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

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Hounslow 1969

[Report of the Medical Officer of Health for Hounslow]

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Great Ormond Street Hospital
Stamford House Remand Home Psychologist
Guildford County Technical College
Lecturer
Welsh National School of Medicine, Psychiatric
Social Workers
St Thomas' Hospital. Medical Social Worker
Somerset Mental Health Service
Newcastle Probation and After-care Service
Child Guidance Service. Nelson, Lanes
London School of Economics, Lecturer in
Applied Social Studies
Department of Psychiatric Medicine Cardiff
Sussex Health Department, Chief Mental
Health Officer
Whitchurch Hospital Cardiff, Research Social
Worker
Stafford Probation Service, Assistant Principal
Notts Children's Department Child Care
Ofricers
Brighton Social Foundation
Keele University Counselling Service.
Cervical Cytology
There has been a slight decrease in the number
of women attending the council s clinics,
but some 1.622 women had the test when they
attended the Family Planning Association's
clinics in ihe borough Tests are also carried
out by family doctors and at hospital
gynaecological clinics
In addition to taking the cervical smears
our medical officers continued to examine the
breasts, vagina and all pelvic organs The
blood pressure is also taken and the urine is
tested

The following statistics relate to women examined at the council s clinics:-

19691968
Women tested1,3261 382
Negative results1 3191.375
Positive results77
Gynaecological defects referred to family doctors91143
Referred to family doctors for other reasons912

Carcinoma in situ was confirmed in five of
the seven women with positive smears. All
38
were aged between 29 and 48 years Two of the
patients had a hysterectomy, one had a cone
biopsy and one had radium treatment The fifth
refused cone biopsy and any other form of
treatment although the nature of the condition
was fully explained to her She will be followed
up closely as an out-patient and will have
routine smears and examinations
The following table shows the number of
cases referred to family doctors with
gynaecological and other conditions
Trichomonas 29
Monilia 18
Vaginal cyst 1
Fibroids 1
Prolapse 3
Erosion of the cervix 8
Cervical polyp 9
Other gynaecological conditions 22
Breast conditions 1
Reasons other than those stated above 8
Total 100
Renal dialysis in the home
Circular 2/68
A request for adaptation of premises was received
on behalf of one patient during the year The
total cost of the adaptations amounted to £445
Half this cost was met by the Borough Council
the balance is to be paid by the patient by
means of an interest free loan over three years
Care of Mothers and Young Children
Ante-natal clinics
The traditional care of the ante-natal and postnatal
mother is still undertaken in local authority
clinics, where informal health education is
also given in the associated mothercraft and
relaxation classes The attendances however
continue to diminish due to the increasing
participation of general practitioners in antenatal
and post-natal care and the changing
pattern of ante-natal intra-natal and post-natal
care that is fast developing in the country as
a whole
This year there were one hundred and seventv
five medical officers' sessions, the attendances