title: Endemic giardiasis and day care.
abstract: Five surveys of 1,731 children for stool ova and parasites (1971 to 1981) in a rural county provide a unique perspective on naturally occurring, nonepidemic giardiasis. Currently white children in day care centers in Hampton County, South Carolina, experience attack rates of 26%. They enter the first grade with at least six times as much infection as those who do not attend day care. A trend toward more giardiasis linked to working mothers and day care is evident among white preschool children. This has not yet occurred among black preschool-aged children. These and other epidemiologic data indicate that as few as 100 children can maintain endemic levels of infection in a county of 18,000 residents. Person-to-person transmission in the day care setting is sufficient to explain this county's rising rate of stool positivity of infection (8% of all stool specimens submitted to the state laboratory).
mesh_terms: D044383:Black People; D002656:Child Day Care Centers; D002675:Child, Preschool; D005243:Feces / Q000469:parasitology; D005873:Giardiasis / Q000453:epidemiology* / Q000469:parasitology / Q000635:transmission; D006801:Humans; D012424:Rural Population; D013022:South Carolina; D044465:White People; D001741:Black or African American