1 00:00:00,840 --> 00:00:02,680 VENEREAL DISEASES 2 00:00:02,840 --> 00:00:07,640 FILMED BY THE (NATIONAL) BUNDES-FILM-HAUPTSTELLE IN VIENNA 3 00:00:14,840 --> 00:00:19,320 FILM OF THE AUSTRIAN ASSOCIATION AGAINST VENEREAL DISEASES 4 00:00:19,520 --> 00:00:22,240 FILMED AT THE VIENNA UNIVERSITY CLINIC 5 00:00:22,400 --> 00:00:24,600 FOR VENEROLOGY AND DERMATOLOGY 6 00:00:24,760 --> 00:00:27,520 (DIRECTED BY PROF. ERNST FINGER) 7 00:00:28,320 --> 00:00:30,520 Honoured guests! 8 00:00:30,680 --> 00:00:34,680 The purpose of the following images is to illustrate 9 00:00:34,840 --> 00:00:39,480 how serious, significant, and widespread venereal diseases are. 10 00:00:40,960 --> 00:00:42,880 As you view these images 11 00:00:43,040 --> 00:00:46,840 of the many, severe, life-threatening symptoms, 12 00:00:47,000 --> 00:00:50,440 please keep in mind that venereal diseases are: 13 00:00:53,200 --> 00:00:55,000 1. Preventable. 14 00:00:55,160 --> 00:00:58,080 Their spread is largely due to ignorance, 15 00:00:58,240 --> 00:01:01,080 carelessness and lack of self-control. 16 00:01:01,240 --> 00:01:03,040 They can be prevented 17 00:01:03,200 --> 00:01:07,440 through means and measures that doctors are well aware of. 18 00:01:13,080 --> 00:01:15,600 2. Venereal diseases are curable. 19 00:01:15,760 --> 00:01:18,600 All of the severe symptoms that follow 20 00:01:18,760 --> 00:01:22,880 could have been prevented with timely, adequate treatment. 21 00:01:30,600 --> 00:01:32,320 Gonorrhea (The clap). 22 00:01:32,520 --> 00:01:34,400 PART 1. 23 00:01:34,600 --> 00:01:37,600 The pathogens of gonorrhea are gonococci. 24 00:01:37,760 --> 00:01:42,200 After infection, they cause an often abundant discharge. 25 00:01:44,440 --> 00:01:45,920 The sampling, staining 26 00:01:46,080 --> 00:01:48,720 and microscopic examination of the discharge. 27 00:02:21,360 --> 00:02:23,160 Gonococci. 28 00:02:30,200 --> 00:02:33,400 Gonorrhea patients have cloudy urine. 29 00:02:33,560 --> 00:02:37,400 Urine of a healthy person - Urine of a gonorrhea patient + 30 00:02:46,880 --> 00:02:51,120 Gonorrhea can cause painful inflammation of the epididymis. 31 00:02:51,280 --> 00:02:54,600 Bilateral inflammation can lead to sterility. 32 00:02:54,760 --> 00:03:00,000 In 75% of all childless couples, gonorrhea is the cause of sterility. 33 00:03:08,400 --> 00:03:11,720 Section of a spermatic cord in a healthy man. 34 00:03:22,960 --> 00:03:25,800 Cause of infertility. First, in men. 35 00:03:28,520 --> 00:03:30,320 In gonorrhea patients, 36 00:03:30,480 --> 00:03:34,080 testicle inflammation obstructs the vas deferens. 37 00:03:41,760 --> 00:03:43,600 Second, in women. 38 00:03:43,760 --> 00:03:47,000 The impregnation process in a healthy woman. 39 00:03:57,960 --> 00:03:59,960 In a woman with gonorrhea, 40 00:04:00,120 --> 00:04:03,440 the Fallopian tube is swollen, hence blocked. 41 00:04:16,920 --> 00:04:19,120 When gonococci invade joints, 42 00:04:19,280 --> 00:04:22,400 painful inflammations and swellings ensue. 43 00:04:53,600 --> 00:04:57,800 Pathogens transmitted to the eyes cause severe inflammation. 44 00:04:57,960 --> 00:05:00,400 Gonorrheal ophtalmia neonatorum. 