Syphilis etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
Syphilis etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

6 Şubat 2017 Pazartesi

Did the Mona Lisa have syphilis?

What is the Mona Lisa’s secret? She smiles so enigmatically under the all-but-invisible transparent silk veil that covers her hair, turning her brown eyes as if she has just seen someone come into her field of vision. The fascination and fame of this portrait, begun by Leonardo da Vinci in 1503, has always related to the elusive personality it communicates. Giorgio Vasari in the 16th century claimed Leonardo employed musicians and jesters to make Lisa smile. Walter Pater in the Victorian age thought she resembled a “vampire”. Modern viewers sometimes see her face as androgynous, an observation first made by Marcel Duchamp.


I have a new theory. Perhaps the Mona Lisa had syphilis.


This painting may seem like a dream image, an unreal vision, but it is a portrait of someone real. Lisa Gherardini was the wife of a Florentine merchant called Francesco del Giocondo. Contemporary sources, including a note made in 1503 by an employee in the Florentine government at the Palazzo Vecchio, put it beyond reasonable doubt that she was Leonardo’s model (and not, as art historians used to claim, someone posher).


So, she was the wife of a merchant who lived in Florence in the age of Machiavelli, Michelangelo and the explorer Vespucci. Can we know anything else about her? The lives of women in Renaissance Italy are lost in the shadows. Only in Leonardo’s portraits and a handful of other works of art do Florentine women of this period come back to life.



A brown-lipped snail


Just add earthworms … a brown-lipped snail. Photograph: Rod Williams/Alamy

Yet, as it happens, a handful of documents have survived that give glimpses of Del Giocondo’s life. For instance, she is recorded in the ledger of a Florentine convent as buying snail water (acqua di chiocciole) from its apothecary.


Snail water? I remember finding it comical when I first read this. Beyond that, I accepted a bland suggestion that it was used as a cosmetic or for indigestion. In fact, this is nonsense. The main use of snail water in pre-modern medicine was, I have recently discovered, to combat sexually transmitted diseases, including syphilis.


Perhaps it was the disgusting, punitive nature of this concoction that made it seem a pungent cure. Snail water was still being used in the 18th century; books from the time are very specific about its medicinal value. The Pharmacopœiapauperum (1718) gives this recipe:




Take Garden-Snails cleansed and bruised 6 Gallons, Earth-Worms washed and bruised 3 Gallons, of common Wormwood, Ground-Ivy, and Carduus, each one Pound and half …




More herbs are added to give the vile brew, credited to Dr Richard Mead, a physician at St Thomas’s hospital in London, a better flavour. Other 18th-century recipes concur in the use of snail water for treating such ailments,as you can see for yourself at the excellent Old Operating Theatre Museum and Herb Garret, where examples of the recipe and its use for venereal disease are on display.


Is this why Del Giocondo needed snail water? If so, it is possible she wanted it for someone other than herself. In any case, her recorded purchase was more than a decade after she posed for Leonardo. But suppose she already had a sexually transmitted disease in 1503. What would that say about Leonardo’s most famous painting?


When Del Giocondo posed for Leonardo in 1503, syphilis was shaking Europe to its core. Some said this new disease had been brought from the new world by Columbus’s sailors in 1492. It spread like wildfire. Could there be hint of it in Leonardo’s most famous painting? The Mona Lisa is shown in front of a hilly landscape through which a road snakes towards distant water and mountains. Perhaps the far-off mountains across wide, blue water represent the new world – the source of the Mona Lisa’s secret.



Andy Warhol’s Mona Lisa


Andy Warhol’s Mona Lisa, displayed before a sale at Sotheby’s in 2002. Photograph: Max Nash/AP

When Pater compared the Mona Lisa with a vampire, he was hinting at something macabre and morbid in Leonardo’s masterpiece: an association of sex and death. Perhaps this was not simply Pater’s overheated Victorian imagination conjuring decadence, for there are real shadows of mortality in this painting. When Andy Warhol created a black and white version of the Mona Lisa in 1963, he brought out just how much blackness underlies and undercuts the golds and browns in Leonardo’s intricate portrait. Pools of dark shadow spread across del Giocondo’s face, lending definition to her beauty, but also hinting at a melancholy behind her half-smile. The shadows around her eyes could easily seem unhealthy. The strange greenish light that bathes her could be a miasma of sickness.


If the Mona Lisa is a portrait of someone with a sexually transmitted disease, these hints of death and illness suddenly make sense. As for her half-smile, it becomes a wry acknowledgement that sex can make you sick. This macabre message fits well with Sigmund Freud’s analysis of Leonardo. Freud argued in his 1910 book Leonardo da Vinci and a Memory of His Childhood that the polymath researcher who not only painted but also filled notebooks with his scientific studies was repelled by sex. Leonardo was homosexual, he says, but afraid of intercourse with men or women. Instead, he “sublimated” sexuality into research.


