醫務衛生署年報 Medical and Health Department Annual Report 1968-1969

ANNUAL

DEPARTMENTAL

REPORTS

1968-69

[

DIRECTOR OF MEDICAL

AND HEALTH SERVICES

22501293141

HONG KONG

ANNUAL DEPARTMENTAL REPORT

BY THE

DIRECTOR OF MEDICAL AND HEALTH SERVICES

P. H. TENG, C.M.G., O.B.E., J.P., M.B., B.S. (HK). D.P.H. (LOND.)

FOR THE

FINANCIAL YEAR 1968 - 69*

PRINTED AND Published by S. Young. Government Printer

AT THE GOVERNMENT PRESS, Java ROAD, HONG KONG

* 1st April 1968-31st March 1969

EXCHANGE RATES

When dollars are quoted in this Report, they are, unless otherwise stated, Hong Kong dollars. The official rate for conversion to pounds sterling is HK$14.54=£1 (HK$1=1s. 43d.). The official rate for conversion to U.S. dollars is HK$6.06- US$1 (based on £1=US$2.40).

Ann Rip WAZO

ань

นาว

1969

70164-13K-10/69

CONTENTS

Paragraphs

1-7

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.

8 13

35 47

48 - 52

53 54

55 56

57 58

School Medical Service Board

60 - 61

Dental Service

62 - 64

Forensic Pathology

Government Laboratory

Government Institute of Pathology

Industrial Health

Health Education.

iii

66 - 69

70 - 82

83 - 89

Paragraphs

IV. WORK OF THE MEDICAL DIVISION

General Remarks.

Government Hospitals

92 - 111

Out-Patient Services

Specialist Services.

Radiological Services

Ophthalmology

Pharmaceutical Services

Medical Social Work

Physiotherapy

Occupational Therapy

Orthopaedic and Prosthetic Appliances.

Medical Examination Board.

Hospital Maintenance and Supply

Auxiliary Medical Service

Registration of Medical Clinics

V. GOVERNMENT-ÁSSISTED HOSPITALS

VI. DEVELOPMENT

Forward Planning,

Completed Projects

Projects under Construction.

112 114

115

116 117

118 - 120

121 122

123. 128

129 - 130

131 - 136

137 138

139

140 - 143

144

146

147 148

149 167

168 - 170

171 172

173 174

Paragraphs

VII. TRAINING PROGRAMME

Doctors.

Dental Staff

Nursing Staff.

Radiographers

Laboratory Technicians

175 - 177

178 - 180

181 - 187

188

189

190

. 191

192 194

Other Forms of Departmental Training

VIII. DONATIONS

IX. ACKNOWLEDGEMENT

X. MAPS

XI. STATISTICAL APPENDIX

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I. INTRODUCTION

THE general health of the population continued to be good. Due to great advances in disease control, the pattern of infectious diseases is changing rapidly. No case of cholera was reported during the year and, apart from one isolated case in 1966, there has been no visitation of this disease for over 4 years. Diphtheria and poliomyelitis are under control and only 15 cases of the latter disease were reported during 1968.

2. As the incidence of other infectious diseases has declined in recent years, measles has been seen to emerge as a major cause of death in young children, due primarily to complications associated with the disease, and the disease reaching serious epidemic proportions every second winter. An anti-measles vaccination drive was launched in December 1967 and was successful in preventing the measles epidemic which was expected in the winter of 1968-69. The drive was still in progress at the end of the year under review.

3. While tuberculosis remains the major community health problem. the Colony is facing increasing problems due to diseases of later life. Deaths from cancer, diseases of the heart and cerebro-vascular lesions. were the leading causes of death followed by pneumonia and tuber- culosis.

　　　4. The Development Programme of the Medical and Health Department has been making steady progress. Altogether, there were 31 projects being planned or built for the improvement and expansion of the health and medical facilities in the urban and rural areas at the end of the year. The fifth of the five phases of the alteration programme of Queen Mary Hospital to provide more acute beds was in progress. Other works in progress were the new Lai Chi Kok Hospital, the Redevelopment of Medical Institutions at Sai Ying Pun, Tang Shiu Kin Hospital at Morrison Hill, Siu Lam Hospital for the Mentally Sub- normal, Tong Fuk Dental Clinic in South Lantau, and a new con- valescent ward block for Kowloon Hospital. Projects completed during the year were the Chai Wan Clinic and Maternity Home and an exten- sion to the Tuberculosis Laboratories at the Medical and Health Department Institute of Pathology, Sai Ying Pun.

5. There has been increasing use of the Department's services by members of the public and attendances at general out-patients and specialist out-patients clinics continued to increase. The number of patients admitted to and treated in Government hospitals has also shown an increase compared with the previous year.

6. The continuing shortage of doctors and certain other professional and technical personnel was a grave problem throughout the year, but the services continued to be satisfactorily maintained despite the difficult conditions.

7. 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 support of their medical activities. Detailed information covering all aspects of these fields is to be found in the statistical appendix to this report, the index to which is at page 58.

II. PUBLIC HEALTH

VITAL STATISTICS

(See tables 6-12)

8. The estimated mid-year population in 1968 was 3,926,500, of which approximately 85% was concentrated in the urban areas of Hong Kong Island and Kowloon. Approximately 40% of the population are under the age of 15 years and only 6% over the age of 60. The general state of health of the population continued to be satisfactorily reflected by the Colony's vital statistics. The crude death rate, at 4.9 per thousand of the population, is extremely low. Age and sex specific death rates are also low and reflect the rapid improvement of health and medical services in a young and expanding population. The birth pattern con- tinued its downward trend and the crude birth rate fell further from 23.0 in the previous year to 21.1 per thousand of population. Based on actual registration of births and deaths, there was a natural increase of 63,673, five thousand less than in the previous year.

9. The gratifying declines in infant and neonatal mortality rates which are a useful index to the trends of health conditions of the general population are illustrated in Figure 2.

FIGURE 1

AGE A SEX SPECIFIC DEATH RATES 1968

FINWEE

Infant Mortality

　　　10. The steady decline in infant mortality has been due to improve- ment in environmental conditions, development of maternal and child health services and increasing public appreciation of the value of these services in the maintenance of health amongst infants and mothers. Among the major causes of infant mortality there have been great reductions in mortality from the preventable diseases particularly bronchopneumonia, gastro-enteritis, tuberculosis and, for the first time in the year under review, measles. There has also been a steady reduction in mortality from prematurity due to improvement in the midwifery and maternal health services. As has been the experience elsewhere, con- genital malformations and other diseases of the new born are proving more intractable and mortality from these causes has, as yet, been little affected. As shown in Figure 2 Infant and Neonatal Mortality rates have remained relatively steady since 1965, with only the minor fluctuations to be expected in any community when the mortality has reached a low level.

FIGURE 2

INFANT AND NEO-NATAL MORTALITY 1954 - 1968

DEATHS PER 1000 LIVE BIRTHS

INFANT

NEO-NATAL

5.8

YEAR

Maternal Mortality

11. Here also the statistics pertaining to Hong Kong have attained the standards prevailing in the technically advanced countries of the world. During recent years great improvements in mortality have been obtained from toxaemia of pregnancy, haemorrhage and puerperal sepsis. There has been some reduction in mortality from abortion and ectopic pregnancy and deaths attributed to other diseases occurring during pregnancy or childbirth have also decreased in numbers.

General Mortality

12. 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 and patterns shown in Figure 3. Improvements in the general level of public health are demonstrated by the decline in proportionate mortality from infectious, respiratory and intestinal diseases, while the ageing of a relatively young population is reflected by the increasing mortality from diseases of the heart and circulatory system from neoplastic diseases and from diseases of the nervous system. Fifteen years ago deaths from the former disease groups comprised 59.5% of total deaths. The proportion has fallen to

28% in 1968. In the latter disease groups the proportion of deaths has risen from 15.3% to 44.2% over the same period.

FIGURE 3

MAJOR TRENDS IN MORTALITY

1954 - 1968

PERCENTAGE OF TOTAL DEATHS

257

ㄓ

. YEAR

RESPIRATORY INFECTIONS

INTESTINAL

CIRCULATORY SISTEM

NEOPLASTIC

NERVOUS SYSTEM

TH 47 *

13. The leading causes of death were cancer, diseases of the heart and cerebro-vascular accidents, followed by pneumonia, tuberculosis and all accidents. Deaths from cancer of the lung continued to increase accounting for 18.7% of all cancer deaths in the age group between 40 and 69. They accounted for 8.9% of all cancer deaths in this age group in 1953.

COMMUNICABLE DISEASES

(See tables 13-16)

　　　　14. The total number of notifications of communicable diseases during 1968 was 14,000, of which tuberculosis formed 69.9%. Satis- factory progress continued to be made in the control of diphtheria and poliomyelitis. The incidence of bacillary dysentery rose slightly for the third year in succession and the incidence of enteric fever showed little tendency to decline. Trends in the incidence of these four diseases are shown in Figure 4. The epidemic of measles which was expected in the winter of 1968-69 was prevented by the use of measles vaccine. The Colony remain free from Cholera and other quarantinable disease.

CASES REPORTED

Cholera

FIGURE 4

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1954 - 1968

2000

OPHTHEMDA

1500

BACILLARY ONSENTERY

500

ENTERIC FEVER

POLIOMYELITIS

YEAR

15. Hong Kong was last declared free from cholera infection on 5th December, 1966. Since then no further case of the disease has been reported though it continues to be prevalent in nearby countries which are in regular air and sea communication with Hong Kong. Special preventive measures were continued and strict quarantine restrictions were maintained in respect of neighbouring countries declared infected.

16. Routine sampling of nightsoil was carried out throughout the year as part of Hong Kong's anti-cholera surveillance programme. This measure now provides very useful epidemiological information about the presence or absence of infection in Hong Kong, the locality likely to be infected and the possible extent of infection. Other public health preventive measures taken routinely throughout the year included the routine bacteriological investigation of specimens sent to the Medical and Health Department pathology laboratories of cases of gastro- enteritis as well as the sampling of well water and of food stuffs liable to be involved in the transmission of the vibrio. No positive samples

were obtained from these investigations. As in previous years a mass immunization campaign against cholera was commenced in April and by the end of the year a total of 1,385,272 inoculations had been given.

Amoebiasis

17. This disease continued to occur endemically, being most prevalent in the overcrowded urban areas. A total of 117 cases were notified. The disease remained predominantly one of adult males.

Bacillary Dysentery

18. A total of 869 cases were notified, this being the third successive year in which a slight increase in the number of notifications was recorded. The disease occurs at all ages, but 37.2% of the notifications were in respect of children under the age of 5 years. Shigella flexneri and Shigella sonnei remained the predominant organisms isolated.

19. Transmissions of infection among families and in institutions is a feature of the disease and very often a number of symptomless carriers are detected among members of the same family or inmates of the same institution. In all a total of 427 carriers were discovered during investigations of reported cases. All were given appropriate treatment.

Chickenpox

20. This is a very common disease among children, 98% of the cases reported being under 15 years of age. The seasonal prevalence of the disease is in winter and spring and hence the earlier part of the year saw an increase in the number of notifications.

Diphtheria

　　　　21. As a result of annual immunization drives which have been in progress since 1959, the incidence of the disease has shown a con- tinuous and steady decline falling from 73.01 per 100,000 population in 1959 to 2.9 in 1968. The disease affects largely children and 73.4% of the cases were under the age of 10 years. The case fatality ratio in 1968 was 8.8% and death occurred primarily among the unimmunized children. Corynebacterium diphtheriae mitis remained the predominant organism isolated in clinical cases.

22. A total of 25 carriers was discovered among contacts of reported cases. Each was treated and, if necessary, isolated until proved free of infection.

Enteric Fever

23. Typhoid fever showed a slight increase in incidence during the summer months. The disease in Hong Kong is generally mild and the case fatality ratio is less than 2%. Transmission of infection is frequently associated with neglect in personal and food hygiene. As elsewhere the peak incidence occurred in children of school age and young adolescents. Free inoculation was offered and the usual preventive measures en- forced with special attention to environmental and food hygiene and the control of food premises.

Malaria

24. The incidence of malaria showed a notable reduction during the year, only 17 fresh cases of infection being reported and the disease being restricted mainly to the Tai Po Area of the New Territories. Of the 3 fresh cases reported from the urban areas, 2 were due to blood transfusion while in the remaining case the infection was probably con- tracted in the New Territories where the affected person had recently stayed. Plasmodium vivax remained the predominant parasite responsi- ble for infection.

Measles

25. As shown in Figure 5, measles in Hong Kong has shown a distinct biennial pattern with exacerbation of the disease every alternate winter and spring. The last epidemic occurred in the winter months of 1966-67 and reached its peak in the first three months of 1967. There- after the incidence of the disease began to decline and the disease has since remained at a low ebb.

26. At the end of December, 1967, measles vaccine was made available at all Government Maternal and Child Health Centres to children aged between 6 and 48 months, the reason for the selection of this age group being that the disease in Hong Kong affects predom- inantly children under the age of 4 years and that in this age group there is a high mortality associated with the disease, the mortality being due mainly to complications, particularly broncho-pneumonia, develop- ing as a result of delay in seeking medical attention. In the summer of 1968, the vaccine was also made available to the public through mobile clinics visiting resettlement estates, tenement areas, New Terri- tories villages, and other areas. At the end of the year a total of 83,107 children had been vaccinated and, although coverage was little more. than 50% of all those infants and children in the 6 months to 4 years

　　　age group likely not to have had measles and to be susceptible to it, the outbreak of measles expected in the winter of 1968-69 did not occur. The measles vaccination drive was still in progress at the end of the year.

NOTE (CATIONEJ DEATHS

1500

FIGURE S

MONTHLY MEASLES NOTIFICATIONS & DEATHS JANUARY 1960 - MARCH 1969

NOTIFICATION

DEATH

TEAR

Poliomyelitis

27. Fifteen cases of poliomyelitis were reported during the year, as compared with 5 cases in 1967. The rise in the number of cases reported is not considered to be significant. Variations in incidence must be expected when it reaches a low level and the disease continues to be satisfactorily controlled. The success in the control of the disease has been due to the continuing vaccination programme, consisting of giving one dose of Type 1 polio-vaccine, soon after birth, followed by 2 doses of 'balanced' trivalent vaccine at three and five months of age. Approxi- mately 77% of infants received one dose of Type 1 polio-vaccine soon after birth and 64% of children 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.

28. Virological investigation of the disease is maintained on a routine and year-round basis. A poliomyelitis faecal survey in normal children aged under 5 years was carried out in June and July. No excretion of 'wild' poliovirus was found. Vaccine strains of poliovirus were found in 1.5% of the children.

Influenza

29. The notification of influenza is entirely voluntary. The Virus Laboratory continued to function as a World Health Organization National Influenza Centre and virological investigations of throat swabbings and throat washings are continued on a year-round basis.

30. An outbreak of influenza was observed in the period between 9th July and 12th August with maximum intensity in the latter part of July. The disease, though clinically mild, was widespread in the com- munity involving people of all age groups. As far as could be determined some 10% of the population was affected but the case fatality ratio was very low indeed. The strain of virus isolated and responsible for the outbreak was identified as a strain of influenza virus Type A2 showing a considerable antigenic shift from strains of this virus occuring in recent years. The identification was subsequently confirmed by the World Health Organization International Influenza Centre and the strain named as A2/Hong Kong/1968. In the autumn, winter and spring of 1968-69 it caused outbreaks of influenza, popularly called 'Hong Kong 'flu' in various parts of the world. There is no reliable evidence that the strain actually originated in Hong Kong though it was of course first isolated here. No evidence of this strain has been found among local residents since September, 1968.

Tetanus

31. This disease, although not notifiable, is recorded with reasonable accuracy owing to the severity of the symptoms requiring hospitalization of clinical cases. In past years, approximately half the cases reported were in new-borns whose birth had not been attended by trained personnel and who had been exposed to various hazards from unsterile materials. In 1968 tetanus neonatorum was responsible for only 17% of the recorded cases and infant mortality from such infection fell from 1.2 deaths per 1,000 in 1951 to 0.036 deaths in 1968.

Viral Hepatitis

32. Notification of this disease is not compulsory, but the number of patients treated for it in hospital had shown a steady decline since

1966, when there were 386 cases treated as compared with 218 in 1967 and 191 in the year under review. Since August, 1966, disposable syringes have been used in all mass immunization drives and it would appear that their use has led to a reduction in the incidence of this disease.

33. Developments in certain other communicable diseases will be reviewed later in this report, while the remainder showed little varia- tion during 1968 and hence require no comment.

III. WORK OF THE HEALTH DIVISION

AREA HEALTH WORK

34. Much of the work of the area Health Officers, apart from their duties with the Urban Services Department in the maintenance of satisfactory standards in environmental sanitation and food hygiene, has been recounted in the preceding paragraphs on Epidemiology. Such work included not only the field investigations into the major communicable diseases but also the co-ordination of the activities of teams of inocu- lators participating in prophylactic immunization drives. Five such drives were staged during the year and reference has already been made to four, namely, cholera, poliomyelitis, diphtheria and measles. The fifth, promoting smallpox vaccination, was held in February, 1969. The increasing importance of Hong Kong in international travel by sea and air and the prevalence of smallpox in nearby countries underline the need to maintain a high level of community protection against the disease.

TUBERCULOSIS

(Sec tables 17-23)

35. As stated previously, tuberculosis is the major health problem of Hong Kong. The policy for control of the disease has been to protect, by vaccination with B.C.G., the new borns, who are particularly vulner- able to the fulminating forms of the disease, and the primary school entrants who may develope active disease later in life. For actual cases of the disease, it has now been shown that in a large proportion of cases out-patient therapy is at least as good as institutional treatment. The not inconsiderable institutional resources are reserved for those not responding to out-patient therapy, for acutely ill cases, for those where the diagnosis is in doubt and for those in need of surgical intervention. In the execution of this policy there has been a high degree of co- operation between Government and voluntary agencies concerned with

the problem, particularly the Hong Kong Anti-tuberculosis and Thoracic Diseases Association, The Government Chest Service main- tains the B.C.G. vaccination and out-patient treatment programmes while the voluntary agencies, aided by substantial Government sub- ventions, maintain most of the hospitals.

36. To keep pace with the rapid changes which are occuring in the fields of treatment and prevention of tuberculosis, close liaison has been maintained with agencies outside the Colony. The treatment policy study which was started in March, 1967, in conjunction with the Medical Research Council of the United Kingdom has progressed in a most satisfactory manner and by the end of the year under review, when the study closed, 619 patients had been admitted to it. Preliminary results are now becoming available and the study should be most valu- able in the planning of future treatment policies.

37. Consequent to the assignment of a bio-statistician by the World Health Organization to the Chest Service the production of statistical material has been re-organized and is now on a very sound footing. Following upon this re-organization there has been fluctuation in certain important statistics. This fluctuation is, however, of a temporary nature and should not recur in the future.

38. During the year a very considerable amount of laboratory work was carried out in preparation for a joint study with the World Health Organization of the most efficacious method of administering B.C.G. in the circumstances of Hong Kong.

Case finding

39. In the past the large number of patients attending the Chest Clinics made large-scale case-finding undesirable. With improved facilities and the decrease in the number of patients case-finding has come to play an increasingly important role. Emphasis being placed on symptom-motivated patients and health education techniques are being used to ensure a proper understanding of the disease.

Mortality and Morbidity

40. During the year the number of deaths fell slightly, this fall being most marked in those under 50 years of age. The great majority of deaths continued to occur in elderly males who had been suffering from tuberculosis for many years and who died of its sequelae rather than from active tuberculosis. The average age of death rose to 56.5 years. Tuberculosis mortality by age and sex is shown in Figure 6.

見

FIGURE 6

TUBERCULOSIS MORTALITY BY AGE & SEX

1956 - 1958 & 1966 - 1968

42804

ke 17 N

DELINE PER HIDDE

HALE HO

AL-

FEMALE

GROUP

HER-1944

41. Notifications fell sharply and the notification rate at 249.4 per 100,000 of the population is by far the lowest recorded in recent years. Part of this fall was due to a tightening up of the notification system, to the elimination of double notification and to there now being well- defined criteria for the notification of tuberculosis. Figure 7 shows the changes which have taken place in age and sex specific notification rates. There have been marked reductions in the incidence of the disease during childhood. There has been little change in the vulnerability of adoles- cents and there has been some reduction in the incidence of the disease amongst middle-aged adults. The high susceptibility of males, except in childhood, corresponds with the pattern recorded elsewhere in the world.

Work of the Government Chest Service

42. The Government Chest Clinics provide ambulatory chemothera- py services for the great majority of cases of tuberculosis, hospital admission being reserved for emergencies, cases requiring investigation. and those requiring second-line drugs or surgical intervention. Increas- ing attention is being paid to the public health aspects of tuberculosis. 75 Health Auxiliaries whose main duties consist of contact tracing and

FIGURE 7

TUBERCULOSIS NOTIFICATIONS BY AGE & SEX

1956 - 1958 & 1966 - 1968

ANDRA MAN KAN SHOULDER

MALE ESI-1860

ACC

H K

home visiting are attached to the Chest Service. These Health Auxiliaries are supervised by one Health Sister and six Health Visitors. Newly diagnosed cases of tuberculosis have all aspects of the disease thoroughly explained to them by Health Visitors and receive explanatory leaflets. Regular attendance for out-patient chemotherapy is regarded as being of paramount importance and considerable emphasis is placed on the follow-up of defaulters and on ensuring that contacts are examined. The clinics also provide medical social work, contact tracing and supervisory services, and undertake surveys of selected groups such as Government employees and prisoners, in co-operation with the Radio- logical Service. In other cases a regular financial grant can be made where the family depend on the patient's earnings and no other way can be found to maintain the dependants during his hospitalization.

43. During the year there were 1,339,301 attendances at Government Chest Clinics. This figures has remained very stable over the past 6 years although it represents a drop from the high figure recorded in 1961, namely, 2,204,058. At the end of 1968, there were 3,435 cases on daily Streptomycin/PAS/INAH, 10,707 cases on PAS/INAH tablets and 1,219 on second-line drugs.

44. 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 of the United Kingdom. The results of these investigations indicate that the level of drug resistance in Hong Kong is possibly the highest in the world, 40% of the organizms investigated showing resistance to one or more of the first-line drugs commonly used in ambulatory chemotherapy.

The B.C.G. Campaign

45. In Hong Kong with its density of population and comparatively high prevalence of tuberculosis B.C.G. has a vital role to play in the prevention of the disease. The B.C.G. Campaign is directed towards two main age groups, the new-borns and the school entrants aged about 6-7 years. During the year 94% of new-borns were given B.C.G.. Bearing it in mind that the remaining 6% usually have some contra-indication to B.C.G., for example pre-maturity, this represents an almost 100% coverage of eligible babies, perhaps the highest coverage in the world. The decline in infant mortality from tuberculosis which has resulted is shown in Figure 8.

FIGURE &

TUBERCULOSIS MORTALITY & B.C.G, VACCINATION OF NEW-BORNS 1954-1968 (MORTALITY RATES EXPRESSED AS PERCENTAGE OF 1954 RATES)

¿PERCENTAGE

મ

胡

BCG VACCINATION OF ALL NEW- BORNS IN INSTITUTIONS

57 50

18. MORTALITY

ALL AGES

(T.BUMORTALITY, INFANT

YEAR

46. For school entrants there are 10 inoculators divided into 5 teams engaged in tuberculin testing and the administration of B.C.G. It takes approximately two years for all schools to be covered.

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

SOCIAL HYGIENE SERVICE

(See tables 25-29)

48. The incidence of early infectious syphilis was almost the same as in the previous year while the number of latent syphilitic cases was 21% higher. This increase was due mainly to a high incidence of early infectious syphilis in the period 1960-64. The incidence of gonorrhoea was about the same as in the previous year. It is encouraging to note that the incidence of syphilis 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 9 to 11.

FIGURE 9

SYPHILIS 1959 - 1968

£3575

TOTAL

CNCIDÈNCE AE

CASER

INCIDENCE RATE PER 1990 Pongation, USED IS LOVER

FIGURE 10

INFECTIOUS SYPHILIS 1959

启

TOTAL CASES

100

ม

1968

INCIDENCE RATE

CASES

帕

YEAR

EFT:

HODENCE RATE PER KIDDOD POPULATION. ADED 15 & OVER

FIGURE 11

GONORRHOEA 1959 - 1968

TOME CASES

***

TEXA

INDENCE AVE PIL. IN DE PORLARDA KOER KA DHEA

49. Case finding continued at a high level, particularly in antenatal cases where an initial positive serology rate of 1.7% was observed. Of the 296 cases referred from antenatal clinics only 205, i.e. 69% were actually suffering from syphilis. Contact tracing particularly of infectious syphilis was continued.

