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
+Easily Available Treatment.+--It will be noticed that toleration of
prostitution with supervision has finally disappeared from the modern
program for the control of sexual diseases. The provision for
universally available treatment, regardless of the patient's means or
circumstances, should be thought of as the one fundamental requirement
without which no program has made even a beginning. For over a century
Denmark has provided for the free treatment of all patients with
venereal disease. The Norwegian law, essentially similar, dates from
1860. Italy a few years ago adopted a similar program, placing squarely
upon the state the responsibility of providing for the care of all
patients with venereal diseases. England has just adopted a mixed
provision which will in practice place most of the responsibility upon
the state and very little on the individual, as far as the expense of
treatment is concerned. Germany has compelled her insurance companies
to shoulder the burden, and under pressure of war is hastening matters
by invoking more and more governmental aid. The recent West Australian
Act provides that every medical officer in the pay of the state shall
treat venereal disease free of charge. In comparison with the tremendous
advances over previous indifference which such programs represent, this
country makes a poor showing. Among us, no public agency is formally
charged with any duty in the matter of preventing, recognizing, or
treating the vast amount of venereal infection that mars our national
health. Certain state boards of health are attempting to perform
Wassermann tests, and certain municipalities have well-organized
laboratories for the detection of syphilis and gonorrhea, but there are
few purely public agencies that even pretend to have a specialist in
their employ to assist in the recognition of cases and conduct the
treatment of patients who cannot afford private care. Hospital and
dispensary treatment of venereal diseases is almost entirely in
semi-private hands, and a recent investigation of clinics and
dispensaries for the treatment of syphilis and gonorrhea in New York
city, for example, showed that many of them were so poorly equipped and
run at such unreasonable hours that they were frequented only by
vagabonds, were of no value in the early recognition of syphilis, could
not administer salvarsan under conditions to which a discriminating
patient would dare to trust himself, and made no pretense at following
their cases beyond the door or discharging them from medical care as
cured. One of the largest cities in this country until a year ago had
not even a night clinic to which day workers could come, and is scarcely
awake now to the necessity for such a thing.
Public-domain text, read in full here on John Shaqi.
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