Freud would surely think it interesting that the model of the Mona Lisa may have had syphilis. Of course, he made a lot of mistakes in his book about Leonardo. This is probably a red herring, too. However, there is surely something unhealthy about the obsessive allure that draws so many people to admire this beauty behind her screen of glass. Whatever the true meaning of the Mona Lisa, it is a slightly decadent masterpiece. Fin de siècle fantasies of syphilis-spreading vampires don’t seem so wide of the mark.



Did the Mona Lisa have syphilis?

25 Ağustos 2016 Perşembe

Syphilis is on the rise when it should be confined to history

As the old saying goes, “Laughter is the best medicine. Unless you have syphilis in which case penicillin is the best choice”. The disease, caused by the bacterium Treponema Pallidum and passed on through unprotected oral, vaginal and anal sex, has affected the famous through the ages (Al Capone and, reportedly, Hitler, to name just two).


But syphilis is in no way confined to big names, nor is it a sexually transmitted infection (STI) of the past. The 2016 Public Health England (PHE) syphilis report has shown that infection rates are on the up, with disproportionate rates in London. In 2015, the capital accounted for 56% of all cases in England, with a 22% increase in diagnoses in the year 2014-15. Since 2010 the number of cases of syphilis in Londoners has increased by 163%, with a 22% increase in the year from 2014 to 2015. The borough of Lambeth has the highest rates, closely followed by the City of London and Southwark.


Men who have sex with men (MSM) represented 90% of all syphilis cases in 2015, with a 232% increase in diagnosis over the last five years, said the report. More than half of the MSM diagnosed with syphilis in 2015 were also infected with HIV, and over half additionally tested positive for a separate STI. Rates in heterosexuals remain stable but are higher than ideal.


It’s 2016. Safe sex campaigns and targeted prevention efforts are in place. Sexual health care is free and accessible to both high and low risk groups. So what is going on?


The basic science can’t be sugar coated. More condomless sex leads to higher rates of syphilis, (and gonorrhoea, chlamydia, HIV … the list goes on). Untreated syphilis means the disease continues to be passed on and leads to potentially horrifying long-term medical complications. Action is needed now to address the reasons behind these patterns, particularly in MSM, the group most affected.


In MSM, higher numbers of partners is a key reason behind the heavily inflated rates, compounded by the use of apps such as Grindr, venue based and group sex. The reported increased use of Chemsex (recreational drugs used during sex) is also of concern, lowering sexual inhibitions and making the likelihood of using a condom less likely.


Another worrying phenomenon is “sero-sorting” – when men choose partners who have the same HIV status, in theory negating the need to use a condom. However, this puts both partners at high risk of contracting a plethora of STIs.


So what to do? A wag of the finger and a warning to wear condoms is insufficient. While individuals do need to take responsibility for their personal health, adequate support and infrastructure is essential to achieve better sexual health in the UK and turn around these rising figures.


Progress begins with knowledge, which in turn begins with education. Sex education in schools remains an optional curriculum, with countless young people, particularly teen MSMs, missing out on vital advice needed to keep them healthy.


Sexual health clinics manage the majority of syphilis testing and treatment and so attention must be paid to the massive budget cuts being faced by sexual health and MSM support services. MSM are advised to have regular STI checks (which includes a syphilis test), use condoms and seek support if they are struggling to maintain their personal health. Only robust, accessible and adequately funded services will be able to maintain this level of care. Responsibility is now on the government to ensure the needs of some of its most vulnerable populations are being met.


Further study is needed to look at the complex background to increasing rates of STIs in high risk groups. But while syphilis has been a feature of centuries past, there’s no doubt that its story now should be confined to the history books.


Join the Healthcare Professionals Network to read more pieces like this. And follow us on Twitter (@GdnHealthcare) to keep up with the latest healthcare news and views.



Syphilis is on the rise when it should be confined to history

17 Ağustos 2016 Çarşamba

Syphilis cases increase by 163% in London in five years

Five times more people were diagnosed with syphilis in London last year than in any other English region, according to a report that says cases of the infection have more than doubled in the capital since 2010.


Nearly 60% of syphilis cases in England were diagnosed in London, according to research (pdf) published on Wednesday by Public Health England, with rates increasing in 32 of the capital’s 33 boroughs in the five years to 2015.


Gay men were disproportionately affected, experiencing 90% of new diagnoses in 2015, despite comprising just 2% of the adult population. But experts are warning of a rise among heterosexuals as well.


Dr Patrick French, genitourinary medicine consultant at Central and North West London NHS Foundation Trust, said: “The increase we are seeing in syphilis and other sexually transmitted infections is a marker of a more general problem within sexual health and tackling this must be a priority across London.


