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9.2 During 1967, the three hospitals (University College, Royal Free and Whittington)
which are mainly involved in this area in the diagnostic investigation of cervical
carcinoma, were able to increase steadily the number of smears which could be examined
at their laboratories. Extended facilities of the now enlarged cytology services were
publicized by means of pamphlets and posters, as well as by word-of-mouth publicity by
the field staff. An additional cytology clinic session held fortnightly was started at
Parkhill Maternal and Child Welfare Centre.
9.3 One fortnightly and eleven weekly combined family planning/cervical smear
sessions were started at eleven of the Council's Family health clinics, as well as the
weekly cervical smear session at West End Lane Family Health Clinic and the fortnightly
session at Parkhill Family Health Clinic previously mentioned. During the year, 1,792
smears were takpn, and after further examination a diagnosis of cervical cancer made in
5 women from whom smears had been taken; treatment for these patients was arranged by
their general medical practitioners and the hospitals concerned.
9.4 During 1968, the number of combined cytology and family planning sessions was
increased from 11 to 15, three of the new sessions being held in the evenings, and the
number of smears taken was 2,085, of which 16 proved positive and 5 doubtful. We are
not satisfied with these numbers, and the attendance of mothers of larger families in the
lower income groups must be further encouraged in view of their high susceptibility to
cervical cancer.
SERVICES AT FAMILY HEALTH CLINICS
10. The statistics relating to sessions and persons attending in the years 1966 to
1968 are as follows

The falling birth-rate has reduced ante-natal attendances generally and a
fortnightly ante-natal session at Barnes House Maternal and Child Welfare Centre has
been discontinued.