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

Croydon 1969

[Report of the Medical Officer of Health for Croydon]

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Table: CERVICAL CYTOLOGYNumber of Tests Taken

CERVICAL CYTOLOGY

Number of Tests Taken

MonthNo. of ClinicaClass IClass IIClass IIIClass IVClass VTOTALS
New CesesRepeatsNew CesesRepeatsNew CesesRepeatsNew CesesRepeatsNew CasesRepeatsMew CasesRepeetsTOTALS
January131247869662-----195144339
February121119554371-----166132298
March1484884665------130155285
April11102875043311---156131287
May12136846145--1---198129327
June13132128404921----174178352
July14144106494911----194156350
August12876855552---1-145123268
September13729744623-----119159278
October131019857671-----159165324
November1211291606013--1-174154328
December13935156452-1---15296248
TOTAL1521,2981,0716416431883-2-1,9621,7223.684

Table: Numbers referred to Family Doctors for Treatment

Numbers referred to Family Doctors for Treatment

January 21April21July30October19
February 15May37August22November23
March 13June28September20December25
TOTAL REFERRALS = 274

Table: AGE GROUPS

AGE GROUPS

15-1920-2425-2930-3435-3940-4445-4950-5455-5950-6465-6970-74Total
Class 15461412995365114472131075212-2.369
Class II22668147215246229174139351321.284
Class III-1146732-2--26
Class IV----11-1-----3
Class V-------2----2
TOTAL772200460766764679392246892523,684

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Class I • NORMAL SMEAR PATTERN according to age and hysioiogical state (Including
pregnancy).
Class II . "INFLAMMATORY* PATTERN - may be due to erosion, bacterial or Monllial Infections.
Trlchomonad Infestation. Pill, I.U.D. etc. Malignant
cells NOT seen. Treat If clinically advisable.
Class III . DYSKARYOTIC CELLS PRESENT - Implies that nuclei of epithelial cells are abnormal
and may be a reflection of some atypicallty of
cervical epithelium. Current opinion suggests that
at this stage such a condition may be reversible.
Careful follow-up end specialist management
required.
Class IV - ISOlATED CELLS SUGGEST MALIGNANCY • Early gynaecological review essential.
Class V - MALIGNANCY PROBABLE • Early gynaecological review essential.