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Spirit of the Coeval Medical Press

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perfected the technique of the application of the போபாபாபாபா யாராயமாமாமாமாமாமாமாமா Carrel discoveries and mastered a system of teaching it so that the most inexperienced hospital nurse might acquire a working knowledge of its details. She accomplished wonders in skin

பாபாபாபாபாபாமாயில் grafting and transfusion. .

When Dr. Carrel returned to the United States THE CONTROL OF VENEREAL DISEASES 1 to establish an army base hospital at the Rocke

Dr. A. L. Goldwater, in Medical Review of Reviews feller institute for the training of American army surgeons Mme. Carrel took his place at Com

The venereal problem is a military and civil

ian problem, and is undoubtedly the most serious piegne. The highest honor the French government can bestow upon her has just been con

of the present time. The tuberculosis situation

is grave and war conditions will probably inferred.

crease the prevalence of pulmonary tuberculosis,

but the great impending question is how to best A YOUNG MAN OF SEVENTY DESCRIBES control the spread of venereal diseases. HIS DAILY LIFE

Good sanitation, in conjunction with other

effective preventive measures, has practically Now, at seventy, I am still dancing privately,

abolished epidemic diseases, which formerly at least twice a week, and walk when it is con

were the scourges of military camps and espevenient. In the summer I swim, play tennis, and

cially of such camps during active service. Tyenjoy other forms of exercise.

phoid fever has been almost unknown during But exercise is not the only essential to

this war, and without exaggeration it may be health, as I see it. I never smoked, and there is

said that, speaking broadly, contagious diseases no nicotine or alcoholic poison in my system.

are well under control. This happy result is due Early rising always seemed beneficial, and hard

to the fact that on account of the ability of the work was never detrimental.

various infectious diseases to spread and menace Much of my exceptional health and strength the lives and health of communities they have is due to absence of worry. I never would carry

been fought tooth and nail with intelligently conthe annoyances of business back to the home, ceived and strictly carried out laws and restricand allow them to interfere with home duties tions. and pleasures. As important as anything else However, the most dreadful of all these diswas the attempt always to be cheerful in spite

eases, the venereal diseases, which are probably of setbacks, planning tasks for myself and never

the fons et origo of most of the serious physical being satisfied until they were accomplished, and

and mental disabilities to which the human specultivating a spirit of helpfulness for others.

cies is subject, have been allowed to proceed to Now, at seventy years, I feel as active as 1 all intents and purposes unchecked and unhindid at forty; and my physician tells me that I dered. It is true that treatment of venereal dishave the blood-pressure of a man of thirty. I

eases has greatly improved, but in order to stamp rise at six, breakfast at seven, reach the office them out or even control them with any hope of at eight, and follow a vigorous business day, laid success, other measures are urgently called for. out on schedule. Lunch is taken as a rest. At The war in Europe has emphasized the menace 3:30 I start for home, and often have to attend

of the venereal diseases and borne in upon the a meeting at night. I retire between ten and

minds of medical authorities and of thoughful twelve o'clock, after evening devotion.

civilians the absolute necessity for devising The day's work with me involves many differ means whereby the plague may be, at least, ent businesses. These include the large printing

stayed. Statistics on the subject are somewhat house of which I am the head, and several allied appalling and go to show that a great deal, enterprises. I am also a director or active par

perhaps most of the inefficiency of European ticipant in many organizations of a business kind

soldiers is owing to gonorrhea or syphilis. In and others of a religious, fraternal, or philan- Great Britain the gravity of the existing state of thropic character.-Charles Francis in the Amer affairs is now freely recognized and ways and ican Review of Reviews.

means for checking the venereal peril are widely discussed.