“More awareness is needed around STIs, how they can be prevented and why it is important to have a check-up if you think you are at risk. Anyone having sex with new or casual partners should always use condoms and have regular sexual health checks.”


Last year, there were 2,811 cases of syphilis in London, representing a rate of new infections of 32.9 per 100,000 people – more than five times higher than that of any other region in England, and three times higher than the rate for the country overall.


That figure represents a 163.4% rise in cases since 2010, when there were 1,067 diagnoses in the capital, and an increase of 21.9% on 2014, when there were 2,306 cases.


The overwhelming majority of cases in 2015 were among gay men, with 2,406 infections compared with 196 among heterosexual men and 70 among heterosexual women. Gay men have long been overrepresented, but the gap has widened significantly since 2010, when there were 724 infections compared with 130 among heterosexual males.


Syphilis infection is a marker of high-risk sexual activity, PHE’s report says, and comes amid evidence that Londoners, particularly gay men, are having more sex than ever.


Drug-fuelled “chemsex” parties, app-facilitated sexual networking and so-called “sero-sorting”, where people choose sexual partners based on their HIV status, are all associated with reduced use of condoms, the report says.


Related: Give young people and gay men free condoms to reduce STIs, watchdog says


The recent rise in cases of syphilis comes after a historical decline in the late 1980s and early 90s, when the spectre of the HIV pandemic encouraged many people to change their sexual habits.


The first symptom of syphilis is a painless ulcer at the site of infection, lasting from three to six weeks. That is followed by general symptoms of illness including fever, headache, swollen glands and night sweats. If untreated it can lead to central nervous system disease, cardiovascular complications and death, but the widespread use of antibiotics means it rarely progresses that far.


Dr Yvonne Doyle, regional director for PHE London, said: “In London, we have excellent open-access sexual health services providing free STI testing and treatment, notification for the sexual partners of those diagnosed with an STI and free provision of contraception. With these services available across the capital, there is no reason for people to be taking unnecessary risks with their sexual health.


“I hope today’s report will further raise awareness of sexually transmitted infections including syphilis and drive home the messages about the importance of practising safe sex, which include using condoms, regularly being tested and avoiding overlapping sexual relationships. All of these will reduce the risk of STIs.”



Syphilis cases increase by 163% in London in five years

8 Mayıs 2014 Perşembe

Syphilis Produced A Massive Comeback In 2013, CDC Warns

By the year 2000, syphilis was regarded all but eradicated in the U.S. But with new data from 2005-1013 released today, the CDC created a shocking announcement: Syphilis is back, with the fee of new cases far more than doubling given that 2005.


“After getting on the verge of elimination in 2000 in the United States, syphilis circumstances have rebounded,” announced Dr. Monica Patton and colleagues in this week’s Morbidity and Mortality Report, launched these days.


Based on very current data (reported as of April 28, 2014), the yearly complete of main and secondary syphilis situations much more than doubled, from 8,724 to 16,663.


The overall per population charge much more than doubled to 5.three cases per one hundred,000 men and women in 2013 from 2.one circumstances of syphilis per one hundred,000 in 2000, when syphilis was at its lowest rate.


A poster from the UK warns of the syphilis comeback there as well. (Photo: wiki media)

A poster from the United kingdom warns of the syphilis comeback there as well. (Photograph: wiki media)



And the numbers are fairly clear about gender it’s practically solely guys acquiring syphilis. The proportion of new syphilis cases that had been in men grew with each yr studied, and in 2013, a whopping 91 percent of all new syphilis instances have been in men. And almost all of individuals were amid guys who recognized themselves as gay or bisexual.


There are also massive racial and ethnic variations among individuals receiving syphilis, the CDC mentioned, with black guys five instances as very likely to contract the ailment as white men, and black girls 13 times far more at threat than white girls. Secrecy close to gay and bisexual intercourse is a significant contributing issue to the spread of the disease, the CDC warned.


Syphilis is not a ailment you can consider lightly. As some of you might bear in mind from 1960s- 70s and 80s-era public well being warnings, syphilis can trigger dementia, blindness, and death if undetected and untreated.


Ladies are especially at danger since syphilis can be mild or even asymptomatic in females. Another issue is that syphilis’s most widespread early signs, such as fever or rash, can be simply confused with other conditions. The sores most folks image as happening with syphilis can be painless and mistaken for an ingrown hair, says the CDC in its education resources.


Ladies who don’t know they have syphilis and get pregnant can seriously endanger their babies syphilis can cause lower birth fat, prematurity, and even stillbirth.


The takeaway: We want to commence screening for syphilis again, at least amongst gay and bisexual males, explained CDC officials. These who have multiple partners should be screened each 3 to 6 months.


For more overall health news, follow me right here on Forbes.com, on Twitter, @MelanieHaiken, and subscribe to my posts on Facebook.



Syphilis Produced A Massive Comeback In 2013, CDC Warns