WeRead Powered by ReaderPub
Safe Marriage: A Return to Sanity cover

Safe Marriage: A Return to Sanity

Chapter 25: APPENDIX I.
Open in WeRead

About This Book

The text offers practical guidance aimed at reducing sexually transmitted infection and preserving marital health, combining hygienic instruction, preventative techniques, and explanations of medical aids. It describes pre- and post-coital routines such as washing, insertion of antiseptic suppositories and occlusive pessaries, timely urination, and careful douching with weak solutions, with recommendations to alternate disinfectants and to seek professional instruction. It emphasizes routine sexual cleanliness for individuals and households and outlines simple daily measures to lower infection risk while cautioning about appropriate strength and use of antiseptics.

Diagram 6.—Two Forms of Suppositories. Actual Size.

These melt rapidly after introduction and provide a pool of antiseptic fluid around mouth of womb.

Diagram 7.—Covered Spiral Spring Rubber Pessary. Seen In Profile.

It is understood that this is circular. The thickened rim retains this circular shape by means of enclosed spiral spring when the pessary is in position. To insert conveniently, the thumb and forefinger are placed on opposite sides of rim, and the spring pressed into a long oval shape.]

5. Antiseptic Douching.—If antiseptics of any kind are used, such as lysol, they should always be used in very very weak solutions, and should be varied from time to time. There is no necessity ordinarily to use anything but plain warm water, with perhaps a little table-salt in it, for internal cleansing, and soap and water for external cleansing; then dry parts carefully. But some women prefer a weak antiseptic vaginal wash, as they do a weak antiseptic mouth wash. If a woman is unfortunate enough to be married to a man liable to infect her, then she should follow the same practice as detailed here (every effort, of course, being made for her husband to be cured as soon as possible), and she should use a special suppository, as prescribed by her doctor or otherwise authoritatively recommended, and should douche and urinate immediately after each sexual connection. She should also, before douching with weak disinfecting lotion, wash thoroughly—internally and externally—with suitable soap and water. This will certainly help to prevent infection in the vagina and elsewhere. The rubber pessary and the suppository will give her a very real measure of protection against the worst of all forms of infection, viz., uterine and ovarian. She can also protect herself against infection in the female urethra—that is, the passage from the bladder—by urinating immediately after each connection, as advised. A good deal of nonsense is still talked by some medical practitioners about the alleged harmfulness of douching. The same kind of distracting and misleading statements were made a few years ago regarding antiseptic mouth-washes, which were similarly condemned. Fortunately, we are passing out of these dark ages! Soon it will be regarded as quite as natural and necessary and desirable to cleanse the genital passages as to rinse out the mouth or wipe the nostrils.

It is important to remember that the "personal equation" counts for something in choosing a disinfectant, some substances suiting one person and some suiting others. "One man's meat is another man's poison." It is also very desirable to "ring the changes" by using, say, lysol one day, something else the next, and so on. Using three or four simple disinfectants alternately on different days of the week tends to make the disinfectants less irritating and more efficacious, as well as adding a fresh interest to the toilet performance. On this and other points personal instruction is far the best—provided you can find a good instructor. Every man and every woman should seek an opportunity of learning, from competent authority, precisely what to do in the matter of prevention, and what it all means. Reading books is all very well, but personal tuition as well is a great advantage.

SUMMARY.

Finally, the following briefly summarises the recommendations for women:—

1. Before Intercourse, Wash and be Clean.—Insert soluble suppository, and then place rubber pessary in position, concave side downwards. This will slip up more easily if slightly soaped. No harm can possibly come either to husband or wife from these appliances, and neither party will be conscious of the presence of the occlusive rubber pessary (some other kinds of rubber pessary have not these advantages). The pessary can be inserted some hours before intercourse, and need not be removed till some hours afterwards. The rubber pessary should not be worn continuously. If you have mislaid the rubber pessary, a small sponge, a piece of clean cotton-wool, or even a piece of soft tissue paper can be used. Native women in different countries use seaweed, moss, sponge, etc., and Japanese women use rice-paper. But these articles are not so clean or effective as the occlusive rubber pessary. If sponge or cotton-wool is used, it should be saturated in contraceptive lotion or smeared with contraceptive ointment before insertion. But always remember—the rubber pessary is cleanest and safest.

