醫務衛生署年報 Medical and Health Department Annual Report 1964-1965

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KON

ANNUAL

29107

THE ROYAL POR P

DEPARTMENTAL

REPORTS

1964-65

RBB 41

DIRECTOR OF MEDICAL

AND HEALTH SERVICES

22501293276

HONG KONG

ANNUAL DEPARTMENTAL REPORT

BY THE

DIRECTOR OF MEDICAL AND HEALTH SERVICES

P. H. TENG

FOR THE

FINANCIAL YEAR 1964 - 65

PRINTED AND PUBLISHED BY S. YOUNG, GOVERNMENT PRINTER

AT THE GOVERNMENT PRESs, Java Road, HONG KONG

EXCHANGE RATES

When dollars are quoted in this Report, they are, unless otherwise stated, Hong Kong dollars. The official rate for conversion to pound sterling is HK$16=£1 (HK$1=1s. 3d.). The official rate for conversion to U.S. dollars is HK$5.714=US$1 (based on £1=US$2,80).

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I. GENERAL REVIEW

II. PUBLIC HEALTH

CONTENTS

Paragraphs

Vital Statistics

Communicable Diseases

III, WORK OF THE HEALTH DIVISION

Area Health Work

10 - 33

Tuberculosis.

Malaria Bureau

Social Hygiene Service.

Port Health.

District Midwifery Services

35 - 45

46 - 47

53 - 54

55 - 56

Maternal and Child Health Services

57 58

School Health Service.

School Medical Service Board

59 - 60

61 - 62

Dental Service

63 66

Forensic Pathology

67 - 68

Government Chemical Laboratory

69 - 72

Government Institute of Pathology

73 - 82

Industrial Health

83 84

Registration of Medical Clinics

85 - 88

Health Education.

89 - 90

iii

Paragraphs

IV. WORK OF THE MEDICAL DIVISION

General Remarks

Government Hospitals

92 - 111

Out-Patient Services

Specialist Services .

Radiological Services

Ophthalmology

Pharmaceutical Service .

Medical Social Work

112 114

115

116 - 118

119 - 121

122 123

124 - 126

Physiotherapy

127 - 128

Occupational Therapy

129 - 133

Orthopaedic and Prosthetic Appliances.

134 - 135

Medical Examination Board

136 - 137

Hospital Maintenance and Supply

138 - 142

143 144

Ꮀ

Auxiliary Medical Service

V. GOVERNMENT-ASSISTED HOSPITAL

VI. DEVELOPMENT

Forward Planning.

Completed Projects

Projects under construction

145 - 161

162

163 - 165

166 - 167

VII. TRAINING PROGRAMME

Doctors.

Dental Staff.

Paragraphs

168 - 170

171 - 173

Nurses

Health Visitors

Radiographers

174 - 177

178

179

Laboratory Technicians

Other Forms of Departmental Training

180

181

VIII. ACKNOWLEDGEMENT

IX. MAPS

X. STATISTICAL APPENDIX

. 182

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I. INTRODUCTION

THE Colony of Hong Kong occupies a land area of 3981 sq. miles and the estimated mid-year population in 1964 was 3,692,200, of which approximately 85% was concentrated in the urban areas of Hong Kong Island and Kowloon. It is a young population, 40% being below the age of 15 years and only 5% over the age of 60.

2. The expansion of population in post-war years, due to unprece- dented immigration and rapid natural increase, has created major difficulties in the fields of preventive and curative medicine. The problems arising from severe over-crowding have been aggravated by poor environmental hygiene in the pre-war tenement and other buildings where approximately 20% of the urban population are dependent on a night-soil collection service for sanitation, by large aggregations of squatter and roof-top dwellings and by exiguous water supplies. The severe water restrictions enforced by the drought of 1963 continued throughout the early months of 1964, but heavy rainfall from May onwards relieved the situation and a 24-hour supply was possible from September until the end of the year under review. Despite these difficulties the general level of the public health was well maintained.

3. In the following pages are reviewed the state of the public health and the more important developments in the work of the Medical and Health Department and of major voluntary agencies in receipt of subventions from Government for the support of medical activities. Detailed factual information covering all aspects of these fields is to be found in the Statistical Appendix to this report, the index to which is at page 56.

II. PUBLIC HEALTH

VITAL STATISTICS

4. Both the live birth rate and the crude death rate continued to decline. The latter, at 4.9 per thousand of population, is now one of the lowest in the world and reflects the rapid improvement of medical and health services in a young and expanding population. The total number of live births was the lowest recorded since 1959 and the natural increase was 90,406, over five thousand less than the previous year.

5. The marked improvement in the state of public health in Hong Kong during recent years is reflected by gratifying declines in infant, neo-natal and maternal mortality; changes in the former two rates are illustrated in Figure 1.

RATE PER 1,000 LIVE BIRTHS

100

1950 51 52

FIGURE 1

INFANT AND NEO-NATAL MORTALITY 1950-64

NEO-NATAL

INFANT

53 54 55 56 $7 58 59 60 61 62 63 64

YEAR

Infant Mortality

6. The marked decline in infantile mortality has been due to rapidly- improved control of the preventable diseases of later infancy, partic- ularly of broncho-pneumonia, gastro-enteritis and tuberculosis; in ad- dition, improvements in the midwifery and maternal health services are gradually reducing the dangers of prematurity. As has been the experi- ence in other countries, congenital malformations and other diseases of the new-born are proving more intractable and mortality from these causes has, as yet, been unaffected.

Maternal Mortality

7. Here also the statistics pertaining to Hong Kong are now approaching the standards prevailing in the advanced countries of the world. During recent years there have been continuing reductions in deaths from toxaemia, haemorrhage and puerperal sepsis, although mortality from abortions and ectopic pregnancies has remained com- paratively unaffected.

General Mortality

　　　8. The marked social and economic changes which have occurred in Hong Kong during the years following the Second World War are reflected in the mortality trends shown in Figure 2. Improvements in

FIGURE 2

MAJOR TRENDS IN MORTALITY 1950-64

PERCENTAGE OF TOTAL DEATHS

INFECTIOUS

NEOPLASTIC

NERVOUS SYSTEM CIRCULATORY SYSTEM

RESPIRATORY

**** INTESTINAL

1950 51 52 53 34 55 56 57 36 59

YEAR

60 61 62 63 64

the general level of public health are demonstrated by the decline in mortality from infectious, respiratory and intestinal diseases, while the ageing of a relatively young immigrant population is reflected by the increasing mortality from neoplastic, neurological and circulatory diseases.

9. Of particular note has been the rise in deaths from carcinoma of the lung. These have increased from a mortality rate of 2.0 deaths per 100,000 population in 1951 to 12.2 deaths per 100,000 in 1964, a rate of increase which is more than twice that observed in respect of other neoplastic diseases.

COMMUNICABLE DISEASES

10. In the field of communicable disease. tuberculosis remains the predominant problem but the prevalence of certain others still gives rise to concern (Fig. 3). The total number of notifications of such diseases

2,000

FIGURE J

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1951-64

CASES REPORTED PER ANNUM

1,600

1,200

300

400

DIPHTHERIA

ENTERIC

B. DYSENTERY

POLIOMYELITIS

1951 52 53 $4

35 36

37 38 59 60 61 62 63 64

YEAR

during 1964 was approximately 4,000 less than in the previous year. and only whooping cough showed a small rise in recorded incidence.

Cholera

11. Following the occurrence of a completely sporadic case of cholera El Tor in February, 1964, Hong Kong remained free from infection until 30th April, 1964, when a second case was notified. The

　　Colony was declared infected on 1st May and thereafter a further 32 cases were reported, the onset of the last notified case being 30th June. There were four deaths. The Colony was declared free from infection on 11th July and remained so for the remainder of the period covered by this report.

　　　12. Most of the patients came from tenements, resettlement estates and squatter areas, and no case occurred among the boat dwellers. One case, notified on 12th May, was traced to a food-handler in a restaurant in Hong Kong who was a symptomless excretor of vibrios. On 13th May there commenced a short but severe outbreak in Kowloon which was traced to a well in a restaurant; this well had been infected by an employee of the restaurant who had experienced a very mild attack of gastro-enteritis and who was subsequently found to be excreting vibrios. The infection of the restaurant premises by the use of this polluted water was definitely responsible for the occurrence of fourteen cases, and three others were suspected to be associated although no definite connection could be established; all four deaths from cholera occurred in patients of this group. The epidemiological and preventive measures taken in this outbreak, which is now widely known as the episode of the 'Temple Street Well', aroused widespread interest and favourable comment from scientists in many parts of the world.

　　　13. In line with the experience of past years, the majority of cases occurred amongst the older age groups, 24 (70%) of the patients being aged 45 years and over. In addition, the more severe clinical cases tended to occur in the same age groups and particularly amongst those who had not received cholera vaccine or whose inoculation had expired.

　　　14. Chatham Road Camp was again used as a quarantine centre for the isolation of domestic contacts of cases and a total of 385 contacts were isolated here for a period of not less than seven days. Among these contacts, 23 symptomless carriers were found, including 18 employees of the restaurant in Kowloon; in addition, four other carriers were isolated at the Sai Ying Pun Hospital.

　　　15. During the year, approximately 65% of the Colony's population received anti-cholera inoculations. Demand for such inoculation was heavy in the week commencing 18th May, and the highest number of inoculations in one day (131,000) was recorded on the 22nd May,

16. Testing of the night-soil in the urban areas has been continued as a routine year-round measure, Eleven out of fifteen routes on Hong

Kong Island and all eleven routes in Kowloon were found, at one time or another, to be infected with cholera vibrios. This widespread dis- semination of the organism throughout the community is evidence of a large number of symptomless carriers, and was particularly noticeable in Kowloon immediately prior to the notification of the first case from the 'Temple Street Well'. The last infection of night-soil was reported on 28th June.

17. Routine sampling of foodstuffs, such as shell-fish, fresh-water fish and fruits, all proved negative. However, epidemiological investiga- tions of the homes of each patient were of some interest; seventeen of the homes, exactly 50%. showed wide dissemination of the vibrio. Places most commonly found infected were latrine pans, drainage out. lets, dustbins and food chopping-blocks.

18. Incidental observations, which are being further investigated, showed a variation in the frequency of isolation of non-agglutinable vibrios (vibrios not agglutinated by cholera anti-sera) suggesting waves of infection rather than sporadic appearance of saprophytic organisms. There was also a remarkable reduction in such isolations following the appearance of cholera El Tor. The significance of these findings is not clear as yet and further work is proceeding.

Amoebiasis

19. Amoebic dysentery and its sequelae continued to occur sporadi. cally and the extent of community infection is, as elsewhere, not definitely ascertainable.

Bacillary Dysentery

20. The incidence of this disease remained high during the drought conditions in the earlier part of the year, but showed a marked decrease to below-average incidence during the last seven months following the onset of heavy rains and subsequent relaxation of the severe water restrictions. As in previous years, the organisms commonly isolated were S. flexneri and S. sonnei.

21. During investigations of the reported cases, a total of 139 symptomless carriers was discovered and appropriate treatment ad. ministered.

Diphtheria

　　　22. As demonstrated in Figure 3, diphtheria incidence has shown a continuous decline since the commencement of an intensive and year- round immunization campaign in 1959. Although somewhat disrupted by the cholera and poliomyelitis immunization campaigns of recent years, this programme continues to give encouraging results. C. diph- theriae mitis remained the predominant organism; consequently most cases presented with laryngeal symptoms and, as in previous years, approximately 75% of cases were in children under the age of ten. The case mortality rate declined significantly from 9.87% in 1963 to 5.44% in 1964.

　　　23. During the latter months of 1964 single cases occurred in two schools and investigations revealed a total of twelve carriers, including one teacher, amongst the immediate contacts. In all, 114 carriers were discovered amongst contacts of reported cases; each was treated and, if necessary, isolated until proved free of infection.

Enteric Fever

　　　24. During the first half of 1964, the incidence of typhoid fever followed generally the pattern of previous years; however, subsequent to

FIGURE 4

TYPHOID 1964

CASES NOTLFLED

170

160

1964

AVERAGE 1958-62

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

the introduction of a daily water supply in June, there was a marked decrease in incidence during July and August. In September and October an outbreak of the disease occurred in the Ma Tau Kok area of North-East Kowloon and consequently figures of cases notified during these two months showed a marked increase. Monthly notifications are illustrated in Figure 4.

25. The outbreak, the course of which is shown in Figure 5, was confined mainly to persons living within a small area of the Ma Tau Kok district although a number of cases occurred in persons living elsewhere but working or going to school in Ma Tau Kok. Owing to the comparatively long incubation period of the disease, difficulty was encountered in obtaining accurate information of the patients' eating habits during the critical period, but there was sufficient incrimination of certain restaurants and cooked-food-stalls for action to be taken. Due to the numbers of food handlers involved and the possibility of scanty or intermittent excretion of organisms by carriers, Vi antibody titres were used for screening food handlers to determine those who might be implicated; eight showed titres of 1:64 or higher and were

CASES

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FIGURE 5

TYPHOID IN MA TAU KOK

ויו

→K− OCTOBER

AUGUST→←- SEPTEMBER

DATE OF ONSET

therefore isolated for further investigation and treatment. Although $. typhi could not be recovered from any of these persons, the outbreak declined after their removal from food-handling practice.

26. The use of Vi antibody titre for discovery of typhoid carriers has been practised on an experimental and empirical basis. In August, its use enable a few cases amongst children to be traced to two women who were dispensing soft ice-cream; these women had high titres and were subsequently found to be excreting S. typhi.

Measles

27. In Hong Kong, as in other parts of the world, this disease recurs every two years as a wave of infection spreading throughout children age 0-2 years. Such a wave of infection was experienced during the winter months of 1964-65, commencing in December 1964 and reaching a peak in January and February of 1965. The mortality, due mainly to complicating advanced broncho-pneumonia, remained low.

Poliomyelitis

　　　28. The incidence of acute poliomyelitis during recent years is illustrated in Figure 6 and will be seen to have remained low since the

CASES NOTIFIED

FIGURE 6

POLIOMYELITIS 1958-64

AVERAGE 1958-62 1963

1964

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

widespread campaign using oral vaccine early in 1963. Approximately half of all children born receive the vaccine at Maternal & Child Health Centres and general campaigns are held in January and March each year in an attempt to fully immunize the remainder.

29. It will be seen from Figure 6 that there was a recrudescence of the disease in the latter part of 1964 which, although low by comparison to notifications in the years prior to 1963, gave rise to some concern. An intensive educational drive was undertaken in conjunction with the immunization campaign staged in the first quarter of 1965 with a reasonably satisfactory response and it is hoped that this response will be reflected in future epidemiological statistics.

30. Virological investigation of the disease is maintained on a routine and year-round basis. Of the 37 cases reported during 1964, 18 were due to Type I virus, 17 due to Type III virus and the remaining two to Type II; only two of the cases notified had received two doses of triple vaccine. These findings, coupled with the results of previous surveys which had revealed that only two-thirds of those receiving vaccine showed a response to Type I vaccine, suggested two methods by which the incidence of the disease might be reduced even further. One of these methods was a variation in the composition of the vaccine between the relative proportions of the three types; the other, prompted by the very high rate of institutional births in Hong Kong, was the possibility of feeding Type I vaccine soon after birth. Both these possibilities were under investigation at the time of compiling this report.

Influenza

31. The notification of influenza is entirely voluntary and hence too great a significance cannot be placed upon the recorded incidence. Virological investigations of throat swabbings and throat washings are continued on a year-round basis and, although there was little change in notifications received for clinical disease, there was a marked rise in isolations of virus during the first quarter of 1965; para-influenza strains predominated in January but were superceded during February and March by strains which were antigenically similar to the A2/57 (A/Asian/57) strain.

Tetanus

32. This disease, although not notifiable, is recorded with reasonable accuracy owing to the severity of the symptoms in clinical cases. In

past years, approximately half the cases reported were newborns whose birth had not been attended by trained personnel and who had been exposed to various hazards from unsterile materials, particularly the use of a powder containing raw ground ginger root as an umbilical styptic. It is encouraging to record that, in 1964, tetanus neonatorum was responsible for only one-third of the recorded cases of the disease and that the infantile mortality from such infection was 0.25 deaths per 1,000 live-births as compared with 0.42 deaths per 1,000 in 1963 and 1.4 deaths per 1,000 in 1950.

33. Developments in certain other communicable diseases are review- ed later in this report while the remainder showed little variation during 1964 and hence require no comment.

III. WORK OF THE HEALTH DIVISION

AREA HEALTH WORK

34. Much of the work of the area Health Officers, apart from their duties with the Urban Services Department in the maintenance of satis- factory standards in environmental sanitation and food hygiene, has been recounted in the preceding paragraphs on Epidemiology. Such work included not only the field investigations into the major communicable diseases but also the co-ordination of the activities of teams of in- oculators participating in prophylactic immunization drives. Four such campaigns were staged during the year and reference has already been made to three, namely cholera, poliomyelitis and diphtheria. The fourth, promoting smallpox vaccination, was held soon after Chinese New Year in February, 1965, traditionally an auspicious time for receiving this immunization. The increasing importance of Hong Kong in international travel by sea and air and the prevalence of smallpox in nearby countries underline the need to maintain a high level of community protection against the disease.

TUBERCULOSIS

35. As stated previously, tuberculosis is the major health problem of Hong Kong, the estimated incidence of two per cent of adults with active disease being probably the highest in the world. The magnitude of the problem makes it impossible both physically and financially to

provide institutional accommodation of the order required for the isolation of all infectious cases.

36. The policy for control of the disease has been to protect, by vaccination with B.C.G., those most vulnerable to fatal post-primary manifestations, to provide out-patient facilities for the ambulatory treat- ment of as many tuberculosis patients as possible and to reserve the limited hospital accommodation for patients not responding to ambula- tory treatment or in need of surgical intervention. In the execution of this policy there has been a high degree of co-operation between Government and voluntary agencies concerned with the problem, particularly the Hong Kong Anti-Tuberculosis Association. The Govern- ment Tuberculosis Service maintains the B.C.G. vaccination and out- patient treatment programmes while the voluntary agencies, aided by substantial Government subventions, maintain the hospitals. To ensure the maximum co-operation and co-ordination, a small committee was formed in February, 1965, under the chairmanship of the Assistant Director of Medical and Health Services (Health) and comprising repre- sentatives of the Government Tuberculosis Service and of the Hong Kong Anti-Tuberculosis Association.

37. The formation of this committee was in accordance with the acceptance of certain recommendations made by Professor F. HEAF, C.M.G. and Dr. Wallace Fox in their report to Government on the future of the Colony's tuberculosis control programme. Other recom- mendations made in the report, particularly those concerning research, had far-reaching financial and sociological implications; these required detailed and expert study which was undertaken by a small group under the chairmanship of Dr. the Hon. A. M. RODRIGUES, C.B.E. and including representatives of Government, the University of Hong Kong and the Hong Kong Anti-Tuberculosis Association. The report sub- mitted by this group was being considered by the Medical Advisory Board at the end of the year under review.

Mortality

38. The death rates from all forms of tuberculosis continued the decline shown in past years, and the trends since 1951 are illustrated in Figure 7.

FIGURE ?

TUBERCULOSIS MORTALITY & BOG, VACCINATION OF NEW-BORNS 1951-64

100

(MORTALITY RATES EXPRESSED AS PERCENTAGE OF 1951 RATESI

PERCENTAGE

***

BCG. VACCINATION

OF ALL NEW-BORNS

TOTAL MORTALITY

INFANTILE MORTALITY

1*1

55 54 7

60 61

YEAR

39. Infantile mortality rate from the disease has shown an even more impressive reduction than the overall rate; this is attributable, at

FIGURE

TUBERCULOSIS MORTALITY

BY AGE AND SEX 1956 & 1964

600

500

DEATHS PER 100,000 IN AGE GROUP

200

300

营

100

10+

15- 20- 25 30 35.

AGE GROUP

11996

MALE

+1996

FEMALE

least in part, to the wide acceptance of vaccination with B.C.G. for newly-born babies and the increasing application of this measure is also demonstrated in Figure 7. Detailed analysis of the changes taking place in mortality from tuberculosis of various ages are presented in Figure 3: it will be observed that, apart from the greatly-improved control of childhood mortality, there has been a postponement, varying from five to ten years, of death from the disease amongst adults.

Morbidity

40. Notifications of tuberculosis have fluctuated between 12,000 and 15,000 during the past ten years. However, the rate of such notifications per unit of population has shown a steady downward trend, with the exception of 1962 when artificial inflation resulted from the large number of illegal immigrants entering the Colony during that year. Figure 9 shows the changes which have taken place in the age and sex- specific morbidity rates (as measured by notifications). It will be seen that there have been marked reductions in incidence of the disease

1,200

FIGURE 9

TUBERCULOSIS MORBIDITY 1996 & 1964 (AS MEASURED BY NOTIFICATIONS)

MORBIDITY PER 100,000 IN AGE GROUP

1,000

800

· 1964 MALE

11956

MALE

600

400

200

10-

15 20 25 30 35 40 45 50 55-

AGE GROUP

-5956

FEMALE

*1964

FEMALE

60-

65+

during childhood, that there has been little change in the vulnerability of young adults between the ages of 15 and 24 and that in the older age-groups there has been, particularly amongst women, only a slight decrease in the morbidity. The relative susceptibility of males, except in childhood, corresponds with the well-documented pattern recorded elsewhere in the world.

Work of the Government Tuberculosis Service

41. The Government Chest Clinics provide ambulatory chemo- therapy services for the great majority of cases of tuberculosis present- ing, hospital admission being reserved for patients requiring specialized surgical or medical treatment. The clinics also provide medical social work and contact tracing and supervisory services and undertake surveys of selected groups, such as Government employees and prisoners, in co-operation with the Radiological Service.

42. The size and increasing complexity of the service for the control of tuberculosis is such as to require the separation of its administration from the clinical supervision of cases. Accordingly, one post of Specialist was substituted by a post of Assistant Director, who will be responsible for all public health and administrative aspects of this complex organization while the diagnosis and treatment of cases will continue to be supervised and controlled by a clinical specialist in chest diseases.

43. The gradual decline in numbers of attendances, reported during recent years, was maintained, but was off-set to a certain extent by the high incidence of primary drug resistance which had been demonstrated by research undertaken in conjunction with the British Medical Re- search Council. Results of these investigations indicated that the level of drug resistance in Hong Kong was probably the highest in the world, 40% of the organisms investigated showing a resistance to one or more of the drugs commonly used in ambulatory chemotherapy.

44. A register of resistant cases was started at the main clinics. during the year. A total of 946 cases were registered, of which 810 were bacteriologically resistant to at least one drug, and these patients were entered on the waiting list for admission to hospital for treatment with 'second-line' drugs.

　　　45. The work of hospitals dealing with tuberculosis cases is reviewed elsewhere in this report.

MALARIA BUREAU

46. The Malaria Bureau continued routine control operations for the protection of the population in the main urban areas of Hong Kong Island and Kowloon and also in certain circumscribed rural areas of the New Territories at a cost of 35 cents per head of population protect- ed. In addition to monitoring of the control programme, malariometric, mosquito and parasite surveys were also pursued by field and laboratory staff.

47. The incidence of malaria continued to decline, notifications being approximately one-half of those in 1963; this can be attributed most probably to the prolonged drought followed by a period of extremely heavy rainfall, a meteorological pattern which must inevitably have played havoc with the life-cycle of the stream-breeding anophelines which are the main transmitters of the disease in Hong Kong. The incidence of natural malaria transmission in the controlled areas continued to be virtually nil.

SOCIAL HYGIENE SERVICE

Venereal Diseases

48. The incidence of venereal disease followed the general trends of recent years, namely decline of latent syphilis and of gonorrhoea. How- ever, the incidence of early infectious syphilis, which had been rising

FIGURE 10

SYPHILIS 1956-64

4,000

TOTAL CASES

1.000

2.000

1,000

骗女悲

YEAR

| 법

160

Over 15 poi

INCIDENCE PER 100,000 POPULATION OVER IS YEARS

TOTAL CASES

2.50

200

150

100

FIGURE II

INFECTIOUS SYPHILIS 1956-64

Incidence Raic

Cam

YEAR

INCIDENCE PER 100,000 OVER 15 YEARS

gradually since 1958 in general conformity with world statistics, showed a reduction; although it is as yet too early to say whether or not this is anything but a temporary phenomenon, it is encouraging to note that the incidence in the teenage group of the population has not risen in the manner experienced in many other parts of the world. The trends over the past nine years are illustrated in Figures 10 to 12.

TOTAL CASES

10,000

1.000

6.000

4,500

1,000

FIGURE 1:

GONORRHOEA 195-44

YEAR

Inadener Rabr

Com

400

300

100

INCIDENCE PER 100.000 POPULATION OVER 15 YEARS

49. Case finding continued at a high level, particularly in ante-natal cases where a positive serology rate of 1.8% was observed. Contact tracing, particularly of infectious syphilis, was intensified and the grati- fying figure of 70.6% success was recorded in this activity of the service.

Leprosy

50. New cases of leprosy treated numbered 271, representing a rate of 7.3 per 100,000 of population, which is almost identical with rates recorded in the previous four years but lower than the rate of 10.1 recorded in 1959. Tuberculoid manifestations predominated, the ratio of these to lepromatous cases being 1.7: 1.0. Of the infectious cases, 118 were admitted to the Hei Ling Chau Leprosarium maintained by the Hong Kong Auxiliary of the Mission to Lepers, with whom the Social Hygiene Service maintains close liaison.

51. During recent years there has been some advance in overcoming the prejudice against employment of cured lepers and, to this end, great attention is paid by the Service towards the prevention of disabilities in tuberculoid cases. A notable step was the enactment of the Leprosy (Repeal) Ordinance and the consequent addition of leprosy to the list of notifiable infectious diseases. The effects of this Ordinance and accompanying legislative measures, which are expected to be brought into force in June, 1965, are part of a world-wide appreciation of the fact that leprosy is no longer a disease calling for discriminatory measures against affected persons.

Dermatology

52.

