A team of students from the Department of Epidemiology and Public Health, Yale University School of Medicine, has been investigating an increase in reported infections with Neisseria gonorrhea statewide in children 13 years of age or less, excluding neonates, in Connecticut. In particular, there was a marked increase in reported infections in one city between 1983 and 1984. The results suggest that much of a statewide increase during that time may have been due to improved recognition, predominantly due to the use of pharyngeal cultures in this city, and raise disturbing questions about the adequacy of recognition, culturing, and reporting from other parts of the state.