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

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Wandsworth 1967

[Report of the Medical Officer of Health for Wandsworth, Metropolitan Borough]

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65
through the medium of posters, leaflets and booklets, which were
sent to all general practitioners in the area, health clinics and the
public libraries.
Some family doctors have a particular interest in this work and
examine their own patients. In other areas of practice this does
not meet the demand and many doctors therefore prefer and encourage
their patients to attend our clinics and I should like to
thank the family doctors for their co-operation.
In October arrangements were made for a doctor and nurse to
visit a large factory in the Borough for a weekly cervical cytology
clinic. One hundred and five of the female staff had been examined
by the end of the year. This clinic resulted from an approach
made to all private industrial firms in Wandsworth in which these
facilities were offered for their employees. It is envisaged that when
the factory staff have been fully screened, similar facilities will be
made available at other factories in the Borough. It has been
claimed that women at higher risk are likely to be found among
factory and manual workers and it is hoped that our attempt to
detect cancer in this manner may be particularly valuable if, in
the long term, it does show a higher detection rate.
During the year, 295 sessions were held in Council clinics and
14 at the factory premises. Examinations carried out were respectively
1,792 and 105. One case of malignancy was found in the
105 persons examined at the Wandsworth factory but the incidence
of malignancy at Council clinics was one in 271 examinations.

Detailed statistical information covering the whole year is given in the following table:—

Number of sessions held weekly in Council clinics6
Total number of women examined1,897
Average number of women examined per session7
Total number of cases cytologically and clinically negative1,105
Total number of cases with morbid conditions needing specialist care
300
comprising :—
(i) positive malignant smears7
(ii) cervical erosion97
(iii) cervical polyp44
(iv) ovarian cyst12
(v) uterine fibroids40
(vi) all degrees of prolapse27
(vii) vulvo-vaginitis and cervicitis54
(viii) other conditions19