A significantly high incidence of systemic lupus erythematosus has been noticed in recent years and investigations into possible reasons are proceeding. Apart from pyoderma in infants during summer months, high incidences are also recorded of conditions arising from urtication and lichenification and also of functional disorders such as alopecia areata, vitaligo and neurodermatitis.

PORT HEALTHI

53. The Port Health Administration continued its routine duties in respect of prevention of the introduction of quarantinable infectious diseases, the sanitary control of ports of entry, the provisions of the International Sanitary Regulations and a weekly exchange of epidemio- logical information with the World Health Organization.

A Health Visitor at work in a school in the New Territories.

The Health Visitor waves au revoir' to the village mothers and their children.

Jockey Club Health Centre, Kwun Tong opened on 23.4.64.

Lions Club Government Maternal and Child Health Centre, Kowloon City opened on 19.5.64.

KITINIUM=

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JABELLE

IBIBINIE INIBINIE

ZIFIDINIFI

Jockey Club Polyclinic. Shau Kei Wan opened on 15.7.64.

Sha Tin Clinic and Maternity Home, donated by the United States of America and opened on 11,2.65.

■

A Linear Accelerator in operation at the Jockey Club Radiological Institute,

Queen Elizabeth Hospital.

Radiodiagnostic equipment in operation in the Jockey Club Radiological Institute. Queen Elizabeth Hospital.

　　　　54. With the increasing importance of Hong Kong as a tourist and an international transit centre, the work of the Service has gradually increased during recent years. In the year under review, there was a marked increase in traffic with Macau owing to the introduction of new vessels on the route, notably a number of fast hydrofoil craft.

DISTRICT MIDWIFERY SERVICES

55. Owing to the difficulties of domiciliary delivery under existing housing conditions, approximately 93% of births took place in institu- tions, either hospitals or maternity homes. It is of interest that 20.5% of all births were in maternity centres attached to Government clinics and 38% were attended by midwives in private practice.

　　　　56. During the year a total of 72 maternity beds was provided in three new Government centres at Kwun Tong, Shau Kei Wan and Sha Tin. The domiciliary centre in Sham Shui Po was closed owing to the small number of cases attending and was transferred to the Tai Wo Hau Resettlement Estate in the rapidly-expanding township of Tsuen Wan where demand was greater and conditions more suitable for home deliveries.

MATERNAL AND CHILD HEALTH SERVICES

　　　　57. There is increasing public appreciation of the value of these services in the maintenance of health amongst infants and mothers, and 53.6% of children born attended a Centre on at least one occasion; the corresponding figure for 1963 was 45.8%. Only 0.14% of the new attendances at infant welfare centres were found to have abnormalities; of these, the majority were either congenital defects or the effects of prematurity. A further encouraging trend is the increasing appreciation by expectant mothers of the need for regular ante-natal care as reflected in increasing attendances at ante-natal sessions and by the low maternal mortality rate.

　　　　58. Three new full-time centres were opened during the year at Kwun Tong Jockey Club Clinic, the Shau Kei Wan Jockey Club Clinic and the Lions Club Government Maternal and Child Health Centre in the Kowloon City area.

SCHOOL HEALTH SERVICE

59. The Medical and Health Department undertakes in all registered schools responsibility for environmental sanitation, the control of

communicable disease, health education and immunization against diph- theria, smallpox, cholera and typhoid. Since 1933 the Department had maintained also a medical inspection and curative service for a limited number of participants in a contributory school health scheme. For some years this scheme had been under review and in September, 1964, it was replaced by a School Medical Service operated by private medical practitioners.

60. Tuberculin testing was carried out during the year to check the sensitivity state of pupils at various ages with the aim of identifying the most suitable age group to which the B.C.G. vaccination service could be extended as a routine. New entrants to, and pupils in Class 6 of Primary Schools and pupils in Form 5 of Secondary Schools were investigated and showed negative rates of 18.5%, 5.4% and 2.7% respectively.

SCHOOL MEDICAL SERVICE BOARD

61. After prolonged negotiations with the private medical practi- tioners through the Chinese Medical Association, the School Medical Service commenced in September, 1964. This service is administered by the School Medical Service Board, an independent body incorporated by Ordinance and is operated by private medical practitioners. Re- muneration of the doctors is on a per capita basis and half the fees are contributed by participants; Government provides the remaining funds and, in addition, donates $1 per participant for the administrative expenses of the Board.

62. By the end of the year under review over 250 doctors were participating in the scheme, providing out-patient medical care for nearly 82,000 pupils from 485 schools.

DENTAL SERVICE

63. In past years the Dental Service had operated in two divisions. One provided dental care for government officers and dependents and limited specialized treatment for in-patients of Government hospitals, for prisoners and for small numbers of the general public; the other was a school service for the very limited number of participants in the School Health Service and this ceased in September 1964 when the School Medical Service Board commenced to function.

64. In April 1964 a two-surgery clinic incorporated in the Jockey Club Health Centre at Kwun Tong was opened, although it was not

possible to staff it fully until January, 1965. In July a three-surgery clinic in the Jockey Club Clinic at Shau Kei Wan was completed and in August the third dental surgery at the Queen Elizabeth Hospital, provided as an ancillary to the radiotherapy unit, came into operation.

65. In the field of dental health, fluoridation of the water supplies has been performed since 1961, while advantage is taken of major educational exhibitions to distribute information and advice on the maintenance of dental health.

66. Although no training in dentistry is undertaken in Hong Kong, a programme of overseas training is maintained by Government and during the year three scholarships were awarded to students for study in the University of Otago in New Zealand. In-service training in dental technology is available for students in Government employment and evening classes are held in the Hong Kong Technical College for technicians in private employment.

FORENSIC PATHOLOGY

67. The Forensic Pathology Service continued to work in close co- operation with the Police Department in all branches of medico-legal work and to operate the two public mortuaries.

68. Owing to the abnormal number of typhoons during the year, there was an increase in deaths due to natural disasters, a total of 84 bodies. from four typhoons being received by the public mortuaries; Typhoon 'Ruby' was responsible for nearly one-half (41 deaths). In addition, disasters from the foundering of junks carrying illegal immigrants result- ed in thirteen deaths, while fires and house collapses accounted for a further nine.

GOVERNMENT CHEMICAL LABORATORY

69. The volume of work remained at a high level and covered a wide variety of analyses. The termination of the water emergency did little to alleviate the pressure, as the opening of three new water treat- ment plants and the continued search for new sources of supply were reflected in the number of water samples submitted.

70. Owing to complaints received from overseas importers of plastic toys, it was necessary to undertake an extensive survey of the industry;

some difficulty was encountered initially owing to uncertainly as to whether 'total' or 'soluble' lead content should be the basis for assess- ment of the problem, and it was finally agreed with agencies elsewhere that the total content would be used. Other commercial investigations of interest were in connexion with illegal removal of 'markers' from diesel oil, considerable ingenuity and chemical knowledge being exercised by operators in this criminal activity; it is hoped that the use of infra-red spectroscopy will achieve a more radical solution of this problem.

71. Work in the narcotics field increased considerably during the year, a marked feature being the lower proportion of actual narcotics in many of the mixtures seized. It would appear that much cruder methods are being used in illicit manufacture and that there is marked adulteration of the product before sale; this has required more complex, time-consuming and detailed analyses to evaluate the narcotic content of seizures.

72. In chemistry of food, the main emphasis was on the identifica- tion of preservatives. Apart from examinations for the contents of such well-known substances as benzoic acid or salicylic acid, the introduction as legally-permitted preservatives of the group of additives known as p-hydroxybenzoic acid esters has posed new technical problems, and various investigations and experimental work were undertaken in respect of these chemicals.

GOVERNMENT INSTITUTE OF PATHOLOGY

73. The expansion of medical services in Hong Kong and the increasing importance of laboratory investigations in both curative and preventive medicine have been reflected in the Government Institute of Pathology, whose work over the past ten years is illustrated in Figure 13. The total number of investigations undertaken by the Institute in 1964 represented a 34.4 per cent rise over the figures for 1963. This marked increase was due mainly to the full operation of the Queen Elizabeth Hospital with a consequent steady rise in demand for clinical pathology, while a further factor was the relatively short duration of the cholera outbreak which therefore did not interfere with routine services to an appreciable extent.

SPECIMENS EXAMINED

1,000,000

600,000

400,000

200,000

FIGURE 13

WORK OF GOVERNMENT INSTITUTE OF PATHOLOGY 1955-64

56 57

YEAR

GL 62 63 64

Bacteriology

74. Apart from routine clinical work, the year-round monitoring of nightsoil and of cases of gastro-enteritis for cholera vibrios was continued, together with other epidemiological studies of which the most notable were the intensive bacteriological investigation in connexion with the Temple Street Well' and the assessment of the value of Vi antibody titres in the control of typhoid fever. Other projects included phage typing of El Tor vibrios and studies of the characteristics and distribution of non-agglutinable vibrios. In tuberculosis, bacteriological investigations were carried out, in collaboration with laboratories in Britain, during controlled trials of two anti-tuberculosis drugs, ethiona- mide and isoxyl.

Clinical Pathology

75. The histopathology section of the Queen Elizabeth Hospital laboratories opened in May 1964 and shortly thereafter the Institute accepted responsibility for all routine post-mortem examinations re-

quired by the clinical units in the hospital. Later in the year the frozen-section technique was introduced for rapid diagnosis during surgical operations.

Haematology and Blood Banks

76. In the field of haematology there is little to report except the introduction, in the Queen Elizabeth Hospital, of automatic counting equipment which has saved many tedious man-hours of direct micro- scopy.

77. The Hong Kong Branch of the British Red Cross Society continued to maintain a blood collection service and to distribute the blood to the blood banks at the Queen Mary and Queen Elizabeth Hospitals. The full functioning of the latter institution inevitably created increased demand and this was met, at least in part, by an intensified campaign by the Branch which provided approximately 11,200 pints- an increase of nearly 3,000 pints over the previous year. Although the greater part of the blood again came from members of the Armed Services or from visiting Royal Navy and United States warships, there are increasing donations by Chinese residents of the Colony. However, despite all these efforts, a serious shortage of blood was experienced throughout the year.

Virology

78. The Virus Laboratory is equipped mainly for diagnostic and survey work in connexion with entero-and respiratory viruses. It is designated a National Influenza Centre by the World Health Organization.

79. Routine identification of poliovirus and the conduct of serological surveys to assess the oral vaccination campaign were continued. A comparatively poor rise in Type I antibody following vaccination prompted an alteration in the composition of the trivalent vaccine used and an investigation into the value of administering Type I vaccine soon after birth; at the end of the year under review, further serological surveys were being conducted to ascertain the value of these innovations. Poliomyelitis virus types I and III continued to be almost equally the causative agents in clinical cases and only two cases of Type II were encountered; in addition, coxsackie virus, Group B, types 4 and 5 were each isolated from other patients in whom poliomyelitis was at first suspected.

80. In collaboration with the World Health Organization, a respira- tory virus survey was conducted in the last quarter of 1964. The viruses prevalent during this period were, in order of frequency, para-influenza type 1, para-influenza type 2, adenoviruses and respiratory syncytial virus.

　　　　81. Studies are undertaken from time to time of throat swabs from suspected influenza cases to ascertain the prevalent strains. Three strains isolated from sporadic cases in 1964 were identified as Influenza type B; these strains differed antigenically from each other and generally resembled B/ Johannesburg/33/58 rather than B/Taiwan/4/64.

82. In June, 1964, a small outbreak, in which patients presented with a syndrome of coryza, fever and conjunctivitis, was studied; the causative agent was adenovirus type 3.

INDUSTRIAL HEALTH

83. The outstanding feature in this sphere was the introduction of legislation requiring notification of certain industrial diseases and afford- ing compensation for confirmed cases. In the last six months of the year under review ten cases were notified, of which two were confirmed; both confirmed cases were of occupational dermatitis.

　　　　84. Several field surveys, both clinical and environmental, were undertaken by the Industrial Health Section of the Labour Department, which is staffed by officers seconded from the Medical and Health Department. These included assessment of thermal comfort in the laundry of a large modern hospital and in certain government offices; investigation of conditions in paint and varnish factories; urinalysis of workers handling fluoride at water filtration plants; and the determina- tion of lead absorbed by ship-breakers and by workers in a transistor radio factory. In addition, a continuous survey was commenced in Kowloon to determine the concentration of atmospheric sulphur dioxide in the vicinity of a large industrial plant.

REGISTRATION OF MEDICAL CLINICS

　　　　85. The Medical Clinics Ordinance, 1963, which came into force on 1st January, 1964, provides for the control of medical clinics in order to protect the public from exploitation in so-called charity clinics where the service provided is below an acceptable standard. Over

seven hundred clinics applied for registration, the majority of which were staffed by persons claiming to be unregistered doctors, eight hundred in all. The Ordinance makes special provision to allow un- registered doctors, who have satisfied the Registrar of Clinics as to their medical competence, to continue to work in clinics which are registered with exemption. To advise him on the capabilities of these persons, the Registrar convened a three-person panel representing the major special- ities of medicine, surgery and obstetrics and gynaecology to assess their medical background and knowledge. The panel considered that only sixty per cent showed sufficient medical knowledge to be allowed to practise medicine in clinics.

86. At the same time, the various sponsoring organizations were investigated with the assistance of a number of Government departments and the premises and equipment of the clinics were inspected. Only in a few instances was the sponsoring organization regarded as unsuitable and the majority of premises were also considered adequate.

87. Formal registration of clinics commenced in May, 1964, and official notifications of refusal of registration were distributed in October. Some 246 petitions to the Governor in Council, appealing against such refusal, were lodged; by the end of the year under review, 159 petitions had been considered and disallowed while the remaining eighty-seven were still under consideration.

88. In December, 1964, two Medical Inspectors of Clinics were appointed and commenced regular inspections of all clinics on the register. Advice was given to assist in remedying deficiencies of a minor nature but, as a result of these inspections and of complaints made, the Registrar found it necessary to cancel four registrations.

HEALTH EDUCATION

89. A better appreciation by the Colony's population of the basic principles of environmental hygiene and the prevention of disease continues to be the main health objective. A very wide field is covered by many branches of the Medical and Health Department, and the co- operation of all voluntary bodies interested in such topics is actively sought. During the year the Department co-operated in a number of exhibitions, notably the Third Kai Fong Health Education Exhibition in July-August, 1964, and the Fisheries Exhibition in February, 1965, by producing displays on various aspects of preventive medicine.

　　　　90. Recent authoritative reports on the association between the incid- ence of lung cancer and smoking have been carefully considered by the Medical Advisory Board and recommendations forwarded to Government. Most of these recommendations were accepted and, at the end of the year under review, the Medical and Health Department was entrusted with the dissemination of this information in consultation with other interested agencies and Government departments; particular attention is to be paid to bringing the facts to the notice of the younger generations.

IV. WORK OF THE MEDICAL DIVISION

91. At the end of 1964, there was a total of 11,831 beds available in all hospitals in Hong Kong, excluding those hospitals maintained by Her Majesty's Armed Forces; this total includes the Kowloon Hospital which was being renovated during the year. An additional 617 beds in private maternity and nursing homes were also available. Development over the past ten years is illustrated in Figure 14 and it is a mark of Hong Kong's achievements to record that the total of 12,448 beds represents an increase of nearly 200 per cent over the bed provision in 1950.

FIGURE 14

HOSPITAL BEDS 1935-64

12,000

10,000

1,000

6,000

4.000

3,000

TOTAL

GOVERNMENT

KOOK GOVT. ASSISTED

PRIVATE

195$

YEAR

QUEEN MARY HOSPITAL

92. This hospital, the main acute and specialist centre for Hong Kong Island, is the University teaching hospital for the Medical Faculty of the University of Hong Kong; clinical supervision is provided partly by the University clinical departments and partly by Government specialist units. Owing to the increased demand for services, the hospital's nominal capacity of 632 beds was augmented considerably by the use of camp-beds, which averaged approximately 120 each day throughout the year.

93. This hospital, built in 1937, has in recent years proved in- adequate both for its function as a teaching hospital and also for the increasingly specialized services it is called upon to provide, During the year, construction commenced on major extensions designed to redress these inadequacies. These extensions comprise a six-storey professorial suite, a seven-storey block containing operating theatres and specialized services, a greatly-expanded radiodiagnostic department and new accommodation for nurses and for the Nurses Training School, and will also make available a further 180 beds. In spite of the magni- tude of these developments, careful planning prevented direct inter- ruption of hospital routine although some interference and considerable disturbance was unavoidably caused by noise and vibration to both staff and patients.

QUEEN ELIZABETH HOSPITAL

94. This hospital, the largest building in Hong Kong, serves as the emergency and specialist centre for Kowloon and the mainland portion of the New Territories, representing a population of some two-and-a-half million. By mid-1964 all parts of the hospital were fully functional, including the Jockey Club Institute of Radiology, the laundry and certain other sections, the completion of which had been somewhat delayed.

95. Even during its first full year of operation the hospital experi- enced certain of the stresses which have been a feature of Hong Kong's acute hospitals during recent years. Attendances at the Casualty Depart- ment continued to rise and considerable re-inforcement of the medical staff of this section was required. Of these attendances, 47.6% were due to trauma, the main causes being, in descending order of frequency, domestic, traffic and industrial accidents. Of the non-traumatic cases

　　attending a number were of comparatively mild character but, overall, 37.8% of such attendances required immediate admission to hospital.

96. A further indication of the stresses experienced is the average time (9.4 days) spent in the hospital by each in-patient, which is com- paratively short by standards prevailing in western countries. Pressure, particularly on the orthopaedic wards, built up rapidly; by mid-1964 the convalescent beds available at Lai Chi Kok Hospital proved inade- quate and an additional number had to be made available at Kowloon Hospital.

KOWLOON HOSPITAL

　　　97. Following the opening of the Queen Elizabeth Hospital, Kowloon Hospital closed to allow extensive renovations. The large out-patient department continued to provide facilities for general cases but operated temporarily in two ward blocks during part of the year while alterations were carried out to its permanent accommodation.

98. Owing to the rapidity with which pressure built up on the Queen Elizabeth Hospital, notably in the orthopaedic section, it was found necessary to re-open certain wards in Kowloon Hospital earlier than had been anticipated to accommodate convalescent cases requiring further medical and nursing care. Accordingly two wards commenced in July 1964, to accept patients transferred from the acute hospital and, by the end of the year under review 223 beds were available for this purpose, medical supervision being provided by the specialist units of the Queen Elizabeth Hospital.

TSAN YUK HOSPITAL

99. This hospital, under the clinical supervision of the University Professor of Obstetrics and Gynaecology, is the main specialist obstetric hospital in the Colony. It is the teaching centre in Obstetrics for medical undergraduates and the training school for midwives who have not trained as general nurses.

100. Approximately 93% of admissions were cases registered at the hospital ante-natal clinic, and were in the main primiparae, grand multigravidae or other cases requiring specialist care; the remainder of the admissions were emergency cases referred from other sources. In spite of this high rate of abnormal admission, only five maternal deaths were recorded the causes of which were respectively obstetrical shock, amniotic pulmonary embolism, phaeocromocytoma, penicillin shock and advanced carcinoma of breast.

Castle Peak Hospital

MENTAL HEALTH SERVICE

101. This hospital for psychiatric patients, originally designed for 1,000 beds, was required to accommodate during the year an average of some 1,250 patients. Psychiatric cases from the whole Colony are admitted to this hospital and the great majority of such cases continued to present as voluntary patients.

102. Treatment facilities were augmented by the provision of portable faradic batteries for aversion therapy and these have been used with effect in selected obsessional and phobic patients. A further interesting feature was the formation in certain wards of ward commit- tees; these are elected by the patients themselves and meet with the nursing staff to discuss ward matters, particularly social and recreational activities.

103. The first Guest Day in the history of the hospital was success- fully held on 23rd June, 1964 to allow members of the public and of various organizations to view the hospital and its work.

Day Hospital and Psychiatric Clinics

104. Work in the out-patient centres continued to increase, and it was found necessary to hold sessions twice-weekly in the Tsim Sha Tsui Health Centre in Kowloon. In addition to these clinics, psychiatric services are provided for the Psychiatric Observation Unit in Victoria Remand Prison.

105. The New Life Mutual Aid Club, consisting of discharged patients and their relatives, continued to expand its activities. The club- house, established in 1963, was used as an experimental 'half-way house' from May 1964 onwards. A total of 68 patients, either homeless or rejected by their families, were accommodated after their discharge from Castle Peak Hospital, and 44 found employment through the assistance afforded by the Club.

Drug Addiction Treatment Centre

106. This centre, situated in Castle Peak Hospital, has provided treatment on a voluntary basis for male drug addicts since early 1961. Following the opening in 1963 of Shek Kwu Chau, maintained by the Society for the Aid and Rehabilitation of Drug Addicts, patients remain- ed in the centre for one month during the immediate withdrawal period

and thereafter transferred to Shek Kwu Chau for rehabilitation. It is planned that all addicts, other than Government servants, will ultimately be admitted direct to Shek Kwu Chau and gradual implementation of this policy commenced during the year.

107. No new features in therapy were recorded, but oral adminis- tration of methadone was introduced, replacing the intravenous route, as a result of trials with amino-hydroxy-butyric acid in the treatment of the withdrawal syndrome.

INFECTIOUS DISEASES HOSPITALS

108. There are two hospitals which admit patients suffering from infectious diseases the Sai Ying Pun Hospital on Hong Kong Island and the Lai Chi Kok Hospital in Kowloon; the latter also provides some accommodation for convalescent cases from the Queen Mary and Queen Elizabeth Hospitals.

109. The general pattern of admissions followed that experienced in previous years with certain fluctuations. There was a rise in the number of admissions of diphtheria cases during the winter months of 1964- 1965 as compared with the previous year, but the case fatality rate dropped considerably. At the same time there was also an increase in the number of cases of acute anterior poliomyelitis, mainly in Kowloon.

110. Typhoid admissions remained comparatively unchanged. The disease occurs mainly amongst children and adolescents and is very often of a mild character. A further interesting point is that, for reasons as yet obscure, a positive urine culture is almost unknown, although the organism can be isolated from either blood or stool in approximately 70% of cases.

OTHER GOVERNMENT HOSPITALS

111. Other hospitals maintained by Government are the St. John Hospital, serving the island of Cheung Chau and neighbouring islands of the western sea-board; the Wan Chai Hospital for the care of female patients with skin diseases; the South Lantau Hospital serving the villages on the south-west coast of Lan Tau Island; and four hospitals within prison compounds in the Colony at Stanley Prison, Victoria Prison, Lai Chi Kok Female Prison and at the Tai Lam Prison for con- victed drug addicts.

OUT-PATIENT SERVICES

112. Pressure remained heavy throughout the year on all general out- patient clinics and also on most specialized ones, although there was a further reduction in attendances at tuberculosis clinics. Trends during the past ten years are shown in Figure 15.

FIGURE 15

OUT-PATIENT ATTENDANCES 1956-64

ATTENDANCES IN MILLIONS

1956

1958

1960

1962

1964

YEAR

New Cases

Repeal altendances

113. New facilities which became available during the year are detailed in paragraphs 163 to 165 of this report.

114. In addition to general out-patient services, regular out-patient sessions were maintained at a number of clinics by staff of specialized units. Evening and public holiday out-patient sessions continued to be held at certain clinics in the more densely-populated areas. The more remote areas of the New Territories were served by two mobile dispen- saries and two 'floating clinics', but the 'flying doctor' service to more isolated and inaccessible villages was interrupted by an accident to the helicopter.

SPECIALIST SERVICES

115. There are Government Specialist Clinical Units of medicine, surgery, obstetrics and gynaecology, anaesthesiology, dentistry, neuro- surgery, ophthalmology, orthopaedic surgery, otorhinolaryngology, pathology, paediatrics, psychiatry, radiodiagnosis, radiotherapy, social hygiene, thoracic surgery and tuberculosis. In addition, the Professors and certain Senior Lecturers of the University Faculty of Medicine act as Consultants in medicine, surgery, obstetrics and gynaecology, ortho- paedics, pathology and paediatrics. Certain of the Government Specialists act as Honorary Consultants to the Tung Wah Group of Hospitals and others give part-time services as lecturers in the Faculty of Medicine.

RADIOLOGICAL SERVICES

116. The major event during the year was the opening on June 30th, 1964, of the Jockey Club Institute of Radiology at the Queen Elizabeth Hospital. This institute not only provides modern and specialized radio- diagnostic facilities for the hospital but also includes a large radiothera- peutic unit equipped with two 6-million volt linear accelerators, one 5-to-35-million-volt betatron, physics laboratories and workshops.

Radiodiagnostic Division

　　　　117. A new X-ray department was opened in the Jockey Club Clinic, Shau Kei Wan, in October, 1964. The total number of patients examined by the division rose by approximately twenty-five per cent during the year, while the number of films taken rose by 5.5%.

Radiotherapeutic Division

　　　　118. With the opening of the Jockey Club Institute of Radiology, the headquarters of this division was transferred to the Queen Elizabeth Hospital: Not only is the Institute equipped with the machines mention- ed previously, but there are also adequate stocks of radium and of radio-isotopes for both diagnostic and therapeutic usage.

OPHTHALMOLOGY

　　　　119. This service maintains two full-time centres with surgical facilities, one on Hong Kong Island and one in Kowloon, and in addition holds regular sessions at out-patient clinics in urban and rural areas. Eighty per cent of operations were performed on an out-patient basis,

while increased availability of beds due to the opening of the Queen Elizabeth Hospital enabled waiting lists to be reduced to almost negligible proportions.

120. During the year, 423 persons were registered as blind, a slight reduction from the number (467) recorded in 1963; of these only thirty- three were in children under fifteen years of age. Following successful operations, some forty-eight patients were removed from the register.

121. Trends of previous years in the causation of blindness were continued, with increasing frequency of the diseases of advancing age and reduction in deficiency states and results of trauma being observed; senile cataract and glaucoma have replaced keratomalacia as the predominant causes, and amongst children blindness due to the latter disease is now comparatively rare.

