[Report 1925] / Medical Officer of Health, West Sussex County Council.

  • West Sussex (England). County Council.
Date:
1925
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1925] / Medical Officer of Health, West Sussex County Council. Source: Wellcome Collection.

    35/44 (page 33)
    From April 23rd, 1920, to December 31st, 1923, 322 cases came to the Clinic. An analysis of these cases shows :— Male. Female. Syphilis 101 92 Gonorrhoea .... 98 35 Soft Chancre ..:. . 10 1 Non-Venereal . . 109 76 318 204 Syphilis. Male. Female. 1. Discharged as cured 11 6 2. Transferred to other Clinics 16 12 3. Did not complete treatment . 40 35 4. Completed treatment, but did not have final tests 2 2 3. Still attending Clinic 32 37 101 92 The treatment for cases of Syphilis, is usually 28 intravenous injections of an arsenical pre¬ paration, and 36 intramuscular injections of either mercury or bismuth, and for a cure this should be followed by a negative Wassermann Re-action taken every three months for two years after cessation of treatment. A provocative dose of an arsenical preparation is then given, this should be followed by a negative Wassermann Re-action of the blood three and seven days after, also by an examination of the Cerebro Spinal Fluid ; if these should all be negative the patient is discharged as cured. In the case of patients who are recorded not having completed treatment it is known that some of these patients have continued treatment at other Clinics. Few cases leave the Clinic before completeing a course consisting of 8 intravenous and 9 intra-muscular injections. Gonorrhoea. Male. Female. 1. Did not complete treatment .... 16 4 2. Transferred to other Clinics 17 2 3. Completed treatment and discharged as cured .... 50 21 4. Still attending . 15 8 98 35 Cases of Gonorrhoea are regarded as cured if (1) no clinical evidence a month after cessation of treatment and removal of restrictions as to diet, alcoholic beverages, etc., (2) No re-action or patho¬ logical changes after passing full size Bougie and giving provocative dose of vaccine. Soft Chancre. Male. Female. 1. Did not complete observation .... 4 2. Transferred .... .... .... .... 1 — 3. Discharged as cured .... .... .... 3 1 10 1 The diagnosis of Soft Chancre is confirmed by observation for 3 months from the time of the first appearance of the sore and by the Wassermann Re-action remaining negative during that period. T (Signed) F. FI. LAWSON, Medical Officer itc., Worthing Clinic.