醫務衛生署年報 Medical and Health Department Annual Report 1966-1967

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ANNUAL

DEPARTMENTAL

REPORTS

31791

KONG,

THE ROYAL ONDULA

1966-67

for the Prunelien

•

LINMAY

DIRECTOR OF MEDICAL

AND HEALTH SERVICES

22501293196

HONG KONG

ANNUAL DEPARTMENTAL REPORT

BY THE

DIRECTOR OF MEDICAL AND HEALTH SERVICES

P. H. TENG, C,M.G., O.B.E., M.B., B.S., D.P.H., J.P.

FOR THE

FINANCIAL YEAR 1966 - 67

PRINTED AND PublishED BY I. R. LEE, ACTING 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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1967

55387-14K-10/67

CONTENTS

Paragraphs

1-5

I. GENERAL REVIEW

II. PUBLIC HEALTH

Vital Statistics

Communicable Diseases

III. WORK OF THE HEALTH DIVISION

Area Health Work

Tuberculosis

Social Hygiene Service.

Port Health

District Midwifery Service

Maternal and Child Health Services

School Health Service

School Medical Service Board

Dental Service

Forensic Pathology

Government Chemical Laboratory

Government Institute of Pathology

Industrial Health

Registration of Medical Clinics

Health Education.

jji

་

6 - 11

12 - 34

36 - 43

44 - 48

49 - 50

51 - 52

53 - 54

55 - 57

58 - 59

64 - 65

66 - 69

70. 79

80 - 83

84 - 87

IV. WORK OF THE MEDICAL DIVISION

General Remarks.

Government Hospitals

Paragraphs

Out-Patient Services

Specialist Services .

Radiological Services

Ophthalmology

90 - 110

111 113

114

115 116

117 119

Pharmaceutical Service.

Medical Social Work

Physiotherapy

Occupational Therapy .

120 - 122

Orthopaedic and Prosthetic Appliances.

Medical Examination Board.

Hospital Maintenance and Supply.

Auxiliary Medical Service

V. GOVERNMENT-ASSISTED HOSPITALS

123 - 128

129 - 130

131 134

135 - 136

137

138 · 142

143 145

146 - 162

VI. DEVELOPMENT

Forward Planning.

Completed Projects

Projects under Construction

163 - 165

166 - 169

170 171

VII. TRAINING PROGRAMME

Doctors

Dental Staff

Nurses

Radiographers

Paragraphs

172 - 174

175 177

178 - 190

191 - 192

193

Laboratory Technicians

Other Forms of Departmental Training.

VIII. DONATIONS

194

195 - 196

197 198

IX. ACKNOWLEDGEMENT

X. MAPS

XI. STATISTICAL APPENDIX

Digitized by the Internet Archive in 2019 with funding from Wellcome Library

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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 1966 was 3,732,400 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 6% 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 overcrowding 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. A single case of cholera was notified on 24th November after an absence of the disease for more than two years in the Colony, the last case having been reported in June 1964. The Colony was declared free from cholera infection on 5th December and continued to remain free from this and other quarantinable infectious diseases. The major infectious diseases such as diphtheria and poliom- yelitis continued to remain at a low incidence. The normal biennial increase in the number of cases of measles was recorded during the year under review.

3. While tuberculosis remains the major public health problem in the Colony, deaths from cancer, diseases of the heart, cerebro-vascular lesions and pneumonia were the leading causes of death followed by tuberculosis.

　　　4. During the year the Jockey Club Clinic at Cheung Sha Wan and the complex Jockey Club Polyclinic at Yau Ma Tei were opened. In addition, two new ward blocks at Castle Peak Hospital and the exten- sions to the Queen Mary Hospital were completed and the majority of these buildings were brought into use.

　　　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 are in receipt of substantial subventions from Government funds for the sup- port 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 6-12)

6. The marked improvement in the general state of health of the population is satisfactorily reflected by the Colony's vital statistics. The crude death rate, at 5.0 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 1955 and the crude birth rate fell further from 27.7 in the previous year to 24.8 per thousand of population. The natural increase was 73,776, over ten thousand less than the previous year.

7. Mortality rate among infants is generally regarded as one of the most sensitive indices of health conditions of the general population. The gratifying declines in infant and neonatal mortality during recent years are illustrated in Figure 1.

FRURF I

INFANT AND NEO-NATAL MORTALITY IN- 966

DEATHS PER 1,000 LIVE WATUS

INFANT

NEO-NATAL

1532 53

•

36 31

YEAR

Infant Mortality

8. The steady decline in infant 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. During recent years, deaths from toxaemia, haemorrhage and puerperal sepsis have shown a continuing reduction, although mortality from abortions and ectopic pregnancies has remained comparatively unaffected.

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

FIGURE 1

MAJOH THENDS IN MORTALITY 1931 - 1944

RESPIRATORY

INFECTIOUS

INTESTINAL.

CIRCULATORY SYSTEM NEOPLASTI

NERVOUS SYSTEM

PERCENTAGE OF TOTAL DEATHS

❤

品

YEAR

67 H

烹

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

11. 15 years ago bronchopneumonia, tuberculosis and gastro- enteritis were the leading causes of death; by 1966 these had declined considerably and their places have been taken by cancer, diseases of the heart and cerebro-vascular accidents. Of particular note has been the rise in deaths from carcinoma of the lung; these have increased from a mortality rate of 2.76 deaths per 100,000 population in 1952 to 14.76 deaths per 100,000 in 1966, a rate of increase which is more than twice that observed in respect of other neoplastic diseases.

COMMUNICABLE DISEASES

(See tables 13-16)

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

FIGURE 1

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1992 - 1966

CASES REPORTED

1,001

1.900

1,000

1.400

1200

સ

COM

1952

1DRETLIERIA

www

"BACILLARY

DYSENTERY

TEAR

"ENTERIC FEVER

POLIOMI EL 115

diseases during 1966 was approximately 2,800 less than in the previous year. There was some increase in the number of deaths from com- municable diseases which comprised 10.6% of deaths from all causes, the increase being mainly due to an epidemic of measles during the winter months of 1966 and 1967. There was no notable variation in the incidences of amoebiasis and typhoid, and the incidences of diphtheria, poliomyelitis and malaria continued to remain low. During the first quarter of 1967 there was some indication of increased prevalence of cerebro-spinal meningitis in neighbouring countries. The situation was closely watched and a slight increase in the incidence of the disease in the Colony was recorded during the quarter. Apart from the occurrence of a single case of cholera in November, the Colony remained free from all quarantinable diseases during the year.

Cholera

13. The single case of cholera was notified on 24th November. The case was a man aged 56 living in a hut at Tai Hang Tung in North- West Kowloon and employed as a labourer in the wholesale marketing of fish. He presented at hospital with severe gastro-enteritis, but gave a history of several mild attacks of the disease within the previous three months for which he had not sought treatment; subsequent laboratory examination revealed the presence of cholera vibrios.

14. The usual investigations for the detection of cholera vibrios at the patient's home and in the family contacts were carried out but no positive findings were obtained.

15. Routine sampling of nightsoil, which has been carried out since 1962 as part of Hong Kong's anti-cholera surveillance programme, revealed that some samples taken from the western and central districts of Hong Kong Island were infected with cholera vibrios between 23rd and 27th November. Five premises were traced from which cholera vibrios were recovered. Further investigations carried out among residents in these premises did not reveal any positive findings, but precautionary measures, including prophylactic administration of drugs, were carried out. All further samples proved negative.

16. Apart from nightsoil sampling, all the other necessary public health preventive measures which had been undertaken as a matter of routine before the outbreak were reinforced. Bacteriological investiga- tions were continued of all specimens sent to Government laboratories from cases of gastro-enteritis attending Government hospitals and clinics

as well as sampling of seawater, well water and foodstuffs liable to be involved in the transmission of the vibrio. All such samples were negative. Routine investigation on the frequency of isolation of non- agglutinable vibrios was continued, but there was no notable variation in the pattern of non-agglutinable vibrios isolated at the time the case occurred. A mass immunization campaign against cholera started in April and was repeated in November. By the end of the year a total of 1,467,271 inoculations had been given.

17. There was no apparent link between the cholera case at Kowloon and the positive nightsoil findings at Hong Kong Island. No further case was reported and the Colony was declared free from infection on 5th December.

Amoebiasis

18. 220 cases were notified in 1966 compared with 173 in 1965. The disease continued to occur sporadically and the extent of community infection is, as elsewhere, not definitely ascertainable.

Bacillary Dysentery

19. The number of notifications increased from 537 in 1965 to 766 in 1966. giving an incidence, as measured by notification, of 20.7 per 100,000 population; 43.8% of the cases occurred in the age group of under 5 years. As in previous years, Shigella flexneri and Shigella sonnei remained the predominant organisms isolated.

20. During investigations of the reported cases, a total of 231 symptomless carriers was discovered and appropriate treatment ad- ministered.

Chickenpox

21. A reduction in the number of notifications of this disease was recorded in 1966, and 72% of the cases occurred in children below the age of 5 years. During the first 3 months of 1967 there was an increase in the incidence of the disease.

Diphtheria

22. As demonstrated in Figure 3, diphtheria incidence has shown a continuous decline since the commencement of an intensive and year- round immunization campaign in 1959. The incidence of the disease was 8.3 per 100,000 population in 1966 as compared with 73.0 per 100,000 in 1959. Although somewhat disrupted by the cholera and poliomyelitis

immunization campaigns of recent years, this programme continues to give encouraging results. Corynebacterium diphtheriae mitis remained the predominant organism; consequently most cases presented with laryngeal symptoms. Approximately 79% of cases occurred in children under the age of ten. The case fatality ratio in 1966 was 8.8 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.

23. A total of 39 carriers was discovered amongst contacts of reported cases; each was treated and, if necessary, isolated until proved free of infection.

Enteric Fever

24. Typhoid fever incidence remained at about the same level com- pared with last year. This disease in Hong Kong is generally associated with neglect in personal and community hygiene and its decrease in recent years is probably connected with improvements in water supply. As elsewhere the peak incidence occurred in children of school age and young adolescents. Free inoculation is offered and the usual control measures are enforced with special attention to the detection of carriers among food handlers.

Malaria

　　　　25. The incidence of malaria continued to decline, the disease being restricted mainly to certain parts of the uncontrolled rural areas in the New Territories. The majority of the cases reported during the year were from the Tai Po District situated on the shores of Tolo Harbour. The reduction in incidence in Sai Kung District in recent years is probably due to development taking place in the area with resulting reduction in cultivated land thus reducing the breeding places of malaria vectors. The malaria incidence on outlying islands at the mouth of Tolo Channel often fluctuates which might be due to the introduction of new sources of infection through fishing junks. Of the six fresh cases appear- ing in the controlled urban areas, one was an imported case while in the other five the infection was most probably contracted in the New Territories where the affected persons had been recently employed. Plasmodium vivax remained the predominant parasite responsible for the infection.

Measles

26. As shown in Figure 4. measles in Hong Kong has shown a distinct biennial pattern with exacerbation of the disease during the winter months of every alternate year. The 1966-67 epidemic started earlier than in the previous years with rising notifications from June 1966 onwards and reaching a peak in January and February of 1967.

NOTIFICATIONS DEATHS

2.000

FIGURE 4

MONTHLY MEASLES NOTIFICATIONS & DEATHS JANUARY 1960- MARCH 1967

1,500

1,400.

1.200

1,000-

6:00

400

200

NOTIFICATIONS

DEATHS

1960

1961

1962

1963

1964

1966

1967

YEAR

27. The disease affected predominantly children under the age of two years. The true value of the recorded mortality as related to incidence is difficult to assess as notification is very incomplete and, furthermore, many cases only present at hospital after the onset of complications. This delay in seeking treatment is further borne out by the high percentage of total measles deaths reported from public mortuaries, mainly due to complicating bronchopneumonia. During the epidemic parents of children suffering from measles were exhorted through press and radio to seek early medical advice.

28. A trial of measles vaccines was undertaken during the year, and consideration is being given to making the vaccine available to children in the susceptible age group. Details of this trial are recorded in para- graph 79.

Poliomyelitis

　　　　29. Incidence of the disease remained low during 1966 after a recrudescence in early 1965; 32 cases including 1 death were notified in 1966 compared with 140 cases with 17 deaths in the preceding year. It is as yet too early to say whether the decrease is attributable to a change in the composition of the trivalent vaccine used or to the com- mencement in April 1966 of a programme of administering Type I vaccine soon after birth and followed by a full course of 2 doses of trivalent vaccine at 3 months old. Approximately 80% of infants born after 1st April, 1966 received one dose of Type I vaccine soon after birth and more than half of these children subsequently received two doses of the trivalent vaccine at Maternal and Child Health Centres. A general campaign is mounted annually in an attempt to immunize the remainder.

30. Virological investigation of the disease is maintained on a routine and year-round basis. Poliomyelitis virus Type I remained the predominant organism in clinical cases. The age pattern of the disease remained unchanged with 90% of the notified cases being below the age of 5.

Influenza

31. The notification of influenza is entirely voluntary and hence too great a significance cannot be placed upon the recorded incidence. Virological investigations of throat swabbings and throat washings are continued on a year-round basis. Influenza B virus was identified on two occasions.

Tetanus

32. This disease, although not notifiable, is recorded with reasonable accuracy owing to the severity of the symptoms requiring hospitalisation of clinical cases. In past years, approximately half the cases reported were in newborns whose birth had not been attended by trained per- sonnel 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 1966, tetanus neonatorum was responsible for only one-seventh of the recorded cases of the disease and that the infantile mortality from such infection

was 0.086 deaths per 1,000 live births as compared with 0.17 deaths per 1,000 in 1965 and 1.2 deaths per 1,000 in 1951.

Viral Hepatitis

33. 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 had been an impression of a rise in the incidence of the disease during the first three months of 1966. Attention was drawn to the large number of inoculations given during the mass immunization campaigns each year and therefore dis- posable syringes have been used in immunization campaigns since August 1966.

34. Developments in certain other communicable diseases are re- viewed later in this report, while the remainder showed little variation during 1966 and hence require no comment.

III. WORK OF THE HEALTH DIVISION

AREA HEALTH WORK

35. 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 during the Chinese New Year period in February 1967, traditionally an auspicious time for receiving this immunization. The increasing importance of Hong Kong in international travel by sea and air and the prevalence of smallpox in nearby countries underline the need to maintain a high level of com- munity protection against the disease.

TUBERCULOSIS

(See tables 17-23)

36. As stated previously, tuberculosis is the major health problem of Hong Kong. The magnitude of the problem makes it impossible both physically and financially to provide institutional accommodation of the order required for the isolation of all infectious cases. 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 tuber- culosis patients as possible and to reserve the limited hospital accom- modation for patients not responding to ambulatory treatment or in need of surgical intervention. 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 consequent loss of income are necessary. In the execution of this policy there has been a high degree of co-operation between Government and voluntary agencies concerned with the problem, particularly the Hong Kong Anti- tuberculosis and Thoracic Diseases Association. The Government Chest Service maintains the B.C.G. vaccination and out-patient treatment programmes while the voluntary agencies, aided by substantial Govern- ment subventions, maintain most of the hospitals.

　　　　37. To keep pace with the rapid changes which are occurring in the fields of treatment and prevention of tuberculosis, close liaison has also been maintained with agencies outside the Colony. During the year planning was well advanced for a chemotherapy trial which should yield extremely valuable results in the treatment of patients suffering from tuberculosis in Hong Kong. This study is being undertaken in conjunc- tion with the Tuberculosis and Chest Disease Research Unit of the Medical Research Council of United Kingdom and the Hong Kong Anti-tuberculosis & Thoracic Diseases Association. Briefly it will evaluate the most effective policy of treatment for tuberculosis patients in Hong Kong and also investigate the use of a rapid-slide-culture sensitivity test. Co-operation is maintained with the World Health Organization and this organization has assigned a bio-statistician to this department to advise on development of statistical procedures for the evaluation of the tuberculosis programme in Hong Kong,

Mortality

38. During the year there was a slight rise in the number of deaths from tuberculosis. The great majority of deaths occurred in elderly males who had been suffering from tuberculosis for many years and died from its sequelae rather than from active tuberculosis. The average age of death from tuberculosis rose from 49 in the previous year to 53 in the year under review; the comparable figure in 1956 was 32. Changes taking place in mortality from tuberculosis of various ages are presented in Figure 5. The level of B.C.G. coverage at birth remains high at 90.22% of new-borns. (Figure 6).

DEATHS PER 100,000 IN AGE GROUN

200-

not

PERCENTAGE

FIGURE

TUBERCULOSIS MORTALITY BY AGE A SEX 1936 A 19446

AGE GROUP

FIGURE 4

MALE 1954

MALE PL

FCHALF 1924

'FIMALE

13+

TUBERCULOSIS MORTALITY & BC.G. VACCINATION OF NEW-BORNS

1952-1966

(MORTALITY RATES EXPRESSED AS PERCENTAGE OF 1952 RATES)

100

20.

1952 31

B.C.G. VACCINATION OF ALL. NEW-BORNS JN INSTITUTIONS

TOTAL MORTALITY|

19 60

YEAR

INFANT MORTALITY

Morbidity

　　　39. Notifications of tuberculosis during 1966 showed an increase over the previous year, an event which, at least in part, may have been a result of the intensified case finding programme, especially the increased contact examinations. Figure 7 shows the changes which have taken place in the age and sex specific notification rates. 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 adolescents and that there has been some reduction in incidence amongst young and middle-aged adults. The relative susceptibility of males, except in childhood, corresponds with the well-documented pattern recorded elsewhere in the world.

12304

FIGURE 7

TUBERCULOSIS NOTIFICATIONS BY AGE & SEX 1956 & 1966

NOTIFICATIONS PER 100,000 IN AGE GROUP

AGE GROUP

MALE 1966G

MALE 1936

FEMALE 1956

FEMALE 1966

65+

Work of the Government Chest Service

　　　40. The Government Chest Clinics provide ambulatory chemo- therapy services for the great majority of cases of tuberculosis present- ing, hospital admission being reserved for patients requiring specialized

surgical, orthopaedic or medical treatment. The clinics also provide medical social work, contact tracing and supervisory services and under- take surveys of selected groups, such as Government employees 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.

41. Increasing attention is being paid to the public health aspects of tuberculosis. 73 Health Auxiliaries, whose main duties consist of contact tracing and home visiting, are attached to the Chest Service; these Health Auxiliaries are supervised by one Health Sister and six Health Visitors. Regular attendance for out-patient chemotherapy is of paramount importance and considerable emphasis is placed on follow- up of defaulters and on ensuring that contacts are examined.

42. 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 is kept at the main clinics. During the year a total of 337 cases were registered, of which 280 were bacteriologically resistant to at least one drug and the remainder were resistant clinically; these patients were entered on the waiting list for admission to hospital for treatment with 'second-line' drugs.

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

SOCIAL HYGIENE SERVICE

(See tables 25-29)

44. The incidence of early infectious syphilis showed a considerable reduction in 1966, marking the third consecutive year of reduction. The number of latent syphilitic cases was about the same as in the previous year while the incidence of gonorrhoea showed a slight increase. 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.

TOTAL CASET

1000

1,000

TOTAL CASES

iso

FIGURE I

.SYPHILIS 1937 - 1966

YEAR

INCIDENCE RATE

CASES

FIGURE

INFECTIOUS SYPHILIS 1937. 1966

INCIDENCE RATE

CASES

1937

YEAR

149

140

100

INCIDENCE RATE PER 100,000 POPULATION OVER AGE 15

LIO

12.000

10.000

11,900

9,000

TOTAL CASES

6,000

8,000

ફૂંક

5,000

7.000

4,000

3.000

1.000

0001

1957 58 59

FIGURE 1

GONORRHOEA 1937 - 1966|

500

INCIDENCE RATE

CASES

YEAR

100

300

200

100

INCIDENCE RATE PER 100.000 POPULATION OVER AGE I

45. Case finding continued at a high level, particularly in ante-natal cases where an initial positive serology rate of 2.4% was observed. which, after further investigations, showed that 1.5% of the ante-natal cases were suffering from syphilis. Contact tracing, particularly of infec tious syphilis, was continued.

Leprosy

46. New cases of leprosy treated numbered 163, representing a rate of 4.1 per 100,000 of population which is the lowest recorded since 1959. Tuberculoid manifestations predominated, the ratio of these to lepromatous cases being 3.6:1.0. Of the infectious cases, 92 were admitted to Hay Ling Chau Leprosarium maintained by the Leprosy Mission Hong Kong Auxiliary, with whom the Social Hygiene Service maintains close liaison.

47. During recent years there has been some advance in overcoming the prejudice against employment of cured lepers and, to this end, great attention is paid by the Service towards the prevention of disabilities in tuberculoid cases.

Dermatology

　　　48. There was a high incidence of systemic lupus erythematosus, pyoderma in infants and children, urticaria, lichenification, alopecia areata, and vitiligo. The incidence of skin cancers was very low.

PORT HEALTH

(See table 30)

　　　　49. 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 facilities as required by the International Sanitary Regulations and a regular exchange of epidemiological information with the World Health Organi- zation as well as with ports and airports in other countries.

50. 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 SERVICE

(See table 31)

51. 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 98.76% of births took place in institutions, either hospitals or maternity homes. It is of interest that 20.71% of all births were in maternity centres attached to Government clinics and 33.26% were attended by midwives in private practice, while the remainder took place in Government, Government subsidized and private hospitals.

52. The Cheung Sha Wan Jockey Club Health Centre with a maternity ward was opened on 7th July, 1966. This resulted in an increase of 26 maternity beds. The Chaiwan Domiciliary Midwifery Service was discontinued with effect from 1st November, 1966 on account of the small number of domiciliary cases in that area.

MATERNAL AND CHILD HEALTH SERVICES

(See tables 32-33)

53. There is increasing public appreciation of the value of these services in the maintenance of health amongst infants and expectant and nursing mothers, and 75.49% of children born attended a Centre on at least one occasion; the corresponding figure for 1965 was 63.1%. Only 0.15% of the new attendances at infant welfare centres were found to have abnormalities; of these, the majority were either congenital defects or the effects of prematurity. A further encouraging trend is the increasing appreciation by expectant mothers of the need for regular ante-natal care as reflected in increasing attendances at ante-natal ses- sions and by the low maternal mortality rate.

54. The subsidiary centres at Kowloon Police Quarters and Li Cheng Uk Resettlement Estate were replaced by a full-time centre at the newly-opened Cheung Sha Wan Jockey Club Clinic. The full-time Kowloon Maternal and Child Health Centre in Tsim Sha Tsui was replaced by the full-time Yau Ma Tei Maternal and Child Health Centre in the recently opened Yau Ma Tei Jockey Club Polyclinic. Since then, the subsidiary centre in the old premises at Yau Ma Tei Public Dispensary was discontinued.

SCHOOL HEALTH SERVICE

55. The Medical and Health Department provides an advisory service to the Education Department on matters relating to environ- mental health and hygiene in schools. Inspection of schools is carried out by School Health Inspectors with special regard to lighting, ventila- tion and sanitary arrangements, and 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 on primary school entrants by inoculators of the Chest Service and B.C.G. vaccine was given where necessary. Positive reactors with a reading of over 15 mm were sub- mitted to X-ray examination, and further investigation of 1,602 pupils examined radiologically revealed 22 cases of active tuberculosis who were given treatment. 245 pupils were placed under observation. Health Visitors interviewed all pupils with active tuberculosis and every effort was made to try and determine the source of infection, with special emphasis on home contacts.

57. In August 1966 the work of the School Health Service was taken over by the Area Health Officers who were currently gazetted as Medical Officers of Schools.

SCHOOL MEDICAL SERVICE BOARD

(See table 34)

58. The School Medical Service, which commenced in September 1964, is administered by the School Medical Service Board, an inde- pendent statutory body incorporated by Ordinance, and operated by private medical practitioners. Remuneration of the doctors is on a per capita basis, half the annual fee being paid by the participating pupil and half contributed by Government which also meets the Board's administrative expenses.

