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

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City of London 1923

[Report of the Medical Officer of Health for London, City of ]

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Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided.

Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales) to be inserted in these headings.London.Essex.Herts.Middlesex.Surrey.Kent.Total.
A. Number of persons from each area dealt with during the year for the first time and found to be suffering from:—
Syphilis17253534...............192
Soft chancre....................................
Gonorrhœa2491041232...............280
Conditions other than venereal311......1..................33
Total4521671776...............505
B. Total number of attendances of all patients residing in each area14,5713928371520...............14,710
C. Aggregate number of "Inpatient days "of all patients residing in each area346.........9...............49
D. Number of doses of Arsenobenzol compounds given in the:—
1. Out-patient Clinic1,964259191220...............2,049
2. In-patient Dept. to patients residing in each area.....................................
E. Give the names of Arsenobenzol compounds used in the treatment of syphilis and the usual initial and final doses.Neo.- Salvarsan. Novarsenobillon. Neo.-Kharsivan. Stabilarsan. Silver Salvarsan. Sulfarsenol. Initial dose→ o .6 to .9. o+ .6 to .75.
F. State the amount and kind of treatment usually administered to a case of Syphilis of each of the types usually dealt with at the Treatment Centre.Usual course 8 to 10 inj. of Arsenical compound c 15 to 20 Mercury inj. 3 to 4 courses in the 1st yr., 2 to 3 in the 2nd yr., according to W.R. Hyd. Perchlor c Pot. Iod. between courses Quinine Iodo. Bismuthate, 15 inj. Trepol, Neotrepol, Muthanol, Luatol, Contraluesin, Cyarsol, Mercurosal, Collosal Iodine in conjunction with or without Arsenical compounds.
G. State the nature of tests applied in deciding as to discharge of patients referred to in Item 5 on previous page.W.R. every 3 mths.; during 3rd yr., every 6 mths.; during 4th yr., without treatment. Gonorrhœa.—0→ Urethroscope, Alcohol. Films and cultures from urethra, threads, prostatic and vesicular secretions, taken 3 times at weekly intervals, after cessation of treatment, o+ Films and cultures, if necessary, from urethra and cervix and Bartholin's glands, if required, after successive menstrual periods, after cessation of treatment.

Date 23 /1 /24. (Signed) KENNETH M. WALKER,
Medical Officer of the Treatment Centre.
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