2. After Intercourse.—Douche next morning (or earlier), remove rubber pessary, wash and dry it and put it away slightly powdered. Where there is any chance of venereal infection, the woman should urinate immediately after each connection, wash with soap and water, and then at once douche with weak and warm disinfecting lotion. If medically directed, she should also use a little calomel ointment for anointing parts that have been touched in any way.

3. Daily.—Cultivate in yourself and in the members of your household habits of sexual cleanliness. Wash and be clean. Apply this to all the openings of the body, but in particular to the vagina, urethra and anus, which should all be cleansed night and morning. This practice is not simply cleansing and refreshing, but it is preventive of many forms of disease, such as piles, etc., etc., and

4. Always remember that the spread of this kind of knowledge has been made possible by the long and patient efforts of hundreds of doctors, many of them unknown and forgotten, and that women will best be able to apply this knowledge efficiently by working in loyal co-operation with medical practitioners who have made a special study of these matters.[H]

DIGEST OF BEST PREVENTIVE PRECAUTIONS.

Before Connection.

  • 1. Douche with warm water or weak antiseptic lotion (warm).
  • 2. Insert suitable suppository.
  • 3. Place rubber pessary in position

After Connection.

  • 4. Douche.
  • 5. Remove rubber pessary. (Urinate to facilitate ejection of surplus fat.)
  • 6. Douche and dry parts.

The use of rubber pessary does not do away with desirability of douching, but it does enable the woman to douche at her own convenience with safety.

ANTISEPTIC LOTIONS.

Dr. K.R.D. Shaw, of 144, Harley Street, London, W.1, who has had a very wide experience of "prevention" in different parts of the world during the last twenty-five years, has named the following as suitable disinfecting lotions:—

Half a teaspoonful of Lysol in 5 pints of warm water;
or One teaspoonful of Sanitas in 5 pints of warm water;
or One quarter teaspoonful of Bacterol in 5 pints of warm water;
or 2 grains of Sulphate of Copper in 5 pints of warm water.

N.B.—Where there is grave danger of venereal infection, it is an excellent additional precaution to douche first with soap and water, and douche again with antiseptic lotion. The sooner this is done the better.

If all or most of these hygienic measures are widely made known to women, it can rightly be claimed that women have been released from the twin terrors of unwanted pregnancy and venereal infection, which are at the present time ruining their marital health and happiness in so many cases. Even if some only of these measures are adopted, the nation as a whole cannot fail to benefit mentally, morally and physically. The success of the measures, of course, depends to some extent on their being taken in time, but in this, as in many other directions, the old proverb holds good: Better late than never.


II.—PRACTICAL METHODS OF PREVENTION.—(Contd.)

B. FOR MEN:

Marriage cannot be made safe, of course, so long as men are permitted to contract venereal diseases, and spread them. Early marriage will greatly lessen the chances of this; tolerated houses under effective medical supervision (such as we had in Paris during the War)[I] would enormously lessen the chances of infection, even where marriage was delayed or interrupted; prophylactic depots where disinfection was properly applied, and efficiently taught on request, would be invaluable; but it is at present from self-disinfection, properly understood and efficiently applied, that the community can hope for the greatest and most immediate gain in sexual cleanliness.[J] The following were the directions I gave the Anzacs during the war, distributing these with prophylactics for men and for women (the directions for women being printed in French and English); this action was endorsed by all the leading British, American and French military and medical authorities, from the Commanders-in-Chief downwards, and the effort undoubtedly saved many thousands of men from damage and ruin:—

"AVOID INFECTION.

"If you become infected with V.D., the fault is really your own. Either do not risk infection at all, or, risking infection, take proper precautions. These are quite simple. If you take the following precautions without delay you are very very unlikely to contract disease:—

1. Use vaseline or some other grease (such as calomel ointment) beforehand, to prevent direct contact with the source of infection.*

(* Note: Any personal discomfort or unpleasantness grease causes is counteracted by the woman's having douched beforehand, as should always be done for the sake of cleanliness. A mere film of grease is sufficient to fill up pores of the skin, cover over abrasions, and prevent penetration of microbes, and it greatly facilitates subsequent cleansing.)