59. During the year under review the system of enrolment was modified and a method of 'continuous enrolment' was introduced. At 31st March, 1967 the number of pupils participating was 56,115 from 661 schools, compared with 50,394 pupils from 517 schools on the same date in the previous year. Doctors participating in the scheme numbered 227 compared with 250 in the previous year.

DENTAL SERVICE

(See table 35)

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

　　　　61. The new Yau Ma Tei Dental Clinic in the Yau Ma Tei Jockey Club Polyclinic provides six dental surgeries fitted with the latest dental equipment and an up-to-date dental laboratory. There is now a total of 30 Government Dental Clinics.

　　　　62. In the field of dental health, fluoridation of the water supplies has been continued since 1961, while advantage is taken of major educa- tional exhibitions to distribute information and advice on the main- tenance 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 employment and evening classes are held in the Hong Kong Technical College for technicians in private employment. Three dental surgery assistants are under training for dental nursing in Penang, Malaysia under World Health Organization Fellowships.

FORENSIC PATHOLOGY

(See tables 36-37)

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. Only one death resulted from typhoons during the year, but the disastrous torrential rains of early June caused 67 deaths. One death resulted from the Kowloon disturbances in April 1966.

GOVERNMENT CHEMICAL LABORATORY

(See table 42)

66. The work of the laboratory remained at a high level and, as in previous years, narcotic drugs formed the largest category of samples; over 14,000 seizures were examined and certified. They included some very large shipments (over 11,000 lbs.) of raw opimum, and of morphine hydrochloride (over 600 lbs.).

67.

　　The forensic work included the examination and certification of a number of scheduled poisons sold or used unlawfully.

68. 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. Common contraventions included the use of non-permitted colours or of an excessive addition of preserva- tive, while others were the adulteration of edible oils by cheap vegetable oil, or even by mineral oil.

69. A section has been engaged on the analysis of medicinal drugs, mostly samples from those purchased by Government for use in hospitals and clinics. Some samples of drugs and medicines sold to the public by retail have been analysed, and prosecutions have followed the discovery of gross adulteration of certain vitamin preparations.

GOVERNMENT INSTITUTE OF PATHOLOGY

(See tables 38-41)

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 1,354,948, an increase of about 13.5% over the previous year. This increase could be attributed at least in part to the re-opening of the Institute of Pathology at Kowloon Hospital. This new laboratory, besides providing a clinical pathology service, acts as a central Public Health Laboratory for the whole of Kowloon and the New Territories. This arrangement now leaves the laboratory at Queen Elizabeth Hospital responsible for only hospital work. In spite of this the total number of tests performed at the latter has not diminished. The Government Institute of Pathology also helps to conduct laboratory examinations for the Tung Wah Group of Hospitals totalling 50,654 tests, representing 4% of the overall total. Work arising from Queen Mary Hospital on pathology, clinical biochemistry and bacteriology is undertaken by the University Department of Pathology which receives a subvention from Government for such services.

Bacteriology

　　　　71. The year-round monitoring of nightsoil and cases of gastro- enteritis for cholera vibrios continued. This resulted in the detection of one clinical case on 21st November, 1966 where Vibrio cholera el Tor, subtype Ogawa, was isolated from the stool of a patient in Kowloon suffering from gastro-enteritis. There were also 46 positive isolates of Vibrio cholera el Tor from Hong Kong nightsoil between 25th - 28th November, 1966 (all subtype Ogawa). No clinical cases were detected on Hong Kong Island. Other projects included studies on the effects of anti-biotics and antisera on vibrios and the virulence of mutants.

　　　　72. The joint undertaking between the Medical Research Council and the Hong Kong Government in the study of anti-tuberculosis drugs continues. This work now embraces investigations on anti-tuberculosis drug levels in pus from cases of tuberculosis of the spine.

　　　　73. Vaccine production was at a high level, being twice that of the previous year.

Haematology and Blood Banks

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. During the year a total of 19,589 pints of blood was supplied to the blood banks, an increase of 31% over the previous year. Constant demands for fresh blood for special cases of blood diseases have given extra work to the collection of blood by the Society.

Morbid Anatomy and Histology

75. Significant increases were noted in exfoliative cytology and diagnostic biopsy work. Consultation biopsy cases have risen from 90 in 1965 to 340 in 1966. The study of pancreatic clonorchiasis has con- cluded, and the histological typing of salivary gland tumours continues.

Virology

76. The Government Virus Unit continued diagnostic examinations for virus infections and surveys in connexion with poliomyelitis. Other projects included studies of respiratory virus infections and a measles vaccination trial.

77. In poliomyelitis the incidence of the disease remained low in 1966. Poliomyelitis virus Type I continued to be the predominant causative agent. Two poliomyelitis faecal surveys on children were carried out, the first survey between June and July and the second between November and December. Results showed an excretor rate of 0.4% of 'wild' poliovirus in the first survey involving 235 children and 1.8% in the second survey involving 322 children. Type I poliovirus was prevalent in the former, and Type III poliovirus in the latter survey.

78. The combined immunization programme on poliomyelitis vacci- nation was extended in 1966. This programme, consisting of giving one dose of Type I poliovaccine at 4-7 days after birth followed by 2 doses of 'balanced' trivalent vaccine at 3 and 5 months of age, was found to provoke good immulogical response to all three types of poliovirus in a pilot study in 1964-65. Further serological assessment of its efficacy will be completed in 1967.

79. A measles vaccination trial was carried out in 1966 using two types of live attenuated measles vaccine, the Schwartz strain and the Beckenham 31 strain. Comparison was also made with the intramuscular and intradermal route of injection, of which the intradermal dose was one fifth of the intramuscular dose. The serological response was assessed by both neutralization test and haemagglutination-inhibition test. The results showed that by intramuscular route, both vaccines gave a satisfactory sero-conversion rate. The Beckenham 31 vaccine gave a higher antibody titre and also a higher complication rate than

the Schwartz strain. The immuno-response to both vaccines by the intradermal route was not satisfactory in this trial (Please see table 41 for results of the trial).

INDUSTRIAL HEALTH

(See table 43)

　　　　　80. The health of workers in factories and in other industrial under- takings is the statutory responsibility of the Commissioner of Labour. The Industrial Health Division of the Labour Department, which is staffed by personnel seconded from the Medical & Health Department, is chiefly concerned with the prevention of occupational diseases and the protection of workers against health hazards arising from their working environments. In addition to routine medical surveillance and environmental investigations, a number of separate surveys were carried out during the year to achieve these aims.

81. Environmental surveys included the investigation of lead in air in the printing industry, of silica dust in quarries, of noise on marine launches and of thermal comfort in offices. Clinical surveys were carried out among workers handling epoxy resins in the electronics industry and among selected workers exposed to lead in the printing industry. At the beginning of the year under review, medical officers seconded to the Labour Department began the periodical statutory medical examina- tion of radiation workers in medical practice as well as those employed in industry. The monitoring of film badges of radiation workers in industry was taken over by the Film Badge Service of the Medical and Health Department from the Radiological Protection Service in the United Kingdom.

82. The experiment of posting Health Visitors to casualty depart- ments in order to supervise rehabilitation of and advise injured workers (under the Workmen's Compensation Ordinance) proved successful and this procedure is now well established. Some of the Health Visitors' duties were taken over by nurses to allow the former to carry out visits to injured persons in factories and in their homes. With the opening of a casualty department at Kwong Wah Hospital, it was found necessary to establish a Medical Board for the assessment of industrial injuries at that hospital in addition to those at Queen Mary and Queen Elizabeth Hospitals.

　　　　83. Medical facilities for workers in factories in Hong Kong vary from the minimum statutory requirement of an adequately stocked first-aid box to clinics staffed by doctors and nurses. A survey to

determine the type and extent of these facilities was carried out and among other findings. it was shown that approximately 22% of em- ployees in registered and recorded industrial undertakings were covered by medical care schemes staffed by registered medical practitioners.

REGISTRATION OF MEDICAL CLINICS

(See table 44)

84. As on 31st December, 1966, there were 82 registered clinics in the charge of registered medical practitioners, and 393 clinics registered with exemption which were for the most part in charge of unregistered medical practitioners. The total of 475 clinics included 54 mobile vans.

85. Two medical inspectors of clinics continued throughout the year to make regular inspections of all clinics whose names appeared on the Register.

86. The Report of the Advisory Committee on Clinics, appointed in, June 1965 under the Chairmanship of the Hon. D. RUTTONJEE, C.B.E., J.P.. published in March 1966, was studied in detail by Government; as a consequence of certain recommendations made by the Committee, the Medical Clinics Ordinance was amended in several sections. The Ordinance has now extended the power of the Registrar of Clinics to register clinics with exemption for a further three years from January 1967. All clinics, whether registered or registered with exemption, are required to be re-registered annually. A Code of Practice has been issued to all unregistered practitioners in charge of exempted clinics; this not only contains certain rules of conduct but defines the scope of their professional activities and contravention of the Code by unregis- tered practitioners can now be regarded as sufficient reason either for refusal to grant exemption or for cancellation of re-registration of exempted clinics.

87. In accepting the Advisory Committee's recommendation that all mobile vans should be abolished by the end of December 1967, no provision is made in the Ordinance for re-registration of mobile clinics after that date. In their stead, the Committee recommended the setting up of proper clinics in all resettlement and low cost housing authority estates, and providing one doctor for every 6,000 residents. A scheme has since been formulated and will be put into operation early in the coming year. With the co-operation of the Resettlement Department and the Housing Authority, clinics will be set up in all estates to provide low-cost medical care in the estates. In the allocation of such premises, registered doctors will be given priority as recommended by the Report.

HEALTH EDUCATION

　　　　88. 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 Fifth Kai Fong Health Education Exhibition in July-August 1966 by producing displays on various aspects of preventive medicine.

IV. WORK OF THE MEDICAL DIVISION

(See tables 45-48)

　　　　　89. At the end of 1966, there was a total of 12,851 beds available in all hospitals in Hong Kong excluding those hospitals maintained by Her Majesty's Armed Forces. An additional 515 beds in private mater- nity and nursing homes were also available. The total of 13,366 beds available in Hong Kong represents 3.6 beds per thousand of the popula- tion. Development over the past 10 years is illustrated in Figure 11 and it will be noted that the bed provision in 1966 represents an increase of more than 90% over the bed provision in 1957.

FIGURE IL

HOSPITAL BEDS 1957 - 1966

HOSPITAL BEDS

12.000

10,000

$,000

4,000

4.000

2.000

ז זווי

TOTAL

GOVT-ASSISTED

GOVERNMENT

PRIVATE

65 66

YEAR

QUBEN MARY HOSPITAL

(See table 49)

90. 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 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.

91. Work on the extensions to the Hospital continued and during the year the projects completed include the new quarters for sisters, nurses and house officers, the new nurses training school, the new operating theatre and professorial suites and the greatly-expanded radio- diagnostic department. 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 1969 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.

QUEEN ELIZABETH HOSPITAL

(See tables 50-51)

92. This hospital serves the population of approximately 24 million people living in Kowloon and the New Territories as a medical centre for emergency and specialist care.

93. During its third year of operation, attendances at the Casualty Department rose by 4.9% compared with the previous year. Of these attendances, 28% were due to trauma, the main causes being, in order of frequency, domestic, industrial and assault cases. 29.6% of all the cases seen in Casualty Department required immediate admission to hospital and 7.6% were referred for admission to other hospitals such as Kwong Wah Hospital and Lai Chi Kok Hospital. (Please see para- graph 148 below for details of operation of the Casualty Department of the Kwong Wah Hospital).

94. The average time spent in the Hospital by each in-patient was 7.8 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 paediatric wards necessitated a re- allocation of beds in the hospital.

I wo new blocks of Nursing Staff Quarters at Queen Mary Hospital. They are seen at left and centre of the photograph, with the original nurses quarters just visible between them.

EFEFF.

New accommodation for House Officers and Male Nurses at Queen Mary Hospital. The new Nurses Training School is seen at right of the photograph.

The new block housing Professorial Suites and Radiotherapy Department at Queen Mary Hospital. The bridge, at right, connects with the main Hospital building.

Cheung Sha Wan Jockey Club Clinic opened on 7th July, 1966,

Yau Ma Tei Jockey Club Polyclinic opened on 28th March, 1967.

INIPIRI

†

NIBL

IBINI

EIR

IDIHI

KOWLOON HOSPITAL

　　　　95. 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. An additional block of 600 beds has been planned for and site forma- tion commenced in early March 1967. When completed, there will be a total of 1,100 beds in this hospital as subsidiary accommodation for Queen Elizabeth Hospital and for Chest diseases requiring both medical and surgical management.

96. 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-tuberculous chest disease.

TSAN YUK HOSPITAL

(See table 52)

97. 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.

98. Approximately 93.65% of admissions were cases registered at the hospital ante-natal clinic, and were in the main primiparae, grand multigravidae or other cases requiring specialist care; the remainder of the admissions were emergency cases referred from other sources. There were seven maternal deaths, the causes of which were: 4 cases of septicaemia, one case of mitral stenosis, one case of bronchogenic carcinoma and one case of ruptured splenic vein.

MENTAL HEALTH SERVICE

Castle Peak Hospital (See table 53)

　　　　99. With the addition of extra 240 beds by the completion of 2 new ward blocks during the year, the bed capacity of the hospital has increased to 1,359 beds. The hospital was still overcrowded over the revised bed capacity and at the end of the year under review 1,475 patients were accommodated.

100. Continued efforts to turn the hospital into a modern therapeutic community have resulted in a judicious liberalization of control over patients. Except for 2 closed wards for patients involved in Court pro- ceedings, most of the wards are in various degrees 'open', having free access to their own gardens. Two wards are never locked, the patients housed therein are convalescent and are given intensive attention to prepare them for discharge. Some patients travel daily to Tsuen Wan to work in factories for a short period of rehabilitation prior to final discharge. Many patients are given permission to go freely within hospital.

101. Much reliance was put on psychotropic drugs, and it became increasingly clear that maintenance treatment of many schizophrenics over a long period of time could result in a drop in the relapse rate.

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 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 have found employment while still in hospital. They were later discharged for full time employment.

Psychiatric Clinics (See table 54)

103. Work in the out-patient centres continued to increase. Towards the end of the year under review, the Tsim Sha Tsui Psychiatric Clinic was replaced by the new Yau Ma Tei Psychiatric Centre in the recently opened Yau Ma Tei Polyclinic, catering for both out- and day- patients including children. In addition to these clinics, psychiatric services are provided for Psychiatric Observation Unit in Victoria Remand Prison and for the mentally sub-normal in the Aberdeen Rehabilitation Centre.

New Life Psychiatric Rehabilitation Association

104. This Association, run by several members of the Mental Health Service, centred its activities mainly on a 'Half-way House' for men- a hostel where certain selected discharged patients from Castle Peak Hospital could spend a transitional period before return to normal society. A small fee was charged. Most of the ex-patients with the help of the Association were able to readjust themselves to return to a productive life.

Drug Addiction Treatment Centre

　　　　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 and poliomyelitis. There was an increase in the number of cases of dysentery, gastro-enteritis and infec- tive hepatitis.

　　　　109. Typhoid admissions remained comparable with the previous year. The disease occurs mainly amongst children and adolescents and is very often of a mild character. Some increase was noted in the number of measles admissions. Bronchopneumonia complicating measles is the main cause of death and many cases were severely ill at time of admission.

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. Trends during the past ten years are shown in Figure 12.

FIGURE 12

OUT-PATIENT ATTENDANCES 1957 - 1966

NO. OF ATTENDANCES IN MILLIONS

TOTAL ATTENDANCES

NEW ATTENDANCES

1957

YEAR

112. New facilities which became available during the year are detailed in paragraphs 166 to 169 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 continued.

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 Ordin- ance 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 improve- ments 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 addition holds regular sessions at out-patient clinics in urban and rural areas. Eighty per cent of operations were performed on an out-patient basis, while the increased availability of beds due to the opening of the

Queen Elizabeth Hospital enabled waiting lists to be reduced to almost negligible proportions. Towards the end of the year under review a new ophthalmic centre was opened at the Yau Ma Tei Polyclinic.

118. During the year, 420 persons were first registered as blind, a drop from the 467 recorded in 1965. Of the 420 persons recorded during the year only twenty-two were in children under fifteen years of age and most of them were recent arrivals from Mainland China. Following successful operations, some sixty-three 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 pre- dominant causes, and amongst children, the main cause of blindness is congenital defect, while blindness due to keratomalacia is now com- paratively 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. Another Central Sterile Supply Department has been opened in the new theatre block at Queen Mary Hospital. The latter Department at present serves the needs of the new theatre block only, but plans are being made to expand its service to meet the requirements of the entire hospital. A new pharmacy department has also been opened in the new theatre block at Queen Mary Hospital.

122. The service is responsible for inspections under the various ordinances concerned with Dangerous Drugs, Poisons and Antibiotics.

During the year the scope of these activities has increased to include an additional inspector who has been trained for duties under the Public Health and Urban Services Ordinance and will inspect premises in con- nexion with sale of sub-standard pharmaceutical preparations.

MEDICAL SOCIAL WORK

　　　　123. The expansion of the medical services and the increasing emphasis on rehabilitation in its various aspects necessitated a large intake of staff during the 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 be responsible for a programme of staff development and student training. During the year 2 Medical Social Workers returned after one year's post-graduate training in United Kingdom, and another from the United States, also after one year's training. In staff training locally, full use has been made of Extra Murat 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 and medical students. In addition all possible assistance was given to the two universities in the training of university social work students.

124. In the Tuberculosis Service, the development of Health Visitors of the work concerned with the public health and preventive aspects of this disease has enabled the Medical Social Workers, working on a refer- ral and selection basis, to concentrate more on the purely social work angles. Much more time is being spent by Medical Social Workers in hospitals, and the stationing of Medical Social Workers at the Grantham Hospital and Ruttonjee Sanatorium was started during the year.

125. 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 disability. The newly developed community services such as the Save the Children's Fund Nursery, the Red Cross Day School and the Peace Clinic's Hostel for handicapped children, have given full co-operation to the centre and contributed much help to the patients.

　　　　126. 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 the working condition was improved with the addition of one office room for the service. The work in Kowloon Hospital re- sembled that in the other general hospitals, but with a greater proportion of problems relating to destitute or seriously handicapped patients for whom discharge plans must be made. In Lai Chi Kok Hospital there was a reduction in the number of patients dealt with during the year, partly due to a decrease in the number of admissions of poliomyelitis

cases.

127. In the Mental Health Service the demands for fully trained Psychiatric Social Workers and the scope of work at Castle Peak Hos- pital remain great. During the year the service had been expanded to include social planning for a category of patients formerly the concern of the Prisons Department, and a Medical Social Worker was assigned to the Drug Addiction Unit to follow up the discharged drug addicts of Castle Peak Hospital.

128. In the leprosy service methods of rehabilitation remained the same and co-operation with the Hay Ling Chau Leprosarium was main- tained. In the fields of veneral 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 con- ditions. 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 child care assistance is the highest among other social help, and 76 babies from tuberculosis mothers were placed by the Medical Social Worker in various nurseries for temporary care, while arrange- ments were made for another 27 babies to be looked after by tuberculosis-free relatives.

PHYSIOTHERAPY

(See table 63)

129. 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. In the Queen Elizabeth Hospital Department there was an increase in the number of cases

treated in the hydrotherapy pool and in the number of cerebral palsy patients. A new class for hemiplegic patients had been started. The number of treatments and clinics held at the Kowloon Jockey Club Rehabilitation Centre had increased, while in the Wanchai Polyclinic cervical spondylosis constituting the largest proportion of the cases treated.

130. The Physiotherapy Training School had an intake of 11 new students during the year, making a total of 21 students now being trained in the school. For the first time 6 male students were recruited. Four students graduated from the school in August, 1966.

OCCUPATIONAL THERAPY

(See table 64)

131. Owing to the pressure on the acute hospitals and to the resulting 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.

132. At Castle Peak Hospital the occupational facilities have been increased due to extra space being converted to a unit for light assembly work. Industrial 'out-work' consisting of contracts with factories, con- tinues as a valuable adjunct to the treatment programme and is being expanded. Government orders for domestic, hospital and office equip ment continued. The printing department has progressed and produced two Hospital magazines with articles from patients and staff. In the Hong Kong Psychiatric Centre a carefully-planned programme of re- habilitation is also carried out for patients attending the centre.

133. Work in the Kowloon Jockey Club Rehabilitation Centre had shown a further increase during the year and the aim of treatment in the centre is to assist in returning patients to their previous employment, or where there is not possible, to an alternative means of livelihood. The ward work in the Kowloon Hospital itself has progressed satis- factorily as demonstrated by the appreciable increase in the total number of treatments given during the year.

134. The Occupational Therapy Units at Queen Elizabeth, Queen Mary and Lai Chi Kok Hospitals continued their activities and treat- ments given to patients covered orthopaedic, tuberculosis, surgical and

medical conditions. The weekly occupational therapy service to the tuberculosis patients at St. John Hospital, Cheung Chau continued during the year.

ORTHOPAEDIC AND PROSTHETIC APPLIANCES

135. The production of appliances continued to increase and 2,350 appliances were made during the year compared with 2,018 in the previous year. The research and development programme continued to make satisfactory progress, and some technical developments completed during the year include hip joint for hip disarticulation prostheses, a jig for accurate location of the hip joint, the use of polyurethane foam for the production of parts for artificial limbs and a non-articulated rubber foot.

136. The training programme for student technicians continued and during the year one student was awarded the diploma of Orthopaedic Technician and two others have passed their examinations for Associate- ship of the Institute of British Surgical Technicians.

MEDICAL EXAMINATION BOARD

(See tables 65-66)

137. 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-three out of the twenty-eight classifications as 'unfit in each thousand examinations.

HOSPITAL MAINTENANCE AND SUPPLY

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

139. Provision of transport services continued to present problems, particularly when routine requirements were augmented by the need for additional vehicles during mass immunization campaigns. The Depart- mental Central Laundry has overcome its teething troubles and is work.

ing to a high degree of efficiency. The former lack of balance in the major plant has been partly overcome by installation of some additional machinery but until the remainder of the additional machinery recently approved has been installed, there will continue to be some imbalance, due to the continued increase in the quantities of linen requiring to be processed, which is the result of the opening of new institutions and more rapid bed turnover.

　　　140. Castle Peak Hospital continued to experience minor difficulties with interruptions in water, electricity and telephone services, but they have been somewhat less than in previous years and a steady improve- ment can be expected.

　　　141. 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, although these were fewer in number than in former years. Individual institutions, notably Castle Peak and Kowloon Hospitals, have carried out a varied programme of sporting and social activities.

　　　142. The UNICEF sponsored milk feeding programme continued throughout the year, a total of 79,030 lbs. of milk powder was dis- tributed to the various feeding centres of both Government and voluntary agencies throughout the Colony.

AUXILIARY MEDICAL SERVICE

143. This branch of the Essential Services Corps has a strength of over 5,100 men and women trained to augment the Colony's medical services during an emergency. Approximately half of the strength is used to make up the Ambulance Depot Teams which are based on the Fire Brigade's Ambulance Stations throughout the Colony. These Ambulance Depot Teams are trained to reinforce the Fire Services Ambulance Service and to provide mobile first aid teams as necessary.

144. Members of the Service carry out training on Sunday mornings and during the evenings. They also perform routine ambulance duty with the Fire Brigade Ambulance Service by rotation at week-ends and Public Holidays.

145. During the flooding in June 1966 members of the Service were called upon to render assistance, and they also attended at a number of fires in Hong Kong and Kowloon during the year.

