In this state, the law for the prevention of infant ophthalmia provides
for the immediate reporting of every case of babies' sore eyes, and
failure to do so is considered a misdemeanor, and a third offense
results in the revocation of the license to practice medicine. In 1915,
the State Board of Health purchased 23,000 prophylactic outfits. These
are little wax ampules, containing just enough one per cent nitrate of
silver solution for the eyes of a child at birth. These ampules are
distributed free to physicians and midwives all over the state, and in
the past two years, more than 16,000 have been so distributed. In
California, the birth certificate asks these questions: "Was a
prophylactic for ophthalmia neonatorum used? If so, what?" The birth
certificate must be filed within five days. Few doctors have the
temerity to ignore these questions, or confess that they have used no
prophylactic, so the questions on the certificate insure the use of the
nitrate of silver solution in nine cases out of ten, though its use at
birth is not made compulsory. Dr Glaser reports that the birth
certificates in fourteen of the largest cities of the state, for the
year 1917, show that on eighty-seven per cent of the certificates filed,
the questions had been answered, and the prophylactic used. In Berkeley,
every one of the birth certificates filed in 1917 reported the use of a
prophylactic. The State Board of Health insists on the reporting of all
communicable diseases, and infant ophthalmia is considered one of these,
and in this connection, Dr Glaser says, "a case reported is a case
safeguarded, a physician aided, and a community protected." But it is
necessary to urge a ceaseless warfare against this most prolific cause
of infantile blindness, and social and civic organizations, churches,
schools, and all individuals who deplore needless suffering, are asked
to give the subject the widest publicity. Physicians are only now
beginning to realize that, in all phases of preventive medicine, their
strongest, most necessary, and, indeed, essential ally, is the public,
and the needed stimulus to a better medical performance is an
intelligent knowledge on the part of the people as to what should be
done.
It is a common belief that ophthalmia neonatorum is an indication that
one or both of the infant's parents have led unclean lives, and so,
until recently, it has been difficult to have all such cases reported.
While ophthalmia neonatorum _is_ often the result of the social evil,
the introduction of other pus-producing germs into the eyes at birth is
responsible for a large number of cases. So it should be remembered that
babies' sore eyes is not a disgrace (any baby may have the disease), but
blindness from babies' sore eyes _is_ a disgrace, for, in almost every
case, it can be prevented.
Public-domain text, read in full here on John Shaqi.
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