PREFACE

The struggle of man against his unseen and silent enemies, the lower or bacterial¹ forms of life, once one becomes alive to it, has an irresistible² fascination³. More dramatic than any novel, more sombre and terrifying than a battle fought in the dark, would be the intimate picture of the battle of our bodies against the hosts of disease. If we could see with the eye of the microscope and feel and hear with the delicacy⁴ of chemical and physical interactions between atoms, the heat and intensity⁵ and the savage⁶ relentlessness⁷ of that battle would blot⁸ out all perception of anything but itself. Just as there are sounds we cannot hear, and light we cannot see, so there is a world of small things, living in us and around us, which sways our destiny and carries astray the best laid schemes of our wills and personalities⁹. The gradual development of an awareness¹⁰, a realization¹¹ of the power of this world of minute things, has been the index of progress in the bodily well-being¹² of the human race through the centuries marking the rebirth of medicine after the sleep of the Dark Ages.

In these days of sanitary¹³ measures and successful public health activity, it is becoming more and more difficult for us to realize the terrors of the Black Plagues, the devastation¹⁴, greater and more frightful¹⁵ than war, which centuries ago swept over Europe and Asia time and again, scarcely leaving enough of the living to bury the dead. Cholera¹⁶, smallpox¹⁷, bubonic plague, with terrifying suddenness fell upon a world of ignorance, and each in turn humbled¹⁸ humanity to the dust before its invisible enemies.[Pg 6] Even within our own recollection, the germ of influenza¹⁹, gaining a foothold inside our defenses, took the world by storm, and beginning probably at Hongkong, within the years 1889-90, swept the entire habitable earth, affecting hundreds of thousands of human beings, and leaving a long train of debilitating²⁰ and even crippling complications.

Here and there through the various silent battles between human beings and bacteria there stand out heroic figures, men whose powers of mind and gifts of insight and observation have made them the generals in our fight against the armies of disease. But their gifts would have been wasted had they lacked the one essential aid without which leadership is futile²¹. This is the force of enlightened public opinion, the backing of the every-day man. It is the co?peration of every-day men, acting²² on the organized knowledge of leaders, which has made possible the virtual extinction²³ of the ancient scourges²⁴ of smallpox, cholera, and bubonic plague.

Just as certain diseases are gradually passing into history through human effort, and the time is already in sight when malaria²⁵ and yellow fever, the latest objects of attack, will disappear before the campaign of preventive medicine, so there are diseases, some of them ancient, others of more recent recognition, which are gradually being brought into the light of public understanding. Conspicuous²⁶ among them is a group of three, which, in contrast to the spectacular course of great epidemics²⁷, pursue their work of destruction quietly, slowly undermining, in their long-drawn course, the very foundations of human life. Tuberculosis²⁸, or consumption, now the best known of the three, may perhaps be called the first of these great plagues, not because it is the oldest or the most wide-spread necessarily, but because it has been the longest known and most widely understood by the world at large. Cancer,[Pg 7] still of unknown cause, is the second great modern plague. The third great plague is syphilis, a disease which, in these times of public enlightenment, is still shrouded²⁹ in obscurity, entrenched³⁰ behind a barrier of silence, and armed, by our own ignorance and false shame, with a thousand times its actual power to destroy. Against all of these three great plagues medicine has pitted the choicest personalities, the highest attainments³¹, and the uttermost resources of human knowledge. Against all of them it has made headway. It is one of the ironies³², the paradoxes³³, of fate that the disease against which the most tremendous advances have been made, the most brilliant victories won, is the third great plague, syphilis—the disease that still destroys us through our ignorance or our refusal to know the truth.

We have crippled the power of tuberculosis through knowledge,—wide-spread, universal knowledge,—rather than through any miraculous³⁴ discoveries other than that of the cause and the possibility of cure. We shall in time obliterate³⁵ cancer by the same means. Make a disease a household word, and its power is gone. We are still far from that day with syphilis. The third great plague is just dawning upon us—a disease which in four centuries has already cost a whole inferno³⁶ of human misery³⁷ and a heaven of human happiness. When we awake, we shall in our turn destroy the destroyer—and the more swiftly because of the power now in the hands of medicine to blot out the disease. To the day of that awakening³⁸ books like this are dedicated³⁹. The facts here presented are the common property of the medical profession, and it is impossible to claim originality⁴⁰ for their substance. Almost every sentence is written under the shadow of some advance in knowledge which cost a life-time of some man's labor⁴¹ and self-sacrifice. The story of the conquest of syphilis is a fabric⁴² of great names, great thoughts,[Pg 8] dazzling visions, epochal achievements. It is romance triumphant⁴³, not the tissue of loathsomeness⁴⁴ that common misconception makes it.

