Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Shoreditch]
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It will be noted that there has been a very definite increase in the number of
cases of anaemia. The type of anaemia was in many cases diagnosed as a result of
blood tests. It may be said that almost half of the anaemias were microcytic in type.
(b) Gynæcological clinic.
During the year 48 sessions were held, 206 new cases attended the clinic and the
total attendances were 556. As in the case of the medical clinic most of the patients
were referred by clinic doctors or by health visitors.
The age distribution of the patients is shown in the following table:—
Age (years) | 15— | 20— | 25— | 30— | 35— | 40— | 50— | 60— | Total. |
---|---|---|---|---|---|---|---|---|---|
No. of patients | 3 | 35 | 46 | 52 | 37 | 28 | 3 | 2 | 206 |
The youngest patient was aged 18 years, and the oldest 64 years. The mean
age of these 206 patients was 32.8 years.
The obstetric history of the patients is shown in the following table:—
No. of pregnancies | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | Total. |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. of patients | 16 | 30 | 37 | 36 | 22 | 16 | 17 | 12 | 8 | 4 | 5 | 1 | — | 2 | 206 |
No. of children alive | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | Total. |
No. of patients | 13 | 34 | 48 | 37 | 20 | 17 | 18 | 12 | 3 | 1 | 1 | 1 | — | 1 | 206 |
The average number of pregnancies per patient for the 206 patients was 3.7 and
the average number of children alive per patient in respect of the 206 patients was
3.2. These averages are definitely lower than the corresponding figures for the
patients who attended the medical clinic. It would seem that the remarks which
were made in that section apply also to those patients who attended the gynaecological
clinic.
Duration of married state.— The following table shows the length of time which
had elapsed since marriage in respect of the 206 patients.
Patients who were married during 1935 were counted as having been married one year, those married in 1934, two years, and so on:—
Period since marriage (years) | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 10+ | Total. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
No. of patients | 14 | 9 | 10 | 19 | 10 | 11 | 9 | 15 | 7 | 10 | 92 | 206 |
This table brings out the rather important fact—which was also elicited last
year— that there was apparently no relationship between attendance at the clinic