[1] The full list of authorities is given in The Physician's Answer, by M.J. Exner, M.D., Secretary, Student Department, International Committee, Young Men's Christian Associations, Association Press, New York, 1913. This is the best treatment of the question of physiological necessity. It is freely quoted in this chapter. [Editor.]
CHAPTER IV
medical phases
By Andrew C. Smith
Some idea of the prevalence of venereal diseases in the United States may be obtained from the following statistics of the census for 1910. The registration area covered a population of 48,877,893 persons. The figures are here extended to cover a population of 90,000,000 people: Deaths ascribed to venereal disease, 5275; spinal cord diseases, 2598; paresis, 4845. Other diseases partly due to syphilis: softening of the brain, a term indiscriminately used to cover a number of diseases including brain syphilis and paresis, 2111; paralysis, usually meaning apoplexy, but always including many cases of brain syphilis, 14,479; premature birth, by some believed to be the result of syphilis in one half of all cases, 34,174; congenital debility, deaths due in many cases to feebleness of the child resulting from syphilis, 25,285; blindness, one fourth the total number of blind in this country estimated at 15,000 to 20,000. Many estimate that over half of the entire male population have had gonorrhea. The principal reason for this alarming distribution among all classes of these infections and their steady increase is ignorance and misunderstanding of physiological facts, particularly the viciously false teaching of the street corner that sexual activity is a physiological necessity.
These diseases would be arrested were there a widespread knowledge of their disastrous effects. Although young men hear the mischievous lie that "gonorrhea is no worse than a bad cold," thousands of them are punished with sterility as a result of the disease. Nearly all the neglected cases result in so-called ascending infections, reaching the bladder and kidneys and causing many deaths, and many men carry the infection in dormant form, to infect innocent wives in later years.
Appalling as are the consequences of gonorrheal infection in men, they are not so fatal or so far-reaching as syphilis. The causative parasite of this disease spares not a single tissue in the body and may disturb any or all of its functions, not even mentality escaping. As a cause of death it is extremely frequent. Our statistics ordinarily ascribe to syphilis but a small percentage of the deaths actually due to it; for instance, many of our cases of spinal disease, paralysis, arterial and other organic diseases are tabled under other names, although directly due to syphilis.
In women gonococcic infections are even more destructive than in men, as it is extremely common for the infection to extend to the tubes and to the peritoneal cavity, thus necessitating dangerous and mutilating operations, generally followed by sterility and often by death. Syphilis, though less frequent in women than in men, is nearly if not quite as fatal as in men, and otherwise similar in its baneful effects. I The child suffers the most tragic results of venereal infection, for it is always wholly innocent, yet infected to a greater or less extent, if the parents be syphilitic, and frequently if the birth-canal be gonorrheally infected. Although silver nitrate is a remedy for gonorrheal infection, if applied to the eyes immediately after birth, nevertheless the babe frequently suffers with infected eyes, and not infrequently with blindness.