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
+Relation of War to the Spread of Venereal Disease.+--The frequent
reference to the relation of war to the problems of sexual disease seems
to justify a concluding paragraph on this aspect of the matter. Much of
the impetus which has carried European nations so far along the road
toward an organized attack on syphilis and gonorrhea, as has been said,
is undoubtedly due to the realization that war in the past has been the
ally of these diseases, and that a campaign against them is as essential
to national self-defense as the organization of a vast army. Conflicting
reports are coming from various sources as to the prevalence of syphilis
and gonorrhea among European troops, although hopeful indications seem
to be that troops in the field may have even a lower rate of disability
than in peace times (British figures). The most serious risks are
encountered in troops withdrawn from the front or sent home on leave,
often demoralized by the strain of the trenches. The steady rise in the
amount of syphilis in a civil population during war is evidenced, for
example, by the figures of Gaucher's clinic in Paris, in which, just
before the war, 10 per cent of patients were syphilitic; after the first
sixteen months of the war 16.6 per cent were syphilitic, and in the last
eight months, up to December, 1916, 25 per cent had the disease. There
can be no doubt that a campaign of publicity can do much to control the
wholesale spread of infection under war conditions, and we should bend
our efforts to it, and to the more substantial work of providing for
treatment and the prevention of infectiousness, with as much energy as
we devote to the other tasks which preparedness has forced upon us. The
rigorous provisions proposed for continental armies should be carefully
studied, and in no cases in which either syphilis or gonorrhea is active
should leave or discharge be granted until the infectious period is
over. Compelling infected men to remain in the army under military
discipline until cured might have a deterrent effect upon promiscuous
exposure. In addition we should create as rapidly as possible a
mechanism for keeping inactive cases under surveillance after discharge
until there can no longer be the slightest doubt as to their fitness to
reenter civil life. Observers of European conditions in the population
at large are emphatic in saying that home conditions must have as much
attention as the army, and that suppression of open prostitution, a
watchful eye on the conditions under which women are employed or left
unemployed, and the control of contributory factors, such as the liquor
traffic, must be rigorously carried out. Nation-wide prohibition will do
much to control venereal disease.[18] It is interesting and significant
that little reliance is being placed on the obsolete idea that
prostitution can be made a legitimate and safe part of army life solely
by personal prophylactic methods, or by any system of inspection of the
women concerned.
Public-domain text, read in full here on John Shaqi.
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