PHARMACEUTICAL SERVICE

122. This service continued to supply all Government medical institutions with pharmaceuticals and medical and surgical equipment and supplies. Manufacturing units are also maintained for the supply in bulk of pharmaceuticals in concentrated form and for the production of parenteral fluids and other sterile preparations.

123. The service also maintains the Central Sterile Supply Depart- ment at the Queen Elizabeth Hospital. This department had been in operation for eighteen months at the time of writing this report and has proved a most useful innovation. An idea of the volume of work undertaken is shown by the average daily issues which are: 610 sterile sets; 2,480 linen, swab and glove packs; 1,995 sterile syringes and needles; and 460 accessory instruments, etc.

MEDICAL SOCIAL WORK

124. The Almoners of the Department, whose title has been changed to Medical Social Workers in conformity with practice elsewhere in the world, celebrated in October 1964 the twenty-fifth anniversary of the foundation of their service in Hong Kong. The wide variety of disciplines in whose activities Medical Social Workers now play a prominent role is in itself a tribute to the firm foundations which were laid immediately prior to and after the Second World War.

125. Although the main work of this sub-department is concentrated on patients from the major hospitals and from the tuberculosis service,

certain other specialized out-patient services also require assistance, notably the leprosy and ophthalmological sub-departments; Medical Social Workers are also attached to large polyclinics and assist at re- habilitation centres. In the major acute hospitals, allocation of duties is based on the unit system which leads to improved liaison with medical and ward staff.

　　　　126. The demand for medical social services continued to rise. Apart from increases due to the expansion of population and pressure on general hospital beds, the ageing of the immigrant population and the growth of unbanization and industrialization are bringing in their train increasing social problems resulting from geriatric, degenerative and mental diseases. Due to the long-term nature of such diseases, the problems arising are of necessity far more time-consuming and intricate than those arising from short-term hospital admissions.

PHYSIOTHERAPY

127. No new units were opened during the year, but the Kowloon Jockey Club Rehabilitation Centre was brought into full activity by the opening of the hydrotherapy pool. Demand for physiotherapy services. continued to rise, despite the fall in numbers of post-poliomyelitis cases, and there is increasing concentration on education and training of the handicapped in re-adapting themselves to day-to-day activities.

128. The first two students graduated from the Physiotherapy Training School in August, 1964. However, wastage from the course has been high and during the year an appraisal was undertaken of the economic and practical feasibility of continuing such training in Hong Kong.

OCCUPATIONAL THERAPY

129. Owing to the pressure on the acute hospitals and to the conse- quent short patient-stay, the main energies of the Occupational Therapy sub-department have been concentrated in the hospitals for long-term patients, particularly the Castle Peak Hospital for psychiatric cases. Progress has however been considerably handicapped by difficulties in recruitment of trained staff.

130. At Castle Peak Hospital industrial 'out-work' continues to be a valuable adjunct to the programme of therapy. It has been limited mainly to the assembly of plastic flowers, although a small order for shell chimes from a local factory was filled and a regular but limited

output of tapestry work was maintained. Government orders for brooms and other domestic, hospital and office equipment continued. A small printing press was acquired during the year and a number of depart- mental printing requirements were undertaken. In addition, a carefully- planned programme of rehabilitation is also carried out for patients attending the Hong Kong Psychiatric Centre. With the gradual change in the policy for admission of drug addicts, the general occupational therapeutic regime in this sphere has been reduced considerably.

131. In the Kowloon Jockey Club Rehabilitation Centre, the patients treated have been mainly orthopaedic cases or amputees, and the emphasis has remained in terms of remedial exercises, pre-vocational evaluation and training and instruction in the routine activities of daily life.

132. A welcome innovation during the year was the preparation, in conjunction with the Social Welfare and Resettlement Departments, of a unit to house twenty-four paraplegics in a resettlement block at Kwun Tong. The unit, which was nearing completion at the end of the year, is designed to provide specific facilities for this type of patient and includes vocational workshops to promote a degree of self-sufficiency.

133. No Annual Exhibition and Sale of Work was held during the year, but surplus finished articles were sold with good effect from the Occupational Therapy Section of the Queen Elizabeth Hospital.

ORTHOPAEDIC AND PROSTHETIC APPLIANCES

134. The production of appliances rose by 42 per cent during the year to a total of 1,561 as compared with 1,100 in 1963, but output still falls somewhat short of demand.

135. The study of below-knee amputees has been continued and a pre-amputation socket technique has been evolved whereby the socket of the prosthesis is prepared for immediate post-operative fitting, thus reducing considerably the period of hospitalization. A simplified cast- taking device has also been produced which is superior to those used hitherto and enables casts to be taken from the patient prior to amputa- tion. In addition, investigations are in progress, in co-operation with a local manufacturer of footwear, to design suitable shoes for leprosy patients with ulcerated feet.

MEDICAL EXAMINATION BOARD

　　　　136. There was little of note during the year in the work of this section, which continued to perform medical examination of new entrants to Government employment and to the Essential Service Corps. The intensive recruiting campaign staged by the Police Department early in 1965 required some temporary re-arrangement of the appointment system, but it was possible to cope with the numbers coming forward with little derangement of the service provided for other Government departments.

137. Although the numbers of persons classified as unfit on account of tuberculosis continued to fall, the disease remained the primary reason for non-acceptance of applicants on medical grounds, being responsible for thirty out of the forty-nine 'unfit' classifications in each thousand examinations.

HOSPITAL MAINTENANCE AND SUPPLY

138. This section, which is responsible for the routine supply and lay administration of medical institutions, experienced considerable staffing difficulties during the year. Not only was difficulty encountered in the recruitment of experienced Hospital Secretaries but there has been an increasing wastage rate amongst male menial staff which was only partially halted by an interim salary award in the later part of the year.

　　　　139. Provision of transport services presented certain problems as routine requirements were augmented by the increased need for vehicles during mass immunization campaigns and in meeting the expanded intake of the central departmental laundry. The laundry itself, situated in Queen Elizabeth Hospital, encountered certain teething troubles, but these are being overcome gradually and it is now working on two full shifts per day.

140. Castle Peak Hospital continued to experience, due to its rather isolated position, difficulties in the supplies of electricity and of flushing water. The abnormal number of typhoons caused, as in previous years, intermittent interference with main electric cables; to minimize the potentially dangerous effects of such interruptions in a large mental hospital, work commenced on the installation of an auxiliary generator and emergency circuit.

Staff Welfare

141. The Staff Welfare Association recorded a satisfactory year, marred only by the failure to operate successfully the canteen in the Queen Elizabeth Hospital. In addition to maintaining various welfare schemes to aid the families of members, the Association has been active in many sporting events, the highlights of which were visits to Macau by football teams of the Association and a return visit by a team from the Macau Medical Department.

UNICEF Assistance

142. The UNICEF-sponsored milk feeding programme continued throughout the year. Altogether, a total of 130,729 lbs. of milk powder was distributed to the various feeding centres of both Government and voluntary agencies throughout the Colony.

AUXILIARY MEDICAL SERVICE

143. This branch of the Essential Service Corps has a strength of over 5,000 men and women trained to augment the Colony's hospital and first-aid services during an emergency; approximately half are divided between 42 Ambulance Depot Teams spread over 25 districts throughout the Colony. Their services were in constant demand during the summer of 1964 owing to the abnormal number of typhoons affect- ing the Colony, and outstanding first aid and rescue work was performed by members of the Sha Tin team. During the cholera outbreak other members were employed on administrative duties in the Chatham Road Quarantine Centre.

144. On 17th January, 1965, a parade of nearly 2,000 uniformed men and women of the Service was inspected by the Colonial Secretary, who also presented Civil Defence Long Service Medal to 126 members.

V. GOVERNMENT-ASSISTED HOSPITALS

145. Financial assistance mainly by means of an annual subvention is given by Government to certain voluntary organizations maintaining hospitals in the Colony. Such hospitals, containing a total of 5,221 beds, are either for general patients or cater for persons suffering from certain specific diseases or handicaps.

THE TUNG WAH GROUP OF HOSPITALS

146. The Tung Wah Group of Hospitals is a long-established Chinese charitable organization and is managed by a Board of Directors elected annually. During recent years a programme of modernization and expansion has been undertaken with considerable financial assistance from Government. The main item in this programme has been the re- development of the Kwong Wah Hospital in Kowloon into a modern general hospital of some 1,500 beds; this re-development was completed during the year and was opened by His Excellency the Governor on 23rd March, 1965.

147. The need for subsidiary beds for long-term patients has been appreciated by successive Boards of Directors, and the Group is current- ly undertaking two projects to provide these. One is the phased con- struction of a large infirmary at Wong Tai Sin in Kowloon; the first stage, designed to provide 210 beds and financed partly by a donation from the Australian World Refugee Year Fund and partly by the Hong Kong Government, was nearing completion at the end of the year under review. The second project, to contain 270 beds, is being built at Sandy Bay on Hong Kong Island to replace some existing but dilapidated accommodation and to provide in addition subsidiary beds for the Queen Mary Hospital.

THE ALICE HO MIU LING NETHERSOLE HOSPITAL

　　　　148. This hospital which is supported by the London Missionary Society, adopted a new constitution in July, 1964, which confirmed the basic policy of the hospital and re-defined its relationships with the community and with Church bodies. The hospital management engaged in detailed negotiations with other religious bodies, both in Hong Kong and overseas, on the proposal to establish a United Christian Hospital in Kowloon.

149. Important developments were also recorded in the hospital itself. Work commenced on extra quarters for nursing staff and plans were being prepared for a new East Wing to enlarge and modernize certain departments.

POK OI HOSPITAL

150. This charitable hospital at Yuen Long in the New Territories continued a programme of expansion. The new out-patient department, replacing an old and unsatisfactory building, was opened by the District

Commissioner, New Territories, on 22nd January, 1965; on the same occasion a new ambulance was donated to the hospital by the Board of Directors. Tenders were called for the foundation work for a new wing to be financed by the Board of Directors and by Government; this wing, designed ultimately for a seven-storey building, will initially be of three storeys and will provide improved and expanded facilities for the maternity and paediatric patients who are at present accommodated in an overcrowded and unsuitable building.

CARITAS MEDICAL CENTRE

151. This hospital of 454 beds, erected with the aid of donations from Roman Catholic communities in many parts of the world and in particular the Federal Republic of Germany, is situated in the densely- populated district of So Uk in North-West Kowloon. Admission of patients to certain wards commenced in September, 1964, and the hospital was formally opened by His Excellency the Governor on 17th December. It is administered by the Canossa Sisters and comprises three blocks for general, tuberculosis and cancer patients respectively, as well as quarters for staff and a nurses' training school. Although certain staffing difficulties were encountered initially, these had been mainly overcome at the end of the year under review and the hospital was playing a very active part in the provision of medical services in the Colony.

HONG KONG ANTI-TUBERCULOSIS ASSOCIATION

152. This Association provides the great majority of the beds available for treatment of tuberculosis in its three institutions--the Grantham Hospital, the Ruttonjee Sanatorium and the Freni Memorial Convalescent Home, and a close liaison is maintained with the Govern- ment Tuberculosis Service.

The Grantham Hospital

153. This hospital of 613 beds is equipped as a modern chest hospital and is administered by the Grantham Hospital Management Board on a fee-paying, non-profit-making basis. Government maintains 576 of the beds, but all staff of the hospital is provided by the Association with the exception of Government Medical Officers posted to the Government clinical units which are responsible for 253 of the total bed strength.

Ruttonjee Sanatorium and Freni Memorial Convalescent Home

　　　　154. These two units, which are the responsibility of the Ruttonjee Sanatorium Management Board, are run as one and are staffed by the Sisters of the St. Columban Missionary Order; a B.C.G. centre and a 'follow-up' clinic are also maintained in the Association's headquarters. During the year, a new bacteriological laboratory was opened, capable of undertaking all examinations required for the clinical supervision of tuberculosis patients.

HAVEN OF HOPE SANATORIUM

155. This hospital of 230 beds is situated in the Junk Bay area of the New Territories, and a tuberculosis out-patient and 'follow-up' clinic is maintained at nearby Rennie's Mill. During the year under review construction of a new technical services building commenced; this building, the funds for which have been provided by the United States of America as a World Refugee year project, will contain improved and expanded diagnostic and technical facilities required by the increasing work of this hospital.

SANDY BAY CHILDREN'S CONVALESCENT HOME

　　　　156. Maintained by the Society for the Relief of Disabled Children, this home contains 100 beds for children requiring long-term orthopaedic care; the Hong Kong Branch of The British Red Cross Society provides two full-time primary school teachers to enable the children to continue their education during convalescence. The continued severe water restrictions during the early part of 1964 caused some interference with the work of the home, notably the hydrotherapy department, but normal activities were resumed following heavy rains in the summer months.

OUR LADY OF MARYKNOLL HOSPITAL

　　　　157. This hospital of eighty beds is administered by the Maryknoll Sisters. It is located in Wong Tai Sin in North-East Kowloon and provides general in-patient and out-patient facilities for this rapidly- expanding area.

HEI LING CHAU LEPROSARIUM

　　　　158. This leprosarium, situated on an island six miles from Hong Kong and maintained by the Mission to Lepers, provides accommoda- tion for 540 leprosy patients and special facilities for those who require

reconstructive surgery or who are suffering from intercurrent disease. No new buildings were constructed during the year, but extensive repairs to several existing ones were required owing to damage caused by Typhoon 'Ruby'.

159. In therapy, di-amino-diphenyl-sulphone remained the drug of initial choice, but vadrine has been used with effect in patients who have chronic reactions or who are not responding to other drugs. A combina- tion of di-amino-diphenyl-sulphone or of intra-muscular sulphetrone with thiamcarbasone has proved effective for a number of patients who show little response to a single drug.

160. The severe drought of 1963-64 caused a great reduction in the number of surgical operations undertaken. However, the summer rains of 1964 remedied the position and a wider variety of surgical procedures, particularly in the reconstructive field, is now possible. Mr. Harold RIDLEY, of St. Thomas's Hospital in London, visited the island in February, 1965, and performed ten ophthalmological operations, of which five were corneal grafts.

HONG KONG SOCIETY FOR REHABILITATION KWUN TONG

REHABILITATION CENTRE

161. This centre, accommodating eighty patients, has occupational workshops and facilities for physiotherapy and for manufacture of prostheses. It is designed to assist in the quick return to employment of those who have been injured, particularly in industrial accidents.

VI. DEVELOPMENT

FORWARD PLANNING

162. Reference has been made previously in this report to the un- paralleled hospital development of the past fifteen years. However, the population has also been increasing very rapidly and there is still con- siderable pressure on most categories of hospital beds, particularly on those for general and mental patients. The White Paper on Development of Medical Services in Hong Kong, which was tabled in Legislative Council in February 1964, outlined the medical problems of the Colony and made suggestions to remedy the most pressing deficiencies. To

ensure as far as practicable the implementation of these recommenda- tions, the Working Party which prepared the White Paper was recon- stituted by His Excellency the Governor as the Medical Development Plan Standing Committee; with the Director of Medical and Health Services as chairman, the committee comprises two nominated members of Legislative Council and representative of the Medical and Health Department and of the General and Finance Branches of the Colonial Secretariat. The task of this committee, which met on fourteen occasions during the year, is to keep the recommendations of the White Paper under continuous administrative review and to report its conclusions on all major matters to Government through the Medical Advisory Board. The activities have fallen into five main categories, namely development of medical institutions; staffing of such institutions; improved utilization of existing medical facilities; subventions to Government-assisted institu- tions; and fees and charges. Details of these activities can be found in the Committee's annual report to the Legislative Council.

COMPLETED PROJECTS

　　　　163. The year 1964-65 saw the completion of a number of major additions to the Colony's medical and health services. Although most of these have been mentioned elsewhere in this report, it is appropriate to review them once more in this chapter.

　　　　164. Complementary to the Government's Queen Elizabeth Hospital, which attained full function during the year, there were notable achieve- ments in hospital development by both Government-assisted and private agencies. The Caritas Medical Centre was opened in December, 1964, and the completion of the final stage in the re-development of the Kwong Wah Hospital was celebrated in March, 1965. Other completed projects, which have not requested Government assistance, were the Baptist Hospital and the Evangelical Medical Centre, both in Kowloon, and the Seventh Day Adventists Hospital in Tsuen Wan.

　　　　165. The interest of the Royal Hong Kong Jockey Club in medical and health matters was well demonstrated during the year by the opening of the Jockey Club Health Centre at Kwun Tong, the Jockey Club Institute of Radiology at the Queen Elizabeth Hospital and the Jockey Club Polyclinic, Shau Kei Wan. A standard rural clinic, donated by the Government of the United States of America, was opened at Sha Tin in February, 1965, and a maternal and child health centre adjacent to the Li Kee Memorial Dispensary was opened in May, 1964,

the cost of construction being borne equally by the Lions Clubs of Hong Kong and the Hong Kong Government.

PROJECTS UNDER CONSTRUCTION

166. The major project under construction at the end of the year was the extension of the Queen Mary Hospital to provide expanded teaching facilities and improved specialized services. In addition, the Tung Wah Group of Hospitals were proceeding, with assistance from the Hong Kong Government and from overseas, to erect two infirmaries, one in Wong Tai Sin in Kowloon and the other at Sandy Bay on Hong Kong Island; these two projects will add, in the first instance, some 480 convalescent and chronic beds to the medical facilities of the Colony, but a staged expansion of the Wong Tai Sin Infirmary is already planned. Three Government clinics were also under construction at Tsuen Wan and Yuen Long in the New Territories and at Yau Ma Tei in Kowloon,

167. A detailed statement of development can be found in the Statistical Appendix to this report.

VII. TRAINING PROGRAMME

DOCTORS

168. The University of Hong Kong confers the degrees of M.B., B.S., which have been registrable with the General Medical Council of the United Kingdom since 1911. Posts in the major hospitals are recognized for post-graduate training by the majority of the examining bodies in Britain.

169. Mention has been made in previous reports of the shortage of qualified medical personnel, and facilities available to the Faculty of Medicine, both in the University and at the Queen Mary Hospital, are now being expanded to enable an annual student intake of 120; it is expected that by 1968 some one hundred doctors will be graduating each year. The future requirements of doctors of the Colony as a whole have been intensively examined and discussions with representatives of the University have been undertaken to define the financial and personnel implications of further expansion should this prove to be required at a later date.

170. Following the opening of the Queen Elizabeth Hospital, the programme for the training of doctors for post-graduate qualifications

was reviewed by the Panel on Post-Graduate Medical Education, which advised a re-appraisal of trainees in the major specialities. A shortage of experienced personnel has been encountered in certain of the less general specialities, but it is expected that most of these deficiencies will be remedied within the next few years.

DENTAL STAFF

　　　　171. No undergraduate training in dentistry is available in Hong Kong, but Government annually awards scholarships for the study of dentistry overseas. Three such scholarships were awarded during the year, while three scholars returned to the Colony after qualification, bringing the total of returned graduates to 27.

　　　　172. In-service training in dental technology is available for student dental technicians, while evening classes are held at the Hong Kong Technical College for technicians in private employment. During the year, two student technicians passed the Intermediate Examination in Dental Technology of the City and Guilds of London Institute.

　　　　173. One student dental nurse was sent to Penang, where there are now four such students training under scholarships awarded by the World Health Organization. Two nurses returned, having completed their training.

General Nursing

NURSES

174. There is full reciprocity of registration between the general nursing qualifications of the Nursing Board in Hong Kong and of the General Nursing Council of England and Wales. Government maintains two training schools, while the other approved training schools are main- tained by the Tung Wah Group of Hospitals, the Alice Ho Miu Ling Nethersole Hospital and the Hong Kong Sanatorium and Hospital. The implementation of the White Paper on Development of Medical Services underlined the need for increased training of nursing staff, and most nursing schools increased their intake during the year.

Psychiatric Nursing

175. Training in psychiatric nursing is undertaken at the Castle Peak Hospital but the response, particularly from female students, has remained insufficient to meet the demand for locally-trained psychiatric

nurses.

Midwifery

176. For registered general nurses, one-year courses in midwifery continued to be conducted in the maternity wards of their respective hospitals, while for student midwives without nursing training the Government staff of the Tsan Yuk Hospital conduct a two-year course in the Chinese language.

Auxiliary Nurses

177. With the rapid expansion of the Medical and Health Depart- ment and the need to make optimum use of trained staff in the acute hospitals, recruitment of nursing auxiliaries commenced in September, 1964. Staff in this grade are given a two-year in-service course of training to fit them for the performance of the more routine nursing duties, particularly in the care of convalescent and long-stay patients.

HEALTH VISITORS

178. As in previous years, a course of training was held for ten student Health Visitors who, after one year's tuition and study, took the examination for the Health Visitor's Certificate conducted by the Hong Kong Branch of the Royal Society for the Promotion of Health. Nine were successful.

RADIOGRAPHERS

179. Training in this sphere was continued during the year and. as usual, an examination was held in the Colony for both Parts I and II of the Membership (Diagnostic) of the Society of Radiographers in the United Kingdom.

LABORATORY TECHNICIANS

180. The Government Institute of Pathology maintained its in-service training for Medical Laboratory Technicians, and the Institute of Medical Laboratory Technology of the United Kingdom during the year conducted in the Colony an Intermediate Examination for the Associate- ship of the Institute. Results of this examination were commendable. twenty-eight candidates being successful out of a total entry of thirty.

OTHER FORMS OF DEPARTMENTAL TRAINING

181. In-service courses of training were continued for Dispensers, Tuberculosis Workers, Social Hygiene Visitors, Dental Technicians and

Orthopaedic Appliance Technicians. These do not all lead to recognized qualifications but prepare those concerned for appointment to permanent posts in Government service after passing a departmental examination.

VIII. ACKNOWLEDGEMENT

　　　　182. This report would be incomplete without a sincere tribute to all staff of the Department, whose loyalty and devotion are reflected by the progress recorded in these pages. Working under increasing pressure, they have received the whole-hearted support of other Departments of Government and of the many voluntary and welfare agencies whose dedicated work is a prominent feature of life in Hong Kong. It is a pleasure and a privilege to acknowledge again the practical generosity of a number of organizations, notably the Royal Hong Kong Jockey Club, and of other private donors and the assistance received from other countries. Finally, a tribute is necessary to the citizens of Hong Kong without whose energy, industry and co-operation the achievements. recounted would have been far less impressive.

P. H. TENG,

Director of Medical and Health Services.

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CILITIES

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HONG KONG

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Government

HONG KONG ISLAND

1. Kennedy Town Jockey Club Clinic (general outpatient

facilities, maternal and child health centre, maternity home and dental clinic).

19.

Anne Black Health Centre (general outpatient faci- lities, maternal and child health centre, maternity bome, dental clinic and X-ray survey centre). 20. Shau Kei Wan Jockey Club Clinic (general outpatient facilities, maternal and child health centre, mat- ernity home, chest clinic and dental clinic). Chai Wan Clinic and Maternal & Child Health Centre, Stanley Prison Hospital.

Li Sing Dental Clinic,

H.K. Psychiatric Clinic & Day Hospital,

Sai Ying Pun Hospital (infectious diseases) and Sai

21.

Ying Pun Jockey Club Clinic (general outpatient

22.

and specialised clinics).

23.

Tean Yuk Hospital (a maternity hospital).

Port Health Inoculation Centre, Marine Building. Central District Health Centre (general outpatient facilities, maternal and child health centre and special clinics).

8. Police Medical Post (general outpatient and dental facilities for police officers and their families), Victoria Remand Prison Clinic (general outpatient faci- lities for prison officers and their families, and general medical and psychiatric facilities for detainees). 10. Port Health Inoculation Centre, Fung House, 11. Hong Kong Families Clinic (general outpatient facilities for English-speaking Government servants and their families).

12. Medical Examination Board.

13.

14.

24.

Stanley Dispensary & Maternity Home (a maternity home with some outpatient facilities).

Aberdeen Jockey Chib Clinic (general outpatient facilities, maternal and child health centre and maternity home).

25. Queen Mary Hospital (an acute general hospital with casualty department).

Armed Forces, Government-Assisted and Private Hospitals Tung Woh Hospital (a general hospital, with outpatient department and special clinics).

Alice Ho Miu Ling Nethersole Hospital (a general hospital).

Hong Kong Central Hospital (a general hospital). Canossa Hospital (a general hospital).

Ruttonjee Sanatorium (a tuberculosis hospital).

Hong Kong Sanatorium & Hospital (a general hospital). St. Paul's Hospital (a general hospital).

Tung Wah Eastern Hospital (a general bospital with outpatient department).

16.

Wan Chai Hospital (a hospital for venereal and der- matological treatment),

17. Harcourt Health Centre (a school health, maternal and child health centre and a male social hygiene clinic).

Military Hospital, Bowen Road.

Military Hospital, Mount Kellet.

18. Mount Butler Quarry Clinic.

Freni Memorial Convalescent Home.

Violet Peel Polyclinic (general outpatient facilities with special clinics and an ophthalmic centre). Eastern Dispensary and Maternity Hospital (a mater- nity home with general outpatient facilities). 15. Wan Chai Clinic (a dental centre, tuberculosis clinic, and physiotherapy department),

Grantham Hospital (a tuberculosis hospital).

Matilda Hospital (a general hospital).

Sandy Bay Convalescent Home (an orthopaedic hospital for children).

Lai Chi Kok

MAP D

KOWLOON

PENINSULA

MEDICAL FACILITIES

· Kowloon

City

Sham Shui

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1.8

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Tolm She Tanf

Hung Hom

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Kowloon

Bay

North Point

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Government

KOWLOON

17.

Lai Chi Kok Hospital (an infectious diseases and convalescent hospital, with an Isolation Unit for

the segregation of suspected cases of quaran- tinable disease).

Lai Chi Kok Female Prison Hospital.

Cheung Sha Wan Police Quarters Clinic (general out- patient and dental facilities for police officers and their families).

Li Cheng Uk Clinic (general outpatient facilities). Shek Kip Mei Health Centre (general outpatient facilities with special clinics, a chest clinic and a maternal and child health centre).

6. Tai Hang Tung Clinic (general outpatient facilities). 7. Sham Shui Po Public Dispensary (general outpatient facilities).

