"I Must Speak"
A Plea to the American Woman
by Helen Keller

A year ago I wrote in The Ladies' Home Journal about the prevention of blindness. I wrote guardedly and with hesitation; for the subject was new to me, and I shrank from discussing before the general public a problem which hitherto had been confined to the conferences of specialists. Moreover, the subject was one of which a young woman might be supposed to be ignorant, and upon which, certainly, she would not be expected to speak with authority. It is always painful to set one's self against tradition, especially against the conventions and prejudices that hedge about womanhood. But continuous study of blindness has forced upon me knowledge of this subject, and, if I am to stand as an advocate of the work for the sightless, I cannot, without accusing myself of cowardice, gloss over or ignore the fundamental evil.

Once I believed that blindness, deafness, tuberculosis and other causes of suffering were necessary, unpreventable. I believed that we must accept blind eyes, deaf ears, diseased lungs as we accept the havoc of tornadoes and deluges, and that we must bear them with as much fortitude as we could gather from religion and philosophy. But gradually my reading extended, and I found that those evils are to be laid not at the door of Providence, but at the door of mankind; that they are, in large measure, due to ignorance, stupidity and sin.

The most common cause of blindness is ophthalmia of the newborn. One pupil in every three at the institution for the blind in New York City was blinded in infancy by this disease. Nearly all of the sixteen babies in the Sunshine Home in Brooklyn, one-fourth of the inmates of the New York State Home for the Blind, six hundred sightless persons in the State of New York, between six thousand and seven thousand persons in the United States, were plunged into darkness by ophthalmia of the newborn. The symptoms of the disease appear in the infant's eyes soon after birth. The eyelids swell and become red, and about the second day they discharge whitish pus. At this stage the eyes can be saved by the simplest prophylactic care. That such care is not always exercised is due to the fact that one-half of the cases of childbirth in America are attended by midwives many of whom are ignorant and incompetent. In this country very little has been done to secure the proper education and examination of midwives; and they and equally-ignorant parents resort to poultices, nostrums and domestic remedies.

There is a remedy for ophthalmia neonatorum. This is an instillation of nitrate of silver solution into the eyes of the child. It is efficacious if promptly and skillfully applied. It is not, however, infallible, and in unskillful hands it may do great harm. The mother who sees in the eyes of her baby the symptoms which I have described should lose no time in summoning the assistance of an intelligent physician.

Let no one suppose that this is idle advice. In France and Germany the laws require that the eyes of every child shall be treated with nitrate of silver solution as soon as it is born, and in those countries there has been a considerable decrease in blindness from the scourge of ophthalmia neonatorum. And what do the wise lawmakers of America do? A bill for the prevention of blindness introduced in the Illinois Legislature failed to pass because it was argued that this was only another scheme of doctors to provide fees for themselves! But, at best, the law is concerned only with the remedy. The people themselves, and only they, can wipe out the cause.

What is the cause of ophthalmia neonatorum? It is a specific germ communicated by the mother to the child at birth. Previous to the child's birth she has unconsciously received it through infection from her husband. He has contracted the infection in licentious relations before or since marriage. "The cruelest link in the chain of consequences," says Dr. Prince Morrow, "is the mother's innocent agency. She is made a passive, unconscious medium of instilling into the eyes of her newborn babe a virulent poison which extinguishes its sight."

In mercy let it be remembered, the father does not know that he has so foully destroyed the eyes of his child and handicapped him for life. It is part of the bitter harvest of the wild oats he has sown. Society has smiled upon his "youthful recklessness" because Society does not know that

"They enslave their children's
children who make compromise
with sin."

Society has yet to learn that the blind beggar at the street-corner, the epileptic child, the woman on the operating-table, are the wages of "youthful indiscretion." Today science is verifying what the Old Testament taught three thousand years ago, and the time has come when there is no longer the excuse of ignorance. Knowledge has been given us; it is our part to apply it.

Of the consequences of social sin, blindness is by no means the most terrible. The same infection which blots out the eyes of the baby is responsible for many childless homes; for thousands of cases of lifelong invalidism; for eighty per cent. (sic) of all inflammatory diseases peculiar to women; and for seventy-five per cent. (sic) of all operations performed on mothers to save their lives.

The day has come when women must face the truth. They cannot escape the consequences of evil unless they have the knowledge that saves. Must we leave young girls to meet the danger in the dark because ewe dare not turn the light upon our social wickedness? False delicacy and prudery must give place to precise information and common-sense. It is high time to abolish falsehood and let the plain truth come in. Out with the cowardice which shuts its eyes to the immorality that causes disease and human misery. I am confident that when the people know the truth the day of deliverance for mother and child will be at hand.

To you, my people, I turn with the faith that you will face the problem and work out the salvation of your children. We must look to it that every child is protected before his birth. Every child has a right to be well born. Every child has a right to be told by his parents and teachers about his birth and his body; for in such knowledge lie true innocence and safety. Civilization is menaced by an insidious enemy. It must learn that only one cure is sure and cheap: right living, which God gives free to all. And right living depends on right knowledge.

We must set to work in the right direction the three great agencies which inform and educate us: the church, the school and the press. If they remain silent, obdurate, they will bear the odium which recoils upon evildoers. They may not listen at first to our plea for light and knowledge. They may combine to baffle us; but there will rise, again and again, to confront them, the beseeching forms of little children: deaf, blind, crooked of limb and vacant of mind.

My countrywomen, this is not faultfinding. I am not a pessimist, but an optimist, by temperament and conviction. I am making a plea for American women and their children. I plead that the blind may see, the deaf may hear, and the idiot may have a mind. In a word, I plead that the American woman may be the mother of a great race.

Throw aside, I beseech you, false modesty -- the shame that shelters evil -- and hasten the day when there shall be no preventable disease among mankind.