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 1971
[Report of the Medical Officer of Health for Croydon]
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CERVICAL CYTOLOGY
Number of women tested during 1971
| MONTH | No. of Clinics | Class / | Class II | Class III | Class IV | Class V | TOTALS | TOTAL | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| New Cases | Repeats | New Cases | Repeats | New Cases | Repeats | New Cases | Repeats | New Cases | Repeats | New | Repeats | |||
| January | 12 | 144 | 39 | 75 | 46 | 1 | - | 1 | - | - | - | 221 | 85 | 306 |
| February | 14 | 146 | 33 | 96 | 52 | 4 | - | - | - | - | - | 246 | 85 | 331 |
| March | 19 | 165 | 61 | 87 | 69 | 1 | 3 | - | - | - | - | 253 | 133 | 386 |
| April | 12 | 131 | 55 | 70 | 44 | 1 | - | - | - | - | - | 202 | 99 | 301 |
| May | 13 | 128 | 72 | 68 | 46 | 4 | 1 | - | - | - | - | 200 | 119 | 319 |
| June | 13 | 125 | 84 | 62 | 57 | 1 | 2 | - | - | - | - | 188 | 143 | 331 |
| July | 14 | 126 | 110 | 90 | 69 | 3 | 1 | - | - | - | - | 219 | 180 | 399 |
| August | 14 | 161 | 87 | 66 | 59 | 1 | 1 | 1 | - | - | - | 229 | 147 | 376 |
| September | 14 | 163 | 70 | 64 | 30 | 3 | - | - | - | - | - | 230 | 100 | 330 |
| October | 15 | 170 | 76 | 89 | 64 | 3 | 1 | - | - | - | - | 262 | 141 | 403 |
| November | 18 | 168 | 76 | 94 | 70 | - | 2 | - | - | - | - | 262 | 148 | 410 |
| December | 10 | 114 | 53 | 50 | 44 | - | 3 | - | - | - | - | 164 | 100 | 264 |
| 168 | 1,741 | 816 | 911 | 650 | 22 | 14 | 2 | - | - | 2,676 | 1,480 | 4,156 | ||
Numbers referred to Family Doctors for Treatment
January 31
February 34
March 31
April 13
May 18
June 24
July 40
August 35
September 23
October 41
November 18
December 23
TOTAL REFERRALS - 331
AGE GROUPS
| 15-19 | 20-24 | 25-29 | 30-34 | 35-39 | 40-44 | 45-49 | 50-54 | 55-59 | 60-64 | 65-69 | 70-74 | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Class I | 21 | 197 | 442 | 419 | 412 | 334 | 284 | 228 | 136 | 48 | 19 | 7 | 2,547 |
| Class II | 13 | 103 | 199 | 230 | 203 | 198 | 217 | 190 | 143 | 51 | 17 | 6 | 1,570 |
| Class III | - | 7 | 6 | 7 | 8 | 3 | 2 | 2 | 1 | 1 | - | - | 37 |
| Class IV | - | - | - | - | 1 | - | - | 1 | - | - | - | - | 2 |
| Class V | - | - | - | - | - | - | - | - | - | - | - | - | - |
| 34 | 307 | 647 | 656 | 624 | 535 | 503 | 421 | 280 | 100 | 36 | 13 | 4,156 |
Class I - NORMAL SMEAR PATTERN according to age and physiological state
(including pregnancy).
Class II - "INFLAMATORY" 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 cells 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 SV - ISOLATED CELLS SUGGEST MALIGNANCY - Early gynaecological review essential.
Class V - MALIGNANCY PROBABLE - Early gynaecological review essential.