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

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London County Council 1937

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

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The distribution of new cases of venereal disease between the sexes is shown in the following table, the figures for the preceding years being given for comparison :— Table 46

YearNew casesTotal venereal cases
SyphilisSoft chancreGonorrhoea
M.F.M.F.M.F.M.F.
19174,4273,351199113,8301,2078,4564,569
19183,7643,002116134,8441,9408,7244,955
19196,3943,3914631810,4412,44017,2985,849
19206,9883,5797662510,6692,42718,4236,031
19215,0883,100458138,5732,13614,1195,249
19224,2072,600309128,2332,40212,7495,014
19234,4972,63131149,0432,52013,8515,155
19244,1742,45230148,5652,78513,0405,241
<9253,5562,346268118,4642,85712,2885,214
19263,7252,01330128,8252,85812,8514,873
19273,8862,20920379,6372,85913,7265,075
19283,4331,83722968,2492,64711,9114,490
19293,3031,62827648,2712,50311,8504,135
19303,3891,836347128,6202,50312,3564,351
19313,0091,521326127,7132,26011,0483,793
19323,2701,671172158,5662,65612,0084,342
19333,0721,638185108,7913,31312,0484,961
19342,6731,50615968,6893,03111,5214,543
19352,5781,352336148,1842,76811,0984,134
19361,8661,05575217,7242,3199,8653,395
19371,7831,14421187,6362,3169,6303,468
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With regard to the new cases of venereal disease, information was obtained as
to whether the infection was recently acquired in patients attending the clinics for
the first time during the year 1937, and also as to the number of patients suffering
from congenital syphilis. The returns received from the treatment centres showed
that, as regards syphilis, in approximately 40 per cent, of the new patients the
disease was in either a primary or secondary stage, and, in the case of gonorrhoea,
in 92 per cent, the infection had taken place within a year. Patients suffering
from congenital syphilis not known to have received previous treatment numbered
284, compared with 265 in 1936; the age and sex distribution was as follows :—

Table 47

Under 1 year1 and under 6 years5 and under 15 years15 years and overTotal
M.F.M.F.M.F.M.F.M.F.
16161415263053114109175
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The need for improving conditions likely to cause patients to discontinue attendance
at the clinics continues to receive careful attention. Where necessary,
patients are transferred from one clinic to another, which they can attend more
conveniently. The provision of facilities for intermediate treatment of gonorrhoea
at times other than during the hours when the medical officer attends is meeting
with considerable success. A number of patients still fail to complete the full course
of treatment because of the false impression that a cure has been effected on the
disappearance of outward signs of the disease.
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 1937 the total attendances of
V.D. patients was 907,380, and the ratio of attendances of V.D. patients to new
V.D. cases was 69, compared with 59 in 1933, 66 in 1934, 69 in 1935 and 67 in 1936.
Attendances


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