Leprosy

50. New cases of leprosy treated numbered 160, representing a rate of 4.0 per 100,000 of the population. Tuberculoid manifestations pre- dominated, comprising 59% of all cases. Of the infectious cases, 53 were admitted to the Hay Ling Chau Leprosarium maintained by the Leprosy Mission--Hong Kong Auxiliary, with which the Social Hygiene Service maintains close liaison.

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

Dermatology

52. There was a high incidence of contact dermatitis, eczema, neurodermatitis and tinea. The incidence of skin cancers was very low. A clinical study of cases of tuberculosis of the skin and fungus diseases was undertaken. The result revealed that in Hong Kong cases show several features of epidemiological and clinical interest. A new fungus was isolated in the Social Hygiene Laboratory.

PORT HEALTH

(See table 30)

53. The Port Health Administration continued its routine duties in respect of prevention of the introduction of quarantinable infectious diseases, the sanitary control of ports of entry, the provisions of facilities as required by the International Sanitary Regulations and a regular exchange of epidemiological information with the World Health Organization as well as with ports and airports in other countries.

54. With the increasing importance of Hong Kong as a tourist and an international transit centre, the work of the Service has gradually increased during recent years. The increase of shipping entering the port has resulted in an extension of the quarantine service to give a full

24-hour daily cover. This service also pays special attention to travellers to nearby ports of Macau and Kwangtung province and to vessels from plague infected regions.

DISTRICT MIDWIFERY SERVICE

(See table 31)

55. Over 99% of births took place in institutions, either hospitals or maternity homes. Of these approximately 20% were in maternity centres attached to Government clinics and 25.8% were attended by midwives in private practice, while the remainder took place in Government. Government-subsidized and private hospitals.

56. 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. The maternity home in Sha Tau Kok Clinic has been suspended since June 1967. Maternity cases in the area are delivered in Shek Wu Hui Jockey Club Clinic. The Chai Wan Maternity Home with 26 beds was opened in December 1968. Thus 26 additional maternity beds were added to this service.

MATERNAL AND CHILD HEALTH SERVICE

(See tables 32-33)

57. There is increasing public appreciation of the value of these services in the maintenance of health amongst infants and expectant and nursing mothers, and 84.4% of children born attended a centre on at least one occasion. The corresponding figure for 1967 was 78.8%. Total attendances of children aged 0-5 years showed an increase of 12.46% as compared with 1967. Approximately 1% of the new attend- ances at Infant Welfare Centres were found to have abnormalities. Of these the majority were either congenital defects or the effects of pre- maturity. A further encouraging trend is the increasing appreciation by expectant mothers of the need for regular antenatal care as reflected in increasing attendances at antenatal sessions and the low maternal mortality rate.

58. The subsidiary maternal and child health centre in Sham Shui Po Dispensary was permanently suspended because three full-time centres are in operation in the area. The Chai Wan Centre was transferred to the new clinic and maternity home in December, 1968.

SCHOOL HEALTH SERVICE

59. 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 under the direction of Area Health Officers. The Government Chest Service is responsible for B.C.G. vaccination in schools.

SCHOOL MEDICAL SERVICES BOARD

(See table 34)

60. The School Medical Service is administered by the School Medical Service Board, an independent 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.

61. On 31st March, 1969 the number of pupils participating was 41,037 from 645 schools, compared with 46,744 pupils from 637 schools on the same date in the previous year. Doctors participating in the scheme numbered 201 compared with 218 in the previous year.

DENTAL SERVICE

(See table 35)

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

63. Fluoridation of the Colony's urban water supplies began in 1961. The rate of enrichment was formerly at two levels, being 0.7 parts of fluoride per million in summer and 0.9 parts per million during winter. In May 1967 the concentration was increased to a constant level of 1 part per million throughout the year. This level is to be maintained in future and is the result of a decision arrived at after consideration of more recent work on the study of optimum fluoride levels for com- munity water supplies. The cost of this operation is now estimated at about nine cents per person receiving fluoridated water per annum.

Dental health education plays an important part in combating dental disease in the Colony and the Dental Service continued to take advantage of major educational exhibitions to distribute information and advice on the maintenance of dental health.

64. Although no training in dentistry is undertaken in Hong Kong, a programme of overseas training is maintained by Government and during the year two scholarships were awarded to students for study in the University of Sydney in Australia. 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. One dental surgery assistant was under training for dental nursing in Penang, Malaysia, under a World Health Organization Fellowship.

FORENSIC PATHOLOGY

(See table 36)

65. The Forensic Pathology Service consists of a main laboratory in Police Headquarters, Hong Kong, and another laboratory in the Mong Kok Police Station, Kowloon. It dealt mainly with medico-legal work in close association with the Royal Hong Kong Police Force. Although the administration of the public mortuaries at Victoria and Kowloon is in the hands of the Government Institute of Pathology, homicidal deaths and deaths from suspicious circumstances still remain in the hands of the Forensic Pathologists.

GOVERNMENT LABORATORY

(See table 40)

　　　　66. The laboratory was kept very busy throughout the year and some 31,012 items (seizures, exhibits, specimens and samples) were received for examination. This is a record total for any one year since the laboratory's inception.

67. The Forensic Division was again the busiest and towards the end of this year more than two-thirds of the staff were engaged in this aspect of the work. Changes in the law on dangerous drugs placed a considerable strain on resources. The examination of a large number of questioned documents was a feature of forensic work and during the year officers of the Division were called out on many occasions to scenes of crime.

68. Some 24 tons of silver were certified in the Commerce and Industry Division. The quantity of gold products examined was far in excess of the figure for the previous year. The Division continued its regular protection work resulting in considerable savings to Government.

69. Plans were approved for alterations and extensions to the existing laboratory and designs submitted for a new Forensic and Narcotics Laboratory at Police Headquarters, Hong Kong.

GOVERNMENT INSTITUTE OF PATHOLOGY

(See tables 37-40)

70. The total number of examinations for the year under review exceeded that of the previous year by 155,706, indicating an increase of about 10%. The increase was mainly in the Haematology, Serology, Blood Bank and Bacteriology sections.

71. Due to the increasing amount of work the Institute of Pathology, Sai Ying Pun, underwent alterations so as to extend the tuberculosis and public health sections. The alteration work was completed in September, 1968.

Morbid Anatomy and Histology

72. A total of 1,898 post-mortem examinations were carried out during the year, of which 486 had medico-legal implications. The brains of 38 dogs were examined for the presence of Negri bodies (indicating death from rabies) but no positive findings were obtained. Over 3,000 specimens of sputum, and pleural and other fluids, were received for cytological examination of which 83 showed evidence of malignant disease. Over 15,000 biopsy specimens were examined in order to determine the histo-pathological diagnosis. Of these slightly over 4,000 were benign or malignant tumours.

Haematology and Serology and Blood Bank

73. Slightly more than 285,000 haematology specimens were ex- amined, the most common examinations being haemoglobin estimations, total and deferential white cell counts, blood slide examinations and blood grouping. Over 135,000 serology tests were performed, the most common being the V.D.R.L. floculation slide test for syphilis. In the blood banks 23,070 pints of blood were received during the year, 22,033 pints of which was from the blood collecting centres of the Hong Kong Red Cross Society. A total of over 15,000 examinations of blood were carried out in the blood banks,

Chemical Pathology

74. Some 277,000 specimens were examined. The most common being various quantitive examinations upon blood, which accounted for over 200,000 of the examinations.

Bacteriology

75. Over 457,000 bacteriological examinations were carried out. Samples of nightsoil, well water and imported food from endemic areas were routinely examined throughout the year for cholera vibrios. There was no positive isolated and no clinical cases were detected. The isolation of non-cholera vibrios in nightsoil samples presented opportuni. ties for further work on identification and typing. The use of nitrate blood agar and coagulated serum agar as selective media for the growth of these vibrios has been of value. The emergence of multiple drug resistant strains of Shigella organisms received further study. In the food section new tests were developed to comply with the health regulations of importing countries.

　　　　76. Apart from routine bacteriological diagnosis of tuberculosis, the tuberculosis laboratory was involved in anti-tuberculosis drug sensitivity tests in conjunction with the Medical Research Council of the United Kingdom. In this connexion the slide culture technique initiated by a member of the Medical Research Council in this laboratory for rapid testing of anti-tuberculosis drug sensitivity is progressing satisfactory,

Virology

77. The Government Virus Unit continued diagnostic examination for virus infections and surveys in connection with poliomyelitis. Other projects included studies of respiratory virus infections and follow-up of post-vaccinal measles antibody.

78. Laboratory evidence of poliovirus infection was obtained in 14 suspected cases of poliomyelitis, 13 of which were type 1 and one type 2 infections. The incidence was higher than in 1967 but much lower than the incidences observed in the period 1960-66. Two poliomyelitis faecal surveys in normal children were carried out in June and December respectively. "Wild' poliovirus was not detected in either survey and despite the increased incidence of poliomyelitis during the year there was no evidence of dissemination of the 'wild' poliovirus with the community.

79. The laboratory continued to function as a World Health Organization National Influenza Centre. A large outbreak of influenza was recorded in the period between 9th July and 12th August reaching maximum intensity in the latter part of July. The etiological agent was found to be a new antigenic variant of the A2 sub-type of influenza virus. It has been designated as the A2/Hong Kong/1968 strain and has spread to many parts of the world.

80. Other viruses found in association with sporadic cases of respiratory infections were the respiratory syncytial virus, para-influenza viruses type 2 and type 3. adenovirus types 3 and 7, and Coxsackie virus type B5. Other virus diseases of medical interest were a case of Japanese B encephalitis occuring in August and confirmed serologically, a case of a newborn infant presenting with spleno-hepatomegaly and jaundice and found to be suffering from cytomegalovirus infection, the virus being isolated from the urine, and a case of kerato-conjunctivitis in which adenovirus type 8 was detected.

81. The follow-up study of post-vaccinal measles antibody was con- tinued in children who received the Beckenham 31 or Schwartz live attenuated measles vaccine in 1966. These children were found to possess a satisfactory level of neutralizing antibody which remained stable after an initial fall in the first year after vaccination. It was con- cluded that the immunity conferred by both vaccines may be expected to remain effective for a further period.

82. In 1968, 220,900 doses of tri-valent polio-vaccine and 102,600 doses of mono-valent type 1 polio-vaccine were issued by the laboratory.

INDUSTRIAL HEALTH

(See table 42)

83. The health of workers in factories and the other industrial undertakings 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 and Health Department, is responsible for advising the Commissioner on all matters affecting the health and welfare of industrial workers. Its principal functions are to prevent occupational diseases and to promote health at work. The inspection of industrial undertakings by medical officers of the Division in company with the factory inspectorate, the monitoring

　　　of the working environment by the laboratory staff, and the medical surveillance of notified occupational diseases are the principal ways in which these functions are carried out.

　　　　84. Environmental surveys included the measurement of silica dust in quarries, and of the concentrations in the air of, amongst many, lead, manganese, solvents, and sulphur dioxide, and the investigation of standards of thermal comfort, ventilation, noise and lighting.

　　　　85. The Workmen's Compensation Section is now part of the Industrial Health Division and this has resulted in improved co- ordination.

　　　　86. Under the Factories and Industrial Undertakings (First Aid in Registrable Workplaces) Regulations, 1968, statutory requirements were made that first aid boxes be provided and that, where there are more than 100 employees, trained first aid workers must be available at all times. At the end of the year a survey was being undertaken on medical facilities in factories.

87. Monitoring of air pollutants continued and in May a Smoke Abatement Advisor was appointed to the Labour Department. This officer will take charge of the air-pollution control unit which will have, as its primary responsibility, the enforcement of the provisions of the Clear Air Ordinance.

　　　　88. Professional and technical staff of the Division gave a series of lectures to officers of the factory inspectorate under training, to medical students at the University of Hong Kong and to student health auxiliaries.

89. Industrial Medical Officers participated in Medical Boards held under the Workmen's Compensation Ordinance for the medical assess- ment of injured workers. Health visitors and nurses carried out case work and visited homes as well as providing an advisory service at the casualty departments of major hospitals.

HEALTH EDUCATION

90. A better appreciation by the Colony's population of the basic principles of personal and environmental hygiene and the prevention of disease continued to be the main health objective. A very wide field was covered by many branches of the Medical and Health Department and the co-operation of all voluntary agencies interested in such topics

was actively sought. During the year the Department co-operated in a number of exhibitions, notably the Chinese Manufacturers Association's Exhibition in December and January, by producing displays on various aspects of its work.

IV. WORK OF THE MEDICAL DIVISION

(See tables 44-47)

91. At the end of 1968, there was total of 13,925 beds available in all hospitals in Hong Kong excluding those hospitals maintained by Her Majesty's Armed Forces; in addition there were 526 beds in Government Maternity Homes and 448 beds in private maternity and nursing homes. The total 14,899 beds represented 3.8 beds per thousand of the popula tion. The figures quoted are based on the normal bed capacities of hospitals, but in some cases the actual bed occupancy is much higher as camp beds are used whenever the need arises. Development over the past 10 years is illustrated in Figure 12 and it will be noted that the bed provision in 1968 represents an increase of 93% over the bed provision in 1959.

75 000

5038 771450H

FIGURE 12

HOSPITAL BEDS 1959-1968

KOTAL

YEAR

QUEEN MARY HOSPITAL

(See table 48)

92. This hospital built in 1937 is the main acute and specialist centre for Hong Kong Island and is also the University teaching hospital for the Medical Faculty of the University of Hong Kong. Clinical supervi- sion is provided partly by the University Clinical Departments and partly by Government Specialist Units.

　　　　93. Work on the alterations to the hospital continued throughout the year and, by the beginning of 1969, the bed capacity had been increased to 980 and the use of camp beds discontinued. By the end of the year under review the alterations to all of the public wards of the hospital were complete and the wards were commissioned and in use. Work on the alterations to the private wards continues so as to provide a total of approximately 1,080 beds by the end of 1969 and to set up an intensive care unit, an acute psychiatric ward and a new maternity unit to improve the facilities of the hospital as a teaching and specialized institution.

QUEEN ELIZABETH HOSPITAL

(See tables 49-50)

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

　　　　95. During its fifth year of operation attendances at the casualty department rose by 11% compared with the previous year. Of these attendances 27% were due to trauma, the main causes being in order of frequency, domestic, industrial and assault cases. 31% of all the cases seen in the casualty department required immediate admission to hospital and 5.2% were referred for admission to other hospitals such as Kwong Wah Hospital and Lai Chi Kok Hospital (Please see para- graph 152 below for details of operation of the casualty department of the Kwong Wah Hospital). The average time spent in the hospital by each in-patient was 7.6 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. The pressure of admission neces- sitated increasing the bed state to 1,523.

KOWLOON HOSPITAL

96. This hospital at present has 500 beds and an additional block of 600 beds had its sub-structure completed in November 1968. At the end of the year construction of the super-structure was in hand and it is expected that the block will be completed in the early summer of 1970. 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 treatment. It will also contain an acute psychiatric ward and a paraplegic unit.

97. The pulmonary tuberculosis unit and the thoracic surgical unit in the hospital now have a total of 171 beds. Apart from treating patients suffering tuberculosis the work of these two units includes also other aspects of thoracic surgery and non-tuberculous disease.

TSAN YUK HOSPITAL

(See table 51)

98. This hospital, under the clinical supervision of the Professor of Obstetrics and Gynaecology of the University of Hong Kong, is the main specialist obstetric hospital in Hong Kong. It has 241 beds and is the teaching centre in obstetrics for medical undergraduates and the training school for midwives.

99. About 92% of admissions were booked cases. These were mainly primigravidae, grand multiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from Government Maternity Homes. There were 5,856 deliveries with no maternal deaths.

MENTAL HEALTH SERVICE

Castle Peak Hospital (See table 52)

100. This hospital of 1,242 beds was required to accommodate 1,570 patients at the end of the year. This is the only hospital in the Colony for the full time care of psychiatric patients.

101. Continued efforts to turn the hospital into a modern therapeutic community has resulted in a judicious liberalization of control over

　　patients. Except for two closed wards for patients involved in Court proceedings, 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 being convalescent and receiving intensive atten- tion to prepare them for discharge. Some patients travel daily to Tsuen Wan and San Hui to work in factories for a short period of rehabilita- tion prior to final discharge and many are given permission to go freely within the hospital.

102. Much reliance was placed 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.

103. 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 especially 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 found employ- ment while still in hospital. They were later discharged for full time employment. Planning continued for another mental hospital which will be sited at Lai Chi Kok.

　　　104. The first Annual Sports Day for patients and staff was held successfully during the year.

Psychiatric Centres (See table 53)

105. The Yau Ma Tei Psychiatric Centre provides treatment for both out, and day-patients including follow-up cases from Castle Peak Hospital. Its facilities include a Child Psychiatric Unit. The Day Hospital was found most useful for treating psychoneurotics and disturbed adolescents and children. On Hong Kong Island the Hong Kong Psychiatric Centre, which is also the Headquarters of the Mental Health Service, continued to see out- and day-patients, follow-up cases from Castle Peak Hospital and forensic cases. In addition to these centres, psychiatric services were provided for the Psychiatric Observa- tion Unit in Victoria Remand Prison and for the Lai Chi Kok Female Prison.

New Life Psychiatric Rehabilitation Association

106. This Association, with the close co-operation of the Mental Health Service, operates the New Life Rehabilitation Farm adjacent to Castle Peak Hospital for the benefit of patients requiring a period of orientation before returning to full social and economic activity in the community. The Association also owns a 'Half-way House' in Hung Hom-a hostel where selected discharged patients from Castle Peak Hospital spend a transitional period before returning to normal society.

Drug Addiction

107. An attempt has been made by the Psychiatric Social Work Unit of the Drug Addiction Section of the Mental Health Service to follow-up the voluntary patients who were wholly treated in the former Castle Peak Drug Addiction Treatment Centre before the opening of the Shek Kwu Chau Centre. These patients have remained in close contact with the Medical Social Worker of the Castle Peak Centre and have organized themselves into an informal social and recreational group so that it was possible to know with considerable accuracy whether or not they had relapsed. The total number followed-up was 314. A pamphlet outlining the scientific basis of assessing the effectiveness of treatment and the results of follow-up of this group of patients has been printed for general information,

INFECTIOUS DISEASES HOSPITALS

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

109. The general pattern of admissions followed the trend experi- enced in previous years. There was a further reduction in the number of admissions for diphtheria and a slight increase for poliomyelitis.

110. Typhoid admissions showed a definite decrease compared with previous years. The disease occurred mainly amongst children and adolescence and was often extremely mild. Measles showed a welcome drop both in incidence and mortality. However, as in previous years, children continued to be admitted in the terminal stages of post-measles broncho-pneumonia.

OTHER GOVERNMENT HOSPITALS

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

OUT-PATIENT SERVICES

(See tables 54-56)

　　　112. Pressure remained heavy throughout the year on all 43 general out-patient clinics and also on most specialized ones. Trends during the past 10 years are shown in Figure 13.

FIGURE 13

OUT-PATIENT ATTENDANCES 1959 - 1968

TOTAL

ATTENDANCES

NO, OF ATTENDANCES IN MILLIONS

NEW

ATTENDANCES

6.1

YEAR

113. New facilities which became available during the year are detailed in paragraphs 171 to 172 of this report.

114. In addition to general out-patient services, regular out-patient sessions were maintained at a number of clinics by staff of specialized units. Evening and public holiday out-patient sessions continued to be held at nine 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' while the 'flying doctor' service to more isolated and inaccessible villages was maintained.

SPECIALIST SERVICES

115. There are Government Specialist Clinical Units in medicine, surgery, obstetrics and gynaecology, anaesthesiology, dentistry, neuro- surgery, ophthalmology, orthopaedic surgery, otorhinolaryngology, pa- tbology, 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 Special- ists 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 57-58)

116. The Medical Department Institute of Radiology operates a service consisting of Radiodiagnosis, Radiotherapy, including the use of radioisotopes in the diagnosis and treatment of certain diseases, Radiation Physics and Clinical Photography. It serves mainly Govern- ment institutions but free consultant services are available to the Tung Wah Group of Hospitals and to the Pok Oi Hospital in the New Territories and such services are also available to medical practitioners. in private practice. The Institute maintains a radiation monitoring and protection service for the Colony, undertakes the teaching of medical students of the University of Hong Kong in the fundamentals of radio- diagnosis and radiotherapy and operates a Colony-wide Cancer Registry.

117. With the enactment of regulations under the Radiation Ordin- ance on 1st October, 1965, a programme of inspection of premises, including hospitals where irradiating apparatus and radioactive sub- stances are used by registered medical and dental practitioners outside

　　Government Service for medical purposes, was commenced. A number of factories employing irradiating apparatus or radioactive sub- stances for industrial use are also visited. This programme of visits continued throughout the year under review, advice on the improvement of radiation protection facilities being given where required, and sub- sequent visits being paid to ensure that improvements suggested have been carried out. In May 1968, the Institute commenced a co-operative research programme with the International Agency for Research on Cancer, Lyons, France, on the possible role of virus in the development of nasopharyngeal carcinoma. The cost of this research is being borne by the International Agency through the Hong Kong Anti-Cancer Society. The research programme continues.

OPHTHALMOLOGY

(See tables 59-60)

　　　118. This service maintains three full-time centres with surgical facilities, and in addition holds regular sessions at out-patient clinics in urban and rural areas. 54% of the major operations were performed on an out-patient basis, and increased availability of beds enabled waiting lists to remain at almost negligible proportions.

　　　119. During the year, the number of persons first registered as blind fell further from 345 in the previous year to 279, including 15 under the age of 15 years. Following successful operations, some 32 patients were removed from the register.

　　　120. 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 cateract and glaucoma have replaced keratomalacia as the predominant causes, and, amongst children, the main cause of blindness is congenital defect, while blindness due to keratomalacia is now comparatively rare.

PHARMACEUTICAL SERVICE

(See table 61)

121. This service is concerned with the enforcement of the Ordin- ances dealing with Dangerous Drugs, Pharmacy and Poisons, and Antibiotics as well as the control, manufacture and supply of drugs and the supply of dressings, medical and surgical instruments and sundries to hospitals, clinics, health centres and other units of the

Department. Two main depots, one in Hong Kong Island and one in Kowloon, manufacture and distribute some 250 different types of pharmaceutical products to these institutions. In the two largest hospitals sterile preparation units supply all the hospital departments with their requirements of all intravenous fluids and with an extensive range of injections.

122. Central sterile supply departments are maintained at Queen Mary Hospital on Hong Kong Island and at Queen Elizabeth Hospital in Kowloon. These are gradually being extended to include the sterile requirements of other hospitals.

MEDICAL SOCIAL WORK

123. The expansion of the medical services and the increasing emphasis or rehabilitation in its various aspects continued to make heavy demands on the services of medical social workers. In the Tuber- culosis Service, the development by Health Visitors of the work concerned with public health and preventive aspects of this disease has enabled the Medical Social Workers, working on a referral and selection basis, to concentrate more on the purely social work angles; more time can be spent by Medical Social Workers in hospitals, and the stationing of Medical Social Workers at the Grantham Hospital and at the Ruttonjee Sanatorium has proved successful.

124. Work at the Kowloon Jockey Club Rehabilitation Centre has remained at a high level. The backlog of handicapped children awaiting admission to school has created a problem, and a valuable service has been provided by the Heep Hong Club in which handicapped children are encouraged to participate in group recreational and educational activities.

125. Medical Social Workers in the hospitals have continued to work with patients and families throughout the period of hospitaliza- tion towards the ultimate goal of discharging them back into the community. Severe residual disabilities, particularly in such conditions as paraplegia and hemiplegia, pose serious problems.

126. In the Mental Health Service, the demand for fully-trained Psychiatric Social Workers and the scope of work at Castle Peak Hospital remained wide. Social Work is carried out on a referral basis and the follow-up discharged drug addicts from Castle Peak Hospital was continued.

　　　127. In the Leprosy Service, methods of rehabilitation remains the same and co-operation with the Hay Ling Chau Leprosarium was maintained. The housing of leprosy patients and the employment of cured persons remained important problems. In the fields of venereal diseases and dermatology, long interviews with patients were needed to release tensions and uncover hidden anxieties which play an important part in some dermatological conditions. In other specialist sections such as ophthalmology, the Medical Social Workers worked on the referral system, and constantly pruned their activities in order to obtain the best possible results.

