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29
Date, February \(Sth, 1920.
(Signed) K. M. WALKER,
Medical Officer of the Treatment Centre.
* A list of the Administrative Counties and County Boroughs in England and Wales is given on the back of this form.
t If a person has been treated for both syphilis and gonorrhoea, he should be included under both diseases, and similarly for other combinations
of venereal diseases.
§ The totals in Item A should agree with the corresponding totals in Item 2 on the previous page, and the totals in Items B and C should agree
with the respective totals in Items 7 and 8 on the previous page.
NOTES.
Item 1. The number to be inserted here is the number of persons who in the period preceding the year under report were dealt with at or in
connection with the out-patient Clinic and who, at the end of that year, had not been discharged after completion of treatment and observation
or had not been marked off as having ceased to attend under circumstances described in Items 3 (a), 3 (b) or 4.
Item 3 (a) or (b). Patients should not be marked off as having ceased to attend until after efforts have been made by letter or otherwise to induce
them to continue attendance. Patients who do not return to the Clinic within two months of the last of such efforts may be regarded as having
ceased attendance.
Item 4. In this Item will be included patients removing to other districts, to whom Form V15 or Form V15A should have been given.
Item 5. The accompanying Memorandum (V21) has been prepared by the Ministry of Health for the guidance of the Medical Officers of V.D. Treatment
Centres. The Memorandum is based on suggestions which have been made to the Ministry by certain Medical Officers of V.D. Treatment Centres
as to the tests which in their opinion should be applied before discharging a person who has suffered from syphilis or gonorrhoea, as having
completed the course of treatment and observation. Medical Officers are asked to give careful consideration to the Memorandum, but it is not
intended to suggest the invariable adoption of the methods indicated.
As regards Syphilis, the following circumstances would justify discharge on completion of treatment and observation in cases coming under
treatment in the secondary stage, or in the late primary stage with positive Wassermann reaction :—
Two years' freedom from all signs of the disease, either clinical or serological, after suspension of all medical treatment, and notwithstanding
"provocative" injections of arsenobenzol compounds, a Wassermann test being taken not less frequently than every three months.
In cases of primary infection, w;th negative Wassermann reaction, a period of two years' observation from commencement of treatment
would suffice.
As regards Gonorrhoea, it will be noted that in the Memorandum certain tests are regarded as essential, while others (e.g., culture tests and
complement fixation test) are regarded rather as supplementary.
Medical Officers are requested to indicate in paragraph H of this Return the tests which have been applied on discharge of patients from
treatment.