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Haemophilus influenzae type b was isolated from 4.5% of outpatient children living in various parts of Kampala city and its surroundings. In contrast, this serotype was carried by up to 53% (average 29%) of 14 to 18 children living as a group in an orphanage. This finding indicates that the high carriage rate for this serotype demonstrated by Turk (1963) in a group of orphanage infants in Jamaica was not an isolated finding, and that it may be expected where large groups of children live together.H. influenzae type b did not appear to be a readily transmitted organism even in that group of children with a high carriage rate. This suggests that in ordinary open communities the transmission of this serotype from one household to another may be an extremely rare event.

Observations on the nasopharyngeal carriage of Haemophilus influenzae type b in children in Kampala, Uganda