醫務衛生署年報 Medical and Health Department Annual Report 1965-1966

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ANNUAL

DEPARTMENTAL

REPORTS

1965-66

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for the Promotion OF TRUTH

RARY

DIRECTOR OF MEDICAL

AND HEALTH SERVICES

22501293230

HONG KONG

ANNUAL DEPARTMENTAL REPORT

BY THE

DIRECTOR OF MEDICAL AND HEALTH SERVICES

P. H. TENG, O.B.E., M.B., B.S., F.R.S.H., D.P.H., J.P.

FOR THE

FINANCIAL YEAR 1965 - 66

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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.TH 6

#77

1966

49135-13K-12/66

I. GENERAL REVIEW

CONTENTS

Paragraphs

1-5

II. PUBLIC HEALTH

Vital Statistics

Communicable Diseases

III. WORK OF THE HEALTH DIVISION

Area Health Work

Tuberculosis

Malaria Bureau

Social Hygiene Service.

Port Health

District Midwifery Service

Maternal and Child Health Services

School Health Service

6 - 11

12 - 29

31 39

40 - 41

42 - 46

47 - 48

49 50

51 - 52

School Medical Service Board

58 - 59

Dental Service

60 - 63

64 - 65

Forensic Pathology

Government Chemical Laboratory

Government Institute of Pathology

Industrial Health.

Registration of Medical Clinics

Health Education.

Fiti

66 - 69

80 - 83

84 88

IV. WORK OF THE MEDICAL DIVISION

General Remarks .

Government Hospitals.

Out-Patient Services

Specialist Services.

Radiological Services

Ophthalmology

Pharmaceutical Service .

Medical Social Work

Paragraphs

91 - 110

111

113

114

115 116

117

119

120 121

122 127

Physiotherapy

128 - 129

Occupational Therapy

Orthopaedic and Prosthetic Appliances.

130 - 133

134 - 135

Medical Examination Board.

136

Hospital Maintenance and Supply.

137 - 141

Auxiliary Medical Service

142 - 143

V. GOVERNMENT-ASSISTED HOSPITALS

VI. DEVELOPMENT

Forward Planning.

Completed Projects

Projects under construction

144 - 160

161 - 163

164 167

168 - 169

VII. TRAINING PROGRAMME

Doctors.

Dental Staff

Nurses

Health Visitors

Radiographers

Laboratory Technicians

Paragraphs

170 172

173 - 175

176. 185

Other Forms of Departmental Training

VIII. DONATIONS

IX. ACKNOWLEDGEMENT

X. MAPS

XI. STATISTICAL APPENDIX

186

187 188

189

190

. 191 - 192

. 193 - 194

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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 1965 was 3,804,300, 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 general health of the population continued to be good during the year under review despite the conditions of urban over-crowding aggravated by poor hygienic conditions in pre-war tenement and other buildings in multiple occupation and by large aggregations of squatter and roof-top dwellings. Unlike previous years however there were no water restrictions and this may have partly accounted for the fact that there was no outbreak of cholera in the period under review. A reduc- tion in the number of notifications of other enteric group of infectious diseases such as typhoid and dysentery was also recorded. The Colony was in fact free from all internationally quarantinable infectious diseases.

3. While tuberculosis remains the major public health problem in the Colony, there have been fewer deaths from this and other com- municable diseases but more from the degenerative and stress diseases such as neoplasms and cerebro-vascular accidents.

　　　4. During the year the Jockey Club Health Centre at Yuen Long and the Lady Trench Polyclinic at Tsuen Wan were opened. In addi- tion Kowloon Hospital, which had been undergoing renovation, started full-scale operation in its new role as a Tuberculosis Hospital and a convalescent annex to the Queen Elizabeth Hospital. These completed projects were all parts of the Long Term Development Programme of Medical Services in Hong Kong.

5. 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 the major voluntary agencies which receive. either capital and/or recurrent subventions from Government for the support of their medical activities. Detailed 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 58.

II. PUBLIC HEALTH

VITAL STATISTICS

(See tables 6-11)

　6. Both the live birth rate and the crude death rate continued to decline. The latter, at 4.7 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 84,574, over five thousand less than the previous year.

7. 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 first two of these rates are illustrated in Figure 1.

100

RATE PER 1,000 LIVE BIRTHS

学

FIGURE 1

INFANT AND NEO-NATAL MORTALITY 1951-1965

INFANT

NEO-NATAL

$1 52 53 54 55 56 57 58 59 60 61 62 63 64 65

YEAR

100

Infant Mortality

8. The steady decline in infantile mortality has been due to improve. ment in environmental conditions and better control of the preventable diseases of later infancy, particularly of bronchopneumonia, gastro- enteritis and tuberculosis; in addition, improvements in the midwifery

and maternal health services are gradually reducing the dangers of prematurity. As has been the experience 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

9. Here also the statistics pertaining to Hong Kong are now approaching the standards prevailing in the developed countries of the world. Toxaemias and haemorrhages of pregnancy were the principal fatal complications, but there have been marked reductions in deaths from these causes during recent years. There was a general overall reduction in morbidity of pathological conditions associated with preg- nancy and child birth.

General Mortality

　　　10. 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

PERCENTAGE OF TOTAL DEATHS

❤

FIGURE 2

MAJOR TRENDS IN MORTALITY 1950-1965

.......

1950 51 52

RESPIRATORY INFECTIOUS INTESTINAL

CIRCULATORY SYSTEM NEOPLASTIC

NERVOUS SYSTEM

酱 37 58

YEAR

بيا

宝

***

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

　11. 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 13.6 deaths per 100,000 in 1965, a rate of increase which is more than twice that observed in respect of other neoplastic diseases.

COMMUNICABLE DISEASES (See tables 12-15)

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

2.500

FIGURE )

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1951-1965

2,000-

1,500

CASES REPORTED PER ANNUM

1,000

500

***

1931

DIPHTHERIA

BACILLARY

DYSENTERY

想 59 60 61

YEAR

ENTERIC

FEVER

POLIOMYELITIS

diseases during 1965 was approximately 2,000 more than in the previous year, the increase being merely due to a steep rise in the notifications of measles, which occurred in epidemic form in the early part of the year. There was also a small rise in the number of poliomyelitis, chickenpox and whooping cough cases.

Cholera

　　　13. For the first time in five years no case of cholera was recorded in the Colony. In view of the continuing incidence of the disease in nearby countries, however, special preventive measures were taken throughout the year and strict quarantine restrictions were maintained in respect of countries which declared themselves infected.

　　　14. Bacteriological investigation continued to be carried out of all specimens sent to government laboratories from all cases of gastro- enteritis attending Government hospitals and clinics as well as daily sampling of night-soil and routine sampling of seawater, well water and foodstuffs liable to be involved in the transmission of the vibrio. All such samples proved to be negative, except on one occasion in January, 1966 when one of the night-soil routes on Hong Kong Island was reported infected. However, subsequent extensive investigation revealed no further positive samples. Investigation on the frequency of isolation of non-agglutinable vibrios is proceeding.

　　　15. A mass immunization campaign against cholera started in April and by the end of the year a total of 1,603,875 inoculations had been given.

Amoebiasis

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

Bacillary Dysentery

17. The incidence of this disease showed a decrease when compared with preceding years. As in previous years, the organisms commonly isolated were S. flexneri and S. sonnei.

　　　18. During investigations of the reported cases, a total of 142 symptomless carriers was discovered and appropriate treatment ad- ministered.

Chickenpox

　19. An increase in the annual incidence of this disease was recorded as a result of an outbreak which occurred in the first quarter of 1965. No death was recorded.

Diphtheria

20. 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. During the first three months of the year the incidence of diphtheria was somewhat higher than anticipated. However with the onset of cooler weather in October the usual sharp rise in the number of cases did not occur so that taking the year as a whole the annual incidence of the disease showed a further decrease. C. diphtheriae mitis remained the predominant organism; consequently most cases presented with laryngeal symptoms. Approximately 56% of cases occurred in children under the age of ten. The case fatality rate in 1965 was 6.4 per cent, partly due to the fact that a number of cases do not seek immediate medical treatment, and patients admitted into Government hospitals often give a history of having been treated by herbalists in the first instance.

　21. A total of 101 carriers was discovered amongst contacts of reported cases; each was treated and, if necessary, isolated until proved free of infection.

Enteric Fever

　22. Typhoid fever showed a very considerable decrease compared with 1964 and preceding years. This disease in Hong Kong is generally associated with neglect in personal and community hygiene and its decrease is probably connected with the continuous water supply available throughout the year. Free inoculation is offered and the usual control measures are enforced with special attention to the detec- tion of carriers among food handlers.

Measles

　23. In Hong Kong, as in nearby countries, this disease occurs in large numbers. The incidence of the disease tends to rise every two years as a wave of infection spreading throughout susceptible children

CASES NOTIFIED

　　aged 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. Thereafter incidence of the disease began to decline. The mortality, due to complicating advanced bronchopneumonia, remained relatively low. The true value of the recorded mortality is difficult to assess as related to incidence, as notification tends to be limited to those severe cases which merit hospital admission. Furthermore a proportion of such cases only enter hospital after the onset of complications.

Poliomyelitis

24. This disease, which had shown a low incidence since a wide- spread immunization campaign using oral vaccine was carried out early in 1963, increased during the year. The increase was largely due to an outbreak of Type I infection which occurred mainly in the northern part of Kowloon and in Tsuen Wan during March, April and May (Fig. 4). Approximately half of all children born between the age of 3 months and 1 year received anti-poliomyelitis vaccine at Maternal and Child Health Centres and general campaigns are held yearly in an attempt to immunize the remainder.

FIGURE 4

POLIOMYELITIS 1959-1965

304

AVERAGE 1959-1963

1964

1965

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

25. Virological investigation of the disease is maintained on a routine and year-round basis. Poliomyelitis virus Type I was the predominant causative agent in clinical cases and only 1 case of Type II and 6 cases of Type III were encountered. A comparatively poor rise in Type I antibody in children following vaccination, prompted a variation in December 1964 in the composition of the trivalent vaccine used (the new formula containing 1057 TCID 50 of Type I, 105 of Type II and 1055 of Type III compared with the old formula which contained an equal amount, 1053 TCID 50, of the three poliovirus types) and the commencement of a programme of administration of Type I vaccine soon after birth. Serological study showed that a single dose of Type I soon after birth was valuable as an adjunct to a later programme of two doses of the trivalent vaccine. This new programme succeeded in provoking a better immunological response to Type I poliovirus in a higher percentage of infants and an equally good response to Type II and Type III polioviruses. This method came into general use immediately after the close of the period under review, and it is hoped that its success will be reflected in future epidemiological statistics.

Influenza

26. 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. A limited outbreak of influenza was recorded in February March 1966. The causative agent was found to be mainly influenza A2 virus, but a few isolates of influenza B virus were also obtained. Comparative antigenic studies carried out by the World Influenza Centre showed that the Hong Kong influenza A2 strains were more closely related to recently isolated influenza A2 variants than to the original 1957 strain, and that the Hong Kong influenza B strains were very similar to the B/England/5/66 strain.

Tetanus

27. This disease, although not notifiable, is recorded with reasonable accuracy owing to the severity of the symptoms in clinical cases thus bringing this to the notice of the Medical Services. In past years, approximately half the cases reported were newborn 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 1965, tetanus neonatorum was respon- sible for only one-third of the recorded cases of the disease and that the infantile mortality from such infection was 0.17 deaths per 1,000 live births as compared with 0.25 deaths per 1,000 in 1964 and 1.2 deaths per 1,000 in 1951.

Viral Hepatitis

28. Notification of this disease is not compulsory. While the figures recorded for the period under review are therefore not strictly com- parable with those of previous years, there was an impression of a rise in the incidence of the disease during the first three months of 1966.

　　　29. Developments in certain other communicable diseases are re- viewed later in this report while the remainder showed little variation during 1965 and hence require no comment.

III. WORK OF THE HEALTH DIVISIÓN

AREA HEALTH WORK

30. 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 com- municable diseases but also the co-ordination of the activities of teams of inoculators 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 1966, traditionally an auspicious time for receiv ing 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 com- munity protection against the disease.

TUBERCULOSIS

(See tables 16-22)

31. As stated previously, tuberculosis is the major health problem of Hong Kong, the estimated incidence of 1.5 per cent of adults with active disease still being amongst the highest in the world. The magni- tude 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. This policy is also important for economic reasons as persons suffering from the disease will be reluctant to seek treatment if prolonged periods of hospitalization with con- sequent loss of income are necessary.

32. The policy for control of the disease has been to protect, by vaccination with B.C.G., those most vulnerable to serious post-primary manifestations, to provide out-patient facilities for the ambulatory treatment of as many tuberculosis patients as possible and to reserve the limited hospital accommodation for patients not responding to ambulatory treatment or in need of surgical intervention. In the execu- tion of this policy there has been a high degree of co-operation between Government and voluntary agencies concerned with the problem, partic- ularly the Hong Kong Anti-Tuberculosis Association. The Government Tuberculosis Service maintains the B.C.G. vaccination and out-patient treatment programmes while the voluntary agencies, aided by sub- stantial Government subventions maintain most of the hospitals. To ensure the maximum co-operation and co-ordination a Committee which includes representatives of all the main organizations engaged in anti-tuberculosis work in Hong Kong meets regularly once every two months under the Chairmanship of the Deputy Director (Health). The formation of this Committee was in accordance with one of the 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. The remaining recommendations made in the report were studied by a small group under the Chairmanship of Dr. the Hon. Sir Albert RODRIGUES, Kt., C.B.E. and including representatives of Government, the University of Hong Kong and the Hong Kong Anti-Tuberculosis Association. The report of this group was presented to the Medical Advisory Board in January 1965 and was subsequently submitted to Government. Some of the recommendations are in process of implementation while the remainder are being closely studied.

Mortality

33. The death rates from all forms of tuberculosis continued the decline shown in past years, and the trends since 1951 are illustrated in Figure 5.

FIGURE S

TUBERCULOSIS MORTALITY & B.C.G. VACCINATION OF NEW-BORN

1951-1965

(MORTALITY RATES EXPRESSED AS PERCENTAGE OF 1951 RATES)

PERCENTAGE

100

B.C.G. VACCINATION

OF ALL NEW-BORN IN INSTITUTIONS.

TOTAL MORTALITY

INFANTILE MORTALITY

1951 52 53 54 55 56 57 58 59 60 61 62 63 64 65

YEAR

34. Infantile mortality rate from the disease has shown an even more impressive reduction than the overall rate; it is believed that this is attributable, at 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 5. The average age at death from tuberculosis has risen from 32 in 1956 to 49 in 1965. Detailed analyses of the changes taking place in mortality from tuber- culosis of various ages are presented in Figure 6.

600

FIGURE 6

•

TUBERCULOSIS MORTALITY BY AGE & SEX 1956 & 1965

DEATHS PER 100,000 IN AGE GROUP

500

400

300

200

100

www

MALE

1956

***

/MALE

1965

'FEMALE

1956

FEMALE 1965

5- 10- 15

20- 25-

30- 35- 40 45-50-

AGE GROUP

53. 60-

65 1.

Morbidity

35. Notifications of tuberculosis have fluctuated between 12,000 and 15,000 during the previous 10 years, but 1965 showed a welcome fall to 9,927. Due to the increase in population, the rate of such notifica- tions per unit of population has shown a steady downward trend and this fall was accentuated in 1965. Figure 7 shows the changes which have taken place in the age and sex specific morbidity rates (as meas- ured by notifications). It will be seen that there have been marked reductions in incidence of the disease 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 oldest groups there has been an actual increase in the morbidity. The relative susceptibility of males, except in childhood, corresponds with the well-documented pattern recorded elsewhere in the world.

MORBIDITY PER 100,000 IN AGE GROUP

1,200

FIGURE 7

TUBERCULOSIS MORBIDITY 1956 & 1965

(AS MEASURED BY NOTIFICATIONS)

1,000

800

600

400

200

•

MALE!

*196.5

MALE 1956

FEMALE

*1956

FEMALE

1965

0. 5 10-

10 15 20 25 30 35 40 45..

―

45.- 50

55 60 65-|-

AGE GROUP

Work of the Government Tuberculosis Service

36. The Government Chest Clinics provide ambulatory chemo- therapy services for the great majority of cases of tuberculosis presenting, hospital admission being reserved for patients requiring specialized surgical, orthopaedic 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 em- ployees and prisoners, in co-operation with the Radiological Service. In certain cases where the family depend on the patient's earnings and no other way can be found to maintain the dependants during his hospitalization, a regular financial grant can be made.

37. With the gradual decline in the number of attendances, increas- ing attention is being paid to the public health aspect of tuberculosis. During the year one Health Sister and six Health Visitors were posted to the Tuberculosis Service to supervise the work of a total of 58 Tuberculosis Workers whose duties consist of contact tracing and home visiting. It is hoped that this measure will ensure a decrease in the defaulter rate amongst those attending for out-patient treatment and that appropriate emphasis will be placed on the examination of contacts.

38. The high incidence of primary and secondary drug resistance in Hong Kong has been demonstrated by research undertaken in conjunc- tion with the Medical Research Council in Britain, 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 inves- tigated showing a resistance to one or more of the first line drugs. commonly used in ambulatory chemotherapy. A register of resistant cases was kept at the main clinics. During the year a total of 917 cases were registered, of which 764 were bacteriologically resistant to at least one drug, and these patients were entered on the waiting list for admis- sion to hospital for treatment with 'second-line' drugs.

39. The work of hospitals dealing with tuberculosis cases is re- viewed elsewhere in this report.

MALARIA BUREAU

(See table 23)

40. The Malaria Bureau continued routine control operations for the protection of the population in Hong Kong Island, the urban area of Kowloon and also in certain circumscribed rural areas of the New Territories. The cost of control measures during the year was 38 cents per head of population protected. With a view to assessing the degree of malaria endemicity in the unprotected areas, malariometric, mosquito and parasite surveys were also pursued by field and laboratory staff.

41. The incidence of malaria continued to decline, notifications being approximately eighty per cent of those in 1964. The results of anti-larval operations, as checked by routine adult mosquito catches and larval collections, were satisfactory and the incidence of natural malaria transmission in the controlled areas continued to be virtually

nil. Arrangements were made to transfer the functions of the Malaria Bureau to the Urban Services Department with effect from 1st April, 1966.

SOCIAL HYGIENE SERVICE

(See tables 24-28)

Venereal Diseases

42. The incidence of early infectious syphilis showed a reduction in 1965. It is gratifying to note that this marked the second consecutive year of reduction. The number of latent syphilitic cases showed a slight increase while the incidence of gonorrhoea was about the same as in the previous year. 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 ten years are illustrated in Figures 8 to 10.

4,000

TOTAL CASES

3.000-

2,000

1,000

FIGURE 8

SYPHILIS 1956-1965

160

INCIDENCE RATE

CASES

140

-120

1956

62 63 64 65

100

INCIDENCE RATE PER 100,000 POPULATION OVER AGE 15

寫

-20

TOTAL CASES

250

200

150

100

TIGURI. 9

INFECTIOUS SYPHILIS 1956-1965

INCIDENCE RATE

CASES

1956 57 58

59 60

12,000

FIGURE 10

GONORRHOEA 1956-1965

11,000

10,000

9,000

3,000

7,000

6,000

5,000-

4,000

3.000

2,000

1.000

1956 $7

500

INCIDENCE RATE:

CASES

100

300

-200

1:00

INCIDENCE RATE PER 100,000 POPULATION OVER AGE IS

INCIDENCE RATE PER 100,000 POPULATION OVER AGU 15

　　　43. Case finding continued at a high level, particularly in ante-natal cases where an initial positive serology rate of 2.2% was observed, which, after further investigations, showed that 1.3% of the ante-natal cases were suffering from syphilis. Contact tracing, particularly of infectious syphilis, was continued.

Leprosy

　　　44. New cases of leprosy treated numbered 217, representing a rate of 5.7 per 100,000 of population which is the lowest recorded since 1959. Tuberculoid manifestations predominated, the ratio of these to lepromatous cases being 1.7:1.0. Of the infectious cases, 95 were admitted to Hay Ling Chau Leprosarium (Island of Happy Healing) maintained by the Leprosy Mission-Hong Kong Auxiliary, with whom the Social Hygiene Service maintains close liaison.

　　　45. 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 dis- abilities in tuberculoid cases. In June 1965 the Leprosy Ordinance was repealed and accompanying legislative measures added leprosy to the statutory list of notifiable infectious disease. It is no longer regarded as a disease calling for special discriminatory measures against affected persons.

Dermatology

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

PORT HEALTH

(See table 29)

47. 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 regular exchange of epidemi- ological information with the World Health Organization as well as with ports and airports in other countries.

48. With the increasing importance of Hong Kong as a tourist and an international transit centre, the work of the Service has gradually increased during the recent years. The increase of shipping entering the port has resulted in an extension of the quarantine service to give a full 24 hours daily cover. This service also pays special attention to travellers from nearby ports of Macao and Kwangtung province and to vessels from plague infected regions.

DISTRICT MIDWIFERY SERVICES

(See table 30)

49. Owing to the difficulties of domiciliary delivery under existing housing conditions, it has been the Department's policy to provide maternity beds in Health Centres. Approximately 98.36% of births took place in institutions, either hospitals or maternity homes. It is of interest that 20.35% of all births were in maternity centres attached to Government clinics and 33.34% were attended by midwives in private practice. The remainder of the above mentioned 98.36% of births took place in Government, Government subsidized and private hospitals.

50. Early this year, one new Government centre with 24 maternity beds was opened in Yuen Long in the New Territories while the maternity home in the old premises was closed. This resulted in an increase of 17 maternity beds. During the year, the domiciliary centres in Kowloon City and Shek Kip Mei were closed on account of the small number of domiciliary cases.

MATERNAL AND CHILD HEALTH SERVICES

(See tables 31-32)

51. There is increasing public appreciation of the value of these services in the maintenance of health amongst infants and expectant and nursing mothers, and 63.1% of children born attended a Centre on at least one occasion; the corresponding figure for 1964 was 53.6%. Only 0.13% 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 increas- ing 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.

　　　52. The subsidiary centre in Tsuen Wan in the New Territories was replaced by a full time one and the subsidiary centre in Yuen Long has been transferred to the new Yuen Long Health Centre in the New Territories. A new subsidiary centre was opened in Sha Tau Kok in the New Territories.

SCHOOL HEALTH SERVICES

53. The Medical and Health Department provides an advisory service to the Education Department on matters relating mainly to the environmental health and hygiene in schools.

54. Inspection of schools is carried out by School Health Inspectors with special regard to lighting, ventilation and sanitary arrangements.

55. Immunization against Diphtheria, Cholera and Smallpox was carried out in the schools during the year by staff attached to the Area Health Officers.

　　　56. Tuberculin testing was carried out in students of primary 1 and 6 and form V classes by School Health Staff vaccinators and B.C.G. vaccine given where necessary. Positive reactors with a reading of over 15 mm were submitted to X-ray examination and further investigation of 465 pupils examined radiologically, 25 were found to have active tuberculosis and were given treatment. Health Visitors from the School Health Service paid initial home visits to these pupils, and such further visits as were considered necessary.

　　　57. In the field of Health Education 2 Health Visitors gave talks on health and hygiene and organized first-aid classes in schools.

SCHOOL MEDICAL SERVICE BOARD

(See table 33)

　　　58. The School Medical Service which commenced in September, 1964, is administered by the School Medical Service Board, an inde- pendent body incorporated by Ordinance, and operated by private medical practitioners. Remuneration 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 for the administrative expenses of the Board for each participant.

59. There was a decline in the enrolment of pupils in the service. By the end of the year under review, 50,394 students from 517 schools

were enrolled in the service compared with nearly 82,000 pupils from 485 schools in the preceding year. The number of private practitioners participating in the scheme was 250.

DENTAL SERVICE

(See table 34)

60. The Dental Service provides dental care for Government Officers and dependants, limited specialized treatment for in-patients of Govern. ment Hospitals and for prisoners, and emergency treatment for members of the general public.

61. In February two dental clinics of two surgeries each were opened as parts of the Royal Hong Kong Jockey Club Health Centre at Yuen Long and the Lady Trench Polyclinic in Tsuen Wan.

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

63. 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 again 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 employ- ment and evening classes are held in the Hong Kong Technical College for technicians in private employment. Two dental surgery assistants were sent to Penang under scholarships awarded by the World Health Organization for training in dental nursing.

FORENSIC PATHOLOGY

(See tables 35-36)

64. 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.

65. One major disaster from an air crash resulted in 58 deaths while disasters from typhoon, landslides and fire accounted for another 17.

GOVERNMENT CHEMICAL LABORATORY

(See table 41)

66. The work of the laboratory remained at a high level in spite of the removal of the section dealing with water and waterworks chemicals to the new Public Works Department laboratory.

67. The largest number of samples were narcotics received for examination and certification under the Dangerous Drugs Ordinance. A feature of the year's work was the examination of over 6,000 lbs. of raw opium, more than four times the amount dealt with in the previous year.

68, Examination of dutiable commodities, which represent the next largest category of substances submitted, went on much as in previous years, but two new projects were the investigation of the composition of tobacco waste, which is related to the drawback of duty granted to exported cigarettes, and the investigation of yields from local distilleries.