45 00:05:31,720 --> 00:05:36,520 A large percentage of blindness results from gonorrheal ophtalmia. 46 00:05:37,560 --> 00:05:41,080 Instilling a drop of 1% silver nitrate solution 47 00:05:41,240 --> 00:05:43,480 into the eyes of every newborn 48 00:05:43,640 --> 00:05:46,720 could have prevented these cases of blindness. 49 00:05:51,960 --> 00:05:53,840 Syphilis (Lues). 50 00:05:54,240 --> 00:05:59,160 The sampling and microscopic examination of spirochete-laden discharge. 51 00:06:43,720 --> 00:06:48,080 The pathogen of syphilis is Spirochaeta pallida. 52 00:07:03,080 --> 00:07:06,600 Infection usually occurs through sexual intercourse. 53 00:07:39,080 --> 00:07:42,920 Infection can also happen elsewhere on the body. 54 00:07:43,080 --> 00:07:46,400 Infections on the upper lip, chin and tongue. 55 00:08:15,680 --> 00:08:19,680 About 8 weeks after infection, a break out appears 56 00:08:19,840 --> 00:08:23,640 in the form of spots or papules (secondary stage). 57 00:08:31,800 --> 00:08:34,440 Patients with an eruption of spots. 58 00:08:57,280 --> 00:09:00,400 Patients with an eruption of nodules. 59 00:09:48,680 --> 00:09:53,480 One or several weeping ulcers appear on or around genital organs. 60 00:10:41,880 --> 00:10:45,960 Whitish spots the size of a coin on the neck and throat. 61 00:10:57,200 --> 00:10:59,880 The scalp shows patchy hair loss. 62 00:11:16,520 --> 00:11:18,080 Syphilitic iritis. 63 00:11:40,800 --> 00:11:44,600 The tertiary stage can set in at the end of the 3rd year, 64 00:11:44,760 --> 00:11:47,480 but also after 10 years or more, 65 00:11:47,640 --> 00:11:50,840 after a long period of seemingly good health. 66 00:11:51,960 --> 00:11:55,200 All organs of the human body can be affected 67 00:11:55,360 --> 00:11:57,160 at the tertiary stage. 68 00:11:58,960 --> 00:12:03,080 Painless nodules resembling boils appear on the skin. 69 00:12:03,240 --> 00:12:07,280 They turn into well-defined round or kidney-shaped ulcers. 70 00:12:13,080 --> 00:12:14,680 Syphilitic nodules. 71 00:14:03,360 --> 00:14:05,160 Gums 72 00:14:05,360 --> 00:14:10,000 (as these characteristic tertiary stage ulcers are called) 73 00:14:10,160 --> 00:14:12,400 can also appear on the palate. 74 00:14:42,800 --> 00:14:45,800 Forehead ulcer with exposure of the bone. 75 00:14:58,800 --> 00:15:01,840 The bones of a tertiary stage syphilitic patient 76 00:15:02,000 --> 00:15:05,760 display severe changes, disintegration or thickening. 77 00:16:08,960 --> 00:16:16,040 PART 2. 78 00:16:16,240 --> 00:16:21,080 Internal organs, particularly the brain, heart and large arteries, 79 00:16:21,240 --> 00:16:24,160 display life-threatening modifications. 80 00:16:25,480 --> 00:16:27,280 Healthy brain. 81 00:16:33,560 --> 00:16:35,520 Diseased brain. 82 00:16:42,320 --> 00:16:45,160 Cerebral syphilis results in: 83 00:16:45,320 --> 00:16:46,920 Recovery: 22% 84 00:16:47,080 --> 00:16:48,920 Death: 19% Disability: 59% 85 00:17:00,280 --> 00:17:02,080 Healthy heart. 86 00:17:15,360 --> 00:17:18,680 Diseased heart with thickening of the septum. 87 00:17:36,120 --> 00:17:38,520 Late syphilis symptoms include: 88 00:17:38,680 --> 00:17:42,480 progressive general paralysis (cerebral softening), 89 00:17:42,640 --> 00:17:43,840 tabes dorsalis. 