　　　128. In staff training two Medical Social Workers left for overseas training during the year. In staff training locally, full use has been made of Extra-Mural Courses, several of which have been designed especially for social workers. Medical Social Workers continued to give lectures in the course of training of nurses, physiotherapists and medical students, and all possible assistance was given to the two universities in the training of social work students.

PHYSIOTHERAPY

(See table 62)

　　　129. Demand for physiotherapy services continued to rise, and there was increasing concentration on education and training of the handi- capped in re-adapting themselves to day-to-day activities. The physio- therapy services were extended during the year under review to treating patients at the Sandy Bay Children's Orthopaedic Hospital and Con- valescent Home, leprosy patients attending at special leprosy clinics and a proportion of those patients attending the World Rehabilitation Fund Day Centre at Kwun Tong.

　　　130. The physiotherapy training school had 23 students under training at the end of the year under review. During the year 11 students qualified. A 3-year course of training was approved for students at the school.

OCCUPATIONAL THERAPY

(See table 63)

131. Owing to the pressure on the acute hospitals and to the resulting short patient-stay, the main energies of the Occupational Therapy Service were 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 the recruitment of trained staff.

132. At Castle Peak Hospital the department continued to provide a diverse programme of treatment covering work, recreation and group social activities for a daily average of 950 patients. Visits were made by small groups of patients to neighbouring villages accompanied by members of the staff in civilian dress for the purpose of attempting to bridge the gap between hospital and community. Industrial 'out-work', consisting of contracts with factories, continued as a valuable adjunct to the treatment programme and Government orders for domestic, hospital and office equipment continued to be placed. In the Hong Kong Psychiatric Centre a carefully planned programme of rehabilita- tion was also carried out for patients attending the centre.

133. The occupational therapy sub-department at Yau Ma Tei Psychiatric Centre which was opened in June, 1967, continued its work. Patients treated at this department consist of two main categories, namely, those discharged from Castle Peak Hospital who need a short follow-up in a Day Psychiatric Centre to aid their rehabilitation and those requiring close observation and assessment as out-patients. Patients in the latter group are generally children and young adolescents in the early stages of illness whose pattern of behaviour needs close observation.

134. Work in the Kowloon Jockey Club Rehabilitation Centre followed the same pattern as in the previous years, the aim of treatment being to assist patients to return to their previous employment or, where that is not possible, to an alternative means of livelihood. The ward work in the Kowloon Hospital progressed satisfactorily throughout the year.

135. 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, was dis- continued on 31st January, 1969, due to an acute shortage of profes- sional staff.

136. An out-patient department was opened in Wan Chai Polyclinic in April, 1968, and was planned and equipped so as it may function to maximum efficiency in concentrating on the treatment needs of

　　patients with upper limb disabilities. The World Rehabilitation Fund Day Centre, Social Welfare Department, was opened in September, 1968. Applicants for admissions to this centre are initially referred to an Occupational Therapist for assessment of mental and physical capacities and suitability for training. Following a period of observa- tion, recommendations are made regarding possible areas of training.

ORTHOPAEDIC AND PROSTHETIC APPLIANCES

137. During the year 2,465 appliances were made and 1,769 patients were treated while approximately 1,004 minor repairs, alterations or checkings were also done. There was an increase in the production of artificial limbs, especially the below-knee prosthesis. The number of new poliomyelitis cases decreased but the old patients are growing up and therefore the demand for long leg brace with knee hinges rose. Work study in the production section has therefore been directed mainly to simplified but effective designs and improved techniques of fabrication of appliances.

　　　138. The training programme for Student Assistant Orthopaedic Appliance Technicians progressed satisfactorily. To suit the Asian conditions and meet the local requirements, a co-ordinated research programme covering various aspects of design and production tech- niques continued during the year. For the first time a locally graduated Appliance Technician was sent to Britain and Europe for post-graduate study and work, and a programme for the post-graduate training of local Appliance Technicians was instituted. This will ensure a continu- ous supply of technical staff for future development.

MEDICAL EXAMINATION BOARD

(See tables 64-65)

139. This section performs medical examinations of new entrants to Government employment and to the Essential Service Corps. The number of persons classified as unfit on account of tuberculosis rose slightly as compared with the previous year but remained markedly lower than in the period 1959 to 1965. Tuberculosis remained the primary reason for non-acceptance of applicants on medical grounds, being responsible for 14 out of the 19 classifications as 'unfit' in each thousand examinations.

HOSPITAL MAINTENANCE AND SUPPLY

140. The continuing expansion of the hospital service, the increased demand for services and the more rapid bed turnover made the routine supply and lay administration of medical institutions progressively more complex throughout the year under review. The recruitment of hospital secretaries with adequate knowledge and experience of large modern hospitals became more difficult.

141. As the department's services increased and improved, so the demands on the Central Laundry inevitably increased and it became increasingly obvious that the departmental laundry service could not cope efficiently with the increasing demand. Accordingly, planning progressed as rapidly as possible for the construction of a second departmental laundry. To improve the position considerable research was undertaken and the use of disposable items, in order to reduce pressure on the laundry services, was examined. It was found however that the use of 'disposables' on any large scales would prove more expensive than the use of equivalent conventional items. The present laundry machinery, some of which is already 6 years old, was subjected to very considerable pressure throughout the year, being in continuous use for some 16 to 20 hours per day. At this rate it must be expected that major repairs or renewals will shortly become inevitable.

142. The Medical and Health Department Staff Welfare Association continued to suffer from a deficiency in membership and efforts were made to increase its membership and to expand its activities. Staff relations as a whole were examined and an experiment made with the use of joint consultation committees.

143. The UNICEF-sponsored feeding programme continued throughout the year and a total of 63,201 lbs. of milk powder and 9,620 lbs. of corn-soya-milk was distributed to the various Government feeding centres throughout the Colony.

AUXILIARY MEDICAL SERVICE

144. This branch of the Essential Services Corps has a strength of over 5,000 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 Services 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.

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

　　　146. At the scene of the stand collapse at the military tattoo at Shek Kong on 9th November, 1968, members of the Auxiliary Medical Service with equipment arrived quickly and assisted the Army Medical Services in rendering first-aid and in evacuating the casualties. Members also attended at the scenes of a number of fires in Hong Kong and Kowloon during the year.

REGISTRATION OF MEDICAL CLINICS

(See table 43)

　　　147. In accordance with the Medical Clinics Ordinance, Chapter 343, all clinics, except the mobile vans which were formerly registered with exemption (that is operated by unregistered doctors), were required to be re-registered annually. As on 31st March, 1969, there were 72 registered static clinics and 3 registered mobile clinics in the charge of registered medical practitioners and 351 clinics registered with exemption, making a total of 426 which is slightly less than the previous year's total of 458.

148. The Low Cost Medical Care Scheme under which static clinics are set up in Resettlement and Housing Estates continued to operate throughout the year, the aim being to provide one doctor for every 6,000 residents with priority given to registered medical practitioners. At the end of the year under review there were 59 clinics in Resettlement Estates and 9 in Housing Estates being operated by registered doctors. In addition there were 17 clinics in Resettlement Estates and 2 clinics in the Hong Kong Housing Societies which were registered with exemption.

V. GOVERNMENT ASSISTED HOSPITALS

(See table 66)

　　　149. 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 7,010 beds provide mainly subacute general beds of facilities for persons suffering from certain specific diseases or handicaps. The total Govern- ment subvention to these hospitals during the year was $50,432,975 recurrent and $1,440,816 special expenditure.

THE TUNG WAH GROUP OF HOSPITALS

150. The Tung Wah Group of Hospitals is a long-established Chinese charitable organization and is managed by a Board of Directors elected annually. During recent years a programme of modernization and expansion has been undertaken with assistance from Government in terms of personnel, especially medical officer and consultant services, money and material, with a subvention amounting to $29,161,060.

151. The Intensive Care Unit at Kwong Wah Hospital was opened in March 1968. Up to the end of the year, 592 patients had been treated in the unit. With the provision of intensive nursing care, active treatment and continuous close observation for critical cases, case fatality ratios for many diseases have been markedly reduced.

152. The Casualty Department at Kwong Wah Hospital now handles all accident cases taking place between Waterloo Road and Lai Chi Kok Road. A police post has been established to deal with medico-legal cases and an industrial nurse from the Labour Depart- ment attends to advise cases of industrial accident.

153. The need for subsidiary beds for long-term patients was stressed in the Medical Development Plan and the Group's programme of development has been directed towards the provision of these. Phases II and III of the Wong Tai Sin Infirmary were completed in March, 1969, and, immediately commissioned and brought into use. They provide an additional 450 beds for long-term patients.

THE ALICE HO MIU LING NETHERSOLE HOSPITAL

154. This hospital, supported by the London Missionary Society, received a Government subvention of $2,991,400 during the year. The hospital has been considerably modernized in recent years and its facilities greatly improved. Features now provided in the hospital include a central sterile supply department, a central milk kitchen, an intensive care unit and a new laundry. Several departments including pharmacy, radiology, blood bank and haematology, laboratory, operat ing theatres and casualty and ward units have been re-modelled or rebuilt.

POK OI HOSPITAL

155. This charitable hospital at Yuen Long in the New Territories continued to serve the population in Yuen Long and its surrounding

areas. The hospital's programme of modest expansion progressed satisfactorily and new projects including minor staff quarters, a kitchen and a mortuary were under construction at the end of the year under review.

CARITAS MEDICAL CENTRE

　　　156. This hospital of 830 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 $2,568,802 is situated in the densely populated district of So Uk in north-west Kowloon. It is administered by the Canossian Sisters and comprises blocks for general, tuberculosis and cancer patients, as well as quarters for staff and a nurses training school. The hospital continued to play an active part in the provision of medical services in the Colony.

HONG KONG ANTI-TUBERCULOSIS AND THORACIC DISEASES ASSOCIATION

　　　　157. This Association, in its three institutions, the Grantham Hospital, the Ruttonjee Sanatorium, and the Freni Memorial Conva- lescent Home, provides the great majority of beds available for the treatment of tuberculosis and a close liaison is maintained with the Government Chest Service.

The Grantham Hospital (See table 67)

　　　158. This hospital of 619 beds is equipped as a modern chest hospital and is administered by the Grantham Hospital Management Board on a fee-paying, non-profit making basis. Government maintains 586 of the beds but all staff of the hospital is provided by the Associa tion with the exception of Government Medical Officers posted to the Government Clinical Units which are directly responsible for 220 of the beds.

　　　159. Closed heart surgery became available in 1967 and open heart surgery became possible in 1968. The Cardiac Surgery Unit is operated in conjunction with the Professorial Medical and Surgical Departments at the University of Hong Kong.

Ruttonjee Sanatorium and Freni Memorial Convalescent Home

(See table 68)

　　　160. The Ruttonjee Sanatorium and its annex, the Freni Memorial Convalescent Home, 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. They are supported by voluntary contributions and by a subvention from Government amount- ing to $2,021,360 in the year under review.

HAVEN OF HOPE SANATORIUM

161. This hospital of 261 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 $880,000 and the construction of an additional wing was undertaken.

SANDY BAY CHILDREN'S ORTHOPAEDIC HOSPITAL

AND CONVALESCENT HOME

162. Maintained by the Society for the Relief of Disabled Children, with the aid of a Government subvention of $584,000, this hospital now contains 200 beds for children requiring long-term Orthopaedic care. Additional facilities in the form of an outpatient department, an operating theatre suite, X-Ray facilities, physiotherapy facilities and 100 additional beds were brought into use during the year. The Hong Kong Red Cross Society provides primary school teachers to enable the children to continue their education during convalescence,

OUR LADY OF MARYKNOLL HOSPITAL

163. This hospital is administered by the Maryknoll Sisters, and was maintained during the year with the aid of a Government sub- vention of $830,922. 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, construction of an exten- sion of 140 beds was completed and the hospital now has a total of 220 beds, 180 for general third class patients and 40 for first and second class and maternity patients.

HAY LING CHAU LEPROSARIUM

(See table 69)

164. This leprosarium situated on an island six miles from Hong Kong is maintained by the Leprosy Mission, Hong Kong Auxiliary

i i ii ii i i

է. . .

ՈՐ

Chai Wan Clinic and Maternity Home opened on 10th December. 1968.

Medical Laboratory Technicians at work. An extension to the tuberculosis laboratory, Medical and Health Department Institute of Pathology, Sai Ying Pun, was completed in September, 1968,

All prophylacti vaccinations an immunization: are given free o charge. Her Health Visitor

are discussio an immunization

drive.

Surgeons at work. A patient's eye view. A special photo- graphic technique was used to take this photograph in one of the recently completed operating theatres in Queen Mary

Hospital.

Public co-opera tion is an essen tial feature o discase preven tion. Here New Territories vil. lagers line up for their anti-Chol

era inoculations

Health education is vital. Here a Health Visitor explains how to care for a newborn infant's umbilicus and to prevent tetanus neonatorum.

預防嬰兒破傷風

E-

with the aid of a Government subvention which in the year under review was $775,000. It provides in-patient and rehabilitation facilities for leprosy patients and has special facilities for those who require reconstructive surgery or who are suffering from intercurrent disease. Fortunately, the decreasing incidence of leprosy has meant that the number of patients has fallen in recent years and at the end of the year under review there were fewer than 300 patients in the leprosarium.

　　　165. In therapy, diamino-diphenyl-sulphone remained the drug of choice for most patients, but thiambutasone was used with considerable success, either by itself or with diamino-diphenyl-sulphone. Its useful- ness has improved greatly since it became available in the injectable form; results are much better and undersirable side effects far fewer. The newer drugs are also used for some of those who do not respond favourably to more routine therapy. Physiotherapy has become an essential part of the programme to prevent disability and through this treatment programme many of the newer patients are able to return home early and without any disability.

HONG KONG SOCIETY FOR REHABILITATION KWUN TONG REHABILITATION CENTRE

166. This centre, aided by a recurrent grant from Government amounting to $600,000 in the year under review, accommodates 80 patients and has occupational workshops and facilities for physio- therapy 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.

NAM LONG HOSPITAL

167. This hospital maintained by the Hong Kong Anti-Cancer Society is situated at Brick Hill overlooking Aberdeen harbour. With accommodation for 120 beds it takes in cancer patients, convalescing from major surgery or from radiotherapy and also those with advanced disease. Chemotherapy is also given to patients. Cases are referred by Government or private hospitals or by medical practitioners and it is the policy of the hospital to admit only such cases. All poor patients receive free treatment but for those who are able to pay a small fee is charged. Patients are provided with medical social service.

VI. DEVELOPMENT

(See table 70)

FORWARD PLANNING

168. Reference has been made previously in this report to the unparalleled hospital development of the past 15 years. However, the population has also been increasing very rapidly and there is 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, int the face of a rapidly increasing population, a reasonably satisfactory standard of medical facilities. Developments have to take into account the ability of the community to afford these facilities either by direct payment or by indirect payment by means of taxation. The Working Party which prepared the White Paper was re-constituted by His Excellency the Governor as the Medical Devel- opment Plan Standing Committee. The Director of Medical & Health Services is its Chairman and the Committee comprises two nominated members and representatives of the Medical & Health Department, the Finance and Social Services Branches of the Colonial Secretariat, and, when necessary, the Public Works Department. The Committee has held 38 meetings since its inception, in order to keep the recom- mendations made in the White Paper under continuous administrative review and to report its conclusion on all major matters to Government. The Committee's activities fall into five main categories: namely, development of medical institutions; staffing of such institutions; sub- ventions to Government-assisted institutions; fees and charges; and improved utilization of existing medical facilities.

169. The principal matters with which the Committee continued to occupy themselves were: the alterations to and extensions of Queen Marry Hospital, the first four phases of which have been completed, the fifth being underway at the end of the year and being expected to be completed in July, 1969, so as to provide a total of 1,086 beds; the progress made with the provision of a new 1,360-bed general hospital at Lai Chi Kok; the planning of a new convalescent block in the grounds of Kowloon Hospital; the adequacy of the present psychiatric services, planning for a new mental hospital of approxi- mately 1,000 beds being underway; and the subventions paid to Government-assisted institutions.

170. Amongst new matters considered by the Committee were: alterations and renovations to Mount Kellet Hospital in order to provide infectious diseases and convalescent facilities; additions and improvements to Castle Peak Hospital; a new specialist clinic for Hong Kong Island East; a Standard Clinic and Maternity Home for Tze Wan Shan; additions to and improvements to the Pharmaceu- tical Manufactory at the Central Medical Stores, Government Supplies Department Compound, North Point; and a 350-bed acute general hospital to be provided at Kwun Tong by the Hong Kong Christian Council.

COMPLETED PROJECTS

171. The year 1968-69 saw the completion of a number of major additions to the Colony's medical and health services. Although most of these have been mentioned elsewhere in this report, it is appropriate to summarize them in this chapter.

　　　172. Government projects completed during the year were an extension of the tuberculosis laboratory in the Medical & Health Department Institute of Pathology at Sai Ying Pun and a new clinic and maternity home at Chai Wan. Major projects completed at Govern- ment-assisted medical institutions were a new wing of Our Lady of Maryknoll Hospital at Wong Tai Sin, an extension to the Haven of Hope Tuberculosis Sanatorium at Junk Bay, Phases II and III of the Wong Tai Sin Infirmary of the Tung Wah Group of Hospitals, and a small experimental treatment and rehabilitation centre for female drug addicts operated by the Society for the Aid and Rehabilitation of Drug Addicts.

PROJECTS UNDER CONSTRUCTION

　　　173. Major projects on which construction had commenced were the new Lai Chi Kok Hospital, the Tang Shiu Kin Hospital, a new convalescent block at Kowloon Hospital, a major programme of alteration to Queen Mary Hospital, the redevelopment of medical institutions at Sai Ying Pun, the Siu Lam Hospital for the Mentally Subnormal, the Buddhist Hospital at Lo Fu Ngam at north-east Kowloon and extensions to the Shek Kwu Chau Treatment and Rehabilitation Centre for drug addicts.

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

VII. TRAINING PROGRAMME

(See tables 71-73)

175. 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.

176. Mention has been made in recent reports of the shortage of qualified medical personnel and, with the completion of the new University pre-clinical buildings at Sassoon Road, the University's intake of medical students was increased to 120 students in 1965. The extensions to Queen Mary Hospital, to which reference has already been made, have been substantively completed in time to allow the large number of students to have their clinical training. While there will therefore be a considerable increase in the output of medical graduates from the University of Hong Kong as from 1970, the Colony will remain relatively short of qualified medical personnel for some years to come.

177. The programme for the training of doctors for post-graduate qualifications was kept under review by the Panel on Post-Graduate Medical Education. A shortage of experienced personnel has been encountered in various specialties but it is hoped that most of these deficiencies will be remedied within the next few years.

DENTAL STAFF

178. No training in dentistry is available in Hong Kong but Government annually awards scholarships for the study of dentistry overseas. Two such scholarships were awarded during the year while 7 scholars returned to the Colony after qualification, bringing the total of returned graduates to 59 out of a total of 78 scholarships so far awarded.

179. In-service training in dental technology continues for Govern- ment student dental technicians, while evening classes for dental technicians in private employment are held at the Hong Kong Technical College. During the year one Government dental technician passed the Intermediate Certificate of the City and Guilds of London Institute in Dental Technology. In-service training of selected dental surgery assistants in the fields of dental radiography and orthodontics is also carried on.

180. One Dental Surgery Assistant is under training in Penang, Malaysia, under World Health Organization scholarships for training in dental nursing.

Nurses

NURSING STAFF

　　　181. There are three Government hospital schools of nursing. Those at the Queen Elizabeth and Queen Mary Hospitals are general schools while that at the Castle Peak Hospital is a psychiatric nursing school. Training at Government schools and at the Caritas Medical Centre is in English. There are also approved schools at the Tung Wah Group of Hospitals, the Alice Ho Miu Ling Nethersole Hospital and the Hong Kong Sanatorium and Hospital where instruction is in Cantonese. Examinations are held by the Nursing Board of Hong Kong and there is full reciprocity of registration between the Board and the General Nursing Council of England and Wales.

Nursing Auxiliaries

182. Two types of course are held for nursing auxiliaries. The general course is of two years' duration. It is undertaken at Kowloon Hospital and consists of practical training in the routine nursing care of general hospital patients. The psychiatric course, also of two years' duration, is held at Castle Peak Hospital and consists of practical training in the performance of routine nursing duties for, and in the maintenance of custodial care of, mental patients.

Post-graduate nurses

　　　183. Eight qualified nurses who had been sent overseas for further study returned to the Colony having successfully gained post-graduate certificates in nursing administration, nursing education, dietetics, open heart surgery and paediatric nursing. A further 8 trained nurses proceeded overseas to study these same subjects. In addition, one was sent overseas to study for a Health Visitor's Teaching Diploma and two to study Occupational Therapy.

Midwifery

　　　184. For registered general nurses, a one-year course in midwifery continued to be held. Usually it commences immediately after general registration with the Nursing Board. For student midwives who are

not registered nurses, a two-year course of training at the Tsan Yuk Hospital and to a limited extent at other approved training schools is accepted by the Midwives Board for entry to its examinations.

185. Due to the limited scope of domiciliary midwifery in Hong Kong adequate practical training in this aspect of midwifery cannot be given and full reciprocity of recognition of midwifery qualifications with the Central Midwives Board of England and Wales is not possible.

Health Visitors

186. Nine trained nurses successfully completed the nine-month Health Visitors' course which ended in November 1968.

Health Auxiliaries

187. A two-year course for health auxiliaries continued to be conducted. It provides training in health education and public health nursing which includes maternal and child health work, training and keeping of records of infectious diseases in general and of tuberculosis, leprosy and venereal diseases in particular.

RADIOGRAPHERS

188. 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.

LABORATORY TECHNICIANS

189. The Government Institute of Pathology maintained its in- service training for Medical Laboratory Technicians, the Intermediate Examination of the Institute of Medical Laboratory Technology of the United Kongdom being held in the Colony. Technicians were also sent to the United Kingdom to obtain the AIMLT qualification.

OTHER FORMS OF DEPARTMENTAL TRAINING

190. In-service courses of training were continued for dispensers, 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 78)

191. The Colony's medical and health services have in the past years 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 $585,947.66. Of this amount Sir Shiu-kin TANG, whose philanthropy is well known, contributed $500,000 towards the cost of the proposed Specialist Clinic for Hong Kong Island East. This Clinic is to be named after his father, the late TANG Chi-ngong. Pending the completion of the clinic, the interest from Sir Shiu-kin's donation is to be used for further training of teachers for the education of the physically handicapped children and other charitable projects in the Colony.

IX. ACKNOWLEDGEMENT

192. This report would be incomplete without special mention of the devotion to duty shown by each and every officer of the Medical and Health Department during the year under review. All ranks of the Department, in particular the doctors, had carried out their duties. efficiently despite a serious shortage of staff. To them I would like to place on record my sincere tribute for their effective help in dealing with the many problems associated with the provision of medical care for the population of Hong Kong. The Department has also received every assistance and co-operation from other Government Departments, the Press, the Radio, the Television and other publicity agencies. The patience shown by the members of the public in spite of the many unavoidable shortcomings of the service is deeply appreciated.

193. I would also wish to thank the many public spirited persons who have devoted so much of their valuable time to serve on Statutory Boards, Advisory Committees and Working Parties and in voluntary institutions connected with the many curative and preventive medical problems in Hong Kong. Thanks are also due to the local and overseas organizations which manage and help to supplement Government's resources and to ensure that adequate facilities are available for all those in need of medical care.

194. The year under review has been a satisfactory one in that no major outbreaks of infectious diseases occurred. The vital statistical figures which are normal pointers to the health and environmental conditions have been satisfactory. All these indicate a most happy state of affairs undertaken by a harmonious team consisting of officials and voluntary workers aiming at a common objective-i.e. to provide an adequate medical service for all sections of the community and to emphasize the principle that every individual in the community should be able to enjoy the highest attainable standard of health regardless of his social status.

27th June, 1969.

P. H. TENG,

Director of Medical and Health Services.

HONG KONG ISL. MEDICAL FACILITIES

MAP I

SEE MAPI

HONG

KONG

6.20

* M

Des Your ROC

Queen's AdC

+21

MAP II

+13

Queen's RG.E.

.22

Wong Nei Chung Rd.

GOVERNMENT INSTITUTIONS

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

B 1

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

4. Chai Wan Clinic and Maternity Home. 5. Eastern Dispensary and Maternity Home (a maternity home with general out-patient facilities).

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

7. Hong Kong Families Clinic (general out- patient facilities and dental clinic for English-speaking Government Servants and their families).