It is allowed on all hands that it is in preColicky babies voiding gaseous stools are

ventive methods and in public education that

our main hope of delivery from this pestilence often markedly relieved by the use of lactic acid bacilli therapeutically.

lies. A wisely and discreetly conducted cam

paign of public education should go far to curb For delirium tremens-repeated droughts of the spread of venereal diseases. Up to present strong coffee. For “dead drunk" stupor, injec- times we have been too prudish and bound down tions of same into the bowel.

by tradition to discuss sexual matters in public. It was not deemed seemly or polite to refer to by this and other obvious measures. One medisuch matters except at meetings of medical men, cal man.of note has stated unreservedly that of and the result is that the ordinary man or woman all the contagious diseases the venereal are the is woefully ignorant of the dangers of promiscu- easiest to exterminate. By direct prophylaxis is ous intercourse, how to avoid infection or what meant the use of an ointment as recommended to do when disease has been contracted. To by Metchnikoff, containing at least 25 per cent some extent the veil of secrecy has been raised of calomel, and applied as soon after intercourse and public propaganda has enlightened the youth as possible, or even as advocated by some, before of the country with regard to the venereal disease and after intercourse. The effect of such prequestion.

ventive measures when carried out to the letter Although in America the war has not brought is said to be most satisfactory. The prosecution the venereal menace home to the general popula- of these methods among the white soldiers in tion as it has in Europe, yet the establishment in Egypt, a stink hole of vice and venereal disease, all parts of the country of camps filled with men is said to have been attended with a remarkable in the full flush of youth and vigor has already degree of success, and the employment of a simiopened the eyes of health and military authori- lar ointment in Italy and in other parts of Europe ties to the necessity for grappling with an un- is alleged to have kept infection under control. precedented situation, and one which if not Direct prophylaxis has been employed to some tackled with vigor and promptitude will be much extent in the American army and navy for conmore serious. •

siderable time, but views as to the results are Public Health Reports, January 4, 1918, con- somewhat conflicting. There are those who say tains some very interesting reading with respect that the method has been useless or worse than to the control of venereal diseases. For the pur- useless, while others hold that the disappointing pose of organizing a nation-wide control of these results have been due to the fact that the ointdiseases, Surgeon General Blue sent out advice ment has not contained a sufficient amount of and suggestions to the health officers of all the calomel or has not been applied in time. states couched in very forcible language. He The objections to direct prophylaxis came considers that the control of such infections in mostly, it seems, from the moralists, or rather it connection with the prosecution of the war con- might be said from those who see in the legalizstitutes the most important sanitary problem now ing of such a method the opening of the door to confronting public health authorities of the Unit unrestricted sexual intercourse. They assert that ed States.

if the fear of infection were removed that such a The Surgeon General further points out that result would ensue. it is evident the prevention of venereal infections The matter of direct prophylaxis has been is largely dependent on the degree with which discussed because it is at the present time the these infections are prevented in the civil com- subject of heated debate in Great Britain, and munity. The Surgeon General, therefore, re- because the venereal problem is one of the first quests the earnest co-operation of the civil health moment in this country. No really definite conauthorities. He records his opinion that the gen- clusions have been reached, but it would appear eral public should be thoroughly educated to un- that the question is one worthy of careful conderstand that this disease group will be consid- sideration. ered in the same light as are the other communi- Of course, after all, the chief difficulty in the cable infections. In the memorandum drawn up way of successful control of venereal diseases and sent out by Surgeon General Blue are sug- lies in the lack of means for segregating the ingestions of a drastic nature and which if strictly fected, and especially of segregating infected carried out would doubtless greatly aid in the women. As Surgeon General Blue has pointed control of venereal diseases. However, there is out, in order to control infected persons you must no space here for a consideration of the various know their whereabouts, and this is on the face methods recommended to check the dissemina- of it an extremely difficult, almost impossible tion of venereal infections, and it must suffice to matter. He has suggested methods by which briefly deal with one method which has been this objecct may be brought about and, as a both strenuously advocated and as vigorously whole, his memorandum should be read most reprobated by medical authorities and by civil- carefully. ians. This is the method known as direct The venereal problem is the outstanding one prophylaxis. There are those who hold that of the day, and should be discussed without fear the only certain means of controlling the venereal or favor in every medical journal. diseases is by prevention by the agency of direct prophylaxis. Some medical authorities, indeed, Schamberg, Kalmer, Raziss and Gavron, express themselves as confident that not only after careful investigation, propose the use of can the spread of infection be controlled in this calomel by inunction in place of the old blue manner, but that the diseases can be eradicated ointment.

