Word: gonorrhea
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Dates: during 1940-1949
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...Penicillin (sometimes rhymes with villain, sometimes with whistle in) is the best treatment for all staphylococcic infections, all hemolytic streptococcic infections, clostridia infections, pneumococcic infections (of the lining of skull, spinal cord, lung and heart surfaces), pneumococcic pneumonia that sulfa drugs will not cure, all gonococcic infections (including all gonorrhea that sulfa drugs will not cure). Diseases against which penicillin is effective but not fully tested: syphilis, actinomycosis, bacterial endocarditis...
...know in general which diseases penicillin helps, have worked out a tentative schedule of dosage. Present consensus is that 40,000 to 120,000 units daily, given gradually by vein or intramuscular injection for about a week, should cure the average case with a systemic infection. Treatment for gonorrhea is usually much shorter; treatment for subacute bacterial endocarditis, much longer. For application to wounds, about 50,000 units in salt solution is used, varying with the size of the wound...
...penicillin will not entirely supplant sulfa drugs. The sulfa drugs are still necessary for: 1) intestinal infections (penicillin is destroyed in the digestive tract); 2) bacillus coll infections of the urinary tract (penicillin does not attack b. coli); 3) as prophylactics in epidemics of certain diseases like meningitis, pneumonia, gonorrhea (penicillin is excreted too fast to be used for this purpose...
...prevent this dangerous self-dosing, 18 U.S. states and the Pure Food & Drug Administration have rules against sulfa sales without prescriptions. But bootleg sulfa is fairly easy to get. Chief customers: people with gonorrhea...
...people). But N.M.P.s' chief job is to care for their own people. Native diseases are bad: yaws (a childhood skin disease caused by a spirochete), malaria and blackwater fever, filariasis (worm infestation which frequently ends as elephantiasis). The imported diseases are often worse: diphtheria, gonorrhea, tuberculosis, leprosy, measles (which is often fatal to South Pacific natives who have not yet acquired immunity). The N.M.P.s vaccinate, fight mosquitoes, teach latrine building, operate for elephantiasis, give quinine, deliver babies. The slow increase of native populations on most Western Pacific Islands is largely due to their efforts...