This chapter closes the discussion of syphilis as a problem for the every-day man and woman. It represents essentially the cross-section of a moving stream. Today's truth may be tomorrow's error in any field of human activity, and medicine is no exception to this law of change. It is impossible to speak gospel about many things connected with syphilis, or to offer more than current opinion, based on the keenest investigation of the facts which modern methods make possible. None the less, the great landmarks in our progress stand out with fair prospect of permanent place. The germ, the recognition of the disease by blood test and dark field microscope, the treatment and prevention seem built on a firm foundation. As they stand, without regard to further advances, they offer a brilliant future to a campaign for control To that campaign, each and every one of us can address himself with the prospect of adding his mite of energy to a tremendous movement for human betterment. For every man or woman to whom the word syphilis can be made to mean, not a secret, private, shameful disease, but a great open problem in public health, a recruit has been called to the colors. There are no signs more hopeful of the highest destiny for humanity than those of today which mark the transition of disease from a personal to a social problem. Such a transition foreshadows the passing of syphilis. In that transition, each one of us has his part. Toward that consummation, a goal only to be won by united and stubborn assault, each one of us can contribute the comprehension, the sympathetic support, the indomitable determination, which make victory.
INDEX
- Abortion, syphilis as cause of, [95]
- Abortive cure and marriage, [127]
- Accidents, late, [45]. See also late syphilis
- Advertising in regard to treatment for syphilis, [175], [176]
- Alcohol, effects of, in syphilis, [137]
- America, backwardness of, in movement against venereal diseases, [181]
- state control of venereal diseases in, [170]
- American Social Hygiene Association, [165]
- pamphlets, [161]
- Antibodies in disease, [54]
- Antiseptics, effect of, on germ of syphilis, [27]
- Appearance of chancre, time elapsing before, [29]
- Armpits, contagious patches in, [38]
- Army and navy, Metchnikoff prophylaxis in, [162]
- Arsenic in salvarsan, [71]
- Arteries, effect of syphilis on, [47]
- Australia. See West Australia
- Babies, hereditary syphilis in, [99]
- Baltimore Vice Commission, report of, [134]
- Baths in treatment of syphilis, [140]
- Bath-tubs not means of transmitting syphilis, [114]
- Berlin, syphilis in clerks and merchants of, [25]
- Birth, premature, [95]
- Blaschko and German sexual disease program, [177], [180]
- estimate of syphilis in Berlin, [25]
- Blindness in hereditary syphilis, [104]
- Blood, Spirochæta pallida in, during secondary stage of syphilis, [35]
- Board of Health, activities of, against syphilis, [165]
- national, need for, [167]
- Body, invasion of, by germs in secondary stage of syphilis, [35]
- Bones in hereditary syphilis, [102]
- Bordet and Wassermann, blood test for syphilis, [14]
- Brain, late syphilis of, [48]
- softening of, [48]
- Brawl chancre, [116]
- Breasts, contagious patches on, [38]
- Brooklyn Hospital Dispensary, [171]
- health exhibit by, [175]
- Cabot, Hugh, comment on reporting syphilis, [179]
- Cancer following smoker's patch, [138]
- Chafe, chancre resembling, [30]
- relation of, to infection with syphilis, [28]
- Chancre, [29]
- and cold sores, [30]
- appearance of, [30]
- brawl, [116]
- combined with chancroid, [30]
- concealment of, by gonorrhea, [30]
- contagiousness of, [109]
- contracted during engagement, [117]
- cure of syphilis in stage of, [85]
- developed from kissing game, [117]
- diagnosis of, prevented by improper treatment, [32]
- ease with which overlooked, [30]
- enlargement of glands near, [33]
- extra-genital, from lax relations, [134]
- importance of early recognition of, [31], [34]
- in women, [30]
- location of, [28]
- of the lip, [117], [119]
- on knuckle (brawl chancre), [116]
- painlessness of, [30]
- soft, [30]. See also chancroid
- tertiary symptoms following, [45]
- urethral, in men, [30]
- variations in, [30]
- Chancroid, [16]
- Child, death of, in syphilitic miscarriages or abortion, [95]
- early signs of hereditary syphilis in, [99]
- effect of syphilitic eye trouble on development of, [103]
- healthy, born of syphilitic mother, [94]
- infection of wet nurse by syphilitic, [100]
- necessity of teaching sexual self-control to, [160]
- older, effect of hereditary syphilis on, [102]
- transmission of syphilis from mother to, [92]
- treatment of syphilis in, before birth, [97]
- unborn, effect of syphilis on, [98]
- Child-bearing, effect of syphilis on, [95]
- Children, adopted, syphilis in, [106]
- syphilitic, mental condition of, [101]
- Clap, [16].