The purpose of this book is accordingly to put the accepted facts in such a form that they will the more readily become matters of common knowledge. By an appeal to those who can read the newspapers intelligently and remember a little of their high-school physiology⁴⁵, an immense body of interested citizens can be added to the forces of a modern campaign against the third great plague. For such an awakening of public opinion and such a movement for wider co?peration, the times are ready.

John H. Stokes.

Rochester, Minn.

1 bacterial   

a.细菌的

参考例句：

• Bacterial reproduction is accelerated in weightless space. 在失重的空间，细菌繁殖加快了。
• Brain lesions can be caused by bacterial infections. 大脑损伤可能由细菌感染引起。

2 irresistible   

adj.非常诱人的，无法拒绝的，无法抗拒的

参考例句：

• The wheel of history rolls forward with an irresistible force.历史车轮滚滚向前，势不可挡。
• She saw an irresistible skirt in the store window.她看见商店的橱窗里有一条叫人着迷的裙子。

3 fascination   

n.令人着迷的事物，魅力，迷恋

参考例句：

• He had a deep fascination with all forms of transport.他对所有的运输工具都很着迷。
• His letters have been a source of fascination to a wide audience.广大观众一直迷恋于他的来信。

4 delicacy   

n.精致，细微，微妙，精良；美味，佳肴

参考例句：

• We admired the delicacy of the craftsmanship.我们佩服工艺师精巧的手艺。
• He sensed the delicacy of the situation.他感觉到了形势的微妙。

5 intensity   

n.强烈，剧烈；强度；烈度

参考例句：

• I didn't realize the intensity of people's feelings on this issue.我没有意识到这一问题能引起群情激奋。
• The strike is growing in intensity.罢工日益加剧。

6 savage   

adj.野蛮的；凶恶的，残暴的；n.未开化的人

参考例句：

• The poor man received a savage beating from the thugs.那可怜的人遭到暴徒的痛打。
• He has a savage temper.他脾气粗暴。

7 relentlessness   

参考例句：

• Scully: are in the basement because they are afraid of you of your relentlessness. 史考莉：你在地下室是因为他们怕你，怕你的义无反顾。
• Although the rain pours the utmost relentlessness, ceasing all outdoor activities, the manthethe heavens and smiles. 尽管无休止的倾盆大雨迫使所有户外劳作停止，但农民会为此兴奋不已。

8 blot   

vt.弄脏（用吸墨纸）吸干；n.污点，污渍

参考例句：

• That new factory is a blot on the landscape.那新建的工厂破坏了此地的景色。
• The crime he committed is a blot on his record.他犯的罪是他的履历中的一个污点。

9 personalities   

n. 诽谤，（对某人容貌、性格等所进行的）人身攻击； 人身攻击；人格, 个性, 名人( personality的名词复数 )

参考例句：

• There seemed to be a degree of personalities in her remarks.她话里有些人身攻击的成分。
• Personalities are not in good taste in general conversation.在一般的谈话中诽谤他人是不高尚的。

10 awareness   

n.意识，觉悟，懂事，明智

参考例句：

• There is a general awareness that smoking is harmful.人们普遍认识到吸烟有害健康。
• Environmental awareness has increased over the years.这些年来人们的环境意识增强了。

11 realization   

n.实现；认识到，深刻了解

参考例句：

• We shall gladly lend every effort in our power toward its realization.我们将乐意为它的实现而竭尽全力。
• He came to the realization that he would never make a good teacher.他逐渐认识到自己永远不会成为好老师。

12 well-being   

n.安康，安乐，幸福

参考例句：

• He always has the well-being of the masses at heart.他总是把群众的疾苦挂在心上。
• My concern for their well-being was misunderstood as interference.我关心他们的幸福，却被误解为多管闲事。

