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Updated: August 23, 2024


Koch commenced by remarking that what was required for the prevention of cholera was a scientific basis. Many and diverse views as to its mode of diffusion and infection prevailed, but they furnished no safe ground for prophylaxis.

A great spirit lives in the work of men like Metchnikoff and Roux and Maisonneuve, who made possible the prophylaxis of syphilis, in that of Bordet and Wassermann, who devised the remarkable blood test for the disease, and in that of Ehrlich and Hata, who built up by a combination of chemical and biological reasoning, salvarsan, one of the most powerful weapons in existence against it.

The first suggested that the solution of the problem would not be found in police measures or in medical examination, but in prophylaxis; while the second, in correspondence relating to her own experiences gained in England, encouraged me to advocate this remedy."

The function of law is to prevent crime, it is true; but prophylaxis in the sense in which we understand it is not possible in legal practice." I assented without enthusiasm. It was disappointing to find that no precautionary measures were to be taken. However, I had done all that I could in the matter.

The failure of prophylaxis depends on two factors firstly, it requires someone charged with responsibility, earnestness and high character to explain to men precisely what they are doing and what it means; and secondly, prophylaxis is of very little use to drunken men. My experience has been that when these precautions are properly used venereal disease may disappear."

In addition to these measures, which are common to all proposals and working systems for the control of sexual disease, certain other recommendations may be classed as debatable, inasmuch as they are still under discussion and have been incorporated into some and omitted from others. These are as follows: 1. General instruction in personal prophylaxis for the population at large.

The nursing of wounds is more mechanical than the nursing of a fever, for instance, and can be sooner learned by a beginner, where the surgeon himself is always at hand. On the other hand, the value of surgical nursing depends on relative perfection of detail and rigorous adherence to the set rules of prophylaxis, whereas other nursing often requires that judgment which only experience can give.

Government takes cognizance of the physical interest of all its citizens, and passes through Congress pure-food and pure-drug acts. National societies of a voluntary nature also cater to health and happiness. Long-named organizations exist for moral prophylaxis and for the prevention of cruelty to children and animals.

The separation of the dead part is always attended with the risk of infection taking place, and should this occur, the temperature rises and other evidences of toxæmia appear. Prophylaxis.

But the one objection I have never heard from a doctor is the objection that prophylaxis by the inoculatory methods most in vogue is an economic impossibility under our private practice system.

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