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
Wandsworth 1972
[Report of the Medical Officer of Health for Wandsworth, Metropolitan Borough]
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TABLE 32
SOURCES OF REFERRALS TO MOBILE UNIT
| Source of Referral | No. | % |
|---|---|---|
| Leaflet, door-to-door | 50 | 13 |
| Leaflet, street handout | 123 | 33 |
| Local notice or poster | 65 | 17 |
| Local newspaper | 24 | 6 |
| Saw mobile unit on site | 52 | 14 |
| Referred by community nurse | 5 | 2 |
| Referred by General Practitioner | 5 | 2 |
| Told by a friend | 50 | 13 |
| Total | 374 | 100 |
TABLE 33
DETAILS OF MORBID CONDITIONS DETECTED
| Morbid Conditions | Malignancy | Ovarian Cyst Fibroids | Breast lump | Trichomonas Vaginalis | Monilia | Nonspecific infection | Atrophic Vaginitis | Polypi |
|---|---|---|---|---|---|---|---|---|
| 44 | 1 | 1 | 1 | 2 | 5 | 14 | 18 | 2 |
TABLE 34
RATE OF DETECTION OF MORBID CONDITIONS IN THE MOBILE UNIT COMPARED WITH STATIC CLINICS
| Malignancy | Other Morbidity | ||
|---|---|---|---|
| Mobile Clinic | Ordinary Clinic | Mobile Clinic | Ordinary Clinic |
| 1 : 354 | 1 : 235 | 1 : 9 | 1 : 3 |
One positive smear was detected in a middle aged woman with
several children and the diagnosis of carcinoma of the cervix was
subsequently confirmed following hospital investigation. In
addition, another 34 women were found to be suffering from less
serious conditions requiring treatment or further investigation.
These detection rates undoubtedly are low in comparison with
detection rates at permanent clinics and the reason for this lies
in the fact that 62% of women seen at permanent clinics are
referred by family doctors and in the majority of cases come to
the family doctor with gynaecological symptoms. This high