V. GOVERNMENT-ASSISTED HOSPITALS

(See table 67)

146. 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 6,109 beds, provide mainly subacute general beds or facilities for persons suffering from certain specific diseases or handicaps. The total Government sub. vention to these hospitals was estimated at $42,713,131 recurrent and $2,299,831 special expenditure during the past financial year.

THE TUNG WAH GROUP OF HOSPITALS

147. The Tung Wah Group of Hospitals is a long-established Chinese charitable organization and is managed by a Board of Directors elected annually. During recent years a programme of modernization and expan- sion 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 $26,226,500 recurrent and $1,468,548 capital during the year. The main item in this programme has been the redevelopment of the Kwong Wah Hospital in Kowloon into a modern general hospital of some 1,500 beds; this re-development was finally completed during 1965.

148. The Casualty Department at Kwong Wah Hospital was opened 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, initially staffed by nurses and Medical Officers seconded from Government, was finally managed by the Hos pital's own staff towards the end of the year under review. During the year there were over 60,000 casualty attendances at the Department, and traumatic cases occupied 19.6% of the total attendances.

149. 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 con- struction of a large infirmary at Wong Tai Sin. Phase I of this project providing 350 beds, was completed in 1965 while the foundation stone of Phases II and III to give an overall total of 700 beds was laid in March, 1967. The total cost, including Phase I, is estimated to be $6,269,100 of which $1,536,000 were donated by the Australian World

Refugee Year Fund, $3,883,100 granted by Government and the remainder raised by the Directors of the Tung Wah Group. Further plans of expan- sion at Wong Tai Sin are under consideration. Construction of a further similar project at Sandy Bay to give 275 beds and replacing 100 beds in the old infirmary was completed in March 1967, when the new in- firmary became operational. This project is estimated to cost $2,250,000 of which 80% was financed by Government.

THE ALICE HO MIU LING NETHERSOLE HOSPITAL

150. This hospital, supported by the London Missionary Society, received a Government subvention of $2,483,358 during the year. Archi- tectural planning has commenced on the establishment of a United Christian Hospital in Kowloon of over 600 beds.

　　　151. Extra quarter for nursing staff was completed during the year and work on further extension and modernization of the hospital is in progress.

POK OL HOSPITAL

152. 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 $650,000. The new three-storey central building was completed at the end of 1966 and provides accommodation for 34 mater- nity and 46 paediatric patients to give a total of 162 beds.

CARITAS MEDICAL CENTRE

153. 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 $1,824,976 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. Plans are under way for further expansion by the provision of a paediatric block of 250 beds. 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 AND THORACIC DISEASES ASSOCIATION

154. This Association, in receipt of a Government subvention of $1,946,900 apart from $4,873,220 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 Chest Service.

The Grantham Hospital (See table 68)

155. This hospital of 614 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 Govern- ment grant of $4,873,220 during the year. 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 220 of the beds.

Ruttonjee Sanatorium and Freni Memorial Convalescent Home

(See table 69)

156. The Ruttonjee Sanatorium and its annex, the Freni Memorial Convalescent Home, maintained by the Hong Kong Anti-tuberculosis and Thoracic Diseases Association, together accommodate 360 patients, suffering from tuberculosis and other chest diseases. The Sanatorium also operates a Follow-up Clinic and a B.C.G. centre. It is supported by voluntary contributions and by a large subvention from Government.

HAVEN OF HOPE SANATORIUM

157. 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 $441,500. Construction of a new technical services building was com pleted during the year, but planning of an additional 60 beds, the cost of which is to be shared equally between the Institution and Government has been in abeyance.

SANDY BAY CHILDREN'S ORTHOPAEDIC HOSPITAL AND CONVALESCENT HOME

158. Maintained by the Society for the Relief of Disable Children, partly with the aid of a Government subvention of $150,000 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. Construction of additional facilities in the form of an out-patient department, an operating theatre suite, quarters and an additional 100 beds is in progress.

OUR LADY OF MARYKNOLL HOSPITAL

159. 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 $387,000. 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, construction continued 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)

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

　　　　161. 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 com- bination of diamino-diphenyl-sulphone or of intra-muscular sulphetrone 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

　　　　162. This centre, aided by Government by a recurrent grant of $550,000, 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

FORWARD PLANNING

(See table 71)

163. Reference has been made previously in this report to the un- paralleled hospital development of the past 15 years. However, the population has also been increasing very rapidly and there is still con- siderable 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, reasonably satis- factory 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 Development Plan Standing Committee. The Director of Medical and Health Services is its Chair- man 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 29 meetings since its inception, in order to keep the recommendations 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 institutions; fees and charges; and improved utilization of existing medical facilities.

164. The principal matters, amongst many, with which the Committee continued to occupy themselves were: the alterations to and extensions of Queen Mary Hospital aimed at ensuring that an acute highly specializ ed teaching hospital of 1,080 beds will be fully provided before the end of 1969; the progress made with the provision of a new 1,100-beds general hospital at Lai Chi Kok; the planning of a new convalescent block in the grounds of Kowloon Hospital; the adequacy of the present psychiatric 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.

165. Amongst new matters considered by the Committee were: reprovision of the out moded and antiquated old public mortuary now at Hill Road, West Point, on a suitable site further to the west; expan- sion of the facilities of the Treatment and Rehabilitation Centre for Drug Addicts at Shek Kwu Chau; a standard out-patient and maternity and child health clinic at Kwai Chung North; expansion of the mortuary and Clinical Pathology Services at Queen Mary Hospital with the addition of an expanded and reprovisioned Colony Virus Laboratory.

COMPLETED PROJECTS

166. The year 1966-67 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 the report, it is appropriate to summarize them in this chapter.

167. The Royal Hong Kong Jockey Club was again to the fore in its assistance in the development of medical institutions in the Colony. The early part of the year under review saw the completion of standard General and Maternal Child Health Clinic at Cheung Sha Wan while the massive polyclinic at Yau Ma Tei was opened in March of 1967. A new floor to the Tsan Yuk Maternity Hospital also donated by the Jockey Club was completed at about the same time and work on the conversion of the 4th and 5th floors of this hospital, part of the Jockey Club Scheme, is still in progress.

168. Projects completed during the year and financed in entirety by Government were the 2 new wards at Castle Peak Hospital to give an additional 240 beds and new Sisters, Nurses and Doctors Quarters plus a new Nurses Training School at Queen Mary Hospital. The new Operating Theatre, Central Sterile Supply Department and Pharmacy Block, and the Professorial and Radiotherapy Block also at this hospital, were to all intents and purposes completed by the end of March, 1967.

169. Major projects at Government-assisted medical institutions which were completed during the year were: the John F. Kennedy Spastic Children's Centre for the education and rehabilitation of 60 resident, and 20 or more non-resident child-sufferers from cerebral- palsy, donated by the World Rehabilitation Fund, administered by the Hong Kong Red Cross, and planned by the Medical and Health Depart-

ment; the 279 bedded new Tung Wah Group Sandy Bay Infirmary of which 200 beds are for the use of convalescent patients from Queen Mary Hospital; the addition of 44 beds to the Pok Oi Hospital near Yuen Long in the New Territories; the new Nurses Quarters of the Nethersole Hospital, while the nursing home of 120 beds for cancer patients run by the Hong Kong Anti-Cancer Society was about to be completed at the end of the period under review.

PROJECTS UNDER CONSTRUCTION

170. Major projects on which construction had commenced or was about to commence were the 2-storey addition to the Lion's Club Government Maternal and Child Health Centre at Kowloon City, the new standard clinic at Castle Peak and the alterations to existing Queen Mary Hospital, while site formations for the new Lai Chi Kok General and Mental Hospitals and the Tang Shiu Kin Hospital were in progress. Government assisted projects under construction are the Tung Wah Group Wong Tai Sin Infirmary's Phases II and III, extensions to the Maryknoll Hospital, the Buddhist Association Hospital, the Sandy Bay Children Convalescent Home and the Nethersole Hospital.

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

VII. TRAINING PROGRAMME

DOCTORS

(See tables 72-74)

172. 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.

173. Mention has been made in recent reports of the relative short- age of qualified medical personnel and with the completion of the new University pre-clinical buildings at Sasson Road, the University's intake of Medical students was increased and 120 students entered its Faculty of Medicine in 1965. The extensions to Queen Mary Hospital, to which reference has already been made, will be completed in time to allow a larger number of students to have their clinical training. 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 personnel for some years to come.

　　　　174. 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 short- age 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

　　　　175. 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 eleven scholars returned to the Colony after qualification, bringing the total of returned graduates to 46.

　　　　176. 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 radiog- raphy and orthodontics was also carried out.

　　　　177. Three dental surgery assistants are under training in Penang, Malaysia, under World Health Organization Fellowships for training in dental nursing.

NURSES

General Nursing

178. 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, for a period of three years.

179. 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.

180. Eight of the trained staff proceeded overseas during the year for specialized training in various branches of nursing such as hospital administration (nursing); neuro-surgical nursing; operating theatre tech- nique, orthopaedic nursing; chest-heart surgical nursing; and nutrition, in order to use to the fullest extent, all the wealth of specialized experi- ence that each nurse has to offer, thus providing the widest variety of nursing experience for the public.

181. 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 sur- gery 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.

182. Three trained nurses-one male and 2 females-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.

183. 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

184. 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 it is one of the most rewarding tasks in the nursing profession.

Midwifery

　　　　185. 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.

186. 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

187. 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 supervis- ing the more advanced technical procedures. Twenty Pupil Nursing Auxiliaries are now in training at Castle Peak Hospital where after a specialized 2 years training they will be able to carry out routine nursing duties in the Psychiatric Hospital.

Health Visitors

188. The Health Visitors Course has been discontinued.

Health Auxiliary Grade

　　　　189. A new grade of Health Auxiliary has recently been created in the Medical and Health Department to absorb and combine the existing grades of Tuberculosis Workers and Social Hygiene Visitors.

190. Besides amalgamating the Tuberculosis Workers and Social Hygiene Visitors, the initial establishment of the new grade includes 20 Student Health Auxiliary posts for the training of new appointees to the grade. These 20 Student Health Auxiliaries will form the basis of a training cadre for the grade. They undergo training for two years in health education and in public health nursing which includes maternal and child health work, the tracing and keeping of records of infectious diseases in general, and tuberculosis, leprosy and venereal disease in particular. On joining the service Student Health Auxiliaries will be attached first to the Government School of Nursing for 12 weeks and then to hospital wards for 16 weeks, of which not less than 4 will be in an obstetric ward. After the hospital familiarization, they will be posted in rotation to units of the health services to obtain intensive public health training and to gain in-service field experience. During the two-year course observation visits will be arranged to various welfare organizations. Students will be required to sit a test after their hospital study period and a final department examination at the end of the two- year course. On passing the final examination, they will become Health Auxiliaries and assist Health Visitors in the prevention of infectious dis- eases, in health education and in home visiting.

RADIOGRAPHERS

191. 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 radiographers.

192. During the year 7 Student Radiographers passed the Part II examination and 2 others passed the Part I examination for the Member- ship of the Society of Radiographers.

LABORATORY TECHNICIANS

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

OTHER FORMS OF DEPARTMENTAL TRAINING

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

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

VIII. DONATIONS

(See table 79)

　　　　195. During the past 15 years the Colony's medical and Health serv- ices 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 $338,800. 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 $31,800,000 towards a variety of projects ranging from fully-equipped floating clinics costing approximately $500,000 each to the Queen Eliza- beth Hospital Radiological Institute opened in June 1964 at a cost of $6,000,000. The complex Jockey Club Polyclinic at Yau Ma Tei, opened in March 1967 is the latest symbol of the Club's generosity, the Club itself having contributed $5,000,000 towards this project, 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.

　　　　196. Sir Shiu-kin TANG, whose philanthropy is well-known, contri- buted a further $300,000 towards the cost of a hospital now being planned, thus bringing his total contribution in respect of this project to $1,300,000. 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 $78,200 was distributed in this way.

IX. ACKNOWLEDGEMENT

197. 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 un- avoidable deficiencies in the medical service of the Colony.

198. Finally this report would not be complete without an expression of thanks for the co-operation and assistance given freely at all times to the Medical and Health Department by the many public spirited persons who gave up so much of their valuable time to serve as members of Statutory Boards, Advisory Committees and Working Parties, other Government departments, the voluntary organizations and the Press.

30th June, 1967.

P. H. TENG,

Director of Medical and Health Services.

HÒNG KONG IS MEDICAL FACILITIES

-12

SEE MAP.

HONG

KONG

MAP I

DES WEUX

QUEENS AAC,

"CAINE RO

MAP |

QUEENS PO

HENNESSY

STON RD,

WAN

GARDEN RO

H+

STUBBS RO

"WONG NEI CHUNG RD.

MAP 1

MAP II

HONG KONG ISLAND

MAP I

MAP II

GOVERNMENT INSTITUTIONS (Contd.)

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

20. Stanley Prison Hospital.

21. Tsan Yuk Hospital (a maternity 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).

GOVERNMENT INSTITUTIONS

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

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

B 2

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

B 1

Chai Wan Clinic and Maternal & Child Health, Centre.

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

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).

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 Government 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).

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

B 1

ARMED FORCES/GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

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

Canossa Hospital (a general hospital).

10. Li Sing Dental Clinic,

Freni Memorial Convalescent Home.

11. Medical Examination Board.

12. Mount Butler Quarry Clinic.

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

Grantham Hospital (a tuberculosis hospital). Hong Kong Central Hospital (a general hos- pital).

B 1

Hong Kong Sanatorium & Hospital (a general

hospital).

14. Port Health Inoculation Centre, Harcourt

Matilda Hospital (a general hospital).

Road.

15. Port Health Inoculation Centre, Marine) Building.

H. Military Hospital, Bowen Road.

Military Hospital, Mount Kellet.

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

17. Sai Ying Pun Hospital (infectious diseases)

and Sai Ying Pun Jockey Club Clinici (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).

Ruttonjee Sanatorium (a tuberculosis hos-

pital).

Sandy Bay Children's Orthopaedic Hospital and Convalescent Home.

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- bos-

pital with out-patient department).

Lai Chi Kok

Sham Shuifo

MAP III

Mong

Yau Ma Tei

Tsim Sha Tsui

KOWLOON PENINSULA MEDICAL FACILITIES

Air

KowloonCity

Hung Hom

Harbour

Victoria

Kowloon Bay

North Point

十六

GOVERNMENT INSTITUTIONS

KOWLOON

MAP [[]

GOVERNMENT INSTITUTIONS (Contd.)

MAP [[1

1. Air Port Health Station.

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

19.

B 4

3. Cheung Sha Wan Jockey Club Clinic (general out- patient facilities, maternal and child health centre, maternity home and eye clinic)

18. Lions Club Maternal & Child Health Centre. Queen Elizabeth Hospital (an acute specialized general hospital with casualty department and specialist clinic).

20.

Queen Elizabeth School Dental Clinic.

B 1

21.

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

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

B 2

5. Farm Road Dental Clinic.

6. Government Ophthalmic Clinic-Arran Street (an Ophthalmic centre).

B 2

7. Ho Man Tin Maternal & Child Health Centre.

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).

B 2

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

9. Kowloon-Canton Railway Staff Clinic (dental facilities for Railway Staff and their families).

B 4

10. Kowloon Chest Clinic (a tuberculosis clinic).

24. Tai Hang Tung Clinic (general out-patient facilities). 25. Tsim Sha Tsui 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

II. Kowloon Hospital and Out-patient Department (a general hospital with general out-patient and dental ! facilities).

27. Yau Ma Tei Jockey Club Polyclinic (general out- patient, social hygiene facilities, eye clinic, dental clinic, chest clinic, maternat and child health centre and maternity home).

B 3

12. Kowloon Police Medical Post (general out-patient and dental facilities for police officers and their families). 13. Kwun Tong Health Centre (general out-patient facili- ties, maternal and child health centre, dental clinic and maternity Home).

14. Lai Chi Kok Female Prison Hospital. 15. Lai Chi Kok Hospital (an infectious diseases and con- valescent hospital, with an Isolation Unit for the segregation of suspected cases of quarantinable disease).

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

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

GOVERNMENT-ASSISTED AND

PRIVATE HOSPITALS

A. Baptist Hospital (a general hospital).

Caritas Medical Centre (s general and tuberculosis hospital).

B 1

Evangel Medical Centre (a general hospital).

A 1

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

C 3

Kwun Tong Rehabilitation Centre.

Maryknoll Mission Hospital (a general hospital).

B 2

Precious Blood Hospital (a general bospital).

B 2

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

C 2

NEW TERRITORIES MEDICAL

FACILITIES

سراره

TAO

SHEK PIK

MAP IV

MAN KAN TO

DEEP

BAT

SAH TIN

SHU

FANLING

TAIPO

•E

KAN TIN

YUEN LONG

CASTLE

PEAS

ZAN HAN

LANTA Ų

SHER KNU

CHAU

PENG CHAUF

HAULING CHALI

TSUEN YAH

SHA

HALIU

SHU

JEUNA CHAU

BAY

NEW TERRITORIES

GOVERNMENT INSTITUTIONS

1. Castle Peak Hospital (a mental hospital).

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

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

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

MAP IV

B 2

B 3

5. 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).

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).

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 Hospita! (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.

B 3

B 4

B 3

B 2

B 3

B 4

B 2

B 4

B 2

INDEX TO STATISTICAL APPENDIX

I. ADMINISTRATION

Table No.

+++

་་

Establishment of the Medical & Health Department as at 31.3.67... Administration of the Medical & Health Department Statement of Expenditure from 1962-63 to 1966-67 ... Legislation of Medical & Health Importance-Apr. 1966 to Mar. 1967 Work of Statutory Councils and Boards-April 1966 to March 1967

II. PUBLIC HEALTH

(a) Vital Statistics

Estimated Population Structure-1966

Births and Deaths 1952 and 1957-66

++++

+11

117

Infant and Maternal Mortality 1952 and 1957-66 Major Causes of Infant Mortality 1952, 1957 and 1962-66 Major Causes of Maternal Mortality 1952 and 1957-66 Proportionate mortality by Disease Groups 1952, 1957 and

1962-66

The Ten Leading Causes of Deaths by age and sex 1966 (b) Infectious Diseases

Infectious Diseases notified (cases and deaths) 1962-66 Mortality rates for certain infectious diseases 1962-66... Principal infectious diseases by age and sex 1966 Prophylactic Immunizations 1962-66

III, WORK OF HEALTH DIVISION

(a) Tuberculosis

Tuberculosis Mortality 1952 and 1957-66 Tuberculosis in Childhood 1952 and 1957-66 Tuberculosis Notifications 1952, 1957 and 1962-66 Work of Government Chest Service 1966 X-Ray Surveys 1966

-- J

Contact Examinations 1965-66

---

Orthopaedic Tuberculosis 1961-66

(b) Malaria

---

Distribution of cases and identification of parasites

---

-- J

ILL

225

Work of the Port Health Service 1966

---

+++

Annual Incidence of Venereal Disease 1957-66..

V. D. R. L. Examinations in Expectant Mothers 1962-66 Leprosy

IJL

Analysis of Dermatological Conditions Presenting at Clinics,

1966

+++

Cultures for Mycological Identification, 1966

(d) Port Health

INDEX TO STATISTICAL APPENDIX-Contd.

III. WORK OF HEALTH DIVISION-Contd.

Table No.

(e) District Midwifery Services

Midwifery Services 1965-66

Maternal & Child Health Services

Distribution of Maternal & Child Health Centres at 31.3.1967 Work of Maternal & Child Health Services 1965-66

+++

(g) School Medical Service Board

Number of Participating Schools, Students and Doctors at

31.3.1967

(h) Dental Service

LL+

---

HTT

Work of the General Dental Service 1962-66

(i) Forensic Pathology

ILF

+++

Work of the Forensic Pathology Laboratories 1965-66 Work of Public Mortuaries 1965-66

(1) Government Institute of Pathology

---

+++

+--

---

Work of Government Institute of Pathology 1965-66 Vaccine Production 1965-66

Blood Banks 1965-66

Virus Laboratory

---

+++

(k) Government Chemical Laboratory

Work of the Government Chemical Laboratory 1965-66

(1) Industrial Health

Work of Industrial Health Section 1966...

(m) Medical Clinics Registration

---

IV. WORK OF THE MEDICAL DIVISION

---

Number of Hospital Beds in Hong Kong 1966... In-Patients Treated in Government, Government-Assisted and Private Hospitals, Clinics and Maternity Homes, 1966... Disease Classification of In-Patients Treated in Government and Government-Assisted Hospitals and of All Deaths in the Colony, 1996...

(a) Government Hospitals

Hospital Costing 1965-66 and 1966-67

---

Work of the Queen Mary Hospital 1962-66 Work of the Queen Elizabeth Hospital 1966 Work of the Queen Elizabeth Hospital Casualty 1966 Work of Tsan Yuk Hospital 1965-66

Work of Castle Peak Hospital 1966

Work of Day Hospital and Psychiatric Centres 1966

---

+++

---

+++

...

LII

---

INDEX TO STATISTICAL APPENDIX-Contd.

IV.

WORK OF THE MEDICAL DIVISION-Contd.

Table No.

(b) Out-Patient Clinics

New Out-Patient Attendances 1966 Total Out-Patient Attendances 1966 New Territories Clinics 1966

Work of Radiodiagnostic Branch 1966 Radiotherapeutic Branch 1965-66

(d) Ophthalmology

-- J

+++

Work of the Ophthalmic Service 1965-66 Analysis of Major Causes of Blindness

(e) The Pharmaceutical Service

Work of Pharmaceutical Service 1965-66

(f) Physiotherapy

Work of Physiotherapy Service 1966

(g) Occupational Therapy

---

+++

---

-- J

FFF

+++

PII

---

Work of Occupational Therapy Service 1966 (h) Medical Examination Board

Work of Medical Examination Board 1965-66 Unfitness of Candidates by Causes 1965-66

V. GOVERNMENT-ASSISTED HOSPITALS

(a) Government Medical Subventions to Voluntary Institution

1962-63-1966-67

(b) Work of the Grantham Hospital 1966

VI. DEVELOPMENT PROGRAMME

Building Programme

VII. TRAINING PROGRAMME

110

+++

(a) Nurses in training at 31.3.1967

(b) Courses of study overseas 1966-67 (c) Departmental Training at 31.3.1967

VIII. MISCELLANEOUS

LIT

---

+++

(a) Attendances at Conferences, etc., Overseas (b) Visitors

+++

PHL

(d) Samaritan Fund

(e) Donations

+++

...

LII

---

NAX

+++

RRERA

+++

---

TABLE 1

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT

AS AT 31ST MARCH, 1967

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 31.3.67

Director of Medical & Health Services...

Deputy Director of Medical & Health

Services

---

JJJ

Assistant Director of Medical & Health

Services

111

гг-

Senior Specialist and Specialist

Principal Medical and Health Officer...

Chief Executive Officer/Senior Executive

Officer/Executive Officer

LLL

Senior Treasury Accountant/Treasury

Accountant

---

Senior Medical & Health Officer)

Medical & Health Officer/Assistant Medical & Health Officer

LLL

Senior Dental Officer/Dental Officer/]

Assistant Dental Officer

Principal Matron

117

---

Nursing Staff

---

...

---

[ 1

34 93 13

ין

265

479

437

540 682 168

271 144 22

918 2,755 2,565

]

9 12.

717

Senior Dietitian/Dietitian

Principal Medical Social Worker/Senior

Medical Social Worker/Medical Social Worker Class I and Class 11

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

---

Government Chemist/Senior Chemist/

Chemist/Assistant Chemist/Assistant Biochemist

Scientific Officer (Medical)

107

Virologist...

ггг

1-1

Senior Physicist/Physicist

---

Carried forward

---

20;

28 77 68

[22

179

151

ETI

1 |

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

Grade

Brought forward

Chief Hospital Secretary/Senior

---

Hospital Secretary/Hospital Secretary ¡Assistant Hospital Secretary

Clerical Staff

---

...