The Medical Herald

H. ELLIOTT BATES. New York.
JOE BECTON, Greenville, Texas.

D. A. MYERS. Lawton, Okla.

fession of the country has responded as has no

other profession, future response must be greater Incorporating the

and greater. The Department has almost reached kansas City Dedical Inder-Lancet

the limit of medical officers available for asVol. XXXVII. JUNE, 1918

No. 6 signment.

- 2. I am, therefore, appealing to you to bring CHAS. WOOD FASSETT, Managing Editor

to the attention of the profession at large the 713 Lathrop Building, Kansas City, Mo.

necessity for additional volunteers. So far the

United States has been involved only in the preASSOCIATE EDITORS

paratory phase of this war. We are now about P. I. LEONARD, St. Joseph.

to enter upon the active, or the fighting phase, J. M. BELL, St. Joseph.

a phase which will make enormous demands JNO. E. SUMMERS, Omaha.

upon the resources of the country. The conserCONTRIBUTING EDITORS

vation of these resources, especially that of man

power, depends entirely upon an adequate mediHERMAN J. BOLDT, New York.

cal service. The morning papers publish a state-
A. L. BLESH, Oklahoma City.
G. HENRI BOGART, Paris, Ill.

ment that by the end of the year a million and a
ST. CLOUD COOPER, Fort Smith, Ark. half of men will be in France. Fifteen thousand
W. T. ELAM, St. Joseph.
JACOB GEIGER, St. Joseph.

medical officers will be required for that army S. S. GLASSCOCK, Kansas City, Kan.

alone. There are today on active duty 15,174 H. R. HARROWER, Los Angeles, Cal.

officers of the Medical Reserve Corps.
JAS. W. HEDDENS, St. Joseph.
VIRGINIA B. LE ROY. Streator, Ill.

3. Within the next two or three months the
DONALD MACRAE, Council Bluffs.
L. HARRISON METTLER, Chicago.

second draft will be made, to be followed by DANIEL MORTON, St. Joseph.

other drafts, each of which will require its proJOHN PUNTON, Kansas City.

portionate number of medical officers. There W. T. WOOTTON, Hot Springs, Ark.

are at this time on the available list of the ReHUGH H. YOUNG, Baltimore.

serve Corps an insufficient number of officers to meet the demands of this draft.

4. I cannot emphasize too strongly the su

preme demand for medical officers. Will you The Editors' Forum

give the Department your assistance in obtaining these officers? It is not now a question of a

few hundred medical men volunteering for servTHE AMERICAN CREED

ice, but it is a question of the mobilization of the

profession. In the large centers of population I believe in the United States of America and at other convenient points, as well as at all as a Government of the people, by the people, army camps and cantonments, boards of officers for the people; whose just powers are derived have been convened for the purpose of examinfrom the consent of the governed; a democracy ing candidates for commission in the Medical in a republic; a sovereign nation of many sover Reserve Corps of the army. An applicant for eign states; a perfect union, one and inseparable; the Reserve should apply to the Board nearest established upon those principles of freedom, his home. equality, justice and humanity for which Ameri- 5. The requirements for commission in the can patriots sacrificed their lives and fortunes. Medical Reserve Corps are that the applicant be

I therefore believe it is my duty to my coun- a male citizen of the United States, a graduate of try to love it; to support its Constitution; to a reputable school of medicine, authorized to conobey its laws; to respect its flag, and to defend fer the degree of M. D., between the ages of 22 it against all enemies.

and 55 years of age and professionally, morally -Wm. Tyler Page. and physically qualified for service.

6. With deep appreciation of any service Need for More Men in

you may be able to render the Department, I am, Medical Reserve Corps

W. C. GORGAS, Surgeon General W. C. Gorgas has sent the

Surgeon General, U. S. Army. following communication to the editors of Medical journals:

The Illegitimate To the Editor :

Baby's Rights 1. I wish to call to the attention of the pro The rights of illegitimate children and the fession at large the urgent need of additional state's responsibility for seeing that every child, medical officers. As the war progresses the need no matter what his parentage, has the nurture, for additional officers becomes each day more protection, and education essential to his usefuland more apparent. Although the medical pro- ness as a citizen are for the first time given com

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plete national recognition in the Norwegian laws one instance of the methods employed may be concerning illegitimate children, according to a of interest. One day at the General Hospital report issued by the Children's Bureau of the reports were made of a shortage of sheets, there U. S. Department of Labor.

being only less than an average of one for each These laws make the State instead of the cot. The nurses' uniforms were in rags, steril mother responsible for establishing paternity. bandages were all gone and old towels were

The State holds both parents equally and contin being substituted. The superintendent of the uously responsible for the illegitimate child- hospital made out a requisition for the neces.