B. Hong Kong Psychiatric Clinic & Day Hospital.

9. Kennedy Town Jockey Club Clinic (general out-patient facilities, maternal and child health centre, maternity home and dental clinic).

10. Li Sing Dental Clinic.

11. Medical Examination Board.

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

HONG KONG ISLAND

MAP I

MAP II

GOVERNMENT INSTITUTIONS (Contd.)

17. Shau Kei Wan Jockey Club Clinic (general oul-patient facilities, maternal and child health centre, maternity home, chest clinic and dental clinic).

18. Stanley Dispensary & Maternity Home (a maternity home with some out-patient facilities and dental clinic).

19. Stanley Prizon Hospital.

20. Tsan Yuk Hospital (a maternity hospital). 21. Victoria Remand Prison Clinic (general out- patient facilities for prison officers and their families, and general medical and psychiatric Facilities for detainees).

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

MAP 1 MAP I

23.

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

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

GOVERNMENT-ASSISTED AND PRIVATE

13. Port Health Inoculation Centre, Harcourt

Road.

14. Port Health Inoculation Centre, Marine Building.

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

16. Sai Ying Pun Hospital (infectious diseases) and Sai Ying Pun Jockey Club Clinic (general out-patient and special clinics).

E 1

D. Grantham Hospital (a tuberculosis hospital). Hong Kong Central Hospital (a general hospital).

B 1

Hong Kong Sanatorium & Hospital (a general

hospital).

B 1

Matilda Hospital (a general hospital).

Nam Long Hospital (a cancer hospital).

B 1

Kuttonjec Sanatorium (a tuberculosis hospital). Sandy Bay Children's Orthopaedic Hospital and Convalescent Home.

Sandy Bay Convalescent Hospital.

St. Paul's Hospital (a general hospital). Tung Wah Hospital (a general hospital with' out-patient department and special clinics).! Tung Wah Eastern Hospital (a general hospital with out-patient department).

HOSPITALS

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

Canossa Hospital (a general hospital).

C. Freni Memorial Convalescent Home.

KOWLOON PENINSULA MEDICAL FACILITIES

LAI CHI KOK

SHAMSHUPO

МАР Ш

MONG KOK

YAU MA TEI

TSIM SHA TSUI

AR PORT

וי

-19

KOWLOON

BAY

HUNG HOM

VICTORIA HARBOUR

NORTH POINT

KOWLOON

GOVERNMENT INSTITUTIONS

MAP [II

GOVERNMENT INSTITUTIONS (Contd.)

MAP HI

1. Air Port Health Station.

20. Queen Elizabeth School Dental Clinic.

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

21.

B 4

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

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

22.

B 1

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

23.

5. Farm Road Dental Clinic.

6. Government Ophthalmic Clinic-Arran Street (an

ophthalmic centre).

7. Ho Man Tin Maternal & Child Health Centre.

24.

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

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

Tai Hang Tung Clinic (general out-patient facilities). 25. Tin Kwong Road Police Quarters Medical Post (general out-patient facilities for police officers and their families).

26. Tsim Sha Tsui Port Health Inoculation Centre, Ocean Terminal.

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). 10. Kowloon Chest Clinic (a tuberculosis clinic). 11. Kowloon Hospital and Out-patient Department (a general hospital with general out-patient and dental facilities).

B 4

27. Wang Tau Hom Jockey Club Clinic (general out- patient facilities, maternal and child health centre and maternity home).

28. Wong Tai Sin Police Quarters Medical Post (general out-patient and dental facilities for police officers and their families).

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 facilities 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 convalescent 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 facilities, maternal and child health centre and maternity home).

18. Lions Club Maternal & Child Health Centre (materual and child health centre and maternity home). 19. Queen Elizabeth Hospital (an acute specialized general hospital with casualty department and specialist clinic).

B 4

29. Yau Ma Tei Jockey Club Polyclinic (general out- patient, social bygiene facilities, eye clinic, dental clinic, chest clinic, maternal and child health centre).

D 2

A 1

GOVERNMENT-ASSISTED AND PRIVATE

HOSPITALS

Baptist Hospital (a general hospital).

C 1

A 1

Caritas Medical Centre (a general and tuberculosis hospital).

B 1

Evangel Medical Centre (a general hospital).

C 2

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

B 2

Kwun Tong Rehabilitation Centre.

Maryknoll Mission Hospital (a general hospital).

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

B 2

C 3

Wong Tai Sin Infirmary.

NEW TERRITORIES MEDICAL FACILITIES

FACILITIES

р сер

SAN TIN +

CASTLE

LAK TAU

ISLAND

SHEK PIK 20

SHA

*E +27

YUEN LONG

KAM TI

JULD

CHAU

SHEKIWU

CHAU

ISLANDS

MAP

MAN KAN TO

V. SHEING

STONEDUTTER

GLAND

CHALI

LAMMA

ISLAND

TOLO

SHU

سمجھ ہے

KIAS

NEW TERRITORIES

GOVERNMENT INSTITUTIONS

I. Castle Peak Hospital (a mental hospital).

2. Castle Peak Clinic (general out-patient facilities and maternity home). 3. Chi Ma Wan Prison Hospital,

4. Ho Tung Dispensary (general out-patient facilities and maternity home). 5. Kam Tin Clinic (a maternity home with some out-patient facilities).

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

7. Marine Grantham Health Centre (maternal and child health centre and maternity home), 8. North Lamma Clinic (a maternity home with some out-patient facilities). 9. Peng Chau Clinic (a maternity home with some out-patient facilities). 10. Sai Kung Dispensary (general out-patient facilities and maternity home). 11. Sha Tau Kok Clinic (a maternity home with some out-patient facilities). 12. Sha Tin Clinic (general out-patient facilities and maternity home). 13. Shek Wu Hui Jockey Club Clinic (general out-patient facilities and maternity home). 14. Silver Mine Bay Dispensary (a maternity home with some out-patient facilities). 15. South Lantau Hospital (a general hospital with out-patient facilities).

MAP IV

A 1

B 2

B 1

B 2

C 1

C 2

B 1

B 2

16. St. John Hospital (a general hospital with out-patient department). 17. Tai Lam Chung Prison Hospital,

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

19. Tai Po Jockey Club Clinic (general out-patient facilities, dental clinic and maternity home). 20. Tong Fuk Prison Hospital.

21. Yuen Long Dispensary (general out-patient facilities, dental clinic and maternity home).

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

A. Fanling Hospital (a general hospital).

Haven of Hope Tuberculosis Sanatorium.

C. Hay Ling Chau Leprosarium.

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

E. Pok Oi Hospital (a general hospital).

The Society for the Aid and Rehabilitation of Drug Addicts (Shek Kwu Chau).

A i

B 2

A 2

C 1

A 2

B 1

C 2

B 2

B 1

A 2

INDEX TO STATISTICAL APPENDIX

ADMINISTRATION

Table No.

---

Establishment of the Medical & Health Department as at 31.3.69 Administration of the Medical & Health Department Statement of Expenditure from 1964-65 to 1968-69 Legislation of Medical & Health Importance-April 1968 to March

1969 Work of Statutory Councils and Boards-April 1968 to March 1969

urb

+++

огт

II.

PUBLIC HEALTH

(a) Vital Statistics

III.

Estimated Population Structure-1968

Births and Deaths 1954 and 1959-68

---

ILL

Infant and Maternal Mortality 1954 and 1959-68 Major Causes of Infant Mortality 1954, 1959 and 1964-68 Major Causes of Maternal Mortality 1954 and 1959-68 Proportionate Mortality by Disease Groups 1954, 1959 and

1964-68

The Ten Leading Causes of Deaths by age and sex 1968 (b) Infectious Diseases

Infectious Diseases notified (cases and deaths) 1964-68 Mortality Rates for Certain Infectious Diseases 1964-68 Principal Infectious Diseases by Age and Sex 1968 Prophylactic Immunizations 1964-68

WORK OF HEALTH DIVISION

...

(a) Tuberculosis

Tuberculosis Mortality 1954 and 1959-68

---

Tuberculosis in Childhood 1954 and 1959-68 Tuberculosis Notifications 1954, 1959 and 1964-68 Work of Government Chest Service 1968 X-Ray Surveys 1958-68

---

Contact Examinations 1968

Orthopaedic Tuberculosis 1964-68

(b) Malaria

---

TTI

--T

---

TII

Distribution of Cases and Identification of Parasites 1964-68 ...

Annual Incidence of Venereal Disease 1959-68 ... V.D.R.L. Examinations in Expectant Mothers 1964-68

Leprosy 1968

---

LII

** **

---

Analysis of Dermatological Conditions Presenting at Clinics,

1968

---

...

Cultures for Mycological Identification, 1968

(d) Port Health

Work of the Port Health Service 1968

+++

---

INDEX TO STATISTICAL APPENDIX-Contd.

III. WORK OF HEALTH DIVISION-Contd.

(e) District Midwifery Services

Midwifery Services 1967-68

Table No.

+44

---

(†) Maternal & Child Health Services

Distribution of Maternal & Child Health Centres at 31.3.1969... Work of Maternal & Child Health Services 1967-68

(g) School Medical Service Board

Number of Participating Schools, Students and Doctors at

31.3.1969

(h) Dental Service

---

Work of the General Dental Service 1964-68

(i) Forensic Pathology

---

Work of the Forensic Pathology Laboratories 1967-68

(1) Government Institute of Pathology

Work of Government Institute of Pathology 1967-68 Vaccine Production 1967-68

Blood Banks 1967-68

Work of Public Mortuaries 1967-68

(k) Government Laboratory

Work of the Government Laboratory 1967-68

---

+++

---

+++

---

(1) Industrial Health

Work of Industrial Health Section 1968

+++

---

(m) Medical Clinics Registration

110

IV.

WORK OF THE MEDICAL DIVISION

+++

[T1

---

Number of Hospital Beds in Hong Kong 1968 In-Patients Treated in Government, Government-Assisted and

Private Hospitals, Clinics & Maternity Homes 1968 Disease Classification of In-patients Treated in Government & Government-Assisted Hospitals and of All Deaths in the Colony 1968

(a) Government Hospitals

Hospital Costing 1967-68 and 1968-69

Work of the Queen Mary Hospital 1964-68 Work of the Queen Elizabeth Hospital 1968 Work of the Queen Elizabeth Hospital Casualty 1968 Work of Tsan Yuk Hospital 1967-68 Work of Castle Peak Hospital 1968

---

++/

+++

---

+++

FEE

ILJ

+++

Work of Day Hospital and Psychiatric Centres 1968

+++

AZNA

TTI

-J

INDEX TO STATISTICAL APPENDIX-Contd.

Table No.

IV. WORK OF THE MEDICAL DIVISION Contd.

VI.

(b) Out-Patient Clinics

New Out-Patient Attendances 1968 Total Out-Patient Attendances 1968 New Territories Clinics 1968

Work of Radiodiagnostic Branch 1968 Radiotherapeutic Branch 1968

(d) Ophthalmology

Work of the Ophthalmic Service 1967-68 Analysis of Major Causes of Blindness

(e) The Pharmaceutical Service

Work of Pharmaceutical Service 1967-68

(f) Physiotherapy

Work of Physiotherapy Service 1968

(8) Occupational Therapy

---

ITT

Work of Occupational Therapy Service 1968

(h) Medical Examination Board

---

+++

44.

+++

---

+++

---

Work of Medical Examination Board 1967-68 Unfitness of Candidates by Causes 1959, 1967-68

GOVERNMENT-ASSISTED HOSPITALS

TII

+++

(a) Government Medical Subventions to Voluntary Institutions

1964-65-1968-69

---

(5) Work of the Grantham Hospital 1968 (c) Work of Ruttonjce Sanatorium 1964-68... (d) Admissions to Leprosarium 1968 ...

DEVELOPMENT PROGRAMME

Building Programme

TRI

---

+++

---

110

---

гт 1

3 5 8 8

---

ILI

---

VII.

TRAINING PROGRAMME

(4) Nurses in training at 31.3.1969

(b) Courses of study overseas 1968-69 (c) Departmental Training at 31.3.1969

VIII. MISCELLANEOUS

(a) Attendances at Conferences, etc., Overseas

(b) Visitors

(d) Samaritan Fund

---

(e) Donations

---

-11

XXXER

+++

FEE

IFF

TABLE I

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT

AS AT 31ST MARCH, 1969

Grade

Zone

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Kowloon Hospital

Castle Peak Hospital and Mental Health Centre

Director of Medical & Health

Services

111

ггг

Deputy Director of Medical &

Health Services

---

Assistant Director of Medical &

Health Services ...

Senior Specialist and Specialist Principal Medical and Health

Officer

Chief Executive Officer/Senior

　　Executive Officer/Executive Officer

rr-

---

Tsan Yuk Hospital

Dental Service

Tuberculosis Service

Other Hospitals, Clinics

and Services

Total

Strength on 31.3.69

N **

[]

1444

Senior Treasury Accountant/

Treasury Accountant

Senior Medical & Health Officer/

Medical & Health Officer!

Assistant Medical & Health

Officer

62 104 12 [8 12

321

599 480

Senior Dental Officer/Dental

Officer/Assistant Dental Oficer

•

Principal Matron

---

Nursing Staff

590

78 349 306 132

114

1 992 3,288 3,085

12 4 12

Senior Dietitian/Dietitian

Senior Medical Social Worker/

Medical Social Worker Class I A Class II

Chief Pharmacist/Senior

Pharmacist/Pharmacist/ Chief Dispenser/Senior Dispenser! Dispenser/Student Dispenser/ Dispensary Supervisor... Government Chemist/Senior

Chemist/Chemist/Assistant

Biochemist

Scientific Officer (Medical) and

(Psychometry)

Virologist

---

Senior Physicist/Physicist...

Chief Hospital Secretary/Senior Hospital Secretary! Hospital Secretary/Assistant Hospital Secretary...

Clerical Staff

...

Superintendent Radiographer/

Senior Radiographer/

Radiographer Cl. 1/

Radiographer C), 11/ Student

Radiographer

---

111

Carried forward

من

فيا

126 179

168

15.

Mot

17 218 562.

577

40 119

115

779| 1,103| 400) 372| 174 99 202 1,756 4,996 4,673

Grade

Zone

TABLE 1-Contd.

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Kowloon Hospital

Castle Peak Hospital and Mental Health Centre

Tsan Yuk Hospital

Dental Service

Tuberculosis Services

Other Hospitals, Clinics and Services

Total

Strength on 31.3.69

Brought forward

---

121

779 1,103 400

372 174 99 202 1,756 4,996 4,673

Superintendent Physiotherapist/

Senior Physiotherapist/Tutor Physiotherapist/Physiotherapist CI. Physiotherapist Cl. H Student Physiotherapist Superintendent Occupational

Therapist/Senior Occupational Therapist/Occupational Therapist/Handicraft Instructor Chief Medical Technologist/

Senior Medical Technologist/ Medical Technologist/Medical Laboratory Technician Class 1/ Medical Laboratory Technician Class [1/Student Laboratory Technician

---

ILL

LLL

Senior Laboratory Assistant/

Laboratory Assistant/Student Laboratory Assistant

---

Senior Health Inspector/Health

Inspector Class I & II

...

---

Senior Inoculator/Inoculator

Audiology Technician

---

Orthopaedic Appliance Technician/Assistant Orthopaedic Appliance Technician/Student Assistant Orthopaedic Appliance Technician

ггг

---

Mould Laboratory Technician/ Student Mould Laboratory Technician

- JJ

Dental Technologist/Dental

Technician/Student Dental

Technician/Dental Inspector/

Senior Dental Surgery Assistant/ Dental Surgery Assistant/ Dental Nurse

IIL

Laundry Adviser/Laundry

Manager/Assistant Laundry Manager/Laundry Supervisor. Senior Linen Room Supervisor/

Linen Room Supervisor

Other Staff

381

137

116

112

122

121

[]

1LS

127

123

3 13

---

759 1,274 259

590 129 43 32 1,478 4,578 4,402

.י.י

TOTAL

125 1,567 2,473 668 1,006 304 257 244 3,537 10,181) 9,638

SELA

DELTAY DOUTOR

HEALTHU

THHO

MOET

CHILTYTH

ANT DIL

HEALTH

THHO

ONTA

TABLE 2

ADMINISTRATION OF MEDICAL & HEALTH DEPARTMENT

FKHO.

CITYT

DENTAL SERVICE

FOREGON PATIC

INSTITUTE OF FAIL

SOCIAL HYGIENE SLAVE

GOVT CHLANCAL LAB

IT CT THE A

HEALTH

SUCH SAVINGS HEALTH OFTRIS KI. A

KOWLOON

BULATRAL HEALTHI

IEE

ERDEMIOLOGY

BHECTCL

SENIOR TREASURY

SECRETARY

PROMITIAL

HUSMIAL SECT PART

DEPUTY SELJETARY

SECRETARY

ACCOUNTS

STONE

GENERAL

MATTERS

PERSONNEL MATITJAY

NITING

ITAK

Ghour

MONTAL PITALES

ТИНО KOLODH

TRANTY DOKTOR (HEDICAL)

ART IN

AST DIA

ונס

BY PH

(MEDICAL)

TONIN

FROAPITALS CINEŞ ILGI DUN

MINOR HOSP A CURACY. LIK

PERSENTER Hotel Öpme

THAN TWGH.

MEDICAL EXAMINATIOer MORE

MARGONG ADDITION ILANICA DI THE

KLIMAL CNR

JURISTRATION

HNA

MENTAL HEALIN SERVICE ANNE SERVIT KATHNIELY KELAKE

ENT DEATHT

HOMEAL VOMU AONYE kayandRAPY NEBYKE POUNATIONAL THERAPY PARSEALY

TABLE 3

STATEMENT OF EXPENDITURE FROM 1964-65 TO 1968-69

Particulars

1964-65

1965-66

1966-67

1967-68

1968-69

(4) Medical and Health Department

(b) Medical Subventions

• +

LLF

огт

...

94,525,377 105,473,152 112,713,222 120,524,934 133,582,644

32,178,883 38,158,439 45,478,728 46,341,311 52,457,856

7,121,098 18,089,300 15,236,622 7,439,173 8,420,115

Total

Total expenditure of the Colony

+++

133,825,358, 161,720,891 173,428,572 174,305,418 194,460,615

..|1,440,523,324 1,769,130,468 1,806,066,602|1,766,022,040 1,872,974,955

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

9.29%

9.14%

9.60%

9.87% 10.38%

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE

APRIL 1968 TO MARCH 1969

Ordinances:

(i) Dangerous Drugs Ordinance 1968

(ii) Drug Addiction Treatment Centres Ordinance 1968

(iii) Medical (Therapy, Education and Research) Ordinance 1968

Rules and Regulations:

(a) Dangerous Drugs Regulations 1968

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

1968

(d) Poisons List (Amendment) Regulations 1968

(e) Prevention of the Spread of Infectious Diseases (Amendment) Regulations

1968

(f) Drug Addiction Treatment Centres Regulations 1969

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS-APRIL 1968 TO MARCH 1969

Medical

Council

Dental Council

Nursing Board

Midwives Pharmacy Radiation Board Board Board Advisory Board+t

Number of meetings held

General Mental

Female: 4,170

Number on the Register..

1,785

455

Male:

Number of applications for registration...

256 67 3,722 General Mental] Female: 344

175

289T

159 (76)†

32+

Male:

5 14

3018

481

General Manzol,

Number of registrations granted

Number of examinations held

Number of candidates examined

Female:

337

+10

159*(76)†|

29‡

[Male:

5 14

298

411

General Mental|

Oral & practical: 5 Written:

General Mental

543 22

325

Number of successful candidates

Oral & practical: 5 Written: 5

General Mental

440 20

304

---

-TH

Number of disciplinary hearings held

---

Number of removals from register

* Including 6 restorations to the register.

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

Including I restoration to the register.

$ Including 3 restorations to the register,

[[ 2 removals from the register as a result of disciplinary proceedings.

◄ These figures refer to the licensing of irradiating apparatus.

** These figures refer to number of cancellation of irradiating apparatus licences.

†† Not a statutory Board.

Female:

Make:

General Mental

2||

21**

AGE GR.

80+

75-79

70-74

65-69

60-6

Male

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

5-9

0-4

Female

AGE GR

80+

POPULATION IN 100,000 s

75-79

70-74

65-69

60-6

-N

TABLE 6

POPULATION STRUCTURE MID 1968

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14 !

5-9

0-4

TABLE 7

BIRTHS AND DEATHS 1954 AND 1959-68

Estimated

Year

Mid-Year

Registered Live Births

Crude Birth Rate

Population

(per 1,000 Population)

Still Births Recorded

Registered

Deaths

1954

---

2,277,000

83,317

36.6

1,341

19,283

Crude Death Rate (per 1,000 Population)

8.5

--------¬‒‒11-1-17¬

➖ ➖ ➖➖ ➖-------111 112

ווייזז

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

יז+

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

3,594,200* 108,519

30.2

1,485

18,113

5.0

1965

3,692,300* 102,195

27.7

1,363

17,621

4.8

1966

гог

3,732,400 92,476

24.8

1,246

18,700

5.0

1967 1968

3,834,000 88,171

23.0

999

19,644

5.1

3,926,500

82,992

21,1

832

19,319

4.9

1954

• Figures adjusted after 1966 By-Census.

TABLE &

INFANT AND MATERNAL MORTALITY 1954 AND 1959-68

Year

Infant Mortality Rate (per 1,000 live births)

Neo-natal Mortality Maternal Mortality

Rate (per 1,000

live births)

total births)

Male

Female Both Sexes

70.2

74.7

73.2

24.6

1.24

LLII ➖ ➖ ➖ ➖➖ -

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

1967

28.7

22.3

25.6

15.9

0.30

1968

25.2

20.7

23.0

15.0

0.14

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1954, 1959 AND 1964-68 (per 1,000 live births)

Detailed

Disease Group

List Number

1954 1959 1964

1965 1966 1967 1968

010

1.24

Respiratory Tuberculosis 001-008 1.01 0.2 0.01 0.02 0.03 0.01 0.01 Tuberculosis Meningitis!

0.9 0.07 0.04 0.08 0.02 0.01

Other Forms of

Tuberculosis

Tetanus

011-019

---

+++

061

---

TII

Bronchopneumonia

Pneumonia other forms 1490,492-3

491

0.58 0.05 0.49 0.6 20.50 15.9

0.04

0.03 0.01

0.02 0.02

0.25

0.17 0.10

0.18

0.04

4.60

4,21 4.34

4.08 3.35

LII

0.95 0.15

0.08

0.07 0.11

0.04 0.13

Bronchitis

500-502

2.89 0.2

0.06

0.02 0.02

0.09 0.06

Gastroenteritis over age

of 4 weeks

571

18.53 8.8

1.34

0.86

0.91

0.91 0.72

Congenital Malforma-

tions

750-759 0.82 1.6

1.69

1.91

2.14

2.05

2.88

Births Injuries

760-761

0.24 0.3

0.50

0.54

0.68

0.66 0.51

---

Diarrhoea of Newborn.

ment

---

ILI

Post-natal Asphyxia

Pneumonia of Newborn!

Blood Diseases of

Newborn

Nutritional Maladjust-

Immaturity Ill-defined Causes

762

1.94

2.8

1.43

1.31

1.28

1.75 1.64

763

2.53 3.1

2.52 1.84

2.13

2.85 2.65

764

2.26

0.6

1.14 0.64

0.59

0.79 0.92

770-771

0.95 0.8

1.95

2.27 1.97

1.81

1.58

772

1.98 0.8 0.11

0.07

0.14

0.04

0.13

LJ J

ILL

776

11.03 7.3 7,50

6.49

5,73

5.39

5.27

... |

795

1.61 1.2

0.40 0.37

0.43 0.24

0.11

TABLE 10

MAJOR CAUSES OF MATERNAL MORTALITY 1954 AND 1959-1968

(per 1,000 total births)

Year

Sepsis (excluding septic abortions)

Toxaemias

Haemorr- hages

Ectopic

Abortions Pregnan- Others

cies

1954

0.059

0.449

0.343

0.035

0.153

0.201

-TT-

1959

0.340

0.226

0.028

0.066

0.056

---

1960

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

0.017

0.077

0.111

0.009

0.034

0.051

1964

0.009

0.055

0.118

0.045

0.055

0.100

1965

0.019

0.077

0.135

0.009

0.019

0.068

1966

0.011

0.053

0.107

0.032

0.128

0.096

1967

0.011

0.056

0.123

0.011

0.034

0.067

1968

0.024

0.084

0.024

0.012

TABLE 11

PROPORTIONATE MORTALITY BY DISEASE GROUPS 1954, 1959 AND 1964-68

(Percentage of Total Deaths)

Disease Group

Detailed List

1954

1959

1964

1965

1966

1967

1968

Number

1. Infectious and Parasitic

001-138

18.0

14.2

10.1

10.0❘ 11.5

12.6

9.0

2. Neoplastic

---

. гг

140-239

5.4

9.3

16.4

18.1

17.6

17.4

18.7

-TI

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

240-299

1.2

1.1

1.5

1.4

1.5

1.7

2.2

+++

4. Nervous System and Sense Organs..

300-398

3.4

6.2

10.5

11.7

10.7

10.3

5. Circulatory System

400-468

7.0

8.9

14.5

15.2

14.7

14.0

15.2

6. Respiratory System.

7. Intestinal System

8. Genito-Urinary System

470-527

23.0

22.3

10.7

10.6

12.4

12.8

12.5

530-587

17.2

11.3

5.7

5.2

5.0

5.3

5.5

JIL

JLL

590-637

2.0

2.1

2.0

1.7

1.8

1.9

2.1

9. Pregnancy, Child-birth and

Puerperium

640-689

0.5

0.4

0.2

0.1

10.