- See also gonorrhea
- Clinics for pay patients to secure better treatment, [173]
- Cold sores and chancres, [30]
- College students, syphilis in, [25]
- Commission, Baltimore Vice, [134]
- Sydenham Royal, [164]
- Complications, serious, of syphilis, [45]
- Compulsory treatment, state provision for, [169]
- Conception, influence of syphilis on, [95]
- treatment of syphilis occurring in mother after, [97]
- Coney Island Health Exhibit, [175]
- Contagiousness of moist sores in syphilis, [27], [38], [110]
- of secondary relapses in syphilis, [42]
- syphilitic sores, [38]
- of syphilis, [109]. See also infectiousness, infection, and transmission
- and medical examination of prostitutes, [135]
- control of, by salvarsan, [73], [74], [122]
- detection of, by examination of patient, [123]
- disappearance of, in late syphilis, [110]
- duration of, in late syphilis, [112]
- under treatment, [123]
- effect of incomplete cure on, [83]
- estimate of risk for wife, [125]
- factors tending to increase, [112]
- five-year rule in relation to, [124]
- hereditary, [100], [105]
- ignorance of, in women, [135]
- impracticability of quarantine in control of, [121]
- in wet nurses, [101]
- inability of mercury to control, [123]
- obstacles to control by treatment, [123]
- of secondary relapses in syphilis, [42]
- Continence as personal prophylaxis, [161]
- economic forces opposing, [157]
- Copenhagen, dispensaries for treatment in, [171]
- Cost, economic, of mental disease due to syphilis, [51]
- Cups, drinking, transmission of syphilis by, [113]
- Curability of syphilis, critical estimate of, [90]
- Cure, importance of, for the wife, [128]
- incomplete or symptomatic, danger of, [82]
- of early syphilis, abortive, [27], [34], [86], [127]
- of hereditary syphilis, [107]
- of syphilis, [124], [126], [129]. See also five-year rule
- abortive, salvarsan in, [73], [79], [89]
- complete, responsibility of the physician in regard to, [84]
- effect of cost on, [84], [149]
- stage of disease on, [85]
- importance of, [90]
- in early stage, [27], [86]
- in primary stage, [85]. See also cure of syphilis, abortive
- in secondary stage, [86], [88]
- methods of determining, [90]
- obstacles to, [80]
- radical or complete, [80]
- Wassermann test in, [58]
- symptomatic, in late syphilis, [87]
- time required for, [87]
- Dark-field examination, use of, in recognizing contagious recurrences, [111]
- Deafness and loss of speech due to hereditary syphilis, [104]
- Deaths due to hereditary syphilis, [98], [99]
- due to late syphilis, [48]
- Denmark, free treatment of syphilis in, [169]
- Disgrace, syphilis and, [142], [144]
- Disinfection of hands, dishes, etc., by washing and disinfectants, [114]
- Dispensaries for syphilis in large cities, [170]
- Drinking of alcoholic liquors, effect of, in syphilis, [137]
- "Drops," [69]
- Drug stores and drug clerks, evil influence of, [175]
- Drying, effect on germ of syphilis, [27]
- Dumbness (loss of speech) in hereditary syphilis, [104]
- Dyes, relation of, to salvarsan, [70]
- Ears, secondary recurrences affecting, [43]
- Ears, trouble in, in hereditary syphilis, [104]
- Eating utensils, transmission of syphilis by, [113], [115]
- Education and character in the control of syphilis, [160]
- as means of controlling contagiousness of syphilis, [122]
- Ehrlich, Paul, [70]
- Engagements, syphilis contracted during, [117]
- to marry in syphilitics, precautions in connection with, [129]
- England, action of, against drug stores prescribing for syphilis, [176]
- English-speaking countries, attitude on Metchnikoff prophylaxis in, [177]
- Eruptions, absence of, in serious syphilis, [46]
- Estimate of damage caused by syphilitic eye trouble, [103]
- of frequency of relapse and recurrence in secondary syphilis, [125]
- of increase of syphilis during war, in Paris, [183]
