It is conservatively estimated, on the basis of reliable data from many sources, that the prevalence of syphilis in the United States is about 5 per cent of the population, or approximately 6,000,000 men, women and children. Extensive authoritative studies have shown that at any one time not more than one tenth or one eleventh of the total existing cases of syphilis are under medical care. The vast number of unrecognized cases still constitutes one of the major public health problems.
The rôle of the private physician in the control of syphilis is necessarily an important one, since many of the unrecognized cases pass through his hands and will go untreated if he does not discover them. It has been shown that as yet about 72 per cent of all known cases of syphilis are under treatment by public clinics and specialists. The inadequate rôle that the private physician plays
CLARKE W, EXNER MJ. THE TRAINING OF INTERNS IN SYPHILOLOGYIN HOSPITALS APPROVED FOR INTERNSHIPS. JAMA. 1936;106(10):767–769. doi:10.1001/jama.1936.02770100015005
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