Skin and Musculo-Skeletal System

690-749

0.2

0.4

0.2

0.1

0.2

0.4

11. Congenital Malformations and Diseases of Early Infancy

750-776

9.8

9.3

9.9

9.5

8.4

7.8

7.5

12. Ill-defined Causes

780-795

7.6

8.7

10.5

9.2

8.9

8.8

9.3

---

13. Accidents, Poisoning and Violence E800-E999

4.7

5.8

7.7

7.1

6.8

7.2

TABLE 12

THE TEN LEADING CAUSES OF DEATHS BY AGE AND SEX 1968

Age Group

Cause of Death

Detailed

List No.

Sex

All ages

Un-

1-4

5-1415-44 · 45-64

known

over

10,567 1,077

248

All Causes

8,747 833

219

282 1,642 4,053 201 880 2,298 4,312

3,254

19,319(5) 1,911(E)

467

483

2,522 6,351 | 7,566

19(4)

Malignant neoplasms, includ-

2,000

1 ing neoplasm of lymphatic and Laematopoietic tissues

140-205

1,582

3,582

34亨

45 | 396 | 1,068

473

217 746 582

6131,814 1,055

400-402

1,294

نيا

108❘ 573

598

410-416

2 Heart Diseases

420-422

1,262

نبا

117

332 786

430-434

440-443

2,556

225

905 1,384

823

368 403

Vascular Lesions affecting

330-334

980

285 653

central nervous system

1,803

653 1,056

Pneumonia, all forms

490-493

851

153

210

294

789

136

101

431

1,640

289

129

133

311

725

1,110

164 1

624

308

001-008

5. Tuberculosis

373

141

157

010-019

1,483

222.

765

465

E800-E802 M

568

127

213

102

All Accidents

E810-E835 F

301

68 61

E840-E962 T

869

97❘ 180

272

170: 105

TABLE 12-Contd.

Ꭱ

Age Group

Detailed

Cause of Death

Sex

List No.

Un-

All ages

1-4

5-14 135-44 45-64

known

over

289

Bronchitis

500-502

242

531

WINEW |

11 129

142

161

195

303

247

121

E963

8 Suicide and self-inflicted injury

208

97 64

E970-E979

455

218

155

193

9 Infections of the newbom

763-768

179

372

234

131

10 Cirrhosis of Liver

581

302

160

Nephritis and nephrosis

590-594

125

285

144

121

Congenital Malformations

750-759

139

118

---

168

40 51

284(1)

240(1)

+ W

115

Hypertension without mention of heart

444-447

211

105

2,539

570

357

636 835

All other causes

2,403

377

207

381 1,299 2

4,946(4)| 947

161

108

5641,017 |2,134

15(4)

Note: Figures in brackets denote number of deaths with sex unknown.

TABLE 13

INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1964-68

Cases

Deaths

Diseases

Cholera

1964

1965

1966 1967 1968

1964

1965

1966

1967

1968

...

Amoebic Dysentery

Bacillary Dysentery (Including unspecified dysentery)

Cerebro-spinal Meningitis

209

173

220

154

117

680

537

766

829

869

する

Chickenpox

718

1,552

600

1,257

900

...

Diphtheria

699

581

307

226

113

NA-

LLL

ILL

Enteric Fever (Typhoid and

Paratyphoid)

88Z

658

686

728

552

- PJ

*Leprosy

102

160

148

164

Malaria

180

143

127

TTI

Scarlet Fever

Tuberculosis

Measles

Ophthalmia Neonatorum

Poliomyelitis

Puerperal Fever

Typhus (Mite-borne) Whooping Cough

Total

1,218

---

5,459

2,360

4,726

1,138

217

384

654

232

215

203

191

203

140

}

---

LLL

12,557

ד.

FET

9,927

11,427

15,253

9,792

1,441

1,278 1,515

1,493

1,483

106

339

108

•++

---

17,603 19,862 17,048 23,742 14,011 1,630

1,595 1,983

2,240

1,583

Influenza

---

... 2,473 896

1,220 | 4,923 | 8,493 16

Remarks:

• Notifiable since June 1965.

† Voluntary Notifications.

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

TABLE 14

MORTALITY RATES FOR CERTAIN INFECTIOUS DISEASES 1964-68

Case Fatality Ratio (Deaths as percentage of Notifications)

Death Rate (per million population)

Diseases

1964 1965 1966 1967 1968

Cholera

Amoebiasis

---

Cerebrospinal Meningitis

11.76

1.1

10.01

9.25 10.91| 13.64 10.26

5.8

4.3

6.4

5.5 3.06

50.00❘ 47.30 70.00| 29.09 43.75

5.3

2.4

1.9

4.2

3.57

5.44

6.35

8.79 7.96 8.85

10.6

10.0

7.2

4.7

2.55

...

1.18

0.74 1.30 0.84

0.69

2.2

1.1

2,7

1.8

1.53

Diphtheria

Bacillary

Dysentery

+++

Unspecified

Enteric Fever

Measles

Poliomyelitis

Tuberculosis

Typhoid

Paratyphoid

---

...

2.27

2.12

1.02

1.51

1.45

5.6

3.8 1.9 2.9

2.04

TII

гтт

5.99

3.97 16.27 13.84

4.04

20.3

58.8 102.9 170.6 11.72

---

8.11 12.15 3.12 60.00 13.33

0.8

4.6 0.3

0.8 0.51

---

11.48 12.87 13.26 9.79 15.15 | 400.9 | 346.1 405.9 389.4 1377.69

* Figures adjusted after 1966 By-Census.

TABLE 15

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1968

CASES NOTIFIED

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

*B/Dysentery

Age Group

5-9 10-14 15-19

186

137

TTE

---

602

417

20-24

803

390

25-29

661

200

110

30-34

681

192

35-39

753

194

40-44

704

183

45-49

696

159

50-54

667

193

55-59

635

145

60-64

385 130

65-69

243

NNNA

70-74

114 49

75 & Over

GANA NA

Unknown

Total

7,207 2,585

56 311 241

471

398

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

107

50-54

154 35

55-59

199

341

60-64

164

+++

65-69

144

זז+

70-74

75 & Over

LII

Unknown

Total

1,110

373

• Including unspecified dysentery.

TABLE 16

PROPHYLACTIC IMMUNIZATIONS 1964-68

Immunological Procedure

1964

1965

1966

1967

1968

Anti-Smallpox Vaccination

++1

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1st Dose

2nd Dose

Booster Dose

Anti-Typhoid Inoculations:

1st Dose

- - -

844,367

2,406,623

776,538

487,790 1,603,875 1,467,271 1,318,991

575,869

767,541

1,385,272

338,468

392,474

290,226

341,632

335,128

---

חח

+++

282,176

351,960

249,738

301,097

293,746

---

142,242

181,603

167,557

175,359

181,735

+++

19,931

19,378

49,913

29,799

32,324

2nd Dose

6,843

7,052

19,115

12,793

14,417

Booster Dose

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

41,018

65,381

65,042

61,447

67,464

Infants

Others

+++

...

---

93,806

93,666

84,839

85,917

80,354

13,875

15,465

13,933

28,274

33,895

Poliomyelitis Vaccinations:

1st Dose

2nd Dose

145,760

194,084

---

106,190

107,302

97,754

ILL

+++

98,111

126,095

116,009

90,880

82,939

*Oral Poliovaccine Type I for Newborn

54,590

69,495

62,869

---

†Anti-measles Vaccination

* From April, 1966.

† From end of December, 1967.

83,107

TABLE 17

TUBERCULOSIS MORTALITY 1954 AND 1959-68

Tuberculosis

Tuberculosis Deaths as

Total Deaths

Year

from Tuber-

Death Rate

culosis

per 100,000

percentage of

population

Average age at death from Tuberculosis

total deaths

1954

IIL

2,876

126.3

14.9

1959

2,178

76.2

10.7

1960

110

++:

2,085

69.9

10.8

1961

---

1,907

60.1*

10.2

1962

1,881

56.2*

9.2

1963

+++

1,762

50.3*

8.9

1964

1,441

40.1*

7.9

1965

1966 1967 1968

---

+++

---

1,278

34.6*

7.2

1,515

40.6

8.1

1,493

+++

38.9

7.6

LII

JLL

1,483

37.8

7.7

55 56.5

• Figures adjusted after 1966 By-Census.

TABLE 18

TUBERCULOSIS IN CHILDHOOD 1954 AND 1959-68

Percentage of newborns

Year

receiving B.C.G.

Percentage of Tuberculosis deaths below

5 years

Percentage of Tuberculosis deaths under 1 year

Infantile Mor- tality from Tuberculosis

(per 1,000 live births)

1954

3.66

31.2

8.17

2.82

LLLLLLLLLLL

1959

59.53

18.92

5.56

1.17

---

1960

71.54

10.50

2.20

---

0.42

---

1961

79.31

11.48

2.62

0.46

1962 1963

81.59

5.74

1.43

0.24

---

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

2.70

0.73

0.12

-- J

1967

95.42

2.01

0.33

0.07

TTP

1968

FEE

94.23

1.15

0.20

0.04

TABLE 19

TUBERCULOSIS NOTIFICATIONS 1954, 1959 AND 1964-68

1954 1959 1964 1965

1966 1967 1968

Govt. Chest Clinics Other Govt.

7,693; 10,221; 9,478

6,530

8,105 11,917 6,844

Origin

of Noti. fication

Inst. Tung Wah

TTI

1,788 2,114 1,184

1,334

990 1,167

688

Group

1,120 604

463

618 563 309

Other Non-

Govt.

3,027

Inst. and

12,508 14,302 12,557

Private Services

Total

Notification rate per

100,000 population

549 501 349*

269* 306 398 249

* Figures adjusted after 1966 By-Census.

TABLE 20

WORK OF GOVERNMENT CHEST SERVICE GOVERNMENT CHEST CLINICS 1968

847: 1,291

1,600

1,714 1,606 1,951

9,927 11,427 15,253 9,792

Full-time Centres

Part-time Centres

Hong Kong

Wan Chai Chest

Clinic

Sai Ying Pun

Chest Clinic Shau Kei Wan Chest Clinic ...Aberdeen J.C.C.

Kowloon

New Territories

Kowloon Chest

Clinic

Shek Kip Mei

Chest Clinic Yau Ma Tei Chest

Clinic

Robert Black

Health Centre Kwun Tong Jockey

Club Health Centre

Tung Tau Clinic

Castle Peak Clinic Kam Tin Clinic Lady Trench

Polyclinic

Sai Kung Dispensary Sha Tin Clinic

Shek Wu Hui J.C.C. St. John Hospital Tai Po J.C.C. Yuen Long Jockey

Club Health Centre

TABLE 20---Contd.

Other Centres (for

injections only)

Total attendances

Hong Kong

Kowloon

New Territories

Hung Hom

Dispensary

Ho Tung Dispensary

Peng Chau Clinic Sha Tau Kok Dispensary

Silver Mine Bay Dispensary

Tai O Dispensary

South Lantau Hospital

ATTENDANCES at Government CHEST Clinics, 1968

PPT

Total number of new and old patients attending Number of new patients

Number of new patients with examination completed N.S.O.

Not tuberculosis

---

Extra-pulmonary T.B.

(0) Meninges

(5) Bones and joints

LL+

ILL

TII

Pulmonary T.B.

(a) Not active and unknown

(b) Active

By bacteriology and extent

Negative A1

---

гг т

---

· · ·

---

ILL

--L

Positive

---

Incomplete 01

02 03

...

---

+++

---

T11

-- J

---

TID

+++

---

+++

1,339,301 91,039 38,019 (100.00 36,723 (96.5 %) 15,217 (40.02%) 5,837 (15,35%)

S ( 0.01%) 79 (0.21% 126 (0.33%)

7,604 (20.00 7,855 (20.67%)

1,867 ( 4.91% 859 2.26%) 214 (0.56 1,120 2.95 1,5934.19 1,287 3.39

532 1.40 276 ( 0.73

107 (0.28%

By previous history and treatment

No previous history of T.B. Previously, diagnosis no treatment Previously, diagnosis and treatment Previous history not known

---

5,705 70 2,004

Remarks: Figures in brackets denote percentage of total new patients.

TABLE 21

X-RAY SURVEYS 1958-68

Government Servants

Conditional Survey

Prisoners Survey

Year

Total Examined

% with

Active

Total Examined

%% with

Total

Active

Examined

Disease

Z with Active Disease

1958

33,420

1.38

8,768

1.88

6,279

6.24

1959

37,204

1.29

13,995

1.78

6,483

5.15

1960

TII

42,482

0.88

17,311

1.25

9,481

10.39

1961

++.

45,617

0.87

9,735

1.17

1,761

4.98

1962

39,232

1.04

20,019

2.06

5,852

5.52

1963

51,180

0.55

41,905

0.86

4,994

4.60

1964

50,009

0.55

47,521

0.78

9,524

2.90

1965

57,893

0.64

44,271

0.71

5,876

3.94

1966

59,691

0.51

40,572

0.74

5,904

4.18

1967

ILI

31,096

0.71

56,826

0.56

4,997

3.58

1968

54,947

0.50

53,703

0.51

7,082

1.57

TABLE 22

CONTACT EXAMINATIONS 1968

Number of patients giving rise to contacts

Number of contacts listed to be examined

Number of B.C.G. given

---

FL +

LLL

10,046

...

28,389

---

1,326

Number of Contacts

listed

Result of Examination

Respiratory TB

Number X-rayed Un- known

Disease

N.S.D.

other

Active

than TB

Not-

Active+

unknown

Non-

Respira-

tory TB

(A) Under 8 years

Positive

2,892

2,846

2,578

129

Tuberculin

Tested

Negative

Not Read

Not Tuberculin Tested

Total (under 8 years)

1.330

---

1,499

668

643

5,729

3,514 36 3,221 146

(B) 8 years and over

...| 22,660

17,129

103 | 15,761 | 346 | 101 | 67 | 64

673

Remarks:

(A) Under 8 years

%% examined with active T.B. =

(B) 8 years and over

-0.58%

examined with active T.B. - 1.35%

TABLE 23

CLASSIFICATION OF ORTHOPAEDIC TUBERCULOSIS

OF NEW PATIENTS†, BY SITE, 1964-68

Site of Disease

Year

TOTAL

Spine Hip Joint Knee

Ankle Femur

Others

1964

133

48*

231

1965

146

TII

1966

1967

1968

* Figures with regard to tuberculosis of the knee, ankle and femur, not available

prior to 1965.

↑ Attending Orthopaedic Specialist Clinic at Sai Ying Pun Chest Clinic.

TABLE 24

MALARIA 1964-68

DISTRIBUTION OF CASES

(According to notified place of residence)

Year

Cases Notified

Urban Death Controlled

Areas

Sai Kung* Lantau*

District

Tai Po*

Other

District

Areas

1964

180

1965

143

1966

127

1967

1968

* Including floating population.

IDENTIFICATION OF PARASITES

Mixed

Year

P. vivas P. falciparum P. malariae

Species

infection undetermined

1964

154

1965

136

ני

1966

115

---

1967

1968

نيا

-г

Venereal Diseases

SYPHILIS

TABLE 25

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1959-68

Total (Except Congenital)|

Primary

Secondary

Early Latent

Late Latent

All others

TTI

HTT

ILL

ILJ

Under 1 year

Congenital Ove Over 1 year

Gonorrhoea

Non-Gonococcal Urethritis

Chancroid

Lymphogranuloma Venereum

Other Diseases

Non-Venereal Disease

Skin Diseases

TTI

זזז

1959

1960

1961 1962 1963 1964

1965

1966

1967

1968

2,680

2,091

1,555

1,858 1,487

1,036

1,197

1,177

1,082

1,314

154 164

119

426

296

202

359

307

197

263

198

220

233

ILL

2,038

1,590

1,173

1,216

864

590

791

874

788

981

1881

139

119

103

101

131

8,362

6,506

5,997

5,747

5,696

5,008

5,096

6,353

7.344

7,375

481

591

509

453

379

496

F-F

578

629

648

659

324

873

635

356

347

268

254

105

286

4,548 5,169 5,191 4,672 5,074 14,121 12,570 14,121 15,014 13,206 15,846

---

4,997 4,717 4,293 5,489 4,155 11,046 10,611 12,173 12,917 10,740 12,570

---

+TT

28,980 26,281 25,819 27,264 23,761 25,224 27,541 29,254 27,669 31,342 213,026 213,733 182,049 179,135 147,588 143,381 147,311| 161,994) 170,532| 209,916

Attendances at Clinics (All Types)

New Attendance

+44

Total Attendances

+++

TABLE 26

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1964-68

No. of tests (Clinics & Hospitals)

%% Positive

No. of tests (Private Midwives)

Positive

---

1963 1964

---

Year

LLL

1964

1965 1966 1967

1968

55,406 | 56,103

52,381 55,012

47,552

1.7 7,373

2.2

2.4

1.8

6,669 2.0

4,580

3,577

1.7

0.8

1.7 3,208 1.2

TABLE 27

LEPROSY 1968

INCIDENCE OF LEPROSY 1963-68

New Cases

Rate per 100,000 population

---

1965 1966 1967

ILL

---

ггг

---

1968

Under I

10 14

―

15 - 19 20 - 24 25 - 29 30 34 35 39 40 - 44

―

45 49 50 - 54 55 - 59

60 & Over

---

L+

258

271

217

163

149

160

7.5*

7.6"

5.9*

4.1*

3.9

4.0

Figures adjusted after 1966 By-Census.

Age Group

ANALYSIS OF CASES BY AGE 1968

No. of Cases

יזז

+++

ז ז +

LLL

ILL

ITT

игт

огт

FEE

ILL

---

TEL

---

ILL

+++

---

LL+

---

ILL

---

+++

---

TII

ггт

Fr+

...

---

Total ...

New admissions

ADMISSION TO LEPROSARIUM 1968

---

Relapses

For surgery

---

Total

4.1

---

L+

160

---

TII

Аспе

Alopecia

Angioedema

Carcinoma

Contact Dermatitis

---

1,553

TABLE 28

ANALYSIS OF DERMATOLOGICAL CONDITIONS PRESENTING AT CLINICS 1968

---

+++

LL+

281 128

---

Neurofibromatosis Nevi (All Types)

Pediculosis

---

Pemphigus

---

Paronychia

---

Dermatitis Exfoliative Dermatitis Herpetiformis

Dermatomyositis

Drug Eruption

Eczema (All Types) Erythema Multiforme Erythema Nodosum Granulomata

Herpes Simplex

Herpes Zoster...

Icthyosis

Keloid

---

JJJ

Keratosis (All Types)

Lichen Amyloidosis

Lichen Planus...

Light Sensitivity

Lupus Erythematosus

(All Types)

Miliaria

+++

Molluscum Contagiosum Neurodermatitis

Pityriasis Rosea

74 148

---

[11

Pityriasis Alba

---

Pruritus

310

Psoriasis

187

..ז

5,242

Purpura

---

Pyoderma

295

Raynaud's Phenomenoma

---

Rosacea

Scabies

...

---

Scleroderma

---

Tinea (All Types)

---

1,111

---

T.B. Cutis

Tumors, Benign

---

Ulcer, Varicose

יז+

HTT

Urticaria

---

621

1 гг

Vasculitis

Verruca

465

+++

---

Vitiligo

255

огт

זזוּ

IIT

Xanthoma

---

827

Leprosy Miscellaneous

L+

ILL

438

Total

--+

TABLE 29

CULTURES FOR MYCOLOGICAL IDENTIFICATION, 1968

256 T. tonsurans

---

--г

10 E.

floccosum

M. gypseum

LLL

C. albicans

+++

T. violaceum

T. rubrum

T. mentogrophytes

M. canis

T. versicolor

M. ferrugineum

---

Total specimens examined

12,899

---

13 18

ILL

brr

8 10

---

1,435

TABLE 30

WORK OF THE PORT HEALTH SERVICE-1968

INSPECTIONS

Immigration

No. of No. of

No. of Vessels

No. of

Pas-

No. of Crew

Smallpox Cholera No. under Vaccina- Inocula-

Surveil-

sengers

tions

lance

Overseas

---

5,644 37,840

247,969

448

566

By Sea

Macau Junks, etc.

1,038,856

257,148

123,935

10,268

131,387

272

By Air

---

16,545 713.464 149,541 1,192

1,209

By Train

...

313,205

131

By Sea...

---

19,710

1,944

32,457 2,103,365 786,045 145,557

Emigration

2,812 2,732

* Number not recorded.

FUMIGATION

　　　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

+44

...

---

..ז

---

100

JLI

T10

---

MEDICAL ASSISTANCE TO SHIPS

---

To ships in port

-- J

---

++4

$3,214.67 7,800,964

...

551

278

---

366

نیان

TABLE 31

MIDWIFERY SERVICES 1967-68*

(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

---

1967

1968

134

114

---

460

386

24,848

20,906

687

411

---

25,535

21,317

GOVERNMENT MIDWIFERY SERVICES

1967

1968

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

Cases attended (excluding hospitals)

253

279

232

225

123

---

128

18,880

164

17.989 145

Average case-load for each midwife (excluding hospitals)...

• Position at 31st March.

TABLE 32

DISTRIBUTION OF M.C.H. CENTRES AT 31ST MARCH, 1969

District

Full-time Centres

Subsidiary Centres

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

Hong Kong

Kowloon

..ז

N.T. & Islands...

Total

TABLE 33

MATERNAL AND CHILD HEALTH SERVICES 1967-68

No. of full-time centres

+++

No. of subsidiary centres

Ante-natal Sessions

---

L++

1967

1968

---

Total Sessions

New attendances

Total attendances

...

.יי

Average attendance per session

Average attendance per person

Post-natal Sessions

Total Sessions

New attendances

Total attendances

ILL

LLI

2,556

2,597

יוז

22,295

21,850

+++

LL J

112,780

113,868

44.12

43.85

5.06

5.21

PPI

825

813

...

огг

- r

- г г

5,045

5,221

6,346

6,262

27.12%

26.33%

ILL

Percentage presenting with some abnormality

Infant Welfare Sessions (0-2 years of age)

Total Sessions

+++

L++

L+

ILL

6,069

6,093

New attendances

Total attendances ...

Toddler Welfare Sessions (2-5 years of age)

76,254

74,981

778,202

868,365

Total Sessions

---

New attendances

Total attendances

---

Percentage presenting with some abnormality

(0-5 years of age) ...

Home Visits

TID

гтт

1,207

1,241

27,737

31,815

134,594

158,160

1.20%*

0.93%*

+++

135,795

116,930

• New attendances only.

TABLE 34

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF PARTICIPATING SCHOOLS, PUPILS AND DOCTORS At 31st March, 1969

Districts

Hong Kong

Wan Chai

Central and Sheung

Wan

Western

Causeway Bay

North Point

Shau Kei Wan

Aberdeen

No. of Part. Schools

No. of Part. Pupils

No. of Part. Doctors

926

-г г

1,880

---

2,223

4,849

2,894

678

2,078

223

15,528

Sub-total

Kowloon

Tsim Sha Tsui

Yau Ma Tei

Mong Kok...

Cheung Sha Wan

Shek Kip Mei

Hung Hom and

To Kwa Wan

San Po Kong

Kowloon Tong

Kai Tak

Kwun Tong

CARAX **=*=

789

946

6,346

1,595

1,904

119187

1,148

2,967

393

2,876

2,512

TANGO in

Sub-total

325

21,476

105

New Territories

Tsuen Wan

2,200

Yuen Long

838

Sha Tin Tai Po

195

213

...