8. Li Po Chun Health Centre (general outpatient facilities, maternal and child health centre and maternity bome).

9. Government Ophthalmic Clinic-Arran Street (an ophthalmic centre).

10. Queen Elizabeth School Dental Clinic.

11. Yau Ma Tei Public Dispensary (general outpatient facilities).

12. Queen Elizabeth Hospital (an acute specialised General Hospital with casualty department and Specialist Clinic).

13. Kowloon Police Medical Post (general outpatient and dental facilities for police officers and their families). 14. Ashley Road Social Hygiene Clinic (a male treatment centre for venereal disease).

15.

Kowloon-Canton Railway Staff Clinic (general out- patient and dental facilities for Railway staff and their families).

16. Tsim Sha Tsui Health Centre (mental health centre, maternal and child health centre, female social hygiene clinic and port health inoculation centre).

Hung Hom Clinic & Maternity Home (general out- patient facilities and maternity home).

18. Ho Man Tin Maternal & Child Health Centre. 19. Kowloon Chest Clinic (a tuberculosis clinic).

20.

Kowloon Hospital and Outpatient Department (a general hospital with general outpatient and dental facilities).

21. Kowloon Families Clinic (general outpatient facilities for English-speaking Government officers and their families).

22. Li Kee Memorial Dispensary (general outpatient facilities with special clinics and a dental clinic). 23. Wang Tau Hom Jockey Club Clinic (general out- patient facilities, maternal and child health centre and maternity home).

24.

25.

Air Port Health Station.

Kwun Tong Health Centre (general outpatient faci- lities, maternal and child health centre, dental clinic and maternity home),

26. Robert Black Health Centre (general outpatient facilities, maternal and child health centre and maternity home).

27. Lions Club maternal and Child Health Centre.

Government-Assisted and Private Hospitals

Precious Blood Hospital (a general hospital).

Kwong Wah Hospital (a general hospital and infirmary with outpatient department).

St. Teresa's Hospital (a general hospital).

Maryknoll Mission Hospital (a general hospital). Kwun Tong Rehabilitation Centre.

Baptist Hospital (a general hospital).

Caritas Medical Centre (a general and tuberculosis hospital).

H. Evangelical Medical Centre (a general hospital).

TERRITORIES

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1. Sha Tau Kok Clinic (a maternity home with some outpatient facilities).

2. Shek Wu Hui Jockey Club Clinic (general outpatient facilities and maternity home),

Ho Tung Dispensary (a maternity home with convalescent beds).

Yuen Long Dispensary (general outpatient facilities and maternity home).

S. Castle Peak Hospital (a mental hospital).

Šan Hui Dispensary (a maternity home with some outpatient facilities).

7. Maurine Grantham Health Centre (general outpatient facilities and maternity home).

Tai Po Jockey Club Clinic (general outpatient facilities, dental clinic and maternity home).

9. Sha Tin Clinic (general outpatient facilities and maternity home).

10. Sai Kung Dispensary (general outpatient facilities and maternity home).

11. North Lamma Clinic (a maternity home with some outpatient facilities). Peng Chau Clinic (a maternity home with some outpatient facilities).

12.

13. St. John Hospital (a general hospital and outpatient department).

14. Silver Mine Bay Dispensary (a maternity home with some outpatient facilities).

15. South Lantau Hospital (a general hospital with outpatient facilities).

16. Shek Pik First Aid Post.

17. Tai O Dispensary (general outpatient facilities and maternity home). 18. Kam Tin Clinic (a maternity home with some outpatient facilities).

Government-Assisted and Private Hospitals

Fanling Hospital (a general hospital).

Pok Of Hospital (a general hospital).

€,

Haven of Hope Tuberculosis Sanatorium.

Hei Ling Chau Leprosarium.

Children's Convalescent Home, Cheung Chau.

Seventh Day Adventist Hospital (a general hospital).

Shek Kwu Chau Centre for Drug Addicts.

INDEX TO STATISTICAL APPENDIX

I. ADMINISTRATION

Table No.

---

Establishment of the Medical & Health Department as at 31.3.65 Administration of the Medical & Health Department Statement of Expenditure from 1960-61 to 1964-65 Legislation of Medical & Health Importance-Apr. 1964 to Mar, 1965 Work of Statutory Councils and Boards-April 1964 to March 1965...

II. PUBLIC HEALTH

(a) Vital Statistics

Estimated Population Structure-1964

Births and Deaths 1951-60

Infantile and Maternal Mortality 1951-64

---

Major Causes of Infant Mortality 1950 and 1960-64 Analysis of Maternal Mortality 1952-64

Analysis of Mortality 1951-64

(b) Infectious Diseases

Infectious Diseases notified (cases and deaths) 1960-64 Mortality rates for certain infectious diseases 1960-64 Principal infectious diseases by age and sex 1964 Prophylactic Immunizations 1960-64 Analysis of Cholera Cases 1964

Cholera Mortality by age and sex 1961-64 ... Analysis of Cholera Carriera 1964

III, WORK OF HEALTH DIVISION

(a) Tuberculosis

---

TII

+ L

THE

Tuberculosis Mortality 1951-64

Tuberculosis in Childhood 1951-64

TOI

---

Tuberculosis Notifications 1951-64

---

ILI

Work of Government Tuberculosis Service 1964

F+I

++I

-- J

X-Ray Surveys 1964 ...

---

Contract Examinations 1963-64

IIT

---

LII

---

Orthopaedic Tuberculosis 1959-64

(b) Malaria

Distribution of cases and identification of parasites

Annual Incidence of Venereal Disease 1955-64

V. D. R. L. Examinations in Expectant Mothers 1960-64 Leprosy.

ILI

---

ITI

Analysis of Dermatological Conditions Presenting at Clinics Cultures for Mycological Identification

INDEX TO STATISTICAL APPENDIX-Contd.

III. WORK OF HEALTH DIVISION-Contd.

(d) Port Health

Work of the Port Health Service 1964

+++

(e) District Midwifery Services

Midwifery Services 1963-64

---

(f) Maternal & Child Health Services

Distribution of Maternal & Child Health Centres 1964

Work of Maternal & Child Health Service 1963-64

(g) School Medical Service Board

Table No.

---

Number of Participating Schools, Students and Doctors at 31.3.65

(h) Dental Service

Work of the General Dental Service 1960-64

(i) Forensic Pathology

Work of the Forensic Pathology Laboratories 1963-64 Work of Public Mortuaries 1963-64...

(j) Government Institute of Pathology

IV.

Work of Government Institute of Pathology 1963-64

---

Vaccine Production 1963-64...

Blood Banks 1963-64...

...

LII

---

FIL

---

Work of Virus Laboratory 1964

(k) Government Chemical Laboratory

Work of the Government Chemical Laboratory 1963-64

(1) Industrial Health

Work of Industrial Health Section 1964-65

(m) Medical Clinics Registration (Position at 31.3.65) ...

THE WORK OF THE MEDICAL DIVISION

TII

---

Number of Hospital Beds in Hong Kong 1964 In-Patients Admitted into Government, Government-Assisted

and Private Hospitals 1964

+++

Classification of In-Patients treated in Government and Govern-

ment-Assisted Hospitals, 1964

---

-10

..ז

-11

Tir

(a) Government Hospitals

Hospital Costing

Work of the Queen Mary Hospital 1960-64

IL+

Work of the Queen Elizabeth Hospital 1964 Work of the Queen Elizabeth Hospital Casualty 1964 Work of Tsan Yuk Hospital 1963-64

Work of Castle Peak Hospital 1964...

---

Work of Day Hospital and Psychiatric Centres 1964 Drug Addiction Treatment Centre Mar. 1961-Feb. 1965

ITI

+++

---

INDEX TO STATISTICAL APPENDIX-Contd.

Table No.

IV. THE WORK OF THE MEDICAL DIVISION-Contd.

(b) Out-Patient Clinics

New Out-Patient Attendances 1964 ...

Total Out-Patient Attendances 1964 New Territories Clinics 1964...

(e) Radiology

Work of Radiodiagnostic Branch Radiotherapeutic Branch 1963-64

(3) Ophthalmology

---

+++

ITI

---

Work of the Ophthalmic Service 1963-64 Analysis of Major Causes of Blindness

e) The Pharmaceutical Service

Work of Pharmaceutical Service 1963-64

(f) Physiotherapy

Work of Physiotherapy Service 1964

(g) Occupational Therapy

Work of Occupational Therapy Service 1964

(h) Medical Examination Board

Work of Medical Examination Board 1963-64 Unâtness of Candidates by Causes 1963-64

V. GOVERNMENT ASSISTED HOSPITALS

VI.

---

TII

---

IIL

. г.

LII

---

LIF

---

(a) Government Medical Subventions to Voluntary Institutions

1960-61-1964-65

---

(b) Work of the Grantham Hospital 1964

(e) Work of Ruttonjee Sanatorium 1960-64 (d) Admissions to Hei Ling Chau

DEVELOPMENT PROGRAMME

Building Programme

VII. TRAINING PROGRAMME

(a) Nurses in training at March 1965

(b) Courses of study overseas (e) Departmental training 1964

VIII. MISCELLANEOUS

TIL

TII

(a) Attendances at Conferences, etc., Overseas

---

TII

---

в гт

-- J

TIL

(b) Visitors...

ort

ILI

---

(d) Samaritan Fund

TABLE 1

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT

AS AT 31ST MARCH, 1965

Grade

---

E I

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Kowloon Hospital

Castle Peak Hospital

and Mental Health Centre

Other Hospital,

Clinic and Services

Total

Strength on

31.3.65

---

Director of Medical & Health Services, Deputy Director of Medical & Health Services Senior Assistant Director of Medical & Health

Services.

---

■

Assistant Director of Medical & Health Services Senior Specialist and Specialist... Principal Medical and Health Officer

---

ггг

LII

---

Chief Executive Officer/Senior Executive Officer/

Executive Officer

Senior Treasury Accountant

---

JJJ

Senior Medical & Health Officer/Medical & Health

Officer/Assistant Medical & Health Officer

---

Senior Dental Officer/Dental Officer/Assistant Dental

Officer

Principal Matroo Nursing Staff

Dietitio

LLI

---

ILL

LIJ

- JJ

JJJ

12 279

436

402

---

682

168

235 1,040 2,647 2,986

2,647

ૐ

10 34

105

148

145

| | | 1

ચન

Principal Medical Social Worker/Senior Medical Social

Worker/Medical Social Worker Class I and Class 1]. 1 Chief Pharmacist/Senior Pharmacist/Pharmacist/

Chief Dispenser/Senior Dispenser/Dispenser/Student Dispenser

111

Government Chemist/Chemist/Assistant Chemist/

Assistant Biochemist

...

---

111

Scientific Officer (Medical)

Virologist...

Senior Physicist/Physicist

☐ 11

rri

---

Chief Hospital Secretary/Senior Hospital Secretary/ Hospital Secretary/Assistant Hospital Secretary Clerical Staff

T11

---

Superintendent Radiographer/Senior Radiographer/ Radiographer/Assistant Radiographer/Student Assistant Radiographer

717

Superintendent Physiotherapist/Tutor Physio-

therapist/Physiotherapist/Assistant Physiotherapist /Student Asistant Physiotherapist Superintendent Occupational Therapist/Occupational

Therapist

---

Chief Medical Technologist/Senior Medical Techno-

logist/Medical Technologist/Medical Laboratory Technician Grade 1/Medical Laboratory Technician Grade 11/Student Medical Laboratory Technician... Senior Laboratory Assistant/Laboratory Assistant/

Student Laboratory Assistant

Senior Health Inspector/Health Inspector/Senior

Malaria Inspector/Malaria Inspector Class 1 and

---

Senior Inoculator/Inoculator Audiology Technician

---

LLL

LII

-L.

Orthopaedic Appliance Adviser/Assistant Orthopaedic

Appliance Technician/Student Assistant Ortho- paedic Appliance Technician ...

177

Mould Laboratory Techoician/Student Mould

Laboratory Technician

111

---

Dental Technologist/Dental Technician/Student

Dental Techniciza

Other Staff

111

---

ггг

Laundry Adviser/Assistant Laundry Manager

Г Г.

110

---

rri

TOTAL

וז

***

6.5

на

189

377

372

19 45

199

112

]]

128

110

31 31

106

106 104

]

I S

...

77-

25 711 1,412

178

5941.822; 4,742 | 4,445

--1

ггг

LLL

113 1,385 2,425

390

883 3,884 9,080 6,397

SECRETARY THE, LAH HIỆ

ASST. DIH.

HEALTH

FUNCHAL

HEALTH

ASST. DIH.

1.5.]).

TABLE 2

ADMINISTRATION OF MEDICAL AND HEALTH DEPARTMENT

DIRECTOR

DEPUTY DIR.

PRINCIPAL ACCOUNTANT

SECRETARY

DEPLTY SECRETARY

ACCOUNTS

N.T. MEDICAL & HEALTH

INSTITUTE OF PATHOLOGY MATERNAL & CHILD FIRALTH

SERVICE

SCHMIL HEALTH SERVICE

DENTAL SERVICE

TUBERCULOSIS SERVICE

SOCIAL HYGIENE SEATICE

MORT HEALTH

MALARIA CONTROL

GOVERNWENT CHEMICAL LABORATORY

POHENSIC PATINOLOGY

INDUSTRIAL HEALTII

MEDICAL CLINICS

EMDENTOLOGY

TORES

www

ASST. DIR,

MED

נו.1

BIROICAL

PELEOT

PLANNING

HOSPITAL SECRETARY

PLANNING

SEN, ASST, DI k. MED, & PLAN.

SECRETARY

BOARDS

CHIEF HUSP. PRINCIPAL SECRETARY

MATRON

ASST. DTRA

QE.K.

GROUP IEDZI. SECRETARIES

KURSING

STAFF

POSITIAL

UNITE

SUPPLIES

MALE MINIAL: STAFF

ESTABLISHMENT AND GENERAL MATTERS

IMSPITALS, GENERAL

CLINICS A QUPLE

(EXCLUDING NITI

CLINICAL SPECIALIST SRAVICK

PHARMACEUTICAL SERVICE

MEDICAL, SOCIAL SERVICE RADIOLOGICAL SERVICE PHYSIOTHERAPY SERVICE CHOUL PATIONAL THERAPY SERVICE

XEPICAL EXAMINATION

KOHVIKH

P.M.H.O.

TABLE 3

STATEMENT OF EXPENDITURE FROM 1960-61 TO 1964-65

Particulars

(a) Medical and Health Department

(b) Medical Subventions

---

1960-61

1961-62

1962-63

1963-64

1964-65

56,573,091 64,064,336 60,541,015 76,893,619] 94,525,377

21,910,889 25,009,269 26,386,405 27,764,694 32,178,883

12,369,272

9,836,801 28,262,729 29,675,789 7,121,098

Total

LII

90,853,252 98,910,406 | 123,190,149

134,334,102 133,825,358

Total expenditure of the Colony

845,297,629 | 953,205,237 1,113,276,099|1,295,372,840,1,440,523,324

Percentage of Medical and Health Department

Expenditure to the Total Expenditure of the Colony

10.75%

10.38% 11.07%

10.37%

9.29%

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE

APRIL 1964 TO MARCH 1965

Ordinances:

(I) Animals (Control of Experiments) (Amendment) Ordinance 1964

(II) Medical Clinics (Amendment) Ordinance 1964

(III) Penicillin (Amendment) Ordinance 1964

(IV) Pharmacy and Poisons (Amendment) Ordinance 1964

(V) School Medical Service Board Incorporation Ordinance 1964

(VI) Lepers (Repeal) Ordinance 1965

Rules and Regulations:

(a) Prevention of Cholera Regulations 1938 (Revocation) Order 1964 (L,N, 72/64)

(3) Poisons (Amendment) Regulations 1964 (L.N. 121/64)

(d) Poisons List (Amendment) Regulations 1964 (L.N. 122/64)

(e) Poisons List (Amendment) (No. 2) Regulations 1964 (L,N, 151/64)

() Factories and Industrial Undertakings (Notification of Occupational Diseases)

Regulations 1965 (L.N. 38/65)

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS

APRIL 1964 TO MARCH 1965

Medical

Dental Council

Council

Nursing Board

Midwives Pharmacy Radiation Board Board Board

Medical

Advisory

Board$

Number of meetings held

ILI

General Mental

Number on the Register

--+

1,288

430

Female: 2,755

2,595

132

Male:

165

Number of applications for registration

+1-

TII

97(70)*

331

294

LII

97(69)*

---

Oral & practical: 8

Written:

candidates

· · ·

---

Oral & practical: 5 Written:

Number of registrations granted

Number of examinations beld

Number of candidates examined...

Number of successful

Number of disciplinary hearing held

Number of removals from

Number of reprimands and warnings issued

---

12(1)†

* Figures in brackets represent applications for provisional registration (not included in total). * Figure in brackets represents removal as a result of disciplinary proceedings (included in total).

* Including 2 applications for re-registration.

§ Not a statutory board.

[

328+

292

Pret.

Fina!

General:

Mental:

Prel.

Fina!

General:

452 322

298

Mental:

Prel. Final

General:

383 288

282

Mental;

TABLE 6

ESTIMATED POPULATION STRUCTURE-1964 (BASED ON MEDIAN PROJECTION FROM 1961 CENSUS}

FEMALE AGE GROUP

AGE GROUP MALE

75-79

70-74

65-69

60-61

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

75-79

70-74

65-69

60-64

55-59

50-54

45-49

40-44

35-39

30.34

25-29

20-24

15-19

10-14

5-9

0-4

300,000 250,000 200,000 150,000 100,000 50,000

50,000 100,000 150,000 200,000 250,000 300,000

TABLE 7

BIRTHS AND DEATHS 1951-64

Estimated

Year

Crude Live

Crude Deaths

Mid-Year Population

Total Live Birth

Birth Rato

(per 1,000

Still Births Recorded

Total Deache

Population)

Rate (per 1,000 Population)

1951...

++.

2,013,000

68,500

34.0

1,180

20,580

10.2

1955...

2,340,000

90,511

38.7

1,250

19,080

8.2

1956...

---

2,440,000

96,746

39.7

988

19,295

7.9

1957...

2,583,000

97,834

37.9

1,245

19,365

7.5

1958...

2,748,000

106.624

38.8

1,297

20,554

7.5

1959...

---

2,857,000

104,579

36.6

1,393

20,250

7.1

1960...

1961...

1962...

1963...

1964...

2,981,000 110,667

37.1

1,680

19,146

6.4

+++

3,177,700

108,726

34.2

1,683

18,738

5.9

-10

3.400,300 111,905

32.8

1,560

20,324

5.9

3,592,100

115,263

32.1

1,633

19,748

5.5

3,692,200 108,519

29.4

1,485

18,113

4.9

TABLE 8

INFANTILE AND MATERNAL MORTALITY 1951-64

Infantile Mortality rate (per 1,000 live births)

Year

F+

Both Sexe

1951...

87.8

96.0

91.8

Neo-natal Mortality rate (per 1,000 live births)

Maternal Mortality rate (per 1,000 total births)

31.3

1.59

1955...

66.9

65.9

66.4

23.1

1.16

1960...

44.6

38.2

41.5

20.9

0.40

1961...

40.6

34.5

37.7

21.0

0.45

1962...

39.9

33.7

36.9

21.2

0.48

---

1963...

35.3

30.5

32.9

18.9

0.29

---

1964...

29.2

23.5

26.4

16.6

0.38

+11

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1950 and 1960-64

(per 1,000 live births)

Detailed

List 1950 1960 1961 1962 1963 1964 Numbers

Disease Group

Respiratory Tuberculosis Tuberculosis Meningitis

Other Forms of Tuberculosis

Tetanus

---

Bronchopneumonia

Pneumonia other forms

Bronchitis

100

---

Gastroenteritis over age of 4 weeks

Congenital Malformations

Birth Injuries

Post-natal Asphxia

гг 1

Pneumonia of Newborn

Diarrhoea of Newborn

---

Blood Diseases of Newborn Mutritional Maladjustment

Immaturity

Ill-defined causes

..ז

001-008

1.5 0.05 0.04 0.05 0.02

0.01

010

2.4

0.33 0.35 0.14

0.14

0.07

ILI

011-019

1.4

0.05 0.07

0.05 0.01

0.04

061

1.4

0.67

0,97

0.52 0.42

0.25

491

33.0

12.10

8.5

7.1 6.0

4.6

490.492-3 1.9

0.24

0.16

0.17 0.17

0.08

500-502

7.0

0.09

0.06

0.05 0.17

0.06

571 25.3

5.90 4.6

3.6

1.34

750-759

1.1

1.23

1.44

1.46

1.64

1.69

760 & 761

0.8

0.26

0.43

0.48

0.36

0.50

762

0.6

1.42

1.30

1.35

1.10

1.43

763

3.1

4.06

2.06

2.56

2.67

2.52

764

1.5

1.20

2.23 2.01

1.14

.1770 & 771

1.1

0,70

1.07

1.74 1.76 1.95

772

0.4

0.35

0.22

0.32 0.16

0.11

776

11.6

8.44 10.5

---

795

1.2

1.35

++1

9.2 8.9 7.5

1.44 1.52 0.66 0.40

TABLE 10

ANALYSIS OF MATERNAL MORTALITY 1952-64

(per 1,000 total births)

Sepsis

Ectopic

Year

(excluding Toxaemios

septie abortions)

Haemorr- hages

Abortions

Pregnan.

Others

cies

1952...

.041

.287

.424

.055

.109

.233

1957...

.020

,373

.334

.040

.060

.132

1960...

.010

.179

.145

.045

.072

.045

1961...

.009

.09

.027

.036

.027

.072

1962...

.018

.141

.185

.026

.044

.062

1963...

.017

.077

.111

.009

.034

.051

1964...

.009

.055

.118

.045

.055

.100

TABLE 11

ANALYSIS OF MORTALITY 1951-64

(AB Percentage of Total Deaths)

Detailed List

Disease Group

1951

1956

1960

1961

1962

1963

1964

Numbers

1. Infectious and Parasitic

001-138

23.6

16.2

14.4

15.3

13.5

12.8

10.1

---

2. Neoplastic

140-239

4.0

7.0

10.5

12.3

12.4

13.4

16.4

Allergic, Endocrine, Metabolic and

Blood

240-299

0.8

1.2

1.1

1.2

1.5

· · ·

4. Nervous System and Sense Organs

300-398

2.4

4.9

7.2

8.3

8.4

9.1

10.5

5. Circulatory System

L++

400-468

5.5

7.6

9.7

10.1

11.0

12.2

14.5

6. Respiratory System...

7. Intestinal System

470-527

27.4

21.3

19.3

14.8

13.9

13.3

10.7

530-587

15.0

15.1

9.3

7.7

6.8

7.1

5.7

---

590-637

1.6

2.1

2.0

2.1

2.2

2.0

Genito - Urinary System

9. Pregnancy, Child-birth and

Puerperium

640-689

0.5

0.3

0.2

---

10. Skin and Musculo-Skeletal Systems 690-749

0.2

0.4

0.3

0.2

11. Congenital Malformations and

Diseases of Early Infancy

750-776

8.5

11.2

10.7

11.1

11.4

11.3

9.9

12. Ill-defined Causes

780-795

6.7

7.5

9.5

10.4

11.4

9.9

10.5

13. Accidents, Poisoning and Violence... E800-E999

3.B

5.0

5.7

5.9

7.6

6.3

7.7

TABLE 12

INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1960-64

1960

1961

1962

1963

1964

Cases

Deathe

Cases

Deaths Cases Deaths

Cases

Deathe Савев

Deaths

Cholera

130

115

JLT

Chickenpox

Diphtheria

Amoebic Dysentery

Bacillary Dysentery (Including

unspecified dysentery)..

Cerebro-spinal Meningitis

Enteric Fever (Typhoid & Para-

334

215

195

241

209

---

678

742

795

802

680

304

498

707

1.199

718

+++

1,450

1,334

109

1,022

102

871

699

typhoid)

773

742

826

1,038

882

-++

Malaria

833

812

794

377

180

---

Measles

710

---

192

1,727

435

2,317

326

3,416

405

1,218

гто

Ophthalmia Neonatorum

254

250

310

240

232

Poliomyelitis

Puerperal Fever

148

184

363

---

FTO

Scarlet Fever

Tuberculosis

+++

---

12,425

2,085

12,584

1,907

14,263 1,881

13,031

1,762

12,557

1,441

Typhus (Mite-borne) Whooping Cough..

---

106

Total

ITI

18,005 2,467 19.333

2,586

21,773 2,447

21,515 2,334 17,603

1,630

*Influenza

IIT

... 5,727 | 26 6,223

39 6,374 | 39 | 4,433 22❘ 2,473

Remarks: • Voluntary notification.

The above table omits rabies, smallpox, plague, epidemic louse-borne typhus, yellow fever and relapsing fever no case of any of which was reported during the years reviewed.

TABLE 13

MORTALITY RATES FOR CERTAIN INFECTIOUS DISEASES 1960-64

Diseases

Cholera

[11

Amoebiasis

· · ·

IIT

P+I

Cerebrospinal Meningitis

Diphtheria

dot

Dysentery

Bacillary

Unspecified

Enteric Fever

Typhoid

Paratyphoid

Measles

Poliomyelitis

Tuberculosis

---

...

