The third type of treatment pursues, of course, a moderate, middle course. Registration and treatment of disease should not be compulsory, because, as opinion at present is, this course will lead merely to concealment on the part of the sufferers, whereas medical treatment at the earliest possible hour is what is aimed at; but free treatment and provision of curative safeguards should be provided to all who apply for them, and always with secrecy. (There is much opposing opinion as to which of these two preventative plans—providing of disinfectants to be used before or of remedies to be used as soon as possible after the act—is the more effective.) No wide-spread schemes for examination and detention are recommended, rather are they discouraged; nor is there any firm regulation for ending street soliciting. Certificates of health should not be made a legal pre-requisite to marriage, but the existence of venereal disease should annul marriage without expense, making the law applicable to the poor as well as to the rich. Also, medical men should be specially authorized, without risk of libel, slander or other legal attack, to inform parents or guardians or others directly interested, that anyone contemplating marriage, a man or a woman—is in an infectious state.
It may be pointed out here that military authorities seem to lay stress on one thing that some people will say has nothing to do with the subject—the provision of proper means of recreation. Personally, I would emphasize this aspect of the question to which I have but just now referred. If the amusement is to fulfill the purpose required, and be really a strong counter attraction from vice, it must be the kind of recreation desired and liked by the young people for whom it is provided, not merely the recreation that is considered good for them by the adults who provide it. This opens up, of course, a whole welter of questions. I am not advocating bad and low class entertainments; I hate them and think their suggestive influence a curse among us. Yet, I do fear the adverse action of any kind of amusement that takes the form of an unliked and moral-forcing hot-house.
The fluttering about, the glitter and glare of dissipation, is always, I think, at first the fierce striving of a sickly life towards the only attractive and visible light. Certainly the providing of wholesome amusement is necessary, but, in relation to all the change that is really called for, this is just about as important as the giving of packets of sweets. What is wanted is a wiser understanding of the many and conflicting needs of the young; the provision of the opportunities and outlets which their bodies' and souls' growth demand; needs which must be gratified, or the body, driven by dissatisfaction and curiosity, seeks the gratification that has been taken away from the creative soul.
IV
But to return to plans of action for fighting this scourge. The fight has to be made, and to be begun at once. It is stated that there were, at the beginning of the year, in the neighborhood of 20,000 infected men receiving treatment in our Army and Navy Hospitals. According to the estimate of the Royal Commission on Venereal Diseases published in 1916 there were, at that time, something like 3,000,000 syphilitic persons in the Kingdom, 450,000 in London alone. Since 1916 the number must have greatly increased. Many diseases are more immediately fatal to mankind than are these diseases, but none are so disastrous in their effects. To take but two examples of their destructive incidence; it is known that to them more than half of both the blindness and the lunacy in this country is directly due. But I need not trouble you with facts and figures that to-day are known to almost everyone.
What is needed now is a world-wide, organized plan of defense, modified possibly to meet the special requirements of different countries, but, as far as is possible, the same for the whole world. A first step has been taken, at the meeting of the Red Cross Societies of the world, which was held at Cannes, in April, 1919. No man can tell how far-reaching its work will prove: an International Health Bureau was instituted and arrangements made for a further great conference to be held at Geneva after the signing of peace.
I would like to wait and write of the Cannes Conference, which to me was an event more serious even than the other world conference, where some were thoughtlessly and selfishly juggling with human affairs. Here was no pretending, no hiding of motives, just a facing of the real situation. The great events of life are almost always quiet. I picture the great ball-room,[129:1] where usually jazzes and one-steps were indulged in by the officers of the Allied Armies and bright girl W.A.A.C.S. and W.R.E.N.S., occupied now with grave men; a group of some of the greatest scientists ever assembled together. United they seek for the first time how best an end may be made to this tragic scourge of our civilization;[129:2] their fervent purpose should light a flame to blaze in action in every civilized country.
It would be impossible to over-emphasize the importance of the findings of this Conference. We women are glad to know that the Committee reported unanimously against State regulation of vice and State toleration of prostitution. At the same time, the repression of all street-soliciting was advocated, as well as control of restaurants, hotels or other places with reference to their use for promoting prostitution. The Committee further favored the detention and, where necessary, the isolation of all persons known to be, or suspected of being infected, and advocated the adoption of the report system in regard to early preventive treatment. The importance of early marriage was urged. Other measures recommended were the custodial care of the feeble-minded, and State control of the use of alcohol.
So many people, and especially, I think, women are led astray by sex sentiment as soon as they approach these problems. I do not believe that this can be avoided, but we may guard against it. Thus, those who hesitate, and there are many who do hesitate, in adopting the proposals of the Cannes Committee, which are aimed, either directly or indirectly, against prostitutes, should take care to consider all the facts. Of late there has been exhibited in this country a rather bewildering sentimentality about this matter. The experience of the American Army authorities should teach us a much-needed lesson. The American program to maintain the sexual health of the men went much further than any English proposal, straight and without sentiment to the main cause of the disease, in a way that should shame our vacillating methods.
"The repression of prostitution was declared to be a public health measure, and all public health departments were required to coöperate actively with the proper law authorities in minimizing its practice." When the American armies entered France, the same end, of keeping the men from "coming in contact with the prostitutes, either public or clandestine," was always kept in view. The difficulties were immense. At that time (from August to the early part of November, 1917) the troops were stationed in certain French towns, where the houses of prostitution were running wide open and were frequented by large numbers of men. On November 15th all these houses were placed out of bounds. The table on the following page shows what happened.