Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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23
Clinics with all-day medical and intermediate treatment have been provided at
four hospitals, and at the London County Council (Whitechapel) clinic (see page 24).
In addition, eight hospitals provide facilities for all-day intermediate treatment.
The number of new patients attending the hospitals during the year 1938 was
25,897, of whom 2,864 were suffering from syphilis, 9,271 from gonorrhoea, and 244
from soft chancre, while 13,518 were diagnosed as not suffering from these diseases.
A summary of the work done by the hospitals for each of the areas in the joint scheme during the year 1938 is shown in the following table:—
Table 34
| London | Middlesex | Essex | Surrey | Kent | Herts. | Bucks. | East Ham | West Ham | Croydon | Total | "Other places" | Grand total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Syphilis | 1,929 | 322 | 87 | 104 | 67 | 50 | 17 | 18 | 31 | 19 | 2,644 | 220 | 2,864 |
| Soft chancre | 90 | 5 | 7 | 5 | 8 | - | - | 2 | - | - | 117 | 127 | 244 |
| Gonorrhœa | 5,976 | 1,096 | 454 | 365 | 155 | 149 | 58 | 84 | 193 | 33 | 8,563 | 708 | 9,271 |
| Not venereal | 8,480 | 1,759 | 733 | 716 | 351 | 190 | 106 | 136 | 288 | 82 | 12,841 | 677 | 13,518 |
| Total | 16,475 | 3,182 | 1,281 | 1,190 | 581 | 389 | 181 | 240 | 512 | 134 | 24,165 | 1,732 | 25,897 |
| Total attendances | 608,247 | 90,699 | 44,418 | 33,818 | 16,023 | 8,031 | 3,574 | 11,020 | 18,298 | 3,299 | 837,427 | 15,296 | 852,723 |
| No. of in-patient days | 27,763 | 4,367 | 3,672 | 2,187 | 2,145 | 500 | 236 | 182 | 452 | 352 | 41,856 | 11,055 | 52,911 |
| Spirochaetes | 2,041 | 197 | 127 | 51 | 21 | 58 | 6 | 43 | 47 | 6 | 2,597 | 174 | 2,771 |
| Gonococci | 94,103 | 16,894 | 11,262 | 5,731 | 2,267 | 1,686 | 962 | 2,037 | 3,928 | 549 | 139,419 | 5,258 | 144,677 |
| Wassermann | 33,175 | 4,937 | 2,352 | 2,310 | 919 | 608 | 317 | 464 | 868 | 268 | 46,218 | 1,737 | 47,955 |
| Others | 45,409 | 6,233 | 4,847 | 3,202 | 1,351 | 815 | 393 | 992 | 1,844 | 349 | 65,435 | 2,872 | 68,307 |
| Total | 174,728 | 28,261 | 18,588 | 11,294 | 4,558 | 3,167 | 1,678 | 3,536 | 6,687 | 1,172 | 253,669 | 10,041 | 263,710 |
| Spirochaetes | 5 | — | 1 | 2 | — | — | — | — | — | 4 | 12 | — | 12 |
| Gonococci | 6,538 | 237 | 508 | 568 | 50 | 39 | 20 | 2 | 22 | 1,401 | 9,385 | 7 | 9,392 |
| Wassermann | 16,632 | 735 | 2,198 | 1,465 | 228 | 154 | 158 | 40 | 6 | 855 | 22,471 | 383 | 22,854 |
| Others | 11,760 | 384 | 1,458 | 1,011 | 124 | 80 | 19 | 21 | 5 | 1,348 | 16,210 | 295 | 16,505 |
| Total | 34,935 | 1,356 | 4,165 | 3,046 | 402 | 273 | 197 | 63 | 33 | 3,608 | 48,078 | 685 | 48,763 |
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 35
| Year | New cases | Total venereal cases | ||||||
|---|---|---|---|---|---|---|---|---|
| Syphilis | Soft chancre | Gonorrhoea | ||||||
| M. | F. | M. | F. | M. | F. | M. | F. | |
| 1918-22 (average) | 5,288 | 3,134 | 422 | 16 | 8,552 | 2,269 | 14,262 | 5,419 |
| 1923-27 (average) | 3,968 | 2,330 | 277 | 6 | 8,907 | 2,776 | 13,152 | 5,112 |
| 1928-32 (average) | 3,281 | 1,699 | 270 | 10 | 8,284 | 2,514 | 11,835 | 4,223 |
| 1933 | 3,072 | 1,638 | 185 | 10 | 8,791 | 3,313 | 12,048 | 4,961 |
| 1934 | 2,673 | 1,506 | 159 | 6 | 8,689 | 3,031 | 11,521 | 4,543 |
| 1935 | 2,578 | 1,352 | 336 | 14 | 8,184 | 2,768 | 11,098 | 4,134 |
| 1936 | 1,866 | 1,055 | 75 | 21 | 7,724 | 2,319 | 9,865 | 3,395 |
| 1937 | 1,783 | 1,144 | 211 | 8 | 7,636 | 2,316 | 9,630 | 3,468 |
| 1938 | 1,799 | 1,065 | 235 | 9 | 7,120 | 2,151 | 9,154 | 3,225 |
Attendances
For the year 1938 the total attendances of V.D. patients was 767,765, and the
ratio of attendances of V.D. patients to new V.D. cases was 62, compared with 69
in 1937. The drop in the number of attendances, is attributable very largely to the
use of drugs of the sulphanilamide group which considerably reduces the number of
attendances reouired.