PEDIATRICS Vol. 60 No. 4 October 1977, pp. 486-491
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Giardiasis in Day-Care Centers: Evidence of Person-to-Person Transmission

Robert E. Black, M.D., Aubert C. Dykes, M.D., Susanne P. Sinclair, M.S. and Joy G. Wells, M.S.

From the Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Atlanta

In August and September 1975, an outbreak of diarrhea occurred in children 1 to 31/2 years old attending a day-care center. An investigation revealed overlapping epidemics of shigellosis and giardiasis, with 54% of the children infected with Giardia lamblia. At two other centers 29% and 38% of the children had G. lamblia infection, but none had Shigella. The prevalence of G. lamblia in the day-care children was significantly higher than the 2% prevalence in age-matched children not in day-care centers. Epidemiologic data suggested fecal-oral transmission of the parasite from child to child in the centers and from infected children to other family members.

Key Words: DAY-CARE CENTERS • GIARDIA LAMBLIA • GIARDIASIS

Received for publication May 14, 1977; Accepted Jun 26, 1977.




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