2. Urinate immediately after each connection to wash away all infective material, and to prevent the invasion of the urethra by the microbes of V.D.

3. Wash thoroughly with soap and water, because ordinary soap is destructive to germs—of syphilis and of gonorrhœa—and bathe parts with weak solution of pot. permang.

You had far better carry a blue-light outfit with you as a "town dressing," in the same way as you would carry a "field dressing." If you cannot get an outfit, carry a tiny bottle of pot. permang. lotion and a scrap of cotton wool. If you swob yourself carefully with this, you will not become diseased. Remember always it is delay that is dangerous. If there has been delay, use a syringe sufficiently large for the contents to flood the urethra and slightly distend it, so that every nook and cranny is cleansed.

Whatever you do, make certain of going home clean. Be sure of your health and doubly sure before you embark. While you are in the army and on this side of the world you can be cured easily and privately. If you go home infected, there will be embarrassment and expense to yourself and great danger to the women and children you love.

Get cured NOW." (Paris, April, 1919).[K]

It was clearly proved that so long as men took these simple precautions (which I always explained personally) they were very unlikely to contract disease; most cases of disease came from multiple connections with the women of the cafes, etc. It was difficult to impress on ordinary men's minds the fact that each and every connection was a danger; that the danger of infection began immediately there was any contact, and that it continued until disinfection, and was renewed as well with each fresh connection during the night. If the danger had continued for several hours in this way, the men were told to go to the medical depot or report to a doctor as soon as possible. When they did so they were saved from disease in the vast majority of cases, even up to twenty-four hours afterwards or a little longer.[L]

Nevertheless, the people who would put sacerdotalism before science, and the still meaner minds who would substitute legality for morality, raised storms of objection to my work, in the midst of which came a few strong, clear calls of understanding and encouragement.

One Scotch padre wrote me in 1918:—

"It is a magnificent adventure for a woman to go practically alone on the very edge of things, and I salute you, and congratulate you, and wish you God-speed."

An old family doctor, then with a colonial ambulance, wrote:—

"Many women ... will owe their health and happiness to you, and not a few will be indebted to you for their lives."

The editor of the Sydney Bulletin (Australia) was continually publishing helpful articles and paragraphs—after my letters and articles were censored;[M] and from Dr. W.H. Symes, of Christchurch, New Zealand, I heard by personal correspondence steadily and wisely all through the war. Much later came the following tribute, in a most valuable book written by Sir Archdall Reid and Sir Bryan Donkin ("Prevention of Venereal Disease," published by William Heinemann (Medical Books) Limited)[N]:—

"Sir Bryan Donkin's letter, which appeared in The Times, in January, 1917, and other communications which he published as opportunity offered, brought him an introduction from Sir J.W. Barrett, M.D., then serving as A.D.M.S. with the Australian Force in Egypt, to Miss Ettie Rout, who, by profession a journalist, had come with the Australian and New Zealand Forces with the object of ameliorating, as far as possible, the hardships of war. She had been horrified by the pestilence of venereal disease which broke out among the troops in Egypt, England, and elsewhere, and, with extraordinary resolution and courage, had embarked almost single-handed on a campaign of prevention. She furnished Sir Bryan, and later myself also, with much valuable information, and for her own part fought the battle most strenuously—living among the men, lecturing, finding and instructing lecturers, providing disinfectants, importuning authorities, writing most trenchant letters, establishing medical clubs in England and France, and the like. I think that when the names of those who opposed her are forgotten, the memory of this brave lady will still be green among the descendants of the valiant men for whose welfare she struggled"—p. 176-177.

ALCOHOLISM.