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 31.3.67

24 636 848 191

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

$2 42

92 23 23 6 41 35

5 17

205 549 $36

34 112 105

13 56 54

3 12

96 132

1|[

Superintendent Radiographer/Senior

Radiographer/Radiographer!

Assistant Radiographer/Student Assistant Radiographer

rri

-11

Superintendent Physiotherapist/Tutor

Physiotherapist/Physiotherapist/ Assistant Physiotherapist/Student Assistant Physiotherapist

rrr

---

Superintendent Occupational Therapist/

Occupational Therapist

Chief Medical Technologist/Senior

Medical Technologist/ Medical

Technologis/Medical Laboratory Technician Class 1/Medical

Laboratory Technician Class IT/ Student Medical Laboratory Technician

- - -

Senior Laboratory Assistant/Laboratory

Assistant/Student Laboratory Assistant

Senior Health Inspector/Health

Inspector Class I & II

Senior Inoculator/Inoculator

Audiology Technician

JJJ

Orthopaedic Appliance Adviser/

Assistant Orthopaedic Appliance Technician/Student Assistant Orthopaedic Appliance Technician

Mould Laboratory Technician/Student

Mould Laboratory Technician

---

LIL

Dental Technologist/Dental Technician!

Student Dental Technician

F1-

Laundry Adviser/Assistant Laundry

...

Manager

---

ILL

---

Other Staff

---

13 838 1,344 296

TOTAL

LLL

120 1,564 2,405 517)

405

17 17

18 14

109

113

620 126 132 113 1,312 4,794 4,481

962 289 243 251 3,177 9,5288,862

3,177

DEPUTY DIR HEALTH

ASST. DIR. HYGIENE USD.

ASST. DIR. HEALTH

P.M.H.Q. KEALTH

TABLE 2

ADMINISTRATION OF MEDICAL AND HEALTH DEPARTMENT

DIRECTOR

ASST. DIR. T.3.

ASST. DIR. MEDICAL

P.M.HO. MEDICAL

P.N.H.O. PLANNING

SENIOR TREASURY ACCOUNTANT

SECRETARY

DEPUTY SECRETARY

SECRETARY BOARDS

N.T. MEDICAL & HEALTH INSTITUTE OF PATHOLOGY PORENSIC PATHOLOGY

TUBERCULOSIS SERVICES

ACCOUNTS

STORES

GENERAL MATTERS

PERSONNEL MATTERS

HATERNAL & CHILD

HEALTH

DENTAL

SOCIAL HYGIENE

PORT HEALTH

GOVERNMENT CHEMICAL

LABORATORY

INDUSTRIAL HEALTH

DEPUTY DIR. MEDICAL

ASST. DIR. Q.E.H.

P.M.H.O.

CHIEF HOSP. SECRETARY

PRINCIPAL MATRON

HOSPITAL & CLINICS (EXCLUDING HITJ

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 1962-63 TO 1966-67

Particulars

(a) Medical and Health Department

1962-63

1963-64

1964-65 | 1965-66

1966-67

68,541,015 76,893,619 94,525,377 105,473,152; 112,713,222

(6) Medical Subventions

IFE

L++

26,386,405 27,764,694 32,178,883 38,158,439 45,478,728

Total

IFL

28,262,729 29,675,789 7,121,098 18,089,300 15,236,622

123,190,149 134,334,102 133,825,358 161,720,891 173,428,572

Total expenditure of the Colony

+++

1,113,276,099 1,295,372,840 1,440,523,324 1,769,130,468 1,806,066,602

Percentage of Medical and Health Department Expenditure to the Total Expenditure of the Colony

11.07%

10.37% 9.29%

9.14%

9.60%

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE

APPRIL 1966 TO MARCH 1967

Ordinances:

(i) The Dentists Registration (Amendment) Ordinance 1966

　　(ii) The Nursing and Maternity Home Registration (Amendment) Ordinance 1966 (iii) The Medical Clinic (Amendment) Ordinance 1966

(iv) The Medical Registration (Amendment) Ordinance 1966

(v) The Medical Clinics (Amendment) (No. 2) Ordinance 1966

Rules and Regulations:

(a) Dentists (Registration and Disciplinary Procedure) (Amendment) Regulations

1966

(b) Dangerous Drugs (Amendment of first Schedule) Order 1966

Regulations 1966

(d) Poisons (Amendment) Regulations 1967

(e) Poisons List (Amendment) Regulations 1967

() Medical Clinics (Forms) (Amendment) Regulations 1967

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS - APRIL 1966 TO MARCH 1967

Medical

Council

Dental Council

Nursing Board

Board

Medical Midwives Pharmacy Radiation! Advisory Board Board Board

Number of meetings held

General Mental|

Number on the Register... 1,519

464

Female: 3,413

3,105

151

2718

Male:

201 46

General Mental

Number of applications for registration...

Female: 441 10

228

18§

192*(71)||

301

Male:

General Mental

tru

Number of registrations granted

Female: 429 10

223

-11

192*(71)†

291

2569

Male:

Pref. Final

held

candidates

hearings held

Number of examinations

Number of candidates examined

Number of successful

Number of disciplinary

Number of removals from

General:

Mental:

Pre!.

Final

Oral & practical:

General:

538

421

253

Written:

---

+++

Mental:

Pre!.

Final

Oral & practical:

General:

461

380

224

Written:

31 Mental:

+ TO

80**

---

Female:

Male:

General Mental

5**

Number of reprimands

ordered

Including 2 restorations to the register.

† Figures in brackets represent applications for provisional registration (not included in total). ‡ Including 1 restoration to the register.

8 These figures refer to the licensing of irradiating apparatus.

i Not a statutory board.

** Including t removal from the register for 6 months as a result of disciplinary proceedings.

TABLE 6

ESTIMATED POPULATION STRUCTURE

AGE GROUP

MALE

1966

FEMALE

AGE GROUP

BO & OVER

80 & OVER

75-79

70-74

65-69

60-64

55-59

155-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

15- 19

10-14

5-9

0-4

300

250

200

150

100

0 $0 100

150 200

250

300

NO. OF PERSONS IN THOUSANDS

TABLE 7

BIRTHS AND DEATHS 1952 AND 1957-66

Estimated

Year

Mid-Year

Registered

Crude Birth Rate

Crude Death

Live Birchs

Population

(per 1,000 Population)

Still Births Recorded

Registered Deaths

Rate (per 1,000 Population)

1952...

2,200,000

71,976

32.0

1.157

19,459

8.6

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...

3,174,700* 108,726

34.2

1,683

18,738

5.9

1962...

+++

3,346,600* 111,905

33.4

1,560

20,324

6.1

1963...

3,503,700* 115,263

32.9

1,633

19,748

5.6

1964...

1965...

3,594,200* 108,519

30.2

1,485

18,113

5.0

3,692,300* 102,195

27.7

1,363

17,621

4.8

1966...

3,732,400

92,476

24.8

1,246

18,700

5,0

* Figures adjusted after 1966 By-Census.

TABLE 8

INFANT AND MATERNAL MORTALITY 1952 AND 1957-66

Infant Mortality Rate (per 1,000 live births)

Neo-natal Mortality Maternal Mortality

Year

Rate (per 1,000

live births)

total births)

Male

Female

Both Sexes

1952...

71.5

83.1

77.1

26.3

1.14

1957...

57.6

53.3

$5.6

23.8

1.06

1958...

56.2

52.1

54.3

23.4

0.85

1959...

51.6

44.7

48.3

21.3

0.73

---

1960...

44.6

38.2

41.5

20.9

0.49

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

1966...

27.2

22.3

24.9

15.3

0.43

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1952, 1957 AND 1962-66 (per 1,000 live births)

Detailed

Disease Group

List Number

　　　　Respiratory Tuberculosis 001-008 Tuberculosis Meningitis 010 Other Forms of

Tuberculosis

1952 1957 1962 1963 1964 1965 1966

011-019

Tetanus

061

0.42

---

0.94 0.36 0.05 0.02 0.01 0.02 0.03 1.89 1.04 0.14 0.14 0.07

0.67 0.17 0.05 0.94 2.00 0.52

0.04 0.08

0.01 0.04

0.03 0.01

0.25

0.17 0.10

---

Bronchopneumonia

Pneumonia other forms 490,492-3

Bronchitis

of 4 weeks

Gastroenteritis over age

---

Congenital Malforma-

tions

Births Injuries

Post-natal Asphyxia

Pneumonia of Newborn

Diarrhoea of Newborn... Blood Diseases of

Newborn

Nutritional Maladjust-

491

---

23.90 17.53 7.10

6.00

4.60

4.21

4.34

1.04 0.20

0.17

0.08

0.07

0.11

500-502

---

1.90 0.86

0.05

0,17 0.06

0.02

571

20.72 10.32

3.60

1.34

0.86

0.91

750-759

---

760-761

762

---

763

2.65

0.82 1.32 1.46 1.64 1.69 0.29 0.51 0.48

0.36 1.25 2.68 1.35 1.10

3.33

1.91 2.14

764

1.51

1.14

2.01

0.50 1.43 2.56 2.67 2.52 2.23

0.54

0.68

1.31 1.28

1.84 2.13

1.14

0.64

0.59

770-771

0.51

1.00 1.74

1.76

1.95

2.27 1.97

---

mcnt

Immaturity

772

---

ITI J

1.15 0.80 0.32 0.16

0.11

0.07 0.14

776

Ill-defined Causes

795

12.53 9.68 9.20 8.90 7.50

0.93 1.28 1.52

6.49 5.73 0.66 0.40 0.37 0.43

TABLE 10

MAJOR CAUSES OF MATERNAL MORTALITY 1952 AND 1957-66

(per 1,000 total births)

Year

Sepsis (excluding septic abortions)

Toxaemias

Haemorr- hages

Ectopic

Abortions Pregnan-

Others

Cles

1952...

LLL

0.041

0.287

0.424

0.055

0.109

0.233

1957... 1958... 1959... 1960...

0.020

0.373

0.334

---

0.040

0.060

0.132

0.065

0.260

+++

0,250

0.028

0.111

0.139

0.340

0.226

0.028

---

0.066

0.056

0.010

0.179

0.145

0.045

0.072

0.045

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... 1964... 1965... 1966...

0.017

0.077

LID

0.111

0.009

0.034

0.051

+--

0.009

0.055

0.118

0.045

0.055

0.100

0.077

0.135

0.009

0.019

0.087

0.011

0.053

0.107

0.032

0.128

0.096

---

TABLE 11

PROPORTIONATE MORTALITY BY DISEASE GROUPS 1952, 1957 AND 1962-66

(Percentage of Total Deaths)

Disease Group

Detailed List

1952

1957

1962

1963

1964

1965

1966

Numbers

1. Infectious and Parasitic

001-138

21.9

16.6

13.5

12.8

10.1❘ 10.0

11.5

2. Neoplastic

140-239

4.4

7,5

12.4

13.4

16.4

18.1

17.6

3. Allergic, Endocrine, Metabolic and Blood...

4. Nervous System and Sense Organs....

240-299

1.2

1.6

1.2

1.5

1.4

1.5

+++

300-398

2.9

4.6

8.4

9.1

10.5

11.7

10.7

5. Circulatory System

LII

400-468

5.6

8.0

11.0

12.2

14.5

15,2

14,7

6. Respiratory System

7. Intestinal System

8. Genito-Urinary System

9. Pregnancy, Child-birth and Puerperium

470-527

25.1

22.8

13.9

13.3

10.7

10.6

12.4

■++

---

530-587

17.6

12.1

6.8

7.1

5.7

5.2

5.0

---

590-637

1.9

2.2

2.1

2.2

2.0

1.7

1.8

---

640-689

0.4

0.5

0.3

0.2

10. Skin and Musculo-Skeletal System

690-749

0.2

0.4

0.2

0.1

0,2

11. Congenital Malformations and

Diseases of Early Infancy

750-776

7.9

10.5

11.4

11.3

9.9

9.5

8.4

12. lll-defined Causes

780-795

6.8

8.2

11.4

9.9

10.5

9.2

3.9

+++

13. Accidents, Poisoning and Violence E800-E999

3.9

5.0

7.6

6.3

7.7

7.1

TABLE 12

THE TEN LEADING CAUSES OF DEATHS BY AGE AND SEX, 1966

Age Group

All Ages

1-4

Detailed

5-1415-44 45-64 and over

un-

known

Cause of Death

Sex

List No.

10,191

1,301

510

286

1,624 | 3,709 | 2,751

All Causes

8,506

996

458

203

949 2,097 3,801 2

18,700(3) 2,300(3) || 968

489

2,573

| 5,806 6,552

1. Malignant neoplasms, including

1,743

357

941 393

neoplasms of lymphatic and haematopoietic tissues

140-205

1,506

261

690

511

3,249

618 | 1,631

904

400-402

1,382

149

605

608

2. Heart Disease

410-416

420-422

F 1,164

ल

16 112

324 708

430-434

440-443

T 2,546

880

સત્ય

261

929 1,316

409 394

3. Vascular lesions affecting central nervous system

330-334

950

283 619

1,830

105

692 1,013

907

228

135

181

246

4. Pneumonia

490-493

922

183

153

92 441

1,829

411

288

110

273

687

1,091

234

624 210

001-008

5. Tuberculosis

424

101

156

138

010-019

1,515

335

779

348

E810-E835 M

606

111

269

126

6. All Accidents

E800-E802 F

337

E840-E962 T

943

104

177

340

198

TABLE 12-Contd.

Age Group

All Ages

1-4

5-1415-44 45-64 and

un-

known

Detailed

over

Cause of Death

Sex

List No.

212

164

7. Measles

085

172

129

384

293

222

8. Infections of the newborn

763-768

146

368

191

E963

9. Suicide and self-inflicted injury E970-E979

160

351

173

118

121

10. Bronchitis

500-502

176

110

297

113

168

145

Nephritis and nephrosis

590-594

111

256

115

Congenital Malformations

750-759

131

105

248(2)

200(2)

176

Cirrhosis of Liver

581

242

118

2,400

694

104

263

566 709

All other causes

2,241

494

220

308 1,100

4,642(1)| 1,189(1) 180

105

483

874 1,809 2

Figures in brackets denote number of deaths with sex unknown.

TABLE 13

INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1962-66

Cases

Deaths

Diseases

1962

1963

1964

1965 1966

1962

1963

1964

1965 1966

Cholera

115

+++

Amoebic Dysentery

195

241

209

173

220

Bacillary Dysentery (Including

unspecified dysentery)

795

802

680

537

766

Cerebro-spinal Meningitis

Chickenpox

707

1,199

718

1,552

600

Diphtheria

TTI

1,022

871

699

581

307

102

Enteric Fever (Typhoid and

Paratyphoid)

826

---

1,038

882

658

686

2 2-50

"Leprosy

Malaria

[

102

160

---

* S*** en

794

377

180

143

127

---

TTI

Measles

· · ·

Ophthalmia Neonatorumn

Poliomyelitis

Puerperal Fever

LLI

2,317

3,416

1,218

5,459

2,360

326

405

217

384

310

240

232

215

203

363

140

---

Scarlet Fever

Tuberculosis

Typhus (Mite-borne) Whooping Cough

14,263

13,031

12,557

9,927

11,427

1,881

1,762 1,441

1,278

1,515

106

339

108

Total

+++

21,773 21,515 | 17,603

17,603 19,862 | 17,048

2,447

2,334 | 1,630 | 1,595 1,983

+++

---

+Influenza

Remarks:

† Voluntary notifications.

6,374 | 4,433 | 2,473 | 896 | 1,220 | 39

* Notifiable since June 1965.

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

TABLE 14

MORTALITY RATES FOR CERTAIN INFECTIOUS DISEASES 1962-66

Case Fatality Ratio (Deaths as percentage of Notifications)

Death Rate (per million population)

Diseases

Cholera

Amoebiasis

+++

Cerebrospinal Meningitis

+++

1962 1963 1964 1965 1966

9.09

3.48 11.76

0.3

1.1

4.62

Ꮀ Ꮀ

4.98 10.01

9,25 10.91

2.7

3.4

5.8 4.3

6.4

++1

70.00 48.00 50,00 | 47.30 | 70.00

10.5

6.8

5.3

2.4

1.9

+++

---

+++

9.98 9.87

5.44 6.35 8.79

30.5

24.5

10.6

10.0

7,2

1.64 0.39

1.18

0.74 1.30

3.9

0.8

2.2

1.1

2.7

Diphtheria

Dysentery

Enteric Fever

Bacillary

Unspecified

Typhoid

Paratyphoid

Measles

---

Poliomyelitis

Tuberculosis

---

2.54

2.60

2,27

2.12

1.02

6.3

8.0

5.6

3.8

1.9

14.07 11.85 5.99

3.97 16.27

97.4 115.6

20.3

58.8❘ 102.9

14.33 7.55 8.11

12.15 3.12

15.5

1.1

0.8

4.6

0.3

13.19 13.52 11.48 12.87 13.26 562.1 502.9 | 400.9 | 346.1 | 405.9

* Figures adjusted after 1966 By-Census.

TABLE 15

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1966

CASES NOTIFIED

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

111

5-9

150 130

10-14

106

8x8

LON

170

166

15-19

464

336

8 61

20-24

643 276

110

25-29

715 258

30-34

845

316

35-39

867

337

40-44

840

336

45-49

837

281

50-54

819

296

55-59

633

229

60-64

435 190

65-69

261

123

70-74

117

75 & Over

Unknown

Total

7,991 3,436 148

159 359 327

377

389

DEATHS

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

5-9

10-14

15-19

20-24

25-29

30-34

---

35-39

40-44

...

45-49

135 31

50-54

167

55-59

167

---

　　　　60-64 65-69

FPL

154 42

106 60

---

70-74

75 & Over Unknown

+++

Total

+++

1,091

424

TABLE 16

PROPHYLACTIC IMMUNIZATIONS 1962-66

Immunological Procedure

Anti-Smallpox Vaccination

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1st Dose

2nd Dose

Booster Dose

Anti-Typhoid Inoculations:

Ist Dose

1962

1963

1964

1965

1966

744,599

---

+++

2,976,274

321,942

3,101,766 2,406,623

844,367

776,538

487,790

1,603,875 1,467,271

323,521

371,059

338,468 392,474

290,226

ILL

---

312,374

281,369

282,176

351,960

249,738

129,279

146,374

142,242

181,603

167,557

21,440

17,779

19,931

19,378

49,913

2nd Dose

■++

FFF

+--

11,734

10,696

6,843

7,052

19,115

Booster Dose

TII

30,141

28,864

41,018

65,381

65,042

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

Infants

Others

---

ᎻᎰ Ꮀ

---

91,304

98,342

93,806

93,666

84,839

26,939

14,175

13,875

15,465

13,933

---

+++

Poliomyelitis Vaccinations:

1st Dose

2nd Dose

---

*Oral Poliovaccine Type I for Newborn

+++

---

* From April, 1966

534,862

145,760

194,084

61,954

500,387

98,111

126,095

57,246

54,590

1952

TABLE 17

TUBERCULOSIS MORTALITY 1952 AND 1957-66

Tuberculosis

Death Rate

Total Deaths

Year

from Tuber-

per 100,000

culosis

3,573

population

158.8

Tuberculosis Deaths as

Average age at

percentage of

death from Tuberculosis

total deaths

18.4

24.5

L LL

1957 1958 1959

---

2,675

103.6

13.9

---

2,302

83.8

11.2

36.5

+++

2,178

76.2

10.7

1960

---

2,085

69.9

10.8

1961

1.907

60.1*

10.2

+++

1962

- JI

1,881

56.2"

9.2

1963 1964

FIL

+++

1,762

50.3*

8.9

1,441

40.1*

7.9

　　　　1965 1966

---

FEL

+++

1,278

34.6*

7.2

1,515

40.6

8.1

1952

* Figures adjusted after 1966 By-Census.

TABLE 18

TUBERCULOSIS IN CHILDHOOD 1952 AND 1957-66

Percentage

of newborn

Year

receiving

B. C. G.

Percentage of Tuberculosis deaths below

5 years

Infantile Mor

Percentage of Tuberculosis deaths under

tality from Tuberculosis

(per 1,000

1 year

live births)

3.50

4.34

34.30

7.05

1957 1958 1959

35.93

21.20

5.76

1.57

46.86

19.63

7.04

1.52

---

59.53

18.92

5.56

1.17

110

1960

71.54

10.50

2.20

0.42

1961

79.31

11.48

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

1965

91.65

3.36

0,70

0.09

+++

1966

90.22

2.71

0.73

0.12

-- J

Origin

of Noti.

fication

TABLE 19

TUBERCULOSIS NOTIFICATIONS 1952, 1957 AND 1962-66

1952 1957 1962 1963

1964 1965 1966

Govt. Chest Clinics

7,482 8,194 10,691

8,794

9,478 6,530 8,105

Other Govt.

Inst.

6,144 2,517 1,680

1,660

1,184 1,334 990

Tung Wah

Group

801

864

604 463

618

Other Non-

Govt.

1,195; 2,954.

Inst. and Private Sources

1,091

1,713

1,291 1,600 1,714

Total

14,821 13,665: 14,263 13,031 | 12,557

13,031 12,5579,927 11,427

Notification rate per

100,000 population

658: 529 426* 372" 349* 269* 306

• Figures adjusted after 1966 By-Census.

TABLE 20

WORK OF GOVERNMENT CHEST SERVICE

GOVERNMENT CHEST CLINICS 1966

Hong Kong Kowloon

Full-time Centres

+++

Wan Chai

Sai Ying Pun

Kowloon Chest

New Territories

Part-time Centres

Other Centres (for injections

only)

Shau Kei Wan

Aberdeen Stanley

North Point

Clinic

Shek Kip Mei

Tung Tau

ITsuen Wan

Kwun Tong

Robert Black

Sai Kung

Yuen Long

Health Centre Tai Po

Shek Wu Hui

Cheung Chau

Hung Hom Yau Ma Tei

Kam Tin Sha Tin

Government

Clinics

TABLE 20-Contd.

ATTENDANCES AT GOVERNMENT CHEST CLINICS 1962-66

1962

1963

1964

1965

1966

First attendances...

---

Cases of tuberculosis discovered

Total attendances

+++

---

Under treatment from previous

year

43,519 39,277 35,735 35,605 41,787

16,541 15,036 13,884 12,894 16,101

1,901,425 1,414,009 1,251,534 1,224,557 1,496,375

17,714 17,372 14,049 13,244 14,400

Still on treatment at end of year 17,372 14,049 13,244 14,400 16,194

TABLE 21

X-RAY SURVEYS 1966

Government Conditional Prisoners

Employees Surveys

Survey

Total examined

Clinically examined

Active tuberculosis

Percentage active tuberculosis

59,691

40,572

5,904

+++

6,689

2,603

881

+++

304

300

247

0.51%

0.74%

4.18%

Under 8 years of age

TABLE 22

CONTACT EXAMINATIONS 1965-66

Tuberculin Test

Negative Positive

-J

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.

---

1965

1966

177

793

+--

214

412

---

108

188

324

---

479

1,132

---

4,218

5,023

---

0.59%

1.63%

232

360

410

624

746

1,492

---

11,500

15,141

1.80%

2.04%

TABLE 23

ORTHOPAEDIC TUBERCULOSIS 1961-66

ATTENDANCES AT CLINICS

1961

1962

1963

1964

1965

1966

First visits Revisits

415

397

288

231

146

4,618

3,685

5,747

5,498

4,588

4,172

5,033 4,082

6,035

5,729

4,734

4,239

CLASSIFICATION OF DISEASE BY SITE

1961

1962

1963

1964

1965

1966

Spine

197

158

133

ז - k

Hip Joint

115

109

Others ...