- of percentage of marital syphilis, [119]
- of percentage of non-genital syphilis, [119]
- of prevalence of gonorrhea, [26]
- of syphilis, [24], [25]
- of risk of infecting wife, [125]
- of syphilis in prostitutes, [134]
- Examination, medical, before marriage, [130]
- limitations of, in detecting contagiousness, [123]
- Excesses, effect of, on the syphilitic, [137]
- Expense of treatment, effect of, [77], [84], [149]
- Expert advice, importance of, [32]
- Eye trouble in hereditary syphilis, [103]
- Eyes, secondary syphilitic recurrences affecting, [43]
- Family, economic forces working against, [158]
- transmission of syphilis in, [116]
- Fathers of families, encouragement of early marriages by, [159]
- Fiancée, non-genital chancre in, [129]
- First sore, [29]. See also chancre
- Fist chancre, [116]
- Five-year rule, [124], [126], [129]
- in relation to marriage, [126]
- Founder's estimate of prevalence of syphilis, [24]
- France, increase of syphilis in, during war, [183]
- Gaucher's estimates of increase in syphilis during war in France, [183]
- Genital syphilis in lax individuals, [133]
- Genitals, contagious sores on, [38], [112]
- fitness of, for harboring germs of syphilis, [118]
- Germ of syphilis, [40]. See also Spirochæta pallida
- Germany, action of, against drug store prescribing for syphilis, [176]
- Germs, behavior of, in various diseases, [40]
- Glands, enlargement of, in neighborhood of chancre, [33]
- in chancre of the lip, [33]
- Gonorrhea and syphilis, measures to prevent spread from army to general population, [183]
- Gonorrhea, transmission of, by toilet seats, [114]
- Great Britain. See England
- Gumma, [46]. See also syphilis, late
- Gummatous infiltration in hereditary
- Haiti, origin of syphilis in, [11]
- Hata, [70]
- Headaches in syphilis, [36]
- Health, effect of secondary syphilis on, [36]
- Exhibit, Brooklyn Hospital Dispensary, [175]
- Hearing, disturbances of, in hereditary syphilis, [104]
- in secondary syphilis, [36]
- Heart in hereditary syphilis, [102]
- Hereditary syphilis, apparently healthy children with, [101]
- as cause of abortions and miscarriages, [95]
- of death, [98]
- blindness in, [104]
- bones and teeth in, [102]
- contagiousness of, [100], [105]
- deafness in, [104]
- early signs of, [99], [100]
- effect of accident and injury in, [105]
- eye trouble in, [103]
- heart, blood-vessels and nervous system in, [102]
- Hutchinson's teeth in, [102]
- immunity in, [106]
- in adopted children, state provision for care of, [106]
- in infant, [99]
- in unborn child, [98]
- late, in older children and adults, [101]
- moral costs of, [99]
- non-transmission of, by marriage, [105]
- treatment of, [107]
- in school hospitals, [108]
- as cause of abortions and miscarriages, [95]
- Hoffmann's rule for marriage of syphilitics, [124]
- Hospital beds, number of, needed for venereal disease, [171]
- treatment for hereditary syphilis, [108]
- Hospitals in treating venereal disease, [171]
- Hot Springs in treatment of syphilis, [140]
- Hunter, John, [13]
- Husband, probability of infection of wife by, [125]
- Hutchinson's teeth in hereditary syphilitics, [102]
- Hygiene, personal, of the syphilitic, [136]
- Idiocy in hereditary syphilis, [101]
- Immunity in syphilis, absence of, [139]
- hereditary, [106]
- Incubation period of syphilis, [28], [29]
- Infection, break in skin necessary to, [28]
- Infectiousness of syphilis. See contagiousness
- of syphilitic discharges, [28]
- Infiltration, gummatous, in late syphilis, [46]
- in hereditary syphilis, [102]
- Injections, mercurial, [66]
- Innocence, question of, in transmission of syphilis, [118]
- Inoculation, favorable ground for, [114]
- Insane asylums, amount of syphilitic mental disease in, [50]
- Inunctions, advantages of, [66]
