London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Barking 1970
[Report of the Medical Officer of Health for Barking]
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A closer look at the remaining 8 cases is perhaps just as relevant:-Table II
| Age | Social Class | Parity | Papanicolaou Classification | Outcome |
|---|---|---|---|---|
| 46 | III | 2 | Grade 3 | Cone biopsy negative |
| 60 | IV | 4 | Grade 3 | Dilation and curet -tage. Cone biopsy negative. |
| 28 | III | 2 | Grade 4 | Suspected carcinoma, cone biopsy. Dyscrasia Under close surveillance |
| 42 | II | 1 | Grade 2 | Repeat smear negative (Hospital) |
| 24 | III | 3 | Grade 2 | 5 months pregnant, should be seen again in 6 months |
2 more cases Grade II and III and 1 Grade II had moved out of the area and
could not be traced.
Table II shows Two Grade III had cone biopsy (l also had a
dilation and curettage and proved negative. One Grade II had a smear
repeated in hospital, it was found to be negative but will be followed
up. One Grade IV (suspected carcinoma) had a cone biopsy, findings
showed Dyscrasia. Because of her very young age, (28 years) she has
been kept under close surveillance instead of a more radical approach.
Another very young woman aged 24 years Grade II was 5 months pregnant
at the time which could have accounted for some atypical findings
and was recommended by the pathologist to be seen again in 6 months.
Other gynaecological conditions revealed during the session are
as follows
Fibroids 10
Ovarian Cyst 3
Erosion 18
Cervical Polypus 34
Leukoplakia 1
Vaginal prolapse 1
Dilation and curettage 4
(irregular bleeding)
Vaginal discharge and
cervicitis 18
Trichomonas vaginalis 31
Monilia infection 15
45