103

415

397

288

231

146

TABLE 24

MALARIA 1962-66

DISTRIBUTION OF CASES

(According to notified place of residence)

Year

Cases Notified

Urban Death Controlled

Sai Kung" Lantau*

District District District

Tai Po*

Other

Areas

(as percentage of notified cases)

1962

794

nil

8.9

61.3

12.1 1¦ 10.4

7.3

1963

377

10.9

47.5

18.6

14.3

8.7

1964

180

13.3

IFF

35.6

25.0

17.2

8.9

1965

143

6.3

28.0

10.5

47.5

7.7

1966

127

nil

...

10.2†

3.9

5.5

62.5

18.1

• Including floating population,

† Representing 7 recurrent and 6 fresh cases, the latter giving a history sugges- tive of having contracted the infection from outside the Urban Controlled Areas.

IDENTIFICATION OF PARASITES

(as percentage of parasites found)

Year

P. vivax P. falciparum P. malariae

Mixed infection

Species undetermined

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

1966...

90.5

7.9

1.6

Year

TABLE 25

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1957-66

1957 1958 1959 1960 1961 1962 1963 1964

1965

1966

Venereal Diseases

SYPHILIS

Total (Except Congenital)

Primary

Secondary

Early Latent

Late Latent

All others

Congenital

---

..т

3,190

3,372 2,680

2,091

1,555

1,858

1,487 1,036

1,197

1,177

46!

154

164

119

450

417.

426

296

202

359

307

197

263

198

2,532

2,766

2,038

1,590

1,173

1,216|

864

590

791

874

184

177

188

139.

119

103

Under 1 year

Over 1 year

11]

116

131

Gonorrhoea

+++

9,881

8,360

8,362

6,506

5,997

5,747

5,696

5,008

5,096

6,353

Non-Gonococcal Urethritis

800

644

481

591

509

453

379

496

578

629

Chancroid

685

+++

......

294

324

873

635

356

347

268

254

105

Lymphogranuloma Venereum

178

Other Diseases

Non-Venereal Disease

+++

Skin Diseases

+10

+--

5,855

9,814

5,458

8,701

4,997 4,717 4,293 5,489 4,155 4,548 5,169 11,046 10,611 12,173 12,917 10,740 12,570 14,121 15,014

5,191

Attendances at Clinics (All Types)

New Attendances

Total Attendances

+++

31,391 27,841 28,980 26,281 25,819 27,264 23,761 25,224 27,541 29,254 193,674 203,954 213,026 213,733| 182,049 179,135 147,588 143,381 147,311 161,994

TABLE 26

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1962-66

No. of tests (Clinics and Hospitals)

% Positive

No. of tests (Private Midwives) % Positive ..

ז ז+

LII

1961 1962

1963 1964

1965

1966

-- J

+++

---

Year

---

+++

1962

1963 | 1964 1965

1966

---

55,159 2.2 7,645 1.5

31,544 55,406 56,103

52,381

1.6

1.7

2.2

2.4

3,690 1.1

7,373

6,669

1.8

2.0

4,580 1.7

TABLE 27

LEPROSY 1966

INCIDENCE OF Leprosy 1961-66

New Cases

Rate per 100,000 population

+++

LIL

255

258

271

217

163

Figures adjusted after 1966 By-Census.

ANALYSIS OF Cases by Age 1966

Age Group

Under 1 1 4

---

+++

---

JLI

тти

---

TRI

---

+--

60 & Over

+++

---

8.0*

7.7*

7.5*

7.6*

5.9*

4.1

No. of Cases

---

163

---

FLI

Total ...

New admissions

ADMISSION TO LEPROSARIUm 1966

TTI

+++

Relapses

---

For surgery

Total

---

+++

---

+++

---

ངས།སྣ།

Acne

Alopecia

TABLE 28

ANALYSIS OF DERMATOLOGICAL CONDITIONS PRESENTING AT CLINICS, 1966

---

+++

ILL

དིཙྪིདྡྷིཀྑུRབྲགསནྡྷནི-ཀྑཀྑཀྐཎཀྑསྶསྐཀྑནྡྷསྶ ཊྛ8ཝ

Angioedema

Carcinoma

Contact Dermatitis

Dermatitis Exfoliative

Dermatitis Herpetiformis Dermatomyositis

Drug Eruption

Eczema (All Types) Erythema Multiforme Erythema Nodosum Granulomata Herpes Simplex

Herpes Zoster

Icthyosis

Keloid

---

LII

TTT

Keratosis (All Types).

Lichen Amyloidosis

Lichen Planus

Light Sensitivity

Lupus Erythematosus

(All Types)

Miliaria

+++

---

...

+++

---

4.556

---

+++

---

+++

---

Molluscum Contagiosum Neurodermatitis

1,072

Neurofibromatosis Nevi (All Types)

Pediculosis

Pemphigus

Paronychia

Pityriasis Rosea Pityriasis Alba..........

Pruritus

Psoriasis

Purpura

Pyoderma

---

+++

194

***

166

---

Raynaud's Phenomenoma

T. B. Cutis Tumors, Benign

Ulcer, Varicose Urticaria

19 408

---

Rosacea

Scabies

Scleroderma

FEE

Tinea (All Types)

+++

723

---

+++

392

---

IT-

---

JOI

---

275 189

ILL

---

...

390

Vasculitis

Verruca... Vitiligo... Xanthoma Leprosy Miscellaneous

PII

Total

---

+++

11,731

TABLE 29

CULTURES FOR MYCOLOGICAL IDENTIFICATION, 1966

---

rubrum mentogrophytes

M. canis

versicolor

264 T. tonsurans E. floccosum M. gypseum

albicans

ខ្លួន។

C+

violaceum

M. ferrugineum

LII

Total specimens examined

+++

---

***g*

2,065

TABLE 30

WORK OF THE PORT HEALTH SERVICE-1966

INSPECTIONS

Immigration

No. of

No. of Vessels

No. of

pas- sengers

Crew

No. of No. of Smallpox Cholera Vaccina- Inocula

No. under

Surveil-

lance

tions

Overseas

5,975

55,824

265,789

156

386

By Sea

Macao

1,329,125

297,748

152,524

Junks, etc.

---

15,314

180,065

130

By Air

11,734 527,615

105,965

645

283

By Train

343,031

18,723

164

Total

33,023 2,255,595| 849,567 172,178

851

Emigration

By Sea...

2,377 2,761

　　　No. of ships fumigated Total net tonnage Cubic capacity (cubic feet) Rats recovered

---

Exemptions granted

No. of ships disinfected

No. of aircraft disinsected

　　　To ships at sea To ships in port

ITT

+++

* Number not recorded,

FUMIGATION

...

---

+++

---

...

+++

---

+++

LIL

...

+++

---

MEDICAL ASSISTANCE TO SHIPS

444,417.33 11,595,951

596

242

363

+++

---

+++

34 20

TABLE 31

MIDWIFERY SERVICES 1965-66

(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

Total deliveries

---

+++

1965

1966

183

166

104

520

506

34,094

29,938

---

1,090 35,184

824

30,762

GOVERNMENT MIDWIFERY SERVICES

1965

1966

Maternity beds in maternity homes (Urban) Maternity beds in maternity homes (Rural) Midwives (excluding hospitals)

Cases attended (excluding hospitals)

209

233

193

+++

214

112

117

FFF

22,338 199

19,922

170

---

+++

Average case-load for each midwife (excluding hospitals)

TABLE 32

DISTRIBUTION OF M.C.H. CENTRES AT 31ST MARCH, 1967

District

Hong Kong Kowloon

...

N.T. & Islands...

Full-time Centres

Subsidiary Centres

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

4 3

Total

+++

TABLE 33

MATERNAL AND CHILD HEALTH SERVICES 1965-66

1965

1966

No. of full-time centres

+++

---

+++

...

444

No. of subsidiary centres

Ante-natal Sessions

Total Sessions

New attendances...

+++

་་་

2,524

2,679

25,433

22,933

+++

Total attendances

Average attendance per session...

Average attendance per person

Post-natal Sessions

---

123,951

112,081

49.11

41,83

---

4.88

4.89

---

Total Sessions

New attendances

Total attendances

---

LII

---

971

979

---

6,469

5,536

-T

8,256

6,801

+TT

20.62%

26.05%

5,388

5,923

71,814

111

75,847

716,327

743,108

Percentage presenting with some abnormality

Infant Welfare Sessions (0-2 years of age)

Total Sessions

New attendances ...

Total attendances

Toddler Welfare Sessions (2-5 years of age)

Total Sessions

+++

---

New attendances ...

Total attendances

+++

Percentage presenting with some abnormality

(0-5 years of age)

Home visits

---

+++

1,096

1,187

24,229

22,866

гг.

יוז

124,479

123,633

0.13%

0.15%

TIL

120,568

127,847

TABLE 34

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF PARTICIPATING SCHOOLS, STUDENTS AND DOCtors at 31st March, 1967

District

No. of Part. Schools

No. of Part. Students

No. of Part.

Doctors

Hong Kong:

Wan Chai

+++

3,396

Central and Sheung

Wan

+++

2,596

Western

Causeway Bay

North Point

Shau Kei Wan Aberdeen

---

3,398

---

3.290

3,354

1.752

2,721

Stanley

235

20,507

103

Sub-total

Kowloon:

Tsim Sha Tsui

Yau Ma Tei

-- J

hot

---

+++

---

FARNX 8A28%

1,667

1.437

8,605

3,066

2,114

2,634

3,628

598

3,771

1,971

- 7

315

29,491

115

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

Sha Tin

Tai Po Sheung Shui

+++

--J

Sub-total

Grand Total

+++

Iri

2,784

---

1,883

316

399

735

111

---

6,117

661

---

56,115

227

TABLE 35

WORK OF THE GENERAL DENTAL SERVICE 1962-66

Year

Attend-

ances

Deciduous Teeth

Permanent Teeth

Persons rendered

Restored Extracted

dentally fit

1962...

138,377

6,254

20,269

48.893

34,599

18,844

1963...

145,128

6,406 21,649

52,254

33,535

21,628

1964...

175,683

14,540

23,176

74,038

35,199

26,496

1965...

224,172

18,899

29,688

90,519

40,635

36,010

1966...

244,097

23,107

29,996

96,851

39,991 44,262

TABLE 36

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1965-66

Examination of victims and suspects Attendance at scenes of crime Attendance at courts

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

Examination of clothing

T10

---

יזז

T10

---

1965

1966

433

780

131

---

144

161

105

140

..ז

JLL

582

927

826

---

1,217

471

368

TII

---

2,564 1,496

2,927

997

..ז

---

Miscellaneous examination

Blood grouping (medico-legal)

Blood grouping (Police Officers) Lectures to Police Officers...

---

LLL

TTI

tru

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

Assistance in Raids

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance

+++

Unregistered Medical Practitioners

---

Abortionists

Unregistered Dentists

---

...

---

Կ Է

TABLE 37

WORK OF PUBLIC MORTUARIES 1965-66

NOW |

Victoria

Kowloon

1965

1966

1965

1966

Total number of bodies received

924

977

2,540

2,663

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

551

+++

641

1,030

1,104

730

805

---

1,624

1.744

194

172

+++

916

919

669

675

1,947

2,034

255

302

593

629

TABLE 38

WORK OF GOVERNMENT INSTITUTE OF PATHOLOGY 1965-66

1. Clinical Laboratories

2. Public Health Laboratories...

3. Virological Laboratory 4. Vaccine Production

5. Blood Banks

LABORATORIES

LII

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

Sai Ying Pun Polyclinic Queen Elizabeth Hospital Kowloon 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 1965-66

1. Protozoology and Helminthology

2. (a) Haematology

(b) Blood grouping

--L

3. Serology...

4. Bacteriology

TTI

---

1965

1966

LII

ILL

29,555

39,845

LIT

301,792

264,940

1,309

1,534

TII

---

130,632

132,681

303,057

418,030

---

9,201

15,823

---

39,659

31,231

++-

FEE

+++

16,412

19,523

---

242,897 47,775 4,855

263,236

69,450

3,826

ILL

ггт

HTT

+++

1,241 65,226 1,193,611

1,282

93,544

1,354,948

Mycology

6. Public Health

7. Histo-pathology.

ILJ

8. Chemical-pathology

9. Clinical Pathology

10. Virology

FIT

---

11. Special investigations 12. Blood Banks

ILL

гтт

Total

AUTOPSIES ON MEDICAL LEGAL CASES PERFORMED 1965-66

1965

1966

Queen Mary Hospital

110

181

IJI

---

TII

---

Queen Elizabeth Hospital

458

333

---

Total

568

514

RODENTS EXAMINED AND AUTOPSIES PERFORMED 1965-66

Victoria Public Mortuary

---

Kowloon Public Mortuary

1965

1966

---

+--

---

30,244 29,066

32,348

31.548

59,310

63,896

Total

PII

Vaccine

TABLE 39

VACCINE PRODUCTION 1965-66

(in millilitres)

Prepared

1965

1966

1965

Issued

1966

34,850

55,120

32,264.5

28,118

50,000

---

52,900

49,800

57,100

44,850

-- J

53,500

46,150

37.845

129,300

---

151,500

85,440

143,900

1,016,250

2,545,000

1,726,805

2,397,400

2,650

Anti-Smallpox Anti-Rabies (2%) Anti-Rabies (4%)

T.A.B.... Anti-Cholera Anti-Plague

---

British Red Cross Society Patients' relatives and friends

Other sources

---

TRI

TABLE 40

BLOOD BANKS 1965-66

Government hospitals Government-assisted hospitals

---

SOURCES OF BLOOD

1965

1966

13,664 pints

19,589 pints

+++

703 548

369

299

Total

DISTRIBUTION OF BLOOD

14,915 pints 20,257 pints

TII

1965

1966

LEF

+++

-- J

9,941 pints 3,421 967

13,924 pints

4,147

+++

IL+

529

TII

891 21

1,213

Private hospitals

ILL

+++

Military hospitals...

ILJ

---

TTI

Manufacture of plasma

Unusable due to various causes

---

Total

14,923 pints

20,196 pints

TABLE 41

VIRUS LABORATORY

SEROLOGICAL RESPONSE OF CHILDREN TO MEASLES

VACCINATION TRIAL, 1966

Route of Inoculation

Type of Vaccine

Intramuscular

Intradermal

THE

Schwartz Beckenham

Schwartz

Beckenham

No. of Children Tested

369

354

Total Complication Rate

68.8%

82.2%

68.1%

73.9%

Result of Neutralization Test:

Sero-conversion Rate

98.3%

96.6%

74.7%

86.6%

Geometric Mean Titre of

Positive Sera

174.4

248.3

161.8

192.7

Result of HI Test:

Sero-conversion Rate

96.1%

93.99

73.6%

83.8%

Geometric Mean Titre of

Positive Sera

614.0

997.7

450.2

937.8

TABLE 42

WORK OF THE GOVERNMENT CHEMICAL LABORATORY 1965-66

Dangerous Drugs Ordinance

Dutiable Commodities

Water and Waterworks Chemicals Food and Drugs

Forensic

Toxicology

Dangerous Goods Regulations

Commercial

-- J

LLL

---

ITI

---

LLL

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

---

LII

Total

Samples Analysed

1965

1966

13,316

14,309

ILJ

9,290

8,301

3,885

---

2,334

2,400

1,570

1,396

920

1,544

333

444

451

145

1,434

1,587

---

TII

33,541

30,139

• Taken over by Waterworks Office, Public Works Department.

TABLE 43

WORK OF INDUSTRIAL HEALTH SECTION 1966

MONITORING AND SURVEY WORK

Numbers

Atmospheric Samples:

(a) Acetic Acid

(6) Ammonia (c) Benzene

---

TTT

---

+++

ттг

---

(d) Butyl Acetate

(e) Carbon Dioxide

(

Carbon Monoxide

(g) Cyclohexanone

Dust

(i) Chromic Acid

(j) Ethyl Acetate

--L

+++

---

TII

---

+++

FEE

+11

+++

---

rr+

+++

---

(k) Hydrogen Sulphide

(D) Lead

(m) Smoke

(#) Suphur Dioxide...

(0) Toluene

Ventilation Surveys:

(a) Effective Temperature (b) Radiant Heat

+++

Samples for Analysis:

---

+++

-г г

Total

TTI

---

+++

ILL

487

660

---

ILL

+++

LJI

---

IIL

---

ཝཱ་་

(a) Ammonium Carbonate... (6) Cadmium Sulphide

(d) Cyclohexanone

(e) Free Silica

(ƒ) Lead

---

FIL

---

(g) Methylcyclohexanone

Urinalyses:

Total

---

FFF

+++

--L

-12

---

+++

ILL

+++

Fri

(a) Coproporphyrin în Urine

Blood Counts:

(a) Haemoglobin Estimation (b) Red Blood Count

IIT

Total

+1+

---

- - -

190

LLL

+++

---

+++

-LI

186

-г г

11-

ггг

186

---

ILJ

---

JJ-

372

Total

TABLE 43-Contd.

Miscellaneous Measurements:

(a) Lighting ...

(6) Noise

140

ILL

Total

Numbers

-- J

156

199

---

WORKMEN'S COMPENSATION CASE WORK

1962-3❘ 1963-4 | 1964-5 | 1965-6 | 1966-7

Injured persons dealt with (old and new)...| 17,094 18,710 16,608 | 19,614 | 26,593

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

Number of visits

Cases assessed by I.H.O.

Cases assessed at Medical Boards

---

815

127

218

734

929

717

---

1,830 2,218

2,882

3,921

TABLE 44

MEDICAL CLINIC REGISTRATION

Number of clinics fully registered at 31st December, 1966

+++

393

Number of clinics registered with exemption at 31st December, 1966

Number of clinics in respect of which registration was refused during 1966

Number of clinics in respect of which registration was cancelled during 1966

HONG KONG

(A) GOVERNMENT HOSPITALS

Queen Mary Hospital Sai Ying Pun Hospital

PP.

TABLE 45

NUMBER OF HOSPITAL BEDS IN HONG KONG 1966

Stanley Prison Hospital

- гг

Tsan Yuk Hospital

---

Victoria Remand Prison Hospital

...

Wan Chai Hospital

---

111

Government Clinics & Maternity Homes.

(B) Govt.-ASSISTED HOSPITALS

Alice Ho Miu Ling Nethersole Hospital... Grantham Hospital

Ruttonjes Sanatorium

LIL

---

Sandy Bay Children's Orthopaedic

Hospital & Convalescent Home

Tung Wah Hospital

Tung Wah Eastern Hospital

Canossa Hospital

117

---

H.K. Central Hospital

гг.

H.K. Sanatorium & Hospital

Matilda & War Memorial Hospital St. Paul's Hospital

LLL

Private Nursing & Maternity Homes

KOWLOON

TOTAL (Hong Kong)

(A) GOVERNMENT HOSPITALS

+++

ILL

117

Med.

Surg.

Ophth.

223

1 | | | 8

200

Lep.

Psy.

||||R||

| | | |

Chro. & Long

Term

Cust.

Casu.

Obsr.

Inf.

Others

Total

# || || | ||

| | | | | | |

632

200

105

京||

306

614

360

100

212

---

127

ពឌ និង

[6] 41

101

317*

853

338

892|||

200

120

316

184

9441 667

33 198

693

2431,165

36 423

177 88

551 4,731

Kowloon Hospital

Lai Chi Kok Female Prison Hospital

Queen Elizabeth Hospital ...

Lai Chi Kok Hospital

Government Clinics & Matemity Homes.

ILL

631

237

194

248

535

14.

[4]

ཊྛg||།

三宮にあ

162

||||

500

492

158) 1,384

146

(B) GOVT.-ASSISTED HOSPITALS Caritas Hospital

LLL

Hong Kong Society for Rehab. (Kwun

Tong Rehab. Centre)

Kwong Wah Hospital

Maryknoll Mission Hospital

HOSPITALS

LLL

Baptist Hospital

Evangel Medical Centre

Precious Blood Hospital

St. Teresa's Hospital

111

Private Nursing & Maternity Homes

TOTAL (Kowloon)

NEW TERRITORIES

(A) GOVERNMENT HOSPITALS

Castle Peak Hospital

St. John Hospital

Med.

* 1ER MAXRE

384

Surg.

TABLE 45-Contd.

333

11-

1,094 1,418

LLL

South Lantau Hospital

111

Tai Lam Chung Prison Hospital Government Clinics & Maternity Homes.....

(B) Govt.-ASSISTED HOSPITALS

Haven of Hope T.B. Sanatorium

Gincl. Nansen_Wing)

- - -

Hei Ling Chau Leprosarium Pok Oi Hospital

Adventist Sanatorium Hospital Children's Convalescent Home

Cheung Chau

Fanling Hospital

Homes

---

-Pr

Private Nursing Homes & Maternity

LLL

TOTAL (New Territories)

| | | | |

Ophth.

E.N.T.

Gyn.

Mai.

Pae. & Babies

Tuber-

$150M

Lep.

Psy.

Chro. &

Long ΤΕΤΙΠ

Cust.

Casu.

Obsr.

נטיני

Others

1*10.1

43 45; 155

104

52 508

303

212 118+

2321

196

1,905

15:

131

106

331 72 10

281

367

390

38 63|261| 1,100 558 454

378

33 158 406

5,969

191

263

1,119

1.119

100

224

ггг

130

221

TIT

263

$40

162

-10

---

366

325

332

470 1,119

2.666

659

1,190 27 28 154

837

287 221

1,149

206 246 210 5,253

1,100 552

51 264

642] 3651

17 41 692

396 1,659 470 118 71

781

9 34

248 6,109

2,004

2,404 2,107 47 96 459 2,118

801 1,951

475 1,158 829

210| 246 465) 13,366

Remarks: * 180 Beds in Sandy Bay Infirmary.

† In Wong Tai Sin Infirmary.

GOVERNMENT HOSPITALS GOVERNMENT-ASSISTED HOSPITALS PRIVATE HOSPITALS

---

JJJ

LIL

---

GRAND TOTAL

TABLE 46

IN-PATIENTS TREATED IN GOVERNMENT, GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS, CLINICS & MATERNITY HOMES 1966

Deaths

In-patients Discharged

General fectious culosis

In-

Tuber- | Mater- Psy. nity chiatric

In-

Tuber-Mater-

Pay-

Total

General

fections culosis Bity chiatric

Total

19,908

572

372 3.131

24,040 1,424

879

802

1,688

1,074

128

1,360

2,080

6,321

8,401

314

FFF

4,152) 4,535

སྒྱུཝབྷཱཡ༠

371

211

254

2,848,

2,848

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

JJ J

LLL

(B) GovT-ASSISTED HOSPITALS

Alice Ho Miu Ling Nethersole

Hospital

Total

Io-

patients Treated

1,500

25,540

1,735

1,367

8,463

4,545

256

2,848

LLL

Grantham Hospital

4,548

130

121:

3,240

8,037

163

1,170

1,300

Ruttonjee Sanatorium

---

154]

899

1,053

BAN

169)

8,206

1,372

1,125

Sandy Bay Children's

Orthopaedic Hospital &

Convalescent Home

109

Tung Wah Hospital*

---

Tung Woh Eastern Hospital

---

3.131

2,584

€28

212

701

184

2,384)

5,791

630

1061

161

2,625;

5,490

442

aul

212

158

702

6,493

506

5,996

Canossa Hospital

H.K. Central Hospital...

H.K. Sanatorium & Hospital Matilda & War Memorial Hospital

St. Paul's Hospital

Private Nursing & Maternity Homes

TOTAL (Hong Kong)

LLL

2,766❘

12:

256

3,062

3,115

3,2971

22-

180'

---

8,82t1

---

3131 133:

2,307;

な尊

3,338

165

172

3,730

1,622

353

11,992

ייי

...

.L-

811

3,388

126

951

962

270, 6921

4,406

2331

270

4,676

---

2,686

54,205

2,288

3,550 26,796 4,455 91,294) 3,593

3321

4,025 95,319

* Including Sandy Bay Infirmary.

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

Caritas Hospital

---

TABLE 46-Contd.

