One of the greatest challenges faced by William Clark and Meriwether Lewis on their 1804?6 Corps of Discovery expedition was that of medical emergencies on the trail. Without an attending physician, even routine ailments and injuries could have tragic consequences for the expedition?s success and the safety of its members. Of these dangers, the most insidious and potentially devastating was the slow, painful, and oftentimes fatal ravage of venereal disease. ø Physician Thomas P. Lowry delves into the world of nineteenth-century medicine, uncovering the expedition?s very real fear of venereal disease. Lewis and Clark knew they were unlikely to prevent their men from forming sexual liaisons on the trail, so they prepared for the consequences of encounters with potentially infected people, as well as the consequences of preexisting disease, by stocking themselves with medicine and the latest scientific knowledge from the best minds in America. Lewis and Clark?s expedition encountered Native peoples who experienced venereal disease as a result of liaisons with French, British, Spanish, and Canadian travelers and had their own methods for curing its victims, or at least for easing the pain it inflicted. ø Lowry?s careful study of the explorers? journals sheds new light on this neglected aspect of the expedition, showing in detail how sex and venereal disease affected the men and their mission, and describes how diverse peoples faced a common threat with the best knowledge and tools at their disposal.

Multidisciplinary collection of essays on the relationship of infertility and the "historic" STIs--gonorrhea, chlamydia, and syphilis--producing surprising new insights in studies from across the globe and spanning millennia.

From Victorian anxieties about syphilis to the current hysteria over herpes and AIDS, the history of venereal disease in America requires us to examine social attitudes as well as purely medical concerns. This brilliant study is the first book to chronicle the range and direction of American reactions to the VD problem over the last hundred years. As the author makes clear, the medical promise of "magic bullets"--Drugs that would rid us of disease- is, in the case of VD, a promise unfulfilled. Despite dramatic advances, these diseases continue to exist in epidemic proportions. Focusing on this paradox of effective medicine and persistent disease, the author recounts the assorted medical, military, and public health responses to the problems that have arisen over the years; these have ranged from the widespread incarceration of prostitutes during World War I to the legal requirements for premarital blood tests. In the author's view, American concerns about venereal disease have been inextricably tied to a set of social and cultural values relating to sexuality, gender, ethnicity, and class. He shows how plans to combat sexually transmitted infections have typically emphasized the regulation of individual conduct. At the heart of such efforts, Brandt argues, is an ongoing tendency to see venereal disease as both a punishment for sexual misbehavior and an index of social decay. The tension between medical and moral approaches to VD has significantly impeded efforts to control these infections, for it has been too often assumed that merely controlling behavior is the answer. In tracing the social history of VD, this book offers a lucid, perceptive commentary on the relationship between medical science and cultural values, between sexuality and disease. -- from Book Jacket.

One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

What does it mean when a city of 180,000 people has more than 5,000 women working as prostitutes? This question frames Vu Trong Phung’s 1937 classic reportage Luc Xi. In the late 1930s, Hanoi had a burgeoning commercial sex industry that involved thousands of people and hundreds of businesses. It was the center of the city’s nightlife and the source of suffering, violence, exploitation, and a venereal disease epidemic. For Phung, a popular writer and intellectual, it also raised disturbing questions about the state of Vietnamese society and culture and whether his country really was "progressing" under French colonial rule. Translator Shaun Kingsley Malarney’s thoughtful and multifaceted introduction provides historical background on colonialism, prostitution, and venereal disease in Vietnam and discusses reportage as a literary genre, political tool, and historical source. A fully annotated translation of Luc Xi follows, in which Phung takes readers into the heart of colonial Hanoi’s sex industry, portraying its female workers, the officials who attempted to regulate it, the doctors who treated its victims, and the secretive medical facility known as the Nha Luc Xi ("The Dispensary"), which examined prostitutes for venereal diseases and held them for treatment. Drawing from his interviews with doctors, officials, and prostitutes and the writings of French doctors on prostitution and venereal disease, Phung provides a rare, firsthand look at the damage caused by the commercial sex industry. His sympathetic portrayal of the Vietnamese underclass is considered one of the most accurate, but he also provides one of the most acerbic, humorous, and critical views of the changes wrought by colonialism in Southeast Asia.