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
+Individual Resistance to Infection.+--The contagiousness of untreated
syphilis is influenced by two other factors besides the mere lapse of
time. The first of these is the resistance or opposition offered to
the germ by the person to whom the infection is carried. The second is
the feebleness of the germ itself, and the ease with which it dies when
removed from the body. In regard to the first of these factors, while
natural resistance to the disease in uninfected persons is an uncertain
quantity, it is very probable that it exists. It is certain that the
absence of any break in the skin on which the germs are deposited makes
a decided difference if it does not entirely remove the risk of
infection. A favorable place for the germ to get a foothold is a matter
of the greatest importance. When, however, it is remembered that such a
break may exist and not be visible, it is evident that little reliance
should be placed on this factor in estimating the risk or possibility of
infection.
+Transmission by Infected Articles.+--The feebleness of the germ and the
ease with which it is destroyed are its redeeming qualities. This is of
special importance in considering transmission by contact with infected
articles. Nothing which is absolutely dry will transmit syphilis.
Moisture is necessary to infection with it, and only articles which have
been moistened, such as dressings containing the discharges, and
objects, such as cups, eating utensils, pipes, common towels, and
instruments which come in contact with open sores or their discharges,
are likely to be dangerous. Moreover, even though these objects remain
moist, the spirochetes are likely to die out within six or seven hours,
and may lose their infectiousness before this. Smooth, non-absorbent
surfaces, especially of metal, are unfavorable for the germ.
Wash-basins, dishes, silverware, and toilet articles are usually
satisfactorily disinfected by hot soapsuds, followed by drying. Barbers,
dentists, nurses, and physicians who take care at least to disinfect
instruments and other objects brought into contact with patients with
carbolic acid and alcohol will never transmit syphilitic infection to
others. Toilet-seats, bath-tubs, and door-knobs, although theoretically
dangerous, are practically never so, and syphilitic infection
transmitted by them can be dismissed as all but unknown. This is in
marked contrast to gonorrhea, which in the case of little girls can be
transmitted apparently by toilet-seats. Much depends, as has been said,
on placing the germ on a favorable ground for inoculation, and the bare
skin, unless the virus is massaged or rubbed in, is certainly not a
favorable situation. Many experts do not hesitate to handle infectious
lesions with the fingers provided the skin is not broken, relying simply
on the immediate use of soap and water, and perhaps alcohol, to remove
the germ. While this may be a risk, it should, none the less, reassure
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