London's Pulse: Medical Officer of Health reports 1848-1972

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Lewisham 1965

[Report of the Medical Officer of Health for Lewisham Borough]

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The first clinic commenced on the 7th July, 1965 as a Wednesday evening session
at Amersham Road and it is associated with the Pathological Department of the
Miller General Hospital. The table below shows the findings from July, 1965 to
February, 1966:—

Table 17

Total Smears401
Malignancy positive smears4
Cervical erosion103
Cervical polyps27
Trichomonas Vaginalis10
Pus and evidence of non-specific infection9
Moniliasis7
Uterine Fibroids6
Rectocele, cystocele or prolapse requiring treatment3
Ovarian Cyst1
Pregnancy1
Endometriosis1

The second clinic opened on January, 15th, 1966, as a morning session at Central
Lewisham Health Centre, in association with the Pathological Department of
Lewisham Hospital. During the part of January and whole of February, ninetyseven
patients were examined with an average attendance of sixteen per session.
The examinations and smears have shown the following abnormalities.

Table 18

Total Smears97
Malignancy positive smears2
Cervical erosion45
Cervical polyps3
Trichomonas Vaginalis1
Pus and evidence of nonspecific infection2
Moniliasis1
Uterine fibroids4
Prolapse2
Stress incontinence1

The high proportion of abnormalities detected justifies the clinical procedures
adopted and the existence of the clinics.
At Amersham Road a Health Education Officer attends and instructs women on
the method of detection of cancer of the breasts, by palpation.
The Health Education team has played an important role in supporting cancer
prevention in the borough and talks have been given to groups of women in various
organisations or at privately organised gatherings. The demand has caused a two
months' waiting period for appointments and relief clinics have been arranged until
the third clinic opens.
One of the inhibiting factors in the project is the time involved in the microscopic
examination of the slides and the shortage of laboratory technicians. This shortage
of laboratory workers limits the number of women who can be examined.
26