69. Work under the Public Health and Urban Services Ordinance was concerned with the routine examination of foods to ensure that they complied with existing legislation. Concern over the possible presence of aflatoxin followed by check analyses of these products at regular intervals. A number of analyses were made of locally manufac- tured prepacked articles intended for infant feeding and which were found to have made extravagent claims for their nutritive value.

GOVERNMENT INSTITUTE OF PATHOLOGY

(See tables 37-40)

70. 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 increasing number of investigations which totalled 1,128,385, an increase of about 7.5% over the pervious year. The laboratory at Queen Elizabeth Hospital is now in full operation and even without a cholera outbreak in 1965, the number of investigations showed a steady increase. With the opening of the new laboratory on 1st April, 1966 at Kowloon Hospital which will deal with public health investigations, the routine clinical pathology services for Queen Elizabeth Hospital will not be affected to an appreciable extent should an epidemic involving the services of the public health laboratory occur. Work arising from Queen Mary Hospital on pathology, clinical biochemistry and bacteriology is under-

taken by the University Department of Pathology which was subvented by Government up to $600,000 for the year under review.

Bacteriology

71. Apart from routine clinical work, the year-round monitoring of nightsoil and of cases of gastro-enteritis for cholera vibrios continued. Other projects included studies of the characteristics and distribution of non-agglutinable vibrios and testing of anti-tuberculosis drug sensi- tivity which included the thiacetazone investigation, a joint under- taking between the Medical Research Council and the Hong Kong Government.

Clinical Pathology

72. The Clinical Pathology Unit in Queen Elizabeth Hospital is now responsible for all types of pathological work required by the clinical units. There has been a steady increase in the number of tests and the total for 1965 was 655,296. Significant increase was noted in chemical pathology and cytological work. The acquisition of another 'Auto- analyser' has increased the efficiency of chemical pathology investiga- tions. In the field of cytology, screening and diagnosis, particularly of vaginal smears, have helped in the detection of early cervical cancer. The return of one technician trained in cytological techniques will further improve the efficiency of this service.

Haematology and Blood Banks

73. Serological studies of haptoglobin and transferrin genotypes among Cantonese in Hong Kong were carried out in collaboration with the New South Wales Red Cross Blood Transfusion Service, Sydney.

74. The Hong Kong Branch of the British Red Cross Society con- tinued to maintain a blood collection service and to distribute the blood to the blood banks at the Queen Mary and Queen Elizabeth Hospitals. Increased demands were met by an intensified campaign by the Hong Kong Branch of the Red Cross Society, which provided approximately 14,900 pints--an increase of 3.700 pints over the pre- vious 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 from local Chinese residents. However, despite all these efforts, shortage of blood remained a problem.

Virology

75. The Virus Laboratory is equipped mainly for diagnostic and survey work in connexion with entero-and respiratory viruses. A preliminary arborvirus serological survey was undertaken during the year.

76. Routine identification of poliovirus and the conduct of sero- logical surveys to assess the effects of the oral vaccination campaign was carried out. A comparatively poor rise in Type 1 antibody following vaccination prompted an alteration in the composition of the trivalent vaccine used and the administration of Type 1 vaccine soon after birth. The serological response to one dose of Type 1, 4-7 days after birth and followed by two doses of trivalent vaccine indicated 97-99% response to all three types. This method has been adopted for im munization and further assessment on a larger scale will be carried out. (See paragraph 25).

77. An outbreak of influenza was recorded in February-March, 1966. The causative type was mainly influenza A 2 virus, but a few isolates of influenza B virus were also obtained. (See paragraph 26).

78. A preliminary arborvirus survey using haemagglutination- inhibition test revealed findings indicating that group B arborviruses have been prevalent in Hong Kong.

Parasitology

79. Clonorchis sinensis infestation of the intrahepatic bile ducts still remains a problem and recent study showed that these worms also migrated into the pancreatic ducts. A close study of the pancreatic changes due to Clonorchis sinensis infestation has been made. The first recorded case of hydatid disease of the liver was detected in a Chinese female, aged 39 years, native of Yuen Long.

INDUSTRIAL HEALTH

(See table 42)

80. Field surveys both clinical and environmental were undertaken by the Industrial Health Division of the Labour Department, which is staffed by officers seconded from the Medical and Health Department. Environmental aspects investigated were:-benzene and toluene in paint and varnish factories, dust in quarries, carbon monoxide in underground junction vaults, chromic acid mist in electroplating works,

lead fume from soldering processes, and explosive gases in wells. Clinical surveys were carried out into the incidence of silicosis and byssinosis in private quarries and cotton mills respectively.

81. With the opening of the Industrial Hygiene Laboratory at Kowloon Hospital in November 1965, the monitoring of a number of groups of workers has been established on a regular basis. This now includes the examination (blood and urine) of several groups of lead workers, urinalysis of fluoride workers and blood examination of radiation workers. Clinical examination of groups of workers at risk was also instituted on a regular basis during the year and this service was offered to workers handling tar, pitch and bitumen in Government service and in private industry, as well as to radiation and lead workers. A hearing conservation programme was also begun on selected groups of Marine policemen.

82. Towards the end of the period under review, Health Visitors were attached to the Casualty Departments of the major Government hospitals. This has greatly facilitated the case work involved under the Workmen's Compensation Ordinance and has already proved of benefit to both injured persons and employers alike as well as to the various sections administering this work.

83. The question of consumer protection arose again following the United States of America's ban on the import of Hong Kong-made plastic drink coolers the quality of the water in which was considered suspicious. The Industrial Health Officer was appointed to liaise between the Department of Commerce and Industry on the one hand and the Chemical Laboratory and Pathological Institute of the Medical and Health Department on the other, in order to determine which samples should be submitted for chemical or bacteriological analysis and to advise on the health hazards involved.

REGISTRATION OF MEDICAL CLINICS

(See table 43)

84. Only a few new applications for registration of clinics under the Medical Clinics Ordinance of 1963 were received during the year and on 31st December, 1965, 80 clinics were registered and in charge of registered medical practitioners, and 387 clinics were registered with exemption and were for the most part in charge of unregistered doctors.

85. As on 31st December, 1965, 233 clinics had been refused registration. A total of 249 petitions to the Governor in Council appeal-

ing against refusal of registration were lodged. Five petitions in respect of 6 clinics were allowed, the reasons being that these clinics were able to provide evidence proving their existence prior to the 5th of September of 1963 and the unregistered doctors in 4 of these clinics. had been approved at the clinical interview, conducted by a Panel of Specialists.

　　　86. Two Medical Inspectors of Clinics, appointed in December, 1964 continued throughout the year to make regular inspections of all clinics whose names appeared on the Register. In general, defects of a minor nature were remedied after advice had been given by the Medical Inspectors, but as a result of inspections and of complaints made, the Registrar found it necessary to cancel a total of 6 clinic registrations.

　　　87. In the spring of 1965 the Police in conjunction with the Medical Inspectors started taking action to ensure that clinics in respect of which registration was refused and appeals dismissed, had closed. By 31st December, 1965, 20 persons had been convicted of taking part in the management of unregistered clinics, a total of 14 clinics being involved, and of other related offences. An Advisory Committee on Clinics, under the Chairmanship of the Honourable Dhun RUTTONJEE, C.B.E., J.P., was appointed in June 1965, with the following terms of reference:

　'To review the operation of clinics registered (or registered with exemption) under the Medical Clinics Ordinance 1963, and, bearing in mind particularly Section 8(6) thereof, to make such recom- mendations as to changes in the law or in its administration as the public interest requires.'

　　　88. The Committee held its first meeting on 5th July, 1965, and submitted its report and recommendations to His Excellency the Governor on 19th March, 1966. These are now under consideration by Government.

HEALTH EDUCATION

　　　89. A better appreciation by the Colony's population of the basic principles of personal and 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 Fourth Kai Fong Health Education Exhibition in July-August, 1965, by producing displays on various aspects of preventive medicine.

IV. WORK OF THE MEDICAL DIVISION

(See tables 44-47)

90. At the end of 1965, there was a total of 12,657 beds available in all hospitals in Hong Kong excluding those hospitals maintained by Her Majesty's Armed Forces. This total includes the Kowloon Hospital where further renovation was carried out during the year. An additional 519 beds in private maternity and nursing homes were also available. Development over the past 10 years is illustrated in Figure 11 and it is a mark of Hong Kong's achievement to record that the total of 13,176 beds represents an increase of slightly more than 200% over the bed provision in 1950.

HOSPITAL BEDS

12000

10,000

3.000

6.000

4000

1000

TIGIRI ||

HOSPITAL BIDS 1956 1965

TOTAL

GOY F-ASSISTEIX

GOVERNMENT

PRIVATI

اربة

41 42 43

YEAR

€

QUEEN MARY HOSPITAL

(See table 48)

91. This hospital built in 1937, 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

- 17

法

Jockey Club Health

Centre, Yuen Long

opened On 3rd February, 1966.

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的方法

A Health Visitor at work in the demonstration room at onc of the Maternal and Child Health Sessions in the Jockey Club Health Centre, Yuen Long.

LAMI TRAJ

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Lady Trench Polyclinic, Tsuen Wan opened on 16th February, 1966.

Waiting Hall at the Lady Trench Polyclinic, Tsuen Wan.

A child receiving his vaccine on a lump of sugar from a nurse at one of the centres during the Anti-Poliomyelitis Campaign.

A nurse organizing a queue of Hakka mothers outside the consulting room of the floating clinic "Chee Wan',

A Health Visitor giving a health to a group of villagers.

talk

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

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.

　　　92. During the year construction work continued on the 6-storey professorial suite, the 7-storey block containing operating theatres and specialized services, the greatly-expanded radiodiagnostic department, the radiotherapy department and new accommodation for nurses, housemen, doctors and for the Nurses Training School. Plans were also made, on the completion of these extensions, to alter the existing main hospital building so as to provide a total of 1,080 beds by the end of 1967 and to set up an intensive care unit, and an acute psychiatric ward to improve the facilities of the hospital as a teaching and specialized institution. In spite of the magnitude of these developments, careful planning continued to prevent direct interruption of hospital routine although interference and considerable disturbance to both staff and patients was unavoidably caused by noise and vibration.

QUEEN ELIZABETH HOSPITAL

(See tables 49-50)

kind in the Common-

　　　93. This hospital, the largest hospital of its wealth, serves a population of approximately 2 million people living in Kowloon and the New Territories as a medical centre for emergency and specialist care.

94. During its second year of operation, attendances at the Casualty Department dropped by 4.3% compared with the previous year. Of these attendances, 45% were due to trauma, the main causes being, in order of frequency, domestic, industrial and assault cases. 24.6% of all the cases seen in Casualty Department required immediate admission to hospital and 6.6% were referred for admission to other hospitals such as Kwong Wah Hospital and Lai Chi Kok Hospital. (Please see paragraph 146 below for details of operation of the Casualty Depart- ment of the Kwong Wah Hospital).

95. The average time spent in the Hospital by each in-patient was 8.7 days. Once tided over the acute episode of the illness, patients are either discharged or transferred to Kowloon or Lai Chi Kok Hospitals for convalescence. Pressure on the Orthopaedic Wards, which built up rapidly in mid-1964, was abated due to additional number of con- valescent beds being available at Kowloon Hospital.

KOWLOON HOSPITAL

96. With the completion of renovation of the hospital premises towards the end of 1965, a total of 500 beds in Kowloon Hospital was ready for use by February 1966 with fully equipped facilities and staff. 332 of the Kowloon Hospital beds provided subsidiary accommodation for Queen Elizabeth Hospital, catering for convalescent patients and those in need of rehabilitation. The medical supervision is provided by the various specialist Units of Queen Elizabeth Hospital.

97. A long term design for establishing a Chest Centre at Kowloon Hospital has been achieved with the opening of the Pulmonary Tuber- culosis Unit in September 1965 and the transfer of the Thoracic Surgical Unit from Queen Elizabeth Hospital in February 1966. These 2 units have a total of 168 beds. Apart from treating patients suffering from pulmonary tuberculosis, the work of these 2 units includes also other aspects of cardio-thoracic surgery and non-tuberculosis chest disease.

TSAN YUK HOSPITAL

(See table 51)

98. 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 first trained as general nurses.

99. Approximately 93.97% of admissions were cases registered at the hospital ante-natal clinic, and were in the main primiparae and multigravidae requiring specialist care; the remainder of the admissions were emergency cases referred from other sources. In spite of this high rate of abnormal admissions, only six maternal deaths were recorded, the causes of which were:-2 cases of acute heart failure, 2 cases of hepatic failure, one case of pulmonary embolism and one case of post- partum haemorrhage which had died before arrival.

MENTAL HEALTH SERVICE

Castle Peak Hospital (See table 52)

100. This hospital for psychiatric patients of 1,119 beds was required to accommodate 1,407 patients at the end of the year. Work has been started on the construction of two new ward blocks (to be completed by July 1966) to provide an additional 240 beds.

101. All forms of treatment continued to be used with the exception of deep insulin coma and psychosurgery which were replaced by psychotropic drugs. The latter therapy constituted the most important single factor in the reduction of length of stay of hospitalized patients and the prevention of relapse after discharge.

102. Increasing efforts were made to rehabilitate the long-stay and grossly mentally handicapped patients, the aim being to make them fit to earn their living. Two wards accommodating up to 130 patients were specially set up for this purpose. The usual therapeutic measures including occupational therapy, group therapy and re-education were intensively used but emphasis was placed on training in activities having a direct bearing on their work after leaving hospital. By these means a number of patients of poor prognosis were discharged to earn their living outside.

Day Hospital and Psychiatric Clinics (See table 53)

103. Work in the out-patient centres continued to increase and it was found necessary to run the Tsim Sha Tsui Psychiatric Clinic full- time. In addition to these clinics, psychiatric services are provided for the Psychiatric Observation Unit in Victoria Remand Prison.

104. The New Life Psychiatric Rehabilitation Association (formerly the New Life Mutual Aid Club) consisting of discharged patients and their relatives continued to expand its activities with the guidance and moral support of the Mental Health Service. The main project of the Association was the 'half-way house' at the Association's premises in Kowloon in which a total of 94 patients, either homeless or rejected by their families, were accommodated after their discharge from Castle Peak Hospital. The average period of stay for each resident was three months.

Drug Addiction Treatment Centre (See table 54)

105. This centre, opened in March 1961 and situated in Castle Peak Hospital, continued to provide treatment on a voluntary basis for male drug addicts up to November 1965 when it was closed down, following the completion of direct admission facilities at Shek Kwu Chau, and all drug addiction patients, including Government officers, at Castle Peak, were transferred to Shek Kwu Chau for treatment. Shek Kwu Chau is maintained by the Society for the Aid and Rehabilitation of Drug Addicts.

106. No new features in therapy were recorded. Oral methadone continued to be administered during the acute phase of withdrawal, and proved just as effective as when given parenterally.

INFECTIOUS DISEASES HOSPITALS

107. 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.

108. The general pattern of admissions followed that experienced in previous years with certain fluctuations. There was a reduction in the number of admissions of diphtheria cases during the winter months of 1965-1966 as compared with the previous year. There was an increase in the number of cases of acute anterior poliomyelitis, mainly in Kowloon.

109. Typhoid admissions showed a reduction. The disease occurs mainly amongst children and adolescents and is very often of a mild character. A reduction in the number of admissions of bacillary dysen- tery cases was also recorded. The disease is generally mild in nature but many of the organisms are resistant to the more common antibiotics.

OTHER GOVERNMENT HOSPITALS

110. 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 Lantau Island; and four hospitals within prison compounds at Stanley Prison, Victoria Prison, Lai Chi Kok Female Prison and at the Tai Lam Prison for convicted drug addicts.

OUT-PATIENT SERVICES

(See tables 55-57)

111. Pressure remained heavy throughout the year on all 40 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 12.

NO. OF ATTENDANCES IN MILLIONS

FIGURE 12

OUT-PATIENT ATTENDANCES 1956-1965

TOTAL

'TOTAL ATIUNDANCIS

NEW ATTENDANCES

心

1956 57

YEAR

112. New facilities which became available during the year are detailed in paragraphs 164 to 167 of this report.

113. 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 seven clinics in the more densely-populated areas. The more remote areas of the New Territories continued to be served by two mobile dispensaries and two 'floating clinics'. The 'flying doctor' service to more isolated and inaccessible villages was temporarily interrupted during the year due to lack of helicopters, but was resumed in September.

SPECIALIST SERVICES

114. There are Government Specialist Clinical Units in 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. A number of Government Specialists act as Honorary Consultants to the Tung Wah Group of Hospitals and others serve as part-time lecturers in the University clinical departments.

RADIOLOGICAL SERVICES

(See tables 58-59)

115. The Medical Department Institute of Radiology operates a service consisting of Radiodiagnosis, Radiotherapy, Radiation Physics and Clinical Photography. It serves mainly Government institutions but free consultant services are available to the Tung Wah Group of Hospitals and the Pok Oi Hospital in the New Territories. Consultant services are also available to medical practitioners in private practice on payment of a fee to Government. The institute also maintains a radiation monitoring and protection service for the Colony and under- takes teaching of medical students of the University of Hong Kong in the fundamentals of radiodiagnosis and radiotherapy.

116. With the enactment of the Regulations of the Radiation Ordinance on 1st October, 1965, a programme of inspection of premises including hospitals where irradiating apparatus and radioactive sub- stances were used by registered medical and dental practitioners outside Government service for medical purposes was commenced. A number of factories employing irradiating apparatus or radioactive substances for industrial use were also visited. At the time of these visits advice for the improvement of radiation protection facilities where required was given and this was followed by subsequent visits to ensure that the improvements suggested had been carried out before a licence to use the irradiating apparatus or radioactive substance was issued.

OPHTHALMOLOGY

(See tables 60-61)

117. This service maintains two full-time centres with surgical facilities, one on Hong Kong Island and one in Kowloon, and in addi- tion 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 the increased availability of beds due to the opening of the Queen Elizabeth Hospital enabled waiting lists to be reduced to almost negligible proportions.

118. During the year, 467 persons were first registered as blind, a slight increase from the 423 recorded in 1964, bringing the total of blind on the register to 4,525 since the inception of the register in 1958. Of the 467 persons recorded during the year only thirty were in children under fifteen years of age. Following successful operations, some sixty-five patients were removed from the register.

119. Trends of previous years in the causation of blindness were continued, with increasing frequency of the eye diseases of advancing age and a reduction in those caused by deficiency states and trauma; 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

(See table 62)

120. This service supplies all Government medical institutions with pharmaceutical preparations, drugs, dressings, surgical instruments, medical gases, etc. In addition to the usual in-patient and out-patient dispensing services provided in hospitals and clinics, two manufacturing units are maintained, one on the island and one in Kowloon for the preparation in bulk of a wide variety of pharmaceuticals. In the two largest hospitals, sterile preparation units supply all the hospital depart- ments with their requirements for all intravenous fluids and with an extensive range of injections.

121. The Central Sterile Supply Department at Queen Elizabeth Hospital is gradually being extended to include the requirements of Kowloon Hospital. A similar department is being provided as part of the extensions to the Queen Mary Hospital. At Queen Elizabeth Hospital there was a considerable rise in items processed in this depart- ment due to a 10% increase in operations performed at the hospital.

MEDICAL SOCIAL WORK

122. The expansion of the medical services and the increasing emphasis on rehabilitation in its various aspects necessitated a large intake of new staff this year. To meet the need for training new entrants as well as for development of skills and knowledge throughout the section, a senior member of the staff was assigned to initiate a pro- gramme of staff development and student training. During the year under review 2 Medical Social Workers left for the United Kingdom

for post-graduate training and 2 others participated in the Cleveland International Programme in the United States. In staff training locally, full use has been made of Extra Mural Courses, several of which have been designed especially for social workers and the cost was met by Government. Lectures were given by the Medical Social Workers in the courses of training of nurses, physiotherapists, health visitors and medical students. In addition all possible assistance was given to the two universities in the training of university social work students.

123. In the Tuberculosis Service, the development by Health Visitors of the work concerned with the public health and preventive aspects of this disease has enabled the Medical Social Workers in this service to concentrate more on the purely social work angles. Plans are being made for greater concentration on problems of hospitalization and return to the community.

124. Work at the Kowloon Jockey Club Rehabilitation Centre has been developed during the year with the placement of two full-time Medical Social Workers at the Centre. Much of their time is spent with child patients and their parents, who need encouragement to persevere with treatment, and help and guidance in accepting permanent dis- ability. A further duty of the Medical Social Worker is to make full use, as may be appropriate in each individual case, of the considerable provision which now exists for the handicapped child in club activities, temporary hostel care and schooling.

125. Medical Social Workers in the hospitals have continued to work with patients and families throughout hospitalization towards the ultimate goal of discharge back into the community. Severe residual disabilities, particularly in such conditions as paraplegia and hemiplegia, pose serious problems. In Queen Elizabeth Hospital there was no significant change in the method of work during the year, while in Queen Mary Hospital staffing was more adequate numerically during 1965 than in 1964. The work in Kowloon Hospital resembled that in the other general hospitals, but with a greater proportion of problems relating to destitute or seriously handicapped patients for whom dis- charge plans must be made. Following a minor outbreak of poliomye- litis in Tsuen Wan, the question of sending the affected children to attend the Kowloon Physiotherapy Centre for treatment had posed a problem which led to the opening of a temporary treatment centre in Tsuen Wan.

　　　126. In the Mental Health Service the demands for fully trained Psychiatric Social Workers and the scope of work at Castle Peak Hospital remain great. The development of rehabilitation measures for patients of long standing adds to the demands.

127. In the leprosy service co-operation with the Hay Ling Chau Leprosarium was maintained, and arrangements for resettling selected cases have been improved, decisions being taken by a Committee on which a Medical Social Worker is a member. In the fields of venereal diseases and dermatology, long interviews with patients were needed to release tensions and uncover hidden anxieties which play so important a part in some dermatological conditions. In other specialist sections such as ophthalmology, the Medical Social Workers worked on the referral system, and constantly pruned their activities in order to obtain the best possible results. At Tsan Yuk Hospital 73 babies were placed by the Medical Social Worker in various nurseries for a 6-week period after receiving B.C.G. while the mothers were treated for tuberculosis. A fuller investigation into post-partum sterilization, particularly of young mothers, was undertaken by the Tsan Yuk Hospital Medical Social Worker.

PHYSIOTHERAPY

(See table 63)

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

　　　129. Five students graduated from the Physiotherapy Training School in August 1965. Training at the school was recognized by the United Kingdom which is very satisfying after four years work. Even though wastage from the course has been high, it was decided to continue to run the training school, and 11 new students have been recruited.

OCCUPATIONAL THERAPY

(See table 64)

　　　130. Owing to the pressure on the acute hospitals and to the result- ing short patient-stay, the main energies of the Occupational Therapy sub-department are concentrated on 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.

131. At Castle Peak Hospital industrial 'out-work' consisting of contracts with factories, continues as a valuable adjunct to the treat- ment programme and is being expanded. Government orders for brooms and other domestic, hospital and office equipment continued. An exhibi- tion stall was erected at the Agricultural and Fisheries Department Annual Show at which finished articles were sold. In the Hong Kong Psychiatric Centre a carefully-planned programme of rehabilitation is also carried out for patients attending the centre.

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

133. The Occupational Therapy Units at Queen Elizabeth and Lai Chi Kok Hospitals continued their activities, while the work of the unit at Kowloon Hospital has expanded considerably with the re-opening of all wards. Orthopaedic patients constitute the larger percentage of the cases treated, but in addition treatment was provided for general medical, dermatological, burns, neurosurgical and radio-therapy cases.

ORTHOPAEDIC AND PROSTHETIC APPLIANCES

134. The production of appliances rose by 29 per cent during the year to a total of 2,018 as compared with 1,561 in 1964. In spite of this, output still falls somewhat short of demand.

135. The research projects under study in the previous year were completed satisfactorily and are now standard procedures in the Unit. Further work has been undertaken in the design of a temporary prosthesis and two satisfactory designs have been produced, making it possible to supply an above or below knee amputee with a temporary prosthesis within 24 hours. In previous years, work has been directed mainly to the problems of the lower extremity. Study is now being directed to the upper extremity, particularly with regard to the design of temporary prosthesis, fitting of very short above and below elbow stumps, and appliances for deformities of the hand.

MEDICAL EXAMINATION BOARD

(See tables 65-66)

　　　136. This section performs medical examinations of new entrants to Government employment and to the Essential Service Corps. Although the numbers of persons classified as unfit on account of tuberculosis continued to fall, that disease remained the primary reason for non- acceptance of applicants on medical grounds, being responsible for twenty-five out of the thirty-one classifications as 'unfit' in each thousand examinations.

HOSPITAL MAINTENANCE AND SUPPLY

　　　137. This section, which is responsible for the routine supply and lay administration of medical institutions, experienced continued staff- ing difficulties during the year. Not only was difficulty encountered in recruiting experienced Hospital Secretaries but the wastage rate among male minor staff remained high.