In-patients Discharged

Deaths

Total

Jn-

patients

In+

Tuber-¦ Mater- Psy- General fectious culosis nity chiatric

Ic-

Total

General

General fectious culosis nity chiatric

Tuber- Mater- Psy-

Total

Treated

5,662

142] 560

6,368

100

12:

101

188

297

1,024

311

1,352

100

41,268

1,623 815

9,520

11 53,337

2,655

1*3།

4,724

L14 6,482

188

59 1,4[1

2,873|| $6,210

4,724

1,362

317

1,056

7 2,795

359

37!

399

3,194

329

372

---

30,076

775

147 18,914

58 49,970

3,279

831

2071

10.

3,581

53,551

1,410

128

1,389

2,923

791

3,005

H.K. Society for Rehab. (Kwun Tong Rehab. Centre)

Kwong Wah Hospitalt Maryknoll Hospital

--L

Evangel Medical Centre

Precious Blood Hospital

St. Teresa's Hospital

Private Nursing & Maternity

Homes

-11

1гг

TOTAL (Kowloon)

910

118

1,031

1,110

---

667

289

131

1,003

291

1,032

952

323

1,382 173

194

1,576

6,659

304

207 1.198

8,454

377,

416

8,870

24,122

19,693

4,110|||| 2,245 61. 61,583

390 158,021

7,137

290

3BOH

ल

7,826 165,847

† Including Wong Tai Sin Infirmary.

General

TABLE 46-Contd.

In-patients Discharged

In- Tuber- Mater- fectious culosis

Psy- nity [chiatric

Total General

---

935

377

TEPS I

2,8201 2,820

711 185 $33

1,774

145

462

11,925;

11,925

NEW TERRITORIES

(A) GOVERNMENT HOSPITALS

Castle Peak Hospital

St. John Hospital

South Lantau Hospital Tai Lam Chung Prison Government Clinics & Maternity Homes

(B) Govt.-ASSISTED HOSPITALS

Haven of Hope T.B.

Sanatorium

LIT

Hei Ling Chau Leprosarium

Pok Oi Hospital

10-

Deaths

Tuber-Mater- fectious culosis nity chistric]

Total

Jo-

patients

Total Treated

2,893

1,815

145

462

11,925

349

351

131

384

131

111

2.201

140

1,805

4,105!

205

230

4,335

Adventist Sanatorium Hospital

1,805

Children's Convalescent Home,|

Cheung Chau

---

Fanling Hospital

979|

---

Private Nursing & Maternity

Homes

PP.

3,130||

1,805

1,028

3,130

1,837

1,084

3,130

TOTAL (New Territories)

6,519

249 698 17,437 2,852 27,755 402,

GOVERNMENT HOSPITALS

GOVT.-ASSISTED HOSPITALS

Private HoSPITALS

---

73,249 4,407 2,189 39,046 46,034 1,475 3,521 31,343 30,134 765! 783 35,427

7,330 126,221| 155 82,528 212 68,321

4,369

5,206

1,557

264

139

1001 536

13:

en el

100

1,683

477 28,232

788 131,009 5,857 88,385 70,004

GRAND TOTAL.

150,417

6,647 6,493 105,816

7,697 7,697 277,070 11,132

390,

[1,132)

775

5 12,328 289,398

TABLE 47

DISEASE CLASSIFICATION OF IN-PATIENTS TREATED IN GOVERNMENT & GOVERNMENT-ASSISTED HOSPITALS AND OF ALL DEATHS IN THE COLONY, 1966

(Note: These exclude patients treated in maternity homes.)

Discharges

Inter-

mediate

List

Number

Detailed

List

Number

Cause groups

Deaths

Govern- Govern-

Gover-

Govern-

Whole Colony

ment-

ment

10700

Assisted

Hospitals

Assisted

Hospitals

Male Female

Sex Un-

known

Total

A 1

A 2

001-008

010

Tuberculosis of Respiratory System 1,539 3,120 109 Tuberculosis of meninges and

489 1,024

368

1,392

A 3

011

012-013

central nervous system Tuberculosis of intestines, peri- toneum and mesenteric glands.. Tuberculosis of bones and joints.

132

· · ·

---

271

259

014-019

Tuberculosis, all other forms

215

020

Congenital syphilis...

A 7

021

Early Syphilis

A 8

024

Tabes dorsalis

A 9

025

General paralysis of insane

A 10

022-023

All other syphilis

1983

VON

rul

111

026-029

A 11

030-035

A 12

040

Typhoid fever

A 13

041-042

A 14

043

Cholera

A 15

044

Gonococcal infections

Paratyphoid fever and other

Salmonella infections

Brucellosis (Undulant fever)

LII

552

153

IN --

---

100

Carried forward ..

2,894

3,696

153

545 1,124

425

1,549

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Detailed

List

Number

Cause groups

Govern-

Deaths

Gover

Deaths

Govern-

ment

Hospitals

Assisted

Hospitals

Govern-

ment

Hospitals

Whole Colony

ment-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

Brought forward...

2,894 3,696 153

545 1,124 425

1,549

A 16(2)

045

Bacillary dysentery

597

(b)

046

Amoebiasis ...

222

NO N

(c)

047-048

Other unspecified forms of

dysentery.

+ TT

A 17

050

Scarlet fever

LII

A 18

051

A 19

052

Erysipelas

A 20

053

Streptococcal sore throat

---

Septicaemia and pyaemia

FFL

---

055

Diphtheria

---

344

056

Whooping Cough

---

A 23

057

Meningococcal infections

+++

FFF

A 24

058

Plague

A 25

060

Leprosy

143

+++

For

A 26

061

Tetanus

---

A 27

062

Anthrax

A 28

080

A 29

082

Acute infectious encephalitis

A 30

081,083

+++

Acute poliomyelitis

Late effects of acute poliomyelitis

---

and acute infectious encephalitis

280

127

A 31

A 32

A 33

A 34

A 35

88988

Smallpox

---

Measles

899

288

108

Yellow fever

སྤུ|

212 172

384

Infectious hepatitis

571

436

Rabies

JIL

Carried forward...

6,063 4,868

393

633 1,454

681

2,135

101

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govem-

ment

Hospitals

Govern-

ment-

Govern-

ment Assisted Hospitals Hospitals

Whole Colony

meat-

Assisted

Hospitals

Male Female

|Sex Un-l

known

Total

Brought forward...

6,063 4,868

393

633 1,454 681

2,135

A 36(a)

100

(b)

101

(c)

104

(d)

105

(e)

102-103

106-108

A 37(a)

110

(b)

111

(c)

112

(d)

115

(e) 113-114

116-117

of malaria

A 38(a)

123.0

(5)

123.1

(S. Mansoni)

(c)

123.2

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

Other and unspecified forms

Schistosomiasis vesical

(S. haematobium)

Schistosomiasis intestinal

Schistosomiasis pulmonary

---

++1

FF+

---

+++

---

+++

---

(S. Japonicum)

+++

ILL

(d)|

123.3

Other and unspecified

schistosomiasis

---

A 39

125

Hydatid disease

---

102

Carried forward.....

6,094

4,869

393

633

1,454

681

2,135

Inter-

mediate

List

Number

TABLE 47-Contd.

Discharges

Deaths

Detailed

List

Number

Cause groups

Govern-

Whole Colony

Theat-

ment

Hospitals

ment Assisted Hospitals Hospital

ment-

Assisted

Hospitals

Male Female

|Sex Uo-

known

Total

Brought forward...

6,094 4,869 393 633 1,454

681

2,135

103

A 40(a)

127

Onchocerciasis

---

(6)

127

Loiasis

-15

---

(e)

127

(d)

127

Other filariasis

A 41

129

A 42(a)

126

(5)

130.0

130.3

(d)

124, 128

130.1-130.2

helminths...

A 43(a)

037

(b) 038

(c)

039

(e)

€ OS MESS

049

Filariasis (bancrofti)

Ankylostomiasis

Tapeworm (infestation) and other

cestode infestations

Ascariasis

Guinea Worm (dracunculosis) Other diseases due to

Lymphogranuloma venereum Granuloma inguinale, venereal Other and unspecified venereal diseases

Food poisoning infection and

+++

...

---

+++

148

IIT

نيا

---

ITT

intoxication

159

---

-гг

071

Relapsing fever

FFF

072

Leptospirosis icterohaemorrhagica

(Weil's disease)

FIL

PL+

073

Yaws

➖ ➖ ➖

087

Chickenpox...

FIT

+++

...

090

Dengue

---

095

Trachoma

Carried forward...

दन

6,455 5,052

398

635 | 1,460 683

2,143

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Whole Colony

Male Female

Sex Up-

known

Total

6,455 5,052 398 635 1,460 683

2,143

104

A 43(k)

096.7

(0)

120

(m)

121(a)

(6)

(c)

Brought forward...

Sandfly fever

Leishmaniasis

➖ ➖ ➖

Trypanosomiasis gambiensis Trypanosomiasis rhodesiensis Other and unspecified

---

trypanosomiasis

(n)

(0)

90€

131

Dermatophytosis

---

135

Scabies

· · ·

+++

---

(p) 036, 054,

059, 063,

064, 070,

074, 086.

088, 089,

093, 096.1,

All other diseases classified as infective and parasitic

164

+++

096.6,

096.8,

096.9, 122,

132-134,

136-138

A 44

140-148

Malignant neoplasm of buccal cavity and pharynx

542

206

---

A 45

A 46

150

151

A 47

152-153

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

146

138

263

225

888

206

240

125

365

132

129

203

163

366

175

132

74|

151

---

110

---

Carried forward.......

7,746

5,852

662

1,051 | 2,074 1,086

3,160

TABLE 47--Contd.

Discharges

Inter-

mediate

Detailed

Deaths

List

Number

Cause groups

Number

Govern-

ment

Hospitals

Gover-

ment-

Govern-

Deaths

Whole Colony

Assisted ment Hospitals Hospitala

ment-

Assisted

Hospitals

Male

Female

Sex Un-

known

Total

A 48

A 49

A 50

154

161

162-163

A 51

170

171

172-174

A 54

177

A 55

A 56

190-191

Brought forward... Malignant neoplasm of rectum Malignant neoplasm of larynx Malignant neoplasm of trachea, and of bronchus and lung not specified as secondary Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of other and unspecified parts of uterus Malignant neoplasm of prostate. Malignant neoplasm of skin

7,746

5,852 662

1,051 | 2,074 1,086)

3,160

124

175

361

127

340

266

119

258

303

248

296

189

133

+++

671

244

185

109

---

388 8/2

551

135

163

196-197

Malignant neoplasm of bone and connective tissue

100

---

530 992 =

A 57

155-160,

164-165,

175-176,

Malignant neoplasm of all other

178-181,

and unspecified sites

842

448

333

319

619

373

992

192-195,

198-199

A 58

A 59

204

Leukaemia and aleukaemia

153

104

200-203

205

Lymphosarcoma and other

neoplasms of lymphatic and

haematopoietic system

135

174

---

A 60

210-239

Benign neoplasms and

neoplasms of unspecified nature

2,013

994

27 16

Carried forward..

12,707

8,678

1,323

1,916 3,232| 2,206|

5,438

105

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern

ment-

Assisted

Hospitals

Gover-

Govern-

ment

Whole Colony

Hospitals

mcat-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

Brought forward...

12,707 8,678 1,323 1,916 3,232 2,206

5,438

A 61

250-251

Nontoxic goitre

159

A 62

252

Thyrotoxicosis with or without

goitre

417

134

A 63

260

Diabetes mellitus

456

400

A 64(a)

280

Beriberi

FEE

(6)

281

Pellagra

---

་--

(c)

282

Scurvy

+++

(d)

283-286

Other deficiency states

150

! | | 7

1 79 | | | |

120

A 65(a)

290

Pernicious and other

hyperchromic anaemias...

दूध

(b)

291

Iron deficiency anaemias

(hypochromic)

ITT

(c)

292-293

Other specified and

unspecified anaemias

453

211

A 66(a)

241

Asthma

574

1,017

| Re

(b)

240,

242-245,

253-254,

270-277,

All other allergic disorders, endocrine, metabolic and blood diseases

287-289.

294-299

A 67

A 68

300-309

Psychoses

310-324,

Psychoneuroses and disorders

326

of personality

---

A 69

325

Mental deficiency

Carried forward.

---

1,013

452

2,173

---

5,007

128

23,137 | 11,355

1,387

2,002

3,369 2,362

5,731

106

TABLE 47-Contd.

Discharges

A 70

330-334

A 71

340

A 72

345

A 73

353

Epilepsy

A 74

370-379

A 75

A 76

385

Cataract

387

Glaucoma

390

Otitis externa

---

(6)

391-393

Otitis media and mastoiditis

(c)

394

A 78(a)

380-384.

386, 388,

389

All other diseases and Conditions of eye

Inter.

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

Thent

Hospitals

Gover-

ment-

Govern-

ment Assisted Hospitals Hospitals

Whole Colony

ment-

Assisted

Hospitals

Male Femate

Sex Un-

known

Total

nervous system

---

663

---

+++

403

444

---

103

---

Brought forward...

Vascular lesions affecting central

Nonmeningococcal meningitis Multiple sclerosis

Inflammatory diseases of eye

23,137 11,355 1,387 2,002❘ 3,369 2,362|

5,731

1,488

675

235

615 880 950

950

1,830

370

110

---

107

TTI

A 77(0)

160

178

Other inflammatory diseases of ear

409

+++

(6) 341-344,

350-352,

354-357,

360-369,

All other diseases of the nervous system and sense organs

688

209

44 38

395-398

A 79

400-402

Rheumatic fever

497

274

+++

A 80

410-416

Chronic rheumatic heart disease

951

299

67 113

180

A 81

420-422

Arteriosclerotic and degenerative heart disease

391

479

181

584 545

1,129

---

A 82

430-434

Other diseases of heart

664

+++

1,179

194

230 490 347

837

Carried forward...

28,658

15,934 2,468

3,174 5,486 4,387)

9,873

107

TABLE 47-Contd.

Discharges

Inter-

mediate

Detailed

Deaths

List

Number

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Govern.

Govern-

Deaths

Whole Colony

-10200

ment Assisted

Hospitals

Assisted

Hospitals

Male Female

|Sex Un-1

known

Total

Brought forward...

---

28,658 15,934 2,468 3,174

5,486 4,387

9,873

A 83

440-443

Hypertensive heart disease

173

311

145

238 155

393

A 84

444 447

Other hypertensive diseases

314

501

A 85

450-456

Diseases of arteries

253

216

149

A 86

460-468

Other diseases of circulatory system

558

1,008

A 87

470-475

A 88

480-483

Acute upper respiratory infections Influenza

2,666

2,030

A 89

490

Lobar Pneumonia

201

A 90

491

Bronchopneumonia

1,892

2,860

614

762

859

873

1,732

A 91

492-493

Primary atypical, other and

A 92

500

A 93

501-502

A 94

510

A 95

518, 521

A 96

519

A 97(a)

523

(b)

511-517,

520, 522,

524-527

A 98(a)

530

(6) 531-535

unspecified pneumonia

Bronchitis, chronic and unqualified

---

Hypertrophy of tonsils and adenoids

---

+++

Empyema and abscess of lung Pleurisy

Pneumoconiosis

All other respiratory diseases

Dental Caries

All other diseases of teeth and

supporting structures

199

270

---

Acute bronchitis

108

+TT

---

317

423

+++

1,322

174

120 174

294

407

328

199

- - -

---

1,297

1,260

18 J

20 11

107

ليا

---

399

---

A. 99

540

Ulcer of Stomach

Carried forward .......

---

+++

1,351

1,004

50 17

༣|

39,177 | 27,637 3,331

4,473

7,034 5,813

12,847

108

TABLE 47-Contd.

Discharges

Inter-

mediate

Detailed

Deaths

List

Number

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Deaths

Whole Colony

Male Female

Sex Un-|

known

Total

Brought forward...

39,177 27,637 3,331 4,473 7,034 5,813

12,847

A100

541

Ulcer of duodenum

1,028

+++

554

22 12

A101

543

Gastritis and duodenitis

284

500

---

A102

550-553

Appendicitis

***

FFF

2,417

1,181

A103

560-561,

Intestinal obstruction and bernia.

1,335

828

570

A104(0)

571.0

Gastro-enteritis and colitis,

between 4 weeks and 2 years

1,670

1,160

102

(b)

571.1

Gastro-enteritis and colitis,

age 2 years and over

783

864

(c)

572

Chronic enteritis and ulcerative

colitis

131

نیا

+++

A105

581

Cirrhosis of liver

621

155

103

A106

584-585

Cholelithiasis and cholecystitis

788

690

రెడి

176

242

A107

536-539,

542, 544,

545,

573-580,

Other diseases of digestive system

2,086

1,479

184

120

179

146

325

582-583.

586-587

A108

590

Acute nephritis

A109

591-594

nephritis

A110

600

Alil

602, 604

Calculi of urinary system

A112

610

Chronic, other and unspecified

Infections of kidney

Hyperplasis of prostate

LII

291

236

TTI

334

537

124

137

110

247

330

192

856

571

13]

Carried forward .....

52,100 | 36,734

3,788

4,979 | 7,723| 6,304

14,027

109

TABLE 47-Contd.

Discharges

Inter-

mediate

Deaths

Detailed

List

Number

List

Number

Cause groups

Gover

ment

Hospitals

Gover-

ment-

Assisted

Hospitals

Gover-

ment

Hospitals

-Govern-

ment-

Assisted

Hospitals

Deaths

Whole Colony

Male Female

|Sex Un-

known

Total

Brought forward...

52,100 36,734 3,788 4,979 7,723 6,304|

14,027

A113

620, 621

Diseases of breast

A114(@)

613

Hydrocele

---

(b)

634

Disorders of menstruation

186

146

239

109

788

+++

1,043

110

605-609,

611-612,

614-617,

(All other diseases of the genito-urinary system

2,715

2,449

622-633,

635-637

A115

640-641,

681-682,

684

Sepsis of pregnancy, childbirth and the puerperium

---

A116

642, 652

Toxaemias of pregnancy and

685,686

the puerperium

515

255

A117

643, 644

670-672

Haemorrhage of pregnancy and childbirth...

460

346

LII

A118

650

Abortion without mention of

sepsis or toxaemia

---

2,514

3,791

A119

651

Abortion with sepsis

+++

10+

A120(a)

645-649,

673-680,

683,

687-689

(b)

660

Other complications of pregnancy, childbirth and the puerperium..

Delivery without complication

7,426

1,895

8,802❘ 24,754

Carried forward...

75,874 71,597 3,817

4,998 | 7,734 6,353

14,087

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

meat-

Govern- ment Assisted ment Assisted

Hospitals Hospital Hospitals Hospitals

Govero

Govern-

Whole Colony

ment-

Male Female

|Sex Un

known

Total

Brought forward...

75,874 71,597 3,817 4,998 7,734 6,353|

14,087

A121

690-698

Infections of skin and sub- cutaneous tissue

---

1,329

568

A122

720-725

A123

726-727

Arthritis and spondylitis Muscular rheumatism and

362

308

A124

730

A125

737

745-749

(6) 700-714,

716

A127

751

A128

754

A129

750,752,

753,

All other congenital

malformations

755-759

A130

760-761

Birth injuries

A131

762

atelectasis

A132(a)

764

4 weeks)

(b)

765

A126(a) 715

rheumatism, unspecified Osteomyelitis and periostitis Ankylosis and acquired

musculoskeletal deformities Chronic ulcer of skin

(including tropical ulcer) All other diseases of skin

All other diseases of musculo- skeletal system

Spina bifida and meningocele Congenital malformations of circulatory system

166

342

TGI

170

657

290

883

+гт

wó

257

126

---

535

394

Postnatal asphyxia and

Diarrhoea of newborn (under

Ophthalmia neonatorum

Carried forward.

뇌

+++

135

+44

+++

---

592

فيا

* * * 8

119

64 54

118

36 19

---

80,688

74,306

4,009

5,155 8,003) 6,611

2/14,616

111

TABLE 47-Contd.

Discharges

Inter-

mediate

Deaths

Detailed

List

Number

List

Number

Cause groups

Govern-

ment

Govem-

ment-

Govern-

Deaths

Whole Colony

Hospitals

Iment Assisted Hospitals Hospitals

ment-

Assisted

Hospitals

Male

Female

[Sex Un-1

known

Total

A132(c) 763, 766-768

Brought forward... Other infections of newborn

---

80,688 74,306

4,009 5,155

8,003 6,611

2 14,616

154

253

168

186 127

313

A133

770

A134

769,

771-772

A135

773-776

Haemolytic disease of new-born All other defined diseases of early infancy

Ill-defined diseases peculiar to early infancy

711

108

169

+++

297

IL L

F+

+++

1,503

888

172

199

324

261

585

A136

794

Senility without mentoin of

Psychosis

226

201

145

346

491

---

A137(a)

788.8

Pyrexia of unknown origin

127

967

(b)

793

Observation, without need for further medical care

2,608

553

788.1-788.7

788.9.

All other ill-defined causes

789-792,

of morbidity

1,809

2,336

102

590 587

1j 1,178

795

AE138 E810-E835

Motor vehicle accidents

2,053

373

130

163

AE139 E800-E802, Other transport accidents

430

103

E840-E866

AE140 E870-E895

AE141 E900-E904

AE142

AE143

E912

E916

248

Accidental poisoning

Accidental falls

699

+++

---

5,490 237

106

166

Accident caused by machinery Accident caused by fire and explosion of combustible

material

-- J

Carried forward.

1,323

324

25 380

---

225

97,883

101

81,012

4,707

5,848

9,704, 8,192

3 17,899

112

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

meni

Hospitals

Govern-

ment-

Assisted

Hospitals

Gover-

menl

Hospitals

Govern

ment-

Assisted

Hospitals

Whole Colony

Male Female

[Sex Un-

known

Total

Brought forward...

97,883 81,012 4,707 5,848 9,704 8,192

317,899

AE144 E917-E918

Accident caused by hot

AE145

E919

AE146

E929

substance, corrosive liquid, steam and radiation

Accident caused by firearm Accidental drowning and submersion

+++

---

1,651

185 98

283

AE147

(a)

E920

Foreign body entering eye and

adnexa

- - -

---

(b))

E923

Foreign body entering other orifice

632

E927

Accidents caused by bites and

stings of venomous animals

and insects

219

(d)] E928

Other accidents caused by animals

| |

(e) E910-E911,

E913-E915,

E921-E922, All other accidental causes

4,452

983

119

E924-E926.

