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Nathan McCall in his novel Them, describes the concerns of existing working-class black residents in the Old Fourth Ward in light of increasing numbers of more affluent white families moving into their historically black neighborhood.
In 1928, Henrietta Egleston Hospital for Children opened in the Old Fourth Ward east of downtown Atlanta at 640 Forrest Road (now Ralph McGill Blvd.).
After World War II and continuing into the 1950s, many Jews moved out of the southside (primarily around the area that as of 2013 consisted of Turner Field, the surrounding parking lots and the Downtown Connector) and the Old Fourth Ward and into North Druid Hills and the adjacent Morningside/Lenox Park neighborhood of Atlanta.
Historic Fourth Ward Park, a park in the Old Fourth Ward of Atlanta, Georgia