90 00:17:47,680 --> 00:17:51,280 Many mental patients living in insane asylums 91 00:17:51,440 --> 00:17:53,560 suffer diverse delusions. 92 00:20:06,240 --> 00:20:09,480 Characteristic gait of a patient with tabes. 93 00:20:09,640 --> 00:20:11,920 He flings his feet forward. 94 00:20:28,040 --> 00:20:32,080 Syphilis can be passed on from parents to their offspring 95 00:20:32,240 --> 00:20:37,960 for whom it often has dire consequences. 96 00:20:38,160 --> 00:20:39,960 Infant mortality. 97 00:20:40,120 --> 00:20:43,560 Children with healthy parents: 3.8% stillborn. 98 00:20:52,280 --> 00:20:56,120 Death within the first year: 47.2% Survival: 49% 99 00:21:05,200 --> 00:21:07,000 Of 1,700 pregnancies 100 00:21:07,160 --> 00:21:10,360 in marriages where one partner has syphilis 101 00:21:10,520 --> 00:21:12,320 (usually the man). 102 00:21:15,520 --> 00:21:17,960 Miscarriages or stillborn: 34%. 103 00:21:24,440 --> 00:21:28,280 Death within the first year: 56%. Survival: 10%. 104 00:21:38,720 --> 00:21:41,720 Comparison of both statistics. Stillborn: 105 00:21:49,680 --> 00:21:51,880 Death within the first year: 106 00:21:59,680 --> 00:22:01,480 Survival: 107 00:22:07,480 --> 00:22:11,280 Even newborns can present syphilitic symptoms. 108 00:22:24,640 --> 00:22:28,480 Lesions in the cornea in children and juveniles. 109 00:22:56,040 --> 00:23:00,040 18-year-old idiotic patient with arrested development. 110 00:23:24,080 --> 00:23:28,320 If unattended, syphilitic ulcers can lead to severe damage. 111 00:23:28,480 --> 00:23:30,160 (20-year-old man.) 112 00:23:51,200 --> 00:23:53,000 To detect syphilis, 113 00:23:53,160 --> 00:23:56,760 a blood test is done using Wassermann's technique. 114 00:24:02,720 --> 00:24:04,920 Taking of a blood sample. 115 00:24:23,880 --> 00:24:26,880 The Wassermann test uses guinea pig serum 116 00:24:41,800 --> 00:24:44,720 Processing the blood in the laboratory. 117 00:25:47,560 --> 00:25:52,480 The following statistics show how widespread venereal diseases are. 118 00:25:56,880 --> 00:25:59,880 Of 100 deaths, 21 are due to tuberculosis, 119 00:26:00,040 --> 00:26:02,840 and on average, as many to syphilis. 120 00:26:22,280 --> 00:26:24,080 A few statistics: 121 00:26:24,240 --> 00:26:27,960 Before the war, typhus cost Prussia 8 million mark 122 00:26:28,120 --> 00:26:30,160 and syphilis, 150 million. 123 00:26:41,720 --> 00:26:43,760 Distribution by occupation. 124 00:26:43,920 --> 00:26:47,320 In Berlin, venereal diseases are contracted annually: 125 00:26:47,480 --> 00:26:49,280 by 5% of soldiers, 126 00:26:53,920 --> 00:26:57,280 8% of workers, 127 00:27:02,800 --> 00:27:05,400 16% of merchants, 128 00:27:11,400 --> 00:27:15,400 25% of students, 129 00:27:21,200 --> 00:27:25,720 30% of waitresses. 130 00:27:33,080 --> 00:27:37,600 Percentage of students contracting a venereal disease annually: 131 00:27:54,840 --> 00:27:58,560 Prevalence of venereal disease at the end of school: 132 00:28:17,240 --> 00:28:19,960 Prevalence of venereal disease in the army. 133 00:28:20,120 --> 00:28:24,880 Of 1,000 soldiers, number of men contracting a venereal disease annually. 