It should be noted here that another great difficulty we had was to make men beware of the dangers of drink. A man who is in liquor is much more liable to contract venereal disease than a man who is sober. Alcohol increases sexual desire, lessens sexual ability, and lowers the sense of responsibility. Hence, drunkenness, immorality and disease go hand in hand: a dreadful three. But more than this. The drunken man takes much longer over the sex-act, thereby prolonging the risk of disease, and he runs risks which he would rule out instantly if the fumes of alcohol had not changed the tawdry girl into the glittering fairy. Worse than all, he neglects to apply disinfection properly and promptly—he falls asleep or forgets all about it till too late. Men who are determined to have a "night out" should use calomel ointment (or some other substitute) before they start; and if they have been in liquor they should disinfect instantly when they recover their sober senses. Generally speaking, an ounce of calomel is worth a ton of salvarsan.

As with young men, so with young girls: a few glasses of wine taken at a supper or a dance—and the first downward step is taken, not because any wrong was intended, but the simple actualities of sex were unknown, and the stimulant took advantage of the ignorance that is miscalled innocence. This kind of thing will continue till the older generation realise that morality depends—not on the maintenance of ignorance and the fear of disease, but on the spread of knowledge and the promotion of virtue.

It is not morality, but caution, that is developed by fear, and in this case caution is counteracted by the practical experience that many men are immoral without becoming diseased. One man commits many immoral acts and suffers not at all; another man becomes syphilitic by yielding for the very first time; the penalty is purely fortuitous. There is no necessary connection at all between immorality and disease. The dangers of sexual intercourse are due to dirt and promiscuity rather than to immorality, and in part to the physical conformation of the individual. Virtue has far deeper and more substantial foundations than the mere gusts of fear. It is founded on necessary and responsible guardianship of the very gates of life.


III.—MEDICAL FORMULÆ.

The medical formulæ for venereal disease preventive ointments for men, and venereal disease preventive suppositories and ointments for women, should be decided upon, after thorough investigation and test, by the Departments of Public Health, and none other should be permitted to be sold. Printed directions should be issued, duly authorised by the Departments of Public Health, and no other directions should be supplied to the public with the venereal disease preventives. In these respects, to the best of my belief, the Division of Venereal Diseases of the Pennsylvania Department of Health, co-operating with the United States Public Health Service, will play the leading part; is, indeed, already doing so. Under the direction of Dr. Edward Martin, Commissioner of Health, and Dr. S. Leon Gans, Director, Division of Venereal Diseases, specimen tubes are tested and approved (with directions and other printed matter)[O] by the Health Laboratories of the Department; and certificates are issued to manufacturing chemists authorising the manufacture of ointments made in accordance with approved formulæ. Requests are made officially by the Department to retail chemists and druggists to sell, and to medical practitioners to recommend, suitable venereal disease preventives to the general public in a proper manner. In time it will probably be found advisable to authorise only a standard type of tube—preferably the metal tube with elongated nozzle and expanded metal cap—filled with one simple self-disinfecting ointment.

It has been found that the 30 per cent. to 33 per cent. calomel ointments (and suppositories) are not suitable in all cases; and careful investigations are being made to ascertain the best germicide to use. Whatever is used must be non-irritating, odourless, stainless, and yet strongly antiseptic. It is possible, I think, that chinosol[P] best fulfils the required conditions. It was first suggested by Surgeon-Commander Hamilton Boyden, R.N., of the Whale Island Gunnery School, England, who was led to choose it because of its known usefulness in ophthalmic work. It does not matter to the general public what drug is finally selected; all that matters is that it should be of proven value for the purposes required. Women can help forward this great work by deciding in their own mind: (1) That the medical prevention of venereal disease is right and wise; and (2) That the authorisation by the Public Health Departments of efficient means of preventing venereal disease will consequently have their support.

We must all of us first learn to separate the moral from the medical campaign. Both are necessary, but they must be conducted independently. America is doing this; England is not. In England venereal disease is still officially regarded as something to be discussed; in America—as something to be destroyed. Thus America is winning and England losing the battle against the venereal microbe. The Overseas British Dominions will undoubtedly follow the lead of America—particularly that of Pennsylvania. Hence, these newer countries may have a glorious future, England—only a splendid past.[Q]


IV.—COMPULSORY TREATMENT.

