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CYTOLOGY SERVICE 1969
The total number of patients seen was 944. The number of abnormal
smears was 8.
It is interesting to consider these in some detail. Only one proved
to be negative after the repeat of three months and one was considered
innocuous enough by the Pathologist to be left for repeat smear in one year.
Three more smears graded Pap II were followed by cone biopsy one of which
was proved to be positive and underwent surgery later on. One Pap III after
repeat smear three months later was regraded as Pap IV and referred to the
Gynaecologist. Two patients showed frank carcinoma and they were treated in
Hospital: one underwent hysterectomy and the other had cone biopsy which
showed invasive carcinoma and was referred for irradiation to London Hospital.
Other abnormalities which were referred to the Hospital were:
Fibroids or myomata 4
Ovarian Cysts 2
Polypus 17
Erosions 14
Abnormalities which were referred to the General Practioners were:
Trichomonas vaginalis infection 21
Monilia infection 12
Breast examinations were also carried out at the Cytology Clinic.
Referred to surgeon 4
HEALTH VISITING
The serious shortage of health visiting staff continued during
the year, the recruitment of two student health visitors being more than
offset by the resignation of two experienced members of staff, Mrs. Broad
and Mrs. Lyon, the former gaining preferment in a neighbouring Borough
and the latter moving house to another district. In September 1969 we
were pleased to welcome Mrs. C.C. Ledden back to the post of Deputy
Superintendent Health Visitor which she vacated for personal reasons in
1968.
Amendments to the Nurseries and Child-Minders Regulation Act, 1948,
made by the Health Services and Public Health Act, 1968, came into effect
in February, 1969* and enabled greater supervision and control to be
exercised over child¬minders and play groups than had been possible previously
Although the shortage of health visitors made it difficult to step¬up the
amount of visiting done in this respect, the Deputy Superintendent Health
Visitor commenced a survey of all registered premises and child¬minders
which was continuing at the end of the year.
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