13 sanitary   

adj.卫生方面的，卫生的，清洁的，卫生的

参考例句：

• It's not sanitary to let flies come near food.让苍蝇接近食物是不卫生的。
• The sanitary conditions in this restaurant are abominable.这家饭馆的卫生状况糟透了。

14 devastation   

n.毁坏；荒废；极度震惊或悲伤

参考例句：

• The bomb caused widespread devastation. 炸弹造成大面积破坏。
• There was devastation on every side. 到处都是破坏的创伤。 来自《简明英汉词典》

15 frightful   

adj.可怕的；讨厌的

参考例句：

• How frightful to have a husband who snores!有一个发鼾声的丈夫多讨厌啊！
• We're having frightful weather these days.这几天天气坏极了。

16 cholera   

n.霍乱

参考例句：

• The cholera outbreak has been contained.霍乱的发生已被控制住了。
• Cholera spread like wildfire through the camps.霍乱在营地里迅速传播。

17 smallpox   

n.天花

参考例句：

• In 1742 he suffered a fatal attack of smallpox.1742年，他染上了致命的天花。
• Were you vaccinated against smallpox as a child?你小时候打过天花疫苗吗？

18 humbled   

adj. 卑下的，谦逊的，粗陋的 vt. 使 ... 卑下，贬低

参考例句：

• The examination results humbled him. 考试成绩挫了他的傲气。
• I am sure millions of viewers were humbled by this story. 我相信数百万观众看了这个故事后都会感到自己的渺小。

19 influenza   

n.流行性感冒，流感

参考例句：

• They took steps to prevent the spread of influenza.他们采取措施
• Influenza is an infectious disease.流感是一种传染病。

20 debilitating   

a.使衰弱的

参考例句：

• The debilitating disease made him too weak to work. 这个令他衰弱的病，使他弱到没有办法工作。
• You may soon leave one debilitating condition or relationship forever. 你即将永远地和这段霉运说拜拜了。

21 futile   

adj.无效的，无用的，无希望的

参考例句：

• They were killed,to the last man,in a futile attack.因为进攻失败，他们全部被杀，无一幸免。
• Their efforts to revive him were futile.他们对他抢救无效。

22 acting   

n.演戏，行为，假装；adj.代理的，临时的，演出用的

参考例句：

• Ignore her,she's just acting.别理她，她只是假装的。
• During the seventies,her acting career was in eclipse.在七十年代，她的表演生涯黯然失色。

23 extinction   

n.熄灭，消亡，消灭，灭绝，绝种

参考例句：

• The plant is now in danger of extinction.这种植物现在有绝种的危险。
• The island's way of life is doomed to extinction.这个岛上的生活方式注定要消失。

24 scourges   

带来灾难的人或东西，祸害( scourge的名词复数 )； 鞭子

参考例句：

• Textile workers suffer from three scourges -- noise, dust and humidity. 纱厂工人的三大威胁，就是音响、尘埃和湿气。 来自汉英文学 - 现代散文
• Believe, if Internet remains great scourges, also won't have present dimensions. 相信，如果互联网仍然是洪水猛兽，也不会有现在的规模。

25 malaria   

n.疟疾

参考例句：

• He had frequent attacks of malaria.他常患疟疾。
• Malaria is a kind of serious malady.疟疾是一种严重的疾病。

26 conspicuous   

adj.明眼的，惹人注目的；炫耀的，摆阔气的

参考例句：

• It is conspicuous that smoking is harmful to health.很明显，抽烟对健康有害。
• Its colouring makes it highly conspicuous.它的色彩使它非常惹人注目。

27 epidemics   

n．流行病

参考例句：

• Reliance upon natural epidemics may be both time-consuming and misleading. 依靠天然的流行既浪费时间，又会引入歧途。
• The antibiotic epidemics usually start stop when the summer rainy season begins. 传染病通常会在夏天的雨季停止传播。

28 tuberculosis   

n.结核病，肺结核

参考例句：

• People used to go to special health spring to recover from tuberculosis.人们常去温泉疗养胜地治疗肺结核。
• Tuberculosis is a curable disease.肺结核是一种可治愈的病。

29 shrouded   

v.隐瞒( shroud的过去式和过去分词 )；保密

参考例句：

• The hills were shrouded in mist . 这些小山被笼罩在薄雾之中。
• The towers were shrouded in mist. 城楼被蒙上薄雾。 来自《简明英汉词典》

