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

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Barking 1970

[Report of the Medical Officer of Health for Barking]

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CHILDREN'S DEPARTMENT
Medical Reports on all children boarded out into foster homes
during the year were perused by the Deputy Medical Officer of Health
who brings to the notice of the Children's Officer any important
medical aspects that require observation or treatment.
CYTOLOGY SERVICE 1970
The total number of patients seen in 1970 was 1,941 the best
we have had so far and more than double the number of last year. It
could be attributed to a successful campaign we launched in an effort
to try and reach as many of our female employees as possible. The
campaign succeeded in combining the mass approach with individual
attention. The former was obtained via the pay envelopes, where an
individual letter was enclosed explaining the advantages and limitations
of the cytology test and the procedure. At the foot of the letter there
was the address to contact if the test was desired.
The number of suspect smears was 13 and after investigation 5
proved to be malignant.
Let us first consider the 5 positive in more detail:-

Table I

AgeSocial ClassParityPapanicolaou ClassificationOutcome
40III2Grade 3Hysterectomy
47IV2Grade 21969 Cervicitis 1970 Early Carcinoma -hysterectomy
51III3Grade 5Invasive carcinoma-hysterectomy
40III3Grade 4Cone biopsy; carcinoma in situ hysterectomy
36III1Grade 3cone biopsy carcinoma in situ 3 smears negative