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
Hounslow 1970
[Report of the Medical Officer of Health for Hounslow]
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The following statistics relate to women examined at the council s clinics.
| 1970 Primery tests | 3-yearly re-tests | 1969 Primery tests | |
|---|---|---|---|
| Women tested | 1,117 | 414 | 1,326 |
| Negative results | 1116 | 414 | 1,319 |
| Positive results | 1 | - | 7 |
| Gynaecological defects referred to fami ly doctors | 183 | 42 | 91 |
| Referred to family doctors for other reasons | 12 | 3 | 9 |
Carcinoma in situ was confirmed in the one
patient with a positive smear and she had a
cone biopsy followed by a hysterectomy. The
patient was a married woman aged 42 years
The following table shows the number of cases referred to family doctors with gynaecological and other conditions.
| Primary tests | 3-yearly re-tests | |
|---|---|---|
| Trichomonas | 21 | 6 |
| Monilia | 22 | 4 |
| Vaginal cyst | 4 | - |
| Fibroids | 5 | 1 |
| Erosion of the cervix | 25 | 1 |
| Cervical polyp | 16 | 2 |
| Other gynaecological | ||
| conditions | 90 | 28 |
| Breast conditions | 5 | - |
| Reasons other than those stated above | 7 | 3 |
| Totals | 195 | 45 |
Care of mothers and young children
Ante-natal clinics
Ante-natal care is concerned with the health
of pregnant women and the diagnosis and
treatment of disorders and diseases of
pregnancy. The local authority has a duty to
provide ante-natal clinics but increasingly
family doctors are providing these for their
patients so that attendances at local authority
clinics are diminishing not only locally but
nationally Not many general practitioners
however provide clinics for mothercraft and
relaxation and this educational side of antenatal
work in local authority clinics is greatly
appreciated by expectant mothers though it
is an aspect difficult to satisfy without teamwork
in clinic premises With the advent of
health centres it is envisaged that family
doctors will be more closely associated with
all aspects of ante natal care and that hospital
doctors will also come out to clinics to see
ante natal patients as is already happening
in the Brentford Health Centre.
One hundred and eighty one medical officer
sessions were held this year the attendances
at which totalled 549 One hundred and fifty
nine sessions with a midwife only in attendance
were held the attendances at which totalled
664.
Attendances at the mothercraft and relaxation
clinics numbered 2318 84 more than last year
Only 49 mothers took advantage of the council's
facilities for post natal examinations.
Many patients booked for confinement in
hospital are supervised at the clinics during
the middle months of pregnancy and return to
the direct care of the hospital obstetricians as
they approach term.
Child Health Clinics
During the year l,475 sessions were held at
which 7 930 children made a total of 42 404
attendances representing a fall of 3,127 attendances
compared with 1969 The provision of
child health clinics with attendant dental and
immunisation clinics forms a significant part
of a local authority s services but it is hoped
Renal dialysis in the home
A request for adaptation of premises was
received on behalf of one patient during the
year Half the cost was met bv the borough
council the balance is to be paid by the
patient by means of an interest free loan over
three years
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