30 entrenched   

adj.确立的，不容易改的(风俗习惯)

参考例句：

• Television seems to be firmly entrenched as the number one medium for national advertising.电视看来要在全国广告媒介中牢固地占据头等位置。
• If the enemy dares to attack us in these entrenched positions,we will make short work of them.如果敌人胆敢进攻我们固守的阵地，我们就消灭他们。

31 attainments   

成就，造诣； 获得( attainment的名词复数 )； 达到； 造诣； 成就

参考例句：

• a young woman of impressive educational attainments 一位学业成就斐然的年轻女子
• He is a scholar of the highest attainments in this field. 他在这一领域是一位颇有造就的学者。

32 ironies   

n.反语( irony的名词复数 )；冷嘲；具有讽刺意味的事；嘲弄

参考例句：

• It was one of life's little ironies. 那是生活中的一个小小的嘲弄。
• History has many ironies. 历史有许多具有讽刺意味的事。 来自《简明英汉词典》

33 paradoxes   

n.似非而是的隽语，看似矛盾而实际却可能正确的说法( paradox的名词复数 )；用于语言文学中的上述隽语；有矛盾特点的人[事物，情况]

参考例句：

• Contradictions and paradoxes arose in increasing numbers. 矛盾和悖论越来越多。 来自辞典例句
• As far as these paradoxes are concerned, the garden definitely a heterotopia. 就这些吊诡性而言，花园无疑地是个异质空间。 来自互联网

34 miraculous   

adj.像奇迹一样的，不可思议的

参考例句：

• The wounded man made a miraculous recovery.伤员奇迹般地痊愈了。
• They won a miraculous victory over much stronger enemy.他们战胜了远比自己强大的敌人，赢得了非凡的胜利。

35 obliterate   

v.擦去，涂抹，去掉...痕迹，消失，除去

参考例句：

• Whole villages were obliterated by fire.整座整座的村庄都被大火所吞噬。
• There was time enough to obliterate memories of how things once were for him.时间足以抹去他对过去经历的记忆。

36 inferno   

n.火海；地狱般的场所

参考例句：

• Rescue workers fought to get to victims inside the inferno.救援人员奋力营救大火中的受害者。
• The burning building became an inferno.燃烧着的大楼成了地狱般的地方。

37 misery   

n.痛苦，苦恼，苦难；悲惨的境遇，贫苦

参考例句：

• Business depression usually causes misery among the working class.商业不景气常使工薪阶层受苦。
• He has rescued me from the mire of misery.他把我从苦海里救了出来。

38 awakening   

n.觉醒，醒悟 adj.觉醒中的；唤醒的

参考例句：

• the awakening of interest in the environment 对环境产生的兴趣
• People are gradually awakening to their rights. 人们正逐渐意识到自己的权利。

39 dedicated   

adj.一心一意的；献身的；热诚的

参考例句：

• He dedicated his life to the cause of education.他献身于教育事业。
• His whole energies are dedicated to improve the design.他的全部精力都放在改进这项设计上了。

40 originality   

n.创造力，独创性；新颖

参考例句：

• The name of the game in pop music is originality.流行音乐的本质是独创性。
• He displayed an originality amounting almost to genius.他显示出近乎天才的创造性。

41 labor   

n.劳动，努力，工作，劳工；分娩；vi.劳动，努力，苦干；vt.详细分析；麻烦

参考例句：

• We are never late in satisfying him for his labor.我们从不延误付给他劳动报酬。
• He was completely spent after two weeks of hard labor.艰苦劳动两周后，他已经疲惫不堪了。

42 fabric   

n.织物，织品，布；构造，结构，组织

参考例句：

• The fabric will spot easily.这种织品很容易玷污。
• I don't like the pattern on the fabric.我不喜欢那块布料上的图案。

43 triumphant   

adj.胜利的，成功的；狂欢的，喜悦的

参考例句：

• The army made a triumphant entry into the enemy's capital.部队胜利地进入了敌方首都。
• There was a positively triumphant note in her voice.她的声音里带有一种极为得意的语气。

44 loathsomeness   

参考例句：

45 physiology   

n.生理学，生理机能

参考例句：

• He bought a book about physiology.他买了一本生理学方面的书。
• He was awarded the Nobel Prize for achievements in physiology.他因生理学方面的建树而被授予诺贝尔奖。