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

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City of London 1970

[Report of the Medical Officer of Health for London, City of ]

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47
The medical staff find those attending the clinic welcome the opportunity to discuss not only
the question of contraception but other related problems and are happy to help wherever possible.
The Branch continues to hold special sessions for those with marital difficulties and during
the year several couples from the City clinic have received help at these sessions.
720 cervical smears were taken during the year and we are happy to report that all were
negative.
We are grateful for the opporunity to provide this service in the City which has enabled us
to help so many couples this year."
Well-Women's Clinic
The clinic, set up in 1958 with Corporation funds, is established at St. Bartholomew's Hospital.
The following report on the work of the clinic during 1970 has been received from Mr. D.K.
Williams, F.R.C.S., M.R.C.O.G.

"Total number of attendances: 443 Abnormal smears

Inflammatory changes41
Atrophic changes26
Class IV — Carcinoma in situ1
Clinical Findings:
1. Cervical erosions28
Cervical polyps20
2. Vaginitis:
Trichomonal vaginitis3
Monilial vaginitis7
Atrophic vaginitis14
3. Uterine fibroids22
4. Uterine prolapse5
5. Benign Ovarian cysts3
6. Breast lumps5
(Follow-up revealed:
Benign cysts2
Cystic hyperplasia1
Diffuse nodularity -
normal post-natal changes1
7. Thyroid enlargement1
8. Pregnancy1'

Bank of England cervical smear scheme
The following report on the work of the clinic during the year has been received from Dr.
I.D. MacDonald, M.D.:-
"In January 1970, I said that the first series of examinations had been completed and the
clinic was temporarily closed. It re-opened in November to start the second series and offer
tests to ladies who had joined the Staff more recently.
Ten cases are usually seen each week and the smears are sent to the Cytology Laboratory
at St. Bartholomew's.81 were examined during the latter part of the year. There were no positives.
A number of minor gynaecological disorders were reported to general practitioners."
Domiciliary Physiotherapy
The Metropolitan District Nursing Association continued to employ a sessional domiciliary
physiotherapist to treat, under general practitioners or hospital supervision, those persons who
are usefully benefitting from this type of service which may not be provided by a local authority
under the Act.
1969
1970
Number of patients treated during the year 12 18
Visits made to treat patients, visit doctors and clinics 257 288
3 of the patients attended live in the Barbican area.