- Iodid of potash, [69]
- Irresponsible mental attitude in syphilis, [150], [151]
- Irritation, effect of, on contagious recurrences, [43]
- Italy, non-compulsory treatment in, [180]
- provision for treatment of venereal disease in, [169]
- Keratitis, interstitial, in hereditary syphilis, [103]
- Kernels. See glands
- Keyes' estimate of risk of infection of wife by husband, [125]
- Kissing, rules governing, in syphilitics, [138]
- transmission of syphilis by, [116]
- Knuckle chancre, [116]
- Late syphilis, non-contagious character of, [110]
- Latent or concealed syphilis, [22]
- Law, Ohio, relative to physicians and marriage of syphilitics, [131]
- Legal control, necessity for, in irresponsible syphilitics, [153]
- Legislation, conservative, [167]
- Legs in locomotor ataxia, [49]
- Lemberg, study of prostitutes in city of, [134]
- Lesion, primary. See chancre; also sore
- Life, well-balanced, for syphilitic, [137]
- Lip, chancre of, glands in, [33]
- Liquid medicine, giving of mercury in form of, [65]
- Liquor, alcoholic, effect of, in syphilis, [137]
- traffic, importance of abolition of, in prevention of venereal disease, [184]
- Liver, Spirochæta pallida in, [39]
- Locomotor ataxia, [48]
- London, syphilis in, [24]
- Luetin test, Noguchi, [79]
- Malaria, comparison of, with syphilis, [62]
- Marriage and abortive cure of syphilis, [127]
- and five-year rule, [126]
- and syphilis, [125]
- and Wassermann test, [130]
- annulment of, for concealment of syphilitic infection, [132]
- early encouragement of, by state, parents, employers, [159]
- effect of economic forces on, [158]
- medical examination for syphilis before, [130]
- of hereditary syphilitics, [105]
- of persons with syphilis, inability of physician to prevent, [131]
- of syphilitics, Hoffmann's rule for, [124]
- syphilis acquired in, [120]
- Massachusetts, syphilitic mental disease in, [51]
- Medical examination before marriage, [130]
- Mental attitude in relation to syphilis, [141]
- Mental disease and syphilis, [50]
- Hygiene, National Committee for, [166]
- Mercury, [62]
- and salvarsan, combination of, in controlling contagiousness, [124]
- comparative value of, [68]
- deceptive value of, [64]
- effect of, on syphilis, [63]
- inability of, to control contagiousness, [123]
- ineffectiveness of, by mouth, [65]
- injections of, [66]
- injurious effects of, [67]
- inunctions (rubs), [65]
- methods of administering, [64]
- of using in treatment, [62]
- misconception in regard to, [63]
- Metchnikoff and Roux, [14]
- prophylaxis in syphilis, [162]
- Michigan, legislative measures against syphilis in, [182]
- Military service, universal, and spread of venereal disease, [184]
- Miscarriage and abortion, syphilis as cause of, [95]
- repeated, [95]
- Misconceptions regarding cure of syphilis with salvarsan, [72]
- syphilis in children, [100]
- Moisture, effect of, on contagiousness of syphilis, [27], [38], [110]
- Moore, Noguchi and, [48]
- Moral problems in relation to syphilis, [18]
- Morality, sexual, in relation to syphilis, [18]
- Morals, syphilis and, 144
- Morbidness in syphilitics, [153]
- Mother, knowledge of, in adopting a child, [106]
- Mouth, administration of mercury by, [64]
- Mucous patches, [38], [42]
- National Board of Health, need for, [167]
- Neck, enlargement of glands in, [33], [34]
- Neosalvarsan, [75]
- Nervous strain, effect of, on syphilis, [137]
- New York City, clinics and dispensaries in, [170]
- reporting of syphilis in, [178]
- Noguchi, [48]
- test, luetin, [79]
- Non-genital syphilis, estimate of percentage of, [119]
- Notification of venereal disease. See reporting
- Nurse, accidental infection of, with syphilis, [116]
- wet, syphilis in, [100]
- Nursing mothers, syphilitic germs in milk of, [39]
- of syphilitic child by mother, [101]