E930-E965

AE148 E970-E979

Suicide and self-inflicted injury

624

191

1601

351

AE149 E980-E985

Homicide and injury purposely

AE150 E990-E999

ILL

inflicted by other persons (not in war) Injury resulting from operations of war

GRAND TOTAL

1,096

375

---

106,724 | 82,528 | 4,788

10,191 5,857 10,191 8,506

318,700

113

TABLE 47-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment-

Govern-

Deaths

Whole Colony

ment

Hospitals

inent Assisted Hospitals Hospitals

mment-

Assisted

Hospitals

Male Female [Sex Un-

Total

knowo

AN138 N800-N804] Fracture of skull

355

105

199

310

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

475

3,073

415

ANI41 N830-N839

Dislocation without fracture

198

261

AN142 N840-N848] Sprains and strains of joints and

adjacent muscle

AN143 N850-N856 Head injury (excluding fractures) AN144 N860-N869] Internal injury of chest, abdomen

and pelvis

152

121

LII

।

6,260

369

130

146

156

851

123

· · ·

AN145 N870-N908 Laceration and open wounds AN146 N910-N929 Superficial injury, contusion and crushing with intact skin surface

3,472

404

669

365

AN147 N930-N936 Effects of foreign body entering

through orifice

757

AN148 N940-N949 AN149 N960-N979

Burns

+++

1,899

165

Effects of poisons

---

1,328

113

AN150 N950-N959 All other and unspecified effects

N980-N999

of external causes

267

309

284

189

473

114

TOTAL

19,061

2,674

374

823 509

1,332

115

TABLE 48

HOSPITAL COSTING 1965-66 AND 1966-67

1965-66

1966-67

Unit

Cost for

Total Cost

Cost per bed

per year

each

patient

Total Cost

daily

each

average bed

patient

treated

occupied

treated

Castle Peak Hospital

(Psychiatric Services).

or r

177

7,996,390

7,146.01

1,907.99

9,202,843

6,417.60

3,253.04

Kowloon Hospital

(Tuberculosis & Convalescent)

3,912,552

7,825.10

827.87

6,459,203 16,519.70

992.96

Lai Chi Kok Hospital

(Infectious & Convalescent)

---

2,670,534

5,427,91

445.16 2,917,047 8,947.99

$20.99

Queen Elizabeth Hospital

(Acute & General)

29,550,520 21,198.00

569,00 32,849,996 27,014.99

583.39

Queen Mary Hospital

(Acute General & Teaching)

15,976,838 25,279.80

699.75 17,967,278 25,558.00

703.03

Tsan Yuk Hospital

(Maternity & Teaching)

2,714,516

13,572.58

323.19 3,165,700 18,193.67

499.95

TABLE 49

WORK OF THE QUEEN MARY HOSPITAL 1962-66

Total Admissions

New Attendances at Casualty

New Out-patients

+++

---

+++

Total New Out-patients

Total Out-patient Attendances

+++

Operations (excluding minor cases)

Mortality (expressed as percentage of

admissions)

LII

+++

1962

1963 1964 1965 1966

---

20,726 21,518 | 21,510 | 22,832 | 25,557

40,762 | 40,243 38,458 37,354 41,675

2,679 2,943 2,841 2,281 1,785

43,441 43,186 41,299 39,635 43,460

| |

83,458 81,209 79,081 | 62,118 86,219

9,681 9,623 10,315 10,860 11,155

6,6

7.5

6.3

5.9

5.8

TABLE 50

WORK OF THE QUEEN ELIZABETH HOSPITAL 1966

Total Admissions

New Attendances at Casualty

New Out-patients

Operations:

---

LII

Total New Out-patients

Total Out-patient Attendances

Casualty Department

Operating Theatre Suites

---

Specialist Clinics

---

Total Operations

Average length of stay of In-patients

Mortality (% of total deaths & discharges)

116

+++

56,309

112,935

---

46,802

159,737

335,820

---

16,630

---

17,953

---

2,124

++.

36,707

7.8 days

---

5.1%

TABLE 51

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1966

A. TRAUMATIC CASES

First Attendance

Admissions

Cause

Cases

Assault Traffic Industrial Domestic

Animal Bite

Sport

444

rrr

4,822

15.2

981

11.7

4,422

13.9

---

1,860

22.2

+++

6,814

21.5

1,534

18.3

9,718

30.6

2,696

32.1

1,762

5.6

115

1.4

1,310

4.1

375

4.5

Other

2,877

9.1

830

9.9

Total

31,725

100.0

8,391

100.0

28.1%

25.2%

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

Infectious

Tuberculosis

Medical

Surgical

Obstetrical

Gynaecology

Paediatric

Psychiatric Other

+++

Total

Cause

Admissions

Cases

452

0.6

106

0.4

658

0.8

0.3

31,270

38.5

7,020

28.2

HTT

16,793

20.7

6,333

25.5

682

0.8

477

1.9

---

TTP

4,960

6.1

2,139

8.6

20,739

25.5

7,628

30.7

1,018

1.3

0.3

---

FIL

4,617

5.7

1.009

4.1

---

81,189

100.0

24,854

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

117

100.0

71.9%

74.8%

TABLE 52

WORK OF TSAN YUK HOSPITAL 1965-66

1965

1966

Total Admissions

Total Deliveries

гг.

...

+++

Frr

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

---

710

6,302

6,332

...

5,408

5,268

8.32

10.06

8.76

10.44

1.11

1.33

26.98%

28.17%

---

29,990

30,084

Post-natal Attendances

+++

144

+++

110

2,952

2,853

TABLE 53

WORK OF CASTLE PEAK HOSPITAL 1966

Male Female

Total

Patients in hospital on 1.1.66. ...

---

+++

1,239

688 1,927

Patients admitted: First admissions

Re-admissions

Total admissions...

975

732

1,707

---

651

459

1,120

1,626

1,201

2,827

Patients discharged

Patients transferred

Deaths

1,508

1,255

2,763

---

++4

---

Total discharges

Patients remaining on 31.12.66.

1,589

1,304

2,893

---

1,276

585

1,861

118

TABLE 54

WORK OF DAY HOSPITAL AND PSYCHIATRIC CENTRES 1966

HONG KONG PSYCHIATRIC DAY HOSPITAL

Patients attending on 1.1.66.

Admissions

Discharges

Patients attending on 31.12.66.

Malc Female Total

136

IFF

+++

128

ATTENDANCES AT PSYCHIATRIC CENTRES

New

Repeated

Total

Hong Kong Psychiatric Centre

Queen Elizabeth Hospital, Psychiatric Clinic ...

Tsim Sha Tsui Psychiatric Clinic

LII

1,073

23,897

24,970

307

---

1,491

1,798

721

11,998

12,719

Tsuen Wan Psychiatric Clinic

+11

194

+++

1,455

1,649

Total

+++

2,295

38,841

41,136

119

HONG KONG

TABLE 55

NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT- ASSISTED HOSPITALS AND CLINICS 1966

Government Institutions

Government-Assisted Institutions:

Alice Ho Miu Ling Nethersole Hospital! Grantham Hospital

Rulianjee Sanatorium

Tung Wah Hospital

זו.

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

120

20 KOWLOON

General Clinics

Special Clinics

Total

General

Casu-

ally

General:

Child Ante- Post- Health Natal Natal

E.N.T.

Eye

Tuber- Psy- | culosis❘chiatry

Social Leprosy Hygi-

Derma-

Lology

ΕΠΕ

597,826 41,675 9,087 29,495

532 2,751 (1,023 765 42

9,276 4,755 28,115 5,051 15,917 1,073) 173 12,454 6,386 2,233 1,695

761,283

18,999

---

45,910.

1.449, 3,050: 384 2,109

13,119: 900 7,733 1,486, 234 657,387| 44,911| 22,459| 37,993 16,045,

481; 191

53,574

7,068 30,236)

508

6,040 16,417

197

24,632

1,073

173 12,454,

6,386

858,642

---

596,471 | 112,935 22,377 53,892

11,170

8,080; 55,140)

12,130

---

1,017

72,547 60,990 15,075 8,960|

1,141

14,5IL 1,140 L,J5L)

388

1,106) 1,658

5,809 19,705

264, 651

3,822

1,028

390 13,350

5,345

905,692

15,618

169,709

743

12,044

---

690,108; 173,925 37,452 56,049 27,973 10,317, 58,848| 9,895 20,356|

1.028

390 13,350

5,372 1,103,063

Government Institutions ...

Govemment-Assisted Institutions:

Caritas Hospital...

Kwong Wah Hospital

LLL

Maryknoll Hospital

LLL

---

TOTAL (Kowloon)

NEW TERRITORIES

Government Institutions

Government-Assisted Institutions:

Pok Oi Hospital

111

Rennie's Mill Church Clinic

TOTAL (New Territories)

---

376,399 28,430

559, 17,015 13,335

---

45,921 604

2,412

1,363!

908 10,743 2,080, 6,165 ?

280

194

3,450

459,278

48,168

744]

781

3,544

424,732; 29,034

821) 17,759 14,698 1,188 10,791 2,080 6,243 194

3,450

510,990

GRAND TOTAL (Govt. Inst.)

ייז

ггг

12,94 1,570,696| 183,040 32,023| 100,402 33,781 13,743 93,998 12,940) 41,787

2,295,

GRAND TOTAL (GOVT.-ASST. INST.)

LJJ

LLL

201,531 64,830 28,709 11,399 24,935 4,830 3,877, 5,075) 1,229

563 29,254 11,731 2,126,253

346,442

GRAND TOTAL (Colony)

1,772,227 247,870 60,732 11,80 58,716 18,573 97,875 18,015 43,016 2,295

563 29,254 11,758 2,472,695

TABLE 56

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT- ASSISTED HOSPITALS AND CLINICS 1966

General Clinics

Special Clinics

General

Casu-

ally

General

Child

Health

Ante- Post-

Natal Natal❘ Natal

! Eye E.N.T.

Tuber- Psy- culosis chiatry

Social Leprosy Hyg-

Total

Derma-

tology

cene

HONG KONG

Government-Assisted

Government Institutions

Enstitutions:

Alice Ho Miu Ling Nethersale

LLL

1,300,246 55,756 53,481 403,229 61,521 6,520 79,165 9.104

455,574 24,970 24,970 8,618 83,093 13,919 2,555,196

Hospital

Grantham Hospital

---

ILI

---

3,688 2,751 47,456 421

2,110 14,854 1,695

542.

1211

KOWLOON

Ruttonjee Sanatorium

Tung Wah Hospital

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

Government Institutions

17,662

---

LIL

91,454 8,487 44,625 443 2,358 1,440,023 58,992 111,982|

6.454 755 30,94 E 3,783, 279 107 1,946 436,280 86,612 9,249 86,244 13,742

6,972 2,692

2,665.

5,0031

72,554

584

17,662

119,489

89,685

481,446 24,970 8,618; 83,093 13,919 2,855,170

1,219,909 120,300 144,336 470,343 51,208)

8,724,168,223 18,816

852,758, 14,517 13,638 70,050) 18,682 3,173,504

Government-Assisted

Institutions:

Caritas Hospital

ILL

58,569

Kwong Wah Hospital

FIL

Maryknoll Hospital

226, 101 61,180) 52,8491 28,570

TOTAL (Kowloon)

13,009 1,533,149 181,480 210,194 482,394| 125,938; 11,461174,169, 33,053

L, 191 5,263 60,703: 10,860 8,764;

4951 427 10,363 1,499 5,695 13,810| 743 251

411

- L

76,349

421,837 157; 62,354

863,121) 14,517 15,638 70,050) 18,880) 3,734,044

Government-Assisted Institutions:

NEW TERRITORIES

Government Enstitutions

Pok Oi Hospital

Rennie's Mill Church Clinic

TPI

685,838 30,985' 739,

|10,687 61,166 1,430 25,758 4,944

187,998 1,649; 851 8,851

1,120,896

81,920

4,956

2801

87,760

TOTAL (New Territories)

---

GRAND TOTAL (Govt. Inst.) GRAND TOTAL (Govt.-ASST. INST.)

GRAND TOTAL (Colony)

---

28,591 319

796,349 31,589, 1,058 3,205,993 207,041 198,556 563,528 65,020, 124,678,

... 3,769,521 272,061 323,234

1,071

111.758 66,122

984,259 173,895 46,173 104,777|

22,420°286,283 1,030,432 278,672 22,420 286,283

2,002

32,093

1,710 25,870 4,944 190,000 1,649; 851 8,851.

1,240,751

16,674 273,146; 32,864 1,496,330 41,136; 25,107 161,994 32,601 6,849,596 5,746, 13,137' 18,875, 38,237 198 980,369 51,739 1,534,567 41,136 25,307 161,994 32,799. 7,829,965

TABLE 57

NEW TERRITORIES CLINICS 1966

Out-patient Attendances

Maternity Cases

New Cases

Total Attendances

Dispensaries

General Special Total General Special Toul

In- Domi- patients ciliary

Chee Hong Floating Clinic...

---

Chee Wan Floating Clinic

8,107

11,207

8,107 8,107

11,207 18,047)

8,107

18,047

Ho Tung

---

... 5,539

352

Kam Tin

866

Kat Ŏ...

973 1,839

1.55

5,891 9,129

3,916

1,714 10,843

304

7,694 1,610

310

118!

110

228

-- J

Lady Trench Polyclinic

Maurine Grantham M.C.H. Centre

---

138,142

8,039 146, 181 213,718

79,840, 293,558|

9,247 9,247

North Lamma

Peng Chau

111

LLL

8,191

9,165

9,247 118 8,309 10,996)

242

48,504 48,504 2,395

292 11,288

Sai Kung

Sai Kung Travelling

San Hui

Sha Tau Kok

Sha Tin

Shek Wu Hui

Silver Mine Bay

Tai O

111

Tai O Travelling

Tai Po

Tai Po Travelling

Tai Wo Hau"...

Yuen Long

33.473

9,407 15,148

1,881 35.354 36,123 12,774 48,897

804 15,952

515

3,398

6,524

3,398 3,398

2,514 9,038 11,092 9.592 20,684

7.435 1,231 8,666 12,863, 4,770 17,633

19,749 2,325 22,074 36,336 18,642 54,978

3,398

1,136

371

626

L-

... 42,586 5,983 48,569 67,945; 46,650 114,595

1,934

LLL

-J

358

гго

37,231

3,790

7,098 166 7,264 13,104 905 14,009

17,824 691 18,515, 26,987 5,653 32,640

358 358

358

4,638 41,869] 70,627 30,053) 100,680|

3,790,

131

282

1,517

3,790 1,790

193

1,065 1,065

176

111

---

39,785 10,277 50,062 56,885 65,367 122,252|

1,844

TOTAL

---

400,525 48,968) 449,493) 618,687 334,429 953,116 11,493

283

• Domiciliary midwifery service,

122

TABLE 58

WORK OF RADIODIAGNOSTIC BRANCH 1966

Centres

Hong Kong Island

1. H. M. Prison Victoria

2. Medical Examination Board

-J

---

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

ILL

8. Tang Shiu Kin X-ray Survey Centre

9. Tsan Yuk Hospital

10. Wan Chai Chest Clinic

TOTAL

Examinations

TII

9,367

111

...

---

18,076

56,699

ILL

47,976

26,158

24,685

14,945

15,821

7,458

---

32,540

+++

253,725

+++

3,200

80,857

- I

13,462

1,224

59,336

988

Kowloon and New Territories

1. Castle Peak Hospital

2. Kowloon Chest Clinic

3. Kowloon Hospital...

4. Lai Chi Kok Hospital

Frt

+++

5. Mobile Mass Radiography Unit No. Z

6. Pok Oi Hospital

7. Queen Elizabeth Hospital

8. Shek Kip Mei Chest Clinic

TOTAL

---

GRAND TOTAL (Whole Colony)

---

123

---

4.0

---

116,737

44,784

320,588

574,313

TABLE 59

RADIOTHERAPEUTIC DIVISION 1965-66

1965

1966

New Patients seen

2,631

Frr

ггт

---

+Tr

2,679

New Patients with malignant disease seen

---

New Patients with non-malignant disease seen

Patients treated

New Patients treated

1,725

1,739

906

940

---

TII

ILL

2,511

2,403

1,946

1,886

Old Patients treated

Frr

565

517

Total Patients with malignant disease treated

(A) New Patients

(B) Old Patients

Patients with non-malignant disease treated

Deep radiotherapy treatments (Orthovoltage and Mega- voltage X-ray, Telecobalt and High Energy Electron)...

Contact and superficial radiotherapy treatments ...

Radium, radiocobalt, radiostrontium and radiogold

applications...

---

-- J

---

Radioiodine for thyrotoxicosis (courses of treatment)

Radioiodine for carcinoma of thyroid (courses of treat-

ment)

---

Radiophosphorus for polycythaemia vera...

Radioiodine for thyroid function tests

Radioiodine for scanning of whole body for metastases...

---

1,946

1,925

1,515

1,506

431

419

ILL

549

478

---

62,003

67,382

936

254

250

351

Ꮁ Ꮀ Ꮀ

399

382

Radioiodine for scanning of neck only

---

1,133

1,450

405

---

458

124

TABLE 60

WORK OF THE OPHTHALMIC SERVICE 1965-66

+++

New out-patient attendances

Total out-patient attendances

Operations performed

Operations classed as sight-restoring

(included in above)

Home visits by Health Visitors

+++

1965

1966

ITT

99,403 282,202

93,998

273,146

3,201

2,698

1,531

1,481

2,474

1,698

TABLE 61

ANALYSIS OF MAJOR CAUSES OF BLINDNESS

(EXPRESSED AS PERCENTAGE OF BLIND CASES)

TOTAL INCIDENCE 1953 & 1966

Keratomalacia

Senile cataract

Trachoma

Glaucoma

Injuries (all types)

Syphilis

י ז +

---

гг.

...

Congenital defects

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

ILL

..ז

...

+++

---

1953

1966

---

INT

110

+++

3.5

115

LLL

---

tri

-10

LLL

---

IIL

2.5

---

INCIDENCE IN CHILDREN UNDER 15 YEARS OF AGE

Causes

1954 & 1966

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

+++

ILL

1954

1966

74.5

---

+++

---

5.5

+++

---

125

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 1965-66

1965

1966

Value of Drugs and Dressings Value of Instruments and Surgical

Equipment

$11,879,939.09

$13,076,379.58

962,019.17 3,734,532

$ 1,603,055.28 3,649,122

---

Number of Prescriptions Dispensed.. Manufacture

TII

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

1 lb. units)

Tablets

---

Intravenous Fluids

---

+++

---

+++

TRI

Assorted Injections of various sizes

Mixtures for internal use Lotions etc. for external use

TIL

241,996 tubes

86,921 units 11,083,870 nos.

230,790 litres 76,478 units

* 386,932 lbs.

* 67,612 lbs.

171,974 tubes

131,992 units

11,040,400 nos.

197,146 litres 75,023 units

* 423,001 lbs. * 60,342 lbs.

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

PHARMACEUTICAL CONTROL 1965-66

Whole Poisons Licences issued

Authorized Sellers Licences issued

Listed Sellers Licences issued

Antibiotics Permits issued

Licences for movement of Dangerous Drugs

Premises inspected Prosecutions

---

TTI

ILL

1965

1966

514

487

---

1,051

1,118

313

317

---

+++

409

410

---

3,636 64

2,879

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

Sterile instruments and dressing packs Linen, swab and glove packs

117

+++

Sterile syringe and needle sets

+++

...

Accessory instrument packs ...

---

126

1965

1966

660

727

...

6,055 2,188

3,531

2,674

415

498

TABLE 63

WORK OF PHYSIOTHERAPY SERVICE 1966

Centres

Number of Attendances

New Patients

Total Attendances

Hong Kong

　　Queen Mary Hospital Wan Chai Polyclinic

Total (Hong Kong)

Kowloon

Kowloon Hospital

LL+

Jockey Club Rehabilitation Centre

Lai Chi Kok Hospital

Queen Elizabeth Hospital...

Total (Kowloon)

---

Total (Colony)

---

+++

2,370

3,649

---

1,246

4,455

3,616

---

TII

---

8,104

1,194

2,314

1,564

5,236

681

ILL

---

2,310

זזז

+++

4,449

8,497

7,888

18,357

---

11,504

26,461

TABLE 64

WORK OF OCCUPATIONAL THERAPY SERVICE 1966

Centres

Hong Kong

Hong Kong Psychiatric Centre

Queen Mary Hospital

Total (Hong Kong)

Kowloon

Kowloon Hospital...

---

44L

Kowloon Jockey Club Rehabilitation Centre

Lai Chi Kok Hospital

Queen Elizabeth Hospital

Total (Kowloon)

New Territories

Castle Peak Hospital

Total (Colony)

111

---

444

---

ггт

...

127

Patients Treated

Total Attendances

650

18,708

2,096

19,203

2,746

37,911

1,888

15,747

1.965

+++

15,747

838

14,617

+++

2,101

16,430

6,792

62,541

12,278

377,939

---

21,816

488,013

TABLE 65

WORK OF MEDICAL EXAMINATION BOARD 1965-66

Government

Appointments

Auxiliary Defence Units

Miscellane-

Total

ous

1965 1966

1965 1966 1965 1966 1965 1966

New examinations... 9,498 8,149

Re-examinations

2,157 2,267 180

4,787 4,847 3,015 2,582

231 11,835 10,647

| 7,802 7,429

Annual Total... 14,285

14,285 12,996 5,172 4,849

180

231 19,637 18,076

TABLE 66

UNFITNESS OF CANDIDATES BY CAUSES 1965-66

(PER 1,000 TOTAL EXAMINATIONS)

1965

1966

Pulmonary Tuberculosis

Other disease of the Respiratory System

Lor

25.41

23.29

2.09

2.32

*++

Disease of the Circulatory System

1.32

1.22

Disease of the Alimentary System

Disease of the Skeletal System

Disease of the Genito-urinary System

0.66

0.55

+++

0.05

0.06

0.41

0.11

Disease of the Nervous System

LJI

Disease of the Endocrine System

0.25

0.06

0.05

0.11

Disease of the Eye

Disease of the Skin

Other disease

0.10

0.33

0.05

0.66

0.22

ITJ

---

128

31.06

28.27

TABLE 67

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS FROM 1962-63 TO 1966-67

(FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Institutions

1962-63

1963-64

1964-65

1965-66

1966-67

Cheshire Home.

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

Bureau of Hygiene and Tropical Diseases Caritas Hospital, So Uk

Family Planning Association of Hong Kong

JJJ

ILI

---

$ 1,180,000

800

$ 1,503,000

---

35,000

800

45,000

$ 1,799,200

BOO

50,000

$ 2,221,685

800

71,000

$ 2,483,358

800

100,000

(20,000)

TPI

7,200

111

275,221

1,240,515

1,824,976

---

Pro

-11

ILL

тгі

(25,000)

---

JIL

PPI

ггг

ILI

+++

Grantham Hospital

240,000

3,264,324

300,000

400,000

450,000

3,459,402

3,988,704

4,226,371

4,873,220

ггг

IIL

Haven of Hope Tuberculosis Sanatorium

...

1гг

---

LLI

230,400

288,000

309,520

441,500

Hong Kong Anti-Tuberculosis Association and Thoracic Diseases

1,100,000

1,200,000

1,240,000

1,946,900

(32,890)

(74,604)

(108,271)

(20,212)

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

1,600

IIL

---

177

600,000

700,000

---

(143.179)

(13,976)

(75)

(985)

(84,900)

Maryknoll Mission Hospital

250,000

275,000

387,000

---

FIL

FFF

Oxfam Hostel for Cancer Patients

12,000

13,000

---

Pok Oi Hospital

550,000

---

ггг

-1-

JLL

550,000

350,000

$50,000

650,000

(29,931)

(43,441)

(223,534)

(496,903)

Rennie's Mill Church Clinic

JJ L

(220,000)

18,000

Sheung Shui Clinic

St. John Ambulance Brigade Salvation Army (Cheung Chau Convalescent Home) Shek Kwu Chau Drug Addiction Centre

Society for the Relief of Disabled Children...

The Hong Kong Society for Rehabilitation... Tung Wab and Associated Hospitals

Kwong Wah Hospital

---

Tung Web Sandy Bay Infirmary Wong Tai Sin Infirmary, Phase II

United Nations Children's Fund;

(1) Administration ... (2) Relief expenses University of Hong Kong

---

LLL

40,000

80,000

10,000

---

100,000

345,000

450,000

500,000

865,000

(150,564)

(404,444)

(386,867)

(466,094)

(194,363)

20,000

5,000

LLL

---

30,000

100,000

150,000

(24,905)

LLL

---

111

LLL

---

111

100,000

13,579,539

(219,630)

(3,982,752)

400,000

520,000

550,000

14.969.745

17,089,650

21,251,413

26,226,500

(302,629)

(2,316,245)

(3,247,510)

(1,849,971)

(42,210)

(208,986)

(1,426,338)

---

L-F

LLL

---

(42,946)

---

111

г11

6,048

10,304

9,328

10,320

8,000

L. L

---

20,000

350,000

(40,000)

20,000

380,000

20,000

529,000

25,000

606,900

790,650

(10,000)

Total

---

гго

$21,704,911 (4,598,946)

$24,432,051 (3,257,294)

$28,100,703 (3,997,497)

$34,539,324 (2,900,787)

$42,502,704

(2,299,831)

129

TABLE 68

WORK OF THE GRANTHAM HOSPITAL 1966

New Admissions

1,117

Re-admissions 211

Discharges 1.300

Total bed days: 222,071

Orthopaedic operations: Spine 31

Hip 11 Other 27

Thoracic Operations:

Pulmonary tuberculosis

Bronchial Carcinoma

---

+++

Bronchiectasis, simple tumours etc.