138. Provision of transport services presented problems when routine requirements were augmented by the need for additional vehicles during mass immunization campaigns, and by the continued expansion of the Departmental Central Laundry. The Laundry itself has overcome most of its teething troubles and is now working to a high degree of efficiency although lack of balance in the major plant has created delays and backlogs which can be expected to continue until extra plant has been installed and the balance restored.

139. Castle Peak Hospital continued to experience minor difficulties with interruptions in water, electricity and telephone services. Installa- tion of the emergency generator and power lines has been completed and the system works well.

Staff Welfare

140. The Staff Welfare Association recorded a satisfactory year despite paucity of members. In addition to maintaining various welfare schemes and educational facilities to aid members and their families, the Association was active in a number of sporting events, including what has become an annual visit to play football against the Macau Medical Department with a return match later in the year in Hong Kong. A football competition for the Teng Shield, presented by the Director of Medical and Health Services, was successfully organized, the Shield being presented to the winning team at the Association's Annual Dinner and Presentation of Prizes.

UNICEF Assistance

141. The UNICEF-sponsored milk feeding programme continued throughout the year, a total of 107,435 lbs. of milk powder was dis- tributed to the various feeding centres of both Government and volun- tary agencies throughout the Colony.

AUXILIARY MEDICAL SERVICE

142. 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 of this strength is used to make up 43 Ambulance Depot Teams spread over 26 districts throughout the Colony. Assistance was given by members of the service during an air crash which occurred in August 1965.

143. During the year two Forward Medical Aid Units were formed and equipped. One Unit is based on Queen Elizabeth Hospital and one on Queen Mary Hospital. These Units, manned by Medical Department Staff of the Casualty Departments, assisted by A.M.S. members, can rapidly move to the scene of any disaster and set up an emergency treatment centre in the most suitable building nearby.

V. GOVERNMENT-ASSISTED HOSPITALS

(See table 67)

144. 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 5,975 beds, provide mainly subacute general beds or facilities for persons suffering from certain specific diseases or handicaps. The total Govern- ment subvention to these hospitals was estimated at over $34,000,000 recurrent and $7,000,000 special expenditure during the past financial

year.

THE TUNG WAH GROUP OF HOSPITALS

145. The Tung Wah Group of Hospitals is a long-established Chinese charitable organization and is managed by a Board of Direc tors elected annually. During recent years a programme of modern- ization and expansion has been undertaken mainly with the aid of assistance from Government in terms of personnel, especially general practitioner and consultant services, money and material, the former

amounting to over $20,000,000 recurrent and over $5,200,000 capital during the year. 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 finally completed during the year.

146. The Casualty Department at Kwong Wah Hospital was open- ed on 5th July, 1965 in order to relieve some of the heavy pressure on the Casualty Department in Queen Elizabeth Hospital and to provide additional casualty facilities for the public in Kowloon and the New Territories. The Department was staffed by nurses and Medical Officers seconded from Government. Up to the end of the year under review there were over 35,000 casualty attendances at the Department, and traumatic cases occupied 21.5% of the total attendances.

　　　　147. The need for subsidiary beds for long-term patients is one of the major aims of the Medical Development Plan, and the Group is currently undertaking two projects to provide these. The first is the construction of a large infirmary at Wong Tai Sin and phase I of this project, built mainly with the aid of a donation of $1,536,000 from the Australian World Refugee Year Fund and a Government grant of $775,000, provides 350 infirmary beds and was completed in September 1965. Construction started during the year on phase II of this project and also on a second project at Sandy Bay which will contain 275 beds which is designed to replace the existing but dilapidated accommoda- tion at the present Sandy Bay Infirmary. Both these projects will be financed to the extent of 80% by Government.

THE ALICE HO MIU LING NETHERSOLE HOSPITAL

　　　　148. This hospital, supported by the London Missionary Society, received a Government subvention of almost $2,000,000 during the year. The hospital management continued its negotiations with other religious bodies, both in Hong Kong and overseas, on the proposal to establish a United Christian Hospital in Kowloon.

149. Work was carried out during the year on extra quarters for nursing staff and plans have been prepared for the further extension and modernization of the hospital.

POK OF HOSPITAL

　　　　150. This charitable hospital at Yuen Long in the New Territories continued a programme of modest expansion, for which Government

made a grant of $750,000 available, and subvented the running of the existing hospital by over $500,000. The new three-storey Central Build- ing is in the process of construction and is expected to be completed in the latter part of 1966. When the building is completed, it will accommodate 34 maternity and 46 paediatric patients in improved con- ditions. The hospital commenced to receive casualty cases for primary treatment as from July 1965. A quarterly visit by J.P.s was started in July 1965.

CARITAS MEDICAL CENTRE

151. This hospital of 490 beds, erected with the aid of donations from Roman Catholic communities in many parts of the world and in particular from the Federal Republic of Germany, and maintained partly with the aid of a Government subvention of over $1,700,000, is situated in the densely-populated district of So Uk in North-West Kowloon. It is administered by the Canossan 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 have been mainly overcome and the hospital is playing a very active part in the provision of medical services in the Colony.

HONG KONG ANTI-TUBERCULOSIS ASSOCIATION

152. This Association, in receipt of a Government subvention of $1,360,000 apart from over $4,000,000 for the Grantham Hospital, 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 Government Tuberculosis Service.

The Grantham Hospital (See table 68)

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 partly with the aid of a Government grant of over $4,000,000 during the year additional to the $1,360,000 mentioned above. 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 directly responsible for 252 of the beds.

Ruttonjee Sanatorium and Freni Memorial Convalescent Home

(See table 69)

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, the hospital was assisted in its recurrent expenditure by a Government subvention of over $300,000. Construction continued on a new technical services building, and it is also hoped that an additional 60 beds, for which planning has commenced, will be provided in 1966. The cost of the latter will be shared equally between the Institution and Government.

SANDY BAY CHILDREN'S CONVALESCENT HOME

　　　　156. Maintained by the Society for the Relief of Disable Children, partly with the aid of a Government subvention of $100,000 during the year, 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. Plans for expansion are being proceeded with.

OUR LADY OF MARYKNOLL HOSPITAL

157. This hospital of 80 beds is administered by the Maryknoll Sisters, and was maintained during the year partly with the aid of a Government subvention of almost $700,000. It is located at Wong Tai Sin in North-East Kowloon and provides general in-patient and out- patient facilities for this rapidly expanding area. During the year under review, planning commenced on an extension to the hospital of 140 beds. When construction is completed the hospital will have a total of 220 beds, 180 for general third class patients and 40 for first and second class patients and maternity cases.

HAY LING CHAU LEPROSARIUM

(See table 70)

158. This leprosarium, situated on an island six miles from Hong Kong and maintained by the Leprosy Mission, with the aid of a Government recurrent subvention of $700,000, provides accommoda- tion for 540 leprosy patients and special facilities for those who require reconstructive surgery or who are suffering from intercurrent disease.

159. In therapy, diamino-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 combination of diamino-diphenyl-sulphone or of intra-muscular sulphe- trone with thiambutasone has proved effective for a number of patients who show little response to a single drug.

HONG KONG SOCIETY FOR REHABILITATION, KWUN TONG

REHABILITATION CENTRE

160. This centre, aided by Government by a recurrent grant of over $500,000, accommodating eighty patients, has occupational workshops and facilities for physiotherapy and for the 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

(See table 71)

FORWARD PLANNING

161. Reference has been made previously in this report to the unparalleled hospital development of the past 15 years. However, the population has also been increasing very rapidly and there is still considerable pressure on most categories of hospital beds, particularly those for acute and chronic 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 deficiencies in order to produce, in the face of a rapidly increasing population, a reasonably satisfactory standard of medical facilities. Developments have to take into account the ability of the community to afford these facilities either by direct payment or by indirect payment by means of taxation. The Working Party which prepared the White Paper was re-

constituted by His Excellency the Governor as the Medical Develop- ment Plan Standing Committee. The Director of Medical and Health Services is its Chairman and the Committee comprises two nominated members of the Legislative Council and representatives of the Medical and Health Department, the Finance Branch of the Colonial Secretariat, and, when necessary, the Public Works Department. The Committee has held 23 meetings since its inception, in order to keep the recommenda- tions made in the White Paper under continuous administrative review and to report its conclusions on all major matters to Government through the Medical Advisory Board. The Committee's activities fall into five main categories, namely development of medical institutions; staffing of such institutions; subventions to Government-assisted institu- tions; fees and charges; and improved utilization of existing medical facilities. Details of these activities may be found in the Committee's annual report to the Legislative Council.

　　　　162. The principal matters considered by the Committee during the year under review were the alterations to and extensions of Queen Mary Hospital aimed at ensuring that an acute highly specialised teach- ing hospital of 1,080 beds will be fully provided before the end of 1968; the progress made with the provision of a new 1,100-bed general hospital at Lai Chi Kok; the planning of a new convalescent block in the grounds of Kowloon Hospital; the adequacy of the present psychi- atric services, a new mental hospital of approximately 1,000 beds being approved; the review of fees and charges at Government hospitals and clinics, a matter still under consideration at the end of the year, and in regard to which no early decision is likely; and the subventions paid to Government assisted institutions.

　　　　163. Other matters of importance concerned the re-development of the complex of old medical buildings at Sai Ying Pun, the plans or suggestions made by various organizations to assist Government to provide medical care, and review of the need for general and specialist clinics to meet the aims laid down in the Medical Development Plan.

COMPLETED PROJECTS

　　　　164. The year 1965-66 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 summarize them in this chapter.

165. The renovations of Kowloon Hospital were completed during the year and this, together with Queen Elizabeth Hospital, forms a hospital complex for the treatment of acute and subacute illness requir- ing hospitalization and highly specialized care. In general, the acute stages of illness are treated at Queen Elizabeth Hospital and, when necessary, patients are transferred to Kowloon Hospital for further care.

166. The Wong Tai Sin Infirmary, Phase I, was completed with funds mainly donated from Australia during World Refugee Year. It has 350 beds and is designed for the care of the chronic sick, thus enabling the Kwong Wah Hospital to release beds for more acute cate- gories of patients. It is intended at a later date to complete Phases II and III of the Infirmary. When this is done it is hoped to provide a total of over 900 beds for the chronic sick.

167. The generosity of the Royal Hong Kong Jockey Club in medical and health matters was again demonstrated by the opening of the Jockey Club Health Centre at Yuen Long. This is a standard rural clinic, and it replaces the former dispensary and provides new and very much improved general medical facilities at Yuen Long. The Lady Trench Polyclinic at Tsuen Wan was also opened during the year as an addition to the services provided at the Maurine Grantham Health Centre. This new polyclinic provides general, casualty and specialist out-patient services while the Maurine Grantham Health Centre now concentrates on maternal and child health and maternity services.

PROJECTS UNDER CONSTRUCTION

168. 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 specialist services. The Tung Wah Group of Hospitals were proceeding to erect an infirmary at Sandy Bay on Hong Kong Island. A standard clinic at Cheung Sha Wan donated by the Royal Hong Kong Jockey Club has reached an ad- vanced stage of construction. A large polyclinic at Yau Ma Tei was also under construction with funds donated by the Jockey Club. A two storey extension to the Lions Club Government Maternal and Child Health Centre at Kowloon City is under way, the cost of this extension being borne by the Lions Clubs of Hong Kong and by Government. Additional ward blocks are being erected at the Castle Peak Hospital.

169. A detailed statement of development will be found in the Statistical Appendix to this report.

VII. TRAINING PROGRAMME

(See tables 72-74)

DOCTORS

170. 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.

171. Mention has been made in recent reports of the relative shortage of qualified medical personnel and with the completion of the new University pre-clinical buildings at Sassoon Road, the Univer- sity's intake of medical students was increased and 120 students entered its Faculty of Medicine in 1965. The extensions to Queen Mary Hos- pital, to which reference has already been made, will be completed in time to allow students to commence their clinical training in 1968. The future requirements of doctors for the Colony as a whole have been closely examined and it is hoped that it will be possible for the University to admit an even greater number of medical students in future. While there will therefore be a considerable increase in the output of medical graduates from the Hong Kong University as from 1971, the Colony will remain relatively short of qualified medical per- sonnel for some years to come.

172. 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 specialization in the major disciplines. A shortage of experienced personnel has been encountered in some specialities, but it is expected that most of these deficiencies will be remedied within the next few years.

DENTAL STAFF

173. 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 eight scholars returned to the Colony after qualification, bringing the total of returned graduates to 35.

174. 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. In-service training of selected dental surgery assistants in the fields of dental radiography and orthodentics was also carried out.

175. Two dental surgery assistants were sent to Penang under World Health Organization Fellowships for training in dental nursing.

General Nursing

NURSES

176. 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, at Queen Mary and Queen Elizabeth Hospitals respectively, and teaching is in the medium of the English language, while the other approved training schools are maintained by the Tung Wah Group of Hospitals, the Alice Ho Miu Ling Nethersole Hospital and the Hong Kong Sanatorium and Hospital and teaching is in the medium of the Chinese language. Temporary recognition was given to the Caritas Medical Centre nurses training school in November 1965.

177. The implementation of the White Paper on Development of Medical Services underlined the need for augmented training of nursing staff, and most nursing schools increased their intake during the year. Though the supply of nurses has grown the demand for their services has grown even more. In this age of specialization nurses training is assuming an ever more academic character.

178. Twenty members of the trained nursing staff proceeded over- seas during the year for specialized training in various branches of nursing such as hospital administration (nursing); neuro-surgical nurs- ing; operating theatre technique; premature baby nursing; ophthalmic nursing; paediatric nursing and ear, nose and throat nursing in order to use to the fullest extent, all the wealth of specialized experience that each nurse has to offer, thus providing the widest variety of nursing experience for the public.

179. Included in the extensions to Queen Mary Hospital is an Intensive Care Unit, the purpose of this being, to maintain a constant maximum level of medical and nursing care, both day and night, of seriously ill patients and those in the immediate post operative stage. Patients will be retained in this unit for several hours after major surgery before being returned to their own wards. During this period

　　there will be a concentration of staff to undertake the routine post- operative treatment and to handle any emergency situation which might

Occur.

　　　　180. Two trained nurses one male and one female-are in the United Kingdom undergoing special training in this particular branch of nursing; they will gain experience in the treatment of cardiac arrest; cardiac failure, and cardio-thoracic surgery. On their return to Hong Kong they will help to train other nurses in this very specialized work.

　　　181. Many more men are entering the nursing profession and administration is the goal of many of them. A man who takes up a Matron's post is far from being the exception he once was. There are two Male Assistant Matrons in Government service at present.

Psychiatric Nursing

182. Training in psychiatric nursing is undertaken at Castle Peak Hospital. It is a branch of nursing in which great progress has taken place. Thanks to new drugs and new methods of treatment and to a more enlightened look, the less savoury aspects of the mental hospital-- locked doors, mechanical restraint and the air of utter hopelessness- are virtually things of the past and the majority of patients enter hospital today of their own volition and are able to live normal lives. This branch of nursing calls for intelligence, patience and human sympathy and even though potentially it is one of the most rewarding tasks in the nursing profession, the shortages remain particularly severe, especially for female students.

Midwifery

　　　183. For registered general nurses, a one year course in midwifery continues to be conducted and usually commences as a continuation after registration with the Nursing Board. At present a Registered Nurse must also be a Registered Midwife in order to be considered for further advancement.

　　　184. Pupil Midwives without a nursing qualification undergo a two year course, at the Government Tsan Yuk Hospital, in the Chinese language. After qualification suitable Midwives are employed to staff Government maternity units.

Nursing Auxiliary

　　　185. Not all work with patients requires professional status and so, it was decided, in 1964 to commence a separate training with lesser

entrance qualifications and of shorter duration that of pupil nursing auxiliary. The training is being carried out at Kowloon Hospital and takes two years; it is an essentially practical training which will fit them for the performance of routine nursing duties, particularly in the care of convalescent and long stay patients and so assist and where possible free the Registered Nurses, with a background of sound general and professional education, to concentrate more on those tasks which require a nurse's training and skill, such as teaching, organizing and supervising the more advanced technical procedures.

HEALTH VISITORS

186. 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 (England). All were successful.

RADIOGRAPHERS

187. Training in this sphere was continued during the year and examinations were held in the Colony for Membership of the Society of Radiographers of England for both therapy and diagnostic radio- graphers.

188. During the year four students from Kuala Lumpur were accepted for training for the Membership of The Society of Radio- graphers (Therapy) part II examination, at the request of the Malaysian Government which paid the cost.

LABORATORY TECHNICIANS

189. The Government Institute of Pathology maintained its in- service training for Medical Laboratory Technicians. No Intermediate Examination of the Institute of Medical Laboratory Technology of the United Kingdom was conducted this year. Six technicians returned from the United Kingdom this year with the A.I.M.L.T. qualification.

OTHER FORMS OF DEPARTMENTAL TRAINING

190. 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 per- manent posts in Government service after passing a departmental examination.

VIII. DONATIONS

(See table 79)

　　　　191. During the past 15 years the Colony's medical and health services have benefited to a considerable degree from donations received from a number of non-Government organizations and individuals, and in the year under review this continuing interest has been reflected in donations totalling $2,179,996. As in past years the Royal Hong Kong Jockey Club has continued to play a prominent role. Since the opening of the Tsan Yuk Maternity Hospital in 1955 the Club has in fact donated almost $30,000,000 towards a variety of projects ranging from fully-equipped floating clinics costing approximately $500,000 each to the Queen Elizabeth Hospital Radiological Institute opened in June 1964 at a cost of $6,000,000. The Jockey Club Health Centre, Yuen Long, completed in February 1966 at a cost of $1,750,000 is the latest symbol of the Club's generosity, and the Colony will stand in permanent debt to the substantial aid it has received from this source towards the development of its medical services in the post-war period.

　　　　192. Sir Shiu-kin TANG, whose philanthropy is well-known, con- tributed a further $350,000 towards the cost of a hospital now being planned, thus bringing his total contribution in respect of this project to $1,000,000. Pending completion of the plans for this hospital, the interest from Sir Shiu-kin TANG's donation is being devoted to assisting certain non-Government organizations concerned with the provision of medical assistance for the Colony's needy. During the year, some $45,000 was distributed in this way.

IX. ACKNOWLEDGEMENT

193. It is my privilege once again to acknowledge with deepest sincerity my thanks for the loyal and energetic support I have continued to receive from all officers of the Department. As will be appreciated from a study of this report, the pressure of work on all sections has continued to increase, aggravated in some sections by staff shortages and poor working conditions. Despite the constant strain arising from this all members of the staff have worked hard and unflaggingly to

maintain the high standard of efficiency which the community has come to expect of them. At the same time I must pay tribute to the patience and understanding displayed by the public in their acceptance of unavoidable deficiencies in the medical service of the Colony.

194. Finally this report would not be complete without an expres- sion of thanks for the co-operation and assistance given freely at all times to the Medical and Health Department by officers of other departments, the voluntary organizations and the Press.

10th August, 1966.

P. H. TENG,

Director of Medical and Health Services.

HONG KONG ISLAND MEDICAL FACILITIES

SEE MAP II

TONGKONG

MAP

17 ■ ■21

W-

SEN'S ROAD C

CANE RO

*13

CARCEN RO

17.

HENNESSY RO

QUEEN'S AD

MAP II

_A_

STUBBS PO

WONG NE

HONG KONG ISLAND

GOVERNMENT INSTITUTIONS

1. Aberdeen Jockey Club Clinic (general out- patient facilities, maternal and child health centre and maternity home).

2. Anne Black Health Centre (general out- patient facilities, maternal and child health centre, maternity home, dental clinic and X-ray survey centre).

3. Central District Health Centre (general out- patient facilities, maternal and child health centre and special clinics).

MAP I

MAP II

GOVERNMENT INSTITUTIONS (Contd.)

MAPI

MAPII

B 2

4. Chai Wan Clinic and Maternal & Child Health Centre.

5. Eastern Dispensary and Maternity Hospital (a maternity home with general out-patient facilities).

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

7. Hong Kong Families Clinic (general out- patient facilities for English-speaking, Goverment servants and their families).

8. Hong Kong Psychiatric Clinic & Day Hospital. 9. Kennedy Town Jockey Club Clinic (general out-patient facilities, maternal and child health centre, maternity home and dental clinic).

10. Li Sing Dental Clinic.

19. Stanley Dispensary & Maternity Home (a maternity home with some out-patient facilities).

20. Stanley Prison Hospital.

25. Tsan Yuk Hospital (a malernity hospital). 22. Victoria Remand Prision Clinic (general out- patient facilities for prison officers and their families, and general medical and psychiat- ric facilities for detainees).

23. Violet Peel Polyclinic (general out-patient facilities with special clinics and an oph- thalmic centre).

24.

Wan Chai Clinic (a dental centre, tuberculosis clinic and physiotherapy department).

25. Wan Chai Hospital (a hospital for venereal and dermatological treatment).

ARMED FORCES/GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

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

Canossa Hospital (e general hospital).

Freni Memorial Convalescent Home,

270

11. Medical Examination Board.

Grantham Hospital (a tuberculosis hospital).

12. Mount Butler Quarry Clinic.

Hong Kong Central Hospital (a general bos-

13. Police Medical Post (general out-patient and dental facilities for police officers and their families).

pital).

Hong Kong Sanatorium & Hospital (a general

hospital).

14. Port Health Inoculation Centre, Harcourt

Matilda Hospital (a general hospital).

Road.

Military Hospital, Bowen Road.

B 2

15. Port Health Inoculation Centre, Marine' Building.

Military Hospital, Mount Kellet.

A.2

↓

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

17. Sai Ying Pun Hospital (infectious diseases) and Sai Ying Pun Jockey Club Clinic (general out-patient and specialized clinics)." 18. Shau Kei Wan Jockey Club Clinic (general out-patient facilities, maternal and child health centre, maternity home, chest clinic and dental clinic).

Rullonjee Sanatorium (a tuberculosis hos- pital).

Sandy Bay Concalescent Home (an ortho- paedic hospital for children).

St. Paul's Hospital (a general hospital). M. Tung Wah Hospital (a general hospital, with out-patient department and special clinics). N. Tung Wah Eastern Hospital (a general hos- pital with out-patient department).

A 1

LAI CHI KOK

MAP [11

CHAR SHU PO

KOWLOON PENINSULA MEDICAL FACILITIES

MONG KOK

YAU MA TEI

TSIM SHA TSUI

KOWEDOH DIY

HCM

VICTONIA HARBOUR

KOWLOON BAY

NORTH POINT

GOVERNMENT INSTITUTIONS

KOWLOON

MAP HI

GOVERNMENT INSTITUTIONS (Contd.)

MAP II

1. Air Port Health Station.

2. Ashley Road Social Hygiene Clinic (a male treatment centre for venereal disease).

B 4

19. Queen Elizabeth Hospital (an acute specialized general hospital with casualty department and specialist clinic).

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

20.

Queen Elizabeth School Dental Clinic.

21.

B 2

4. Farm Road Dental Clinic.

Robert Black Health Centre (general out-patient facili- lies, maternal and child health centre and maternity home).

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

B 2

6. Ho Man Tin Maternal & Child Health Centre.

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

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

24.

25.

9. Kowloon Chest Clinic (a tuberculosis clínic). 10. Kowloon Hospital and Out-patient Department (a general hospital with general out-patient and dental facilities).

B 4

22. Sham Shui Po Public Dispensary (general out-patient facilities).

23. Shek Kip Mei Health Centre (general out-patient facilities with special clinics, a chest clinic and a maternal and child health centre).

Tai Hang Tune Clinic (general out-patient facilities). Tsim Sha Tsui Health Centre (mental health centre, maternal and child health centre, female social hygiene clinic and port health inoculation centre). 26. Wang Tau Hom Jockey Club Clinic (general out- patient facilities, maternal and child health centre and maternity home).

B 2

27. Yau Ma Tei Public Dispensary (general out-patient facilities).

B 4

II. Kowloon Police Medical Post (general out-patient and dental facilities for police officers and their families). 12. Kwun Tong Health Centre (general out-patient facili- ties, maternal and child health centre, dental clinic and maternity Home).

13. Lai Chi Kok Female Prison Hospital. 14. Lai Chi Kok Hospital (an infectious diseases and coo- valescent hospital, with an Isolation Unit for the segregation of suspected cases of quarantinable disease).

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

A 1

Baptist Hospital (a general hospital).

A 1

Caritas Medical Centre (a general and tuberculosis hospital).

B 1

Evangel Medical Centre (a general hospital).

15. Li Cheng Uk Clinic (general out-patient facilities). 16. Li Kee Memorial Dispensary (general out-patient facilities with special clinics and a dental clinic).

B 2

Kwong Wah Hospital a general hospital and in- firmary with out-patient department).

C 2

Kwun Tong Rehabilitation Centre.

17. Li Po Chun Health Centre (general out-patient facili- ties, maternal and child health centre and maternity home).

18. Lions Club Maternal & Child Health Centre.

Maryknoll Mission Hospital (a general hospital).

B 2

Precious Blood Hospital (a general hospital). H. St. Teresa's Hospital (a general hospital).

