5. Provide $5 million for venereal-disease control in fiscal 1956 to meet the need expressed by 37 States for additional funds and to support necessary emergency activity to check alarming increases in venereal-disease rates which now threaten to wipe out previous gains.

ASSOCIATION OF STATE AND TErritorial Health Officers,

J. W. R. NORTON, President.

FRANKLIN D. YNLER, M. D., Secretary.

AMERICAN VENEREAL DISEASE ASSOCIATION,

WM. L. FLEMING, President.

JOHN C. HUME, Secretary.

AMERICAN SOCIAL HYGIENE ASSOCIATION,

PHILIP R. MATHER, President.

CONRAD VAN GURUZ, Executive Director

APPENDIX II (a).—Problems of venereal disease control-Results of questionnaire,

48 States

I. (a) Is your appropriation for VD control for the current fiscal year
adequate to permit an effective and progressive control program?.
(b) If you have any areas in your State where adequate VD control
coverage is not now provided, are any of them a potential or
actual hazard leading to the transmission of VD into other parts
of your State and/or to other States?..

(c) Have you had any recent evidence of local epidemics of early
infectious syphilis pointing to the possibility of the resurgence
of the disease?.

II. Has your State been able to compensate for the current fiscal year
with State and local funds for the loss in Federal VD funds?.
III. (a) 1. Is your State at present experiencing any rise in the attack rate
of syphilis?.

2. Of gonorrhea?.

3. Of other venereal diseases?.

(b) Is your present VD case-finding program adequate to insure a
continued fall in rates such as has occurred for the Nation as a
whole in the past decade?.

IV. Are your diagnostic and treatment facilities adequate to the need?.
V. (a) Do you have in your State any high prevalence areas which should
be surveyed with selective mass blood-testing or other case-
finding procedures?.

(b) Do you have any such high prevalence areas within urban areas
with lower average rates?..

VI. (a) Are adequate provisions made in your State for the complete and
careful interview of infected military and defense-plant per-
sonnel, and for the investigation, on a statewide basis, of con-
tacts named by them?..

(b) Do military installations and defense plants within your State contribute to any appreciable extent to your VD program?. (c) What percent of the total VD contacts originating within your State are reported by military installations within the State? 2 (d) What percent of contacts reported to your State from sources outside the State are contacts to military personnel? VII. (a) Have you experienced any recent seasonal, other temporary or permanent influx of migratory workers from high prevalence areas who may act to introduce venereal disease into your State?. (b) Does the transmission of VD through migrant laborers contribute any appreciable portion of your DV control problem?..

1 More recent Health Department reports add 4 States for syphilis rise, 15 States for gonorrhea rise.
2 Under 10 percent, 12 States; 10 to 49 percent, 22 States; 50 percent and over, 4 States.
Under 10 percent, 8 States; 10 to 49 percent, 14 States; 50 percent and over, 17 States.

:

APPENDIX II (b).—Problems of venereal disease control-Results of questionnaire, 44 cities, including Washington, D. C.

I. (a) Is your appropriation for VD control for the current fiscal year adequate to permit an effective and progressive control program?. (b) If you have any areas in your city where adequate VD control coverage is not now provided, are any of them a potential or actual hazard leading to the transmission of VD into other parts of your city and/or to surrounding areas?.

(c) Have you had any recent evidence of local epidemics of early in-
fectious syphilis pointing to the possibility of the resurgence of
the disease?.

II. Has your city been able to compensate for the current fiscal year with
State and local funds for the loss in Federal VD funds?.
III. (a) 1. Is your city at present experiencing any rise in the attack rate of
syphilis?

2. of gonorrhea?..

3. of other venereal diseases?.

(b) Is your present VD case-finding program adequate to ensure a con-
tinued fall in rates such as has occurred for the Nation as a whole
in the past decade?.

IV. Are your diagnostic and treatment facilities adequate to the need?.
V. Do you have in your city any high prevalence areas which should be
surveyed with selective mass blood-testing or other case-finding
procedures?
VI. (a) Are adequate provisions made in your city for the complete and
careful interview of infected military and defense plant per-
sonnel, and for the investigation, on a statewide basis, of con-
tacts named by them?.

(b) Do military installations and defense plants in or near your city
contribute to any appreciable extent to your VD problem?..
(c) What percent of the total VD contacts originating within your
city are reported by military installations within the State?1_
(d) What percent of contacts reported to your city from sources out-
side the State are contacts to military personnel??

VII. (a) Have you experienced any recent seasonal, other temporary, or

permanent influx of migratory workers from high prevalence areas who may act to introduce venereal disease into your city?.. (b) Does the transmission of VD through migrant laborers contribute any appreciable portion of your VD-control problem?...

1 Under 10 percent, 18 cities; 10 to 49 percent, 18 cities.

8

Under 10 percent, 14 cities; 10 to 49 percent, 7 cities; 50 percent and over, 9 cities.

Figure 2. Reported Syphilis Rates, by Age

Continental United States, 1953