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public health and education 379 Fourth. Gonorrhea patients are infectious during much of the period of treatment and may remain infectious for an indefinite period if the treatment is insufficient or lacking. Fifth. Patients may harbor gonococci and be infectious when there are no subjective or objective manifestations of disease. For this reason, the diagnosis is often missed, even by a reasonably careful physician. Sixth. It is possible for the body to develop a sort of immunity to its own gonococci or to the gonococci of an habitual partner. Such partners may cohabit without harm to either, yet be able to infect any outsider. Seventh. It is quite possible for the vagina of a prostitute to act as a reservoir for gonococcal pus deposited there, so that she can pass the infection to many others without even becoming infected herself. Such, then, is the factual background against which a plan for the attack on gonorrhea must be constructed. This collection of facts offers a ready explanation of why the medical supervision of prostitutes has been a complete fizzle. It also shows clearly why the battle against gonorrhea is going to be a much harder one than that against syphilis, and why we cannot even hope to eradicate gonorrhea completely until some really effective treatment is discovered. I would like to offer from my own experience the story of a very comprehensive and energetic effort to combat venereal disease under particularly favorable conditions. I was attached as Division Urologist to the Third Regular Army Division of the United States forces which occupied the Rhineland after the Armistice in 1918. This division held an area approximately 15 to 20 miles in diameter with a population of from 50,000 to 80,000 people. The inhabitants all lived in rural communities except about 20,000 in the two principal towns. There were about 28,000 men in the division. The plan included the following items: First, frequent instruction of the soldiers as to the dangers of venereal disease and of the necessity of prophylactic treatment if exposure occurred. Second, establishment of numerous and well-conducted prophylactic stations. Third, bi-weekly physical examinations of all soldiers to detect cases of venereal disease. Fourth, prohibition of all fraternization with the civilian population. Fifth, prohibition of the sale of liquor except between 5 and 7 p. m. o'clock. Sixth, closing of all known houses of prostitution. Seventh, hospitalization, without pass privileges, of all soldiers with venereal disease until pronounced cured or non-infectious. Eighth, thorough investigation of each case of venereal disease with discovery of its source, if possible. Ninth, arrest and confinement, in a civilian hospital, of all prostitutes or other women known to have venereal disease, until such time as they were pronounced cured. It will be seen that this plan contemplated a real quarantine of every case of venereal disease we could discover. During a period of 15 weeks, the venereal disease rate for cases contracted in the occupied area averaged 5.56 per thousand per year—a very excellent figure. On the other hand, in spite of all these strenuous efforts,
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1937 |
Identifier | NCHH-16-084 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 84 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-084.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-084 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 379 |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1937 |
Identifier | NCHH-16-084-0419 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactions841937medi_0419.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 84 |
Page Number | 379 |
Health Discipline | Medicine |
Full Text | public health and education 379 Fourth. Gonorrhea patients are infectious during much of the period of treatment and may remain infectious for an indefinite period if the treatment is insufficient or lacking. Fifth. Patients may harbor gonococci and be infectious when there are no subjective or objective manifestations of disease. For this reason, the diagnosis is often missed, even by a reasonably careful physician. Sixth. It is possible for the body to develop a sort of immunity to its own gonococci or to the gonococci of an habitual partner. Such partners may cohabit without harm to either, yet be able to infect any outsider. Seventh. It is quite possible for the vagina of a prostitute to act as a reservoir for gonococcal pus deposited there, so that she can pass the infection to many others without even becoming infected herself. Such, then, is the factual background against which a plan for the attack on gonorrhea must be constructed. This collection of facts offers a ready explanation of why the medical supervision of prostitutes has been a complete fizzle. It also shows clearly why the battle against gonorrhea is going to be a much harder one than that against syphilis, and why we cannot even hope to eradicate gonorrhea completely until some really effective treatment is discovered. I would like to offer from my own experience the story of a very comprehensive and energetic effort to combat venereal disease under particularly favorable conditions. I was attached as Division Urologist to the Third Regular Army Division of the United States forces which occupied the Rhineland after the Armistice in 1918. This division held an area approximately 15 to 20 miles in diameter with a population of from 50,000 to 80,000 people. The inhabitants all lived in rural communities except about 20,000 in the two principal towns. There were about 28,000 men in the division. The plan included the following items: First, frequent instruction of the soldiers as to the dangers of venereal disease and of the necessity of prophylactic treatment if exposure occurred. Second, establishment of numerous and well-conducted prophylactic stations. Third, bi-weekly physical examinations of all soldiers to detect cases of venereal disease. Fourth, prohibition of all fraternization with the civilian population. Fifth, prohibition of the sale of liquor except between 5 and 7 p. m. o'clock. Sixth, closing of all known houses of prostitution. Seventh, hospitalization, without pass privileges, of all soldiers with venereal disease until pronounced cured or non-infectious. Eighth, thorough investigation of each case of venereal disease with discovery of its source, if possible. Ninth, arrest and confinement, in a civilian hospital, of all prostitutes or other women known to have venereal disease, until such time as they were pronounced cured. It will be seen that this plan contemplated a real quarantine of every case of venereal disease we could discover. During a period of 15 weeks, the venereal disease rate for cases contracted in the occupied area averaged 5.56 per thousand per year—a very excellent figure. On the other hand, in spite of all these strenuous efforts, |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-084.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-084 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
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