Abstracts of Papers Read at the First International Eugenics Congress: University of London, July, 1912International Eugenics Congress (1st : 1912 : London)
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Abstracts of Papers Read at the First International Eugenics Congress: University of London, July, 1912
International Eugenics Congress (1st : 1912 : London)
Eugenics -- Congresses
Vastly more important than the multitude of general social and economic
facts are these statistics of what, for want of a better term, may be
called _human production_, and which disclose what must be considered
the most alarming tendency in American life. Granting that excessively
large families are not desirable, at least from an economic point of
view, it cannot be questioned that the diminution in the average size
of the family, and the increase in the proportion of childless families
among the native-born stock is evidence of physical deterioration,
and must have a lasting and injurious effect on national life and
character.
Section IV.
Medicine and Eugenics.
THE PROPHYLAXIS OF HEREDITARY SYPHILIS AND ITS EUGENIC EFFECT.
(Abstract.)
By Dr. H. Hallopeau.
Syphilis is strongly _dysgenic_; it causes the production of profoundly
damaged children; in preventing it the physician co-operates
effectively with eugenic action. In order to prevent the propagation
of this disease we must have recourse to _administrative prophylaxis_,
_prophylaxis by persuasion_, and _prophylaxis by medical measures_.
_Administrative prophylaxis_ must act especially by multiplying
gratuitous consultations and in securing, as far as possible, hospital
treatment for persons affected by transmissible lesions, especially for
prostitutes.
To the physician belongs the duty of acting by _persuasion_ in pointing
out to syphilitics that they have no right to have children so long as
they are liable to transmit their disease to their offspring.
We must abort syphilis if it is in the stage of primary invasion:
this invasion is not, as was believed until recently, confined to
the chancre and its accompanying swellings; it includes all the
intermediate stage; in order to destroy the tripanosomes we must use
repeated injections of _benzosulfoneparaminophenylarsinate of soda_,
commonly known as _hectine_ (Mouneyrat), the only specific medicament
which is well borne locally.
Results similar to those we have just shown are obtained by making,
in a given region, two or three injections of salvarsan. However, the
comparison between the two medications is altogether in favour of that
by hectine. Indeed, experience proves that the secondary generalization
is noticeably more frequent after injections of salvarsan, and,
besides, these are far from being always painless. We have made known
to the Académie of Medicine a case in which, within 48 hours, they
caused the death of a young man in good health. Several similar cases
have since been notified, particularly by Dr. Gaucher. Confidently
believing in the axiom "Primo non nocere," we explicitly declare
ourselves adversaries of a practice which brings such accidents in its
train.
In the secondary stage, we must have recourse simultaneously to various
specific agents.
Procreation may be permitted when six months after the abortive
treatment Wasserman's reaction, after several trials, has given
uniformly negative results.
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