All women should be in favour of reasonable measures for ensuring the voluntary, and failing that the compulsory, treatment of venereal disease among men and among women.[R] It is troublesome to prevent a man getting disease if he is running into a pool of infection, and such cesspools should be cleaned up or cleared out of the community—i.e., cured or quarantined. Similarly, it is even more troublesome to prevent a woman becoming infected if she is having relationship with an active gonorrhœic or syphilitic man, and such men should be treated voluntarily, or compulsorily if they refuse or neglect voluntary treatment. Free treatment should be available to poor persons only; providing free treatment for all and sundry, whether they can afford to pay for it or not, is simply encouraging men and women to trust to luck rather than to disinfection. This presupposes that the teaching of self-disinfection has been done confidently and authoritatively. When prevention has been properly taught, then it is fair to penalise those who wilfully neglect to take precautions. It was a great misfortune to the Anglo-Saxons when the Contagious Diseases Acts were abolished; instead they should have been improved and extended to both sexes. Their abolition was the worst blow ever struck at marriage. Fortunately, their main principles we are now beginning to re-enact in various Sexual Hygiene Acts. The more "drastic"—i.e., the more efficient—these are, the more they should be supported by those who honestly desire to make marriage safe.

Apart from voluntary and compulsory treatment for venereal diseases, we certainly need voluntary and compulsory sterilisation of the unfit—diseased and feeble-minded and otherwise unfit persons, who, whatever their other qualifications may be, are unsuitable as parents. But whatever operation is decided upon, for men and for women, must in no way interfere with ordinary sexual activity; otherwise it will be promptly turned down by the general public, no matter what its medical advocates may say. In marriage the partner to be sterilised is obviously the one who is unfit for parenthood.[S]


V. CONCLUSION.

With the moral and social aspects of birth-control there is no need to deal further, except to say that they have recently been endorsed in England, with fine grace and high authority, by Lord Dawson of Penn (one of the King's Physicians), in an address given before the Church Congress at Birmingham, on October 12th, 1921, which has since been republished by Messrs. Nisbet at a shilling, under the title of "Love—Marriage—Birth-Control." The following short extract may be quoted here:—

"Generally speaking," says Lord Dawson, "birth-control before the first child is inadvisable. On the other hand, the justifiable use of birth-control would seem to be to limit the number of children when such is desirable, and to spread out their arrival in such a way as to serve their true interests and those of their home."

As to the prevention of venereal disease, as I have said, what we must aim at is not merely the prevention of sin, but the prevention of the poisoning of the sinner; for, if not, we shall have blind babies, invalid wives, and ruined husbands: broken-hearted and broken-bodied mothers adding one fragment after another to the Nation's pile of damaged goods.

To the great-hearted public this is becoming intolerable. But they know so little, and they wait so long for what the wise ones fear to tell. Not all these fears are sordid; there is a kind and gracious reluctance to shatter ideals. It is hard at times to combine beauty and duty. The way of the truth-teller is not made easier by charges of iconoclasm. "To know all is to forgive all"; that is not paganism but Christianity. So also, "Let him that is without sin cast the first stone." "To err is human: to forgive divine." Humanity, wisdom, tolerance, are wrapped up in these sayings. Yet when we think, as think at times we must, of the romantic faith that once was ours, contrasted with the realities of present experience, sex seems to have lost something of its soul of loveliness. And yet—can it ever regain this till men and women are at least clean?

If not—if the immoral man cannot be made better but rather worse, much worse, by needlessly infecting him with syphilis, then clearly the ideals of beauty and duty demand that we should apply effective sexual sanitation to the Nation until such time as we are all, every one of us, free from venereal disease. That time is not yet—and this is the essence of the whole problem. But victory is within sight. When it comes—then, and not till then—sex will regain its soul of loveliness. To this end—

"Let knowledge grow from more to more,
But more of reverence in us dwell,
That mind and soul, according well,
May make one music as before,
But vaster."

Tennyson.


NOTE.

The Author will reply personally to any serious question concerning the subject matter of this book, provided stamped and addressed envelope is sent to her, c/o the Publishers.


APPENDIX I.

OTHER METHODS OF CONTRACEPTION.