General Operations: 7

TABLE 69

Deaths

Resection

Others

PII

WORK OF RUTTONJEE SANATORIUM 1962-66

Admissions

Adults through Government Clinics

1962 1963

1964

1965

1966

439

370

313

297

420

---

427

504

577

544

648

FEE

985

967

973

882

1,113

Children (pulmonary through Government

Clinics)

Children (Orthopaedic)

+++

---

Other admissions and re-admissions

TOTAL

New Admissions

Re-admissions

Total Admissions

TABLE 70

ADMISSIONS TO LEPROSARIUM 1966

+++

---

Adults

Children

Total

Male

Female

IPT

LII

IL+

130

TABLE 71

BUILDING PROGRAMME

I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

Cheung Sha Wan Jockey Club Clinic-A general Out-patient Department, a Maternity and Child Health Centre and a Maternity Ward of 24 beds donated by the Royal Hong Kong Jockey Club.

Yau Ma Tel Jockey Club Polyclinic-A general Out-Patient Department, a Maternity and Child Health Centre, a Chest Clinic, a Chest X-ray and X-ray Survey Centre, a Dental Clinic, an Ear, Nose and Throat Clinic, an Ophthalmic Clinic and a Mental Out-Patient and Day Centre. Donated by the Royal Hong Kong Jockey Club.

Tsan Yuk Maternity Hospital-Additional Floor-Quarters and ancilliaries for Medical Officers and House Officers. Donated by the Royal Hong Kong Jockey Club.

Castle Peak Mental Hospital-Additional Wards-2 blocks of 120 beds

cach for male and female psychiatric patients.

Queen Mary Hospital-New quarters for Sisters and Nurses, New quarters for Medical Officers and House Officers and Male Nurses, New Nurses Training School. New Professorial Teaching Block incorporating a new Radiotherapy Department. New block of 4 floors of Operating Theatre Suites, a C.S.S.D. and a Central Hospital Pharmacy.

(2) Government Assisted

(1) John F. Kennedy Spastic Children Centre-Residential Centre for the education and rehabilitation of 60 resident and more than 20 non- resident spastic children. Donated by the World Rehabilitation Fund and administered by the Hong Kong Red Cross Society.

(ii) Sandy Bay Infirmary-279 bedded infrmary of which 200 beds are for the use of Queen Mary Hospital convalescent patients. Built by the Tung Wah Group of Hospitals with a grant of 80% of cost by Government. (iii) Pok Of Hospital-Extensions to existing hospital resulting in the replace

ment of unsuitable maternity and paediatric accommodation by a total of 86 beds of these categories, of which 44 beds are additional.

(iv) Nethersole Hospital-new Nurses Quarters.

(v) Nursing Home for Cancer Patients-120 bedded hospital for terminal and convalescent cancer patients. Built and administered by the Hong Kong Anti-Cancer Society on land granted by Government.

(1) Government

(ii)

II. PROJECTS UNDER CONSTRUCTION

Castle Peak Clinic and Maternity Home-A general Out-Patient Department with Maternity and Child Health facilities and a 24 bedded Maternity Ward. Expected completion date in March, 1968.

New Lai Chi Kok General Hospital-A new General and Infectious Disease Hospital of over 1,300 beds. Site formation in progress. Expected com- pletion date in 1972.

131

TABLE 71-Contd.

(iii) Tang Shiu Kin Hospital-A new Casualty and Maternity Hospital with General Out-Patient, Maternity and Child Health and Dermatological and Social Hygiene Clinics. Site formation commencing. Half donated by Sir Shiu-kin Tang. Expected completion date late 1968.

(iv) New Convalescent Block Kowloon Hospital-A Block of almost 600 beds for convalescent patients from Queen Elizabeth Hospital and special facilities for psychiatric and paraplegic patients. Being built in the grounds of the existing Kowloon Hospital. Site formation commencing. Expected completion date in 1969.

(v) Queen Mary Hospital Alternations to existing Hospital-Will result in a final total of 1,086 beds compared with the present 632 beds. Expected completion date 1969.

(vi) Lion's Club Government Maternity & Child Health Centre 22 bedded Maternity Ward Extension-donated by the Lion's Club. Expected completion date late 1967,

(vii) Tsan Yuk Hospital Alterations to the 4th & 5th floors-To result in a Central Hospital Nursery and an increase of 6 maternity beds. Donated by Royal Hong Kong Jockey Club. Expected completion date late 1967.

(2) Government Assisted

(1) Wong Tai Sin Infirmary Phases II and III-Additional 490 infirmary beds for the Tung Wah Group of Hospitals. Site formation in progress. Being built with the aid of a grant of 80% by Government. Expected completion date late 1968.

Maryknoll Hospital-An extension of 140 beds to give a total of 220 beds.

Land granted by Government. Expected completion date late 1967. (iii) Buddhist Hospital-A 350 bedded general hospital with 220 beds in the First Phase. Site formation under way. Costs defrayed by the Buddhist Association with the aid of a donation of $2,000,000 from the Royal Hong Kong Jockey Club on land granted by Government.

(iv) Sandy Bay Children Convalescent Home Extensions containing an Out- Patient Department, an Operating Theatre Suite, Quarters and an additional 100 beds. Costs defrayed by the Society for the Aid and Rehabilitation of Crippled Children with generous donations by the United States of America and land granted by Government. Expected completion date late 1967.

(v) Nethersole Hospital-New Wing to contain 50 additional beds, a Casualty Department, operating theatres, X-ray Department, Intensive Care Unit, Central Sterile Supply Department and Laundry. Expected com- pletion date late 1967.

III. PROJECTS ON WHICH Detailed PLANNING HAS Commenced

(1) Government

(i) Redevelopment of Medical Institutions, Sai Ying Pun Phase I,

(ii) St. John Hospital, Cheung Chau-Out-Patient Clinic and Major alterations. (iii) Chai Wan Standard 24-bed Urban Clinic and Maternity Home.

132

TABLE 71-Contd.

(iv) New Vaccine Institute.

(v) Mental Defectives Home, Siu Lam.

(vi) Kowloon Hospital-New Quarters for Medical and menial staff. (vii) Tong Fok Dental Clinic,

(viii) Tsuen Wan/Kwai Chung Polyclinic-Kwai Chung South, Phase I.

(ix) New Mental Hospital Lai Chi Kok,

(x) Quarters for new Lai Chi Kok General and Mental Hospitals.

(xi) Medical Department Laundry at Shau Kei Wan.

(xii) Victoria Public Mortuary Reprovisioning.

(xiii)

Extensions of T.B. Laboratory in Government Institute of Pathology,

Sai Ying Pun.

(2) Government Assisted

(i) United Christian Hospital, Kowloon.

(ii) Extensions to Haven of Hope Sanatorium.

(iii) Extensions to Shek Kwu Chau Treatment and Rehabilitation Centre.

(1) Government

IV. PROJECTS IN INITIAL STAGE OF PLANNING

(i) Shau Kei Wan Hospital.

(ii) Redevelopment of Medical Institutions Sai Ying Pun Phase II.

(iii) Tze Wan Shan Standard Clinic and Maternity Home.

(iv) Kowloon East Polyclinic.

(v) Queen Mary Hospital-Reprovisioning of Mortuary and Virus Laboratory

and Clinical Pathology Institute.

(vi) Standard Clinic for Kwai Chung North.

(vii) Tsuen Wan/Kwai Chung Polyclinic, Kwai Chung South, Phase II.

(2) Government Assisted

(1) Wong Tai Sin Infirmary Phases IV and V.

(ii) Yan Chai Hospital, Tsuen Wan.

TABLE 72

NURSES IN TRAINING AT 31ST MARCH, 1967

Government School of Nursing

Tung Wah Group of Hospitals

Nethersole Hospital

Hong Kong Sanatorium and Hospital Caritas Medical Centre

T11

Total

---

TII

Women

Men

Total

581

157

738

496

139

---

122

---

122

133

1,384

157

1,541

TABLE 73

COURSES OF STUDY OVERSEAS 1966-67

BY PLACE OF STUDY

Staff

Medical

LLL

L-F

Dental

י - -

U.K.

North America

Australia | S.E. Asia Others

Total

-+-

JLL

Nursing

---

Medical Social Worker

---

rri

Assistant Physiotherapist

Dispenser

Radiographer

---

Medical Laboratory Technician

Dental Surgery Assistant

Dental Technician

Health Visitor

Total

---

110

---

|| A||

100

TTI

-Pr

PPI

111

BY SOURCE OF FUNDS

Govern- ment

Own

W.H.O.

Others Total

expenses

LLL

Staff

Course of Study

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.

LLL

---

...

---

ויי

---

I. L

---

111

---

Medical

D.O.

---

D.M.R.D.

D.A.

Others

---

Dental

Nursing

Medical Social

Workers

Asst. Physio-

therapist

Dispenser

Radiographer

Assistant

Diploma in Orthodontics

Diploma in Public Dentistry

Training in Paedodontics

Dental Surgery

Master of Dental Science

Sister Tutor Diploma

ILL

LLL

---

Hospital Administration (Hospital)... Specialized Nursing Techniques

Midwife Teacher Diploma

Medical Social Work

Master of Social Work

Mental Health

---

יו -

---

ггг

---

LLL

Membership of the Canadian Physio-

therapy Association

Pharmacy

F.S.R.

I-L

---

LLL

---

Medical Laboratory A.1.M.L.T.

Dental Surgery

Dental Nursing...

Dental Technician

Dental Technology

Assistant

Health Visitor

---

ILL

Diploma in Health Education

Total

---

134

]]

~ | | | |

INDA

100

TABLE 74

DEPARTMENTAL TRAINING-1966 (Position at 31st March, 1967)

Student Assistant Physiotherapist

Student Assistant Radiographer

Appointment Resignation Strength at

31.3.67

Passed

(Diagnostic)

ILL

+++

(Therapy)

Student Dispenser

Student Laboratory Assistant

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 Auxiliary

(T.B. Worker)

Student Health Auxiliary

لعيا

---

122

556

126

TII

+--

TII

122

121

LII

Pupil Nursing Auxiliaries

Pupil Nursing Auxiliaries (Male)

Medical Social Worker

108

118

Student Assistant Orthopaedic

Appliance Technician...

135

TABLE 75

ATTENDANCES AT CONFERENCES, ETC. OVERSEAS

Appointment

Director of Medical &

Conference, etc. attended

Place

Health Services

Seminar on Training of Personnel in Health Berlin

Services

Director of Medical &

Health Services

Meeting of the W.H.O. Expert Committee on Manila

Cholera

Government Pathologist... 9th International Cancer Congress

Orthopaedic Appliance

Adviser...

+++

2nd Symposium on Rehabilitation

Tokyo

Addis

Ababa

Specialist (Psychiatry)

Meeting on Suicide Preventive Services within Geneva

the Public Health Framework

Specialist (Radiology)

Dental Specialist...

Principal Matron

Annual Meeting of the Japanese Society of Tokyo

Nucleur Medicine

Dental Conference and Triennial Dental Con- Melbourne

gress

W.H.O. First Regional Seminar on Education Manila

and Training: Training of Auxiliary Health Personnel

Acting Chief Pharmacist... First Asian Congress of Pharmaceutical Sciences Tokyo

Senior Port Health

Officer

IIL

W.H.O. Regional Seminar on International Manila

Quarantine (Plague Control)

Epidemiologist

TTT

W.H.O. Regional Seminar on Cholera Control Manila

Bacteriologist

HTT

Dental Officer

W.H.O. Regional Seminar on Cholera Control Manila

Dental Health Education Conference

London

HTT

Dental Officer

British Dental Association Annual Conference Scar-

borough Yorkshire

Medical Social Worker II 16th World Congress of the International Weisbaden

Society for Rehabilitation of the Disabled

136

28.5.66 4.6.66

13.6.66

18.7.66-1.8.66

19.7.66

25.8.66

20,9.66-21.9.66

22.9.66

TABLE 76

OVERSEAS VISITORS

GENERAL

Dr. Nicetus Kuo, District Health Officer of the Department of Health, New York.

Mr. E. F. CHORLEY, Chief Port Health Inspector (Port), Ministry of Health, Mauritius.

Dr. M. A. EL BATAWI, I.L.O. Regional Advisor on Occupation Health.

Sir John WALSH, K.B.E., Dean of the Dental School, University of Otago, New Zealand.

Brigadiere R.C., Elstone, C.B.E., M.C. and Mr. R. N. BAILEY OF G.D. Searle & Co.

Drs. Thawisri MANADAT. Saroj RATANAKORN and Orachon Na RANONG, officers of the Public Health Department of the Bangkok Municipality.

Messrs. J. BARNETT and R. E. SHELDON, Members of the Common- wealth Parliamentary Association,

13.10.66-19.10.66 Dr. J. M. LISTON, C.M.G., Medical Adviser, Ministry of Overseas

Development.

22.10.66-25.10.66

2.11.66-6.11.66

25.11.66-3.12.66

22.12.66-27.12.66

15.2.67

1.3.67-2.3.67

6.3.67

Dr. H. G. PEREIRA, Director of the Division of Virology and Bacteriology, National Institute for Medical Research, London. Dr. Douglas RANKIN, Senior District Health Officer, Department of Health, Melbourne.

Mr. Stanley E. COHEN, C.B.E., Past Chairman of the Port & City of London Health Committee, the Controlling Committee of the Port of London Health Authority.

Dr. Awni El-Din ARIF, Director-General of Preventive Medicine, Ministry of Health, Baghdad.

Messrs. A. H. F. ROYLE and C. FLETCHER-COOKE, Members of the Parliament.

Prof. K. GOODNER, Professor of Microbiology, Jefferson Medical College, U.S.A.

The Right Honourable H. BOWDEN, C.B.E., N.P., Secretary of State for Commonwealth Affairs.

Consultant and Administrative

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

18.10.66-21.10.66

Col. J. Ferris FULLER, W.H.O. Dental Health Consultant.

24.10.66-25.10.66 Dr. J. C. TAO, W.H.O. Regional T.B. Adviser,

3.12.66-9.12.66

Dr. A. H. TABA, Regional Director of Eastern Mediterranean Region of W.H.O.

137

30.1.67-2.2.67

18.2.67

25.3.67

Fellowship

16.4.66-24.4.66

28.4.66-6.5.66

14.5.66-27.5.66

14.5.66-28.5.66

23.5.66-27.5.66

23.5.67

28.5.66

31.5.66

30.5.66-4.6.66

29.5.66-10.6.66

30.5.66-10.6.66

6.6.66-10.6.66

13.6.66-24.6.66

30.1.67-3.2.67

17.2.67-21.2.67

TABLE 76-Contd.

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

Mr. TYE Cho-yook, Medical Statistician, University of Singapore, assigned by W.H.O. as an Adviser in Bio-Statistics.

Dr. B. CVJETANOVIC, Chief Medical Officer, Bacterial Diseases, Division of Communicable Diseases, W.H.O.

Dr. Gregorio D. SAMPSON, Assistant Professor and Acting Chair- man of the Department of Physiological Hygiene & Nutrition, University of Philippines.

Dr. M. J. COLBOURNE, Professor in the Department of Social Medicine and Public Health, University of Singapore.

Messrs. Keizo Your and Masatoshi IKEDA, Quarantine Inspectors of the Ryukyu Quarantine Station, Welfare Department, Naha, Okinawa.

Dr. Chi-ying CHUNG, Director of the Taipei Quarantine Station and Dr. Harn-yuan TUNG, Director of the Kaohsiung Quarantine Station, Taipei.

Dr. Toshihiko HAGA, Assistant Director of the School of Reha- bilitation, Tokyo.

Dr. Q. FULGENCIO, Health Education Adviser, U.N.I.C.E.F. National Committee.

Dr. Jose S. NAVARRO, Chief of the Division of Personnel Training, Office of Health Education and Personnel Training of the Philip- pine Department of Health.

Mrs. Mei-yuan LIN WANG, Nursing Supervisor of the Provincial Institute of Public Health in Taipei.

Dr. Chang Choo LEE of the Yongdongpo Health Centre, Seoul.

Mr. M. S. SAAD, Senior Charge Nurse, Ministry of Health, Federation of South Arabia.

Dr. Chen-lin WENG of the Ro Shen Leprosarium, Sin-Sen, Taipei.

Mr. In Mo AHN, Senior Administrator of the Sanitation Section, Ministry of Health and Social Affairs, Republic of Korea,

Mr. Peter YONG Kee-cheong, Health Superintendent of the Health Department of Sabah, Malaysia.

Dr. B. SARASWATHY, Maternal & Child Health Officer, Ministry of Health, Kuala Lumpur.

Mr. Lo Mei-chan, Deputy Director of Taiwan Institute of En- vironmental Sanitation, Taipei,

138

TABLE 77

PUBLICATIONS

BY MEMBERS OF THE MEDICAL AND HEALTH DEPARTMENT

Title of Articles

Publication

Author

The Vi Reaction in Hong

Kong.

The British Medical

Journal 1966.

Sterile Fluids for Intravenous Administration, and their manufacture in a Hong Kong hospital.

The Work of the Pharmaceutical

Inspection Unit in Hong Kong.

Two Cases of Congenital

Sacral Teratoma Obstructing Labour,

A Study of Nacgcle Pelvis.

Obstetric Hazards of Grand

Multiparity.

The Pathology of Clonorchis

sinensis Infestation of the Pancreas.

Above and Below Knee

Prostheses.

Bulletin No. 8, Journal

of the Society of Medical Officers of Health, Hong Kong.

Bulletin No. 8, Journal of the Society of Medical Officers of Health, Hong Kong.

Journal of Obstetrics and

Gynaecology of the British Commonwealth, Vol. 73, October, 1966.

M. J. ROBERTSON, Patho-

logist.

C. R. FORREST, Medical

and Health Officer. R. N. MATTHEWS, Medical

and Health Officer. W. P. HANLEY, Medical

and Health Officer.

Mervyn Lore, Pharmacist

WONG Chor-choi,

Pharmacist.

Li Kwing Yee, Pharmacist.

K. H. LEE, Medical and

Health Officer.

Far East Medical Journal K. H. LEE, Medical and

Vol. 3, No. 3, March, Health Officer.

1967.

Bulletin of the Hong Kong K. H. LEE, Medical and

Chinese Medical

Association.

Health Officer.

Journal of Pathology and T. B. TEOн, Government

Bacteriology.

Pathologist,

P. H. CHAN, Pathologist.

Far East Medical Journal. J. A. E. GLEAVE,

Prosthetic Problems in Africa Special publication of

and Asia.

International Committee on Prosthetics and Orthotics.

139

Orthopaedic Appliance Advisor.

J. A. E. GLEAVE,

Orthopaedic Appliance Advisor.

Title of Articles

TABLE 77-Contd.

Publication

Author

A Method of Below Knee

Casting.

Substitute Milk Powders.

Non-Spinal Pyogenic Psoas

Abscess.

The Functions of the Hong

Kong Medical Boards and Councils.

A Preliminary Trial of Alpha-

amino-beta-hydroxybutyric Acid in the Narcotic Withdrawal Syndrome.

A Follow Up Study of

Obsessional Neurotics in Hong Kong Chinese.

Headache in Psychiatric Out

Patients'.

Lessons from the Voluntary

Anti-Narcotic Treatment Programme in Hong Kong.

Phenomenology of Affective

Disorder in Chinese and Other Cultures.

Unusual Forms of Mental Disorder in Different Cultures.

Prevention of Suicide.

Speech Therapy for Children

with Psychological

Maladjustment,

Regional Information

Bulletin of the Asian Sub-committee on Prosthetics and Orthotics.

Far East Medical Journal

Vol. 2 (11) November, 1966.

Journal, Bone & Joint

Surgery, Vol. 48A, No. 5, July, 1966.

The Bulletin, No. 8 of the

Society of Medical

Officers of Health, Hong Kong.

LEE Kwing Yue, Asst.

Orthopaedic Appliance Advisor.

R. EDGLEY, Chemist. G. F. FORBES, Medical and

Health Officer.

T. S. CHAN.

S. F. LAM, Orthopaedic

Specialist.

K. H. WHEELER, Secretary

(Boards).

Far East Medical Journal. S. C. CHAN, Medical and

British Journal of

Psychiatry.

Journal of Psychosomatic

Research, London.

United Nations Bulletin

of Narcotics (Geneva).

Ciba Foundation Symposium.

Health Officer.

W. H. Lo, Medical and

Health Officer.

W. H. Lo, Medical and

Health Officer.

P. M. YAP, Senior

Specialist (Psychiatry).

P. M. YAP, Senior

Specialist (Psychiatry).

East-West Centre Review. P. M. YAP, Senior

W.H.O. Report on

Specialist (Psychiatry).

P. M. YAP, Senior

Specialist (Psychiatry). (et. al.)

Prevention of Suicide.

The Hong Kong Nursing Cecilia W. K. CHAN,

Journal.

Speech Therapist.

140

441

TABLE 78

SAMARITAN FUND

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH, 1967

EXPENDITURE

Maintenance, Capital grants, travelling expenses etc.

PP.

$36,563.85

LIABILITIES

$36,363.85

Donations:

INCOME

---

$20,000.00

The Royal Hong Kong Jockey Club (Charities) Ltd.

Mr. Ho Sai-tai

111

---

Hongkong & Shanghai Bank Corp. Others

-г г

LLL

Excess of Expenditure over Income

---

BALANCE SHEET AS AT 31st March, 1967

Accumulated Fund as at 1st April, 1966

LLL

Less Excess of Expenditure over Income for the year

ASSETS

LJJ

LLI

$31,009.73 11,802.82

$19,206.91

Cash with Accountant General

2,300.00

1.171.43

1,089.60

$24,761.03

11,802.82

$36,563.85

LLL

...

$19,206.91

Certified correct.

A. A. WHITNEY,

10th May, 1967.

for Director of Medical & Health Services,

CERTIFICATE OF THE DIRECTOR OF AUDIT

Certified correct.

S. C. CHENG,

Principal Medical Social Worker. 10th May, 1967.

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

Hong Kong, 14th June, 1967.

REPORT ON THE SAMARITAN FUND 1.4.66-31.3.67.

D. G. BRITTON, Director of Audit.

The expenditure from the Fund during the year exceeded the income by some $11,800.00. The main item of disbursement was on grants to patients and their relatives for travelling expenses. In view of the steadily rising expenditure, the Fund which is raised exclusively from DON- Government sources will be gradually exhausted unless increased donations could be obtained in the forthcoming year.

S. C. CHENG, Principal Medical Social Worker. 24th June, 1967.

142

TABLE 79

LIST OF DONATIONS RECEIVED FOR THE YEAR ENDED 31ST MARCH, 1967

Samaritan Fund:

The Royal Hong Kong Jockey Club

+++

$20,000.00

Mr. Ho Sai-lai

+++

44.

2,500.00

Hongkong & Shanghai Banking Corporation

1,171.43

Others

---

1,089.60

$ 24,761.03

Christmas Fund:

The Royal Hong Kong Jockey Club

The Hong Kong Football Association Ltd.

Others

---

Sir Shiu-kin TANG

+++

Note:

$7,500.00

1,000.00

...

5,556.31

14,056.31

300,000.00

$338,817.34

Further contribution towards con- struction of the Tang Shiu Kin Hospital. Previous contribution $1,000,000.

Sir Shiu-kin TANG's donation ($1,300,000.00) has been placed on fixed deposit account which during the year earned interest totalling $78,200.00.

VPHK

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