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

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Hounslow 1972

[Report of the Medical Officer of Health for Hounslow]

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Home Safety establishment 1 produced a positive result and she
subsequently had a hysterectomy and 12 women were
Mr. V. Jones, Safety Organiser, reports as follows: referred to their family doctors for gynaecological and
other reasons.
Efforts were continued over the past year to reduce the The Council's service continued to provide for
number of accidents which occur in and around the home. three-yearly re-tests for women who had previously
This has been achieved in general by the provision of attended for their primary test and during the year 751
Speakers at Women's Organisations and Senior Citizens' women attended for this purpose of which 3 produced
Clubs in the Borough. Continued assistance has also been positive results. Apart from taking a cervical smear the
given to Girl Guide Units in the training and testing of their examination consisted of routine urine tests, recording of
members for the Guide Accident Prevention Badge. blood pressure, examination of breasts and bi-manual
vaginal examination.
Cervical Cytology Arising out the the introduction by the Department of
Health and Social Security of a revised National Cytology
There has been a slight increase in the overall number of Report Form on the 1st January 1972 I am able to report
women attending the Council's clinics for primary smear that, in addition to the Council's service, a total of 3997
tests and three-yearly re-tests. The service is available in our women residents of the borough are known to have had
clinics generally to all women aged 25 years and over who cervical smears taken at the Family Planning Association's
live or work in the Borough. Some industrial concerns clinics, at hospital gynaecological clinics and in family
co-operated by allowing groups of women employees to doctors' surgeries. Of the 3997 women examined 21
have time off to attend the clinics and at the invitation of produced positive results.
the management a weekly cytology and screening session The following statistics relate to women examined at
was held at a business establishment in the borough over a the Council's clinics,
period of several weeks. Of the 65 women examined at this
1972 3- Total 1971 3- Total
Primary yearly Primary yearly
tests re-tests tests re-tests
Women tested 840 751 1,591 1,060 484 1,544
Negative results 839 748 1,587 1,054 482 1,536
Positive results 1 3 4 6 2 8
Gynaecological defects
referred to family doctors 200 134 334 221 86 307
Referred to family doctors
for other reasons 35 16 51 36 16 52
Carcinoma in situ was confirmed in the four women aged
between 43 and 52 years who had positive smears. One
woman had a hysterectomy and three who had cone
biopsies will be followed up closely as out patients.
The following table shows the number of cases
referred to family doctors with gynaecological and other
conditions.
Primary 3-yearly
tests re-tests
Trichomonas 19 10
Monilia 17 7
Leucoplakia 1 —
Vaginal cyst 5 3
Fibroids 13 13
Prolapse — 1
Erosion of the cervix 60 54
Cervical polyp 22 19
Other gynaecological conditions 63 27
Breast conditions 7 4
Reasons other than those
stated above 28 12
Totals 235 150
Renal dialysis in the home
Three requests were received during the year for the
adaptation of premises in connection with home dialysis. In
once instance a Portakabin was provided to house the
dialysis equipment. The Portakabin remains the council's
property and a rental is charged to the patient having
regard to the family circumstances. Where adaptations are
necessary the borough council meet half the cost and the
balance is paid by the patient by means of an interest free
loan over three years.
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 ante-natal work in local authority clinics is greatly
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