Case fatality rates

(as percentage)

Specific death rate per million population

1960

1961

1962 1963 1964

1960

1961 1962 1963 1964

11.53 |

9.09 3.48 11.11

4.7 0.3 1.1 1.1

2.69

5.58 4.62 4.98 10.01

3.0

3.8

2.6

3.3

5.7

70.00 72.2270,00 48.00 50.00

7.0

8.2

10.3

6.7

5.1

---

6.55 8.17 9.98 9.87 5.44

31.9

34.3 30.0

23.9

10.3

JL+

1.47 1.08 1.64 0.39

1.19

3.4

2.5

3.8

0.8

2.2

3.88 3.23 2.54 2.60

2.27

10.1

7.6

6.2 7.8

5.1

27.04 25.13 14.07 11.85

5.99

64.4 136.9

95.9 112.7 19.8

15.54 21.19 14.33 7.55

8.11

+--

7.7 12.3 15.3 1.1 0.8

16.78 15.15 13.19 13.52 11.48

699.4 600.1 553.2 490.5 390.3

TABLE 14

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1964

CASES NOTIFIED

Tuberculosis

Diphtheria

Typhoid

Poliomyelitis

B/Dysentery

Age Group

0-4

146

127

201

148

5-9

268

166

110

10-14

139

104

15-19

415

288

20-24

710

340

25-29

814

450

30-34

950

46B

35-39

091

458

40-44

979

426

45-49

890 399

50-54

807

352

55-59

533

215

---

60-64

362

181

65-69

191

138

70-74

+10

15 & Over

128

8,293 4,264

361

338 480 402

451

229

DEATHS

Tuberculosin

Diphtheria

Typhoid

Poliomyeliti

B/Dysentery

Age Group

0-4

5-9 10-14 15-19 20-24

---

[ལས│

---

25-29 30-34

ILI

35-39

40-44

117

تب |

---

45-49 50-54

121

147

I LI

55-59

172

ITI

60-64

127

65-70

ITI

70-74

ILI

25 & Over

----

1,060

381

Immunological Procedure

TABLE 15

PROPHYLACTIC IMMUNIZATIONS 1960-64

1960

1961

1962

1963

1964

Anti-Smallpox Vaccination

---

573,848

969,577

744,599

321,942

844,367

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1st Dose

30,634

1,968,214

2,976,274

3,101,766

2,406,623

---

202,883

296,071

323,521

371,059

338,468

2nd Dose

ITI

· · ·

-IT

174,406

207,143

312,374

281,369

282,176

Booster Dose

Anti-Typhoid Inoculations :

1st Dose

2nd Dose

Booster Dose

Anti-Plague Inoculation

Anti-Typhus Inoculation

Anti-Rabies :

--L

· · ·

71,219

115,566

129,279

146.374

142,242

· · ·

ort

++.

· · ·

---

97,902

43,080

21,440

17.779

19,931

+++

78,103

30,013 |

11,734

10,696

6,843

---

ILI

38.374

38,624

30,141

28,864

41,018

220

224

249

618

++P

---

1,409

981

275

255

1st Dose

TII

---

3,717

3,786

3,784

3,829

1.102

---

--1

Other Doses

Anti-Tuberculosis (B.C.G.) Vaccinations:

JL L

12,846

14,342

15,010

17,019

5,519

Infants

Others...

IIT

79,169

86,234

91,304

98,342

93,806

11,054

7,756

26,939

14,175

13,875

Poliomyelitis Vaccination:

1st Dose

2nd Dose

+++

---

534,862

145,760

500,387

98,111

Imported

Age Group

TABLE 16

ANALYSIS OF CHOLERA CASES 1964

GEOGRAPHICAL DISTRIBUTION

Hong Kong

Kowloon

AGE AND SEX DISTRIBUTION

Male

New Territories

Female

Total

0-14 15-29 30-44 45.59

-10

---

IIL

ILI

---

60 & Over

+44

SEVERITY OF CHOLERA CASES BY AGE, SEX AND INOCULATION STATË

Mild

Moderate

Severe

Total

Age:

0-44 45-

0--44 45+ 0-44 45-

Males

Inoculated Not inoculated

-體

- 4

Females Inoculated

---

Not inoculated

| |

но

TABLE

CHOLERA MORTALITY BY AGE AND SEX 1961-64

1961

1962

1963

1964

Total

F! M F

0-14 IS-29

}

LII

30-44

45-59

+17

60 & Over

1 3

---

Total

2 11

Note: No fatal case had been immunised according to accepted international standards.

TABLE 18

ANALYSIS OF CHOLERA CARRIERS 1964

Domestic contacts...

Other carriers

---

TII

+--

---

Age Group

AGE AND SEX DISTRIBUTION

0-14

15-29 30-44 45-59

---

ITI

60 & Over

　　　　Inoculated Not inoculated

Total

IMMUNIZATION STATE

サ

Totel

LII

+1+

F+

Year

Total Deaths from Tuber-

TABLE 19

TUBERCULOSIS MORTALITY 1951-64

Tuberculosis Death Rate

Tuberculosis Deaths as

culosis

per 100,000

percentage of total deaths

Average age at death from Tuberculosis

1951

1956

4,190

208.0

20.0

2,629

107.0

13.6

1960

TII

2,085

69.9

10.8

1961

1962 1963 1964

+--

I,907

60.0

10.2

---

1,881

55.3

9.2

---

ITI

1,762

49.0

8.9

1,441

39.0

7.9

*****

1951

1956

Year

TABLE 20

TUBERCULOSIS IN CHILDHOOD 1951-64

% age of newborns

receiving B. C. G.

Percentage of Tuberculosis deaths below 5 years

Percentage of Tuberculosis

deaths under 1 year

34.0

1.70

Infantile Mortal- ity from tuber- culosis (per 1,000 live births)

4.73

24.21

25.0

7.34

1.99

1960

71.54

10.5

2.20

0.42

1961

LIJ

---

79.31

11.5

2.62

0.46

1962

---

-- J

81.59

5.74

1.43

0.24

1963

1964

ILI

83.44

5.50

1.08

0.16

86.4

4.09

0.90

0.12

Original

of Noti- fication

TABLE 21

TUBERCULOSIS NOTIFICATIONS 1951-64

1951 1956

1956 1960

1961 1962 1963 1964

Govt. Chest Clinics

Other Govt. lust, ...

Tung web Group

огг

6,896 7,704 8,426

5.522 1,643 2,376

780

8,957 10,691 8,794 9,478

2.056 1,680 1,660 1,184

947 001 864 604

Other Non-Govt. Inst. and Private Sources

1,468 2,008

841

624

1,091

1,713 | 1,291

Total

Fri

13,886 12,155 12,425

13,584

14,263

13,031❘ 12,557

Notification rate per 100,000

population

689

498

417

396

419

363

340

TABLE 22

WORK OF GOVERNMENT TUBERCULOSIS SERVICE

GOVERNMENT CHEST CLINICS 1964

Hong Kong

Full-time Centres

Wan Chai

Sai Ying Pun

Part-time Centres

---

..ז

Shau Kei Wan

Aberdeen Stanley Chai Wan

Kowloon

Kowloon Chest

Clinic

Shek Kip Mei

Wong Tai Sin Tung Tan Kwun Tong

Other Centres (for injections only)

North Point

Hung Hom Yau Ma Tei Chuk Yuen

New Territories

Tsuen Wan Sai Kung Yuen Long

Tai Pe

Shek Wu Hui

נו

Cheung Chau Kam Tin

Tai O

ATTENDANCEs at Government Chest CLINICS 1960-64

1960

1961

1962

1963

1964

First attendances

---

Cases of tuberculosis discovered Total attendances for treatment Under treatment from previous

---

35.991 40.146 43,519 39,277 12,937 15,270 16,541 15,036 2,001,960 2,204,058 1,901,425 1,414,009 1,251,534

35.735

13,884

year

---

Started treatment during the year

Completed treatment

Failed to attend

Admitted to hospital from Chest

Clinics

---

Still on treatment at end of year...

---

16,062 16,433 17,714 17,372 14,049

12,617

12,381

12,190

9.694 10,423

ILJ

3,724

3,776

4,935

7,147

5,323

4,975

4,987

5,371

5,208

3,544

1,592

889

921

811

758

16,433

17,714

17,372

14,049

13.244

Total examined Clinically examined

Active tuberculosis

---

ILJ

Percentage active tuberculosis

TABLE 23

X-RAY SURVEYS 1964

Government Conditional

Employees

Prisoners

Surveys

---

гтг

50,009 6,343

47,521

9,524

2,672

1,282

276

372

++I

+11

0.55%

0.78%

275

2.9%

Under 8 years of age

TABLE 24

CONTACT EXAMINATIONS 1963-64

Tuberculia Test

Negative Positive

1963

1964

308

169

5,632

5,385

205

404

555

395

438

---

4,628

4,297

2.31%

1.76%

Clinical examination

(of contacts showing positive children)

Positive Mantou

Active tuberculosis Inactive T.B. (Undetermined)

Suspicious T.B.... Free of tuberculosis

Percentage of contacts found to have active T.B.

Over 8 years of age

Results of clinical

examination following

"Contact' X-rays

Active tuberculosis Inactive T.B.

(Undetermined)

Suspicions T.B..

400

322

---

846

650

HTT

984

674

20,376

10,776

1.77%

2.59%

Free of tuberculosis

Percentage found to have active T.B.

TABLE 25

ORTHOPAEDIC TUBERCULOSIS 1959-64

ATTENDANCES AT CLINICS

First visits

Revisits...

Spine

Hip Jotat

Others

1959

1960

1961

1962

1963

1964

617

441

415

397

288

231

3,503

4,001

4,618

3,685

5,747

5,490

4,120

4,442

5,033

4,082

6,035

5,729

CLASSIFICATION OF DISEASE BY SITE

1959

1960

1961

1962

1963

1964

303

202

197

158

133

---

125

115

109

189

145

103

617

441

415

397

288

231

TABLE 26

MALARIA 1960-64

DISTRIBUTION OF CASES

(According to notified place of residence)

Urban

Year

Cases Notified

Deaths

Controlled

Sai Kung District

Lantau⭑

Other

District

Areas

(as percentage of notified casea)

1960...

833

Dil

6.7 i

60.5

26.8

6.0

1961...

812

8.7

55.4

26.5

9.4

1962...

794

nil

8.9

61.3

12.1

17.7

1963...

377

10.9

47.5

18.6

23.0

1964...

180

13.3

35.6

25.0

26.1

• including foating population.

IDENTIFICATION OF PARASITES

(as percentage of parasites found)

Year

P. vivax

P. falciparum P. malariae

Mixed infection

Species undetermined

1960...

95.2

4.3

0.4

0.1

1961...

96.4

2.4

1.0

0.1

1962...

98.1

0.4

1.3

0.1

1963...

***

93.9

4.2

1.3

0.3

1964...

85.6

12.2

1.1

0.55

TABLE

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1955-64

Year

Venereal Diseases

[Total (Except Congenital)

1955

1956 1957 1958 1959 1960 1961

1962

1963

1964

4,232

3,628 - 3,190

3,372 2,680 2,091 1,555

1,858

1,487

1,036

153

154

164

119

---

1,044

733

450

417

426

296

202

359

307

197

+++

2,853

2,616

2,532

2,766

2,038

1,590. 1,173

1,216

864

590

148

166

184

177

---

188.

139

119

103

10:

111

116

131

48.

11,309 10,609 9,881.

8,360

8,362

6,506 5,997

5.747

5.696

5,008

LIT

↓

869

776 800

644

481

591'

509

453

379

496

2,468

1,614

685 294

324

8731

635

356

347

268

249

140

178

91,

+++

SYPHILIS

Primary

Secondary

Early Latent

Late Latent

All Others

Congenital

Gonorrhoea...

---

ITI

---

+++

Under I year

Over 1 year

Non-Gonococcal Urethritis

Chancroid

ILI

---

+++

Lymphogranuloma Venereum

Other Diseases

Non-Venereal Disease

Skin DiseasÉCE

Attendances at Clinics (All Types)

New Attendances

Total Attendances

6,623 6,245 5,855

5,450

JLL

8,165 8,437 9,814

4,997 4,717| 4,293 11,046 10,611 12,173

917|

8,701

5,489

12,917 10,740' 12,570

4,155 4,548

---

34,853 32,490 31,391: 27,841 28,980 26,281 25,819 27,264 23,761 25,224 203,701 180,148 193,674 203,954 213,026 213.733 182,049 179,135 147,588 143,381

TABLE 28

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1960-64

No. of tests (Clinics and Hospitals)

%% Positive...

No. of tests (Private Midwives)

Positive...

Year

1959

1960

1961

1962

1963 1964

---

- T

---

-IT

1960

1961 1962

1963

1964

+--

52,068 2.3

6,805 1.9

51,449, 55,159

1.6 6,940 1.4

31,544

55.406

2.2

1.6

1.7

7,645

1.5

3,690 1.1

7,373

1.8

---

TABLE 29

LEPROSY 1964

INCIDENCE OF LEPROSY 1959-64

New Cases

Rate per 100,000 population

297

10.1

239

7.8

255

8.0

255

7.5

258

7.3

271

7.3

ANALYSIS OF CASES BY AGE 1964

Age-Group

No. of Cases

Under 1

---

+++

---

ITI

•

ITE

---

for

LLJ

Over 60

---

||T

---

+++

---

JPI

++4

THI

ILI

K888

Total

271

TABLE 30

ANALYSIS OF DERMATOLOGICAL CONDITIONS PRESENTING AT CLINICS

Acne

---

Alopecia

---

...

164 90

Neurofibromatosis Nevi (All Types)

ILI

ITI

Angioedema

Carcinoma

Contact Dermatitis Dermatitis Exfoliative Dermatitis Herpetiformis

Dermatomyositis Drug Eruption... Eczema (All Types) Erythema Multiforme Erythema Nodosum Granulomata Herpes Simplex Herpes Zoster

Jethyosis

Keloid

TII

Keratosis (All Types)

Lichen Amyloidosis

Lichen Planu

Light Sensitivity

Lupus Erythematosus (All

Pediculosis

ILI

58-

---

Pemphigus

1,101

Paronychia

■+•

Pityriasis Rosea

■++

Pityriasis Alba

TIL

Pruritus

154

Psoriasis

117

---

ILI

---

4,197

Purpura

-T

TIE

---

Pyoderma

547

Raynaud's Phenomenoma

Rosacea

17+

ILJ

F+1

Scabies

---

4++

---

Scleroderma

Tinea (All Types)

T. B. Cutis

Tumors, Benign

Ulcer, Varicose

---

5 $74

---

...

---

Urticaria

248

. . ד

---

Vasculitis

---

Verruca

258

---

I LI

Types)

Miliaria ...

- LJ

---

Vitiligo

184

---

Xanthoma

Molluscum Contagiosum

Neurodermatitis

---

Leprosy

141

TIL

---

616

Miscellaneous

412

ITI

Total

TABLE 31

CULTURES FOR MYCOLOGICAL IDENTIFICATION

L+.

---

Rubrum Mentogrophytes

M. Canis

Concentricum

Ꭲ .

Ferrugineum

Verrucosum

---

FIL

---

371 T. Tonsurans

Floccosum

Verrucosum

---

Gypseum Albicans

ז..

Total specimens examined

9,540

LII

+++

ITI

704

F+1

++ |

2,138

TABLE 32

WORK OF THE PORT HEALTH SERVICE 1964

INSPECTIONS

Immigration

No. of

No. of No. of

No. of

smallpox

cholera

Vessels passengers

No. under Surveil-

Crew

vaccina-

inocula-

lence

tions

| Overseas

20,836 71,308

443,004

281

602

By Sea

Macau

1,486 806,502

29,658

764

Junks, etc....

15,255

By Air

By Train

Total

+++

9,319 387,182

04,648

461

381

947

393,077

ITO

18,777

9,828

46,896 1,658,069 527,652

49,267

11,652

947

By Sea

Emigration

3,156

4,977

-| -

No. of ships fumigated

Total net tonnage ...

4++

Cubic capacity (cubic feet)

Rats recovered

Exemptions granted

No, of ships disinfected

No, of aircraft disinsected

---

To ships at sea

To ships in port

---

• Number not recorded.

FUMIGATION

---

+++

144

+II

---

+++

---

FIP

MEDICAL ASSISTANCE TO SHIPS

...T

110,963.38 16,938,365

821

242

359

---

30 occasions

21 occasions

TABLE 33

MIDWIFERY SERVICES 1963-64

(Excluding Hospitals)

PRIVATE MIDWIFERY SERVICES

1963

1964

Number of midwives in active practice

Number of registered maternity home

Number of beds

+++

Maternity home deliveries

Domiciliary deliveries

Total deliveries

+17

196

180

TII

109

P11

---

104

LII

LIT

510 i

514

44,187

39,827

---

IOL

...

HOL

ILI

1,595

1,454

TTL

++1

45,782

41,281

GOVERNMENT MidwifeRY SERVICES

1963

1964

136

207

154

197

rir

---

100

114

21,162

22,955

225

201

Maternity beds in maternity homes (Urban) Maternity beds in maternity homes (rural) Midwives (excluding bospitals)

Cases attended (excluding hospitals)

---

Average case-load for each midwife (excluding hospitals)

District

Hong Kong

Kowloon

TABLE 34

DISTRIBUTION OF M.C.H. CENTRES 1964

Full-time Centres

No Midwifery With Midwifery Service attached Service attached

Subsidiary Centre

No Midwifery With Midwifery Service attached Service attached

N.T. & Islands...

Total

TABLE 35

WORK OF MATERNAL AND CHILD HEALTH SERVICE 1963-64

No. of full-time centres

1963

1964

No. of subsidiary centres

---

Ante-natal Sessions

Total Sessions

гг 1

New attendances

LJI

TII

Total attendances

Average attendance per session

Average attendance per person

Post-natal Sessions

---

2,413

2,549

25,897

27,689

111,324

122,195

4.3

4.4

Total Sessions

New attendances

Total attendances

---

Percentage presenting with some abnormality

Infant Welfare Sessions (0-2 years of age)

Total Sessions

New attendances

---

Total attendances

--T

Percentage presenting with some abnormality

Percentage of total new-borns attending

Toddler Welfare Sessions (2-5 years of age)

Total Sessions

TII

914

952

5,255

5,774

6,987

7,498

20.06%

19.86%

4,124

4,985

58,732

64,545

539,970

598,261

---

+17

0.13%

0.14%

45.83%

53.64%

IIT

---

1,144

1,196

New attendances

+++

14,788

15,221

Total attendances

Home visits

---

92,358

92,669

ITH

89,616

103,010

TABLE 36

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF Participating SCHOOLS, STUdents and Doctors at 31ST MARCH, 1965

District

No. of Part, Schools

No. of Part. Students

No. of Part. Doctors

Hong Kong:

Wan Chai

Central

Sheung Wan

Western

Tai Hang

North Point ...

Shau Kei Wan

Aberdeen

3,849

-- J

1,642

2,764

FIL

5,647

0,893

3,882

---

2,001

++.

1,726

533

Stanley

Sub-total

Kowloon:

Tsim Sha Tsui

Yau Ma Tei

183

30,937

122

1,978

ITI

3,023

13.480

- JI

3,326

---

4,514

4.009

---

904

859

6,806

1,681

211

40,580

117

Mong Kok

Cheung Sha Wan

Shek Kip Mei

Hung Hom

San Po Kong Kowloon Tong

Kai Tak

Kwun Tong

Sub-total

New Territories:

Tsuen Wan

Yuen Long

---

Sha Tin

TII

---

Tai Po

IIT

Sheung Shui Fanling

EELSE

2,927

4.101

406

1,662

814

+--

457

Sub-total

10,367

Grand Total

485

81,884

254

TABLE 37

WORK OF THE GENERAL DENTAL SERVICE 1960-64

Persons

Deciduous Teeth

Year

Attendances

Restored Extracted

Permanent Teeth

Restored Extracted

rendered dentally fit

1960... 1961... 1962... 1963... 1964...

117,948

5,515

16,299

40,193

30,609

9,740

J+

130,323

5,304

19.196

$1.329

33.895

15,086

138,377

6,254

20,269

48.893

34,599

18,844

145,128

---

6,406

21,649

52,254

33,535

21,628

THE

175,683

14,540

23,176

74,038

35,199

26,496

TABLE 38

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1963-64

1963

1964

362

397

LII

---

119

182

ז.

LII

126

-J

$58

565

726

811

287

378

2,109

2,173

894

618

---

Examination of victims and suspects

Attendance at scenes of crime

Attendance at courts

---

Medico-legal examination of weapons Examination of hairs, fibres, etc.

Examination of clothing

Miscellaneous examination Blood grouping (medico-legal) Blood grouping (Police Officers) Lectures to Police Officers

ITI

---

Identification of nature of meat (dog, cat, etc.)

Chemical examinations

Assistance in Roids

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance Unregistered Medical Practitioners Abortionists...

---

Unregistered Dentists

---

TABLE 39

WORK OF PUBLIC MORTUARIES 1963-64

Victoria

---

Total number of bodies received Total number of autopsies performed Number of bodies claimed for burial... Number of bodies unclaimed for burial Deaths due to natural causes... Deaths due to unnatural causes...

Kowloon

1963

1964

1963

1964

1,163

1,041

2.997

2,731

59B

667

1,126

1,166

803

809

-- J

1,662

1,620

360

232

1,335

1,111

872

730

2,458

2,104

291

311

539

---

627

TABLE 40

WORK OF GOVERNMENT INSTITUTE OF FATHOLOGY

LABORATORIES

Clinical Laboratories

---

Public Health Laboratories....

Virological Laboratory

Vaccine Production

T10

Sai Ying Pun Polyclinic Queen Elizabeth Hospital Lai Chi Kok Hospital Castle Peak Hospital

Sai Ying Pun Polyclinic

Queen Elizabeth Hospital (temporary)

Queen Mary Hospital

Caine Lane Laboratory

Blood Banks

---

Queen Mary Hospital

Queen Elizabeth Hospital

Note: Clinical pathological services for Queen Mary Hospital are provided by the Depart-

ment of Pathology, University of Hongkong.

SPECIMENS Examined 1963-64

1963

1964

(4) Bacteriology

(6) Public Health

(7) Histopathology

(8) Biochemistry

---

(9) Clinical Pathology (10) Virology

(11) Others

TII

(1) Protozoology and Helminthology

(2)

o. Haematology.

6. Blood Grouping

(3) Serology...

(5) Mycology

---

26,736 144,459

31,335

295,253

++1

---

ITI

---

1,931 106,049

1,276

131,940

ITI

268,386

267,513

IIT

---

4,445

7,281

---

TII

---

ITO

69,630

36,399

ILL

5,769

11,290

+-r

гт-

F+1

++☐

---

ITI

112,002 34,807 2,122 457

216,188

41,052

3,380

944

ז..

---

TIO

776,793

1,043,851

AUTOPSIES PERFORMED 1964

Queen Mary Hospital

Queen Elizabeth Hospital...

Victoria public Mortuary Kowloon Public Mortuary

---

124

464

Total

---

588

RODENT EXAMINATIONS 1964

---

37,586

41,402

Total

---

78,988

Vaccine

TABLE

VACCINE PRODUCTION 1963-64

(in millilitres)

Prepared

Issued

1963

1964

1963

1964

20,180 ml.

11,892 ml.

19,827 ml.

45,454 ml.

51,650 ml.

55,250 ml.

50,400 ml.

54,250 ml.

39,850 ml.

39,000 ml.

39,100 ml.

43,300 ml.

96,000 ml.

40,300 ml.

84,950 ml.

76,650 ml.

2,668,850 ml.

241,825 ml.

2,668,425 ml. | 2,356,750 ml.

+++

19,350 ml.

30,850 ml.

Smallpox

LII

　　　Rabies (2% Rabies (4%) Typhoid-paratyphoid

Cholera

Plague

TABLE 42

BLOOD BANKS 1963-64

SOURCES OF BLOOD

1963

British Red Cross Society

Patients' relatives and friends

Other sourcea

---

1964

---

8,384 pints

11,182 pinta

1,171

916

197

++1

Total ...

---

DISTRIBUTION OF BLOOD

Government hospitals Government-assisted hospitals

Private hospitals

-IL

　　　Military hospitals Manufacture of plasma

...

ILI

---

Hor

Preparation of Coombs reagent Unusable due to various causes

---

ILL

9,555 pints 12,295 pints

1963

1964

---

6,919 pints 2.023 448

8,077 pints

3,080

415

--J

258

449

9,648 pints 12,021 pints

TABLE 43

WORK OF VIRUS LABORATORY 1964

ISOLATIONS OF POLIOVIRUS

Specimen

Positive Poliovirus

No. of specimens

Negative

Type 1 Type 2 Type 3

Total

+++

235

156

---

Clinical casel

Faecen

JJJ

Throat swab

LLI

110

ггт

Cerebro-spinal duid

Brain tissue

LIJ

LLL

Contacts

Faecen

---

Total

---

Date

F11

100

110

---

- г г

No. of specimens

---

327

383

May, 1964

Nov. 1964

---

1-1

ILI

398

368

699

582

FAECEL SURVEY FOR POLIOVIRUS

吸

Positive Poliovirus

"Wild" Strains

"Vaccine' Straina

117

Type 1 Type 2 | Type 3 Total Type 1 Type 2 Type 3 Total

3(0.7%)

NIGHTSOIL SURVEY FOR POLIOVIRUS

Other Enter- viruste

28 (8.9%)

9(2.2%)/40(10.4%)

Positive Poliovirus

No. of specimens

Positive other

"Wild' Strains

Type 1 Type 2 Type 3

Total

1,262

12 41(3.2%) 17

'Vaccine' Stelida

Type 1 Type 2 Type 3

26 60(4.7%)

entero-

viruses

Total

717(56,5%)

SEROLOGICAL RESPONSE TO IMMUNISATION CAMPAIGN

No. showing response

Vaccination No. of

campaign specimen

Type 1

No.❘%

Median"

Typ: 2

Median⭑

Тура 3

Litre

titre

Medina" titre

No.

1963

1964

65.6

98.5

240

95.3

LII

---

55.8

דם

154

• Median antibody titre of positive sera.

TABLE 44

WORK OF THE GOVERNMENT CHEMICAL LABORATORY 1963-64

Samples Analysed

1963

1964

Biochemical

Dangerous Drugs Ordinance

Dutiable Commodities

Water and Waterworks Chemicals

13,185

---

13,528

15,097

1FE

-17

9,341

9,346

3,893

4,735

Food and Drugs

Forensic

Toxicology

1,086

2,045

---

797

1,099

TII

899

791

Dangerous Goods Regulations

Commercial...

Import/Export (Prohibition) (Specified Articles) Orders

Miscellaneous

370

528

+--

868

610

---

147

1,081

1,549

45,051

35,819

• Work transferred to Government Institute of Pathology.

TABLE 45

WORK OF INDUSTRIAL HEALTH SECTION 1964-65

EXAMINATIONS OF SHIP-BREAKERS

Number examined...

