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

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Croydon 1968

[Report of the Medical Officer of Health for Croydon]

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CERVICAL CYTOLOGY Number of Women Tested

MonthNo. of ClinicsAnte-Natal CasesClass IClass IIClass IIIClass IVClass VTotalsTOTALS
New CasesRepeatsNew CasesRepeatsNew CasesRepeatsNew CasesRepeatsNew CasesRepeatsNew CasesRepeats
January9342117932---2-12145166
February9178018692213----15043193
March810542470293-----12753180
April8562354831-1----11067177
May915833881411-1---16679245
June74694759441-----12991220
July9669816947------138128266
August9892605544------147104251
September8271772344---1--94122216
October9-799042472-----123137260
November8-718527562-----100141241
December8-70524940------11992211
TOTAL1017084261867147710413--1,5241,1022,626

Numbers referred to Family Doctors for Treatment

January 14April13July 14October16
February 11May14August 26November13
March 15june9September 13December12
TOTAL REFERRALS = 170

AGE GROUPS

1920-2425-2930-3435-3940-4445-4950-5455-5 960-6465-6970-74Total
Class I126871883503162771216815921,460
Classii-26801702352261801188817621,148
Class iii-1324112----14
Class IV--1---21----4
Class V-------------
Total153171360589543460242156321542,626

Class I — NORMAL SMEAR PATTERN according to age and physiological state (including
pre gnancy)
class II- Inflammatory"pattern- may be due to erosion, bacterial or Monilial
infections, Trichomonad infestation, Pill, I.U.D.
etc. Malignant cells NOT seen. Treat if
clinically advisable.
Class iii _ DYSKARYOTIC CELLS PRESENT - Implies that nuclei of epithelial cell. are
abnormal and may be a reflection of some
atypicality of cervical epithelium. Current
opinion suggests that at this stage such a
condition may be reversible. Careful follow
up and specialist management required.
Class IV - ISOLATED CELLS SUGGEST MALIGNANCY. Early gynaecological review essential .
Class V — MALIGNANCY PROBABLE. Early gynaecological review essential.