nt means of recognizing the
diseases at the earliest possible time and with the greatest possible
certainty in any given case.

3. The suppression of quack practice, drug-store prescribing, and
advertising of cures for these diseases.

4. Moral and educational prophylaxis and the vigorous suppression of
prostitution.

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.

2. Compulsory measures and penalties obliging patients to receive
treatment and continue it until cured, regardless of their own desires
in the matter.

3. Notification or reporting of cases of sexual disease to the health
authorities.

4. Indirect legislation, as it might be called, which aims to detect
infected persons before they enter on marriage rather than at the outset
of the disease, either by releasing the physician in charge of the case
from the bond of professional confidence, or by requiring health
certificates before marriage, and which annuls marriages after infection
is discovered.

+Easily Available Treatment.+--It will be noticed that toleration of
prostitution with supervision has finally disappeared from the modern
program for the control of sexual diseases. The provision for
universally available treatment, regardless of the patient's means or
circumstances, should be thought of as the one fundamental requirement
without which no program has made even a beginning. For over a century
Denmark has provided for the free treatment of all patients with
venereal disease. The Norwegian law, essentially similar, dates from
1860. Italy a few years ago adopted a similar program, placing squarely
upon the state the responsibility of providing for the care of all
patients with venereal diseases. England has just adopted a mixed
provision which will in practice place most of the responsibility upon
the state and very little on the individual, as far as the expense of
treatment is concerned. Germany has compelled her insurance companies
to shoulder the burden, and under pressure of war is hastening matters
by invoking more and more governmental aid. The recent West Australian
Act provides that every medical offi