It is estimated that there are more than ten million victims of venereal disease in the United States to-day. In New York City alone there are two million men and women—not including boys and girls from six to twelve years of age—actively suffering from gonorrhea and syphilis. Eight out of every ten young men, between seventeen and thirty years of age, are suffering directly or indirectly from the effects of these diseases, and a very large percentage of these cases will be conveyed to wife and children and will wreck their lives. No one but a physician can have the faintest conception of the far-reaching consequences of infection of this character. The great White Plague is merely an incident compared to it. These diseases are largely responsible for our blind children, for the feeble-minded, for the degenerate and criminal, the incompetent and the insane. No other
disease can approximate syphilis in its hideous influence upon parenthood and the future. The women of the race, and particularly the mothers, should fully appreciate the real significance of the situation as it applies to them individually. That they do not appreciate it is well known to every physician and surgeon.
It is first necessary to state certain medical facts regarding these diseases. They exist for years after all symptoms have disappeared; no evidences exist even to suggest to the patient that he, or she, is not entirely cured. After the germs have been in the patient for some time they lose a certain degree of their virility, and a condition of immunity is established. In other words the tissue ceases to be a favorable medium for the development, or activity, of the germs. If these germs, however, are conveyed to another person, who has never had the disease, or whose tissue is not immune, they will immediately resume their full activity and virulence, and will establish the disease, frequently in its most violent form, in the person so infected. The startling deduction which we must draw from these facts is, that a man may infect his wife, and may thereby be the direct cause of wrecking her entire life, and may, in addition, as a consequence of the infection, cause a child to be born blind, without even remotely suspecting that he is in any way responsible for it. In the light of this knowledge, what is the percentage risk a young girl takes when she selects a husband, remembering that eight out of every ten husbands bring these germs to the marriage bed? Reread the true story of the young woman on page [five], accept my assurance that there are thousands and thousands of such cases, and ask yourself, who is to blame? We may certainly assure ourselves that no man living would wilfully desecrate his bride. He did not know,—did not even suspect that the disease he had years ago was still in his system. Society is to blame—you and I—the laxity of the law is the culprit. Had he been compelled to pass a physical examination before marriage he would have been told the truth.
It is a notorious fact, that in every civilized city in the world, the number of operations that are daily performed
on women, is increasing appallingly. Every surgeon knows that nine-tenths of these operations are caused, directly or indirectly, by these diseases, and in almost every case in married women, they are obtained innocently from their own husbands. It is rare to find a married woman who is not suffering from some ovarian or uterine trouble, or some obscure nervous condition, which is not amenable to the ordinary remedies, and a very large percentage of these cases are primarily caused by infection obtained in the same way.
When a girl marries she does not know what fate has in store for her, nor is there any possible way of knowing under the present marriage system. If she begets a sickly, puny child,—assuming she herself has providentially escaped immediate disease,—she devotes all her mother love and devotion to it, but she is fighting a hopeless fight, as I previously explained when I stated that one-half of the total effort of one-third of the race is expended in combating conditions against which no successful effort is possible. Even her prayers are futile, because the wrong is implanted in the constitution of the child, and the remedy is elsewhere. These are the tragedies of life, which no words can adequately describe, and compared to which the incidental troubles of the world are as nothing.
So long as these conditions exist need we not tremble for the future of the race? Is not this future welfare a personal issue, or can we trust the future of our daughters to the same indiscriminate fate that has written the pages of history in the past?
This problem has been debated from every possible angle without our reaching any seemingly practical solution. The promise of emancipation, however, came with the dawn of eugenics. It is the only solution that gives promise of immediate and reasonable success. For that reason alone it should receive the active support of every good mother in all lands.
The Utility of Marriage Certificates.—There would seem to be no question as to the utility of marriage certificates. We must remember, however, that there is a distinction between marriage and parenthood, and that
eugenics is concerned only with parenthood. It is interested in the institution of marriage to the extent only that it may, by some system of regulation, be a positive and fixed factor in the production of exclusively healthy children. The eugenist demands fit children. If society can ensure fit children, as a consequence of any marriage system which may or may not include medical certification, the eugenic aim is fully met. At the present time the giving of a marriage certificate, which is really a permit to marry, would seem to be the most practical way promptly to accomplish the eugenic purpose. We should promptly question the honor of any prospective husband disposed to evade the examination simply because he was not compelled to obey by a legislative enactment.