B 2

NEW TERRITORIES MEDICAL FACILITIES

MAP 1V

DEEP BAY

LAN KAL OHAU

SHEUNG SHU

CASTLE PEAK

PAN HUI

LAHJAU ISLAND

SHEK TWO CHAU

KAM TIN

TOLO HARBOUR

CHAU

เร

THEYLING CHAU

CHAU

LAKA

DHON ONOH

KIRS BAY

NEW TERRITORIES

GOVERNMENT INSTITUTIONS

1. Castle Peak Hospital (a mental hospital).

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

MAP IV

A 2

3. Kam Tin Clinic (a maternity home with some out-patient facilities).

4. Lady Trench Polyclinic (general out-patient facilities with special clinics),

$. Maurine Grantham Health Centre (maternal and child health centre and maternity home). 6. North Lamma Clinic (a maternity home with some out-patient facilities). 7. Peng Chau Clinic (a maternity home with some out-patient facilities). 8. Sai Kung Dispensary (general out-patient facilities and maternity home). 9. San Hui Dispensary (a maternity home with some out-patient facilities). 10. Sha Tau Kok Clinic (a maternity home with some out-patient facilities). 11. Sha Tin Clinic (general out-patient facilities and maternity home).

B 2

B 3

A 2

12. Shek Wu Hui Jockey Club Clinic (general out-patient facilities and maternity home). 13. Silver Mine Bay Dispensary (a maternity home with some out-patient facilities). 14. South Lantau Hospital (a general hospital with out-patient facilities). 15. St. John Hospital (a general hospital and out-patient department),

B 3

16. Tai O Dispensary (general out-patient facilities and maternity home).

17. Tai Po Jockey Club Clinic (general out-patient facilities, dental clinic and maternity home). 18. Yuen Long Dispensary (general out-patient facilities and maternity home).

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

A. Children's Convalescent Home, Cheung Chau.

B. Fanling Hospital (a general hospital).

C. Haven of Hope Tuberculosis Sanatorium.

D. Hei Ling Chau Leprosarium.

E. Pok Oi Hospital (a general hospital).

F. Seventh Day Adventist Hospital (a general hospital).

G. Shek Kwu Chau Centre for Drug Addicts.

A 4

B 4

B 2

B 4

B 2

INDEX TO STATISTICAL APPENDIX

I, ADMINISTRATION

Establishment of the Medical & Health Department as at 31.3.66... Administration of the Medical & Health Department Statement of Expenditure from 1961-62 to 1965-66... Legislation of Medical & Health Importance-Apr. 1965 to Mar. 1966 Work of Statutory Councils and Boards-April 1965 to March 1966

II. PUBLIC Health

(a) Vital Statistics

Estimated Population Structure-1965

Births and Deaths 1952-65

Infantile and Maternal Mortality 1952-65

Table No.

---

FEE

+++

TT1

---

...

---

Major Causes of Infant Mortality 1951 and 1961-65 Analysis of Maternal Mortality 1953-65... Analysis of Mortality 1952-65

(b) Infectious Diseases

---

Infectious Diseases notified (cases and deaths) 1961-65 Mortality rates for certain infectious diseases 1961-65... Principal infectious diseases by age and sex 1965 Prophylactic Immunizations 1961-65

III. WORK OF HEALTH DIVISION

(a) Tuberculosis

...

---

Tuberculosis Mortality 1952-1965

Tuberculosis in Childhood 1952-1965

ILL

Tuberculosis Notifications 1952-1965

T-I

---

LII

+++

L-I

...

---

Work of Government Tuberculosis Service 1965 X-Ray Surveys 1965

Contact Examinations 1964-65

Orthopaedic Tuberculosis 1960-65

(b) Malaria

---

Distribution of cases and identification of parasites

Annual Incidence of Venereal Disease 1956-65...

PLE

+++

LTC

+++

+11

V. D. R. L. Examinations in Expectant Mothers 1961-65 Leprosy Analysis of Dermatological Conditions Presenting at Clinics Cultures for Mycological Identification

(d) Port Health

Work of the Port Health Service 1965

---

JLL

FFF

+++

INDEX TO STATISTICAL APPENDIX-Contd.

Table No.

III. WORK OF HEALTH DIVISION-Conid.

(e) District Midwifery Services

Midwifery Services 1964-65

(f) Maternal & Child Health Services

Distribution of Maternal & Child Health Centres 1965 Work of Maternal & Child Health Service 1964-65

(g) School Medical Service Board

Frr

Number of Participating Schools, Students and Doctors at

31.3.66

Work of the General Dental Service 1961-65

ILL

---

(h) Dental Service

(i) Forensic Pathology

Work of the Forensic Pathology Laboratories 1964-65 Work of Public Mortuaries 1964-65

+++

( Government Institute of Pathology

Work of Government Institute of Pathology 1964-65 Vaccine Production 1964-65

Blood Banks 1964-65

Work of Virus Laboratory 1965

(k) Government Chemical Laboratory

---

ггт

---

ILL

+++

---

TUJ

Work of the Government Chemical Laboratory 1964-65

(1) Industrial Health

Work of Industrial Health Section 1965...

(m) Medical Clinics Registration (Position at 31.12.65)

IV. WORK of the MedicAL DIVISION

Number of Hospital Beds in Hong Kong 1965 ... In-Patients Discharged from Government, Government-

Assisted and Private Hospitals 1965

In-Patients Discharged from Government and Government- Assisted Hospitals, Deaths in Government and Government- Assisted Hospitals and Causes of All Deaths in the Colony, 1965

тгт

ז..

(a) Government Hospitals

Hospital Costing

---

огт

---

..ז

---

LLL

Work of Day Hospital and Psychiatric Centres 1965 Drug Addiction Treatment Centre March 1961-November 1965

Work of the Queen Mary Hospital 1961-65 Work of the Queen Elizabeth Hospital 1965 Work of the Queen Elizabeth Hospital Casualty 1965 ... Work of Tsan Yuk Hospital 1964-65 Work of Castle Peak Hospital 1965

---

...

INDEX TO STATISTICAL APPENDIX-Contd.

Table No.

IV. WORK OF THE MEDICAL DIVISION-Contd.

(b) Out-Patient Clinics

New Out-Patient Attendances 1965 Total Out-Patient Attendances 1965 New Territories Clinics 1965

Work of Radiodiagnostic Branch Radiotherapeutic Branch 1964-65

(d) Ophthalmology

Work of the Ophthalmic Service 1964-65 Analysis of Major Causes of Blindness

Work of Pharmaceutical Service 1964-65

(f) Physiotherapy

Work of Physiotherapy Service 1965

(g) Occupational Therapy

Work of Occupational Therapy Service 1965 (h) Medical Examination Board

Work of Medical Examination Board 1964-65 Unfitness of Candidates by Causes 1964-65

་

V. GOVERNMENT-ASSISTED HOSPITALS

---

· · ·

***

555

ILL

---

(a) Government Medical Subventions to Voluntary Institutions

1961-62-1965-66

(b) Work of the Grantham Hospital 1965

+++

VI. DEVELOPMENT PROGRAMME

Building Programme

VII. TRAINING PROGRAMME

LL+

(a) Nurses in training at March 1966...

(b) Courses of study overseas

VIII. MISCELLANEOUS

(b) Visitors

---

(a) Attendances at Conferences, etc., Overseas

---

(d) Samaritan Fund

(e) Donations

---

IPL

---

--L

---

222

-TI

---

TTT

---

TABLE 1

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT

AS AT 31ST MARCH, 1966

Grade

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Kowloon Hospital

Castle Peak Hospital

and Mental Health Centre

Tsan Yuk Hospital

Tuberculosis Service

Dental Service

Other Hospitals

Clinics and Services

Total

: Strength on 31.3.66

Director of Medical & Health Services...

Deputy Director of Medical & Health

Services

Assistant Director of Medical & Health

Services

---

Senior Specialist and Specialist

Principal Medical and Health Officer

Chief Executive Officer/Senior Executive

Officer/Executive Officer

PIL

Senior Treasury Accountant/Treasury

Accountant

Senior Medical & Health Officer)

---

Medical & Health Officer/Assistant Medical & Health Officer

Senior Dental Officer/Dental Officer/

Assistant Dental Officer

PIP

Principal Matron

Nursing Staff

---

尚

דריי

15 9 24

257 465

411

1 3 1

177

Senior Dietitian/Dietitian

LLI

Principal Medical Social Worker/Senior

Medical Social Worker/Medical Social Worker Class I and Class Il

Chief Pharmacist/Senior Pharmacist/ Pharmacist/Chief Dispenser/Senior Dispenser/Dispenser/Student

Dispenser

Government Chemist/Chemist/

Assistant Chemist/Senior Chemist/ Assistant Biochemist

Scientific Officer (Medical)

Virologist...

LLI

Senior Physicist/Physicist

Carried forward

---

540 682 168 260 144 19 10

906 2,729 2,507

172

[56

24 636 848| 191| 293 157 56 62 1,327 3,594 3,278

Grade

TABLE 1-Contd.

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Kowloon Hospital Castle Peak Hospital and Mental Health Centre

Tsan Yuk Hospital

Tuberculosis Service

Dental Service

Other Hospitals Clinics and Services

Total

Strength on 31.3.66

24 636 848 191

293 157 56 62 1,327 3,594 3,278

82 42

92 23

6 37 33

LLL

111

Brought forward

LLI

Chief Hospital Secretary/Senior Hospital Secretary/Hospital Secretary/Assistant Hospital Secretary

Clerical Staff

LLL

Superintendent Radiographer/Senior

Radiographer/Radiographer!

Assistant Radiographer/Student Assistant Radiographer

Superintendent Physiotherapist/Tutor

Physiotherapist/Physiotherapist/

Assistant Physiotherapist/Student Assistant Physiotherapist

Superintendent Occupational Therapist/

Occupational Therapist

Chief Medical Technologist/Senior

Medical Technologist/ Medical Technologist/Medical Laboratory Technician Grade T/Medical Laboratory Technician Grade 1/ Student Medical Laboratory Technician

LLI

Senior Laboratory Assistant/Laboratory

Assistant/ Student Laboratory Assistant

Senior Health Inspector/Health

Inspector Class 1 & II

Senior Inoculator/Inoculator

Audiology Technician

16 16

195 531 512

33 111

111

13 56 46

96 132

120

---

LIL

17 17

18 LS

109 113 11:

Orthopaedic Appliance Adviser/

Assistant Orthopaedic Appliance Technician/Student Assistant

Orthopaedic Appliance Technician ...

Mould Laboratory Technician/Student

Mould Laboratory Technician

Dental Technologist/Dental Technician/

Student Dental Technician

10-

Laundry Adviser/Assistant Laundry

Manager

ILL

---

ILL

Other Staff

---

13 838 1,344 296

605 126 121 101 1,265 4,709 4,354

TOTAL

гг.

120 1,564 2,405 517

928 289 218 223 3,090 9,354 8,627

ASST. DEA. HYGIENE U.S.D.

DEPUTY DIR HEALTH

TABLE 2

ADMINISTRATION OF MEDICAL AND HEALTH DEPARTMENT

ASST. DIR. HEALTH

ASST. DIR. Ta

P.M.H.O. HEALTH

N.T. MEDICAL & HEALTH

INSTITUTE OF PATHOLOGY FORENSIC PATHOLOGY

MATERNAL & CHILD

HEALTH

SCHOOL HEALTH

DENTAL

SOCIAL HYGIENE

PORT HEALTH

MALARIA CONTROL

GOVERNMENT CHEMICAL

LABORATORY

INDUSTRIAL HEALTH

SENIOR TREASURY ACCOUNTANT

DIRECTOR

TUBERCULOSIS SERVICES

ACCOUNTS

STORES

SECRETARY

ASST. DIR. MEDICAL

P.M.H.O. MEDICAL

P.M.H.O. PLANNING

DEPUTY SECRETARY

SECRETARY BOARDS

DEPUTY DIR. MEDICAL

ASST. DIR. Q.E.H.

P.M.H.O.

CHEF HOSP. SECRETARY

PRINCIPAL MATRON

GENERAL PERSONNEL MATTERS MATTERS

HOSPITAL & CLINICS (EXCLUDING N.T)

MED. SOCIAL SERVICE RADIOLOGICAL SERVICE PHYSIOTHERAPY SERVICE OCCUPATIONAL THERAPY

SERVICE

MEDICAL EXAMINATION

BOARD

GROUP HOSPITAL SECRETARIES

NURSING STAFF

SECRETARY TUNG WAH HOSPITAL

TABLE 3

STATEMENT OF EXPENDITURE FROM 1961-62 TO 1965-66

Particulars

(a) Medical and Health Department

ILL

(6) Medical Subventions

rrr

тгт

T10

Total

Total expenditure of the Colony

י - +

---

1961-62

1962-63

1963-64

1964-65

1965-66

64,064,336| 68,541,015 76,893,619 94,525,377 105,473,152

25,009,269 26,386,405 27,764,694 32,178,883 38,158,439

9,836,801 28,262,729 29,675,789 7,121,098 18,089,300

---

98,910,406 123,190,149 134,334,102 133,825,358 161,720,891

- - -

953,205,237 1,113,276,099 1,295,372,840 1,440,523,324 1,769,130,408

Percentage of Medical and Health Department

Expenditure to the Total Expenditure of the Colony 10.38% 11.07% 10.37% 9.29% 9.14%

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE

APRIL 1965 TO MARCH 1966

Ordinances:

(1) Medical Clinics (Amendment) Ordinance 1965

(II) Radiation (Amendment) Ordinance 1965

(III) School Medical Service Board Incorporation (Amendment) Ordinance 1965

Rules and Regulations:

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

Regulations 1965 (L.N. 39/65)

(b) Factories and Industrial Undertakings (Radiation) (Revocation) Special

Regulations 1965 (L.N. 70/65)

(e) Resolution-Factories and Industrial Undertakings (Radiation) (Revocation)

Special Regulations 1965 approved (L.N. 69/65)

(d) Penicillin (and other Substances) (Amendment) Regulations 1965 (L.N.

148/65)

(e) Prevention of the Spread of Infectious Diseases (Declaration of Leprosy)

Notification 1965 (L.N. 52/65)

(f) Prevention of the Spread of Infectious Diseases (Hei Ling Chau) Isolation

Order 1965 (L.N. 61/65)

(g) Radiation (Control of Irradiating Apparatus) Regulations 1965 (L.N. 68/65) (h) Radiation (Control of Radioactive Substances) Regulations 1965 (L.N. 67/65) (1) Radiation Ordinance (Amendment of Schedule) Order 1965 (L.N. 76/65) () Resolution-Radiation (Control of Radioactive Substances) Regulations 1965 and Radiation (Control of Irradiating Apparatus) Regulations 1965 approved (L.N. 66/65)

(k) Resolution-Radiation Ordinance (Amendment of Schedule) Order 1965

approved (L.N. 75/65)

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS - APRIL 1965 TO MARCH 1966

Medical

Council

Dental Council

Nursing Board

Midwives Pharmacy Radiation Board

Advisory

Board Board

Board ||

Number of meetings held

General Mentali

Number on the Register...

1,407

439

Female: 2,987

2,887

144

15§

Male:

179 37

General Mental

Number of applications for registration...

Female:

247+ 6

302

331§

128*(70)+

Male:

General Mental

Number of registrations granted

Female:

235+ 6

297

15€

128*(70)†

Male:

Prel.

Final

Number of examinations

General: 3

لفيا

held

Mental:

Number of candidates examined

Oral & practical: 12 General:

Prel.

Final

542

370

324

Written:

7Mental:

Prel.

Final

Number of successful

Oral & practical:

General:

491

344

301

candidates

Written:

Mental:

18 17

Number of disciplinary

hearings held

General Mental|

Number of removals from

Female:

Male:

Number of reprimands

ordered

---

FFF

* Including 2 restorations to the register.

+ Figures in brackets represent applications for provisional registration (not included in total).

$ Including 1 application for re-registration.

§ These figures refer to the licensing of irradiating apparatus.

1 Not a statutory board.

MALE

AGE GROUP

TABLE 6

ESTIMATED POPULATION STRUCTURE-- 1965

FEMALE

AGE GROUP

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

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

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 1952-65

Crude Live

Estimated

Year

Mid-Year Population

Total Live Birth

Birth Rate

(per 1,000

Still Births Recorded

Total Deaths

Population)

Crude Death

Rate (per 1,000 Population)

1952...

---

2,200,000

71,976

32.0

1,157

19,459

8.6

---

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...

2,981,000 110,667

37.1

1,680

19,146

6.4

1961...

3,177,700 108,726

34.2

1,683

18,738

5.9

1962...

3,400,300 111,905

32.8

1,560

20,324

5.9

1963...

3,592,100 115,263

32.1

1,633

19,748

5.5

1964...

3,692,200 108,519

29.4

1,485

18,113

4.9

1965...

3,804,300

102,195

27.0

1,363

17,621

4.7

TABLE 8

INFANTILE AND MATERNAL MORTALITY 1952-65

Infantile Mortality rate (per 1,000 live births)

Neo-natal Mortality Maternal Mortality

Year

Male

rate (per 1,000

live births)

Female

Both Sexes

1952...

71.5

83.1

77.1

26.3

LII

1956...

rate (per 1,000

total births)

1.14

61.9

59.9

60.9

24.2

0.90

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

1965...

26.8

20.5

23.7

15.2

0.33

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1951 and 1961-65

(per 1,000 live births)

Detailed

List 1951 1961 1962 1963 1964 1965 Number

Disease Group

Respiratory Tuberculosis

Tuberculosis Meningitis....

Other Forms of Tuberculosis

Tetanus

Bronchopneumonia

Pneumonia other forms

Bronchitis...

..ז

Gastroenteritis over age of 4

weeks

---

　　　Congenital Malformations Births Injuries Post-natal Asphxia

гг.

Pneumonia of Newborn.. Diarrhoea of Newborn

Blood Diseases of Newborn Nutritional Maladjustment

Immaturity

Ill-defined causes...

001-008 1.39 0.04 0.05 0.02

0.01; 0.02

010 011-019

2.41 0.93 0.07

0.35 0.14

0.14

0.07 0.04

0.07 0.05

0.01

0.04 0.03

061

---

1.20

0.97 0.52

0,42

0.25 0.17

491 30.50 8.50 7.10 490,492-3 2.03 0.16 500-502 2.93 0.06

6.00

4.60

4.20

---

0.17 0.17 0.05 0.17 0.06 0.02

0.08 0.07

571 21.58 4.60

3.60

1.34 0.86

750-759

1.04 1.44

1.46 | 1.64

1.69 1.91

760-761

0.94 0.43

0,48 0.36

0.50 0.54

762

1.21 1.30

1.35 1.10

1.43 1.31

763

2.28

2.06

2.56

2.67

2.52 1.84

764

1.52

1.20

2.23

2.01

1.14

---

0.64

770-771

0.86 1.07

1.74

1.76

1.95

2.27

772

JIL

0.98 0.22

0.32

0.16 0.11

0.07

776

795

14.58 10.50 9.20 8.90 1.30 1.44 1.52 0.66

7.50 6.49

0.40 0.37

TABLE 10

ANALYSIS OF MATERNAL MORTALITY 1953-65

(per 1,000 total births)

Sepsis

Year

(excluding

Toxaemias

septic abortions)

Haemorr- hages

Ectopic

Abortions Pregnan-

Others

cies

1953...

1958...

0.326

0.404

0.013

0.065

0.169

---

0.065

0.260

0.250

0.028

0.111

0.139

----

1961...

0.009

0.090

0.027

0.036

0.027

0.072

1962...

0.018

0.141

0.185

0.026

0.044

0.062

1963...

0.017

0.077

0.111

0.009

0.034

0.051

1964...

0.009

0.055

0.118

0.045

0.055

0.100

1965...

0.077

0.135

0.009

0.019

0.087

TABLE 11

ANALYSIS OF MORTALITY 1952-65

(As Percentage of Total Deaths)

Disease Group

Detailed List

1952

1957

1961

1962

1963

1964

1965

Numbers

1. Infectious and Parasitic

001-138

21.9

16.6

15.3

13.5

12.8

10.1

10.0

2. Neoplastic

140-239

4.4

7.5

12.3

12.4

13.4

16.4

18.1

+++

3. Allergic, Endocrine, Metabolic and Blood

240-299

1.2

1.6

1.1

1.2

1.5

1.4

4. Nervous System and Sense Organs.

300-398

2.9

4.6

8.3

8.4

9.1

10.5

11.7

5. Circulatory System

400-468

5.6

8.0

10.7

11.0

12.2

14.5

15.2

6. Respiratory System

7. Intestinal System

470-527

25.1

22.8

14.8

13.9

13.3

10.7

10.6

530-587

17.6

12.1

7.7

6.8

7.1

5.7

5.2

8. Genito-Urinary System

590-637

1.9

2.2

2.0

2.1

2.2

2.0

1.7

9. Pregnancy, Child-birth and

Puerperium

640-689

0.4

0.5

0.3

0.2

10. Skin and Musculo-Skeletal System

690-749

0.2

0.4

0.2

0,2

0.1

11. Congenital Malformations and

Diseases of Early Infancy

750-776

7.9

10.5

11.1

11.4

11.3

9.9

9.5

12. Ill-defined Causes

780-795

6.8

8.2

10.4

11.4

9.9

10.5

9.2

13. Accidents, Poisoning and Violence E800-E999

3.9

5.0

5.9

7.6

6,3

7.7

7.1

TABLE 12

INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1961-65

1961

1962

1963

1964

1965

Cases Deaths

Cases Deaths Cases Deaths Cases Deaths Cases Deaths

Cholera

г. .

130

115

...

Amoebic Dysentery

Bacillary Dysentery (Including

215

195

241

209

173

unspecified dysentery)

742

+++

Cerebro-spinal Meningitis

Chickenpox

493

Diphtheria

+++

1,334

Enteric Fever (Typhoid and

*878

795

707

109 1,022

Paratyphoid)

*Leprosy Malaria

Measles

---

Ophthalmia Neonatorum Poliomyelitis

Puerperal Fever...

742

826

ILL

812

794

| │

~ Subs

802

1,199

102

871

XwNw

680

537

718

1,552

699

581

1,038

882

658

102

377

180

143

---

TII

+++

1,727

435

2,317

326

3,416

405

1,218

5,459

217

250

310

240

232

215

184

363

140

TRI

]

ILL

Scarlet Fever

Tuberculosis

+++

12,584

1,907

14,263

1,881

13,031

1,762

12,557

1,441

9,927

1,278

Typhus (Mite-borne)

Whooping Cough

106

339

...

Total

+++

19,333 2,586

21,773

2,447 21,515

2,334 17,603

1,630 | 19,862

1,595

+Influenza..

Remarks:

+ Voluntary notification.

6,223

6,374 |

39 4,433 22 2,473

896

*Notifiable since June 1965.

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 RATE FOR CERTAIN INFECTIOUS DISEASES 1961-65

Diseases

Cholera

Amoebiasis

---

...

Cerebrospinal Meningitis

Diphtheria

Bacillary

Dysentery

Unspecified

ILJ

---

Case Fatality Rates (as percentage)

Specific Death Rate per million population

1961

1962

1963 1964

1965 1961

1962 1963 1964 1965

11.53

9.09 3.48 11.76

4.7

0.3

1.1

1,1

-- L

5.58

4.62 4.98 10.01 9.25

---

3.8

2.6

3.3

5.7

4.2

| |

72.22 70.00 48.00

| 50.00 47.30

8.2

10.3

6.7

5,1

2.4

8.17 9.98 9.87

5.44 6.35

34.3

30.0

23.9

10.3

9.7

1.08 1.64 0.39

1.18

0.74

2.5

3.8

0.8

2.2

1.0

3.23

2.54 2.60

2.27

2.12 7.6

6.2 7.8 5.1

3.7

25.13 14.07 11.85

5.99

...--

21.19 14.33 7.55

15.15 | 13.19 | 13.52 | 11.48 | 12.87

3.97❘ 136.9

8.11 | 12.15 12.3

12.87 600.1

95.9 112.7

15.3

19.8

57.0

1.1 0.8

4.4

553.2 490.5 | 390.3 390.3 | 335.9

...

Enteric Fever

Measles

---

Poliomyelitis

Tuberculosis

-T

Typhoid

Paratyphoid

TABLE 14

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1965

CASES NOTIFIED

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

די

116

138

121

129

108

5-9

150

118

101

10-14

109

107

15-19

371

249

Late

20-24

525

273

25-29

566

261

30-34

35-39

40-44 45-49

680

336

---

715 351

741

330

ILJ

702 316

　　　　50-54 55-59

649

302

LLL

444 213

WWAN SA DO

PII

60-64

335

168

65-69

222

114

70-74

75 & Over

172

Total

6,571 3,356

258

323

368

290

279

258

DEATHS

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

5-9

10-14

+++

15-19

2202

| | |

20-24

1 1

гтт

25-29

30-34

VLJ

35-39

40-44

ILJ

45-49

105

TTT

50-54

138

55-59

115

60-64

65-69

70-74

75 & Over

34 26

Total

885 393

TABLE 15

PROPHYLACTIC IMMUNIZATIONS 1961-65

Immunological Procedure

Anti-Smallpox Vaccination

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1st Dose

2nd Dose

Booster Dose

Anti-Typhoid Inoculations:

1961

1962

1963

1964

1965

---

- - -

969,577

744,599

321,942

844,367

776,538

1,968,214

2,976,274

3,101,766

2,406,623

1,603,875

296,071

323,521

371,059

338,468

392,474

---

TTT

207,143

312,374

281,369

282,176

351,960

115,566

129,279

146,374

142,242

181,603

TIT

1st Dose

...