- Ohio, law permitting physician to prevent marriage of contagious syphilitic person, [131]
- Overwork, effect of, on syphilitics, [137]
- Papee's study of prostitution in Lemberg, [134]
- Paralysis, general, danger to others in, [49], [50]
- Paresis, 48. See also paralysis, general
- Paris, increase of syphilis in, during war, [183]
- Physician, accidental infection of, with syphilis, [116]
- Physician proper person to administer Metchnikoff prophylaxis, [163]
- Piles, contagious sores mistaken for, [43]
- Pills, ineffectiveness of, in treating syphilis, [65]
- mercury, [65]
- Pinkus' estimate of syphilis in Germany, [25]
- Pontopidan's estimate of number of hospitals needed for venereal diseases, [171]
- Population, civil, syphilis in, [183]
- general, prevention of venereal disease in, during war time, [184]
- Potash, iodid of, [69]
- Pregnancy, syphilis acquired during, [94]
- treatment of mother during, [97]
- Prevalence of gonorrhea, estimates of, [26]
- Prevention of locomotor ataxia and general paralysis, [52]
- of syphilis. See prophylaxis
- Primary lesion. See chancre
- Prohibition, national, importance of, in controlling venereal disease, [184]
- Prophylaxis, educational, [157]
- Prophylaxis, personal, of syphilis, continence in, [161]
- Prostitutes in Baltimore, gonorrhea in, [134]
- Prostitution, abolition or repression of, [156], [157]
- Psoriasis, confusion of, with syphilitic eruptions, [37]
- Public Health, syphilis as problem of, [18]
- Publicity, campaign for, [176]
- Quacks, suppression of, [168], [174]
- treatment of syphilitics by, [140]
- Quarantine and freak legislation, [167]
- Quiescent period following entry of germ, [28]
- Railroad men, locomotor ataxia and general paralysis in, [50]
- Rash. See eruption
- Recurrences, contagiousness of, [111]
- Re-infection with syphilis, [139]
- Relapses, contagious, in syphilis, [42]
- Reporting of syphilis, attitude of various countries on, [179]
- to health officers, [178]
- Resistance of body to syphilis, [29], [107], [112]
- Rest, need of, in syphilis, [137]
- Restaurants, risk of transmitting syphilis under conditions found in, [115]
- Rheumatism, symptoms resembling, in secondary syphilis, [36]
- Ricord, founder of modern syphilology, [13]
- Rub, mercurial. See inunction
- Rule, five-year, [124], [126], [129]
- Saliva, syphilitic germs in, [38]
- Salvarsan, accidents due to, [78]
- action of, in syphilis, [73]
- and abortive cure, [73], [79], [89]
- and mercury, comparative value of, [68], [89]
- in pregnancy, [97]
- animal tests on, [71]
- arsenic in, [71]
- as a social asset, [78]
- cheap, vital importance of, [172]
- combination of arsenic and dye, [70], [71]
- correct administration of, [77]
- discovery of, [70]
- effect of first dose, [78]
- expense of treatment with, [76]
- importance of, in controlling contagiousness of syphilis, [73], [74], [122]
- in treatment, [89]
- in control of syphilis in prostitutes, [157]
- methods of giving, [75]
- misconceptions regarding cure by single dose, [72]
- need for governmental control, [77]
- patent rights on, [172]
- preliminary tests of, on man, [71], [72]
- price of, [172]
- repeated doses, [76]
- use of, does not justify relaxation of rules for marriage, [127]
- value of, in syphilis, [73]
- Scandinavian countries, compulsory treatment of venereal disease in, [180]
- Scars following gummatous changes, [46]
- Schaudinn and Hoffmann, [14], [22]
- School-hospitals for hereditary syphilis, [108]
- Secondary stage of syphilis, [35]
- Secrecy, professional, right of syphilitics, [139]
- right of syphilitic, in connection with reporting of disease, [178]
- Self-control. See sexual self-control
- Self-deception in regard to risk of infection, [161]
- Self-treatment in syphilis, [140]
- Semen, Spirochæta pallida in, [39]
- Sexual characteristics of syphilitic children, [102]