*++

+++

Number showing excessive lead absorption

Basophilic stippling

High coproporphyrin level

Number showing lead line

---

+IL

---

L+

TABLE 45-Contd.

ENVIRONMENTAL AND BIOLOGICAL MONITORING

Numbers

Atmospheric Samples

(*) Benzene

(b) Lead

+++

---

זו.

ITG

4 36

LIL

---

(d) Toluene

(e) Carbon dioxide

Carbon monoxide Dust

(4) Ether

+47

---

ITI

---

Art

-10

•++

ILL

---

ILI

---

ILI

Total

---

Ethyl Acetate

() Hydrogen Sulphide

Acetone

TII

Ventilation Surveys

---

(a) Effective temperature (6) Radiant heat

Samples for Analysis

(a) Solvent

---

T-T

-TT

---

Total

(6) Varnish

ITT

| ++

122

---

тти

---

120

---

+1+

...

+++

++*

TIT

211

---

359

Total

---

576

+--

124

+++

LIJ

---

Total

145

(d) Colouring matters (for lead)

Urinalysis

(a) Coproporphyrin in urine (b) Fluoride in urine

Surveys on wells

(a) Hong Kong

(b) Kwun Tong

Blood Counts

---

Total

LIJ

(a) Lead workers

---

(b) Workers handling radioactive substances (c) Ship-breaking workers

Film Badges

(a) Badges issued

+17

Total

(b) Evidence of contamination

4++

---

Total

ITI

---

153

364

+--

---

367

761

TABLE 45-Contd.

WORKMAN'S COMPENSATION CASE WORK

1960-1

1961-2 1962-3 1963-4 1964-S

―

Injured persons dealt with (old and new)...

8,469

11,972 17,094 18,710

16,608

Number of visits

זו.

---

47+

4,740

5,673

7,176 5,218 4,822

Cases assessed by I.H.O....

Cases assessed at Medical Boards

131

127

218

734

1,830 2,218

Clinics fully registered

TABLE 46

MEDICAL CLINICS REGISTRATION

(POSITION AT 31st March, 1965)

---

ITI

365

Clinics registered with exemption

---

Clinics in respect of which registration was refused

Clinics in respect of which multiple sponsorship was refused

FIL

Clinica in respect of which notice of intent to refuse registration had been

given

---

Clinics in respect of which applications were under consideration

ITI

Clinics in respect of which registration was cancelled

Clinics in respect of which notice of intent to cancel registration had been

given

+++

Petitions to Governor in Council against decision of Registrar allowed

Petitions to Governor in Council against decision of Registrar rejected

Petitions awaiting determination

LII

245

159

PIL

LIT

1¦

TABLE 47

NUMBER OF HOSPITAL BEDS IN HONG KONG 1964

HONG KONG

(A) GOVERNMENT HOSPITALS

Queen Mary Hospital

H.K. Paychiatric Clinic & Day Hospital

---

Sai Ying Pun Hospital

---

Taan Yuk Hospital

Wan Chai Hospital

Victoria Prison Hospital

Stanley Prison Hospital

(B) Govt.-ASSISTED HOSPITALS

Tung Wah Eastern Hospital

ILL

LLL

JLL

---

-LL

Government Clinics & Maternity Homes

Tung Wah Hospital

ILL

Alice Ho Miu Ling Nethersole Hospital Ruttonjee Sanatorium

Grantham Hospital

Sandy Bay Convalescent Home

LLI

---

JLL

Med.

Surg.

164

Ophth. E.N.T.

LLL

---

152

108

226

76 70

---

ងតឺន | | |

16 41

H.K. Sanatorium & Hospital

...

---

Canossa Hospitel

100

110

ייי

For

St. Paul's Hospital

H.K. Central Hospital...

Matilda & War Memorial Hospital

111

...

Private Nursing & Maternity Homes...

TOTAL Hong Kong ........

គគគត | |

KOWLOON

(A) GOVERNMENT HOSPITALS

2 10 25

Gyo.

Mat.

Pae. & Babies

T.B.

Chro. &

1007

Term

Cunt. Cam. &!

Ober.

Iaf.

Others

| Total

3 | | | | | 3

76.

632

200

89882858

|| 1928

131

605

1 | | 1 | 1

673

338

304

348

613

106

316

200

190

120

忠心

262, 1,174

201

149 114 51:

4,565

833, 727 23 41 200 780

Queen Elizabeth Hospital

389

523

Kowloon Hospital +

ггг

---

194

Lai Chi Kok Hospital

---

LIZ

205

Lai Chi Kok Female Prison

Government Clinics & Maternity Homes

#93||

166

110

2934 |

172

164

1,386

494

473

110

TABLE 47-Contd.

(B) Govt.-Assisted HospITALS

Kwong Wah Hospital

LLI

---

H.K. Society for Rebab. Kwun Tong

Rehab. Centre

---

Caritas Hospital... Maryknoll Mission Hospital

Baptist Hospital

---

--L

LLI

---

LLI

---

огг

---

Private Nursing & Maternity Homes

TOTAL Kowloon

618

149

187

---

...

274

THI

---

ཨང་

295

182

171

| BI

150

1,732 1,168 14 27 206| 1,010 $69 342

1,401

457

106

274

432

140 251

5,322

NEW TERRITORIES

(A) GOVERNMENT HOSPITALS

Castle Peak Hospital

111

---

St. John Hospital

---

South Lantau Hospital..

Hei Ling Chau Leprosarium

Tai Lam Chung Prison Hospital

Government Clinics & Maternity Homes

(B) GOVT.-ASSISTED HOSPITALS

Pok Oi Hospital...

Haven of Hope T.B. Sanatorium

155

|:||

1.119

1,119

100

187

118

---

E I

540

196

ILL

203

Fanling Hospital

LLI

..L

Children's Convalescent Home, Cheung Chap Adventist Sanatorium Hospital

Private Nursing Homes & Maternity Homes

105

TOTAL New Territories

187

914

---

66] 246

1.119

2,561

COVERNMENT HOSPITALS

---

GOVERNMENT ASSISED HOSPITALS

1,223

PRIVATE HOSPITALS

GRAND TOTAL

774) 1,146| 21 34 144 789 470 18 24 228 493 755 314

10 34 780

201 222 51,161| 408) 1,473| 540; 47. 42

177 267 208|

5,150

242

5,221

2,077

---

--L

ויז

2,752| 1,930| 41

68 406 2,062

697] 1,742 545| 1,167

282

177

311, 12,448

† Owing to renovation, Kowloon Hospital was not fully functional at the end of the year.

TABLE 48

IN-PATIENTS ADMITTED INTO GOVERNMENT, GOVERNMENT-ASSISTED

AND PRIVATE HOSPITALS IN 1964, INCLUDING CASES REMAINING

IN HOSPITALS FROM THE PREVIOUS YEAR

General

Beds

데메테

Io-

Pay-

Mater- Tuber. Cections culori. nity chiatric Total

CARL

■

632

19,615

113

2,338

22,123

200

1.146

6.962

8.108

551

974

1,538

257

322

347

2,595

231

2.903

1,444

230

1.758

4,343

4.343

HONG KONG

(A) GOVERNMENT HOSPITALS

Queen Mary Hospital

Tian Yuk Hospital...

Sai Ying Pun Hospital

Wan Chai Hospital...

H.K. Psychiatric Clinic

Victoria Remand Prison

Stanley Prison Hospital

PII

177

Dispensaries & Maternity Homes...

(B) Govt.-ASSISTED HOSPITALS

Tung Wah Hospital

Tung Wab Eastern Hospital

Alice Ho Miu Ling Nethersole

Hospital

177

Ruttonjee Sanatorium

Grantham Hospital...

LLL

---

Sandy Bay Convalescent Home

LLL

673

5,224

306

3,842

9,462

LLL

330

4.466

220

3,301

8,053

304

5,186

122

3.375

7,720

ILL

348

1,290

1,326

613

166

1,525

1,691

106

203

H.K. Sanatorium & Hospital

316

8,125

164

2,141

156

10,669

CLoom Hospital

L-L

---

200

3,234

199

3,505

St. Paul's Hospital...

190 2,888

178

472

742

4,280

H.K. Central Hospital

110

120

3,420

283

3,738

Matilda & War Memorial Hospital

880

120

1,015

Private Nursing & Maternity Homes

4,096

TOTAL Hong Kong...

---

4,565

59,271 | 1,845 4.529 30,742

613

97,200

TABLE 48-Contd.

General

Dedo

In- fectious

CODEF

CANM,

CLB2D

Tuber- Mater. Pay- culocia nity chiatric

CRECE

Total

1,388 494

34,400

1,337

-Pr

---

473

4.386

1,359 10

110

ཙྪོཀྑཱཧྨཋ ।

866 13

915 5,820

109

42,190

41 26

1,391

5.83 L

---

011

5,193

1,401

23,296

211

770

19.138

43,415

- Pr

311

457

111

143

336

2,230

140

1,049

3,486

106

1,216

234

1,560

274

16,533

488

567

2,002

229

19,819

J-

588

654

LLL

432

750

32,434

33,184

$,322

85,314

3,102

2,649

66,060

340

157,465

KOWLOON

(A) GOVERNMENT HOSPITALS

Queen Elizabeth Hospital... Kowloon Hospital

Lai Chi Kok Hospital

Lai Chi Kok Female Prison Government Clinics & Maternity

Homes

(B) Govt--Assisted HospitalE

Kwong Wah Hospital

H.K. Society for Rebab. Kwun

Toug Rehab. Centre

Caritas Hospital

---

Maryknoll Mission Hospital

Precious Blood Hospital

St. Teresa's Hospital

Baptist Hospital

Private Nursing and Maternity

Homes

TOTAL Kowloon

NEW TERRITORIES

(A) GOVERNMENT HOSPITALS

Castle Peak Hospital

St. John Hospital

---

rri

111

South Lantau Hospital

Tai Lam Chung Prison Hospital Government Clinics & Maternity

Homes

111

(B) Govt.-Assisted HosPITALS

Pok Oi Hospital

Hei Ling Chau Leprosarium

---

Haven of Hope T.B. Sanatorium...

Fanling Hospital

Children's Convalescent Home,

Cheung Chau

Adventist Sanatorium Hospital Private Nursing Homes &

Maternity Homes

LII

TOTAL New Territories

GOVERNMENT HospitalS

1,119

100

975

109

185

187

†3,920

146

580

1,731

165

245

12,884

...

110

3,267

1,876

5,143

540

629

203

613

617

52 1,216

1,358

129

133

---

387

425

105

4,771

4.787

---

2,561 6,288

121

828

30,272

3,928

32,037

---

GOVT.-ASSISTED HOSPITALI

PRIVATE Hospitala

5.150 67,156 3,653 5,221 44,335 1,200 2,077 39,382

1,489 38,175

4,614

115,087

5,086 31,724

82,392

815

1,431 47,175

420

89.223

GRAND TOTAL

12,448 150,873 5,668

8,006 117,074

5,081

286,702

† Including 366 patients treated in Drug Addiction Treatment Centre.

TABLE 49

IN-PATIENTS TREATED IN GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS, 1964

CLASSIFIED ACCORDING TO INTERNATIONAL STANDARD CLASSIFICATION

INTERMEDIATE LIST OF 150 CAUSES

Cases Treated

Deaths

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

Goverd-

ratat

Govern-

ment-

Govern-

Covera-

Whole Colony

ment

Assisted

Hospitals

Eospitals

Hospitals

ment.

Assisted

Hospitals

Male

Female

Sex Un-|

known

Total

A 1

A 2

001-008

Tuberculosis of respiratory system.

1,014

4,403

123

$48

956ĺ 309)

1,265

010

Tuberculosis of meninges and

central nervous system

137

175

77;

122

A 3

011

Tuberculosis of intestines, peri-

A 5

012-013

014-019

toneum and mesenteric glands Tuberculosis of bones and joints Tuberculosis, all other forms

332

---

437

170

150

A b

020

Congenital syphilis

A 7

021

Early Syphilis...

A 8

024

Tabes dorsalis...

---

A 9

025

General paralysis of insane

151

TII

---

A 10

022-023

All other syphilis

■+

TII

026-029

A 11

030-035

A 12

040

Typhoid fever...

A 13

041-042

Gonococcal infections

Paratyphoid fever and other

+++

655

Salmonella infections

ཌ༔ སྭཱཧྨ ༄

ין

on N

218

A 14

043

Cholera

IPT

A 15

044

Brucellosis (undulant fever).......

គ | |

A 16 (0)

045

Bacillary dysentery

669

Carried forward...

3,387

5,505

199

640 1,101 405

1,506

TABLE 49-Contd.

Cases Treated

Inter-

mediate

List

Number

Detailed

List

Cause Groups

Govern

Govern-

Deaths

Govern-

Deaths

Whole Colony

ment-

Number

Fitot

ment

Hospital.

Aaslated

Hospitals

Hospitale

Assisted

Hospitals

Male

Female

|Sex Un-

known

Total

A 16 (b)

(2)

046

047-048

A 17

050

A 18

051

A 19

052

Erysipelas

A 20

053

Septicaemia and pyaemia

A 21

055

Diphtheria

➖ ➖ ➖

A 22

056

Whooping cough

A 23

057

Meningococcal infections

A 24

058

Plague.

---

A 25

060

Leprosy

061

Tetanus

---

A 27

062

Anthrax

A 28

080

A 29

082

A 30

081, 083

A 31

084

Smallpox

+--

A 32

085

Measles

A 33

091

Yellow fever

A 34

092

Infectious hepatitis

A 35

094

Rabies...

A 35 (4)

100

Amoebiasis

Brought forward...

ד..

Other unspecified forms of dysentery

Scarlet fever

JOI

Streptococcal sore throat

...

3,387 5,505

199

640

1,101

405

1,506

184

- T1

---

...

189

905

...

to | |

---

2ས།ས།

ד..

ITI

642

ז..

167

---

|& -|

---

Acute poliomyelitis

Acute infectious encephalitis

Late effects of acute poliomyelitis and acute infectious encephalitis.

F+

174

---

184

ITI

199

P++

Louse-borne epidemic typhus

Carried forward....

5,471

6,686

371

699

1,2771 547

1,824

TABLE 49-Contd.

Cases Treated

Deaths

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

Govern-

ment

Govern.

ment-

Hospitala

Covero-

ment Assisted

Hospitals

Gove

mtot-

Assisted

Hospitals

Whole Colony

Male Female

|Sex Un-|

koowo

Total

5,471 6,686

371

699 1,277

547

1,024

A 36 (6)

101

104

(d)

105

(e)

102-103

106-108

A 37 (u)

110

111

6000 000 00

115

113-114

116-117

Brought forward...

Flea-borne epidemic typhus (murine)]

Tick-borne epidemic typhus...

Mite-borne typhus

Other and unspecified typhus

Vivax malaria (benign tertian) Malariae malaria (quartan) Falciparum malaria (Malignant tertian) Blackwater fever

י י

---

Other and unspecified forms of

malaria

---

IIT

Schistosomiasis vesical (S. Haema-

tobium)

Schistosomiasis intestinal (S. Man- Boni)...

---

Schistosomiasis pulmonary

(S. Japonicum)

Other and unspecified schis-

tosomiasis

---

A 38 (0)

123.0

(b)

123.1

(c)

123.2

(d)

123.3

A 39

125

Hydatid disease

A 40 (0)

(b)

(d)

0309

127

Onchocerciasis

127

Loiasis...

127

A 41

129

Filariasis (bancrofti)

Other filariasis

Ankylostomiasis

ITI

Carried forward...

IIT

TII

OTI

---

157

5,511

6,924 | 372

699

1,277 548

1,825

TABLE 49-Contd.

Cases Treated

Deaths

Inter-

mediate

Detailed

List

Number

Cause Groups

Govern-

Number

Govern-

mtat

Govern-

Whole Colony

ment-

Hospitala

ment Assisted

Hospitals

Hospitals Hospitals

ment-

Assisted

Male

Female

|Sex Un

known

Total

5,511

6,924

372

699 1,277

548

1,825

A 43 (0)

(d)

(/)

(5)

())

(k)

(m)

0 200 1800 #S 08863eÎ

A 42 (0)

126

Brought forward...

Tapeworm (infestation) and other

130.0

130.3

(d) | 124, 128 130.1-130.2

037

cestode infestations

---

Ascariasis

198

Guinea Worm (dracunculosis)

Other diseases due to helminths

222

Lymphogranuloma venereum

038

039

049

Granuloma inguinale, venereal

Other and unspecified venereal diseases Food poisoning infection and

intoxication

ILI

+--

071

Relapsing fever

| 1 | │

| | | | │

072

· · ·

Leptospirosis ieterohaemorrhagica

(Weil's disease)

1 1

073

Yaws

(k) 087

Chickenpox

( 090

Dengue

---

095

Trachoma

· · ·

LLL

---

096.7

Sandily fever

---

זיז

120

121 (a)

(c)

Leishmaniasis...

Trypanosomiasis gambiensis...

(b) Trypanosomiasis rhodesiensis

Other and unspecified

L..

· · ·

---

P+1 |

trypanosomiasis

흐흐

(n) [

131

Dermatophytosis

(0)

135

Scabies

Carried forward...

++I

5,660 7,364

372

699 1,278

540

1,826

TABLE 49-Contd.

Cases Treated

Inter-

mediate!

Detailed

List

Number

Cause Groups

Govern-

ment

Number:

Hospitals

· Govern-

ment-

Assisted

Hospitals

Deaths

Govern -

Govern

Deaths

Whole Colony

ment-

meat

Hospitala

Assisted

Hospitals

Mole

Female

Sex Un-

known

Fotal

Brought forward...

5,660

7,364

372

699

1,278

548

1,826

100

A 43 (p)|036,054,059,

'063,064,070,

074,086,088,

089,093,

096.1,096.6.

All other diseases classified as infective and parasitic

120

]

|096.8,096.9,¦

122,132-134,'

136-138

A 44

140-148

Malignant neoplasm of buccal ravity and pharynx

398

387

138

232!

317

+++

A 45

150

A 46

151

Malignant neoplasm of oesophagus. Malignant neoplasm of stomach

118

191

1141

331

147

ILJ

241

341

165

2071

154

361

A 47

152-153

Malignant neoplasm of intestine,

except rectum

117

240

123

A 48

154

A 49

161

Malignant neoplasm of rectum Malignant neoplasm of larynx

107

138

113

A 50

162-163

A 51

170

A 52

A 53

171

172-174

A 54

A 55

A 56

177

190-191

196-197

-- J

| Malignant neoplasm of trachea, and of bronchus and lung not specified as secondary Malignant neoplasm of breast Malignant neoplasm of cervix uteri.. Malignant neoplasm of other and

unspecified parts of uterus Malignant neoplasm of prostate Malignant neoplasm of skin Malignant neoplasm of bone and

connective tissue

---

Carried forward...

261

440

198

2621

187

449

245

326

138

547

441

153

165

135

ITI

---|

101

| 8,142 | 10,243 |

711

1,529

2,251: 1,473)

3,724

TABLE 49-Contd.

Cases Treated

Deaths

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

Govern-

meat

Hospitals

Govern

mcat-

Assisted

Hospitals

Govern-

Deaths

Whole Colony

meat

Hospitals

ment-

Amisted

Hospital.

Male

Female

¡Sex Un-

known

Total

Brought forward...

Malignant neoplasm of all other and unspecified sites

---

8,142 10,243

711

1,529

2,251 1,473

3,724

854

694

244

309

540

325

865

A 57

155-160

164-165

175-176

178-181

192-195

198-199

A 58

A 59

204

Leukaemia and aleukaemia...

153

431

200-203

205

A 60

210-239

Lymphosarcoma and other neoplasms of lymphatic and

haematopoietic system

---

Benign neoplasms and neoplasms of unspecified nature

176

47!

1 PT

1,474

538

A 61

A 62

A 63

250-251

Nontoxic goitre

131

---

252

Thyrotoxicosis with or without goitre

379

103

260

Diabetes mellitus

402

---

436

A 64 (0)

(d)

00000

280

Beriberi

...

---

(6) 281

Pellagra

282

Scurvy..

---

283-286

A 65 (0) 290

(b) 291

(c)

292-293

Other deficiency states

Pernicious and other hyperchromic

anaemias

- L

Iron deficiency anaemias (hypochromic)

Other specified and unspecified

---

LII

anaemies

A 66 (a) |

241

Asthma

--J

---

TIL

Carried forward...

391

---

349

290

26.

398

921

12,519 13,871

1,113 | 1,952

3,040 1,998;

5,038

101

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

Govern.

Fotot

TABLE 49-Contd.

Cases Treated

Govern-

Deaths

Govern-

Deaths

Whole Colony

Hospitels

ment-

Assisted

Hospitals

ment

Hospitals |

Fotot-

Assisted

Hospitals

Malc

Female

[Sex Une

known

Total

12,519 13,871

1,113 1,952 3,040 1,998

5,038

102

A 66 (5)

240,

242-245,

Brought forward...

All other allergic disorders, endocrine, metabolic and blood

253-254,

diseases

---

765

---

218

8 11 20

270-277,

287-289,

294-299

A 67

300-309

Psychoses

IPT

TII

A 68

310-324

Psychoneuroses and disorders of

326

personality

++4

A 69

325

Mental deficiency

A 70

330-334

A 71

340

Vascular lesions affecting central nervous system

Nonmeningococcal meningitis

3,293

2,770

151

---

1,123

3,089

548

808

881

836

1,717

122

A 72

345

Multiple sclerosis

L+4

+--

A 73

353

Epilepsy

340

141

LJI

+-+

A 74

370-379

Inflammatory diseases of eye

A 75

385

Cataract

340

198

---

+44

A 76

387

Glaucoma

---

LII

· +

I+H

Carried forward...

21,550 17,845 1,726 2,797 3,984 2,886|

6,870

TABLE 49--Contd.

Cases Treated

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause Groups

Govern-

ment

Gove

Govern-

Deaths

Whole Colony

meat-

Hospitala

Assisted

Hospitals

ment

Hospitals

mment-

Assisted

Hospitals

Male

Female known

Sex Un-

Total

Brought forward...

21,550 17,845 1,726

2,797

3,984 2,886

6.870

A 77 (0)

(6)

390

391-393

---

394

A 78 (0)

(b)

380-384,

386.

388-389

341-344,

Otitis externa. Otitis media and mastoiditis Other inflammatory diseases of ear... All other diseases and conditions

игт

176

of eye

107

383

108

ITI

[

350-352,

All other diseases of the nervous system and sense organs

...

491

395

354-357,

360-369,

395-398

A 79

400-402

A 80

410-416

Chronic rheumatic heart disease

A 81

420-422

Rheumatic fever

Arteriosclerotic and degenerative

315

-H

-++

+++

196

817

245

r+o

134

199

heart disease

375

837

155

589

428

1,017

A 82

430-434

Other diseases of heart

---

989

1.207

121

509

128

455

883

A 83

440-443

A 84

444-447

A 85

450-456

Hypertensive heart disease

Other hypertensive disease Diseases of arteries

180

647

191

136

327

---

265

579

- H

246

198

117

A 86

460-468

A 87

470-475

480-483

---

Other diseases of circulatory system Acute upper respiratory infections... Influenza

319

823

1,081

2,215

121

זוז

---

A 89

490

Lobar Pneumonia

---

A 90

491

A 91

492-493

Bronchopneumonia

Primary atypical, other and

unspecified pneumonia

Carried forward...

...

---

1,622

3,851

431

760

775

693

1,468

---

155

192

34,

29,024

29,875 | 2,524

4,456 6,272 4,944)

11,216

103

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

TABLE 49-Contd.

| Cases Treated

Deaths

Deatha

Govern-

Govern.

ment

Govern.

Whole Colony

botot-

Hospitals

ment Assisted Hospitals Hospitala

Frat-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

Brought forward...

---

29,024 29,875

2,524

4,456 | 6,272 4,944

£1,216

A 92

A 93

A 94

500

501-502

$10

Acute bronchitis

183

491

Bronchitis, chronic and unqualified Hypertrophy of tonsils and

292

667

. г.

178

A 95

518, 521

A 96

519

+++

A 97 (0)

523

(5)

511-517,

520, 522,

524-527

A 98 (6)

530

LJI

(5)

531-535

A 99

540

Ulcer of stomach

A 100

541

A 101

543

A 102

550-553

A 103

560-561

570

A 104 (0)

571.0

(b)

571.1

years and over

adenoids

LJI

Empyema and abscess of lung Pleurisy

Pneumoconiosis

All other respiratory diseases

Dental Caries

All other diseases of teeth and

supporting structures

Ulcer of duodenum ...

Gastritis and duodenitis Appendicitis

ITI

---

Intestinal obstruction and bernia

Gastro-enteritis and colitis.

between 4 weeks and 2 years

Gastro-enteritis and colitis, ages

443

130

1гт

135

++-

973

721

103

· · ·

---

357

---

920

1,060

827

292

116

511

---

1,586

781

1,051

528

ITI

1,246

1,130

122

102

190

928

450

ז..

(c)

572

Chronic enteritis and ulcerative colitis

A 105

581

Cirrhosis of liver

435

276

102

183

243

A 106

584, 585

Cholelithiasis and cholecystitis

323

573

Carried forward.....

38,894

37,690

2,848

4,864

6,900

5,364

12,264

104

TABLE 49-Contd.

Cases Treated

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

Govern-

ment

Hospitals

Gover

mcat-

Assisted

Hospitale

Deaths

Covero-

Gove

Deaths

Whole Colony

moot

Hospitals

Brought forward...

38,894 37,690 2,848 4,864 6,900 5,3641

known

ment-

Assisted

Hospitals

Malc

Female

Sex Vo-Total

12,264

A 107

536-539,

542, 544,

545.

573-580,

Other diseases of digestive system.

2,100 816

210

185

124.

309

582-583,

586, 587

A 108

A 109

590

591-594

Acute nephritis

A 110

600

A 111

A 112

610

Chronic, other and unspecified nephritis

Infections of kidney

602, 604 · Calculi of urinary system

Hyperplasia of prostate

ITI

---

LII

A 113

620, 621

Diseases of breast

---

TII

A 114(0)

613

Hydrocele

(6)

634

Disorders of menstruation

201

265

373

479

154

110

264

---

314

111

ort

678

258

141

14.

