe Cleanup And Disinfection Basics
Avoid dry sweeping or vacuuming droppings, since that can stir contaminated particles into the air. Wear gloves, ventilate the area, and use a bleach solution or another appropriate disinfectant on hard surfaces before wiping up waste.
Wash hands well after cleanup and keep children and pets away until the area is safe.
Prevention Through Sanitation And Exclusion
Good sanitation helps prevent rat infestations by removing food, water, and nesting material. Seal gaps, repair screens, store food in sturdy containers, and keep garbage tightly closed.
Consistent rodent control works best when sanitation and exclusion happen together.
When To Use Professional Pest Control
Call professional pest control when you see repeated activity, large droppings, burrows, or signs in hard-to-reach spaces.
Experts can trap pests, block entry points, and provide long-term rat control and rodent control.
If the infestation spreads quickly, act fast to protect your home and health.