Sheung Shui

587

--NWALA

Sub-total

4,033

Grand Total

645

41,037

201

TABLE 35

WORK OF THE GENERAL DENTAL SERVICE 1964-68

Deciduous Teeth

Permanent Teeth

Year

Attend-

ances

Persons rendered

Restored Extracted

Restored

Extracted dentally fit

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

1967

1968

258,399

21,836

30,257

100,312

38,941

23,475

277,935

20,975

34,033

95,694

42,692

57,245

TABLE 36

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1967-68

1967

1968

808

729

168

218

188

131

...

111

984

...

1,086

1,101

990

285

377

3,033

2,728

832

1,210

---

Examination of victims and suspects

Attendance at scenes of crime

Attendance at courts...

Medico-legal examination of weapons

Examination of hairs, fibres, etc.

Examination of clothing

Miscellaneous examination

Blood grouping (medico-legal)

Blood grouping (Police officers)

Lectures to Police Officers

---

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

Chemical examinations

Assistance in Raids:

urt

---

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance

rri

---

Unregistered Medical Practitioners Abortionists

Unregistered Dentists

---

...

---

| 17 |

TABLE 37

WORK OF GOVERNMENT INSTITUTE OF PATHOLOGY

1. Clinical Laboratories

2. Public Health Laboratories

3. Virological Laboratory

4. Vaccine Production

5. Blood Banks

111

1967-68

LABORATORIES

PII

---

LLL

JJJ

-11

---

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 Departmen

of Pathology, University of Hong Kong.

1. Victoria Public Mortuary

2. Kowloon Public Mortuary

MORTUARIES

SPECIMENS EXAMINED 1967 & 1968

I. Protozoology & Helminthology

2. (0) Haematology

(b) Blood grouping

3. Serology...

rrr

4. Bacteriology

5. Mycology

LLL

6. Public Health

7. Histo-pathology

8. Chemical-pathology

9. Clinical Pathology

10. Virology...

11. Special investigations 12. Blood Banks

1967

1968

For

rrr

100

-11

37,414 274,412

37,905 285.822

---

-11

1,194 128,397 434,357

1,487

135,631

457,610

-L

13,063

14,835

-10

---

29,212

94,266

111

---

19,238

20, 128

---

251,477

277,532

---

ILL

63,068

2.379

111

---

36,479 2,735

1,027

- JJ

Total

124,583

1,379,811

870 150,197

1,535,517

LLL

-LL

FLE

• Morbid Anatomy and Histopathology.

AUTOPSIES On Medical LEGAL CASES PERFORMED 1967 & 1968

Queen Mary Hospital Queen Elizabeth Hospital

Total

1967

1968

LLL

LLI

ILL

192 306

167

319

---

498

486

RODENTS EXAMINED AND AUTOPSIES Performed 1967 & 1968

Victoria Public Mortuary Kowloon Public Mortuary

FOL

---

1967

1968

LLL

---

31,972 30,358

35,090

29,969

---

62,330

65,059

110

---

Total

Vaccine

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

---

FLJ

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

TABLE 38

VACCINE PRODUCTION 1967-68

(in millilitres)

Prepared

1967

1968

1967

Issued

1968

43.644

33,262.5

39,968.7

58,700

69,300

95,900

53,650

49,050

58,900

47,050

60,250

119,900

---

121,350

140,000

106.480

---

124,950

1,323,700

994,350

1,067,200

511,500

1,850

2,600

180

British Red Cross Society Patient's Relative and friends Other sources

TABLE 39

BLOOD BANKS 1967-68

SOURCES OF BLOOD

ILL

---

Total

1967

1968

18,836 pints

22,033 pints

---

465 pints 316 pints

527 pints

510 pints

---

! 19,617 pints

23,070 pints

DISTRIBUTION OF BLOOD

1967

1968

Government Hospitals Government-assisted Hospitals

++/

+++

TII

гтг

---

Private Hospitals

---

14,260 pints 3,512 pints 1,033 pints

15,530 pints

4,277 pints

1,483 pints

Military Hospitals

110

+++

LEE

Unusable due to various causes

...

64 pints 907 pints

47 pints 994 pints

Total

---

19,776 pints

22,331 pints

TABLE 40

WORK OF PUBLIC MORTUARIES 1967-68

Total number of bodies received

Victoria

Kowloon

1967

1968

1967

1968

---

1,129

1,053

3,016

2,543

659

636

1,045

619

880

881

2,015

1,825

249

172

1,001

718

809

738

---

2,294

1,835

320

315

722

640

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

TABLE 41

WORK OF THE GOVERNMENT LABORATORY 1967-68

Dangerous Drugs Ordinance

Dutiable Commodities

Food and Drugs

+++

Forensic

Toxicology

---

- JL

Dangerous Goods Regulations

Commercial

+++

---

Import/Export (Prohibition) (Specified Articles) Orders

Miscellaneous

+++

Total

Samples Analysed

1967

1968

10,119

14,778

TII

8,173

8,171

2,013

1,459

2,368

1,675

2,240

2,344

181

251

. ז ד

1,697

2,234

---

26,894

31,012

TABLE 42

WORK OF INDUSTRIAL HEALTH SECTION 1968

MONITORING AND SURVEY WORK

---

...

---

гг т

Atmospheric Samples:

(a) Acetone

(6) Ammonia

---

(d) Carbon Monoxide

(e) Chlorine

(A) Chromic Acid

(g) Deposited Matters

(h) Dust

(i) Ethyl Acetate

(j) Explosive Gas

---

LLL

(k) Hydrogen Sulphide

(D) Lead

(m) Methyl Ethyl Ketone

() Nitrogen Dioxide

(0) Smoke

(p) Styrene

---

(g) Sulphur Dioxide

(r) Sulphur Trioxide

Ventilation Surveys:

LIJ

(a) Effective Temperature (5) Radiant Heat

Samples for Analysis:

(a) Lead (b) Rock

FEL

ייי

יוז

...

ILL

Urinalyses:

..г

---

+++

---

Numbers

N⌁NOONAANNNTI

103

~++

FIL

---

LIF

[T1

LLL

---

PII

ILL

TII

- гт

+++

ILL

---

Total

---

Total

-..

IJI

+++

Total

Coproporphyrin in Urine

Blood Counts:

(a) Haemoglobin Estimation (b) Red Blood Count

---

Total

ILL

---

1,192

1,194

265

2,826

---

+++

---

+++

J-

LLI

---

+++

ггт

---

LA LA

110

Miscellaneous Measurements:

(a) Radiation...

(5) Noise

...

---

LJI

LII

TABLE 42-Contd.

---

Numbers

106

Total

206

---

WORKMEN'S COMPENSATION CASE WORK

1964-5 | 1965-6 | 1966-7 | 1967-8 1968-9

Total No. of interviews

+++

IL L

16,608 19,614 26,593 21,957 | 33,571

Number of visits

огт

4,822

3,224

815

1,532 1,437

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

Cases assessed at Medical Boards

734

929

717

489

607

2,218 2,882

3,921

4,030❘ 4,456

TABLE 43

MEDICAL CLINIC REGISTRATION

Number of clinics fully registered at 31st December, 1968...

Number of clinics registered with exemption at 31st December, 1968

Number of clinics in respect of which registration was refused during 1968

Number of clinics in respect of which registration was cancelled during 1968

360

Institutions

HONG KONG:

(A) GOVERNMENT HOSPITALS Queen Mary Hospital

TABLE 44

NUMBER OF HOSPITAL BEDS IN HONG KONG 1968

Classifications of Beds

Med.

Surg.

Ophth.

E.N.T.

Gyn.

Mat.

Pac. & Babies

Tuber-

culosis

Lep.

Psy.

Chro. & Long

Term

Cust.

Caso. &

Ober.

Iof.

Others

Total

219

303

ггг

---

的

Sai Ying Pun Hospital

Stanley Prison Hospital

---

Tsan Yuk Hospital

---

Victoria Remand Prison Hospital Wan Chai Hospital

---

Government Clinics & Maternity Homes...

(B) GOVERNMENT-ASSISTED HOSPITALS

Alice Ho Miu Ling Nethersole Hospital Grantham Hospital

Nam Long Hospital

Rullonjee Sanatorium

Sandy Bay Children's Orthopaedic Hospital & Convalescent Home Sandy Bay Convalescent Hospital Tung Wah Hospital

Tung Wah Eastern Hospital

241

123

102

---

111

011

---

212

141

Canossa Hospital

H.K. Central Hospital

110

100

37.

H.K. Sanatorium & Hospital

Matilda & War Memorial Hospital

St. Paul's Hospital

Private Nursing & Maternity Homes

TOTAL (Hong Kong)

KOWLOON:

(A) Government HospitaLS

Kowloon Hospital

Lai Chi Kok Female Prison Hospital Lai Chi Kok Hospital

Queen Elizabeth Hospital

---

Government Clinics & Maternity Homes..

120

---

[07

...

| || | ||**

* 287 26217!

2* ||

Độ | |||

467

115

[B.R.] 689| ||18 |│

** 2!

806

241

102

123

360

101

1918 1929 ON

350

619

120

360

LOO

200

233

503

1371

673

338

180

120

373

221

100

---

1,[23] 1,114

44 241

720 339

1,027

596 216 89 92

5,631

363

མིིg།

228

569

110

16011

THAT

104

129

! |

190

192

156

|21||

500

492

1,523

161

Classifications of Beds

TABLE 44-Contd.

Surg.

Ophth.

E.N.T.

Gyo.

Mat.

Pae, & Babies

Institutions

GOVERNMENT-ASSISTED HOSPITALS

Caritas Hospital

Med.

111

107)

H.K. Society for Rehabilitation

(Kwun Tong Rehabilitation Centre)

Maryknoll Mission Hospital

Kwong Wah Hospital

Wong Tai Sin Infirmary

ггг

-L

2 1880 221879

455 399

164

711

---

1,380 1,526

Evangel Medical Centre

Precious Blood Hospital

St. Teresa's Hospital

TIT

Private Nursing & Maternity Homes

TOTAL (Kowloon)

NEW TERRITORIES:

(A) GOVERNMENT HOSPITALS

Castle Peak Hospital

יו.

Chi Ma Wan Prison Hospital St. John Hospital

---

South Lantau Hospital

Tai Lam Chung Prison Hospital Tong Fuk Prison Hospital

Government Clinics & Maternity Homes.

(B) GOVERNMENT-ASSISTED HOSPITALS Haven of Hope T.B. Sanatorium Hay Ling Chau Leprosarium Pok Oi Hospital

1 PT

111

110

Adventist Sanatorium Hospital Fanling Hospital

Private Nursing & Maternity Homes

TOTAL (New Territories)

---

GOVERNMENT HOSPITALS GOVERNMENT-ASSISTED HOSPITALS

Tuber-

culosis

Lep.

Psy.

150

157

104

303

202

322

68 304

1,153

640

400

120

R SIAL |

1,543

350

830

Chro. & Loog Term

Cust.

***

Obar.

Inf.

Others

Total

110

286

341

534

163: 163

6,420

1,242

100

---

242

---

36!

---

255

---

697 1,167 25

---

1,393

1,104

668

407

2,758 2,678

RAS &

│[ སྙ༅། 」#「ཥྭ

261

470

261

540

32.

162

191

103

310 470 1,242)

101 3

2,848

177

958

3101

156

1,242]

329

359 256 125

5,832

31 319 619

609

1,524 470

790

10 30 49

636

146

[3]

103: 7,010 30 2,057

59 (12 545 2,213

1,065|

1,065 1,737 470

1,737 470|| 1,255 1,255

1,130

363| 256 258 363 256 258; 14,899

PRIVATE HOSPITALS

110

---

GRAND TOTAL

ILL

TABLE 45

IN-PATIENTS TREATED IN GOVERNMENT, GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS, CLINICS AND MATERNITY HOMES, 1968

Deaths

In-patients Discharged

Total

patients

General

In- Tuber- Mater- Psy- Fectious, culosis nily chiatric

Total General

17- Tuber- Mater- Pay- fections culosis nity ❘chiatric

Total

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 & Matemnity Homes

זי.

---

FLL

(B) Govt.-ASSISTED HOSPITALS

Alice Ho Miu Ling

Nethersole Hospital

957

445:

22,280 47L 429 1,957 고대

73 25,210 1,3811

1,426

953

301

111

1.126

138

1,450|| 26,660 26

1,434

1,137

+--

2,469

7,532

10,001

10,071

LLL

336|

4,219

4,646

4.554

182

236

237

LLL

2,795

---

5,633,

274)

130

3,908

9,978

163

171

10,149

Grantham Hospital

227

ייי

111

1,356

1,585

1,661

Nam Long Hospital

386

472

Ruttonjee Sanatorium

202

1,236,

1,439

1,511

Sandy Bay Children's

Orthopaedic Hospital &

Convalescent Home...

349

128

331

510

Hospital

Sandy Bay Convalescent Hospital

111

Tung Wah Hospital

Tung Wah Eastern Hospital

Canossa Hospital

H.K. Central Hospital...

H.K. Sanatorium & Hospital Matilda & War Memorial

St. Paul's Hospital

Private Nursing & Maternity Homes

4,176

111

3,078

491

2,416

136

011

2,613

2,877]

9,550

167

154

Fox Fa

67!

4,255

294

305

4,560

234 1,725

5,104

$10

129

5,748

1,902

4,528

422

486

5,014

305

214

2,506

122

2,946!

3,027

3.170

160

3,330

78 12,455

415

424

12,879

643

130

111

785

789

3,587

121

638

4,239

184

187

4,426

---

1,859

TOTAL (Hong Kong)

LLL

62,614|

1,697 4,009 25,47||

4,588 98,379

4,142|

360

4,564||| 102,943

100

KOWLOON

(A) GOVERNMENT HOSPITALS

Kowloon Hospital

Lai Chi Kok Female Prison

Hospital

LLL

Lai Chi Kok Hospital

TABLE 45-Contd.

In-patients Discharged

Deaths

Total

In-

Gener

1n- Tuber- Mater- fectious culosis

Psy-

nity chiatric

Total

General

En- Tuber-Mater- Psy- fectious culosis nity chiatric

Total

patients

Treated

Queen Elizabeth Hospital

Government Clinics &

Maternity Homes

PPP

(B) Govt.-ASSISTED HOSPITALS

Caritas Hospital

H.K. Society for Rehab.

(Kwun Tong Rehab. Centre).

3,908

74: 451

6.433!

265 259

185

48,228

1,000

1,195

I 1,189

6,519

259

1,206

932 11,581 175 62,111|

2,760

102

5,5301

5,530

2,944|| 65,055

0 5,330

2,343

394

1,102

19 4,100

489

525

4,625

317

340

25.599

588

1,397

18,078 129 45,791

3,397

256

3,737

49,528

1,417

34 1,319

16 2,828

82.

2,913

238

994

2 1,238

479

1,717

Kwong Wah Hospital

...

Maryknoll Hospital

Wong Tai Sin Infirmary

1,520

255

1,782

Evangel Medical Centre

1,006

359

1,418

32,

Precious Blood Hospital St. Teresa's Hospital

Private Nursing & Maternity Homes

1,264

51]

467

3 1,798 126]

6,901

201

ггг

126 1,224

9] 8,281

3431

111

16,389

16,559

TOTAL (Kowloon)

JJJ

95,213 3,030

4,405 56,507 56,507

532 159,687

7,811

134)

467

1,854

1.451

133 1,936

355 8,636

C 16,589

8,471|| 168, 158

101

NEW TERRITORIES

(A) Government HospitaLS

Castle Peak Hospital

TABLE 45-Contd.

In-patients Discharged

Deaths

Total

In-

fectious culosis

In Tuber-Mater- Psy- nity chiatric

Total General

Tuber- Mater-

In- Psy- culosis nity chiatric

patients Total Trated

LLL

106

Chi Ma Wan Prison Hospital.

393

---

St. John Hospital

711

IPI

100

South Lantau Hospital

Tai Lam Chung Prison Hospital Tong Fuk Prison Hospital Government Clinics & Maternity Homes

(B) GOVT.-ASSISTED HOSPITALS

510

309

---

*"gre

3,230

143

512

ONG

फ

9.734

3,365

397

1.472

597

332

9,734

3.431

397

1,494

597

332

9,734

Haven of Hope T.B. Sanatorium Hay Ling Chau Leprosarium Pok Oi Hospital

450

458

26||

484

126

L3L

2,676

187

104 1,200

---

4,170)

212

248

4,418

Qué

Adventist Sanatorium Hospital Fangling Hospital

2,080

#691

401

2,481

2,560

45:

943

1,000

Private Nursing & Maternity

Homes

---

2,458

g 2,458

TOTAL (New Territories)

7,705

531

780 14,350 3,256 26, 26,622j

431

500

27,125

GOVERNMENT HospiTALS

LLI

83,655

GOVT.-ASSISTED HOSPITALS

PRIVATE HOSPITALS

3,465 (8,967) 1,519 32,910 274

2,194 39,689, 6,573 29,234) 427 27,405)

7,945 136,948

4,378

152

169!

243 86,536| 6,463 188 61,204

102

670

4,703 || 141,651 7,245 93.781

1,543

411

1,590 62,794

GRAND TOTAL

165,532

5,258

9,194 95,328; 8,376 284,688 12,384

259

198

[3,538 298,226

TABLE 46

DISEASE CLASSIFICATION OF IN-PATIENTS TREATED IN GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND OF ALL DEATHS IN THE COLONY 1968

(Note: These exclude patients treated in maternity homes)

Inter-

mediate

List

Number

Discharges

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Govern-

ment-

Govern-

Whole Colony

Hospitals

ment Assisted Hospitals Hospitals

Kent-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

A 1

001-008

Tuberculosis of Respiratory

System

1,474 5,999

136) 637 1,055 335

1,390

A 2

010

Tuberculosis of meninges and central nervous system

>>> >>>>>>> >

A 3

011

Tuberculosis of intestines, peri-

toneum and mesenteric glands.

A 10

A 11

A 12

A 13

A 14

A 15

envraag 120 12

012-013

Tuberculosis of bones and joints.

300

299

014-019

Tuberculosis, all other forms

290

180

020

Congenital syphilis

021

Early Syphilis

024

Tabes dorsalis

025

General paralysis of insane

022-023

All other syphilis

ខ្លះទឹកកក | ៗ

...

026-029

030-035

040

Typhoid fever

041-042

Gonococcal infections

Paratyphoid fever and other

Salmonella infections

LLL

471

157

# 97% 11-53

043

Cholera

TII

044

Brucellosis (Undulant fever)

Carried forward

2,822 6,767 183 683 1,152

380

1,532

102

TABLE 46- Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Govern-

Whole Colony

-10200

ment

Hospitals

Assisted

Hospitals

ment-

Assisted

Hospitals

Male Female

[Sex Uo-

known

Total

Brought forward...

2,822 6,767

183

683 1,152 380

A 16(a)

goo

045

Bacillary dysentery

619

118

(b)

046

Amoebiasis

INN

1,532

Other unspecified forms of

dysentery

---

A 17

050

Scarlet fever

---

JLI

---

A 18

051

Streptococcal sore throat

143

A 19

052

Erysipelas

A 20

053

Septicaemia and pyaemia

A 21

055

Diphtheria

137

TTI

A 22

056

Whooping Cough

A. 23

057

Meningococcal infections

---

FLI

058

Plague

---

A 25

060

Leprosy

134

A 26

061

Tetanus

נה

LII

A 27

062

Anthrax

A 28

080

A 29

082

A 30

081,083

Acute poliomyelitis

Acute infectious encephalitis Late effects of acute poliomyelitis

and acute infectious encephalitis

A 31

084

Smallpox

---

A 32

085

Measles

A 33

091

Yellow fever

A 34

092

Infectious hepatitis

+++

300

139

---

306

139

JJI

JLI

511

273

A 35

094

Rabies

- г г

Carried forward...

5,178

7,796

318

772 1,271

469

1,740

103

Inter-

mediate

List

Number

TABLE 46 Contd.

Discharges

Deaths

Detailed

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- Total

known

5,178| 7,796 318. 772 1,271

469

1,740

Brought forward...

A 36(a)

100

(6)

101

Louse-borne epidemic typhus Flea-borne epidemic typhus (murine)

LIT

+++

(c)

104

(d)

105

Tick-borne epidemic typhus Mite-borne typhus

(e) 102-103

Other and unspecified typhus

A 37(a)

106-108

110

(6) 111

(c)

112

(d)

115

A 37(e)

113-114

116-117

malaria

A 38(a)

123.0

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

Blackwater fever

Other and unspecified forms of

Schistosomiasis vesical

(S. haematobium)

ILI

г. -

(b)

123.1

Schistosomiasis intestinal

(S. Mansoni)

---

(c)

123.2

Schistosomiasis pulmonary

(S. Japonicum

(d)

123.3

A 39

125

Other and unspecified

schistosomiasis

Hydatid disease

---

104

Carried forward...

5,190 7,802

318

772 1,271

469

1,740

TABLE 46-Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Govern

Govern-

ment

Whole Colony

Hospitals!

Assisted

Hospital

Male Female

Sex Un-|

known

Total

Brought forward...

5,190 7,802 318

772 1,271

469

1,740

||on rong

A 40(4)

127

Onchocerciasis

127

Loiasis

---

тті

(c)

127

Filariasis (bancrofti)

(d)

127

Other filariasis

..ז

- T1

A 41

129

Ankylostomiasis

A 42(a)

126

105

A 43(a)

338 $93 § 25 5885

130.0

Ascariasis

130.3

(d)

124, 128

130.1-130.2

Tapeworm (infestation) and other cestode infestations

Guinea Worm (dracunculosis)

Other diseases due to helminths

...

г гт

037

Lymphogranuloma venereum

038

Granuloma inguinale, venerea!

039

Other and unspecified venereal diseases

(d)

049

071

072

---

Food poisoning infection and

intoxication

Relapsing fever

Leptospirosis icterohaemorrhagica

(Weil's disease)

...

L LJ

073

Yaws

---

087

Chickenpox

090

Dengue

TII

...

יי+

095

Trachoma

Carried forward.

149

HISTI

5,478!

7,882 318

772 1,271

470

1,741

TABLE 46-Contd.

Discharges

Inter-

mediate

Deaths

Detailed

List

Number

List

Number

Cause groups

Govern-

ment

Hospitals

Gover-

ment-

Govern-

ment Assisted Hospitals Hospitals

Govern-

ment-

Assisted

Hospitals

Deaths

Whole Colony

Sex Un-l

Male

Female

Total

known

Brought forward...

5,478 7,882 318

772 1,271

470

1,741

(k)

096.7

Sandfly fever

· · ·

().

120

Leishmaniasis

(m)

121(a)

350

(6)

(c)

(1)

131

---

Trypanosomiasis gambiensis Trypanosomiasis rhodesiensis Other and unspecified try- panosomiasis

Dermatophytosis

---

(0)

135

Scabies

│ │ │

036, 054,

059, 063,

064, 070,

074, 086,

088, 089,

093, 096. L

096.6,

All other diseases classified as infective and parasitic

179

203

096.8,

096.9,

122,

132-134,

136-138

A 44

A 45

A 47

$995

140-148

Malignant neoplasm of buccal

150

151

152-153

cavity and pharynx Malignant neoplasm of oesophagus Malignant neoplasm of stomach........ Malignant neoplasm of intestine, except rectum

667:

363

109

+10

194

344

184

292

236

282

123

405

111

159

72]

156

199

143

342

221

116

301

170

IJL

Carried forward..

7,085

8,852

579

1,281 1,960

85%!

2,818

106

TABLE 46-Contd.

Discharges

Inter

Deaths

Detailed

mediate

List

Number

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Govern-

ment Assisted Hospitals Hospital

Govern-

ment-

Assisted

Hospitals

Whole Colony

Male

Female Sex Un-

Total

known

A 48

A 49

A 50

154

161

162-163

- - -

A 51

A 52

170

171

uteri

+++

LII

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

7,085 8,852 579 1,281 1,960

858

2,818

149

40 45.

18!

439

344

1031

3661

248

ពួក

667

193

A 53

172-174

Malignant neoplasm of other and

unspecified parts of uterus

189:

A 54

177

Malignant neoplasm of prostate

A 55

190-191

Malignant neoplasm of skin

A. 56

196-197

Malignant neoplasm of bone and

connective tissue

** * *** 2

347 369

269

638

146

147

153

ENA 5 58

A 57

155-160,

164-165,

175-176,

Malignant neoplasm of all other

178-181,

and unspecified sites

977

489

339

500

691 438

1,129

192-195,

198-199

A 58

A 59

204

Leukaemia and aleukaemia

155

581

75 41

116

T10

200-203

205

Lymphosarcoma and other neoplasms of lymphatic and haematopoietic system.

