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 1972
[Report of the Medical Officer of Health for Croydon]
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CERVICAL CYTOLOGY
Number of women tested during 1972
| MONTH | No. of Clinics | Class I | 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 Cases | Repeats | |||
| January | 13 | 114 | 78 | 73 | 95 | 2 | 2 | - | - | - | - | 189 | 175 | 364 |
| February | 14 | 128 | 120 | 54 | 86 | 1 | 3 | - | - | - | - | 183 | 209 | 392 |
| March | 20 | 141 | 153 | 76 | 94 | 1 | 2 | - | - | - | - | 218 | 249 | 467 |
| ApriI | 15 | 126 | 89 | 60 | 68 | 4 | - | - | - | - | - | 190 | 157 | 347 |
| May | 21 | 142 | 114 | 103 | 127 | - | 3 | - | - | 1 | - | 246 | 244 | 490 |
| June | 19 | 132 | 144 | 79 | 96 | - | 1 | - | - | - | - | 211 | 241 | 452 |
| July | 17 | 115 | 101 | 76 | 88 | 1 | - | 1 | - | - | - | 193 | 189 | 382 |
| August | 20 | 112 | 109 | 106 | 98 | 2 | 1 | 1 | - | - | - | 221 | 208 | 429 |
| September | 23 | 125 | 114 | 98 | 141 | 3 | 2 | - | - | - | - | 226 | 257 | 483 |
| October | 20 | 116 | 139 | 71 | 112 | 7 | 2 | 1 | - | 1 | - | 196 | 253 | 449 |
| November | 25 | 180 | 137 | 110 | 101 | 1 | - | - | - | - | - | 291 | 238 | 529 |
| December | 17 | 127 | 53 | 124 | 65 | 2 | - | - | - | - | - | 253 | 118 | 371 |
| TOTAL | 224 | 1,558 | 1,351 | 1,030 | 1,171 | 24 | 16 | 3 | - | 2 | - | 2,617 | 2,538 | 5,155 |
Numbers referred to Family Doctors for Treatment
| January | 42 | Apri 1 | 44 | July | 23 | October | 37 |
| February | 43 | May | 46 | August | 25 | November | 27 |
| March | 38 | June | 31 | September | 44 | December | 16 |
| TOTAL REFERRALS - 416 | |||||||
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 | 23 | 207 | 451 | 420 | 468 | 446 | 405 | 277 | 136 | 56 | 12 | 8 | 2,909 |
| Class II | 11 | 111 | 268 | 296 | 310 | 286 | 302 | 313 | 190 | 94 | 16 | 4 | 2,201 |
| Class III | - | 2 | 7 | 10 | 8 | 4 | 3 | 4 | - | 1 | 1 | - | 40 |
| Class IV | - | - | - | 1 | - | 1 | - | 1 | - | - | - | - | 3 |
| Class V | - | - | 1 | - | - | - | - | - | 1 | - | - | - | 2 |
| TOTAL | 34 | 320 | 727 | 727 | 786 | 737 | 710 | 595 | 327 | 151 | 29 | 12 | 5,155 |
Class I - NORMAL SMEAR PATTERN according to age and physiological state
(including pregnancy)
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 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 IV - ISOLATED CELLS SUGGEST MALIGNANCY - Early gynaecological review essential.
Class V - MALIGNANCY PROBABLE - Early gynaecological review essential.