---

43,080

21,440

17,779

19,931

19,378

יי+

2nd Dose

Booster Dose

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

30,013

11,734

10,696

6,843

7,052

ггт

38,624

30,141

28.864

41,018

65,381

Infants

Others

---

IIL

LIJ

86,234

91,304

98,342

93,806

93,666

7,756

26,939

14,175

13,875

15,465

Poliomyelitis Vaccinations:

1st Dose

2nd Dose

---

534,862

145,760

194,084

++.

500,387

98,111

126,095

Total Deaths

Tuberculosis

Year

from Tuber-

Death Rate

TABLE 16

TUBERCULOSIS MORTALITY 1952-65

Tuberculosis Deaths as

culosis

per 100,000

percentage of

total deaths

158.8

18.4

Average age at death from Tuberculosis

1952

3,573

24.5

1957

...]

2,675

103.6

13.9

1960

ггг

111

2,085

69.9

10.8

1961

1,907

60.0

10.2

1962

1,881

55.3

9.2

1963

1,762

49.0

8.9

1964

...

1,441

39.0

7.9

1965

1,278

33.6

7.2

newborns

receiving

B. C. G.

5 years

Year

TABLE 17

TUBERCULOSIS IN CHILDHOOD 1952-65

% age of

Percentage of Tuberculosis deaths below

Percentage of Tuberculosis deaths under

Infantile Mor- tality from tuberculosis (per 1,000 live births)

1 year

1952

1957

---

4.34

34.30

7.05

3.50

---

35.93

21.20

5.76

1.57

177

1960

71.54

10.50

2.20

0.42

---

1961

79.31

11.50

2.62

0.46

---

1962

+++

81.59

5.74

1.43

0.24

1963

83.44

5.50

1.08

0.16

1964

86.40

4.09

0.90

0.12

ггг

1965

91.65

3.36

0.70

0.09

ILL

TABLE 18

TUBERCULOSIS NOTIFICATIONS 1952-65

1952 1957 1960 1961 1962 1963 1964 1965

Origin

of Noti-

fication

Govt. Chest

Clinics Other Govt.

Inst. Tung Wah

Other Non-

Group

Govt.

Inst, and Private

Sources

Total...

TII

7,482 8,194 8,426 8,957 10,691| 8,794 9,478 6,530

6,144 2,517 2,378 2,056 1,680 1,660 1,184 1,334

780 947 801 864 604 463

1,195 2,954

841 624 1,091 1,713 1,291 1,600

14,821 13,66512,425 12,584 14,263 13,031 12,557 9,927

Notification rate per

100,000 population

658

529 417 396 419 363 340 261

TABLE 19

WORK OF GOVERNMENT TUBERCULOSIS SERVICE

GOVERNMENT CHEST CLINICS 1965

Full-time. Centres

Part-time Centres

---

Hong Kong

Wan Chai

Sai Ying Pun Shau Kei Wan

Aberdeen Stanley

Kowloon

New Territories

Kowloon Chest

Clinic Shek Kip Mei

Tung Tàu

Kwun Tong

Robert Black

Tsuen Wan

Sai Kung

Other Centres (for injections

only)

LT+

North Point

Yuen Long

Health Centre Tai Po

Hung Hom Yau Ma Tei Chuk Yuen

Shek Wu Hui

Cheung Chau

Kam Tin Sha Tin

Tai O

TABLE 19-Contd.

ATTENDANCES AT GOVERNMENT CHEST CLINICS 1961-65

1961

1962

1963

1964

1965

First attendances...

Cases of tuberculosis discovered

Total attendances

Under treatment from previous

year

---

Started treatment during the year

Completed treatment

40,146

43,519 39,277 35,735 35,605

15,270 16,541 15,036 13,884 12,894

2,204,058 1,901,425 |1,414,009 1,251,534 |1,224,557

16,433 17,714 17,372 14,049 13,244

12,381 12,190 9,694 10,423 10,867

3,776

4,935 7,147

5,323

4,010

Failed to attend

4,987

111

5,371

5,208

3,544

3,104

Admitted to hospital from Chest

Clinics

889

921

811

758

806

---

Still on treatment at end of year

17,714 17,372

14,049

13,244 14,400

Total examined

Clinically examined ...

Active tuberculosis

+++

Percentage active tuberculosis

TABLE 20

X-RAY SURVEYS 1965

огг

Government | Conditional Prisoners

Employees

Surveys

Survey

---

57,893

44,271

5,876

6,462

2,002

980

371

316

231

---

0.64%

0.71%

3.94%

Under 8 years of age

TABLE 21

CONTACT EXAMINATIONS 1964-65

Tuberculin Test

Negative Positive

---

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 T.B.

Over 8 years of age

Results of clinical

examination following

'Contact' X-rays

Active tuberculosis

Inactive T.B.

(Undetermined)

Suspicious T.B.

Free of tuberculosis

Percentage found to have active T.B.

+++

1964

1965

169 5,385

177 4,914

ггг

555

188

ILJ

438

479

4,297

4,218

1.76%

0.59%

322

232

650

4:0

674

746

10,776

11,500

2.59%

1.80%

TABLE 22

ORTHOPAEDIC TUBERCULOSIS 1960-65

ATTENDANCES AT CLINICS

1960

1961

1962

1963

1964

1965

First visits Revisits

441

415

397

288

231

146

4,001

4,618

3,685

5,747

5,498

4,588

4,442 5,033 4,082

6,035

5,729

4,734

CLASSIFICATION OF DISEASE BY SITE

1960

1961

1962

1963

1964

1965

Spine

202

197

158

133

Hip Joint

115

109

Others ...

145

103

441

415

397

288

231

146

1961

1962

1963

1964

1965

TABLE 23

MALARIA 1961-65

DISTRIBUTION OF CASES

(According to notified place of residence)

Urban

Year

Cases Notified

Death

Controlled

Sai Kung* District

Lantau

Other

District

Areas

(as percentage of notified cases)

812

8.7

$5.4

26.5

9.4

T +1

794

nil

8.9

61.3

12.1

17.7

TAL

377

10.9

47.5

18.6

23.0

180

13.3

35.6

25.0

26.1

143

6.3

28.0

10.5

55.2

---

* Including floating population.

IDENTIFICATION OF PARASITES

(as percentage of parasites found)

Year

P. vivax

P. falciparum P. malariae

Mixed infection

Species undetermined

1961

96.4

2.4

1.0

0.1

711

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

1965

95.1

2.8

2.1

SYPHILIS

Year

TABLE 24

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1956-65

1956 1957 1958 1959 1960 1961 1962 1963

1964

1965

Venereal Diseases

Total (Except Congenital)

Primary

Secondary

Early Latent

Late Latent

All others

Congenital

---

3,628) 3,190

3,372)

2,680

2,091

1,555

1,858

1,487

1,036

1,197

154

164

119

733

450

417

426

296

202

359

307

197

263

2,616

2,532,

2,766

2,038|

1,590

1,173

1,216

864

590

791

166

184

177

1881

139

119

103

Under 1 year

19!

Over 1 year

116

131

Gonorrhoea

10,609

9,881

8,360

8,362

6,506

5,997

5,747

5,696

5,008

5,096

Non-Gonococcal Urethritis

776

800

644

481

591

509

453

379

496

578

Chancroid

1,614

685

294

324

873

635

356

347

268

254

זז.

---

Lymphogranuloma Venereum

140

178

53:

---

Other Diseases

Non-Venereal Disease

Skin Diseases

ггг

6,245

8,437

5,855 5,458 4,997 4,717 4,293 5,489 4,155) 4,548 9,814 8,701 11,046| 10,611| 12,173 12,917 10,740 12,570 14,121

5,169

Attendances at Clinics (All Types)

New Attendances

Total Attendances

---

32,490 31,391 27,841 28,980 26,281 25,819 27,264 23,761 25,224 27,541 180,148| 193,674 203,954 213,026 213,733 182,049 179,135 147,588 143,381| 147,311

TABLE 25

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1961-65

No. of tests (Clinics and Hospitals)

%Positive

ILL

No. of tests (Private Midwives) % Positive

---

1960 1961 1962

1963

1964 1965

---

111

1961 |

1962

1963 1964

1965

51,449 1.6

6,940 1.4

2.2 7,645

55,159

31,544 55,406

56,103

1.6

1.7

3,690

7,373

1.5

1.1

1.8

2.2 6,669 2.0

Year

+11

---

TABLE 26

LEPROSY 1965

INCIDENCE OF Leprosy 1960-65

New Cases

239

255

+11

255

258

271

217

Rate per 100,000 population

7.8

8.0

7.5

7.3

5.7

Under 1

6 10

LL-

ANALYSIS OF CASES BY AGE 1965

Age-Group

---

IIL

ILL

No. of Cases

LLL

---

LIT

ILL

LLL

LIJ

LJ J

LLL

FLL

---

−592828394888

51 - 60

Over

ILL

---

LLL

ייד

++-

---

JLL

711

---

1 .г

LLI

FIT

---

ILL

Total...

---

ггг

ADMISSION TO LEPROSARIUM 1965

New admissions

Relapses

For surgery

гт.

Total

---

- г г

+++

---

217

JLL

111

TABLE 27

ANALYSIS OF DERMATOLOGICAL CONDITIONS

PRESENTING AT CLINICS

Acne

Alopecia

250 101

Neurofibromatosis Nevi (All Types)

+++

Angioedema

Pediculosis

ттт

Carcinoma

---

ггг

T11

Pemphigus

Contact Dermatitis

1,133

Paronychia

TII

---

Dermatitis Exfoliative

Dermatitis Herpetiformis Dermatomyositis

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

---

Pityriasis Rosea

+++

---

Pityriasis Alba...

Pruritus

111

---

+++

218

Psoriasis

141

---

5,661

Purpura

...

ґгг

Pyoderma

---

533

---

Raynaud's Phenomenoma

Rosacea

Scabies

---

Scleroderma

---

ייי

Icthyosis

Keloid

T10

110

100

Keratosis (All Types)

Lichen Amyloidosis

Lichen Planus

Light Sensitivity

Lupus Erythematosus

(All Types)

Miliaria

Molluscum Contagiosum

Neurodermatitis

Tinea (All Types) T. B. Cutis

Tumors, Benign Ulcer, Varicose

+++

647

ILL

Urticaria

LLL

354

---

Vasculitis

Verruca...

Vitiligo..

4 317 205

---

יזז

---

Xanthoma

Leprosy

TIL

709

Miscellaneous

ILL

132

342

...

+++

Total

+++

TABLE 28

CULTURES FOR MYCOLOGICAL IDENTIFICATION

T. Rubrum

Mcntogrophytes

M. Canis

Concentricum

---

IIL

---

327 T. Tonsurans

---

18 0

ILJ

---

M. Ferrugineum ...

Verrucosum

Total specimens examined

HOZUA

Floccosum M. Gypscum

Albicans Violaceum

TTI

ILL

---

+++

---

.. 2,100

+++

11,540

---

TABLE 29

WORK OF THE PORT HEALTH SERVICE 1965

INSPECTIONS

Immigration

Overseas

No. of

No. under

No. of Vessels

pas-

No. of Crew

Smallpox Cholera

Surveil-

Vaccina- Inocula-

sengers

lence

tions

5,756

57,432 271,463

224

299

111

1,190 1,146,421

154,063

16,144

178,836

18.

9,996 436,993 91,204

622

221

903

472,724

17,961

6,057

By Sea

Macao

Junks, etc....

By Air...

By Train

Total

By Sea..

TIL

- - -

+++

33,086 2,113,570 541,503 172,947 6,595

Emigration

LIL

JJJ

39 3,311

4,263

　　　No. of ships fumigated Total net tonnage

Cubic capacity (cubic feet) Rats recovered

+++

Exemptions granted

+++

No. of ships disinfected No, of aircraft disinsected

ייי

---

To ships at sea ... To ships in port

JJJ

TIL

Number not recorded.

FUMIGATION

...

LLL

ILL

---

זזז

LLL

...

++1

+++

-| -

50 81,543.09

13,191,421

743

224

336

ILL

-- J

MEDICAL ASSISTANCE TO SHIPS

- PL

37 9

HTT

+++

---

903

TABLE 30

MIDWIFERY SERVICES 1964-65

(Excluding Hospitals)

PRIVATE MIDWIFERY SERVICES

Number of midwives in active practice Number of registered maternity homes Number of maternity beds Maternity home deliveries Domiciliary deliveries

...

---

་་་

---

-г г

Total deliveries

+++

1964

1965

....

183

ILI

107

104

518

520

LLI

36,945

34,094

ייי

1,454

1,090

38,399

35,184

GOVERNMENT MIDWIFERY SERVICES

1964

1965

209

++1

185

193

111

112

22,420

22,338

202

199

Maternity beds in maternity homes (Urban) Maternity beds in maternity homes (Rural)

Midwives (excluding hospitals)

Cases attended (excluding hospitals)

FOT

111

---

Average case-load for each midwife (excluding hospitals)

District

Hong Kong Kowloon

N.T. & Islands.

Total

לי.

TABLE 31

DISTRIBUTION OF M.C.H. CENTRES 1965

Full-time Centres

Subsidiary Centres

No Midwifery With Midwifery No Midwifery With Midwifery Service attached Service attached Service attached Service attached

في اليا

TABLE 32

MATERNAL AND CHILD HEALTH SERVICE 1964-65

1964

1965

LLL

2,549

2.524

27,689

25,433

122,195

123,951

---

47.94

49.11

4.41

4.88

No. of full-time centres

No. of subsidiary centres

Ante-natal Sessions

Total Sessions

New attendances...

Total attendances

---

ILL

.гг

T11

Average attendance per session....

Average attendance per person...

Post-natal Sessions

Total Sessions

+++

New attendances...

Total attendances

гг.

111

...

HTT

---

...

-+-

---

Percentage presenting with some abnormality

Infant Welfare Sessions (0-2 years of age)

Total Sessions

+++

New attendances...

Total attendances

LLI

Percentage presenting with some abnormality

Percentage of total new-borns attending

Toddler Welfare Sessions (2-5 years of age)

Total Sessions

New attendances...

Total attendances

Home visits

---

гтт

952

971

trT

111

5,774

6,469

---

7,498

8,256

19.86%

20.62%

5,278

5,388

- JJ

64,545

71,814

598,264

716,327

0.14%

0.13%

53.64%

63.10%

903

1,096

15,221

24,229

92,669

124,479

103,010

120,568

TABLE 33

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF PARTICIPATING SCHOOLS, STUDENTS AND DOCTORS at 31st March, 1966

District

Hong Kong:

No. of Part.

Schools

No. of Part. Students

No. of Part.

Doctors

Wan Chai

Central and Sheung

Wan

Western

Causeway Bay North Point Shau Kei Wan Aberdeen

Lrr

---

Stanley

* *****Z |

3,024

3,520

3,077

4,016

3,116

1,175

1,404

2 8=29**

---

Sha Tin

Sub-total

Kowloon:

Tsim Sha Tsui

Yau Ma Tei

Mong Kok ...

Cheung Sha Wan Shek Kip Mei Hung Hom and

To Kwa Wan San Po Kong Kowloon Tong Kai Tak

Kwun Tong

+++

Sub-total

New Territories:

Tsuen Wan ... Yuen Long

Tai Po

Sheung Shui Fanling

186

19,332

119

---

HTT

2807A ANON=

1,472

1.921

8,981

1,922

2,918

MRA*E

2,463

1,648

498

2,960

662

00 00 en dive

247

25,445

124

2,797

1,560

273

---

317

598

Sub-total

Grand Total

5,617

517

50,394

* 258

• Actual number of participating doctors is only 250. As some doctors are given panels in more than one district their names are being counted twice thus the total number shown in column 3 is bigger.

Attend- ances

Deciduous Teeth

Year

TABLE 34

WORK OF THE GENERAL DENTAL SERVICE 1961-65

Permanent Teeth

Persons rendered

Restored Extracted

dentally fit

1961... 1962... 1963...

130.323

...

5,304

19,196

51,329

33.895

15,086

JJJ

138,377

6,254

20,269

48,893

34,599

18,844

145,128

6,406

21,649

52,254

33.535

21,628

1964... 1965...

175,683

14,540

23,176

74,038

35,199

26,496

---

224,172

18,899

29,688

90,519

40,635

36,010

TABLE 35

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1964-65

1964

1965

Examination of victims and suspects

ILL

397

433

Attendance at scenes of crime

---

rrT

Attendance at court

　　　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

---

LLL

---

..ז

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

182

144

126

105

---

ггт

+10

565

582

811

826

378

471

---

110

LLL

2,173

2,564

618

---

...

1,496

Lrr

444

---

Chemical examinations

Assistance in Raids

---

+17

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance Unregistered Medical Practitioners Abortionists

LLL

Unregistered Dentists

---

TTI

гог

Frr

+++

---

+++

TABLE 36

WORK OF PUBLIC MORTUARIES 1964-65

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

JLJ

---

Victoria

Kowloon

1964

1965

1964

1965

1,041

924

2,731

2,540

667

551

1,166

ггг

1,030

809

---

730

1,620

1,624

232

194

1,111

916

730

669

2,104

1,947

311

255

627

593

TABLE 37

WORK OF GOVERNMENT INSTITUTE OF PATHOLOGY

1. Clinical Laboratories

2. Public Health Laboratories

3. Virological Laboratory

4. Vaccine Production

5. Blood Banks

LABORATORIES

Lrr

+11

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

Sai Ying Pun Polyclinic Queen Elizabeth Hospital Queen Mary Hospital

Old P.I. Caine Lane Laboratory Queen Mary Hospital

Queen Elizabeth Hospital

Remarks: Clinical pathological services for Queen Mary Hospital are provided by

the Department of Pathology, University of Hong Kong.

SPECIMENS Examined 1964-65

Protozoology and Helminthology

2. (a) Haematology

(b) Blood grouping

---

LLL

3. Serology..

---

TII

---

4. Bacteriology

LLL

ILL

Mycology

6. Public Health

---

LLL

7. Histo-pathology...

8. Chemical-pathology 9. Clinical Pathology

10. Virology

+++

11. Special investigations

---

- rr

ייז

---

гтт

+ + +

---

ILL

LLI

J-J

Total

1964

1965

31,335 295,253

29,555

301,792

---

1,276

1,309

131,940

130,632

267,513

303,057

7,281

9,201

36,399

39,659

11,290

16,412

216,188

242,897

---

41,052

47,775

3,380

4,855

944

1,241

1,043,851

1,128,385

AUTOPSIES ON MEDICAL Legal Cases PERFORMED 1964-65

Queen Mary Hospital

---

Queen Elizabeth Hospital

Total

1964

1965

124

110

464

458

588

568

RODENTS EXAMINED AND AUTOPSIES PERFORMED 1964-65

Victoria Public Mortuary

Kowloon Public Mortuary

1964

1965

37,586

30,244

41,402

29,066

Total

78,988

59,310

Vaccine

Smallpox

Rabies (2%)

Rabies (4%)

יז +

---

Typhoid-paratyphoid...

Cholera

TABLE 38

VACCINE PRODUCTION 1964-65

(in millilitres)

Prepared

1964

1965

1964

Issued

1965

11,892 ml. $5,250 ml.

34,850 ml.

45,454 ml.

32,264.5 ml.

50,000 ml.

54,250 ml.

49,800 ml.

39,000 ml.

44,850 ml.

43,000 ml.

46,150 ml.

40,300 ml.

129,300 ml.

76,650 ml.

85,440 ml.

241,825 ml.

1,016,250 ml.

2,356,750 ml. 1,726,805 ml.

TABLE 39

BLOOD BANKS 1964-65

SOURCES OF BLOOD

British Red Cross Society Patients' relatives and friends Other sources

Total

1964

1965

- rr

11,182 pints

916 197

13,664 pints

703 548

---

DISTRIBUTION OF BLOOD

12,295 pints

14,915 pints

1964

1965

---

PJ J

---

bor

8,077 pints 3,080 415

י!

9,941 pints 3,421

967

449

529

...

---

　　　Government hospitals Government-assisted hospitals

Private hospitals

Military hospitals

Manufacture of plasma

...

Preparation of Coombs reagent Unusable due to various causes.

г.г

Total

12,021 pints

14,923 pints

TABLE 40

WORK OF VIRUS LABORATORY 1965

ISOLATIONS OF POLIOVIRUS

Positive Poliovirus

Specimen

No. of specimens

Negative

Positive other

Entero.

Type I Type 2

Type 3 Total

viruses

Clinical cases

Facces

Throat swab

Cerebro-spinal fluid

Brain tissue

Contacts

Faeces

695

421

220

232

110

ལྟ།།

1,232

1,152

Total

---

2,106

1,730

July, 1965

November, 1963

Dale

FAECAL SURVEY FOR POLIOVIRUS

333

Positive Poliovirus "Wild' Strains

No. of specimens

Type [

Type 2

Type 3

Total

300

---

301

SEROLOGICAL RESPONSE OF INFANTS TO TWO POLIOMYELITIS VACCINATION PROGRAMS

Type I

Type 2

Type 3

Vaccination programme

No. of infants tested

%%%showing G.M.% showing G.M.% showing

G.M.*

response

2 doses of trivalent vaccine...

90.5

78.3

98.1

352.5 98.1

256.0

1 dose of type 1 plus 2 doses

of trivalent vaccine

102

97.0

222.5

99.0

285.7 99.0

266,8

• Geometric mean titre of positive sera.

TABLE 40-Contd.

POSITIVE HAEMAGGLUTINATION-INHIBITION REACTIONS WITH GROUP B

ARBORVIRUS ANTIGENS BY AGE AND ÁREA

0-9 years

10-14 years

15-19 years

20 years & over

Total

No.

No. %

No.

Positive Positive Positive Positive Positive Positive Positive Positive Positive Positive

1/96 1.04 0/12

Urban Area

0/8

£2/43

26.6 13/161 8.07

New Territories

1/52

1.9

3/55

5.4

2/30

6.7

14/86

16.3 20/223 8.9

Total

2/148 1.3

---

3/67

4.5 2/38

5.2

26/131

19.8 33/384 8.5

TABLE 41

WORK OF THE GOVERNMENT CHEMICAL LABORATORY 1964-65

Samples Analysed

1964

1965

Dangerous Drugs Ordinance

Dutiable Commodities

---

...

15,097

13,316

ггг

9,346

9,290

Water and Waterworks Chemicals

---

4,735

3,885

Food and Drugs

---

2,045

2,334

Forensic

Toxicology

1,099

1,570

791

920

ILL

Dangerous Goods Regulations

528

333

ILL

Commercial

610

451

---

+++

Import/Export (Prohibition) (Specified Articles) Orders...

Miscellaneous ...

1,549

1,434

Total

---

35,819

33,541

TABLE 42

WORK OF INDUSTRIAL HEALTH SECTION 1965

MONITORING AND SURVEY WORK

Numbers

Atmospheric Samples

(a) Acetic Acid

(5) Benzene

(e) Lead

T11

---

...

- rr

(d) Hydrogen Sulphide

י י י

(ƒ) Nitrogen Dioxide (g) Sulphur Dioxide

(A) Toluene

---

Ventilation Surveys

(a) Effective Temperature

(b) Radiant Heat

Samples for Analysis

(a) Calcium Carbonate

(b) Feldspar

---

(d) Lead

---

LLL

---

rrr

---

++1

11-

For

---

ILL

---

ייז

Total

+++

---

.гг

T T

---

221

སྨཱསྶསཉྩ

298

$76

45 15

ггг

...

ггг

+11

IL-

---

Total

LIJ

LET

---

L-J

---

(e) Mercury and Arsenic Sodium Sulphate

+++

---

...

-- J

ILL

---

IL-

LLL

...

ггг

---

166

(g) Solvents

(A) Toluene

---

() Varnish

---

TTI

...

---

Urinalyses

---

(a) Coproporphyrin in Urine

(b) Fluoride in Urine

Blood Counts

(a) Haemoglobin Estimation

(b) Red Blood Count

Film Badges

(a) Badges issued

T11

TII

---

...

Total

(b) Evidence of Contamination (c) Evidence of Excessive Dosage (d) Reports received

+++

JLI

LLL

+-+

---

TIG

---

ILL

170

..ז

---

LLF

ггт

+++

Total

---

. . .

гт 1

---

+++

---

་ ་ ་

---

ייי

---

112

483

105

461 1,049

TABLE 42-Contd.

Numbers

Audiograms Performed

---

Pitch, Tar and Bitumen Workers Examined

Test for Explosive Gases in Wells

..ז

---

134

---

brr

Survey on Amounts of Radiation in Factories, Beta and Gamma

　　　　　Measurements Silicosis Survey in Quarry (Chest X-Rays) Revealed: Silicosis

Tuberculosis

--L

---

+++

WORKMEN'S COMPENSATION CASE WORK

1961-2 | 1962-3 | 1963-4 | 1964-5 | 1965-6

Injured persons dealt with (old and new) 11,972 17,094 18,710 | 16,608 19,614

Number of visits

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

---

Cases assessed at Medical Boards

5,673

131

127 218

7,176 5,218 4,822 3,224

734 929

1,830 2,218 2,882

TABLE 43

MEDICAL CLINIC REGISTRATION

(POSITION AT 31ST DECEMBER, 1965)

Clinics fully registered ...

