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

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Croydon 1970

[Report of the Medical Officer of Health for Croydon]

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Table: CERVICAL CYTOLOGYNumber of women tested during 1970

CERVICAL CYTOLOGY

Number of women tested during 1970

MonthNo. of ClinicsClass !Class IIClass IIIClass /VClass VTOTALSTOTALS
New CasesRepeatsNew CesesRepeatsNew CesesRepeatsNew CasesRepeetsNew CasesRepeatsNew CasesRepeets
January1365743742321---106118224
February121773684342----26370333
March172801711116311---39534429
April172346181463-1---319107426
May1521147100385-----31785402
June151525010061------252111363
July19272501282522--1-40377480
August18231421213932--1-35683439
September19213351203652--.-33873411
October1720738129475---1-34285427
November1820752111562.1-.-3211 08429
December1312934654621-2--19683279
TOTAL1 932.3785361.1 874863510523-3.6081 .0344,642

Table: Numbers referred to Family Doctors for Treatment

Numbers referred to Family Doctors for Treatment

January13April29July29October 28
February7May43August33November 31
March30June24September39December 23
TOTAL REFERRALS = 329

Table: AGE GROUPS

AGE GROUPS

15-1920-2425-2930-3435-3940-4445-4950-5455-6960-6465-6970-74Total
Class 125158394471477462406262176651352,914
Class II366183212237239244221188601641,673
Class III148814442----45
Class IV--122-2-----7
Class V---11-----13
TOTAL292285866947317056564853641253094,642

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Class I - NORMAL SMEAR PATTERN according to age and physiological state (including
pregnancy).
Class II • "INFLAMMATORY* PATTERN - may be due to erosion, bacterial or Monolial infections.
Trichomonad infestation. Pill, I.U.D. etc.
Malignant cells NOT seen. Treat if clinically
advisable.
Class III - DYSKARYOTIC CELLS PRESENT • Implies that nuclei of epithelial cells are abnormal
and may be a reflection of some atypicality of
cervical epithelium. Current opinion suggests that
at this stage such a condition may be reversible.
Careful follow-up and specialist management
required.
Class IV - ISOLATED CELLS SUGGEST MALIGNANCY - Early gynaecological review essential.
Class V - MALIGNANCY PROBABLE - Early gynaecological review essential.