The Third Great Plague: A Discussion of Syphilis for Everyday PeopleStokes, John H. (John Hinchman)
History
The Third Great Plague: A Discussion of Syphilis for Everyday People
Stokes, John H. (John Hinchman)
Syphilis
+Value of Conservative Action.+--It cannot be said too often that a
reasonable conservatism should temper the ardor of reformers, or more
harm than good will be done by the collapse and failure of
ill-considered special legislation. Unified action against syphilis and
gonorrhea as public health problems is as important as unified action on
the problems of railroad control, child labor, or corporate monopoly.
For that reason it is a matter of some uncertainty how much can be
accomplished by individual states in this country in the way of
restrictive legislation, such as that controlling the marriage of
infected persons, or punishing persons who fail to carry treatment to
the point of cure. Under the direction of a national bureau or
department of health administration there is no doubt that the movement
against syphilis would advance at a much more rapid pace than with the
sporadic and scattered activities of mixed state and private agencies.
+The Essential Features of a Modern Campaign.+--The repeated sifting of
the facts which has been done in recent years by important
investigations, such as that of the Sydenham Commission in Great Britain
and the Society for Combatting Sexual Disease in Germany, and the
legislative programs already mentioned, have gradually crystallized into
fairly definite form, the undoubted essentials of a program for
controlling venereal diseases, syphilis among them. These may be
summarized as follows:
1. The provision of universally available good treatment, at the expense
of the state, if necessary, for the diseases in question.
2. The provision by the state of efficient means of recognizing the
diseases at the earliest possible time and with the greatest possible
certainty in any given case.
3. The suppression of quack practice, drug-store prescribing, and
advertising of cures for these diseases.
4. Moral and educational prophylaxis and the vigorous suppression of
prostitution.
In addition to these measures, which are common to all proposals and
working systems for the control of sexual disease, certain other
recommendations may be classed as debatable, inasmuch as they are still
under discussion and have been incorporated into some and omitted from
others. These are as follows:
1. General instruction in personal prophylaxis for the population at
large.
2. Compulsory measures and penalties obliging patients to receive
treatment and continue it until cured, regardless of their own desires
in the matter.
3. Notification or reporting of cases of sexual disease to the health
authorities.
4. Indirect legislation, as it might be called, which aims to detect
infected persons before they enter on marriage rather than at the outset
of the disease, either by releasing the physician in charge of the case
from the bond of professional confidence, or by requiring health
certificates before marriage, and which annuls marriages after infection
is discovered.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account