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classifications to that of those showing a clear fam-
ily history of deafness, either in cipro cheap direct or collateral
branches, and this limitation has been made cipro 500mg because
of the mistake of supposing that deafness is the
particular thing inherited, whereas, as I have said,
what are really inherited are the physical anomalies
which result in price of cipro deafness. These physical anomalies
may be transmitted by those having other forms
of defectiveness in the same manner as they are
transmitted by those having a family history of
deafness. Thus, even the seeminglv acquired deaf-
ness of adult life, or so called catarrhal buying cipro online deafness,
may be regarded as hereditary in so far as the
particular physical and systemic conditions which
cause it, such as rheumatism and gout, are heredi-
tary or transmissible, and, reasoning thus, we mav
l>e justified in the conclusion that all deafness, with
the exception of that of traumatic origin, is in cipro order part
at least due to some hereditary taint. Whether or
not I am right in this supposition, time and further
study will reveal, but w-e now cipro 250 know beyond any
doubt that heredity is an important and increasing
factor in that most serious and distressing of all
forms of deafness, namely, the congenital form,
and the question arises. What cipro 250mg are we going to do
about it? What prophylactic remedy is indicated?
The procedure that naturally suggests itself is
embodied in the phrase, "a stricter application of
the principles of eugenics" to the subject of deaf-
ness. And what cost of cipro does this mean? It means, among
other things, a more determined effort on our part
to check the transmission from parents to offspring
of the particular physical anomalies which result
in deafness. And how can this be done? It can
be done mo>t effectually, of course, by rendering
those who transmit such anomalies physically in-
capable of reproduction.
In a paper read before the American xA.cademy
of Medicine in iqoo. I advocated sterilization for
the prevention of crime, pauperism, and mental
deficiency, and I am pleased to note that the pro-
cedure is now cipro online being sanctioned by law and prac-
tised in Indiana, Cahfomia, Oregon, and Connecti-
cut. IVIoreover. there was recently appointed in the
State of Xew York a special committee on pro-
creation, composed of three physicians. We shall
watch with interest the action of this committee,
and it is a matter of congratulation. I think, that it
should be composed of physicians who are in a posi-
tion to know the purchase cipro online facts which should warrant any
action on buy cipro online the subject. \\'ho knows but that the
time will come when the practice of sterilization,
drastic as it now seems to us, will be adopted even
for the prevention of hereditary deafness.
Another effective measure, and one less radical,
would be the denial of the marriage license to those
who transmit the physical anomalies which result in
deafness. buy cipro This measure should be considered at
once. Surely, the "strong arm of the cipro price State" should
be used to regulate such marriages of the deaf as
are known to result in a high proportion of deaf
offspring, and this is especially true in view of
the fact that the State is doing all that it can to
make these marriages possible by bringing the deaf
together in large institutions and increasing their
economic efficiency. In other words, our efforts to
ameliorate the conditions of the deaf have tended
to foster their increase. In the first decade of the
last century the proportion of marriages of the
deaf to the whole number of marriages during the
century' was only 0.02 per cent., and it increased
with the increase of the number of schools during
each subsequent decade until in the ninth it was
22.7 per cent. This fact suggests, as another pos-
sible preventive measure, a change purchase cipro in our methods
of education for the deaf. Instead of bringincr
them together in large residential schools, of which
we now have about 150, with upward of 13,000
pupils. I would recommend special day buy cheap cipro school in-
struction, which would not only obviate the state
of propinquity which is so likely to result in mar-
riage, but would have the additional advantage of
keeping the deaf in closer association with hearing
people during their educational career.
HUnsO.\':\r.lKUL.\: rRl.lESTIOS or Dli.irXESS.
.^07
These are soniewliat radical measures for thi-
I)revention of deafness, but they are measures which
should i)e discussed and which sooner or later must
receive serious consideration. We are face to face
with conditions which have led close student^ of
the Mihject, like Dr. Alexander (.'•. Hell, to fear the
l)ossiblc "formation of a deaf variety of the human
si)ecies," and thus they seem to call for drastic
measures. In the meantime we can do much by
a cipro cost campaig'n of education, in which the truth may
be di.sseminated, and the facts in the case given
the widest ])o>sil)le publicity. Those of us who
know should discourage as much as jiossiblc the
marriage of the deaf which are liable to result in
deaf offspring. cipro online pharmacy 1 use the word discourage because
ihe times do not yet seem to be ripe for absolute
legal prevention. We may. forsooth, control the
breeding of our cattle, but our modern notions with
reference to personal liberty, especially as it relates
to the question of marriage, are such as to inter-
fere very materially with the application of eugenic
])rinciples. I am a believer in "personal liberty,"
but when it interferes with the happiness and use-
fulness of unborn generations of fellow cipro hc persons, I
think it should lie at least curtailed, and if neces-
sary prohibited by legal measures.
2. Acquired Deafness.
W'hen the measures which I have suggested for
the prevention of inherited deafness shall have been
more generally adopted, we shall have fewer of the
conditions, or anomalies which make the acquire-
ment of deafness so easy and in some instance- al-
most unavoidable. When we shall have elimi-
nated heredity as a cipro 250 mg factor in the causation of deaf-
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