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June 1963

III. The Georgia Epidemic

Author Affiliations

Henry R. Shinefield, MD, Assistant Professor of Pediatrics, The New York Hospital-Cornell Medical Center, 525 E 68th St, New York.; From the Department of Pediatrics, The New York Hospital-Cornell Medical Center; The Piedmont Hospital, Atlanta; Communicable Disease Center, Public Health Service, United States Department of Health, Education and Welfare, Atlanta; and the Departments of Preventive Medicine and Pediatrics, Emory University, School of Medicine, Atlanta, Ga. Recipient of Lederle Faculty Award (Dr. Shinefield) Cornell Medical College; Epidemic Intelligence Service Officer, CDC PHS USDHEW, and Instructor, Departments of Preventive Medicine and Pediatrics, Emory University School of Medicine, Atlanta (Dr. Boris); Assistant Professor of Medicine, Cornell University Medical College (Dr. Ribble); Director of Pediatrics Piedmont Hospital, Atlanta (Dr. Cale); Professor of Pediatrics Cornell Medical College (Dr. Eichenwald).

Am J Dis Child. 1963;105(6):663-673. doi:10.1001/archpedi.1963.02080040665017

Definition of Terms.—A glossary of terms used in this publication is included in a previous paper.1

In the preceding papers of this series, evidence has been presented which indicates that the 502A strain of Staphylococcus aureus is capable of colonizing the cord and nasal mucosa of newborn infants,1 and that the presence of this organism actively interferes with the subsequent acquisition of other coagulase positive staphylococci, including type 80/81, under epidemic conditions.2 The present communication presents additional evidence bearing on this point, as well as certain other data on the ecology of staphylococcal infection in newborn infants and their contacts.

During September and October of 1961, an increase in the rate of impetigo among infants discharged from a proprietary Atlanta hospital was noted by the pediatricians in the area. Preliminary studies were carried out by a group of investigators from the Communicable Disease Center between Nov