Clinics registered with exemption

TTT

---

ггт

Clinics in respect of which registration was refused

Clinics in respect of which registration was cancelled

387

233

Petitions to Governor in Council against decision of Registrar allowed...

Petitions to Governor in Council against decision of Registrar rejected...

244

TABLE 44

NUMBER OF HOSPITAL BEDS IN HONG KONG 1965

Med.

Surg.

Ophth.

E.N.T.

Gyo.

Mat.

Pae. &

Babies

HONG KONG

(A) GOVERNMENT HOSPITALS

Queen Mary Hospital Sai Ying Pun Hospital

Stanley Prison Hospital

ггг

1641 223

---

ILI

Tsan Yuk Hospital

Victoria Remand Prison Hospital Wan Chai Hospital

. гг

---

Government Clinics & Maternity Homes...

(B) Govt.-ASSISTED HOSPITALS

Alice Ho Miu Ling Nethersole Hospital..

| 138 |

Grantham Hospital

LLL

Ruttonjee Sanatorium

Sandy Bay Convalescent Home

Tung Wah Eastern Hospital

Tung Wah Hospital

Canossa Hospital

LIL

-- J

---

FIL

116

194

200

S喆|||S

613

300

LOI

T.B.

Lep.

Inf.

Others

Total

632

|3 | | | | |

| | | | | | |

200

305

621

360

100

287*

100

338

853

Lrr

H.K. Central Hospital

H.K. Sanatorium & Hospital

Matilda & War Memorial Hospital St. Paul's Hospital

гг.

Private Nursing & Maternity Homes

TOTAL (Hong Kong)

LLL

LL-

---

LL-

LLL

BENAR

200

120

316

190

---

952

744

41 200

270 1,104

35 393

81 4,722

---

KOWLOON

Kowloon Hospital....

(A) GOVERNMENT HOSPITALS

Lai Chi Kok Female Prison Hospital Lai Chi Kok Hospital

235

ггг

...

194

Queen Elizabeth Hospital

258

523

+++

Government Clinics & Maternity Homes.

137)

110

74 100

X 186

|||R|

158

| | |:

500

492

192.

[10

(B) Govt-Assisted HOSPITALS

Caritas Hospital

...

Hong Kong Society for Rehab. (Kwun

Tong Rehab. Centre) Kwong Wah Hospital

Maryknoll Mission Hospital

Baptist Hospital

Evangel Medical Centre

Precious Blood Hospital

---

111

St. Teresa's Hospital

---

Private Nursing & Maternity Homes

NEW TERRITORIES

(A) GOVERNment HospitaALS

TOTAL (Kowloon)

Med.

TABLE 44 Contd.

Surg.

Ophth

E.N.T.

Gyn.

Mat.

Pac. & Babies

T.D.

Lep.

Psy.

Chro.

433 325

20 104

---

57.

15.

1,164 1,442;

HUAN

33 24 3

1,442) 30 45 240 1,049 661

380

377

སྱཱ |3 *ཀྑ;

150

52.

490

303 [9]

218+

232†

66] 1,850

106

275

400

374

28 158 310 5,886

Long

Term

Cust.

Casu.

Obsr.

Castle Peak Hospital

St. John Hospital

South Lantau Hospital

---

Cheung Chau

Fanling Hospital

Tai Lam Chung Prison Hospital Government Clinics & Maternity Homes.

(B) Govt.-ASSISTED HOSPITALS

Haven of Hope T.B. Sanatorium (incl. Nansen Wing)

Hei Ling Chau Leprosarium Pok Oi Hospital

111

Adventist Sanatorium Hospital

Children's Convalescent Home

Private Nursing Homes & Maternity Homes

TOTAL (New Territories)

---

174

फुल

*}༅།

|9~ | |

1,119

100

193

28936

---

DE & A **

FIL

---

...

---

g||

240

ક્

540

L18

A 1

اب |

18 1

190

282

70 297

540 1,119 30

2,568

GOVERNMENT HOSPITALS

---

ILL

ILJ

689 1,180

28 154 782

GOVERNMENT-ASSISTED HOSPITALS PRIVATE HOSPITALS

---

1,049 396 22

44) 248

555]

568 436

---

IPI

---

141 46

374 [59 452 1,570

175 52

1,148

127 246 242

5.171

540

751

148

5,975

6 35

2,030

GRAND TOTAL

111

2,306 2,212 53 86 448 2,023 3,001|1,781 545 1,154 | 797

* Including 180 beds in Sandy Bay Infirmary.

† These beds are in Wong Tai Sin Infirmary.

127 246 397 13,176

Int.

Others

Total

TABLE 45

IN-PATIENTS DISCHARGED FROM GOVERNMENT,

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS IN 1965

Total No. of

Beds

In- patients admit- ted

General Cases

In-patients Discharged

In- Tuber- Mater- Pty- fectious culosis nity chiatric Total

Cases Cases Cases CAM

632 22,832 18,864

124 2,397

21,477

88 1,299 474

#14

1,300

1,317 1,167

55.

1,305

200

8,399 2,038

6,288

8,326

84 4,585 4,305

214

4,590

30 276

179

261

++T

99 3,857

3,857

HONG KONG

(A) GOVERNMENT HOSPITALS

Queen Mary Hospital ...

Sai Ying Pun Hospital...

Stanley Prison Hospital

Tsan Yuk Hospital

Victoria Remand Prison

Wan Chai Hospital

Government Clinics & Maternity Homes

---

(B) Govt.-ASSISTED HOSPITALS

1 гг

Alice Ho Miu Ling Nethersolo

Hospital

305

111

---

111

7,766 4,681

43!

107 2,778

7,609

Grantham Hospital

---

621

1,224

150

1,007

1,159

Ruttonjee Sanatorium...

360

882

762

805

Sandy Bay Convalescent Home

100

175

157

Tung Wah Hospital

*853 4,502 3,517

193

2,781

6,539

Tung Wah Eastern Hospital

338

6,646 3,376

122

128

2,586

6,212

Canossa Hospital

IIL

200 3,085 2,791

220

3,068

H.K. Central Hospital...

120

3,637 3,218

238

3,541

H.K. Sanatorium & Hospital... 316 10,891 7,649

152

2,149

178 10,217

Matilda & War Memorial

Hospital

St. Paul's Hospital

Private Nursing & Matemity

Homes

LLI

52 1,021

863

150

1,023

---

ггг

190 4,187 3,100

E30

631

3,921

---

50 3,296

3,296

TOTAL (Hong Kong)

---

4,722 89,877 56,492 1,541

2,792 27,371

467 88,663

• Including 180 beds in Sandy Bay Infirmary.

TABLE 45-Contd.

Beds

Total No. of In- patients admit- ted

In-patients Discharged

General Cares

In-

Psy- Tuber- Mater- fectious culosis nity chiatric Total

Cases Cases Cases Cases

KOWLOON

(A) GOVERNMENT HOSPITALS

Kowloon Hospital

Lai Chi Kok Female Prison Lai Chi Kok Hospital Queen Elizabeth Hospital Government Clinics &

Maternity Homes

(B) Govt.-ASSISTED HOSPITALS

500

4.726

4,287

150

4,304

IL-

492

159 3,999

314

1,197

153 1,584

---

1,388 48,711| 36,044

809

8,130)

89 45,821

110

3,227

5,227

Caritas Hospital

490

2,628 1,113

171

960

10.

2,254

H.K. Society for Rehab. (Kwun

Tong Rehab. Centre)

263

269

Kwong Wah Hospital

$1,850 42,121

20,133

114

703 17,744)

Maryknoll Hospital

BO 3,938

2,612

141

1,043

38,696 3,819

Baptist Hospital

Evangel Medical Centre

Precious Blood Hospital St. Teresa's Hospital

Private Nursing & Maternity

Homes

TOTAL (Kowloon)

NEW TERRITORIES

(A) GOVERNMENT HOSPITALS

750

674

770

391

135

248

391

106 1,385

865

277

1,205

275 8,574 7,780

660

231

1,204

9,875

---

400 28,811

635

I 28,175

28,811

5,886 153,683 75,004 2,822

2,822

2,350 63,095

108 143,379

Castle Peak Hospital

1,119

4,191

$2,429 12,429

$1. John Hospital

100

1.904

1.130

104

581

1,876

South Lantau Hospital.......

170

128

174

Tai Lam Chung Prison Hospital Goverment Clinics &

282

283

Maternity Homes

193 12,421

12,421

(B) Govt.-ASSISTED HOSPITALS

Haven of Hope T.B.

Sanatoriumi

240

397

277

285

Hei Ling Chau Leprosarium

arium

540

[12

138

Pok Oi Hospital

113

4,591

2,583

1,805

4,388

Adventist Sanatorium Hospital

1,374

1.236

138

1,374

Children's Convalescent Home,

Cheung Chau......

112

Fanling Hospital

---

1,179

1,088

1,186

Private Nursing & Maternity

Homes

691 3.727

3.713

3,727

TOTAL (New Territories)...

2,568 30,460| 6,528

271

18.709

2,436 28,393

GOVERNMENT HOSPITALS

---

GOVE-ASSISTED HOSPITALS

---

PRIVATE HOSPITALS

---

5,171 126,353| 69,300| 5,975 75,243 38,564 2,030 72,420 30,160)

3,153

$26

955

1,444 38,946| 3,533 29.697 614 40,532

2,743 115,588

10 72,330 256 72,517

GRAND TOTAL...

13,176 274,020| 138,024| 4,634

5,591 109,175)

,175]

3,011| 260,435

* Including 350 beds in Wong Tai Sin Infirmary.

+ Including 233 patients treated in Drug Addiction Treatment Centre.

TABLE 46

IN-PATIENTS DISCHARGED FROM GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS

DEATHS IN GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS

CAUSES OF ALL DEATHS IN THE COLONY, 1965

CLASSIFIED ACCORDING TO INTERNATIONAL STANDARD CLASSIFICATION INTERMEDIATE LIST OF 150 CAUSES

Discharges

Inter-

mediate

List

Number

Detailed

List

Number

Cause groups

Deaths

Govern-

menl

Hospitals

Govern-

meat-

Assisted

Hospitals

Gover-

ment

Hospitals

Govern-

IDent-

Assisted

Hospitals

Whole Colony

Male Female

¡Sex Un-i

known

Toul

A 1

A 2

001-008

010

Tuberculosis of Respiratory System Tuberculosis of meninges and

1,005

3,022 118

525

802

322

1,124

central nervous system ...

119

A 3

011

Tuberculosis of intestines, peri-

toneum and mesenteric glands..

A 10

A 11

A 12

A 13

theroag INI

012-013

Tuberculosis of bones and joints...

345

324

014-019

Tuberculosis, all other forms

170

138

en el co

020

Congenital syphilis...

T11

021

Early Syphilis

---

LLI

024

Tabes dorsalis

TIT

---

025

General paralysis of insane

022-023

All other syphilis

118

---

026-029

030-035

Gonococcal infections

---

040

Typhoid fever

497

121

→

041-042

Paratyphoid fever and other

A 14

043

Cholera

A 15

044

Salmonella infections

Brucellosis (Undulant fever)

Carried forward..

---

2,402 3,745

195

593 936 409

1,345

TABLE 46-Contd.

Discharges

A 16(a)

045

Bacillary dysentery...

(b)

046

Amoebiasis

(c)

047-048

dysentery.

+++

A 17

050

Scarlet fever

.ז

A 18

051

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted Hospitals

Govern-

ment

Hospitals

Deaths

Whole Colony

THEA1-

Assisted Hospitals

Male Female

[Sex Un-|

known

Total

Brought forward...

2,402 3,745

195

593 936

409

1,345

408

---

110

+++

155

فرنسا

Other unspecified forms of

Streptococcal sore throat

110

نیا

A 19

052

Erysipelas

A 20

053

Septicaemia and pyaemia

A 21

055

Diphtheria

A 22

056

Whooping Cough

057

Meningococcal infections

058

Plague

060

Leprosy

- - -

гтт

A 26

061

Tetanus

---

A 27

062

Anthrax

A 28

080

Acute poliomyelitis

A 29

082

A 30 081,083

Acute infectious encephalitis Late effects of acute poliomyelitis

and acute infectious encephalitis

...

A 31

084

Smallpox

...

A 32

085

Measles

A 33

091

Yellow fever

A 34

092

Infectious hepatitis...

732

LII

---

148

138

---

176

432

247

13 113

104

217

---

190

159

|26||

| | | 18619LAE"

TOP TI

A 35

094

Rabies

Carried forward...

4,866

4,503 374 643 1,155

617

1,772

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

menl

Hospitals

Govern-

ment-

Govern-

Gover-

Whole Colony

ment Assisted Hospitals Hospitals

ment-

Assisted

Hospitals

Male Female

[Sex Un-l

known

Total

J-J

4,866 4,503

374 643 1,155 617

1,772

100

Brought forward...

Louse-borne epidemic typhus 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

A 36(a)

100

(6)

101

(c)

104

(d)

105

(e) 102-103

106-108

A 37(a)

110

(6)

111

(c)

112

(d)

115

(e)

113-114

116-117

A 38(a)

123.0

(S. haematobium)

(b)

123.1

(S. Mansoni)

(c)

123.2

(S. Japonicum)

(d)

123.3

schistosomiasis

A 39

125

Hydatid disease

...

+++

Other and unspecified forms of malaria

Schistosomiasis vesical

Schistosomiasis intestinal

ILL

· L ·

---

-гг

Schistosomiasis pulmonary

Other and unspecified

---

...

ILL

Carried forward...

4,881

4,513

374

643 1,155

618

1,773

TABLE 46--Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

Whole Colony

msat-

ment

Hospitals

MCAL Assisted

Hospitals

Assisted Hospitals

Male

Female

1Sex Un-l

known

Total

Brought forward...

4,881 4,513

374

643

1,155

618

1,773

101

A 40(a)

A 41

*Soc$

127

(6) 127

Onchocerciasis

Loiasis

(c)

127

(d)

127

Other filariasis

129

A 42(a)

126

(b)

130.0

(c)

130.3

(d) 124, 128

130.1-130.2

A 43(a)

037

(6)

038

(d)

(0)

€ 38 $395

049

intoxication

071

072

Filariasis (bancrofti)

Ankylostomiasis

Tapeworm (infestation) and other

cestode infestations

Ascariasis

---

147

| Su Sull

224

LII

Guinea Worm (dracunculosis) Other diseases due to

helminths...

Lymphogranuloma venereum Granuloma inguinale, venereal Other and unspecified venereal diseases

+++

Food poisoning infection and

Relapsing fever

гг

+11

---

Leptospirosis icterohaemorrhagica

---

rr+

105

(Weil's disease)

...

073

Yaws

---

087

Chickenpox

090

Dengue

- - -

---

095

Trachoma

---

| | | |

---

Carried forward...

5,133

4,954

374

643 1,155 618

1,773

102

Inter-

mediate

List

Number

TABLE 46-Contd.

Discharges

Deaths

Detailed

List

Number

Cause groups

Govern-

meni

Govern-

ment-

Govern-

Hospitals

ment Assisted Hospitals Hospitals

Govern-

ment-

Assisted

Hospitals

Whole Colony

Male Female

Sex Un-

known

Total

Brought forward...

5,133 4,954

374

643 1,155 618

1,773

A 43(k)

096.7

Sandfly fever

(1)

(m)

120

Leishmaniasis

121(a)

(5)

(c)

000

300

[31

Trypanosomiasis gambiensis

Trypanosomiasis rhodesiensis

Other and unspecified

trypanosomiasis

Dermatophytosis

---

135

Scabies

فيا ليا

¦ ¦ │

ILL

036, 054,

---

262

292

059, 063,

064, 070,

074,086,

088,089,

093, 096.1,

All other diseases classified as infective and parasitic

096.6,

096.8,

096.9, 122,

132-134,

136-138

A 44

140-148

Malignant neoplasm of buccal cavity and pharynx

A 45

A 46

150

151

A 47

152-153

Malignant neoplasm of oesophagus Malignant neoplasm of stomach Malignant neoplasm of intestine, except rectum

Carried forward.

+++

479

221

108

156

253

107

360

101

135

115

148

217

219

---

173

198

180

378

150

157

62 68

130

6,344

5.984

643 1,061 1,784 1,007)

2,791

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Govern-

ment Assisted Hospitals Hospitals

Govern-

ment-

Assisted Hospitals

Whole Colony

Malc

Female

|Sex Un-

known

Total

A 48

A 49

154

161

Brought forward... Malignant neoplasm of rectum Malignant neoplasm of larynx

6,344 5,984

643 1,061 1,784 1,007

2,791

116

166

A 50

162-163

Malignant neoplasm of trachea,

A 51

A 52

170

171

172-174

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

273

+++

258

180

671

262

170

A 54

177

A 55

A 56

190-191

196-197

Malignant neoplasm of prostate... Malignant neoplasm of skin Malignant neoplasm of bone and connective tissue...

---

288 289 2

214 !

112

222

239

297

UNI INS

216

$13

143

145

127

---

A 57

155-160,

164-165.

175-176,

178-181,

Malignant neoplasm of all other and unspecified sites

764

41E

307

348

638

331

969

192-195.

198-199

A 58

A 59

204

Leukaemia and aleukaemia

101

112

TII

200-203

Lymphosarcoma and other

205

neoplasms of lymphatic and

haematopoietic system

103

198

A 60

210-239

Benign neoplasms and

neoplasms of unspecified nature

1,802

782

Carried forward.

10,744

8,508

1,252

1,916 | 2,921| 2,047|

4,968

103

TABLE 46Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

meni

Hospitals

Govern-

ment-

Assisted

Hospitals

Govern-

ment

Whole Colony

Hospitals

ment-

Assisted

Hospica

Male Female

[Sex Un-l

koown

Total

Brought forward...

F+

10,744 8,508 1,252

1,916 2,921 2,047

4,968

A 61

260-251

Nontoxic goitre

132

A 62

252

---

A 63

260

Thyrotoxicosis with or without goitre Diabetes mellitus

419

155

+++

513

363

A 64(a)

280

Beriberi

Ꮀ Ꮀ Ꮁ

זי +

(b)

281

Pellagra

---

(c)

282

Scurvy

LLE

+++

]

(d) 283-286

A 65(a)

290

(5) 291

Other deficiency states Pernicious and other

hyperchromic anaemias...

Iron deficiency anaemias (hypochromic)

Other specified and

unspecified anaemias

---

247

113

...

350

239

A 66(a)

241

Asthma

519

733

---

(b)

240,

242-245,

253-254,

270-277,

287-289,

All other allergic disorders, endocrine, metabolic and blood diseases

294-299

A 67

A 68

300-309

Psychoses

310-342,

Psychoneuroses and disorders

326

of personality

A 69

325

Mental deficiency

111

879

427

14 11

PH+

+++

---

1,751

4,605

135

Carried forward...

20,046 | 11,046

1,320 1,978 3,064 2,161|

-- 5,225

104

Inter-

mediate

List

Number

TABLE 46-Contd.

Discharges

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Gover-

ment-

Govern

Govern-

Whole Colony

ment Assisted Hospitals Hospitals

ment-

Assisted Hospitals

Male Female

Sex Un-

known

Total

Brought forward...

+++

20,046 11,046 1,320 1,978 3,064 2,161

5,225

A 70

330-334

Vascular lesions affecting central

nervous system

LII

---

557 1,710

649

787 913 964

1,877

A 71

340

Nonmeningococcal meningitis

A 72

345

Multiple sclerosis

LLL

---

A 73

353

Epilepsy

309

---

A 74

370-379

Inflammatory diseases of eye

A 75

385

Cataract

433

137

---

...

A 76

387

Glaucoma

121

A 77(a)

390

Otitis externa

(6)

391-393

Otitis media and mastoiditis

129

(c)

394

Other inflammatory diseases of ear

A 78(a)

380-384

386, 388

389

All other diseases and

Conditions of eye

415

(6) 341-344,

350-352,

354-357,

360-369,

All other diseases of the nervous system and sense organs

581

191

395-398

A 79

400-402

Rheumatic fever

293

156

---

A 80

410-416

Chronic rheumatic heart disease

752

137

!11

173

---

A 81

420-422

Arteriosclerotic and degenerative

heart disease

282

209

+++

162

596 466

1,062

A 82

430-434

Other diseases of heart

570

624

236

419

541 424

965

Carried forward.

24,665 | 14,616

2,439

3,446 | 5,273| 4,203|

9,476

105

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

Toent-

Govern-

Gover-

Deaths

Whole Colony

ment Assisted Hospitals Hospitals

ment-

Assisted

Hospitals

Male Female

|Sex Un-

known

Total

Brought forward...

24,665 14,616 2,439 3,446 5,273 4,203

9,476

A 83

440-443

Hypertensive heart disease

154

287

A 84

444 447

Other hypertensive diseases

299

402

---

A 85

450-456

A 86

460-468

A 87

470-475

480-483

Diseases of arteries

Other diseases of circulatory system Acute upper respiratory infections Influenza

246

148

435

628

1,449

1,987

156

---

A 89

490

Lobar Pneumonia

PLU-Baã

---

A 90

491

Bronchopneumonia

1,388

3,035

433

618

A 91

492-493

Primary atypical, other and

A 92

500

Acute bronchitis

A 93

501-502

A 94

510

A 95

518, 521

A 96

$19

unspecified pneumonia

...

Bronchitis, chronic and

unqualified

Hypertrophy of tonsils and adenoids

· Pr

---

Empyema and abscess of lung Pleurisy

171

215

299

]

80mm 1100 am

106 211. 132

343

14! 16

100

766

687

1,453

311

310

602

801

---

148

387

251

-L

134

---

A 97(a)

523

Pneumoconiosis

(5)

511-517,

520, 522,

All other respiratory diseases

1,105

561

524-527

A 98(a)

(5)

530

531-535

Dental Caries

|20| 7 |

+ Tr

A 99

540

Ulcer of Stomach

All other diseases of teeth and

supporting structures

415

---

1,143

917

।। | wहैं।

Carried forward

32,614 24,255

3,074

,383 | 6,598 5,302|

11,900

106

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

Tent-

Gover

Govern-

Deaths

Whole Colony

πεπ! Assisted Hospitals Hospitals

menl-

Assisted Hospital

Male Female

|Sex Un-

known

Total

Brought forward...

32,614 24,255 3,074 4,383 6,598 5,302

11,900

A100

541

Ulcer of duodenum

1,213

286

A101

543

Gastritis and duodenitis

110

FFF

118

381

A102

550-553

Appendicitis

---

2,006

1,046

A103

560-561,

Intestinal obstruction and hernia..

1,199

502

261

570

AI04(a)

571.0

Gastro-enteritis and colitis,

(6) 571.1

between 4 weeks and 2 years Gastro-enteritis and colitis,

1,057

917

age 2 years and over

550

479

---

AIOS

581

Chronic enteritis and ulcerative colitis Cirrhosis of liver

136

471

103

---

A106

A107

584-585

Cholelithiasis and cholecystitis

453

960

- L

TON * *

104

174

moon

232

536-539,

542, 544,

545.

573-580,

Other diseases of digestive system;

1,808

852

192

127 197

130

327

582-583,

586-587

A108

590

Acute nephritis

IIT

A109

591-594

nephritis

---

A110

600

A111

602, 604

A112

610

Chronic, other and unspecified

Infections of kidney

Calculi of urinary system

Hyperplasis of prostate

Carried forward.

| we w

---

263

159

237

385

130

226

- L

LLL

243

119

660

370

42,964 30,971

---

3,527 4,795 7,280 5,728

13,008

22+ |

107

TABLE 46-Contd.

Discharges

Inter-

mediate

Detailed

Deaths

List

Number

List

Number

Cause groups

Govern-

Gover-

ment

Hospitals

Govern-

Whole Colony

JDent-

ment Assisted Hospitals Hospitals

ment-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

Brought forward...

42,964 30,971

3,527 4,795 7,280 5,728

13,008

A113

620, 621

Diseases of breast

102

+++

...

A114(0)

613

Hydrocele

218

140

(6)

634

Disorders of menstruation

550

676

(c)

601, 603,

605-609,

611-612,

614 617,

All other diseases of the genito-urinary system

2,779

1,550

10]

622-633,

635-637

A115

640-641.

681-682,

Sepsis of pregnancy, childbirth

684

and the puerperium

A116

642, 652

Toxaemias of pregnancy and

685, 686

the puerperium

735

244

A117

643, 644

670-672

Haemorrhage of pregnancy and childbirth.

575

260

A118

650

Abortion without mention of

sepsis or toxaemia

· · ·

2,057

1,873

A119

651

Abortion with sepsis

---

A120(a) 645-649,

108

673-680,

683.

Other complications of pregnancy, childbirth and the puerperium...

7,328

1,658

687-689

(b)

660

Delivery without complication

7,710 | 28,127

Carried forward...