1. Withdrawal.—Immediately before emission the male organ is quickly withdrawn, to avoid emission of seminal fluid in the vagina. Many men and women feel this to be unromantic and nerve-racking, and otherwise objectionable. The method is quite commonly practised, but it is unreliable in multiple connections, and where the man has not complete control over himself. It leaves the woman at the mercy of the man for protection against impregnation.

2. Sheath or Condom ("French Letter").—This prevents both conception and infection (excepting in parts not covered by the sheath), but sheaths are apt to break, and sometimes a man infects himself whilst removing the sheath. Sheaths impose an impermeable medium between husband and wife, destroy contact, and may thereby prevent the joy of sexual intercourse. In some cases both husband and wife become nervous wrecks, recovering their health when the sheaths are discarded; in other cases it is claimed that no harm has resulted.

3. Antiseptic Syringing.—This is generally successful, but not entirely reliable by itself, because seminal fluid may enter the womb during connection. This method is unreliable unless applied immediately after each connection, and syringing at that time is inconvenient and unromantic.

4. Douche Can.—This is better than syringing in some ways, because the irrigation can be so arranged as to let the lotion flow into the vagina faster than it can flow out—hence distension of walls of vagina and thorough cleansing. But the arrangement of a runaway for outflowing lotion is inconvenient in most households.

5. Quinine Pessaries, etc.—By themselves these are unreliable, no matter what the makers claim on the label. There is usually not enough quinine in them; or if there is enough, it proves irritating.

6. Solid-Ring Check Pessary.—These are reliable only when carefully adjusted over the mouth of the womb, and many women find it very difficult to adjust this kind of pessary correctly; hence numbers of failures.

7. Vaseline and Soap-and-Water.—Using vaseline beforehand, and urinating and using soap-and-water immediately after each connection, is a fairly safe way of avoiding conception and infection. But the vaseline needs to be inserted fairly high up—if possible over the mouth of the womb, and the subsequent washing needs to be very thoroughly done (internally and externally). This method is commonly used by Continental women, but it is not entirely reliable by itself.

8. Gold Spring Check Pessary.—This is an instrument, the arms of which spread out inside the womb, and the gold spring keeps the mouth of the womb open, thus facilitating infection and conception. It is claimed as a "preventive"; it is really an abortifacient, and cannot be too strongly condemned, as causing septic miscarriage (authentic records of this are available). A woman can neither insert nor remove this instrument herself.

9. Safe Period.—It is often supposed that sexual intercourse midway between the menses is unlikely to result in pregnancy. There is no such "safe period."

NOTE.—The method of "self-control" is not referred to here, because one marital relationship per annum might lead to an annual child. In the matter of limitation of offspring, therefore, "self-control" has no value.


APPENDIX II.

MEDICAL SUPPLIES.

Rubber Pessaries.—Medical practitioners can obtain sets of occlusive rubber pessaries from Messrs. E. Lambert & Son, of 60, Queen's Road, Dalston, E.8. This firm has been manufacturing such articles in England since 1888, and now makes them in a wide range of sizes, and of special shape where required.

Bidets and Syringes.—Syringes are easily procurable, but bidets in England at present are sometimes difficult to obtain. Good strong enamel bidets can be obtained from Messrs. E. Lambert & Son, of 60, Queen's Road, E.8., and they also keep the contraceptive suppositories made by Mr. Harman Freese in accordance with medical directions mentioned in Foreword.

Soluble Suppositories (for women).—These are now being manufactured by Mr. Harman Freese, of Freese & Moon, 59, Bermondsey Street, S.E.1, from whom they can be obtained. These suppositories are disinfective as well as contraceptive, but they are at present sold for the ordinary purposes of birth-control.

Sanitary Tubes (for men).—These tubes are also manufactured by Mr. Harman Freese, of Freese & Moon, 59, Bermondsey Street, S.E.1, in accordance with medical directions mentioned in Foreword. It is quite possible to manufacture an ointment which, if properly used, would be a preventive of all forms of venereal disease. The sale of such an ointment is authorised by the State Health Department of Pennsylvania.