Carried forward....

155

זזז

10,401 10,542| 1,208

2,466 3,271 2,053

5,324

107

TABLE 46 Contd.

Discharges

A 60

210-239

of unspecified nature

---

A 61

250-251

Nontoxic goitre

A 62

252

goitre

A 63

260

Diabetes mellitus

A 64(a)

280

Beriberi

(b) |

281

Pellagra

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Govern

ment-

Assisted

Hospitals

Govern-

ment

Deaths

Whole Colony

Hospitals

pent-

Assisted

Hospitals

Male Female

|Sex Un-1

known

Total

Brought forward...

Benign neoplasms and neoplasms

10,401 10,542 1,208 2,466 3,271 2,053

5,324

1,955

1.593

161

---

Thyrotoxicosis with or without

448

162

16.

524

378

128

---

+44

LII

NN.

| 1

(c)

282

Scurvy

]

---

(d)

283-286

A 65(a)

290

(b) 291

(c)

292-293

Other deficiency states

Pernicious and other hyper- chromic anaemias

Iron deficiency anaemias (hypochromic)

Other specified and unspecified

anaemias.

212

نيا

ليا

---

542

187

---

A 66(a)

241

Asthma

1,076

827

40 34 45

39 78 79

157

---

(5)

240,

242-245,

253-254,

270-277,

287-289,

All other allergic disorders, endocrine, metabolic and blood diseases

939

249

294-299

A 67

300-309

Psychoses

2,739

Carried forward...

18,888 14,285 1,290

2,635 3,482 2,308

5,790

108

TABLE 46Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Gover

ment-

Govern-

Deaths

Whole Colony

ment Assisted Hospitals Hospitals

ment-

Assisted

Hospitals

Male Female

{Sex Un-|

known

Total

A 68

310-324

Brought forward...

Psychoneuroses and disorders of

18,888 14,285 1,290

2,635 3,482 2,308|

5,790

326

personality

5,127

198

A 69

325

Mental deficiency

ITT

A 70

330-334

Vascular lesions affecting central

nervous system

844

FFF

1,275

776

852

823

980

A 71

340

Nonmeningococcal meningitis

112

8888

A 72

345

Multiple sclerosis

---

A 73

353

Epilepsy

658

231

نيا

1,803

---

A 74

370-379

Inflammatory diseases of eye

A 75

385

Cataract

457

189

rr+

гг

A 76

387

Glaucoma

---

A 77(a)

390

Otitis externa

+++

(b)

391-393

Otitis media and mastoiditis

1611

(c)

394

Other inflammatory diseases of car

A 78(a)

380-384

All other diseases and

386, 388

389

Conditions of eye

372

(b) 341-344,

350-352,

354-357,

360-369.

All other discases of the nervous system and sense organs

734

312

31 43

395-398

A 79

400-402

Rheumatic fever

569

169

---

A 80

410-416

Chronic rheumatic heart disease.

1,070

363

52 104

171

275

Carried forward.

ILL

29,238 17,349 2,190

3,605 4,510 3,5481

8,058

109

011

TABLE 46-Contd.

Discharges

Inter-

Deaths

Detailed

Deaths

mediate List

List

Number

Cause groups

Number

Govern-

ment-

Govern- ment Assisted mcot Assisted Hospitals Hospitals Hospitals Hospitals

Govern-

ment-

Whole Colony

Male Female

Sex Un-i

known

Total

Brought forward...

29,238 17,349 2,190 3,605 4,510 3,548

8,058

A 81

420-422

Arteriosclerotic and

degenerative heart disease

513

619

142

218. 589 498

ITT

1,087

A 82

430-434

Other diseases of heart

7821

1,136

271

386

367 422

789

A 83

440-443

A 84

444-447

A 85

450-456

A 86

460-468

FIT

A 87

470-475

A 88

480-483

Influenza

A 89

490

Lobar Pneumonia

A 90

491

A 91

492-493

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

Hypertensive heart disease

Other hypertensive diseases Diseases of arteries

Other diseases of circulatory system

Acute upper respiratory infections

Bronchopneumonia

Primary atypical, other and

unspecified pneumonia

Acute bronchitis

ггг

.гг

Bronchitis, chronic and unqualified Hypertrophy of tonsils and

adenoids...

---

Empyema and abscess of lung Pleurisy

Pneumoconiosis

All other respiratory diseases

166]

301

112

230 163

393

3771

789

641

115

211

297

194

LEL

154

701

-IT

---

1,092

1,727,

1,554

679

274

---

144

122

1,864

rth

1,913

502

269

428

ILL

166

262

Irr

5471

692

?ཀཌཙྩ ཙཱཀསྶ

4561

511

204

---

1,467 1,241

ཤྩ ༅ །ཐཱ༥།

1911 2

656

762

720

1,482

143

284

238

522

སྒྱུ ཎྜནྡྷལ །སླ༠།

167

Carried forward ....

+++

39,639 28,552. 3,299 5,398 7,175 5,955|

13,130

TABLE 46-Contd.

Discharges

Inter-

mediate

Deaths

Detailed

List

Number

Cause groups

Number

Govern-

ment

Govern-

ment-

Hospitals

Govern-

ment Assisted Hospitals Hospitals

Govero-

Whole Colony

ment-

Assisted

Hospitals

Male Female

[Sex Un-

known

Total

Brought forward...

39,639 28,552

3,299] 5,398 7,175 5,955

13,130

A 98(a)

530

Dental Caries

LJI

(b) 531-535

All other diseases of teeth and

supporting structures

433

A 99

540

Ulcer of Stomach...

LLL

1,638

1,568,

A300

541

Ulcer of duodenum

1,137

708

A 101

543

Gastritis and duodenitis

267

624

A102

550-533

Appendicitis

3,012

2,229

A103

560-561,

Intestinal obstruction and hernia.

1,532

1,031

| Remag

43 78 42

120

]]

йида

570

A104(0)

571.0

Gastro-enteritis and colitis,

between 4 weeks and 2 years

1,495

773

541

(b)

571.1

Gastro-enteritis and colitis,

age 2 years and over

988

838

(c)

572

Chronic enteritis and ulcerative

colitis

260

A 105

581

Cirrhosis of liver

661

226

106

124

234

---

· · ·

A 106

584-585

Cholelithiasis and cholecystitis

1,034

1,244

**5

302

100

A107

536-539,

542, 544,

545,

573-580,

Other diseases of digestive system

2,764

1,257)

153

133 172

127

299

582-583,

586-587

A 108

590

Acute nephritis

..ד

Carried forward.

3171 208

54,989| 39,565| 3,709 5,801 7,856 6,335|

14,190

111

TABLE 46 Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

ment-

Hospitals

Govern-

ment Assisted Hospitals Hospitals

Govern-

ment-

Assisted

Hospitals

Whole Colony

Male Female

|Sex Un-

known

Total

Brought forward...

$4,989 39,565 3,709 5,801 7,856 6,334

14,190

A 109

591-594

Chronic, other and unspecified nephritis

4841 248

105. 156 124

280

A110

600

A111

602, 604

A112

610

A113

620, 621

Infections of kidney

Calculi of urinary system... Hyperplasis of prostate

Diseases of breast.

316

+++

8741

353

+10

101

---

229

107

TTI

A114(a)

613

Hydrocele

302

154

(b)

634

LJI

Disorders of menstruation

759

1,146)

(c)

601, 603,

605-609,

611-612.

614-617,

All other diseases of the genito- urinary system

2,944

2,734

---

622-633,

635-637

A115

640-641,

681-682,

684

Sepsis of pregnancy, child-birth and the puerperium

118

A116

642, 652

685, 686

Toxaemias of pregnancy and the puerperium

534

395

---

A117

643, 644

670-672

Haemorrhage of pregnancy and childbirth

601

229

---

A118

650

Abortion without mention of

A119

651

sepsis or toxaemia

Abortion with sepsis

2,528

3,085

Carried forward

ייי

64,797 48,258| 3,827 5,946 8,082 6,523|

14,605

112

TABLE 46 Contd.

Discharges

Inter-

Deaths

Detailed

mediate

List

Number

List

Number

Cause groups

Govern-

ment

Govern.

теді-

Govern-

Hospitals

ment Assisted Hospitals Hospitals

Glovera

meal-

Assisted

Hospital

Whole Colony

Male Female

Sox Un-

known

Total

Brought forward...

14,605

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

Delivery without complication Infections of skin and sub-

cutaneous tissue

Arthritis and spondylitis Muscular rheumatism and

A120(@)| 645-649,

673-680,

683,

687-689

(6)

660

A121

690-698

A122

720-725

A123

726-727

rheumatism, unspecified

A124

730

A125

737

Ankylosis and acquired

A126(@)

745-749

715

(5)| 700-714,

716

A127

751

A128

754

Osteomyelitis and periostitis

musculoskeletal deformities

Chronic ulcer of skin (including tropical ulcer)

FrT

All other diseases of skin...

All other diseases of musculo- skeletal

Spina bifida and meningocele Congenital malformations of circulatory system

Carried forward...

64,797 48,258 3,827 5,946 8,082 6,523

08 35 2

en se

7,408 2,605

نيا

IIL

10,665 22,861

1,533

623

4211

289

105

306

---

1521

167

т.г

671

256

Sw 1

796

172

---

]

لابيا

337

ILL

123

IN CO

7,279 75,497 87,279 75,497! 3,880 5,987 8,160 6,651

14,811

113

TABLE 46-Contd.

Discharges

Inter-

Deaths

Detailed

mediate

List

Number

List

Number

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Whole Colony

Male Female Sex Un-1

Total

known

Brought forward...

87,279 75,497 3,880 5,987 8,160 6,651

14,811

A129

750, 752

753

All other congenital

malformations

589

454

34 86

158

755-759

---

A130

A131

760-761

Birth injuries

10 29

762

Postnatal asphyxia and atelectasis

241

136

A132(a)

764

Diarrhoea of newborn (under

4 weeks)

317

(b)

765

Ophthalmia neonatorum

763,

Other infections of newborn

190

164

114

158

138

296

---

766-768

A133

770

A134

769,

771-772

---

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

1,284

61.

101

261

---

A135

773-776

Ill-defined diseases peculiar to carly infancy

1,605

474

108]

230

279| 187

466

A136

794

Senility without mention of Psychosis

11]

184

345 170

420

590

+++

A137(a)

788.8

(6) 793

Pyrexia of unknown origin

461

Observation, without need for further medical care

3,210

256

Carried forward...

---

94,345 78,042 4,222|

6,785 9,082 7,637|

116,720

114

TABLE 46 Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Hospitals

Gover

ment-

Assisted

Hospitals

Govern-

ment

Hospitals

Whole Colony

ment-

Assisted

Hospital

Male Female

|Sex Un-|

known

Total

Brought forward...

---

94,345 78,042 4,222 6,785 9,082 7,637

1 16,720

115

(4) 780-787

788.1-

788.7

788.9

All other ill-defined causes of morbidity

---

789-792

795

AE138 E810-E835

Motor vehicle accidents

...

2,461 2,763

132

359 6231 580

4 1,207

2,465

879

166

1821

124

306

AE139 E800-E802

E840-E866|

AE140 E870-E895

Other transport accidents

Accidental poisoning

292

178.

221

939

116

AE141

E900-E904

Accidental falls

ILJ

6,042

1,324

AE142

AE143

E912

E916

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

2,317

369

w==

ជន។

***

119

245

AE144

AE145 |

AE146

E919

+++

E917-E918 Accident caused by hot

substance, corrosive liquid, steam and radiation Accident caused by firearm

...

1,755

2881

E929

Accidental drowning and submersion

113

1 гг

148:

212

Carried forward.......

110,981 84,054 4,649 7,200 10,190 8,488

110,98

5 18,683

Inter-

mediate

List

Number

Detailed

List

Number

TABLE 46 Contd.

Discharges

Deaths

Cause groups

Govern-

ment

Hospitals

Govern-

ment-

Assisted

Hospitals

Govern-

ment

Deaths

Whole Colony

mment-

Assisted

Hospitals

Male Female

[Sex Un-|

known

Total

116

AE147

(a)

E920

(b)

E923

(c)|

E927

(d)

E928

(e) E910-E911,

Brought forward...

Foreign body entering eye and

adnexa

T10

Foreign body entering other orifice

+--

Accidents caused by bites and

stings of venomous animals and insects

...

Other accidents caused by animals

110,981 84,054 4,649 7,200 10,190 8,488

916

215

271

111

יי+

5 18,683

E913-E915,

E921-E922,

All other accidental causes

4,805

1,413

14;

112

E924-E926,

E930-E965

AE148 E970-E979 AE149 E980-E985

Suicide and self-inflicted injury

408

424

301

247

208

455

Homicide and injury purposely

inflicted by other persons (not in war)

AE150

E990-E999

Injury resulting from operations

of war

1,430

365

47 21

➖ ➖ ➖

GRAND TOTAL

118,889 86,536| 4,703

7,245 10,567| 8,747

8,747

319,319

TABLE 46 Contd.

Discharges

Inter-

mediate

List

Number

Deaths

Detailed

List

Number

Cause groups

Govern-

ment

Govern-

ment-

Assisted

Govern-

Govern

ment

Deaths

Whole Colony

Hospitals

ISA1-

Assisted

Hospitals

Male Female

Sex Un-

known

Total

AN138 | N800-N804 AN139 N805-N809| AN140 N810-N829

Fracture of skull

462

109

202

101

303

IIL

Fracture of spine and trunk Fracture of limbs

644

131

551 34

3,556

1,368

AN141 N830-N839-

Dislocation without fracture

242

9 |

AN142 | N840-N848

Sprains and strains of joints and adjacent muscle...

163

AN143

N850-N856|

Head injury (excluding fractures);

7,010

1,238

111

155

AN144 N860-N869

AN145 |N870-N908|

Internal injury of chest, abdomen and pelvis

Laceration and open wounds

172

133

135

...

---

4,568

973

AN146 N910-N929

Superficial injury, contusion and crushing with intact skin surface

697

562

Burns

AN149 N960-N979|

AN150 N950-N959)

N980-N999

AN147 | N930-N936 Effects of foreign body entering

AN148N940-N949 949

-N97

through orifice

Effects of poisons

All other and unspecified effects of external causes

906

195

..ז

ггт

LL+

1,958

456

201

ггт

L++

1,427

202

591

114

273

2481

299

195

494

117

TOTAL

...

22,083|

5,731

349

101

862

530

1,392

118

TABLE 47

HOSPITAL COSTING 1967-68 AND 1968-69

1967-68

1968-69

Unit

Total Cost

Cost per

bed*

Cost per

patient

Cost per

Total Cost

Cost per

bed*

patient

Castle Peak Hospital

(Psychiatric Services)

Kowloon Hospital

LLL

12,312,945

8,252.64

3,640.72 20,933,965 12,882.44

5,900.21

(Tuberculosis and Convalescent)

Lai Chi Kok Hospital

(Infectious and Convalescent)

Queen Elizabeth Hospital

(Acute and General)

7,686,176

19,458.67 1,116.85 9,930,734 25,077.61

1,495.36

3,453,318

11,949.20

661.30 6,579,095 23,330.12 1,255.79

38,029,906

29,186.42

644.08 60,874,687 44,892.83

890.28

Queen Mary Hospital

(Acute, General & Teaching)

Tsan Yuk Hospital

(Maternity and Teaching)

22,655,216

32,977.02

842.10 26,366,611

40,254.36

973.47

3,852,614

22,014.93

528.04

4,647,494

23,833.30

604.98

* The figures are based on the actual occupancy over the same period which may be different from the normal bed capacities as shown in Table 44.

TABLE 48

WORK OF THE QUEEN MARY HOSPITAL 1964-68

1964 1965 1966 1967

1963

Total Admissions

110

New Attendances at Casualty

New Out-patients

111

Total New Out-patients

Total Out-patient Attendances

ггт

---

Operations (excluding minor cases)

Mortality (expressed as percentage of

admissions)

LLI

... 21,510 22,832 25,557 26,954 26,683

38,458 37,354 41,675 42,553 44,706

2,841 2,281 1,785 2,200 2,343

41,299 39,635 43,460 44,753 47,049

79,081 62,118 86,219 89,767| 87,879

10,315 10,860 11,155 10,453 11,602

6.3

5.9

5.8

5.9

5.4

TABLE 49

WORK OF THE QUEEN ELIZABETH HOSPITAL 1968

Total Admissions

New Attendances at Casualty

ILL

New Out-patients

---

Total New Out-patients

Total Out-patient Attendances

Operations:

Casualty Department

Operating Theatre Suites

Specialist Clinics

---

Total Operations

rri

Average length of stay of In-patients

Mortality (Percentage of total deaths & discharges)

119

65,191

135,163

31,341

166,504

י - +

398,448

19,071

19,458

---

2,464

ILL

40,993

7.6 Days

4.5%

TABLE 50

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1968

A. TRAUMATIC CASES

Assault

Traffic

Industrial

Domestic

Animal Bite

Cause

First Attendance

Admissions

Cases

5,352

14.7

1,004

12.7

5,204

14.3

1,552

19.6

9,539

26.3

1,914

24.2

LIT

12,873

35.5

3,042

38.4

2,260

6.2

121

1.5

624

1.7

138

1.8

460

1.3

141

1.8

Sport Other

---

ILI

Total...

36,312

100.0

7,912

100.0

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

B. NON-TRAUMATIC CASES

First Attendance

26.9%

19.00

Admissions

Cause

Cases

Infectious

Tuberculosis

485

0.5

0.2

645

0.6

ILL

0.2

FP+

Medical

Surgical

Obstetrical

36.803

37.2

10,361

30.7

---

22,627

22.9

8,282

24.5

---

ILL

1,148

1.2

897

2.6

Gynaecology

5,310

5.4

2,831

8.4

Paediatric

Psychiatric

TIO

Other

...

24,713

25.0

8,623

25.5

TIE

1,156

1.2

0.1

+++

5,964

6.0

2,641

7.8

Total...

+++

98,851

100.0

33,795

100,0

Non-traumatic attendances as a percentage of total attendances at Casualty-73.1% Non-traumatic admissions as a percentage of total admissions from Casualty-81.0%

120

TABLE SI

WORK OF TSAN YUK HOSPITAL 1967-68

1967

1968

Total Admissions:

Special Care Babies

Maternity Cases

Total infants born

FTT

...

Stillbirth rate (per 1,000 total births)

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

births)

Percentage of Operative Deliveries

---

Ante-natal Out-patient Attendances:

2,550

2,433

---

7,043

7,684

5,378

5,856

9.30

10.25

9.95

11.95

0.37

24.88%

26.02%

New Cases Total

+++

---

5,146

5,422

32,879

30,448

Post-natal Out-patient Attendances:

New Cases Total

+++

110

111

2,681

2,882

3,303

3,293

TABLE 52

WORK OF CASTLE PEAK HOSPITAL 1968

Patients in hospital on 1st January, 1968

Patients admitted: First admissions

Re-admissions

Total admissions

Patients discharged

Patients transferred

Deaths

JLI

+++

ILL

Total discharges

огт

Patients remaining on 31st December, 1968

121

Male

Female

Total

1,032

521

1,553

947

660

+++

1,607

---

1,028

915

1,943

1,975

1,575

3,550

1,848

1,517

3,365

102

- гт

1,940

1,593

3.533

---

1,067

503

1,570

TABLE 53

WORKS OF DAY HOSPITALS AND PSYCHIATRIC CENTRES 1968

HONG KONG PSYCHIATRIC DAY HOSPITAL

Patients attending on 1st January, 1968

Admissions

Discharges

LOO

110

་ ་ ་

Male

Female

Total

...

108

Patients attending on 31st December, 1968

YAU MA TEI PSYCHIATRIC DAY HOSPITAL

Male

Female

Total

Patients attending on 1st January, 1968

Admissions

---

Discharges

Patients attending on 31st December, 1968

118

193

103

180

огт

г гт

-г г

ATTENDANCES AT PSYCHIATRIC CENTRES

New

Repeated

Total

Hong Kong Psychiatric Centre

876

23,175

24,051

Queen Elizabeth Hospital, Psychiatric Clinic

213

1,420

1,633

Tsuen Wan Psychiatric Clinic

167

1,588

1,755

Yau Ma Tei Psychiatric Centre

--L

JIL

1,172

36,505

37,677

Harcourt Health Centre and Violet Peel

Polyclinic, Psychiatric Sunday Clinic

Yau Ma Tei J.C.C., Psychiatric Sunday Clinic

1,924

100

2,754

Total

---

2,428

67,366

69,794

122

123

TABLE 54

NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND CLINICS 1968

General Clinics |

Special Clinics

General

Casu-

alty

General

Child Ante- Post- Natal Health Natal

E.N.T.

Eye

Tuber- Psychi- culosis alry

Social Leprosy. Hygi- |

Derma

Total

tology

ene

TIL

Government-Assisted

Institution:

HONG KONG

Government Institutions

Alice Ho Miụ Ling Nethersole

Hospital

Grantham Hospital

585,156, 49,682, 10,972;

59,519, 9,435; 4,875 25,314

3,744

13,618

376

162 14,061|

૬,૭૩ન

784,498

LLL

LII

591] 4,168 12,813

2,750

2,849

2,045

39 23,324

---

Ruttonjee Sanatorium

---

52.

Sandy Bay Children

Orthopaedic Hospital & Convelescent Home

➖ ➖ ➖

Tung Wah Hospital

---

140.

22,796|

143

1,565

1,524

2,022!

690

398

29,083

Tung Wah Eastern Hospital.

20,827

1,014

1,338 193

347|

100

5431

147

24,429

KOWLOON

TOTAL (Hong Kong)

Government Institutions

LL-

629,510 53,850 26,364.

62,269 15,166 15,166 7,201 27,952 4,977|

14,296

876

162 14,061

6,923 863,607

987,094 140,166 18,320.

62,204 13,016

8,211 61,251 6,358.

19,429

1,385

396 13,647

6,013 1,337,492

Government-Assisted

InstitutionS:

Caritas Hospital

Maryknoll Hospital

TOTAL (Kowloon)

ггг

Kwong Wah Hospital

16,855 1,362 54,957, 66,814 12,259 6,239,

LLI

LLL

1,065,155 206,980 31,941

613 1,037, | 15,105, 1,063 1,227 63,880, 30,385 10,430 64,041 11,323

407! 993 1,682 1,812' 1,797 3,283

646

967

24,562

156,037

8,529

20,075 1,385

396 13,647 6,982 1,526,620

Goverment-Assisted

Institutions:

NEW TERRITORIES

Government Institutions

Pok Oi Hospital

Rennie's Mill Church Clinic.

TOTAL (New Territories)

474,772 23,485

16,245 11,565 7541 9,310 1,256

5,909

167

897

3,797:

548,219

32,825,

8:00

1,156 158*

34,939

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

GRAND TOTAL (Colony)

LLI

1,282: ! 70. 508,879; 24,285 132: 2,047,022 213,333 29,354 156,522 71,782 29,083. 2,203,544 285,115; 58,437

85. 16,330, 12,721; 912; 9.310| 1,256 137,968 34,016, 13,840 96,075, 11,358| 4,511 24,256 4,703 5,228 3,228 6,198 142,479 58,272 18,543, 101,303; 17,556)

271

[,464

5,936, 167

3,797,

622

38,956

2,428

1,351

40,307,

2,428

1,455 31,505 12,899, 2,670,209 1,006) 304,640 1,455 31,505. 13,905; 2,974,849

124

TABLE 55

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND CLINICS 1968

General Clinics !

Special Clinics

Çasu- General | alty

General

Child Anie- Health Natal Natal Post- Eye E.N.T.

Tuber- Psychi-' culosis Ally

| Social Leprosy, Hygi- tology

ene

Total

:Derma-

Government-Assisted

Institutions:

HONG KONG

Government Costitutions

Alice Ho Miu Ling Nethersole Hospital

ILL

1,284,521 58,562 96,648

392,755 53,101 5,641 66,448 9.242

438,743′ 25,975 9,372 113,335 18.131 2,572,474

4,789

110

711

4,168) 55,164,

4,197 19,336

19,336 2,045 672

Grantham Hospital

739

Ruttonjee Sanatorium

13,355

Sandy Bay Children

Orthopaedic Hospital & Convalescent Home

732

43,

535

90,906

739

13,355

795

Tung Wah Hospital

100,656.

