In this discussion, Cat Irving, a Human Remains Conservator at Surgeons’ Hall in Edinburgh and an expert on disease history, sheds light on the intriguing past of gonorrhoea. She reveals the odd and often toxic treatments used throughout history, from mercury to silver. The conversation delves into the societal stigmas faced, particularly by women, and the alarming rise in antibiotic resistance today. Cat also connects historical contexts to modern challenges in STD awareness, emphasizing the crucial need for responsible sexual health practices.
The historical treatments for gonorrhea, ranging from toxic substances to humiliating procedures, reflect a long-standing stigma and misunderstanding of the disease's transmission.
The significant rise in gonorrhea cases and its increasing antibiotic resistance highlight the urgent need for prevention education and research in sexual health policy.
Deep dives
Surge in Gonorrhea Cases
Cases of gonorrhea have surged globally, with reports indicating a more than 300% increase in Europe since 2014. This rise poses a significant public health threat, particularly as the infection is becoming increasingly antibiotic-resistant. Currently, only one antibiotic remains effective against gonorrhea, and it is also starting to exhibit limited effectiveness, raising concerns about the potential for untreatable cases in the near future. The current situation underscores the importance of preventive measures and education regarding sexually transmitted infections (STIs).
Historical Context of Gonorrhea
Gonorrhea, recognized as one of the oldest sexually transmitted infections, has been documented throughout history, with mentions dating back to biblical times. The condition has long been the subject of stigmatization and misunderstanding, often unfairly blamed on women due to the differing symptom presentations between genders. Historical treatment methods for gonorrhea were often ineffective and included toxic remedies such as mercury and silver, which carried their own health risks. Laws dating back to the 12th century reflect society's awareness of the disease and the attempts to control its spread, often with an emphasis on moral blame.
Treatment Evolution and Struggles
Treatment for gonorrhea has evolved over the centuries, transitioning from harmful substances like mercury to antibiotics in the 20th century. While the introduction of penicillin marked a significant breakthrough, the rise of antibiotic resistance has led to a worrying regression to more severe treatment methods reminiscent of earlier times. In addition to discomfort, historical treatments often included humiliating procedures designed to deter patients from future infections. Today's healthcare systems are challenged to address this resurgence, emphasizing the need for further research and potential vaccine development.
Lessons for the Future
The history of gonorrhea reveals critical lessons about public health and society's approach to sexually transmitted infections. A recurring theme is the persistent stigmatization of women, as societal narratives have often unfairly directed blame towards them. Understanding the complexities of gonorrhea and its treatment history can inform current sexual health policies and educational efforts aimed at prevention. As antibiotic resistance becomes a pressing issue, the urgency is clear: without proactive measures, the public may face a return to the harsh realities of untreated STIs.
Possibly the first recorded sexually transmitted disease, gonorrhoea is still one of the most common.
We're back on the itchier side of history today to find out more about the story of this difficult-to-spell affliction.
Kate is back with Cat Irving, Human Remains Conservator for Surgeons’ Hall in Edinburgh. Together they discuss the odd and off-putting treatments offered for gonorrhoea over the centuries.
This episode was edited by Tom Delargy and produced by Sophie Gee. The senior producer was Charlotte Long.
If you'd like to get in touch with the show you can contact us at betwixt@historyhit.com.
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