Chest
Volume 80, Issue 4, October 1981, Pages 434-438
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Clinical Investigations
Hitchcock’s Birds, or the Increased Rate of Exposure to Histoplasma from Blackbird Roost Sites

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A statewide survey of populations in proximity to blackbird roost sites to determine exposure to histoplasmosis from such sites has demonstrated that a site harboring Histoplasma capsulatum, even though undisturbed, adds significantly to the exposure rate of proximal populations. Disturbance of such a site increases the exposure rate dramatically with or without concurrent clinical cases of histoplasmosis.

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Blackbird Roost Sites

Roost site locations were determined statewide through U.S. Fish and Wildlife compilations, Kentucky Department of Agriculture listings, and by questioning of county agencies and residents. Soil samples from roost sites were collected in accordance with Center for Disease Control recommendations21 and cultured using the oil flotation method.

Study Populations

Study populations in all regions of the state22 were obtained in areas surrounding blackbird roost sites previously cultured by the laboratory of this study

Blackbird Roost Sites

A total of 108 roost sites were identified. Sites were found in 57 of the 120 counties in Kentucky. The number of sites per county varied from one to seven. Seventy of these sites have been cultured with 22 (32 percent) found positive for H capsulatum. Seven of the positive roost sites had been disturbed; the remaining 15 were undisturbed.

Study Populations

A total of 7,123 persons were included in this study. Within the three study categories, 2,416 persons were in proximity to positive disturbed sites, 3,110 to

DISCUSSION

At the time this study began, only 30 blackbird roost sites had been identified in Kentucky. In somewhat over two years, 78 additional sites have been identified. Considering that new roosts are formed each pear and that when sought county by county, other older sites can be identified, the presently identified 108 sites cannot be considered inclusive of all sites in the state. This is certainly indicative that in any area where one is studying the relationship between blackbird roost sites and

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    Supported in part by a contract from the Fish and Wildlife Service, U.S. Department of the Interior.

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