The child shall be entitled to bringing up— sary supplies and the nurses waited, only to be maintenance, training, and education—from both told from headquarters that there were “no availits father and its mother.” The report contains a able funds.” After several days in this deplortranslation of the several Norwegian laws, with able condition, a ward politician chanced to visit amendments, on illegitimate children and their the hospital to call on a friend who was ill. This care A history of the efforts through which the man happened to be the councilman from the legislation was secured is given in the intro- 'Steenth ward. Immediately he noticed the conduction.

dition of affairs and called sharply to the head The attitude which looks upon illegitimacy nurse to know what it meant. He was told in as a child-welfare problem that must be solved plain words the situation. “I'll fix it," said the for the sake of the child and of the State is councilman, “tell me what you need.” He wrote exemplified by this Norwegian legislation. In out the requisition, signed his name and “presto" connection with its studies of the bearing of the the magic wand served the purpose and the supwar upon child welfare the Children's Bureau plies were forthcoming within the hour. examined the evidence obtainable but could not And yet some people ask "what is the matter find that it justified the statements that have with Kansas City ?". been circulated of widespread increase in illegiti From the Government Bulletin for May 18, macy since the war. The Bureau believes, how we learn that Kansas has the highest death rate ever, that the needs of the illegitimate child must of any city in the United States, showing 26.9 be considered in the Children's Year campaign per 1,000. Rather significant as well as humiliat"to save 100,000 children's lives during the sec- ing! ond year of the war and to get a square deal for children.” In the Children's Year Working Pro

Surgeon-General Gorgas gram attention is called to the necessity of pro

Sixty-three Years Young! viding opportunity for normal development to

The editor of the Southern Medical Journal the child of unmarried parents.

pays a glowing tribute to Surgeon-General Gor

gas in a recent issue, calling attention to the fact “The Most Futile Thing

that the General will reach the retiring age of 64 in the World"

years on October 3, next. The editor of the

journal intimates that there might be a possibilBorrowing the well worn expression of one ity of the president's appointing another man in of our famous humorists, "the most futile place of Surgeon-General Gorgas at this time, thing in the world,” in our opinion, is for a great and he expresses his strong opposition to any city to endeavor to run a health department and such possibility. We are quite sure, however, manage its hospitals upon a political basis! that the editor has no cause to worry. General Kansas City, Missouri, is just now experiencing Gorgas is not only the best fitted man for the a travail of this character in its most exagger- place in the United States, but President Wilson ated form. The plan is for the mayor to appoint knows it and will find a way to keep Dr. Gorgas a board of health composed of political lay-men, on the job. The present surgeon-general has his whose conception of the health problems of the whole heart and soul in his work and is serving city is usually so circumscribed as to hardly cast his country with a loyalty characteristic of the a shadow of an idea. This health board then man. Should the great war end tomorrow, Genappoints a health director or commissioner who eral Gorgas would immediately enter other lines is expected to do the work but to whom no au- of activity for the good of the health of the peothority is given. Dr. Paul Paquin, a conscien- ple. As an illustration of his loyalty to the tious, scientific man, sacrificed his life as health health problem we would like to repeat a story director of Kansas City in a vain endeavor to which Major Franklin H. Martin tells of meeting raise the standard of the health department un- General Gorgas in the war office at Washington der a political handicap. Dr. Coon, an educated, one morning recently. After a formal greeting well equipped man from Harvard, very nearly Major Martin said "would it not be a grand and repeated the experience of Dr. Paquin. As it glorious feeling to awake some morning and find was, Dr. Coon was sent to a political grave be- this great war over and a universal peace estabcause he dared to defy his ward bosses. Just lished?” “Indeed it would," replied General Gor

ish wember the gallanes your boys, information.