65,140 65,668

3,550

4,810 | 7,285 5,772

13,057

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

menl

Hospitals

Govern

ment-

Assisted Hospitals

Govern-

ment

Hospitals

Whole Colony

MEAL-

Assisted

Hospitals

Male Female [Sex Un-

Total

known

A121 690-698

A122 720-725 A123 726-727

Brought forward... Infections of skin and sub- cutaneous tissue

65,140 | 65,668

3,550 4,810 7,285 5,772|

13,057

---

1,288

512

A124

A125

730

737

A126(a)

745-749

715

+++

Arthritis and spondylitis Muscular rheumatism and rheumatism, unspecified Osteomyelitis and periostitis Ankylosis and acquired

musculoskeletal deformities

Chronic ulcer of skin

(including tropical ulcer)

251

213

+++

309

(b) 700-714,

716

All other diseases of skin

554

161

पं

738-744

All other diseases of musculo- skeletal system

727

A127

751

Spina bifida and meningocele

-N

A128

754

Congenital malformations of

اليا

circulatory system

216

48 29

A129

750,752,

753,

All other congenital

malformations

548

242

755-759

A130

760-761

Birth injuries

A131

762

Postnatal asphyxia and

atelectasis

A132(a)|

764

Diarrhoea of newborn (under

4 weeks)

* * =

82 58

140

341

221

134

TTI

(6)

765

Ophthalmia neonatorum

Carried forward..

69,378 | 67,240

3,739

4,996 | 7,580 5,969

113,549

109

110

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Gover-

ment-

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

meni-

Assisted

Hospitals

Deaths

Whole Colony

Male Female

|Sex Un-|

known

Total

Brought forward...

69,378 67,240

3,739

4,996

7,580 5,969

13,549

A132(c) 763, 766-768

Other infections of newborn

130

111

90 146 120

266

A133

770

Haemolytic disease of newborn

489

120

147

220

A134

769,

771-772

All other defined diseases of early infancy

172

---

A135

773-776

Ill-defined diseases peculiar to early infancy

1,238

761

194

329

404

290

694

A136

794

A137(a)

788.8

(5)

793

(c)

780-787,

788.1-788.7

788.9.

789-792,

795

AE138 E810-E835 AE139 E800-E802,

E840-E866

Senility without mentoin of Psychosis

Pyrexia of unknown origin Observation, without need for further medical care

All other ill-defined causes of morbidity

Motor vehicle accidents

Other transport accidents...

146

265

411

+++

471

---

LII

1,753

592

---

1,736

1,396

165

628

591

1,219

---

2,387

137

144

156

1011

257

449

109

AE140 |E870-E895

Accidental poisoning

597

AEI41 E900-E904

Accidental falls

---

5,922

157

AE[42

E912

Accident caused by machinery

1,405

154

E 1

141

AEI43

E916

Accident caused by fire and explosion of combustible

material

292

Carried forward...

85,924 | 71,467

4,445

5,701 | 9,444| 7,514)

16,958

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

Gover

Govern-

ment

Hospitals

Govern-

Whole Colony

ment-

ment Assisted Hospitals Hospitals

meat-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

16,958

AE144 E917-E918

1,414

AE145

E919

AE146

E929

+++

Brought forward... Accident caused by hot substance, corrosive liquid, steam and radiation Accident caused by firearm Accidental drowning and submersion

+++

- - ו

85,924 71,467 4,445 5,701 9,444| 7,514|

145 75

220

AE147

(a)

E920

Foreign body entering eye and

adnexa

E923

Foreign body entering other orifice

849

(c)

E927

Accidents caused by bites and

stings of venomous animals

and insects

175

(d)

E928

Other accidents caused by animals

(e) E910-E911,

E913-E915,

E921-E922,

All other accidental causes

3,922

613

E924-E926, E930-E965

AE148 E970-E979

Suicide and self-inflicted injury

630

190

111

301

AE149 1E980-E985

Homicide and injury purposely

inflicted by other persons

(not in war)

805

139

TII

AE150 E990-E999

Injury resulting from operations of war

GRAND TOTAL

---

93,850 | 72,330 4,555

5,701 9,885 7,736

17,621

111

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Gover-

Govern-

ment-

Govem-

Govern-

Deaths

Whole Colony

ment

Hospitals

ment Assisted

Hospitals

ment-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

AN138 N800-N804 Fracture of skull

423

226

324

Ꮀ Ꮀ Ꭽ

AN139 N805-N809 Fracture of spine and trunk AN140 N810-N829 Fracture of limbs

---

AN141 N830-N839

Dislocation without fracture

720

...

3,376

110

215

ייי

AN142 N840-N848 Sprains and strains of joints and

adjacent muscle

112

ANI43 N850-N856 Head injury (excluding fracture)

ANI44 N860-N869

Internal injury of chest, abdomen and pelvis

Laceration and open wounds

117

5,921

139

66:

179

---

AN145 N870-N908

AN146 N910-N929 Superficial injury, contusion and crushing with intact skin surface

3,130

147

582

169

AN147 N930-N936 Effects of foreign body entering through orifice

---

AN148 N940-N949 Burns

941

---

1,873

219

AN149 N960-N979 Effects of poisons

AN150 N950-N959 All other and unspecified effects

TTP

1,185

N980-N999

of external causes

TOTAL

---

316

478

313

148

461

---

18,978

1,479

401

823

419

1,242

113

TABLE 47

HOSPITAL COSTING 1964-65 AND 1965-66

1964-65

1965-66

Unit

Total Cost

Cost per bed

per year

Cost per

patient

Total Cost Cost per bed

Cost per

treated

per year

patient

treated

- 1

LL+

7,731,188

6,835.71

1,811.85

7,996,390

7,146.01

1,907.99

Castle Peak Hospital

(Psychiatric services)

Kowloon Hospital

(Infectious & convalescent)

Lai Chi Kok Hospital

(Infectious & convalescent)

Queen Elizabeth Hospital (Acute general & teaching)

Queen Mary Hospital

(Acute general & teaching)

Tsan Yuk Hospital (Maternity & teaching)

---

3,912,552 7,825.10

827.87

2,035,835

4,304,09

349.00

2,670,534 5,427.91

445.16

---

23,403,603

16,861.00

554.72

29,550,520 21,198.00

569.00

15,252,387 24,133.52

689.00 15,976,838

25,279.80

699.75

2,447,661 12,238.30

301.00 2,714,516 13,572.58

323.19

TABLE 48

WORK OF THE QUEEN MARY HOSPITAL 1961-65

1961

1962

1963 1964 1965

Maternity cases admitted

2,300 2,390 2,250 | 2,307 2,384

General In-patients (excluding maternity) 15,376 18,336 19,268 19,203 20,448

Total Out-patient Attendances

---

Casualties attended (including in above

figures)

ILL

Operations (excluding minor cases)

Mortality (expressed as percentage of

admissions)

71,046 83,458 81,209 79,081 62,118

rrr

41,936 46,589 43,816 44,768 | 41,801

8,420 9,681 9,623

10,315 | 10,860

7.3

6.6

7.5

6.3

5.9

TABLE 49

WORK OF THE QUEEN ELIZABETH HOSPITAL 1965

Maternity Cases admitted

---

General Cases admitted

New Attendances at Casualty...

New Out-patients

7,176

ггт

41,535

Total admissions...

48,711

---

108,646

38,275

---

Total New Out-patients..

146,921

Total Out-patient Attendances...

302,969

+47

Operations

16,863

Average length of stay of In-patients

Mortality (% of deaths & discharges)

114

---

8.7 days

6.3 %

TABLE 50

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1965

A. TRAUMATIC CASES

First Attendance

Admissions

Cause

Cases

Assault Traffic Industrial Domestic

Animal Bite

---

7,708

15.9

766

8.0

FEN

6,802

14.1

2,359

24.6

11,121

23.0

1,833

19.1

+++

15,831

32.7

3,637

37.9

---

2,680

5.5

0.9

Sport

Other

+++

---

1,631

3.4

365

3.8

+++

2,629

5.4

551

5.7

Total

---

48,402

100.0

9,595

100.0

44.9%

36.2%

Traumatic attendance as a percentage of total attendances at Casualty Traumatic admissions as a percentage of total admissions from Casualty

B. NON-TRAUMATIC CASES

First Attendance

Cause

Admissions

Cases

---

Infectious Tuberculosis

Medical

Surgical

LLI

ILI

LLL

...

T11

Obstetrical Gynaecology Paediatric Psychiatric Other

---

663

1.1

121

0.7

---

611

1.0

0.5

т.т

זיי

23,461

39.6

5,546

32.8

זוז

י ז ז

11,090

18.7

4,363

25.8

528

0.9

330

2.0

огг

4,494

7.6

1,707

10.1

12,640

21.3

4,183

24.7

---

ILL

■

...

1,292

2.2

0.2

---

Frr

+++

4,507

7.6

546

3.2

Total

59,286

100.0

16,912

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

115

100.0

55.1%

63.8%

Total Admissions

TABLE 51

WORK OF TSAN YUK HOSPITAL 1964-65

...

Total Deliveries...

Stillbirth rate (per 1,000 total births)...

Neo-natal Mortality rate (per 1,000 livebirths)

Maternal Mortality rate (per 1,000 total births)

Percentage of Operative Deliveries

Ante-natal Attendances

Postal-natal Attendances

1964

1965

6,761

6,302

- Pr

5,698

5,408

13.1

8.32

---

11.02

8.76

0.88

1.11

28.5 %

26.98%

25,815

29,990

---

2,799

2,952

TABLE 52

WORK OF CASTLE PEAK HOSPITAL 1965

Male Female Total

Patients in hospital on 1.1.65.

...

---

1,077

598 1,675

Patients admitted: First admissions

904

624 1,528

---

ггг

Patients discharged

Patients transferred

Re-admissions

Total admissions...

497

491

988

1.401

1,115

2,516

---

1,179

986

2,165

יזז

---

Deaths

гог

---

Total discharges

---

1,239

1,025

2,264

1,239

688

1,927

Patients remaining on 31.12.65.

Note: Figures excluding Drug Addiction Centre.

116

TABLE 53

WORK OF DAY HOSPITAL AND PSYCHIATRIC CENTRES 1965

PSYCHIATRIC DAY HOSPITAL

Patients attending on 1.1.65.

Admissions

---

ILL

Male Female Total

---

135

---

156

---

TTT

111

---

Discharges

ILL

Patients attending on 31.12.65...

ATTENDANCES AT PSYCHIATRIC CENTRES

Hong Kong

יז+

Queen Elizabeth Hospital Tsim Sha Tsui

Tsuen Wan

Registered

Total

ггг

.гг

-- J

---

ггт

New

Repeated

Total

990

22,589

ייי

23,579

298

1,392

1,690

303

4,378

4,681

137

1,375

1,512

1,728

29,734

31,462

TABLE 54

DRUG ADDICTION TREATMENT CENTRE

MARCH 1961-November 1965

Submitted to Selection procedure 187

Approved for admission

Admitted for treatment

2,220

No (A)

Yes

2,033

No (B) 819

Yes

1,214

No (C)

Yes

232

982

No (D) 668

Yes

314

Currently Currently

Re-admitted

Abstinent Readdicted after Relapse

139

Followed-up as a Cohort for research

158

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

(B) Rejected on basis of criteris laid down for admission.

(0)

Did not attend when called for admission.

(D) Transferred to Shek Kwo Chau.

117

118

TABLE 55

NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT- ASSISTED HOSPITALS AND CLINICS 1965

General Clinics

Special Clinics

Total

General

Casu-

alty

General

Child Ante- Post- Health Natal Natal

E.N.T.

Eye

Tuber- Psy- culosis❘chiatry

| Social Leprosy Hygi-

Derma-

tology

ene

535,432 43,511 9,000 66,578; 11,897

491

5,908 31,707 4,912 14,514 1,115 306 15,670 30,114 245: 2,417 1,354

6,177

746,727

14,621

---

64,427)

13,380

474 2,159 739 8,8361 1,487] 178

87 2,317

524

401

70,389

350

546

153

25,669

613,730 43,511 20,327 75,659 17,960,

7,527 34,374

5.982 15.150|

1,113

306 15,670

6,177

857,488

HONG KONG

Government Institutions

Goverment-Assisted Institutions

Alice Ho Miu Ling Nethersole Hospital Grantham Hospital

Rutonjee Sanatorium

IIL

---

Tung Wab Hospital

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

KOWLOON

Government Institutions

Government-Assisted Institutions:

Caritas Hospital

гг.

111

Kwong Wali Hospital

111

Maryknoll Hospital

TOTAL (Kowloon)

---

668,647 110,759 27,936 53,384 10.732

7,727 59,078)

4,723 16,534

601

546 12,790

5,412

978,869

13,720 91,011 22,966' 2,821 743 9,411

1,070, 462

502)

15,998

17,046

1,037

1,069

671 1,640

738

3,047

143)

140,088

12,255

782,789| 133,725| 30,757| 55,408) 29,917|

9,598| 60,718

7,770|| 17,179)

601

546 12,790

5,412 1,147,210

---

323,517 28,232 253 10,495 14,560)

---

39,602

1,889|

365,008; 28,252

1,037 10,440 2,651 4,557 1,728 278

[40

424 2,919

36 399,261

184 32

437 10,527 16,288||

130

89;

41,608

2,324

1,315 10,570 2,651

4,646

[40

2,919,

36 443,193

NEW TERRITORIES

Government Institutions

Government-Assisted Institutions:

Pok Oi Hospital

111

Rennie's Mill Church Clinic

TOTAL (New Territories)

GRAND TOTAL (Govt. Inst.)

GRAND TOTAL (Govt.-ASST. INST.)

GRAND TOTAL (Colony)

---

1,527,596 182,502 37,189 130,457 37,189 14,672 101,225 12,286 35,605 1,856 233,931 22,966 14,332 11,137 26,976į 3,768 4,437 4,117 1,370 1,761,527 205,468 51,521 141,594 64,163 18,440 105,662 16,403 36,975 1,856

1,276 31,379 11,625 2,124,857

3.23,034

1,276 31,379 11,625 2,447,891

TABLE 56

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT- ASSISTED HOSPITALS AND CLINICS 1965

HONG KONG

Government-Assisted

Institutions:

Government Institutions

Alice Ho Miu Ling Nethersole

General Clinics

Special Clinics

Dress-

ing

General

Casu-

alty

General

Child Ante- Post- Health Natal Natal

Eye

E.N.T.

Tuber- Psy- culosis chistry

Social Leprosy Hygi.

Total

Derma-

tology

ene

352,728

944,298 48,946 24,865 420,643 66,751

7,308 89,475) 15,613)

380,316 23,704 9,301 81,644 15,487 2,481,079

Hospital

3,246

9:09

46,446 1,922 15,413

1,354

69,290

Grantham Hospital

LLI

536

336

Ruttonjee Sanatorium

---

18,411

Tung Wah Hospital

---

Tung Wah Eastern Hospital..

10,761!

3,457

יי.

107,419

47,691

י..

1,534 5,606 1,078; 36,114| 3,266 370,192 1,100,317| 48,946; 73,923,458,679| 91,036|

193 7,313 2,414. 2191 1,2611 1,898]

2,912

5,391

138, 152

100,375

KOWLOON

296,620 936,938| 110,759, 140,263 437,015 61,048 10,018 171,724 13,963

11,177|

29,030

---

1,943

Irr

111

58,257 226,219 23,439, 8,271 37,927 | 19,485 338,770 1,259,34|| 134, 198 168,019 448,108 136,126 12,210 177,864 25,990.

125,466

459,342 28,340 265 56,989 69,086

Government-Assisted Institutions;

---

TOTAL (Hong Kong)

Government Institutions

Government-Assisted Institutions:

Caritas Hospital Kwong Wah Hospital Maryknoll Hospital

TOTAL (Kowloon)

NEW TERRITORIES

Government Institutions

Pok Of Hospital 1,969 Rennie's Mill Church Clinic... 5,737

TOTAL (New Territories) GRAND TOTAL (GOVT. INST.) GRAND TOTAL (Govt.-ASST. INST.) GRAND TOTAL (Colony)

70,814: 22,151 543 262 .' 133,172 552,307 28,883 527 57,052; 74,796 774,814 2,340,578 188,045 165,393 914,647, 196,885 67,320, 571,387 23,982 77,076; 49,192, 105,073 842,134 2,911,965 212,027 242,469. 963,839 301,958

18,437 286,476 35,091 1,224,560 26,910 26,137 154,411|| 31,296' 6,383,680 4,236 14,934 16,339 35,024 622

965,185

22,673 301,410 51,430 1,259,584 26,910 26,137 154,411 26,910 26,137 154,411, 31,918 7,348,865

22,673|301,410

9,074 98,049 19,925

407,566, 23,704 9,301 81,544 15,487, 2,807,843

670,670. 1,709 15,873 65,578 15,667; 2,947,845

472. 3.117 $11 3,419| 64,704 7,202 7,257

943 6,017, 12,027: 738 123

3,913

1,702

77,447

622

375,771

75,297

676,285 1,709 15,873 65,578 16,289; 3,476,360

1,111 25,277: 5,515,

173,574, 1,497. 963 7,189,

142) 954,756

5,710

278

78,771

220

2,159

31,135

1,389. 23,497 5,515 175,733 1,497 963 7.189;

142, 1,064,662

119

Dispensaries

TABLE 57

NEW TERRITORIES CLINICS 1965

Oul-patient Attendances

Deliveries

New Cases

Total Attendances

General Special Total General Special Total

In- Domi- patients ciliary

Chee Hong Floating Clinic...

---

Chee Wan Floating Clinic

гг.

110

7,821

10,854

7,821 7,956

10,854) 17,313

7,956

17,313

Ha Tung

LLL

Gro

2,440 404

2,844 5,273 1,961 7,234

371

Kam Tin

FLL

789 1,100

Kat O...

Maurine Grantham

North Lamma

1,889 2,932

168. 217

8,206 11,138

313

306

...

---

ILL

5,832

103,901 LI,231 115,132 157,609|| 101,237| 258,846|

1221 5,954 9,636 366 10,002

2,610

Peng Chau

114

---

5,328 251| 5,579, 12,240 999 13,239

971

Sai Kung

Sai Kung Travelling...

San Hui

Sha Tau Kok

7,018 1,698 8,716 9,704 10,282 19,986

1,422

582

1,422 1,422

1,422

-11

---

5,983 2,660

8.6431 9,532 10.115 19,647

1,180

711

Sha Tin

---

ILL

6,163 740

14.417

6,903) 13.357 2,488 15,845

2,468 16,885 21,064| 13,713|| 34,777

343

708

Shek Wu Hui

Shek Wu Hui Travelling

Silver Mine Bay

44,476 5,713 50,189 57,039 49,596 106,635,

1,973

803

8031 803

803

---

5,367

Tai O

LLL

21,140

Tai O Travelling

Tai Po

Tai Po Travelling (East)

Tai Wo Hau D. S.

Yuen Long

LIL

370

34.377

FFF

164 5,531 8,688 929 9,516

770 21,910 27,273 1,876 29,149

370 370

4,256 38,633 54,722 38,812 93,534 1,548

125

312

370

IIL

2,754

2,754 2,758

2,758

482

---

2,610 2,610

41,007 7,709 48,716 59,537 68,381 127,918 2,046

424

Yuen Long Travelling (West)

LL-

392

TOTAL

ror

592

322,945 39,845 362,790 480,037) 311,559 791,596, 12,280

120

565

TABLE 58

WORK OF RADIODIAGNOSTIC BRANCH 1965

Centres

Hong Kong Island

1. H. M. Prison Victoria

2. Medical Examination Board

3. Mobile Mass Radiography Unit No. 1

4. Queen Mary Hospital

5. Sai Ying Pun Chest Clinic...

6. Sai Ying Pun Polyclinic

7. Shau Kei Wan Chest Clinic

8. Tang Shiu Kin X-ray Survey Centre

9. Tsan Yuk Hospital

10. Wan Chai Chest Clinic

ILL

TOTAL

Examinations

ггг

---

9,194

---

19,637

гг.

---

53,953

41,420

25,602

---

LLJ

18,160

ILL

ILI

10,290

LJ J

ILL

LLL

18,584

ILL

7,489

JJJ

---

ILI

31,597

+++

235,926

Kowloon and New Territories

1. Castle Peak Hospital

2. Kowloon Chest Clinic

3. Lai Chi Kok Hospital

---

4. Mobile Mass Radiography Unit No. 2

5. Pok Oi Hospital

---

6. Queen Elizabeth Hospital...

7. Shek Kip Mei Chest Clinic

TOTAL

+++

---

GRAND TOTAL (Whole Colony)

---

121

3,302

LII

70,500

...

---

LII

---

1,602

57,508

---

1,073

115,445

70,500

319,930

-Pr

555,856

TABLE 59

RADIOTHERAPEUTIC BRANCH 1964-65

1964

1965

New patients seen

New patients with malignant disease seen

New patients with non-malignant disease seen

2,058

2,631

1,370

1,725

688

906

Patients treated

---

2,034

2,511

New patients treated

+++

1,571

1,946

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

Deep radiotherapy treatments (X-ray and Telecobalt)

463

565

LII

1,582

1,946

1,188

1,515

394

431

452

549

52,135

62,003

Contact and superficial radiotherapy treatments

1,109

936

Radium, radiocobalt, radiostrontium and

radiogold applications

---

233

250

---

Radioiodine for thyrotoxicosis (courses of treatment)

273

399

Radioiodine for carcinoma of thyroid (courses of

treatment)

+++

Radioiodine for thyroid function tests

738

1,133

Radioiodine for scanning of whole body for metastases...

Radioiodine for scanning of neck only

413

405

Red blood cell T3 uptake tests

ILI

122

TABLE 60

WORK OF THE OPHTHAIMIC SERVICE 1964-65

New out-patient attendances

Total out-patient attendances

Operations performed

Operations classed as sight-restoring

(included in above)

Home visits by Health Visitors

ILL

L. I

---

PLI

---

1964

1965

93,936

99,403

266,724

282,202

3,139

3,201

1,310

1.531

- J-

3,526

2,474

TABLE 61

ANALYSIS OF MAJOR CAUSES OF BLINDNESS

(EXPRESSED AS PERCENTAGE OF BLIND CASES)

TOTAL INCIDENCE 1953-65

Keratomalacia

Senile cataract

Trachoma

Glaucoma

+11

Injuries (all types) Syphilis

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

Keratomalacia Congenital defects N.S.O.A./Uveitis

---

ILL

-TI

TTI

ILL

LEF

+++

LLL

LJJ

J-J

---

TT1

FIL

---

1953

1965

3.5

+++

---

ILI

---

2.5

7.5

INCIDENCE IN CHILDREN UNDER 15 YEARS OF AGE

1954-65

ггг

---

123

1954

1965

74.5

15,2

51.5

---

5.5

33.3

TABLE 62

PHARMACEUTICAL SERVICE

BULK PHARMACEUTICAL CENTRES

Stores and Bulk Manufacture

Central Medical Store (supplying Hong Kong and other islands) Kowloon Medical Store (supplying Kowloon and the New Territories)

Sterile Preparation Centres

Queen Mary Hospital

Queen Elizabeth Hospital

WORK OF PHARMACEUTICAL SERVICE 1964-65

1964

Value of Drugs and Dressings Value of Instruments and Surgical

Equipment

Number of Prescriptions Dispensed Manufacture

+++

+ T

---

Eye Ointments (in small tubes) Assorted Ointments (small tubes to

1 lb. units)

Tablets

---

TTI

Assorted Injections of various sizes

++4

---

Intravenous Fluids

---

Mixtures for internal use

Lotions etc. for external use

+++

$10,024,442.15

$ 1,421,307.84 3,640,510

209,534 tubes

64,447 units 10,124,068 nos.

183,163 litres 62,113 units *318,523 lbs.

61,140 lbs.

1965

$11,879,939.09

962,019.17

3,734,532

241,996 tubes

86,921 units

11,083,870 nos.

230,790 litres 76,478 units

386,932 lbs.

•

67,612 lbs.

• Bulk preparations made in the Kowloon and Central Medical Stores.

PHARMACEUTICAL CONTROL 1964-65

Whole Poisons Licence issued Authorized Sellers Licences issued Listed Sellers Licences issued

---

ггт

1964

1965

454

514

---

867

1,051

308

313

371

409

---

2,807

3,636

---

TTC

---

Antibiotics Permits issued

Licences for movement of Dangerous Drugs

Premises inspected

+++

---

+++

Prosecutions

---

AVERAGE DAILY ISSUES FROM THE C.S.S.D., Q.E.H.

Sterile instruments and dressing packs Linen, swab and glove packs Sterile syringe and needle sets Accessory instrument packs...

---

1964

1965

---

-..

ILI

610

660

---

2,480

6,055

1,995

2,188

460

415

124

TABLE 63

WORK OF PHYSIOTHERAPY SERVICE 1965

Number of Attendances

Centres

Hong Kong

Queen Mary Hospital

Wan Chai Polyclinic

Total (Hong Kong)

Kowloon

Kowloon Hospital.

---

+++

---

Jockey Club Rehabilitation Centre

Lai Chi Kok Hospital

Queen Elizabeth Hospital...

