[Report 1932] / Medical Officer of Health, Glasgow.

  • Glasgow
Date:
1932
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1932] / Medical Officer of Health, Glasgow. Source: Wellcome Collection.

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    The following table shows the number of courses in defaulting cases of acute syphilis taken ofi the registers of the dispensaries during 1932 (a course — 5-85 g. “ 914 ” and 2'4 g. Bismuth metal) : — Less than one course, .... ... ... ... Ill One course, ... ... ... ... ... ... ... 92 Two courses, ... ... ... ... ... ... 85 Three courses, ... ... ... ... ... ... 3 Four courses, ... ... ... ... ... ... 2 Total, ... ... ... ... 293 In gonorrhoea amongst the total dismissals 34 per cent, of the males and 20 per cent, of the females defaulted while treat- ment was incomplete. Treatment of Syphilis in Pregnant Women.—During the year two of the Child Welfare Centres which had hitherto held sessions for the treatment of pregnant women with syphilis ceased to carry on this branch of the work. The cases are either referred to other Child Welfare Centres or to the female venereal diseases clinics. The results of the treatment of pregnant women suffering from latent syphilis are difficult to assess. The clinical fact remains, however, that where any woman has a positive Wassermann reaction it is possible by instituting anti-syphilitic treatment to ensure, in almost every case, that the child born will be free from this disease. It is not possible, however, to predict that any untreated woman with a positive reaction will necessarily give birth to a syphilitic child. In the Child Welfare Centres up till January, 1932, there was one instance of a definite congenital syphilitic child arising from a treated case. The mother of this child was infected in 1924 and had treatment prior to the pregnancy and, in addition, had three injections during the last two months of pregnancy, which apparently were insufficient to prevent infection of the foetus. In the “ ad hoc ” female centres for the year ending 1931 there were two cases of congenital syphilis born of patients under treatment. One of the mothers of these children had treatment from the fourth month of pregnancy with 5-1 grammes of “914”; in the other case the amount of treatment was practically nil, the patient only reporting at the eighth month. It may be stated in conclusion that out of 71 cases of pregnant women who attended for treatment there arose three cases of congenital syphilis, and in two of these treatment was both inadequate in quantity and commenced at too late a stage. Out
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