When the Hospitals left Australia neither officers nor men received instructions, and not until the arrival of Surgeon-General Williams in Egypt was any serious collective action taken. He at once called a conference of medical officers and did what he could to limit the extent of disease.
The governmental action—or lack of action—is unsound, since the man who contracts disease is severely punished, but adequate attempts are not made to prevent him acquiring it. The notable departure made in the case of Cairo was the effort to make the men understand clearly what these diseases meant to them as soldiers and as citizens; to remove temptation from them as far as possible, and with the aid of the Australian Red Cross to give them a reasonable, healthy, and decent alternative. Nothing the Australian Red Cross has done (or is likely to do) is more important than the establishment of the Soldiers' Clubs. Nothing has been more successful or is likely so to redound to the credit of that great institution. And yet, under the new Constitution of the Australian Red Cross, not a shilling can be devoted in the future to such purposes.
Venereal Diseases Conference
The following are brief notes of a Conference of senior medical officers convened by Surgeon-General Williams.
Reference was made to the gravity of the problem with which the force was faced. It was estimated that about 1,000 men of the First and Second Australian Divisions are suffering from venereal disease on any one day, and of these a large number are incapacitated from work. The proportions seemed to be much greater than those of other forces, such as the Territorials, in Egypt. The displacement of so large a proportion of men and the ultimate consequence of numerous infections, rendered it necessary to take a comprehensive view of the position, and to endeavour to take some action to minimise the damage done. It was proposed to ask each officer present to furnish the secretary with a general statement of the number of cases treated under their command, specifying them under three headings—syphilis, soft chancre, and gonorrhœa. The information so obtained would form the basis of a report to headquarters. The problem was considered under five headings:
1. Military assistance.
2. Use of prophylaxis.
3. Treatment—general and special.
4. Establishment of convalescent depots—accommodation and position.
5. Ultimate destination of affected men.