134 00:28:25,120 --> 00:28:27,360 In Prussia: 18.5, 135 00:28:30,560 --> 00:28:33,040 in Bavaria: 20.5, 136 00:28:37,360 --> 00:28:38,920 in France: 27.3, 137 00:28:43,360 --> 00:28:45,040 in Belgium: 28.3, 138 00:28:49,280 --> 00:28:52,280 in the Netherlands: 31, 139 00:28:55,920 --> 00:28:57,840 in Denmark: 34.8, 140 00:29:01,760 --> 00:29:04,200 in Russia: 42.1, 141 00:29:08,120 --> 00:29:10,560 in Austria-Hungary: 61.6, 142 00:29:14,280 --> 00:29:16,440 in Spain: 63.4, 143 00:29:20,600 --> 00:29:22,640 in Italy: 89.7, 144 00:29:26,000 --> 00:29:30,080 in England: 93.3. 145 00:29:37,440 --> 00:29:40,920 Prevalence of syphilis in the English army. 146 00:29:41,080 --> 00:29:43,800 Number of syphilitics per 1,000 men. 147 00:29:43,960 --> 00:29:45,960 On national territory: 46. 148 00:29:50,040 --> 00:29:51,880 Abroad. In Malta: 165. 149 00:29:58,960 --> 00:30:01,000 In Gibraltar: 183. 150 00:30:05,960 --> 00:30:08,320 In Ceylon: 270. 151 00:30:12,040 --> 00:30:13,960 In China: 668! 152 00:30:21,400 --> 00:30:26,000 In Copenhagen, for every 100 men marrying at 30, 153 00:30:26,160 --> 00:30:30,640 there have been 200 gonorrhea and 20 syphilis infections. 154 00:30:47,000 --> 00:30:51,640 The swift spread of venereal diseases is caused by promiscuity, 155 00:30:51,800 --> 00:30:56,640 i.e., when a man has intercourse with several women in a short time 156 00:30:56,800 --> 00:30:58,920 or a woman with several men. 157 00:31:04,120 --> 00:31:05,920 Let us imagine 6 men, 158 00:31:06,080 --> 00:31:09,520 one of which has a contagious venereal disease. 159 00:31:16,240 --> 00:31:19,240 These men have intercourse with 6 women, 160 00:31:19,400 --> 00:31:23,000 among which only one also has a venereal disease. 161 00:31:29,240 --> 00:31:36,640 As a result, one man and one woman are newly infected. 162 00:31:40,640 --> 00:31:45,440 The situation stays the same as long as no one has a new partner. 163 00:31:47,720 --> 00:31:52,240 But the effect of each person changing partners is frightful. 164 00:32:00,040 --> 00:32:04,240 As a result, 4 more people, i.e., half of the healthy ones, 165 00:32:04,400 --> 00:32:06,240 are newly infected. 166 00:32:13,000 --> 00:32:18,440 If each person changes partners again or goes back to their first partner, 167 00:32:18,600 --> 00:32:22,200 then the last 4 healthy ones become diseased too! 168 00:32:36,080 --> 00:32:40,800 In Vienna, of 200 people newly infected with a venereal disease, 169 00:32:40,960 --> 00:32:43,600 67 are between 15 and 24 years old. 170 00:32:51,800 --> 00:32:55,840 19% are between 25 and 30 years old. 14% are over 30. 171 00:33:08,720 --> 00:33:10,960 In Germany, 574 (women) cases. 172 00:33:11,120 --> 00:33:15,440 Here is the distribution of venereal diseases by age, 173 00:33:15,600 --> 00:33:17,640 between 15 and 25 years old: 174 00:33:38,680 --> 00:33:40,920 Venereal diseases are curable. 175 00:33:41,080 --> 00:33:46,000 The sooner they are treated, the more certain they are to be cured. 176 00:34:59,800 --> 00:35:02,720 THE END 177 00:35:02,880 --> 00:35:05,800 Subtitles: Ariane Fénart & Élisabeth Fuchs