- Sexual relations, transmission of syphilis by, [117]
- Silverware, transmission of syphilis by, [115]
- Single dose cure of syphilis with salvarsan, [72]
- "606." See salvarsan
- Skin, recurrences of secondary eruption in, [43]
- unbroken, importance of, in preventing contagiousness of eruptions, [38]
- Sleeping sickness, [70]
- Smoker's patches, [138]
- Smoking (tobacco) in syphilis, [138]
- Snuffles in hereditary syphilis, [100]
- Social evil and syphilis, [165]. See also prostitution
- problem of syphilis, [15]
- Soft ulcer or sore, [16]. See also chancroid
- Soldiers, syphilis and gonorrhea among, in present war, [183]
- Sore throat in secondary syphilis, [38]
- Sores, contagious, effect of salvarsan on, [74]
- Sperk's estimate of frequency of relapse in secondary stage, [125]
- Spirochæta pallida, [27]
- average life of, on objects outside body, [113]
- destruction of, in body, [39]
- discovery of, [14], [22]
- distribution of, in internal organs, [39]
- effect of antiseptics on, [27]
- growth of, [27]
- in brain, in general paralysis of insane, [48]
- in hereditary syphilitic children, [99]
- in late syphilis, [45]
- in lymph-glands, [34]
- in secondary syphilitic eruptions, [38]
- in spinal cord, in locomotor ataxia, [49]
- invasion of body by, in secondary stage, [35]
- low vitality of, [27]
- mode of entry into body, [28]
- sensitizing of body to, [39]
- strains or type of, [40]
- variations in behavior of, in different persons, [40]
- Spleen, Spirochæta pallida in, [39]
- Stage of syphilis, relation of, to curability, [82]
- secondary, of syphilis, [35]. See also secondary stage; secondary syphilis; contagiousness; transmission; and Spirochæta pallida
- Stage, tertiary, of syphilis, [45]. See also syphilis, late
- State, encouragement of early marriage by, [159]
- provision of, for recognition and treatment of syphilis, [168]
- Stigma attaching to syphilis, harm done by, [143]
- of syphilis, effect of, on venereal hospitals, [167]
- Still birth, relation of syphilis to, [96]
- Still's statistics on death from hereditary syphilis, [98]
- Stomach in locomotor ataxia, [49]
- Sweat-glands, absence of Spirochæta pallida in, [39]
- Sydenham Royal Commission, [164]
- views on reporting of venereal disease, [179]
- Symptomatic cure in late syphilis, [87]
- Symptoms, absence of, in syphilis, [23]
- constitutional, of secondary syphilis, [36]
- Syphilis, absence of immunity in, [139]
- accidental, in physicians and nurses, [116]
- acquired, in children, [95]
- in marriage, [119]
- action of mercury in, [63]
- of salvarsan in, [74]
- active, relation of, to miscarriages and abortion, [96]
- adequate dispensary service for treating, [171]
- ageing effect of, in child, [99]
- and civil population, [183]
- and engagements to marry, [129]
- Syphilis and marriage, [125]
- and mental disease, [50]
- and prostitution, [18], [133]
- and public prejudice, [141]
- and sexual problems, [18]
- and war, [183]
- as cause of death in children, [98]
- of miscarriages and abortion in women, [95]
- as public health problem, [18]
- as social problem, [15]
- blood test for, [54]
- broader outlook concerning, [146]
- comparison of, with malaria, [62]
- compulsory treatment of, [180]
- concealed forms of, [23]
- concealment of, by gonorrhea, [30]
- confusion of, with gonorrhea, [13], [16], [31]
- problem of, with various issues, [16], [17], [165]
- congenital, [94]. See also syphilis, non-hereditary
- constitutional symptoms of, [36]
- contagiousness of, in secondary stage, [110]
- course of, summary, [52]
- cure of, [90]
- danger from irresponsible persons infected with, [150]
- deaths from, [48]
- definition of, [21]
- diminishing virulence of, [12]
- early, methods of recognizing, [32]
- educational prophylaxis of, [157]