114

159

164

108

417

450

IITL

ЇЇ

| |

(c)

601, 603,

605-609,

611-612,

614-617.

622-633,

635-637

A 115

640-641,

A 116

6B1-682,

684

642, 652,

685-686

All other diseases of the genito-urinary systém

Sepsis of pregnancy, child-birtb and the puerperium

---

Toxaemias of pregnancy and the puerperium

IIT

Carried forward...

IIL

2,048 1,586

104

42 |

1,079

358

46,558. 42,348

3,199

5,033 /

7,294 5,645,

12,939

105

TABLE 49-Contd.

Cases Treated

Inter-

Deaths

Detailed

mediate

List

Number

List

Number

Cause Groups

Govern-

Gover-

Govern-

Deaths

Whole Colony

mcat-

ment

ment Assisted

Hospitals

Hospitals |

ment-

Assisted

Male

Hospitale

Female known

Sex Un-

Total

A 117

643-644

Brought forward...

Haemorrhage of pregnancy and

46,558 42,348

3,199 5,033

7,294 5,645

12,939

670-672

childbirth

726

278

2 5

ггт

+or

A 118

650

Abortion without mention of sepsis or toxaemia...

---

A 119

651

Abortion with sepsis.

1,706

ILI

2,339

163

1 W

A 120 (0)

645-649

673-680

Other complications of pregnancy, childbirth and the puerperium

6,956

1,064

683,

687-689

(6)

660

Delivery without complication

7,417 30,838

A 121

690-698

Infections of skin and

mbcutaneous tissue

ILJ

1,257

627

A 122

720-725

A 123

726-727

Arthritis and spondylitis Muscular rheumatism and

230

385

+++

A 124

730

A 125

737

745-749

A 126(a)

715

rheumatism, unspecified

Osteomyelitis and periostitis Ankylosis and acquired

musculoskeletal deformities Chronic ulcer of skin (including tropical ulcer)

---

292

४

---

...

(b)

700-714

All other diseases of skin

565

220

-+ +

716

(0)

731-736

738-744

A 127

751

All other diseases of musculoskeletal system

Spina bifida and meningocele

581

Carried forward.....

.....| 66,502 | 78,531

3,219

5,063 7,311 5,701

13,012

106

TABLE 49-Contd.

Cases Treated

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause Groups

Govern-

mtat

Hospitals

Govern-

meat-

Assisted

Hospitals

Govern-

Govoru.

motot

Deaths

Whole Colony

Hospitals

ment-

Assisted

Hospitals

Male Female

Sex Un.

koown

Total

7,311 5,701

13,012

A 128

754

A 129

750, 752.

753

All other congenital malformations.

ז..

Brought forward...

Congenital malformations of circulatory system...

66,502 78,531 3,219 5,063

213

462

390

50!

127

755-759

A 130

760-761

A 131

762

A 132(0)

764

107

(5)

765

Birth injuries...

Postnatal asphyxia and atelectasia.. Diarrhoea of newborn (under 4 weeks) Ophthalmia neonatorun

➖ ➖ ➖

24'

112

155

119

E14

124

---

(c)

763,

Other infections of newborn

127

164

123

287

| 766-768

A 133

A 134

770

Haemolytic disease of newborn

198

129

195

769,

771, 772

All other defined diseases of early infancy

A 135

773-776

Ill-defined diseases peculiar to

early infancy

959

750

133

479

488

354

843

A 136

794

Senility without mention of Psychosis)

275

192

195

380

575

A 137(0)

708,8

Pyrexia of unknown origin...

415

(b)

793

Observation, without need for

further medical care

835

481

788.9

789-792

795

All other ill-defined causes of

morbidity

---

1,634

620

165

665 571

1,236

Carried forward...

71,224 82,041

3,627

6,212

9,292 7,428

3 16,723

108

TABLE 49--Contd.

Cases Treated

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause Groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitala

Govern-

Govern

ment

Deaths

Whole Colony

Hospitals

Assisted

Hospitals

Male Femalo

|Sex Un-

knowd

Total

Brought forward...

71,224 | 82,041 3,627 6,212

9,292 7,428

3 16,723

3,060

142

165

85:

250

LII

734

AE 138 E010-E835 | Motor vehicle accidents

AE 139 E800-E802 Other transport accidents E840-E866

AE 140 E870-E895 | Accidental poisoning

---

AE 141 E900-E904 | Accidental falls

---

AE 142 |

E912

Accident caused by machinery

534

5,366

134

114

157

915

AE 143

E916

Accident caused by fire and

explosion of combustible material...

330

19:

AE 144 E917-E918 Accident caused by hot substance,

AE 145

AE 146

E919

E929

corrosive liquid, steam and

radiation

---

LJI

+44

1,264

10:

Accident caused by firearm

· Accidental drowning and submersion

ILI

---

104

197

77!

274

Carried forward.....

89,535 | 82,332 3,957

6,212

9,846 7,428)

3 17,530

109

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

TABLE 49-Contd.

Cases Treated

Brought forward...

Deaths

Govern-

ment

Govern

mtat-

Govern-

Deaths

Whole Colony

ment-

Hospitals

ment Assisted Hospitale Hospitals

| Assisted Hospitals

Male Female

Sex Un-

known

Total

83,535 82,332

3,957 6,212

9,846 7,428|

317,530

ITI

TII

198

AE 147

(a) E920

(b)

E923

(e)

E927

(d) E928

Foreign body entering eye and adnexa

Foreign body entering other orifice...

Accidents caused by bites and atinga of venomous animals and insects... Other accidents caused by animals...

(e) E910-E911 E913-E915

All other accidental causes .......

...

E921-E922

E924-E926

E930-E965

AE 148 E970-E979 | Suicide and self-inflicted injury

AE 149 E980-E985

Homicide and injury purposely inflicted by other persons (not in war)

AE 150 E990-E999 Injury resulting from operations

of war

огт

---

GRAND TOTAL...

113

3,374

104

66,

170

---

666

716

218

145

363

25 19:

--+

88,634 82,392 4,040 6,212 | 10,197 7,913

3 | 18,113

TABLE 49-Contd.

Gases Treated

Deaths

Inter-

mediate

List

Number

Detailed

List

Number

Cause Groups

Govern

Govern-

Covero-

ment

Govern-

Deaths

Whole Colony

Hospitals

ment-

Amisted

Hospital

mcot

Hospitals

ment-

Assisted

Hospitals

Male

Female

Sex Un-

known

Total

AN 138 N800-N804

Fracture of skull

■r+

AN 139 N805-N809 Fracture of spine and trunk AN 140 ;N810-N829 Fracture of limbs

IPH

591

201

299

TII

685

2,959

128

AN 141 N830-N839 | Dislocation without fracture

AN 142 |N840-N848 Sprains and strains of joints and

196

adjacent muscle

123

---

ITI

AN 143 N850-N856 AN 144 N860-N869

---

Head injury (excluding fracture) Internal injury of chest, abdomen and pelvis

6,074

129

182

113

---

AN 145 N870-N908 Laceration and open wounds AN 146 N910-N929 | Superficial injury, contusion and crushing with intact skin surface... AN 147 N930-N936 Efects of foreign body entering through orifice

AN 148 N940-N949 | Burus AN 149 N960-N979 | Effects of poisons

2,497

391

716

- - -

---

1,419

1,200

105

AN 150

N950-N959 | All other and unspecified effects N980-N999 of external causes

371

328

176

504

TOTAL...

...

17,410

351

413

905

485

1,390

110

$11

TABLE 50

HOSPITAL COSTING 1963-64 AND 1964-65

1963-64

1964-65

Unit

Total Cost

Cost per bed

Cost per

patient

Total Cost

Cost bed per

Cost per

patient

per year

treated

per year

treated

(Acute general & teaching)

---

13,699,398

21,989.40

619.00 15,252,387 24,133.52

689.00

Queen Mary Hospital

Queen Elizabeth Hospital

(Acute general)

Kowloon Hospital

(Acute general)

Lai Chi Kok Hospital

(Infectious & convalescent)

Tsan Yuk Hospital

(Maternity & teaching)..

Psychiatric Services

(Castle Peak Hospital and Clinics)

11,203,960 19,519.09

373.00

23,403,603 16,861.00

554.72

---

2,306,965

4,796.18

320.00 2,035,835

4.304.09

349.00

- + ':

2,327,260

11,636.30

271.00

2,447,661

12,238.30

301.00

6,230,200

5,567,65

1,724,00 7,731,188

6,835.71

1,811.85

TABLE 51

WORK OF THE QUEEN MARY HOSPITAL 1960-64

Maternity cases admitted

---

1960

1961

1962 1963

1964

||T

2,103

2,300

2,390❘ 2,250

2,307

15,376

18,336 19,268 || 19,203

...

58,191 71,046

83,458 | 81,209 | 79,081

23,402

41,936 46,589

46,589 | 43,816 | 44,7

.768

8.160

8.420

9,681

9,623

10,315

7.0

7.3

6.6

7.5

6.3

General In-patients (excluding maternity).. 14,612

Total Out-patient Attendances

Casualties attended (including in above

figures)

---

Operations (excluding minor cases)

---

Mortality (Expressed as percentage of

admissions)

++/

TABLE 52

WORK OF THE QUEEN ELIZABETH HOSPITAL 1964

Maternity Cases admitted...

---

General Cases admitted

New Attendances at Casualty

New Out-patients...

Minor Operations

Major Operations

---

THE

---

4,946

36,586

Total admissiona

41,532

112,500

---

LII

---

48,176

Total Out-patients

Total Out-patient Attendances

TII

---

160,676

++]

282,256

22,567

---

15,306

Total Operations

Average length of stay of In-patients

Mortality (% of deaths & discharges)

112

LIJ

---

...t

37,873

9.4 days

5.1%

Assault

Traffic

Industrial

Domestic

Sport Other

TABLE 53

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1964

A TRAUMATIC CASES

First Attendances

Cause

Cases

Admissions

Cases

10,158

19.0

730

7.5

ILI

6,558

12.3

2,183

22.2

11,026

20.6

1,843

18.7

+++

18,007

33.6

3,640

37.0

++ |

1,071

2.0

234

2.4

ITI

6,714

12.5

1,199

12.2

Total...

53,534

100.0

9,829

100.0

Traumatic attendances as a percentage of total attendances at Casualty

Traumatic admissions as a percentage of total admissions from Casualty

Infectious

Medical...

Surgery

Obstetrics

Gynaecology Psychiatry

Cause

B. NON-TRAUMATIC CASES

First Attendances

Cases

47.6%

41.6%

Admissions

Cases

845

1.4

128

0.90

---

33,378

56.8

6,434

46.80

12,613

21.5

4,599

33.50

638

1.1

387

2.80

---

4,204

7.1

1,321

9.60

1,240

2.1

0.20

5,908

10.0

847

6.20

---

Other

ILI

Total...

TTI

58,826

100.0

13,749

100.0

Non-traumatic attendances as a percentage of total attendances at Casualty

Non-traumatic admissions as a percentage of total admissions from Casualty

113

52,4%

58.4%

TABLE 54

WORK OF TSAN YUK HOSPITAL 1963-64

1963

1964

Total admission

Total Deliveries

TII

---

Stillbirths rate (per 1,000 tatal births)

Neo-natal Deaths (per 1,000 livebirths)...

Maternity Mortality rate (per 1,000 total births)

% operative deliveries

Ante-natal attendances

Post-natal Attendances

---

LII

---

7,624

6,761

---

6,591

5,698

15.3

13.1

10.03

11.02

---

0.15

0.88

21.59%

28.5 %

36,908

25,815

4,115

2,799

TABLE 55

WORK OF CASTLE PEAK HOSPITAL 1964

Male

Female

Total

Patients in hospital on 1.1.64

ILI

---

1,026

599

1,625

Patients admitted: First admissions

Re-admissions

Patients discharged

Total admissions

Patients transferred

Deuths

813

540

1,353

446

496

942

-J-

---

++.

Total discharges

---

Patients remaining on 31.12.64

1.259

---

1,036

2,295

1,164

1,015

2.179

LIT

1,208

1,037

2,245

1,077

598

1,675

Note: Figures exclude Drug Addiction Centre but include patients on parole.

114

TABLE 56

WORK OF DAY HOSPITAL AND PSYCHIATRIC CENTRES 1964

PSYCHIATRIC DAY HOSPITAL

Patients attending on 1.1.64

Admissions...

ITI

TII

Discharges

---

Male

Female

Total

171

126

297

169

112

J-I

-- J

281

Patients attending on 31.12.64

ATTENDANCES AT PSYCHIATRIC CENTRES

Hong Kong..

TII

Queen Elizabeth Hospital...

Tsim Sha Tsui

---

Tsuen Wan...

---

New

Repeat

Total

+++

1,048

19,033

20,081

231

935

---

1,166

352

408

---

1,101

1,199

TABLE 57

DRUG ADDICTION TREATMENT CENTRE

MARCH 1961-FEBRUARY 1965

Registered

1944

Submitted to Selection procedure

No. (1) 193

Yes

1751

No. (2)

Yes

Approved for admission

678

1073

No. (3)

Yes

Admitted for treatment

232

841

No. (4)

Yes

Followed-up by Medical Social Workers

518

323

No. (5)

Yes

Currently abstinent

143

180

Notes: (1) Disappeared after registration or double registration.

(2) Rejected on basis of criterin laid down for admission. (3) Did not attend when called for admission.

(4) Transferred to Shek Kwu Chau.

(5) Including 11 cases re-admitted for treatmeat.

115

116

TABLE 58

NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT ASSISTED HOSPITALS AND CLINICS 1964

HẠNG CÙNG

General Clickso

Special Clinics

Total

General

alty

Child Ante- Post- Health Natal Natal

Eye E.N.T.

Tuber-Paychin-|

culosis try Leprosy Hygiene Cology

Social Derma-

---

570,318 44,918

15,004

95,207 476

6,426

15,004 | 29,260 | 15,392 743 |

6,328 | 61,184

5,215

193 2,788

4,878 14,638 1,070 1,160 402

768 12,933 8,967

785,678

106,189

4.466

2,735

1,177

14,806

21 |

---

671,953 45,394

20,213

29,260 | 23,342

7,703 | 63,972

6.038 15,078 1,070

788

12,933 8.967

906,711

---

LLI

620,485 114,802

17,459

41,611 41,611 | 12,959

6,686

32,396

4,002 16,739

229

405

14,016

8,209

889,998

---

LLL

56,349

2,094

11,705

803

1,676

2,505

491

81,703

LLL

LLI

LL-

7,268

13,759

119

354

116

7,873

268

1,957

821

103

16.958

-LL

LLL

697,861 114,802

19,940

41,611 32,975

8,406 | 34,072

6,507 17,346

279

405

14,016

8,312

996,532

Government Institutions Tung Wab Jostitutions

---

IPI

Alice Ho Miu Ling Nathersole Hospital|

Ruttoojee Sanatorium

---

ILL

---

Grantham Hospital

TOTAL Hong Kong

---

KOWLOON

Government Institution1

Tung Wah Institutiona

Cacitor Hospital

Maryknoll Hospital

TOTAL Kowloon

NEW TERRITORIES

Government Institutions Rennie's Mill Church Clinic Pok Oi Hospital...

TOTAL New Territories

277,586

24,835

150

2,222

454

140

I J

LIL.

33,297

8,895 || 15,176

1,860

1,420 | 16,470

2,532

200

4,358

171

$,005

356,561

3,197

35,157

313.105 25,289

290

6,895 | 17,036

1,420 | 16,470

2,742 4,$29

$,005

394,915

GRAND Total Gove. InGT. Grand TOTAL Govn. Aser.

---

1,468,389 184,555 | 32,613 214,530 930 7,830

29,826

79,766 | 43,527 | 14,434 |110,050 11,412 | 35.735 1,397 3,095 4,464 3,875 1,218 50

1,194 31,954

17,211 2,032,237

103 265,921

GRAND TOTAL COLONY

1,682, 1,682,919 |185,485 | 40,443 | 79,766

|105,40

1,447 79,766 73,353 17,529 114,514 15,287 36,953

1,194 31.954

17,314 | 2,298,158

117

TABLE 59

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT ASSISTED HOSPITALS AND CLINICS 1964

General Clinica

Special Clinics

Total

Dressing General

Casu-

■lty

General

Child Ante- Health Natal

Post-

Eye

Natal

Tuber

culosis

Psychla-

E.N.T.

try Leprosy Hygiene tology

Social Derma-

359,521 898,083 51,228 14,890 205,740

476

52,272 |326,335 | 73,575 1,701 9,572

7.922 98,875 15,443

260 9,492 5,102

380,412 20,103 10,773 74,202 14,651 2,385,395 7,538

34.055

23,584

12,163

1,177

гго

15,633

430

254,771

11,066

15,633

430

LL+

HOẠT KONG

Government Institutions

Tung Web Institutions

Alice Ho Miu Ling Nethersole Hospital

Ruttonjee Sanatorium

---

Grantham Hospital

TOTAL Hong Kong

KOWLOON

Government Institutions Tung Wab lostitutioon

Caritas Hospital

Maryknoll Hospital

TOTAL Kowloon

...374,498 1,137,878 51,704 77,557 328,335 95,310

9,359 108,367 20,545

404,013 20,103 | 10,773 74,202 14,651 (2,727,295

271.399

733,360 114,726 112,105 312,758

34,338

---

23,127 204,424

8,883

72,141

---

...

17,675 1,639 61,041

166

803

807

6,272

5,249 |166,294 | 74,219 1,489 6,025 10,832 26

1,049

643,361

3,711

193

1,112 | 23,790

67,836 | 26,299 12,586. 330,632

18,867

207 71,110

...|296,165 |1.016,500 114,726 121,957 312,756 113,558

1,813 172,319 85,051

647,265

1,211 23,790 67,836 26,506 3,007,455

NEW TERRITORIES

Government Institutions Rennie's Mill Church Clinic Pok Of Hospital

TIL

133,166 354,709 24,911

5.182 20.888

454

---

++i

721 61,543

153 49,840 67,231 195

5,855

1,512 39,869

5,737 227,761 483 1,654

1,235 1,859 12,825

150 920,958 28,856

66,119

TOTAL New Territories

139,069

437,140 25,365

348

49,840 | 73,086

1,512 39,869

6,220 229,415 1,235 1,859 12,825

150 1,017,933

GRAND TOTAL GOVT. Inst. ... 764,086 1,986,152 |190,865 |164,530 690,933 175,144 GRAND TOTAL GOVT. ASST. Hosr. 45.646 605,366 106,810

930 35.332

14,683 305,038 95,399 1,251,534 22,450 36,422 154,863 41,100 5,893,199 4,001 15,517 16,417 29.159 207 859,484

199,862 GRAND TOTAL COLONY 809,732 2,591,518 191,795 199,862 690,95:

81,954 | 18.684

1,280 "555 |111,816 1,280,693 | 22,549 | 36,422 154,863 41,307 |6,752,683

TABLE 60

NEW TERRITORIES CLINICS 1964

Out-patient Attendances

Deliveries

Dispensaries

New Cases

Total Attendances

In-patients

Domiciliary

Tai Po...

Ha Tụng

Sha Tau Kok

Sha Tin ...

Yuen Long

San Hui

Sai Kung

Shek Wu Hui

Tai O

Silver Mine Bay

Ping Chau

Maurine Grantham

36,888

66,825

1,718

2,111

4,395

343

4-7

7,671

16,756

417

12,388

25.437

610

50,105

107,106

2,129

---

7,890

12,924

1,112

TII

8,303

12,719

536

48,444

86,381

1,926

. г.

H-

TIO

ז.

22,196

26,210

353

I LJ

+++

10,034

12,257

120

TII

---

5,867

11,535

120

Art

- LI

98,790

175,242

2,664

North Lamma

JIL

Kam Tin

7,093

9,621

ITI

11,497

3,540

378

Shek Pik First Aid Post

Sai Kung Travelling

Shek Wu Hui Travelling

Tai Po Travelling (East)

Yuen Long Travelling (West).......

Chee Hong Floating Clinic

Chee Wan Floating Clinic

640

2,047

720

1,100

---

1,106

---

1,427

1,438

1,091

5,966

10,180

16,477

Kat 0

...

130

335

...

Tai O Trav.

Tai Wo Hau D. S.

302

+44

251

Total

+4=

340,833

600,430

12,509

375

118

TABLE 61

RADIODIAGNOSTIC BRANCH

RADIODIAGNOSTIC CENTRES 1964

Hong Kong Island

Queen Mary Hospital

Tsan Yuk Hospital

Sai Ying Pun Polyclinic

Sai Ying Pun Chest Clinic

Wan Chai Chest Clinic

Medical Examination Board

Tang Shiu Kin X-Ray Survey Centre Shau Kei Wan Chest Clinic

Mobile Mass Radiography Unit. No. 1

Kowloon and New Territories

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Castle Peak Hospital

Kowloon Chest Clinic

Shek Kip Mei Chest Clinic

Pok Oi Hospital

Mobile Mass Radiography Unit No. 2

WORK OF RADIODIAGNOSTIC BRANCH 1964

Island

Queen Mary Hospital Sai Ying Pun Polyclinic... Sai Ying Pun Chest Clinic Wan Chai Chest Clínic Tsan Yuk Hospital

LJI

---

Medical Examination Board

---

TIL

Tang Shiu Kin X-ray Survey Centre Shau Kei Wan Chest Clinic

Mobile M. M. R. Unit No. 1

H. M. Prison Victoria

Mainland

Queen Elizabeth Hospital Kowloon Chest Clinic Shek Kip Mei Chest Clinic Lai Chi Kok Hospital Castle Peak Hospital

Pok Of Hospital ...

---

IT1

---

Mobile M. M. R. Unit No. 2

Total

. г.

---

Patients Examined

Examina- tions

Films taken

---

31,958

38,472

88,552

15,875

19,957

48,507

TII

---

26,025

26,075

---

39,865

42.598

6,182

7,567

9,206

-H

18,035

20,350

17,260

19,002

1,520

1,541

49,559

49,580

8.917

---

8,917

9.040

..ז

76.293

89,224

180,106

-H

68,723

70,463

LIL

40,300

44,447

---

1,837

1,980

2,762

r-r

---

3,139

3,343

3.919

+TI

1,005

1,087

1.199

52,290

52,632

458,783

484,124

669,979

119

TABLE 62

RADIOTHERAPEUTIC BRANCH 1963-64

1963

1964

New patients seen

New patients with malignant disease seen

New patients with non-malignant disease seen

Patients treated ...

1,566

2,058

+17

I LJ

1,121

1,370

445

688

17-

1,830

2.034

New patients treated

PIE

1,245

1,571

Old patients treated

Patients with malignant disease treated

New patients with malignant disease treated...

Old patients with malignant disease treated

Patients with non-malignant disease treated ...

---

585

463

1,452

1,582

974

1,188

LLJ

478

394

378

452

Deep radiotherapy treatments (X-ray and Telecobalt)

47,211

52,135

606

1.109

Contact & superficial radiotherapy treatments

Radium, radiocobalt, radiostrontium and

radiogold application...

TII

---

Radioiodine for thyrotoxicosis (courses of treatment)

Radioiodine for carcinoma of thyroid (courses

of treatment)

---

יי

Radioiodine for thyroid function tests

TIL

---

Radioiodine for scanning of whole body for metastases

Radioiodine for scanning of neck only

Red blood cell T3 uptake tests...

186

233

228

273

---

563

738

+4+

583

413

120

TABLE 63

WORK OF THE OPHTHALMIC SERVICE 1963-64

New out-patient attendances

Total out-patient attendances

Operations performed

---

Operations classed as sight-restoring

(included in above)

ITI

Home visits by Health Visitors

Keratomalacia

Senile cataract

Trachoma

JIL

[11

1963

1964

JIL

---

93,343

93,936

---

ITI

251,374

266,724

2,915

3,139

1,307

1,310

---

3,682

3,526

TABLE 64

ANALYSIS OF MAJOR CAUSES OF BLINDNESS

(EXPRESSED AS PERCENTAGE OF BLIND CASES)

TOTAL INCIDENCE 1953-64

---

ILI

Glaucoma

Injuries (all types)

Syphilis

---

Congenital defects

N.S.O.A./Uveitis Degenerative diseases

+ır

　　　Keratomalacia Congenital defects

N.S.O.A./Uveitis...

ITI

FIL

---

1953

1964

10.4

LJI

33.3

Ir+

9.0

י - י

3.5

13.7

2.6

IIT

---

7.6

9.7

2.5

B.0

5.7

...

INCIDENCE IN CHILDREN 1954-64

ז..

TII

ITI

121

1954

1964

74.5

15.2

51.5

5.5

33.3

TABLE 65

PHARMACEUTICAL SERVICE

BULK PHARMACEUTICAL CENTRES

Stores: Central Medical Stores (supplying Hong Kong and other islands)

Kowloon Medical Stores (supplying Kowloon and New Territories)

Sterile Preparation Centres: Queen Mary Hospital

Queen Elizabeth Hospital

WORK OF PHARMACEUTICAL SERVICES 1963-64

1963

1964

Value of Drugs & Dressings

Value of Instruments and Surgical

Equipment

Number of prescriptions dispensed

Manufacture:

Eye Ointments (in small tubes)

$8,426,970.48

--L

Assorted Ointments (ranging from small

tubes to 1 lb. units)

Tablets

FFL

ILI

Intravenous Fluids

TIL

J+

969,523.41 *2,382,323

297,220 tubes

$10,024,442.15

1,421,307.84 3,640,510

209,534 tubes

16,297 units 6,894,332 mos.

162,362 litres 55,134 units

64,447 units

10,124,068 DOS.

183,163 litres

† 273,088 lbs.

62,113 units +318,523 lbs.

Lotions and other preparations for

external use

† 57,397 lbs.

† 61,140 lbs.

Assorted Injections of various sizes Mixtures for internal use

•

Records of total prescriptions dispensed not available before 1.4.63. + Bulk preparations made in the Kowloon and Central Medical Stores.

