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

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London County Council 1930

[Report of the Medical Officer of Health for London County Council]

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29
from the treatment centres showed that as regards syphilis in approximately 53 per
cent, of the new patients, and in the case of gonorrhoea in 86 per cent., the infection
had taken place within a year.
Importance is attached to the necessity of securing the regular attendance of
patients at the clinics, more especially in the case of gonorrhoea, and efforts to secure
the requisite provision of facilities for intermediate treatment at times other than
during the hours when the medical officer attends are meeting with considerable
success. A number of patients still fail to complete the full course of treatment
considered necessary before final discharge, due in no small measure to the false
impression that a cure has been effected on the disappearance of outward signs of
the disease. The need for improving conditions likely to cause patients to discontinue
attendance at the clinics or to transfer them from one clinic to another continues to
receive careful attention.
Ratio of
attendances.
In past years the ratio of attendances has been stated as so many attendances
to each new case of V.D. admitted to the clinics during the year. By this means
an estimate, comparable year by year, is obtained of the efficiency of the work as
measured by the continued attendance. For the year 1930, the total attendances of
V.D. patients was 772,816 and the ratio of attendances of Y.D. patients to new
V.D. cases was 46, compared with 44 in 1929 and 43 in 1928.

Comparative figures for the fourteen years during which the scheme has been in force are shown in the following table:—

Year.New Cases.Total.Attendances.In-patients days.
Venereal.Non-venereal
191713,0252,36015,385120,65963,923
191813,6792,69316,372169,48566,095
191923,1475,11828,265307,72273,211
192024,4546,59231,046464,03381,612
192119,3686,05025,418496,20979,692
192217,7635.95023,713529,003112,564
192319,0066,64425,560555,509106,662
192418,2817,29225,573589,002102,456
192517,5028,68026,182646,131102,454
192617,7248,98826,712687,075101,735
192718,80110,16428,965767,278112,413
192816,4019,59525,996763,53565,106
192915,9858,80124,786768,87251,520
193016,70710,16226,869836,21951,216

Attention is also drawn to the very large number of non-venereal patients who
present themselves for examination. This appears to indicate quite clearly that the
general public is appreciating more and more the efforts which have been, and are
being, made to spread far and wide a knowledge of the serious nature and grave
after-effects of the venereal diseases.
Pathology
Eind
bacteriology.

Comparative figures for the fourteen years are shown in the following table:—

Pathological examinations.
Year.From treatment centres.From private practitioners.
191713,9883,649
191825,9736,380
191951,55410,464
192058,92014,027
192166,13418,472
192274,02219,836