gas. “What would be the first thing you would through the Medical Reserve Corps. Do not do. General. were you notified tomorrow morn- think longer about it, but apply at once to your ling, before getting out of bed, that the war was nearest Medical Examining Board, and if you are lorer?" "Well. Major, I will tell you what I not informed of its locality, the editor of this would do," promptly responded the General. journal will supply the necessary information. "I would reach for the telephone and make im- Stand by our boys, your boys, their boys. mediate reservation for a trip to Ecuador. That Remember the gallant French in '76. The Britis the one place on earth where they still have ish who stood by Dewey in 1898. The Gariyellow fever!”

baldis who were always for LIBERTY. You cannot replace a man like Gorgas!

The rapid expansion of the army calls for a largely expanded Medical Reserve Corps. The Surgeon General has issued a most earnest appeal

for doctors. The Department has reached the Medical Society of the

limit of medical officers available for assignMissouri Valley

ment. The annual meeting of this society will be held in Omaha, Neb., Sept. 19-20, under the presidency of Dr. A. I. McKinnon of Lincoln, Neb.

“Conserve Food and preserve liberty." The following committees have been announced

In convulsions--administer chloroform by inby Dr. Tyler, president of the Omaha-Douglas

halation, until arrested and under control. County Medical Society: Committee of arrangements, J. E. Summers, chairman; B. W. The Medical Society of the Missouri Valley Christie, L. B. Bushman, I. S. Cutter. Reception recently purchased a $100 Liberty Bond. committee, A. F. Jonas, R. W. Bliss, Roy A. Dodge. Ladies' committee, Mrs. J. E. Summers, Chromic acid 100 grains to 1 ounce of water. Mrs. B. W. Christie. Mrs. A. F. Jonas, Mrs. G. Apply solution to warts every other day. The A. Young, Mrs. Palmer Findley, Mrs. A. F. warts will soon vanish. Tyler.

On the first evening there will be a patriotic Primrose dermatitis is not an instance of anameeting and dinner with speakers of national phylaxis, the toxic agents being a glucoside and reputation, followed by moving pictures from an acid, not a protein substance. the war zone. Members desiring to read papers should apply at once for a place upon the pro

Ethereal solution of menthol, 10 to 50 per gram as the number will necessarily be limited.

cent, applied by camel's hair brush, averts boils, Headquarters and meeting place, Hotel Fon carbuncles, and inflammatory gatherings, and tenelle, room reservations should be made early.

cures itching eruptions. CHARLES WOOD FASSETT, Sec'y.

To Delinquents—Next month we will revise 713 Lathrop Bldg., Kansas City, Missouri.

our subscription lists, and all delinquent subscriptions (excepting those in U. S. service) will

be cut off. If you miss your Herald it is a fairly Stand Behind

sure indication that you have not paid your dues the Boys

or subscription. How many doctors have applied this now To Prevent Undesirable Marriages—Virginia very expressive phrase to themselves? There is the first state in the Union to adopt a practiis nothing that puts more heart and gives so cal marriage statute, prohibiting the marriage of much confidence to a soldier in the thick of a habitual criminals (three or more felonies), fight than the thought that if he does suffer a idiots, epileptics, insane, imbeciles, or those afcasualty he will receive proper medical care and flicted with any contagious venereal diseases. attention. What are you doing in this respect? Marriages in violation of this law may be de

There are many boys, sons of your patients clared void. or friends, who have been or will be called into the service, and what a source of consolation it New Hygiene Faculty - Dr. William H. would be to the parents to know that possibly Welch, Baltimore, announced the following aptheir own doctor might be the one to look after pointments to the Institute of Hygiene and Pubtheir boy and they will welcome your acceptance lic Health to be opened in Baltimore next Octoof a commission in the Medical Reserve Corps ber: Dr. Carroll G. Bull of the Rockefeller Inand compliment you for so doing.

stitute, New York, associate professor of immunThe opportunity for you to do the most good ology and serology, and Dr. Raymond Pearl, of in a professional way to the greatest number of the experiment station, to take charge of the depeople, is to offer your service to your country partment of biometry and vital statistics.

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