- epidemic of, in sixteenth century, [11]
- eruption in secondary stage, [36]
- essentials of campaign against, [168]
- false silence in regard to, [15]
- five-year rule regarding contagiousness, [124], [126], [129]
- freak legislation in regard to, [166]
- guilt or innocence in transmission, [118]
- harm done by stigma attaching to, [143]
- hereditary, [92]
- history of, [11]
- importance of prohibition in controlling, [184]
- important advances in knowledge of, [17]
- in adopted children, [106]
- in British working men, [24]
- in families, detection of, by Wassermann test, [128]
- in father or mother of family, [92], [93], [126]
- in men who have only had gonorrhea, [31]
- in prostitutes, [134]
- in United States, estimates of, [26]
- in wet nurses, [100], [101]
- inability of physician to prevent marriage of persons with, [131]
- incomplete cure of, [82]
- influence of, on progress of mediæval medicine, [13]
- innocent, in fiancée, [129]
- suffering of, caused by, [19]
- late, attributable to insufficient salvarsan treatment, [73]
- measure to prevent spread of, from army to general population, [183]
- medical examination for, as means of detecting contagiousness, [123]
- of prostitutes for, [135]
- mental attitudes in relation to, [141]
- Metchnikoff prophylaxis of, [162]
- mild, dangers of, [41]
- relation to complications in nervous system, [45]
- mistaken conceptions of, [13]
- moral prophylaxis of, [156]
- morbid fear of, [154]
- non-genital, [28]
- or extra-genital, [119]
- obstacles to control of contagiousness of, [123]
- to social control of, [141]
- passive, transmission of, by prostitutes, [135]
- personal hygiene of, [136]
- prevalence of, [23]
- in lax individuals, [133]
- prevention of, by sexual self-control, [159]
- public attitude toward, [141]
- quacks and self-treatment in, [140]
- radical or complete cure, [80]
- reinfection with, [139]
- relation of mouth and tongue cancers to, [138]
- reporting of, to health officer, [178]
- risk of acquiring, from prostitutes, [136]
- of infecting wife with, [125]
- secondary, cure of, [86]
- time required for cure of, [86]
- sexual transmission of, [117]
- stages of, [26]
- state provision for treatment of, in Denmark, Norway, Italy, England, Germany, West Australia, [168], [169]
- tertiary, [45]
- transmission and hygiene of, [109]
- treatment of, [60]
- unnoticed manifestations of, [41]
- variations in course of, in different persons, [41]
- Wassermann test for, [54]
- world movement against, [164]
- Syphilitic, average type of, [148]
- child, nursing of, by mother, [101]
- ideal conscientious type of, [147]
- irresponsible types of, [151]
- morbid mental states, [153]
- personal hygiene of, [136]
- should tell physician he has disease, [140]
- rule governing care of personal articles used by, [139]
- rules governing kissing in, [138]
- sexual relations in, [138]
- well-regulated life for, [137]
- Syphilophobia, [153]
- Tabes dorsalis, [48]. See also locomotor ataxia
- Taboparesis, [50]
- Teeth, effect of mercury on, [63], [67]
- (Hutchinson's), in hereditary syphilis, [102]
- Tertiary stage, [45]
- Test for syphilis in blood, [54]. See also Wassermann test
- Noguchi, luetin, [79]
- Throat, contagious sores in, [38]
- Time treatment principle in relation to marriage, [124], [126], [129]
- Tobacco, effect of, in syphilis, [43], [112], [138]
- Toilet seats not means of transmitting syphilis, [114]
- transmission of gonorrhea by, [114]
- Tongue and tonsils, contagious sores on, [42]
- cancer of, following contagious mucous patches, [138]
- Towels, transmission of syphilis by, [113], [115]
- Transmission of syphilis by dishes, etc., effect of washing and disinfection on, [114]
- by infected articles, [113]
- by kissing, [116]
- by sexual contact, [117]
- effect of treatment on risk of, [124]