Information as to the medical prevention of venereal disease may be obtained from the Hon. Sec., Society for the Prevention of Venereal Diseases, 143, Harley Street, W.1. Information regarding birth-control has been made available to adults in England for the last half-century by Dr. Drysdale, Sen., and his family and supporters, through the Malthusian League, whose present address is 124, Victoria Street, London, S.W.1., and these pioneers have made a most self-sacrificing effort for the benefit of poor women by establishing a welfare centre at 153a, East Street, Walworth, London, S.E.17, where free advice is given in birth-control and sexual hygiene, and where medical supplies are available at nominal prices. This centre is supported entirely by voluntary subscriptions and at present stands in dire need of financial help.[T]—E.A.R.


NOTE.—Every thoughtful woman is urged to buy and study carefully the great work entitled: "PREVENTION OF VENEREAL DISEASE," by Sir Archdall Reid, K.B.E., M.B., C.M., F.R.S.E., with an introductory chapter by Sir Bryan Donkin, M.D., F.R.C.P., in order that she may understand the nature of the problems involved and the strength of the opposition to cleanliness.

This book is endorsed by the Society for the Prevention of Venereal Disease and contains the evidence and arguments on which the Society bases its policy, and is addressed to all who would prevent venereal diseases in themselves or in the community.


Children may be taught any system of morals—sexual or other; Christian, Mahomedan, Hindoo, Papuan, or other. They are intensely imitative and acquire a bias towards local ideas of right and wrong through association with intimate companions. A bias once acquired tends to persist. For that reason parents choose good companions and schools. On the other hand, it is difficult or impossible to convert "hardened sinners," for example, adult non-Christians. Children, therefore, may be really taught; adults, as a rule, can only be preached at. Any man may test the truth of all this by examining his own consciousness. Would any amount of preaching cause him to change his present ideas of right and wrong? As little can he alter the bias of other men. As the twig is bent so the tree grows.

In various times and places, almost everything from promiscuous sexual intercourse to absolute abstinence from all intercourse has been held holy, or permissible, or damnable. Even among Christians the widest differences have prevailed as regards the local and contemporary tone. Among them, especially among the English speaking peoples, a convention forbids the familiar discussion of sexual matters between children and adults. This convention may be right or wrong. In any case it exists, and is likely to persist for ages. But a knowledge of sex is traditional among boys, and to some extent among girls of the school age. For good or evil, therefore, children are the real teachers of sexual morals in England. Children deal with the impressionable age and give the early bias. Adults stand aside, and teach only extreme reticence. The discussions of boys are often obscene. As a consequence vast numbers grow up with the idea that unchastity is a gallant adventure, or, at worst, only a peccadillo. Even in old age such men look back to past intrigues with satisfaction. After marriage another tradition, or bias, also taught by English boys, comes into action—the tradition to keep the plighted word, to "play the game." The great majority of married Englishmen, therefore, are chaste.

Judging from history, the world, and in particular England, is not more—or less—immoral to-day than at any time during the last 2000 years. During all that time children have taught and adults have preached. Doubtless there have been many campaigns of purity in the past—mere campaigns of preaching to adults. They were ineffectual and are forgotten. Epochs of licence have almost invariably followed epochs of austerity. Modern campaigns of purity never arise except as consequents on medical attempts to prevent venereal disease, and always cease when the attempt to procure sanitation has ceased. In effect, they have been merely campaigns to secure the poisoning of sinners and their victims.

The extent of current immorality may be judged from the prevalence of venereal disease. The Royal Commission of 1913-16 found that ten per cent. of the urban population suffered from syphilis. Eighty per cent. of the population of the United Kingdom is now urban, and gonorrhœa is six or seven times as prevalent as syphilis. It follows that at least every other person in the Kingdom has suffered from venereal disease. Probably not a family has escaped infection. In proportion to its prevalence syphilis is not very deadly, yet it has been reckoned as the fourth killing disease. The victims of gonorrhœa are incalculable. Venereal diseases fill our hospitals, asylums, and workhouses. They are the principal causes of heart disease, apoplexy, paralysis, insanity, blindness in children, and of that life of sterility and pain to which so many women are condemned. It is said that chastity is the only real safeguard against venereal disease. But this is always said by people who have never stirred a finger to teach chastity, but who have only preached it. At any time there are at least a million of perfectly innocent sufferers, principally women and children, in the United Kingdom.

