The Third Great Plague: A Discussion of Syphilis for Everyday PeopleStokes, John H. (John Hinchman)
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The Third Great Plague: A Discussion of Syphilis for Everyday People
Stokes, John H. (John Hinchman)
Syphilis
Even while we concede the value of generations of experience with
syphilis in determining the probable risk of infection, it is a duty to
investigate thoroughly by the modern methods, such as the Wassermann
blood test, the condition of all members of a family in which syphilis
has appeared. This means, for example, that even though the husband with
syphilis may have married years after the usual period of infectiousness
has passed, his wife, though outwardly healthy, should have a Wassermann
test, and his children would be none the worse for an examination, even
though they seem normal. Syphilis is an insidious disease, a consummate
master of deceit, able to strike from what seems a clear sky. The latest
means for its recognition have already revolutionized some of our
conceptions of its dangers and its transmission. It is only common
prudence to take advantage of them in every case, to forestall even the
remotest possibility of mistake or oversight.
Where both husband and wife have had syphilis, even though both are past
the infectious stage, both should be treated, and a complete cure for
the wife is advisable before they undertake to have children. This must
mean an added burden of responsibility on both physician and patient,
and one extremely difficult to meet under existing conditions. A
reliable means of birth control used in such cases would place the
problem in women on a par with that in men, and give the physician's
insistence on a complete cure for the woman a reasonable prospect of
being needed. Where his advice is disregarded and a pregnancy results,
the woman should be efficiently treated while she is carrying the child.
+Syphilis and Engagements to Marry.+--If a five-year rule is to be
applied to marriage, a similar rule should cover the engagement of a
syphilitic to marry, and it should cover the sexual relations of married
people who acquire syphilis. It is not too much to expect that an
engaged person who contracts syphilis shall break his engagement, and
not renew it or contract another until by the five-year rule he would be
able to marry with safety.
Public-domain text, read in full here on John Shaqi.
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