- from father to mother, [93]
- from mother to child, [92]
- increased risk of, in tobacco users, [138]
- medical examination in prevention of, [123]
- not by door-knobs, bath-tubs, or toilet seats, [114]
- passive, by prostitutes, [135]
- personal responsibility in, [124] to wife, [125]
- under conditions of crowding and bad sanitation, [115]
- of everyday life, [114]
- unlikely in marriage of hereditary syphilitics, [105]
- Treatment, intraspinal, in syphilis of nervous system, [79]
- lack of effect of, on deafness in hereditary syphilis, [104]
- obstacles to control of contagiousness of syphilis, [123]
- of chancre may prevent recognition, [32]>
- of syphilis, [60]
- advertising in regard to, [176]
- backwardness of this country in public provision for, [170]
- by drug clerks, [175]
- by quacks, [140]
- compulsory, [180]
- control of contagiousness, [122], [124], [126]
- dispensary service necessary for, [171]
- efficient, [88]
- expense of, [76], [173]
- expert advice in, [174]
- hospitals in, [171]
- importance of salvarsan in, [89]
- in pay-patient clinics and hospitals, [173]
- necessity for cheap salvarsan in, [172]
- various state provisions for, [168], [169]
- Wassermann test in, [57]
- with salvarsan and mercury combined, [89]
- specific methods of, [60]
- Troops, syphilis and gonorrhea in, [182]
- United States. See America
- Vedder's estimate of prevalence of syphilis, [25]
- Venereal disease, [16]
- and marriage, annulment of, [132]
- effect of universal military service on, [184]
- European and American provision in regard to care of, [169], [170]
- importance of national prohibition in controlling, [184]
- proposed military measures in connection with, [183]
- relation of war to spread of, [182]
- world-wide movement against, [164]
- hospitals and freak legislation, [167]
- Vermont, reporting of syphilis in, [178]
- Vice Commission, Baltimore, syphilis in prostitutes, [134]
- Virulence of syphilis in 15th and 16th centuries, [12]
- Vomiting in locomotor ataxia, [49]
- War, control of venereal diseases during, [183], [184]
- War, relation of, to spread of venereal disease, [182]
- Warts, contagious syphilitic, [42]
- Washing, effect of, on transmission of syphilis by dishes, [114]
- Wassermann test, [54]
- as evidence of fitness to marry, [130]
- difficulties of, [55]
- effect of mercury on, [67]
- of treatment on, [58]
- factor of error in, [56]
- importance of expert performance of, [174]
- to pregnant mother, [97]
- in connection with adoption of children, [106]
- in determining cure of syphilis, [58], [90]
- in family where one member is syphilitic, [128]
- in freak legislation, [167]
- in late hereditary syphilis, [106]
- in syphilitic mothers, [93]
- negative, development of infectious sores in spite of, [123]
- meaning of, [56]
- on spinal fluid, [59]
- persistently positive, [58]
- positive, meaning of, [56]
- practical details concerning, [59]
- provocative, [130]
- use of, in recognizing early syphilis, [33]
- Weight, loss of, in secondary recurrences, [43]
- in secondary syphilis, [36]
- Welander homes for hereditary syphilis, [108]
- West Australia, action of, against drug stores prescribing for syphilis, [176]
- Wet nurses, syphilis in, [100]
- Wife, importance of cure for, [128]
- Williams, syphilis and mental diseases, statistics on, [50]
- Womb, chancre on neck of, [30]
- Women, child-bearing, effect of syphilis on, [95]
- Worry and anxiety, effect of, on syphilitic, [137]
Transcriber's Note
The following variably hyphenated words have been left as in the text.
| Everyday | Every-day |
| everyday | every-day |
| extragenital | extra-genital |
| lifelong | life-long |
| lifetime | life-time |
| makeup | make-up |
| newborn | new-born |
Two extra entries ("Preface" and "Contents") have been added to the Table of Contents.