During the war a disloyal faction in every Dominion endeavoured to prevent the sending of help to the Mother Country. A principal cry of this faction was, "Do not let us send our clean lads to that cesspool, England." England is more than the world-cesspool. Since Englishmen are the greatest travellers, she has been the principal source of infection for the world. At one time during the war the Australasian Governments threatened to withdraw their forces unless measures were taken to protect them.

When the German offensive was impending a sanitary method was published, so effective that the venereal rate was reduced from 92 to 15 per thousand per annum. The Government proposed to bring the method into general use in the Army, but was prevented by influences which preferred to see the country poisoned and the British Army defeated. While the opponents of sanitation sat snugly at home hundreds of thousands of British soldiers were killed or maimed, enormous material was lost with territory which other hundreds of thousands of brave men had died to win, the war was prolonged, thousands of millions were added to the National Debt, and half trained boys and elderly fathers of families were hurried into the firing line. At that time there were in hospitals or in depots, convalescent from venereal disease, enough fully-trained allied soldiers to furnish, not an army corps but a great army, complete almost from G.O.C. to trumpeter.

Fear of disease does not prevent immorality, as may be judged from the immense prevalence of venereal disorders. But it does drive baser characters to the pursuit and seduction of "decent" girls. In this way nearly all prostitutes begin their careers. Prostitutes are much more diseased than other women, who, though often diseased, are seldom suspected of disease. Yet, since it has been found statistically that three out of four men acquire their maladies from amateurs, it is manifest that prostitutes only hang on the fringe of a vaster immorality. Men, who know more of these diseases than women, are, on the average, much less chaste. Medical students who know most are not more moral than other men. Plainly venereal diseases are causes, not preventives, of immorality. Nothing, therefore, is gained from their prevalence except a flood of death, disability, and misery, which falls alike on the just and unjust.

During the war Sir Archdall Reid, employing very simple means, reduced the incidence of disease among the large body of troops in his charge almost to the vanishing point. He could not make them more moral, he did not make them less moral, but at any rate he preserved their services for the country in its hour of need. And he preserved their future wives and children from unmerited death and suffering. Other doctors were equally successful. The town authorities of Portsmouth and many other boroughs are about to employ these methods for the prevention of disease among the civil population. This book describes them and tells the story of the fight against a wicked and cruel fanaticism. Its policy is endorsed by many of the leading men and women in the Kingdom—members of both Houses of Parliament, town authorities, doctors, authors, sociologists and others.



PRINTED IN GREAT BRITAIN BY

WOODS AND SONS, LTD., LONDON, N.1.


[A] Marriage, whether early or late, cannot of course benefit and elevate society until the present mischievous and archaic Divorce Laws are simplified and reformed in accordance with modern sociology and ethics. Unhappy and unsuitable marriages necessarily foster immorality and promote disease, and the community as a whole gains by their being dissolved in a ready but responsible and dignified manner. The refusal of the Church to marry diseased persons would greatly benefit the nation, whereas its refusal to marry healthy divorced persons not only injures the nation but dishonours the Church.—E.A.R.

[B] Diseased women will continue to cater for men so long as they are left free to do so, but as knowledge grows their clients will tend to be limited to diseased men. Once men clearly understand that every casual connection is a risk of disease, they will certainly tend to run fewer risks.—E.A.R.

[C] My own experience among the troops quite convinced me that the more thoroughly and carefully self-disinfection was taught, the less immorality there was. It was impossible to teach self-disinfection properly without at the same time instilling a living sense of danger into the minds of men and women; and this danger-sense certainly led to more self-restraint.—E.A.R.

[D] The present need of the white race is to increase its numbers of fit and decrease its numbers of unfit. Over-population (except in a few patches of the Old World) is not likely to be a problem for the white race for centuries. They have several continents practically empty and undeveloped, and science has as yet touched only the fringe of the possible productivity of the earth in the matter of food supplies. The worst feature of the British Empire is that there are too many Englishmen and not enough Anzacs.—E.A.R.