Gonorrheal vulvovaginitis in children is a common disease; at the Cook County Hospital alone we treat about 150 patients a year. Brunet and his co-workers1 estimate that it occurs in from 1 to 5 per cent of the female children of the poor sections of the larger cities. We feel that this estimate is very conservative. In 1930 we were called to an institution to take care of several patients with vaginitis. After taking smears of all the girls, approximately 300, we found that 20 per cent were positive for gonococci. In Chicago there is a high percentage of active cases among the Negro population.
The sources of infection are numerous. In institutions the diaper appears to be the chief source of infection. Towels, linen, thermometers, bath tubs, attendants and nurses also may convey the organism from one child to another. About 80 per cent of our patients are