---

Total (Kowloon)

Total (Colony)

Hong Kong

New Patients

Total Attendances

2,230

3,537

ITT

1,390

5,226

יזי

3,620

8,763

1,021

1,682

1,393

5,260

---

PII

883

2,933

+++

7,097

12,087

LLI

10,394

21,962

14,014

30,725

TABLE 64

WORK OF OCCUPATIONAL THERAPY SERVICE 1965

Hong Kong Psychiatric Centre

Queen Mary Hospital

Kowloon

Kowloon Hospital

---

　　Kowloon Jockey Club Rehabilitation Centre Lai Chi Kok Hospital

Queen Elizabeth Hospital

New Territories

Castle Peak Hospital

+++

---

+++

---

Total (Colony)

+++

125

...

---

Patients Treated

Total Treatment

---

749 1,983

20,623

17,049

1,303

13,269

1,262

11,465

1,362

18,576

1,636

13,98)

9,995

301,768

18,290

396,731

TABLE 65

WORK OF MEDICAL EXAMINATION BOARD 1964-65

Government

Appointments

Auxiliary Defence Units

Miscellane-

ous

Total

1964 1965 1964 1965 1964 1965 1964 1965

New examinations... 8,662 9,498

Re-examinations

4,251 4,787

1,985

2,940 3,015

2,157 66 180 10,713 11,835

7,191 7,802

Annual Total... 12,913 14,285 4,925 5,172 66

180 | 17,904 | 19.637

TABLE 66

UNFITNESS OF CANDIDATES BY CAUSES 1964-65

(PER 1,000 TOTAL EXAMINATIONS)

1964

1965

Pulmonary Tuberculosis

Other disease of the Respiratory System

Disease of the Circulatory System

30.88

25.41

3.56

2.09

6.59

1.32

Disease of the Alimentary System

ILI

0.77

0.66

Disease of the Skeletal System

0.39

0.05

ILL

Disease of the Genito-urinary System

0.59

0.41

---

Disease of the Nervous System

Disease of the Endocrine System

Disease of the Eye

Disease of the Skin

1.31

0.25

---

0.83

0.05

ILI

0.71

0.10

---

0.36

0.05

Other disease

3.03

0.66

444

---

ILL

---

126

48.94

31.06

TABLE 67

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS (FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Institutions

1961-62

1962-63

1963-64

1964-65

1965-66

Alice Ho Miu Ling Nethersole Hospital

British Empire Leprosy Relief Association British Red Cross Society, Hong Kong Branch

1,060,000

1,180,000

1,503,000

1,799,200

2,221,685

---

117

זיו

800

25,000

800

35,000

800

45,000

800

50,000

800

71,000

(20,000)

Bureau Hygiene and Tropical Diseases Caritas Hospital, So Uk

Cheshire Home...

---

7,200

---

7,200

LL-

275,221

1,240,315

(25,000)

Family Planning Association of Hong Kong

----

LLL

---

LLL

240,000

300,000

400,000

450,000

(24,885)

Grantham Hospital

---

Haven of Hope Tuberculosis Šanatorium Hong Kong Anti-Tuberculosis Association

London School of Hygiene and Tropical Diseases Leprosy Mission, Hong Kong Auxiliary

---

гго

111

2,930,736

3,264,324

3,459,402

3,988,704

4,226,371

144,000

230,400

288,000

309,520

2,000,000

---

ггг

1,100,000

1,200,000

1,240,000

(32,890)

(74,604)

(108,271)

ILL

[,600

1,600

---

600,000

700,000

(140,000)

(143,179)

(13,976)

(75)

(985)

Maryknoll Mission Hospital

62,500

250,000

---

...

250,000

275,000

387,000

(41,062)

Oxfam Hostel for Cancer Patients Pok Oi Hospital

---

-гг

PPP

Rennie's Mill Church Clinic

LLL

12,000

PP.

450,000

550,000

$50,000

(9,107)

(29,931)

(43,441)

(223,534)

ILL

(220,000)

18,000

St. John Ambulance Brigade

---

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

Sheung Shui Clinic

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

Kwong Wab Hospital

Tung Wah Sandy Bay Infirmary

Wong Tai Sin Infirmary, Phase II United Nations Children's Fund:-

(1)

Administration

LLI

(2) Relief expenses University of Hong Kong

-- J

---

40,000

80,000

10,000

---

111

(341,262)

100,000

345,000

450,000

500,000

(150,564)

(404,444)

(386,867)

(466,094)

20,000

5,000

---

15,000

30,000

100,000

JL-

ILI

JLL

---

75,000

100,000

400,000

520,000

---

IPL

12,495,539

13,579,539

14,969,745

17,089,650

21,251,413

(219,630)

(302,629)

(4,922, 184)

(3,982,752)

(2,516,245)

(3,247,510)

101

---

LLL

(1,849,971) (208,986)

(42,946)

■

---

--1

7.168

6,048

10,304

9,328

10,320

---

...

---

011

---

ייי

20,000

250,000

20,000

350,000

380,000

529,000

25,000

606,900

(40,000)

Total

ייי

19,444,543

21,704,911

24,432,051

28,100,703

34,339,324

(5,478,500)

(4,598,946)

(3,257,294)

(3,997,497)

(2,900 787)

127

TABLE 68

WORK OF THE GRANTHAM HOSPITAL 1965

New Admissions

1,224

Re-admissions

143

Discharges

1,159

Total bed days: 219,939

Orthopaedic Operations: Spine 71

Hip 18

Other 27

Thoracic Operations:

Pulmonary tuberculosis

Bronchial Carcinoma

---

Bronchiectasis, simple tumours etc.

General Operations: 50

Deaths

Professorial Unit

Grantham Hospital

Surgical Unit

Resection Others Resection Others

TABLE 69

WORK OF RUTTONJEE SANATORIUM 1961-65

1961 1962 1963 1964

1965

Adults through Government Clinics

Children (pulmonary through Government:

Clinics)

Children (Orthopaedic)

289

439

370

313

297

огт

Other admissions and re-admissions

302

427

504

577

544

+TT

678

985 967

973

882

TABLE 70

ADMISSIONS TO LEPROSARIUM 1965

Adults

Children Total

Male

Female

New Admissions

Re-admissions

---

--L

---

Total Admissions

---

با

112

128

TABLE 71

BUILDING PROGRAMME

I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

3rd February, 1966 Jockey Club Health Centre--Yuen Long-a general Out- patient Department with 6 beds in casualty holding wards and a Maternity Ward of 24 beds. Donated by the Royal Hong Kong Jockey Club.

16th February, 1966 The Lady Trench Polyclinic-Tsuen Wan-a general Out- patient Department with Dental Unit and 6 beds in casualty holding wards.

9th March, 1966

Kowloon Hospital-alterations and improvements to the existing hospital facilities and rebuilding of Pathological Laboratories to serve Kowloon and New Territories.

(2) Government-assisted

1965

(1) Government

Wong Tai Sin Infirmary, Phase I

II. PROJECTS UNDER CONSTRUCTION

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

(ii) Jockey Club Clinic, Cheung Sha Wan donated by the Royal Hong Kong

Jockey Club; completion expected in April, 1966.

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

completion expected in late 1966.

(iv) Wong Tai Sin Police Rank & File Families Clinic-completion is expected

in mid 1966.

(v) Extensions to Lions Club Government Maternity and Child Health Centre- two additional floors to provide 18 Maternity beds and quarters are expected to be completed in mid 1966.

(vi) Castle Peak Hospital Extensions-two additional ward blocks are expected

to be completed in late 1966.

(2) Government-assisted

(1) Pok Oi Hospital Extensions-2nd Phase to replace the existing Child and Maternity wards (86 beds). Completion expected în August, 1966.

(ii) Haven of Hope Sanatorium Extensions 60 beds.

(iii) Sandy Bay Infirmary-costs being met by Tung Wah Board and H.K.

Government in ratio 1:4. Completion is expected in late 1966.

129

TABLE 71-Contd.

LIE. PROJECTS ON WHICH DETAILED PLANNING HAS COMMENCED

(1) Government

(i) Kowloon Hospital New Convalescent Block.

(ii) New Lai Chi Kok Hospital.

(iii) Chai Wan Clinic and Maternity Home.

(iv) Castle Peak Clinic and Maternity Home.

(v) Siu Lam Hospital (Mental Defectives). (vi) Tsan Yuk Hospital Extensions.

(vii) Tang Shiu-kin Hospital.

(viii) Vaccine Institute.

(ix) Queen Mary Hospital, Alterations and Improvements.

(x) St. John Hospital, Cheung Chau-O.P. Clinic and Major Alterations.

(2) Government-assisted

(1) Sandy Bay Children Convalescent Home Extensions.

(ii) Spastics Home-Hong Kong.

(iii) Alice Ho Miu Ling Nethersole Hospital Extensions.

(iv) United Christian Hospital, Kowloon.

(v) Maryknoll Hospital Extensions,

(1) Government

IV. PROJECTS IN INITIAL STAGES OF PLANNING

(i) Shau Kei Wan Hospital,

(ii) Redevelopment of Sai Ying Pun Hospital Site. (Renamed as H.K. Health

Centre, Sai Ying Pun).

(iii) Kowloon East Polyclinic.

(iv) Victoria Public Mortuary-reprovisioning.

(v) New Mental Hospital.

(vi) Tsuen Wan/Kwai Chung Polyclinic.

(2) Government-assisted

( Yan Chai Hospital-Tsuen Wan.

(ii) Buddhist Hospital.

TABLE 72

NURSES IN TRAINING 1966

Women

Men

Total

Government School of Nursing Tung Wah Group of Hospitals Nethersole Hospital

Hong Kong Sanatorium and Hospital

616

153

769

448

117

-10

157

Total

---

+++

1,338

153

1,491

130

TABLE 73

COURSES OF STUDY OVERSEAS 1965-66

Staff

Medical

Dental

Nursing

Medical Social Workers...

Assistant Physiotherapists

Pharmacisi

Dispensers

Radiographer

---

LLL

Let

LLL

ILL

BY PLACE OF STUDY

U.K.

North America

Australia S.E. Asia

Others

Total

---

1 1

---

ILI

IIL

1 [3

Medical Laboratory Technicians

Laboratory Assistant

---

Dental Surgery Assistants

Malaria Inspector

гго

☐ 10

יו.

Total

LLL

- J

L-T

Govern- JOCAL

W.H.O.

Own expenses

Others Total

BY SOURCE OF FUNDS

Course of Study

Staf

Medical

M.R.C.P.

F.R.C.S.

F.F.A.R.C.S.

M.R.C.O.G.

F.F.R.

D.P.H.

D.P.M.

D.O.

D.M.S.A.

D.A.

Others

---

IIL

Dental

L-L

LLI

---

...

---

111

гг.

111

JJ J

---

-- J

-1

Nursing

Medical Social

Workers

Asst. Physio-

therapists

Pharmacist

Diploma in Orthodontics

Training in Paedodontics Master of Dental Science Sister Tutor Diploma

---

111

Hospital Administration (Hospital). Specialized Nurging Techniques Medical Socail Work

Master of Social Work

Mental Health

■

---

IIL

---

Membership of the Canadian Physio-

therapy Association

To obtain training and experience in Latest techniques and methods of bulk manufacture of pharmaceutical prep- aration

Pharmacy

FIL

- - -|

L-I

Bachelor of science

- JJ

LLL

---

-- J

Dispensers

Radiographer

F.S.R.

---

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

Technicians

Laboratory

Endustrial Hygiene

717

Assistant

Dental Surgery

Assistants

Malaria Inspector

Dental Nursing...

Malaria Eradication

---

Total

.гг

---

717

---

131

|-- |-

TABLE 74

DEPARTMENTAL TRAINING 1965

Appointment Resignation Strength at

31.3.66

Passed

Student Assistant Physiotherapist

Student Assistant Radfographer...

12 (Part I) 7 (Part 2)

Student Dispenser

Student Laboratory Assistant

+++

138

595*

118

LII

---

101

21†

521

10€

95 ||

Student Medical Laboratory

Technician

Student Nurse

Student Male Nurse

Student Nurse (Psych.)

Student Male Nurse (Psych.)

1 year Midwifery Training for

Registered Nurses

Student Midwives undergoing

2 year training at Tsan Yuk Hospital

Student Health Visitor

LII

Anti-Tuberculosis Worker

Medical Social Worker

Student Assistant Orthopaedic

Appliance Technician...

Course

བ།

Discontinued

ттт

* Including 60 in 1 year Midwifery Training and being the actual correct number.

+ Including 2 who are extended to 34 year training.

* Including 2 who are extended to 34 year training.

§ Including 1 Prison Officer who was seconded for Psych. Training.

Including 3 non-English speaking Registered Nurses doing a 1 year course at Tsan Yuk Hospital and 2 overseas trained doing the 1 year course at Queen Elizabeth Hospital.

132

TABLE 75

ATTENDANCES AT CONFERENCES, ETC. OVERSEAS

Appointment

Deputy Director of

Medical & Health Services ...

Deputy Director of

Medical & Health Services...

Acting Superintendent

Physiotherapist

...

Conference, etc. attended

Place

6th International Conference on Health and Madrid

Health Education.

Edinburgh

Senior Medical & Health

Officer

Senior Medical & Health

Officer

Matron, Class I

ILL

---

+++

FEE

+++

Dental Officer

ILL

Senior Radiographer

Specialist (Radiology)

Specialist (Paediatrics)

Specialist (Psychiatric)

---

The Commonwealth Medical Conference.

1st Seminar on Social Aspects of Rehabilita-Tokyo

tion and the 3rd Pan-Pacific Rehabilitation Conference.

W.H.O. Seminar on Leprosy Control.

Manila

An observer the 1st Regional Conference of the Seoul

International Planned Parenthood Federation.

13th Quadrenial Congress of the International Germany

Council of Nurses.

The British Dental Association Conference. Northern

Ireland

The International Conference of Radiographers Rome

and Radiological Technicians.

11th International Congress of Radiology,

Rome

TII

11th International Congress of Paediatrics.

Tokyo

Bangkok

Principal Medical & Health

Officer (Planning)

The World Federation of Mental Health

Conference.

W.H.O. Seminar on Public Health Programme Singapore

in Radiation Protection.

Specialist (Tuberculosis)... Seminar on Tuberculosis in Children.

Bangkok

133

8.4.65

5.7.65-7.7.65

23.8.65-27.8.65

1.9.65-7,9.65

1.10.65-8.10.65

TABLE 76

OVERSEAS VISITORS

GENERAL

Professor P. H. ROSSIER, Head of the Medical Clinic, University of Zurich.

Dr. J. T. BOYD, Medical Research Council Statistical Research Unit, University College Hospital, London.

Dr. Pramote DAVIVONGS and Mrs. Imparn BOORANANONDH, members of the public health officers of the Bangkok Municipality. Dr. Bryan W. Christmas, Medical Officer of Health of the Auck- land District Health Officer, New Zealand.

Dr. Thong-kok LEONG, Senior Health Officer, Singapore.

10.10.65-15.10.65 A group of members of the Korean Family Planning Group,

including a Vice-Minister of Health and Social Welfare.

11.10.65-23.10.65 Dr. Tsu-cheng FUB, Chief of the Therapeutic Department of the Provincial Taipei Tuberculosis Centre, Taiwan.

16.10.65-20.10.65 Dr. Neil BEGG, Medical Advisor to the New Zealand Plunket Society and Chairman of Council of the New Zealand Branch of the British Medical Association.

21.10.65-25.10.65 Dr. K. COWEN, Deputy Director of Tuberculosis, Department of Health, Tuberculosis Branch, Gresswell Sanatorium, Melbourne. 28.10.65-4.11.65 Dr. J. M. LISTON, C.M.G., Chief Medical Officer, Ministry of

Overseas Development.

7.11.65-12.11.65 Dr. R. W. GREVILLE, Director of the Commonwealth Serum

Laboratory, Australia.

9.11.65-11.11.65

27.11.65-1.12.65

Professor Kenji TAKEYA, Department of Bacteriology, School of Medicine, Fukuoka, Japan.

Dr. G. A. Q. LENNANE, Deputy Director of the Hospitals Division of the Department of Health, New Zealand.

29.11.65-10.12.65 Dr. F. G. SMYTH, Specialist Medical Officer (Surgery) of the

Department of Public Health, Payua and New Guinea.

15.12.65

23.12.65-28.12.65

6.1.66

13.1.66

24.1.66-26,1,66

Professor Lady WILLIAMS, C.B.E., Professor of Social Economics, University of London.

Mr. N. Izumi, Technical Officer of the Narcotics Section of the Ministry of Health and Welfare, Japan.

Dr. Beckard W. Casselman, Medical Director of Synanon Foun- dation in the United States.

Mr. Karl BOEGHOLM, Member of the Danish Parliament.

Dr. Won Son-oh, Minister of Health and Social Affairs, Republic of Korea, together with Mr. CHANG Dae-cho, Assemblyman and Member of the Sub-Committee on Health and Social Affairs, National Assembly, and Dr. JOONG Keun-oh, Chief of the Chronic Disease Section, Ministry of Health and Social Affairs.

134

29.1.66-4.2.66

10.2.66-14.2.66

15.2.66-20.2.66

TABLE 76-Contd.

Dr. Wallace Fox, Tuberculosis Research Unit, London.

Dr. J. H. MIDDLEMISS, Director of Radiology, Bristol Royal Infirmary.

Lady CRIPPS and Major and Mrs. C. Frankland MOORE, Officials of the Sino-British Fellowship Trust.

14.3.66-25.3.66 Dr. A. C. CONNALLY, Medical Officer of Sabah.

21.3.66-25.3.66 Dr. In-bong Ro, Director of the National Mokpo Sea-Port

Quarantine Station in Korea.

Consultant and Administrative

1.4.65-14.4.65

8.5.65-11.5.65

14.7.65-18.7.65

4.8.65-10.8.65

12.8.65-14.8.65

14.9.65-16.9.65

24.9.65-27.9.65

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

Mr. S. POLAK, U.N.I.C.E.F. Representative, Thai Area Mission. Dr. Oscar FELSENFELD, Cholera Consultant of W.H.O. Head- quarters.

Dr. E. GRZEGORZEWSKI, Director, Education and Training, W.H.O. Headquarters.

Dr. C. H. YEN, W.H.O. Communicable Disease Officer.

Dr. C. W. SCHWABE, Medical Officer of the Parasitic Disease Unit of W.H.O. Headquarters, Geneva.

Dr. T. A. OLSON, W.H.O. Consultant on Rodent Control.

Mr. Henry LABOUISSE, U.N.L.C.E.F. Executive Director. 13.11.65-15.11.65 Dr. P. M. KANL, Assistant Director General of the W.H.O.

Headquarters, Geneva.

18.11.65-20.11.65 Dr. E. M. DEMAEYER, Secretary, W.H.O./F.A.O./U.N.I.C.E.F.

Protein Advisory Group.

30.11.65-4.12.65

4.12.65-6.12.65

5.12.65-8.12.65

Dr. P. BAAN, Chief of the Mental Health Unit, W.H.O. Head- quarters.

Dr. T. V. TIGLAO, Director of the First W.H.O. Regional Seminar on Health Education.

Dr. I. C. FANG, Regional Director, and Dr. Siegal, Assistant Director-General, W.H.O.

16.12.65-19.12.65 A WHO. Cholera Travelling Group of 12 Senior Public Health

3.1.66-5.1.66

23.1.66-26.1.66

Fellowships

26.6.65-3.7.65

6.12.65-9.12.65

Administrators.

Dr. Tsung-yi LIN, Medical Officer of the Mental Health Unit, W.H.O. Headquarters.

Dr. Pier L. FAZZI, W.H.O. Representative in Taipei.

Dr. JANG Yong-kim, National Yongho Hospital, Pusun, Korea. Mr. Kwang-soon SHIN, Chief Public Health Officer, Nutrition Section, National Medical Centre, Korea.

135

TABLE 77

PUBLICATIONS

BY MEMBERS OF THE MEDICAL AND HEALTH DEPARTMENT

Title of Articles

Publication

Author

Unusual Injuries: Savaged to

Death by Dogs.

Standard of Height and

Weight of Southern Chinese Children.

Fractures of the Neck of the Femur in the Young and their Complications.

Journal of Medicine

Science and The Law, 1965.

Far East Medical Journal,

Vol. 1, No. 3 (July, 1965).

T. C. PANG, Senior Special- ist, (Forensic Pathology) and George T. F. TONG, Specialist, (Forensic Pa- thology).

Sylvia CHU and Mary CHOW of Maternal and Child Health Services, (Part Author).

Journal of Western Pacific S. F. LAM, Orthopaedic

Orthopaedic

Association, Vol. 11,

No. 1 (June, 1965).

Specialist.

Transient Synovitis of the Hip Far East Medical Journal, $. F. LAM, Orthopaedic

Joint.

Facial Haemiatrophy

associated with Bell's Palsy.

Vol. I, No. 6 (October, 1965).

Specialist.

Journal of the Irish Dental Walter C. ALLWRIGHT,

Association Vol. XI,

No. 5, 1966.

Senior Specialist

(Dental).

Corticosteriod and Antibiotic

Combination in the Treatment of Pulpitis-a clinical trial in Hong Kong.

An Outbreak of Adenovirus Type 3 Infection in Hong Kong.

Dental Practitioner, Vol.

16, No. 5, 1966.

Walter C. ALLWRIGHT,

Senior Specialist

(Dental) and Alfred

P. C. WONG, Dental Officer.

Far East Medical Journal, K. COBBAN, Medical

Vol. 1, No. 1 (May,

1965).

Officer.

136

Title of Articles

TABLE 77-Contd.

Publication

Author

Erythema Infectiosum in Hong Far East Medical Journal, K. COBBAN, Medical

Kong.

Vol. 1, No. 7 (Nov.,

1965).

Officer.

Malaria.

Tropical Medicine.

History and Development of

the Maternal and Child Health Services in Hong Kong.

Five Cases of Extragonadal Teratomas In Childhood.

Encyclopaedia of General |K. COBBAN, Medical

Practice, 1965.

Officer.

Encyclopaedia of General K. COBBAN, Medical

Practice, 1965.

The Hong Kong Nursing

Journal, Inaugural Edition, (May, 1965).

Officer.

Mary CHOW, Supervisor

and Training Officer for Health Nurses.

Far East Medical Journal, Alice CHAU, Medical and

Vol. 2, No. 2

(February, 1966).

Health Officer, and Paul

HUANG, Specialist

(X-Ray), (Part Author).

The Pharmacy, Queen

Elizabeth Hospital.

Pharmaceutical Journal

Great Britain (April, 1965).

Nasopharyngeal Carcinoma in Symposium on

Hong Kong.

Nasopharyngeal Carcinoma.

H. P. Lo, Senior

Pharmacist.

H. C. Ho, Senior

Specialist (Radiology).

Radiological Diagnosis of

Nasopharyngeal Carcinoma with Special Reference to Its Spread Through the Base of Skull.

Symposuim on

Nasopharygeal Carcinoma.

137

H. C. Ho, Senior

Specialist (Radiology),

138

TABLE 78

SAMARITAN FUND

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH, 1966

EXPENDITURE

Maintenance, Capital grants, travelling expenses etc.

$ 22,782.80

Donations:

INCOME

The Royal Hong Kong Jockey Club (Charities) Ltd.

ггг

Hongkong & Shanghai Bank Corp. Others...

---

Excess of Expenditure over Income...

---

$ 22,782.80

$ 20,000.00

1,000,00

383.00 $ 21,381.00

1,401.80

$ 22,782.80

BALANCE SHEET AS AT 31ST MARCH, 1966

LIABILITIES

Accumulated Fund as at 1st April, 1965

---

Less Excess of Expenditure over Income for the year

ASSETS

---

L-L

$ 32,411.53

1,401.80

$ 31,009.73

Cash with Accountant General

LLL

$ 31,009.73

Certified correct.

A. A. WHITNEY,

10th May, 1966.

for Director of Medical & Health Services.

CERTIFICATE OF THE DIRECTOR OF AUDIT

Certified correct.

Maura BenHAM,

Principal Medical Social Worker. 10th May, 1966.

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. LE3 of 26.5.50 as amended by G.N.A. 33 of 22.4.60), 1 have obtained all the informa- Lion 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 DEPARTMENT,

21st June, 1966.

D. G. BRITTON, Director of Audit.

REPORT ON THE SAMARITAN FUND 1.4.65-31.3.66.

The fund was used as in previous years at the twenty centres from which Medical Social Work is carried out. The development of the work in the Kowloon Jockey Club Rehabilitation Centre resulted in higher expenditure than in the past. MAURA BENHAM, Principal Medical Social Worker.

139

TABLE 79

LIST OF DONATIONS RECEIVED FOR THE YEAR ENDED 31ST MARCH, 1966

The Royal Hong Kong Jockey Club

Samaritan Fund:

The Royal Hong Kong Jockey Club

Hongkong & Shanghai Banking Corporation Others

---

TTI

$ 1,750,000

20,000

1,000

381

21,381

Christmas Fund:

The Royal Hong Kong Jockey Club

7,500

The Hong Kong Football Association Ltd. Others

720

LL+

5,395

13,615

Sir Tang Shiu-kin

Interest

350,000

45,000

For the construction of Jockey Club Health Centre at Yuen Long.

Total:

$ 2,179,996

Further contribution towards con- struction of the Tang Shiu-kin Hospital. Previous contribution $650,000.

W SEAT

•T

107.

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