PHARMACEUTICAL CONTROL 1963-64

Wholesale Poisons Licences issued Authorized Sellers Licences issued Listed Sellers Licences issued

Antibiotics Permits issued

IT 1

Licences for movement of Dangerous Drugs

Premises inspected

Prosecutions

---

+++

47+

---

122

1963

1964

439

454

662

867

310

308

384

371

3.393

2,807

Hong Kong

TABLE 66

WORK OF PHYSIOTHERAPY ŠERVIČE 1964

In-patients Out-patients Total Patients

treated

Total

treatments

Wan Chai Polyclinic

Hong Kong Total

Kowloon

Kowloon Hospital

Jockey Club Rehabilitation

Centre

---

Lai Chi Kok Hospital

Queen Elizabeth Hospital

Queen Mary Hospital

3,837

110

3,947

---

35,327

5,190 |

5,190

16,924

3,837

5,300

9,137

52,251

716

140

856

8,178

137

4,911

5,048

47,794

---

2,438

37,094

---

7,224

1,175

8,399

59,223

Kowloon Total...

10,515

6,226

16,741

152,289

Colony Total

ITI

LI+

14,352

11,526

25,878

204,540

Hong Kong

TABLE 67

WORK OF OCCUPATIONAL THERAPY SERVICE 1964

ITI

Queen Mary Hospital

Hong Kong Psychiatric Centre

Kowloon

Queen Elizabeth Hospital

PII

Kowloon Jockey Club Rehabilitation Centre (including

Kowloon Hospital)

ITI

Lai Chi Kok Hospital

---

New Territories

Castle Peak Hospital ...

*St. John Hospital, Cheung Chau

Total

Patients treated

Total treatments

932

16,581

317

25.428

IIT

1,270

15,309

ITE

988

16,503

527

16,897

---

2,662

272,516

1,608

+++

6,787

364,842

* Sessions held weekly by visiting staff,

123

TABLE 68

WORK OF MEDICAL EXAMINATION BOARD 1963-64

Government Appointments

Auxiliary Defence Units

Miscellaneous

Total

1963

1964

1963

1964 1963 1964 1963 1964

New examinations... 9,002 8,662

3,079

1,985 93

66 12,174 | 10,713

Re-examinations... 3,459 4,251 2,364 2,940

5,823 7,191

Annual Total ... 12,461

12,461 12,913 5.443 4.925

66 17,997 17,904

TABLE 69

UNFITNESS OF CANDIDATES BY CAUSES 1963-64

(PER 1,000 TOTAL EXAMINATIONS)

Pulmonary Tuberculosis

Other disease of the Respiratory System

Disease of the Circulatory System

Disease of the Alimentary System

Disease of the Skeletal System

1963

1964

LII

39.45

30.88

2.00

3.56

2.39

6.59

3.50

0.77

---

0.11

0.39

0.28

ITI

0.59

1.55

1.31

0.17

0.83

0.17

0.71

+++

--1

0.36

;

---

0.22

3.03

Disease of the Genito-urinary System...

Disease of the Nervous System

Disease of the Endocrine System

Disease of the Eye

Discase of the Skin

■+

Other disease

...

TII

ז..

124

49.84

48.94

TABLE 70

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS

(FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Institutions

1960-61

7961-62

1962-63

1963-64

1964-65

Cheshire Home

ггг

Alice Ho Miu Ling Nethersole Hospital British Empire Leprosy Relief Association British Red Cross Society, Hong Kong Branch

Bureau of Hygiene and Tropical Diseases Caritas Hospital, So Uk...

Family Planning Association of Hong Kong...

Grantham Hospital

Haven of Hope Tuberculosis Sanatorium Hong Kong Anti-Tuberculosia Association

London School of Hygiene and Tropical Dineages Maryknoll Mission Hospital

Mission to Lepers, Hong Kong Auxiliary

Oxfam Hostel for Cancer Patients

-rr

---

...

---

499,952

800

20,000

1,060,000

800

25,000

1,180,000

800

35,000

1,503,000

800

45,000

1,799,200

800

50,000

(20,000)

7,200

17-

ггг

-11

100

יו.

---

275,221

ггг

---

111

(25,000)

---

240,000

300,000

400,000

(24,885)

---

ггг

2,882,750

108,000

1,000.000

2,930,736

3,264,324

3,459,402

3,988,704

144,000

230,400

288,000

1,000,000

1,100,000

1,200,000

(32,890)

(74,604)

1,600

LLL

...

$2,500

250,000

275,000

(41,062)

575,000

600,000

(140,000)

(143,179)

(13,976)

(75)

12,000

Pok Oi Hospital

---

ггг

280,500

450,000

550,000

יי

---

LLI

550,000

(215,314)

(9,107)

(29,931)

(43,441)

St. John Ambulance Brigade Rennie's Mill Church Clinic

гг 1

---

111

---

29,987

40,000

- LI

---

(220,000)

Salvation Army (Cheung Chau Convalescent Home).. Shek Kwu Chau Drug Addiction Centre

гг

111

---

10,000

---

(1,963)

(341,262)

100,000

345,000

450,000

(150,564)

(404,444)

(386,867)

Sheung Shui Clinic

Society for the Relief of Disabled Children The Hong Kong Society Rehabilitation Tung Wah and Associated Hospitals

Kwong Wah Hospital

LLL

United Nations Children's Fund:-

(1) Administration (2) Relief expences University of Hong Kong

20.000

---

20,000

$,000

---

...

---

15,000

30,000

100,000

75,000

111

75,000

100,000

400,000

---

11,118,301

12,495,539

13,579,539

14,969,745

17,089,650

(199,065)

(219,630)

(302,629)

---

(4,317,732)

[4,922,184)

(3,982,752)

(2,516,245)

(3,247,510)

L-L

For

110

6,192

7,162

6,048

10,304

9,328

ггт

ггг

יז

LLL

FFF

---

20,000

250,000

20,000

250,000

350,000

380,000

529,000

(40,000)

Total

LIJ

---

17,150,282

(4,734,074)

19,444,543 (5,478,500)

21,704,921

24,432,051

28,100,703

(4,598,946)

(3,257,294)

(3,997,497)

125

TABLE 71

WORK OF THE GRANTHAM HOSPITAL 1964

New Admisssons

1,040

Re-admissions

144

Discharges

1,108

Total bed days: 219,359

Orthopaedic Operations:

Spine 65

Hip 26

Other 18

Thoracic Operations:

Government

P.T.B.

Thoracic Unit

Ca.

Grantham

Thoracic Unit

P.T.B.

Ca.

Deaths

Wedge

Segmental Lobectomy

Phenmone

Miscel-

tomy

laneous

TII

TABLE 72

WORK OF RUTTONJEE SANATORIUM 1960-64

1960

1961

1962

1963

1964

Adults through Govt.'s Clinics

IIT

350

289

439

370

313

Children (pulmonary through Govt.'s

Clinics

Children (orthopaedic)

Other admissions and re-admissions

252

302

427

504

577

---

693

678

985

967

973

New admissions

Relapses

For surgery

TABLE 73

ADMISSIONS TO LEPROSARIUM 1964

Lepromatous Tuberculoid

Dimorphous

Total

Female Male Female Mala Female Mala Female

Male

+++

-IT

126

TABLE 74

BUILDING PROGRAMME

I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

23rd April, 1964

19th May, 1964

1st June, 1964

29th June, 1964

15th July, 1964

1st July, 1964

11th February, 1965

(2) Government-assisted

17th December, 1964

2nd January, 1965

23rd March, 1965

(3) Private

20th May, 1964

Jockey Club Health Centre-Kwun Tong-a standard urban clinic, augmented by casualty facilities, and donated by the Royal Hong Kong Jockey Club.

Lions Club Government Maternal and Child Health Centre, Kowloon City-erected from founds provided equally by the Lions Club of Hong Kong and the Hong Kong Government.

Tai Wo Hau Maternal and Child Health Centre.

Jockey Club Radiological Institute, Queen Elizabeth Hospital- a modern radiodiagnostic and radiotherapeutic centre built and equipped by donation of $6 million from the Royal Hong Kong Jockey Club.

Jockey Club Polyclinic, Shau Kei Wan-donated by the Royal Hong Kong Jockey Club, and accommodating a standard urban clinic, a chest clinic and three dental surgeries.

Queen Mary Hospital Kitchen and Linen Exchange Store.

Sha Tin Clinic and Maternity Home-a standard rural clinic

donated by the United States of America.

Caritas Medical Centre, So Uk-built by Caritas from dona- tions from Catholic communities in many parts of the World, particularly in the Federal Republic of Germany, and comprising general, tuberculosis and cancer sections.

Pok Oi Hospital Out-patient Clinic-built by the Pok Oi Hospital with the aid of a grant from the Hong Kong Government.

Kwong Wah Hospital-re-developed at a coat of $34 million, to which the Hong Kong Government contributed $27.2 million, the hospital now provides some 1,500 acute beds.

Baptist Hospital-a general hospital of $2 beds and an out-

patient clinic situated in North Kowloon.

Seventh Day Adventist Hospital-a general hospital of 64 beds and an out-patient clinic situated in Tsuen Wan, New Territories.

28th February, 1965 Evangelical Medical Centre-a general hospital of $1 beds situated in the Kowloon City area.

127

(1) Government

TABLE 74-Contd.

11. PROJECTS UNDER CONSTRUCTION

(1) Yuen Long Health Centre-donated by the Royal Hong Kong Jockey Club;

completion is expected in August, 1965.

(ii) Tsuen Wan Out-patient Clinic-completion is expected in January, 1966.

(iii) Queen Mary Hospital Extensions-new operating theatre, radiodiagnosis, professorial and quarters blocks are expected to be completed in April, 1966,

(iv) Kowloon Hospital-alterations, additions and improvements are expected to be

completed in September, 1965.

(v) Yau Ma Tei Polyclinic-donated by the Royal Hong Kong Jockey Club;

completion is expected in late 1966.

(2) Government-assisted

(i) Wong Tai Sin Infirmary, Phase I-financed by a donation from the Australian

World Refugee Year Fund; completion is expected in June, 1965,

(H) Sandy Bay Infirmary-to be completed in late 1966, costs being borne by the Tung Wah Board of Directors and the Hong Kong Government in the ratio of 1:4.

(iii) Alice Ho Mia Ling Nethersole Hospital-quarters for nursing staff.

III. PROJECTS ON WHICH DETAILED PLANNING HAS COMMENCED

(1) Government

(i) Cheung Sha Wan Clinic.

(ii) Wong Tai Sia Police Clinic.

(ii) Extensions to Lions Club Government Maternal and Child Health Centre.

(iv) New Lai Chi Kok Hospital.

(v) Extensions to St. John's Hospital, Cheung Chau.

(vi) Chai Wan Clinic and Maternity Home.

(vii) Castle Peak Clinic and Maternity Home.

(viii) Mental Defectives Home, Siu Lam

(ix) Tang Shiu-kin Hospital.

(x) Tsan Yuk Hospital Extensions.

(xi) Vaccine Institute.

(xii) Dental Clinic, Tong Fuk.

128

TABLE 74-Contd.

(2) Government-assisted

(i) Pok Oi Hospital Extensions.

(ii) Wong Tai Sin Infirmary, Phases II and III.

(iii) Haven of Hope Sanatorium Extension.

(1) Government

IV. PROJECTS IN INITIAL STAGES OF PLANNING

(i) East Kowloon Polyclinic.

(ii) Tsuen Wan/Kwai Chung Polyclinic.

(iii) Tee Wan Shan Clinic.

(iv) Shau Kei Wan Hospital

(v) Redevelopment of Government Medical Institutions at Sai Ying Pun.

(2) Government-assisted

(i) Spastics Home-Hong Kong.

(ii) Yan Chai Hospital-Tsuen Wan.

(iii) Alice Ho Miu Ling Nethersole Hospital Extensions.

TABLE 75

NURSES IN TRAINING 1965

Women

Men

Total

Government School of Nursing

558

141

699

Tung Wah Group of Hospitals

Nethersole Hospital

Hong Kong Sanatorium Hospital

403

123

161

---

Total

-L

1,245

141

1,386

129

TABLE 76

COURSES OF STUDY OVERSEAS 1964-65

BY PLACE OF STUDY

Staf

U.K.

North America

Australia 5.E. Asia Other

Total

Medical

111

- rr

171-

PTT

---

Dental

Nursing

Dispenser

Medical Social Workers

---

Senior Medical Technologist

Medical Technologist

Medical Laboratory Technicinas

Laboratory Assistant

Dental Surgery Assistant

---

111

ггг

---

-г г

...

3 11

-Pr

---

||~~

FIE

---

Malaria Inspector

ILL

---

110

Total

---

Medical

Staf

M.R.C.P. IF.R.C.S.

|M.R.C.O.C.

¡D.P.H.

D.P.M.

D.O.

BY SOURCE OF FUNDS

Course of Study

- L

Govern

|W.H.O.

nicat

Own Expense

Other Total

11-

rrr

-10

4 8

1-1

тог

Dental

Nursing

D.M.R.D.

D.C. Path.

D.M.S.A. Others

D.P.D.

Diploma in Orthodontics

---

ILI

ILL

PIL

Dental Epidemiological Techniques Master of Dental Science in Oral Surgery ¡Sister Tutor Diploma

---

Hospital Administration (Hospital) Hospital Administration (Public Health) Specialised Nursing Techniques ...

Medical Social

'Medical Social Work

Workers

Dispenser

!Pharmacy

---

Senior Medical

.F.I.M.L.T.

111

---

Technologist

Diplome in Bacteriology

Medical Technologist F.I.M.L.T.

Medical Laboratory A.I.M.L.T.

TechniciLOS

---

Laboratory Assistant Industrial Hygiene...

Dental Surgery

Asistenta

Malaria Inspector

---

|ཌ།མམ།།

rrr

..י

---

111

---

LLI

---

Dental Nursing

Malaria Eradication

Total

130

...

---

TABLE 77

DEPARTMENTAL TRAINING 1964

Student Assistant Physiotherapisti

Student Assistant Radiographer

---

Student Dispenser ....

Student Laboratory Assistant

Student Medical Laboratory

Technician

Student Nurse

ITI

TIL

Appointment Resignation

Strength at 31.3.65

Passed

8 (1st year) 20 (2nd year)

205

535*

49†

10(a)

Student Male Nurse

Student Nurse (Psychiatry)

Student Male Nurse (Psychiatry)....

Student Midwife (2 years training)]

Registered Nurse in Midwifery

training (1 year)

Student Health Visitor

Anti-Tuberculosis Worker

Medical Social Worker

103(b)

Student Assistant Orthopaedic

६भ

Appliance Technician

I-I

Including 45 in Midwifery Training.

† Including 1 Prison Officer seconded for 3 years.

102

(a) Including 2 Prison Officers who completed their training and returned to the

Prison Department.

(b) Including 3 non-English speaking Registered Nurses taking the 1 year Midwifery

Training Course in Tsau Yuk Hospital.

131

TABLE 78

ATTENDANCES AT CONFERENCES, ETC. OVERSEAS

Appointment

Director of Medical &

Health Services ...

Director of Medical &

Health Services ...

Conference, etc. attended

W.H.O. Regional Conference

Place

Manila

W.H.O. Seminar on the Control of Cholera.

Manila

Director of Medical &

Health Services...

Symposium on Cholera Research,

Hawaii

Health Visitor

Senior Dental Officer

---

Annual Congress of Royal Society for Promotion Torquay

of Health.

17th National Congress of the Australian Dental Perth

Association.

Seniors Dental Officer

44+

2nd Congress of the Australian Society of

Orthodontists.

Perth

Orthopaedic Specialist

---

Combined Clinical Meeting of the British Orthopaedic Association & Canadian Orthopaedic Association.

Vancouver

Senior Specialist (Medicine) W.H.O. Seminar on Haemorrhagic Fevers.

Senior Specialist (Radiology) W.H.O. Seminar on Radiological Health.

Ag, Principal Medical &

Bangkok

Singapore

Health Officer

ITI

W.H.O. 1st Regiona! Seminar on the Control

of Communicable Diseases.

Manila

Chief Pharmacist...

ILL

37th Congress of the Australian and New

Zealand Association for the Advancement

Canberra

of Science.

132

18.7.64

25.7.64

28.7.64

19.8.64

27,9.64-8.10.64

5.10.64

15.10.64-21.10.64

27,10,64

28-30,10.64

8-12.11.64

23.11.64-7.12.64

10-12.12.64

21-30.12.64

22.12.64

29-31.12.64

5-16.2.65

13.2.65

26.3.65

TABLE 79

OVERSEAS VISITORS

GENERAL

Dr. R. K. MACPHERSON, Senior Lecturer in Environmental Health, University of Sydney, Australia.

Dr. Elizabeth AwOLIYI, Senior Government Gynaecological Specialist, Nigeria.

Docteur Linbei Abderrahmane Ambassador of Morocco.

Sir Alexander DRUMMOND, Commandant, Royal Army Medical Corps.

Dr. Wallace Fox, Tuberculosis Research Unit, Medical Research Council, England.

Dr. Charles BROOK, C.B.E., Chairman, Sidcup Hospital Management Committee, U.K.

Dr. S. MUKERJEE, Division of Microbiology, Indian Institute for Biochemistry and Experimental Medicine, India.

Sir Harry WONDERLY, Consultant in Tuberculosis, Canberra, Australia,

Prof. G. J. DAMMIN, Prof, of Pathology, Harvard University, U.S.A.

Dr. Nathan B. Eddy, Consultant in Narcotics, National Institutes of Health, U.S.A.

Dr. R. E. MYLIUS, Lecturer in Public Health, Papuan Medical College, Papua.

Prof. Lim Kok-ann, Professor of Bacteriology, University of Singapore,

Dr. J. Lawson, Government Paediatrician, Port Moresby, Papua.

Sir Francis MATHER, Adelaide, S. Australia.

Lady NORMAN, Member of the Board of Governors, the Maudsley Hospital, London.

Mr. Harold RIDLEY, Consultant Ophthalmic Surgeon, St. Thomas's Hospital, London.

Dr. Robert DICKIE, Director of Medical Services, Sarawak, Malaya.

Mr. YONG Nyuk-lin, Minister of Health, Singapore.

Consultant and Administrative

28-30.4.64

31.8.64

W.H.O. AND U.N.I.C.E.F.

Dr. Marshall LAIRD, Chief Environmental Biology Unit, Division of Environmental Health, W.H.O. Geneva.

Dr. Abou GAREEB, Leader, W.H.O. Cholera Team, Manila.

133

28-31.10.64

TABLE 79-Contd.

Dr. O. FELSENFELD, Cholera Consultant, W. H. O. and Drs. B. CVJETANOVIC and I. WATANABE, Bacterial Diseases Section, W.H.O., Geneva.

Mr. D. J. SCHLIESSMANN, Chief, Aedes aegypti Eradication Branch, Communicable Disease Center, Atlanta, Georgia, U.S.A.

Dr. E. M. DE MAEYER, Secretary, WHO/FAO/UNICEF Protein Advisory Group, New York.

19.11.64

21-23.11.64

17-20.12.64

17-19.1.65

15-16.2.65

15-17.2.65

6-8.3.65

Mr. B. M. Bovay, Division of Public Information, W.H.O., Geneva.

Dr. Mario CHAVES, Chief of Dental Health, W.H.O., Geneva.

Dr. Alan H. PENNINGTON, W.H.O., Representative in Taipei.

Dr. C. W. CoCKBURN, Chief Medical Officer, Virus Diseases Section, W.H.O., Geneva.

Dr. B. CVJETANOVIC, Chief Medical Officer, Bacterial Diseases Section, W.H.O., Geneva.

Fellowships

4-12.4.64

20-25.4.64

11-22.5.64

11-23.5.64

12-17.5.64

1-12.6.64

29.6.64-4.7.64

8.7.64

7-11.9.64

25-28.1.65

14-18,2.65

Dr. J. M. J. SUPRAMANIAM, Tan Tock Seng Hospital, Singapore, Fellowship in tuberculosis control.

Dr. Shi-ryong CH01, Ministry of Health and Social Affairs, Korea. Fellowship in venereal disease and leprosy control.

Dr. Yu-chi CREN, Provincial Health Department, Wu-feng HSIANG, Tai Chung, Taiwan, Fellowship in food and drug control.

Mr. I. T. BUNDROMO, Tamavua Tuberculosis Hospital, Suva, Fiji, Fellowship in tuberculosis control.

Mr. SHU Jung-rae, Sanitary Chemistry Section, Korea. Fellowship in public health administration.

Miss Janet BEE bt. Mohd. Akram, Malaysia. Fellowship in maternal and child health services.

Mr. Mohamed NOORDIN, Public Health Service, Sembilan, Malaysia, Fellowship in public health administration,

Dr. K. N. RAO, Additional Director-General of Health Services, Government of India. Fellowship in medical training and adminis- tration.

Dr. Maka SAPOLU, Apia Hospital, Apia, Western Samoa. Fellowship in tuberculosis control.

Dr. Geoffrey BLAKE-PALMER, Director of the Division of Hospitals, Department of Health, New Zealand. Fellowship in hospital construc- tion and administration.

Dr. Jose SISON, Cebu Mobile Chest Clinic, Philippines. Fellowship in tuberculosis control.

134

TABLE 80

PUBLICATIONS

BY MEMBERS OF THE MEDICAL AND Health DeparTMENT

Title of Article

Physiotherapy in Hong Kong.

A survey of handicapping dento

-facial anomalies among Chinese in Hong Kong.

Publication

New Zealand Journal of

Physiotherapy. International Dental

Journal Vol. 14, No. 4, 1964.

A clinical study of au Outbreak Far East Medical Journal.

of Adenovirus.

Nasopharyngeal Carcinoma in

Hong Kong.

The Radiodiagnosis of

Nasopharyngeal Carcinoma.

A mass vaccination campaign

　against poliomyelitis using the Sabin oral vaccine.

Review of Faergeman's

　　　'Psychogenic Psychoses'. Koro; a Culture-bound

　　　Depersonalization Syndrome. *Psychosomatic Disorders'.

Practical problems in Commis- sioning the Queen Elizabeth Hospital.

The Establishment of

　　Orthopaedic & Prosthetic Appliance Services in Afro- Asian Countries (Part Two). Plastic Socket and Stump-

Casting Technique.

Glucose-6-Phosphate

Dehydrogenase Deficiency and Neonatal Jaundice in Chinese Male Infants in Hong Kong,

The Relationship between Emotional & Bodily Disturbances.

International Union against Cancer, Symposium on Nasopharyngeal Cancer.

Public Health Vol. 79,

No. 2, 1965.

Acta Psychiatrica Scandinivica.

British Journal of

Psychiatry.

W.H.O, Technical Series.

The Hospital.

Author

P. M. PAYNE, Ag. Superin- tendent Physiotherapist. W. C. ALLWRIGHT, Senior Dental Specialist and W. H. BURNDRED, Senior Dental Officer.

K. COBBAN, M. & H. O.

H. C. Ho, Senior Specialist

(Radiology).

G. C. FRANKLIN, Assistant

Director and

M. J. ROBERTSON, M. & H. O.

P. M. YAP, Senior Specialist

(Psychiatry).

P. M. YAP, Senior Specialist

(Psychiatry).

P. M. YAP, Senior Specialist

(Psychiatry) (Part author).

A. E. STARLING, Senior Hospital Secretary

(Q.E.H.),

Rehabilitating the Disabled J. A. E, GLEAVE,

in Africa.

Orthopaedic Appliance

Advisor.

Journal of Bone and Joint J. A. E. GLEAVE,

Surgery,

Lancet, 1965, Volume I.

Hong Kong Journal of

Nursing, 1965,

Orthopaedic Appliance Advisor.

Paul YUE, M. & H. O.

(Part author).

K. SINGER, Specialist

(Psychiatry).

135

TABLE 81

SAMARITAN FUND

Income and EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31st March, 1965

EXPENDITURE

Maintenance, capital grants, travelling expenses, etc. Balance carried to Accumulated Fund

136

INCOME

-гг

$17,032.55

Donations:

FFF

Por

13,796.43

---

The Hong Kong Jockey Club (Charities) Ltd. $20,000.00 Miss Lee Man-ying

---

2,000.00

Mrs. Hesba Ho

---

3,500.00

Hr. YEUNG Chan phu

LII

---

2,000.00

110

ггг

Hongkong & Shanghai Banking Corporation. The Bursar, University of Hong Kong Other

1,000.00

---

1,134.75

Frt

$30,828.98

1,194.23 $30.826.98

$30.828.98

BALANCE SHEET AS AT 31ST MARCH, 1965

ASSETS

---

PPI

$18,615.10 Cash with Accountant General $13,796.43

$32.411.53

.-.

---

$32,411.53

LIABILITIES

Accumulated Fund as at 1st April, 1964 Surplus from Income and Expenditure A/C

Certified correct,

Ġ. AGABEG,

for Director of Medical & Health Services.

12th May, 1965,

CERTIFICATE OF THE DIRECTOR OF AUDIT

Certified correct.

MAURA BENDAM,

Principal Medical Social Worker, 12th May, 1965.

The above Balance Sheet and Income and Expenditure Account have been examined in accordance with Condition 5 of the Schedule to Legislative Council Resolution dated 24th May, 1950 (G.N.A. 113 of 26.5.50 as amended by G.N.A. 33 of 22.4.60). I have obtained all the informa- tion and explanations that I have required, and I certify, as a result of this audit, that in my opinion the Balance Sheet and Income and Expenditure

Account are correct.

Audit DeparÝMĚNT,

Hong Kong, 29th May, 1965,

REPORT ON THE SAMARITAN FUND 1.4.64-31.3.65

W. J. D. CoOPER, Director of Audit.

Expenditure was again kept down to a minimum during the year, and totalled $17,032.55. Unexpected donations have brought a larger income than usual to carry forward for use in the coming year, and it is therefore hoped to increase expenditure in ways which will enable patients better to obtain treatment and derive benefit from medical Instructions.

ڈا

Maura BenKAK, Principal Medical Social Worker.

GPIK

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