---

Tung Wah Eastern Hospital.

TOTAL (Hong Kong)

51,689,

1,442,407 62,730 167,110

9,912

5,386

3,767

,322 3,508

2,563

129,226

4.720 2:22 729 2,003 396,952 82,924 8,406, 74,171 14,753

4,036

68,785

459,479 25,975, 9,372 113,335 18,666 2,875,280

KOWLOON

Government Institutions Government-Assisted Institutions; Caritas Hospital Kwong Wah Hospital Maryknoll Hospital

TOTAL (Kowloon)

NEW TERRITORIES

Government Institutions Government-Assisted Institutions;

Pok Oi Hospital

---

Rennie's Mill Church Clinic

TOTAL (New Territories)

1,653,243, 140,153, 169,807

578,687 72,535 11,542 172,137 20,066 !

736,666 42,064 17,211 86,765, 19,166 3,720,042

64,329 32,388 185,918 66,814 60,642 26,897 14,898

1,930,387 206,967: 277,735,

768 6,915 631 2,683 4,326. 17,655 75,345 2,654. 5,818 12,278 11,640. 9,341, 230.

773; 728 406

391,095, 164,336, 15,600 180,868 37,398,

3,225 132,920

409,669

64,917

754,727; 42,064 17,211 86,765 22,395| 4,327,548

916,426, 25,504 185 116,675 57,076

757 22,900 4,126

196,390

1,755;

3,408|

3,408, 10,648!

---

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

LIL

GRAND TOTAL (Colony)

58,017 B:00 14,520 802 354 988,963 26,304| 987 117,229, 60,994 3,854,190 224,219 266,640 1,088,117, 182,712) 507,567|| 71,782 179,192 17,159 125,542 4,361,757) 296,001|445,832 1,105,276, 308,254

3,918

241

1,605

998, 22,900, 4,126 197,995 1,755; 3,408, 10,648||

1,355,850

62,976

17,481

1,436,307

17,940 261,485 33,434; 1,371,799 69,794; 29,991|210,748 37,297 7,648,366 7,064 16,454|| 22,843|| 40,402 3,764' 991,769 25,004 277,939 56,277 1,412,201 69,794 | 29,991,210,748 41,061, 8,640,135

TABLE 56

NEW TERRITORIES CLINICS 1968

Out-patient Attendances

Dispensaries

New Cases

Maternity Cases

Total Attendances

General Special Total

General Special

Total

In- Domi- patients ciliary

Castle Peak Clinic

27,631 3,003

30,634 49,024 14,088 63,112 863

Chee Hong Floating Clinic...

5,426

5,426 6,333

6,333

Chee Wan Floating Clinic...

12,547

12,547 17,329

17,529

Helicopter Medical Service

2,003

2,003 2,003

2,003

Ho Tua"

5,268

264

Kam Tin

5.301

5,532 7,717

7551 6,056 8,090

973

5,767

8,690

13,857

249

199

Kat O

LII

Lady Trench Polyclinic

£51,555

8,268 159,823 303,323

46,477 349,800

Centre

Maurine Grantham M.C.H.

North Lamma

I-L

9,529

5,748

Penn Chau

4,403

Sai Kung

30,838

1,692

Sai Kung Travelling

3,664

Sha Tau Kok

7,272

Sha Tin

JJJ

16,556

Shek Wo Hui

Silver Mine Bay

Tai O

111

6,640

[6,455

9,529

57 5,805 12.449

513 4,916 12,728

32,530 30,838

3,664 3,664

563: 7,835 10,959

1,327 19,883 39,054

$1,785 7,100 58,885 96,999

74 6,714 12.546

512 (6,967 35,242

66,972 66,972

297

2,208

12,746

1,347 14,075

10,577 41,415

3,664

3,034, 13,993

11,324 50,378

34,867 131,866 2,048

514 13,060

1,304 36,546 273

424

491

Tai O Travelling

Tai Fo

36,897

4,146 41.043 65,302| 23,009 88,311

389.

389

1,341

Tai Po Travelling

Tai Wo Hau*

2,694

65.

2,694

Yuen Long

40,755

8,526 49,281

111

347

84,810) 47,421 132,231

347

1,572

TOTAL

435,476 46,394 48C,870 801,693 268,318|1,070,011 9.872

• Domiciliary midwifery service.

125

TABLE 57

WORK OF RADIODIAGNOSTIC BRANCH 1968

Centres

Hong Kong Island

1. H.M. Prison Victoria

2. Medical Examination Board

---

3. Mobile Mass Radiography Unit No. !

4. Queen Mary Hospital

5. Sai Ying Pun Chest Clinic

6. Sai Ying Pun Polyclinic ...

7. Shau Kei Wan Chest Clinic

8. Tang Shiu Kin X-ray Survey Centre

J-

Examinations

13,713

19,669

---

70,430

66,309

26,107

---

24,353

15,960

...

+++

L++

31,147

9. Tsan Yuk Hospital

10. Tung Wah Hospital

11. Sandy Bay Convalescent Hospital

12. Tung Wab Eastern Hospital

13. Wan Chai Chest Clinic

---

☐ 1

LIJ

---

...

---

TOTAL

---

Kowloon and New Territories

1. Castle Peak Hospital

2. Kowloon Chest Clinic

Kowloon Hospital

4. Lai Chi Kok Hospital

---

5. Mobile Mass Radiography Unit No. 2

6. Pok Oi Hospital

7. Queen Elizabeth Hospital

8. Shek Kip Mei Chest Clinic

9. Yau Ma Tei Chest Clinic

LJJ

10. Yau Ma Tei X-ray Survey Centre

TOTAL

---

LJ J

+++

LLL

L LJ

GRAND TOTAL (Whole Colony)

126

---

7,642

444

190

---

33,459

309,452

- Tr

J-

4,208

67,623

10,901

1,051

34,830

1,934

136,788

...

44,879

24,519

LJ J

30,191

356,924

666,376

TABLE 58

RADIOTHERAPEUTIC DIVISION 1968

1968

New Patients seen

New Patients with malignant disease seen

New Patients with non-malignant disease seen

Patients treated...

New Patients treated

Old Patients treated

---

-10

гг 1

гг.

110

Total Patients with malignant disease treated

New Patients treated

Old Patients treated

---

Patients with non-malignant disease treated

..ז

гг т

וזז

2,673

1,687

987

2,210

ггг

+++

1,770

440

гг.

-T

---

1,783

г г г

- Pr

1,417

366

огт

Frr

- гт

---

Deep radiotherapy treatments (Orthovoltage and Megavoltage

X-ray, Telecobalt and High Energy Electron)

Contact and superficial radiotherapy treatments

Radium, radiocobalt, radiostrontium and radiogold applications...

Radioiodine for thyrotoxicosis (courses of treatment)

Radioiodine for carcinoma of thyroid (courses of treatment)

Radiophosphorus for polycythaemia vera

---

427

62,408

276

312

365

---

огг

1,202

840

100

ггг

216

ILL

638

огг

-t

ILJ

Radioiodine, I-131 Tracer Test for thyroid function

Triosorb-I-131 for thyroid function tests (Q.E.H. only)

Radioiodine for scanning of whole body for metastases

Radioiodine for scanning of neck only

Radiostrontium-85 skeletal scanning...

Radiostrontium-87m skeletal scanning

Technetium-99m scanning

Chromium-51 scanning

Colloidal Gold-198 scanning

---

In-113m scanning (Q.M.H. only)

---

167

гг.

LJ J

L LJ

---

гг т

---

127

TABLE 59

WORK OF THE OPHTHALMIC SERVICE 1967-68

1967

1968

New out-patient attendances

+++

Total out-patient attendances Operations performed

+11

ייח

огг

91,443 251,187

97,053

261,461

.ז.

- r.

...

-10

2,388

2,055

Operations classed as sight-restoring (included in above). Home visits by Health Visitors

1,620

1,451

+++

F+

1,498

2,160

TABLE 60

ANALYSIS OF MAJOR CAUSES OF BLINDNESS

(EXPRESSED AS PERCENTAGE OF BLIND CASES)

TOTAL INCIDENCE 1953 & 1968

Causes

1953

1968

Keratomalacia

---

8.6

Senile cataract...

---

31.5

Trachoma

---

+++

9.4

Glaucoma

+++

HTT

ITT

3.5

15.4

Injuries (all types)

---

-- ·

110

0.7

Syphilis

---

1.1

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

+++

rrt

rrr

- rr

2.5

14.3

---

14.3

LII

+++

0.7

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

INCIDENCE IN CHILDREN UNDER 15 YEARS OF AGE

Causes

1954 & 1968

---

1954

1968*

74.5

6.6

---

5.5

13.4

---

• Total cases: 15.

128

TABLE 61

PHARMACEUTICAL SERVICES

Store and Bulk Manufacture

BULK PHARMACEUTICAL CENTRES

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

Cost of Drugs and Dressings

Cost of Instruments, Medical and Surgical Equipment

1967

1968

1967

1968

Queen Mary

Hospital...

1,564,743.79

1,994,021.81

413,826.33

608,390.51

Clinic

Queen Elizabeth

Sai Ying Pun J.C.C.

Violet Peel Polyclinic Q.E.H. Specialist

3,174,787.24

3,058,038.12

638,388.14

714,605.87

640,568.06

834,991.82

5,418.62

2,705.54

570,647.40

523,842.42

1,334.03

1,256.71

909,365.20 1,027,880.56

697.30

Other Hospitals &

Clinics

6,183,125.87 6,684,751.61

455,620.00

819,038.81

Total Cost

$13,043,237.56 $14,123,525.34 $1,515,288.42

$2,145,997.44

PHARMACEUTICAL CONTROL 1967-68

1967

1968

Wholesale Poisons Licences issued

Authorized Sellers Licences issued

Listed Sellers Licences issued

Antibiotics Permits issued

---

Licences for movement of Dangerous Drugs

Premises inspected

Prosecutions

---

-г т

488

493

..ז

1,140

1,134

308

342

323

-10

огг

4,052

1,587

---

LJ J

+++

129

TABLE 62

WORK OF PHYSIOTHERAPY SERVICE 1968

Number of Attendances

Centre

New Patients

Total Attendances

Kowloon Hospital

Queen Elizabeth Hospital

Queen Mary Hospital

Lai Chi Kok Hospital

Kowloon Rehabilitation Centre

Wan Chai Polyclinic ...

Skin Clinic (Leprosy)

Sandy Bay Hospital

3,821

7,551

2,666

3,750

1,324

2,997

635

---

2,119

1.323

4,025

1,091

T10

...

4,329

100

271

---

124

TII

Total

TIL

---

11,017

25,166

TABLE 63

WORK OF OCCUPATIONAL THERAPY SERVICE 1968

Centres

Patients* Treated

Total Attendances

Castle Peak Hospital...

TII

4,633

422,849

Hong Kong Psychiatric Centre

129

11,259

Kowloon Hospital

478

19,858

Kowloon Jockey Club Rehabilitation Centre

+++

853

13,496

Lai Chi Kok Hospital

593

21,763

Queen Elizabeth Hospital

.гг

1,162

19,737

Queen Mary Hospital

Wan Chai Polyclinic...

Yau Ma Tei Jockey Club Polyclinic

1,203

16,874

184

---

+++

3,681

207

+++

15,058

Total (Colony)

9,442

544,575

* Figures for new cases only.

130

TABLE 64

WORK OF MEDICAL EXAMINATION BOARD 1967-68

Government

Appointments

Defence Units

Auxiliary Miscellaneous

Total

1967

1968 1967 1968 1967 1968

1967 1968

5,759 6,146 2,053 2,207

New examinations... 9,435 8,294 1,717 2,638 176 384 11,328 11,316

Re-examinations

7,812 8.353

Annual Total... 15,194 14,440 3,770 4,845 176

384 19,140 19,669

TABLE 65

UNFITNESS OF CANDIDATES BY CAUSES 1959, 1967-68

(PER 1,000 TOTAL EXAMINATIONS)

Causes

1959

1967

1968

Pulmonary Tuberculosis

60.12

13.32

13.88

FLJ

---

Other diseases of the Respiratory System

2.41

0.94

1.02

---

Diseases of the Circulatory System..

Diseases of the Alimentary System

Diseases of the Skeletal System

ILL

2.66

2.51

2.64

1.01

0.63

0.20

0.50

0.05

---

Diseases of the Genito-urinary System

0.50

0.16

0.10

Diseases of the Nervous System

0.57

0.10

0.05

ILL

Diseases of the Endocrine System

0.38

0.10

0.20

---

Diseases of the Eye

1.90

0.10

Diseases of the Skin

Other diseases

+++

---

0.69

---

1.14

0.47

0.41

All Causes

71.88

18.33

18.65

131

TABLE 66

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS FROM 1964-65 TO 1968-69

(FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Costitutions

Alice Ho Miu Ling Nethersole Hospital British Empire Leprosy Relief Association Bureau of Hygiene and Tropical Diseases Caritas Medical Centre

LLL

---

PPP

---

ггг

Cheshire Home

LLL

Grantham Hospital

Family Planning Association of Hong Kong

Haven of Hope Tuberculosis Sanatorium

---

FIL

יו.

Hong Kong Anti-Cancer Society

---

ггг

Hong Kong Anti-Tuberculosis & Thoracic Diseases Association.

Hong Kong Council of Social Service Hong Kong Red Cross Blood Bank

---

1964-65

$1,799,200

1965-66

1966-

1967-68

$2,221,685

$2,483,358

800

1711

800

יי.

7,200

275,221

7,200

1,240,515

7,200

$2,500,000

800

1,600

1968-69

$2.991,400

727

1,455

1,824,976

2,000,000

2,568,802

(25,000)

400,000

450,000

500,000

3,988,704

4,226,371

4,873,220

4,895,800

4,992,782

288,000

309,520

441,500

715,900

880,000

241,188

1,200,000

1,240,000

1,946,900

1,900,000

(150,000)

543,962

2,021,360

(74,604)

(108,271)

(20,212)

(116,900)

(23,800)

(1 16,200)

ггг

Frr

50,000

71,000

100,000

£69,890

267,700

(13,300)

John F. Kennedy Centre Leprosy Mission, Hong Kong Auxiliary

London School of Hygiene and Tropical Diseases

Our Lady of Maryknoll Hospital Oxfam Hostel for Cancer Patients

---

FPI

212,800

PPP

|--

600,000

(75)

700,000

775,000

(985)

(84,900)

(800)

1,600

1.455

275,000

187,000

387,000

830,922

FIL

$2,000

12,000

13,000

6,500

Pok Oi Hospital

717

.-.

Rennie's Mill Church Clinic.

---

St. John Ambulance Brigade

LLL

550,000

650,000

800,000

1,056,000

(43,551)

(223,534)

(496,903)

(220,000)

18,000

LLL

40,000

80,000

(25,556)

18,000

80,000

18,000

80,000

Salvation Army (Cheung Chau Convalescent Home) Society for the Aid and Rehabilitation of Drug Addicts

10,000

5,000

450,000

500,000

865,000

1,255,700

1,431,800

(386,867)

(466,094)

(194,363)

(108,609)

Sheung Shui Clinic

---

Society for the Relief of Disabled Children

The Hong Kong Society for Rehabilitation

Tung Wah and Associated Hospitals Kwong Wah Hospital

Tung Wah Sandy Bay Convalescent Hospital Wong Tai Sin Indrmary, Phase II United Nations Children's Fund:

---

5,000

100,000

150,000

584,000

(24,905)

(36,743)

400,000

$20,000

$50,000

600,000

(40,000)

---

PPP

17,089,650

21,251,413

26,226,500

27,268,888

29,161,060

LIL

ILI

(3,247,510)

(1,849,971)

(42,210)

ILL

(208,986)

(1,426,338)

(125,833)

(74,369)

---

г.г

(42,946)

(30,348)*

(1,099,447)

(1) Administration

(2) Relief Expenses University of Hong Kong

LLL

9,328

10,320

8,000

11,248

---

20,000

25,000

31,200

---

...

111

529,000

606,900

790,650

850,000

913,750

(10,000)

Total...

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

$34,539,324

(2,900,787)

$42,602,704

(2,299,831)

$45,165,314 (541,589)

$50,432,975

(1,440,836)

132

• Phases II and II.

TABLE 67

WORK OF THE GRANTHAM HOSPITAL 1968

New Admission

1,437

Re-admissions 231

Total bed days: 222,995

Orthopaedic operations: Spine 18 Other 32

Thoracic Operations:

Resection

Pulmonary tuberculosis

Bronchial Carcinoma

brt

Bronchiectasis, Simple tumours etc.

Other Operations

Art

---

General Operations: 5

Heart Operations: Closed 12

Open 34

Discharges 1,585

---

Deaths 76

TABLE 68

WORK OF RUTTONJEE SANATORIUM 1964-68

Admissions

Adults through Government Clinics

Children (pulmonary through Govern-

ment Clinics)

Children (Orthopaedic)

Children (Miscellaneous) ...

Other admissions and re-admissions

TOTAL

- LI

1964 1965 1966 1967

1968

313

297

420

612

716

---

577

544

648

660

715

973

882

1,113

1,324

1,501

• Data not available.

TABLE 69

ADMISSIONS TO LEPROSARIUM 1968

New Admissions

Re-admissions

---

Total Admissions

Adults

Children

Total

Male Female

---

игт

гг.

---

133

TABLE 70

BUILDING PROGRAMME

1. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

(1) Extension of Tuberculosis Laboratory in the Medical and Health Department Institute of Pathology, Sai Ying Pun An extension to provide more bench space for tuberculosis and public health bacteriology.

(ii) Chai Wan Clinic and Maternity Home-A general out-patient department

with a maternal and child health centre and 26 maternity beds,

(2) Government Assisted

Our Lady of Maryknoll Hospital-A new wing of the hospital having accommodation for 140 beds and bringing the bed complement to a total of 220.

(ii) Haven of Hope Tuberculosis Sanitorium-A 96 bed extension replacing 47 beds in obsolete accommodation and bring the bed complement to a total of 310.

(ii) Wong Tai Sin Infirmary, Phases II and III--Provision of an additional 450 beds for the long-term sick, bring the infirmary's nominal bed complement to 660.

(iv) Treatment and Rehabilitation Centre for Female Drug Addicts-A treatment centre in Wan Chai for 30 female addicts operated by the Society for the Aid and Rehabilitation of Drug Addicts.

(1) Government

II. PROJECTS UNDER CONSTRUCTION

() New Lai Chi Kok Hospital-A new general, geriatric and infectious diseases hospital of some 1,360 beds. Site formation complete. Con- struction of sub-structure in hand. Expected completion date is 1972. (ii) Tang Shiu Kin Hospital-A new casualty and maternity hospital at Queen's Road East, Hong Kong Island, with general out-patient, maternal and child health, dermatology and social hygiene clinics. Expected completion date is April, 1969. Half of the cost generously donated by Sir Shiu-kin TANG, C.B.E., L.L.D., J.P., K.St.J. (A.).

(iii) New Convalescent Block, Kowloon Hospital-A block of almost 600 beds for convalescent patients from Queen Elizabeth Hospital and with a psychiatric and a paraplegic unit. Being erected in the grounds of the existing Kowloon Hospital. Construction in hand. Expected completion date is June, 1970.

(iv) Queen Mary Hospital, Alterations to Existing Main Hospital Building-A five-phase alteration programme designed to increase the hospital's bed capacity by 454 beds thus giving a total of 1,086 beds. First four phases complete and fifth in progress. Expected completion date is July, 1969.

134

TABLE 70-Contd.

(v) Redevelopment of Medical Institutions, Sai Ying Pun-A redevelopment intended to provide a rehabilitation centre for Hong Kong Island, to reprovision in new and suitable accommodation, the Western Maternal and Child Health Centre, the headquarters of the Mental Health Service, and the Hong Kong Psychiatric Centre, and to provide a central dental laboratory. Expected completion date is 1970.

(vi) Siu Lam Hospital for the Mentally Subnormal--A. 200 bed hospital at Siu Lam, New Territories, to provide accommodation for the severely mentally retarded. Expected completion date is 1970.

(vii) Tong Fuk Dental Clinic-A one-chair dental clinic to serve South Lantau.

Expected completion date is May, 1969.

(2) Government Assisted

(i) Buddhist Hospital, Lo Fu Ngam-A 350 bed general hospital with 220 beds being provided in the first phase. Construction well in hand. Expected completion date is early 1970. Costs defrayed by Buddhist Association with the aid of a donation of $2,000,000 from the Royal Hong Kong Jockey Club.

(ii) Extensions to Shek Kwa Chau Treatment and Rehabilitation Centre for Drug Addicts Extension designed to provide treatment and rehabilitation facilities for 500 drug addicts, double the present capacity of the Centre, Construction in hand.

III. PROJECTS ON WHICH DETAILED PLANNING HAS COMMENCED

(1) Government

St. John Hospital, Cheung Chau-Outpatients' Clinic and Major Alterations.

(ii) Kowloon East Polyclinic

(iii) New Vaccine Institute, Pok Fu Lam

(iv) Kowloon Hospital, Additional Staff Quarters.

(v) Tsuen Wan/Kwai Chung Polyclinic, Kwai Chung South, Stage I.

(vi) New Mental Hospital, Lai Chi Kok.

(vii) Medical Department Laundry (Shau Kei Wan Hospital)

(viii) Victoria Public Mortuary-Reprovisioning.

(ix) Queen Mary Hospital, Reprovisioning of the Mortuary, Virus Laboratory,

and Clinical Pathology Services

(x) Standard Clinic for Kwai Chung North.

(xi) New Lai Chi Kok General and Mental Hospital Combined Staff Quarters.

(xii) Health Office and Staff Quarters, Cheung Sha.

(xiii) Tsuen Wan/Kwai Chung Polyclinic, Kwai Chung South, Stage II.

135

TABLE 70-Contd.

(xiv) Mount Kellett Hospital-Alterations and Renovations, (xv) Government Laboratory-Additional Space.

(xvi) Castle Peak Hospital-Additions and Improvements.

(xvii) Specialist Clinic-Hong Kong Island East.

(xviii) Pharmaceutical Manufactory, Central Medical Stores, Government Supplies Department Compound, North Point-Alterations and Exten- sions.

(xix) Dental Clinic at Tai Lam.

(2) Government Assisted

(i) United Christian Hospital, Kowloon.

TABLE 71

NURSES IN TRAINING AT 31ST MARCH, 1969

Women

Men

Total

Government School of Nursing

Tung Wah Group of Hospitals

Nethersole Hospital

Hong Kong Sanatorium & Hospital

468

112

580

+++

252

142

156

Caritas Medical Centre

---

Total

JL+

+++

1,101

112

1,213

136

Medical

Dental

Staff

---

TABLE 72

COURSES OF STUDY OVERSEAS 1968-69

BY PLACE OF STUDY

---

JIJ

יו -

111

---

Nurting

Health Visitor

---

Medical Social Worker

Physicist

Physiotherapist

Chemist

---

ггг

Medical Technologist

---

717

Medical Laboratory Technician Laboratory Assistant

Scientific Officer (Medical)

　　Orthopaedic Appliance Technician Artisan Class It

---

LIL

LII

---

Medical

U.K.

North America

Australia S.E. Asia

Others

Total

2 1

TOTAL

---

BY SOURCE OF FUNDS

Course of Study

Staff

D.P.H. F.R.C.S.

M.R.C.P.

LLJ

M.R.C.O.G.

D.P.M.

111

---

710

Govern ment

Own

W.H.O

Others Total

expenses

[

ΓΓΙ

L.M.C.C.

111

L.A.H.

Others

Dental

Dental Health

Course

Nursing

Sister Tutor Diploma

Health Visitor Medical Social

Worker

ILL

LLL

Advanced Operative Dental Surgery

F.D.S., R.C.S. (Eng.)

Operating Theatre & Nursing

---

LLL

LL.

Technology for Open-heart Surgery

Paediatric Nursing

---

Premature Baby & Special Baby Care...

Diploma in Dietetics

Thoracic Nursing

Health Visitor Tutor's Course

Mental Health Course...

Master in Social Work... Regional Training Course on

Scientific Instruments

Course in the treatment of Handicapped Children

-гг

Toxicology & Forensic Chemistry Veterinary Medicine

Physiciat

Physiotherapist

Chemist

Medical

Technologist

Technician

Laboratory

Medical Laboratory

A.1.M.L.T.

---

717

LL-

ייי

111

Assistant

Scientific Officer

(Medical)

Orthopaedic

Appliance

Technician

Artisan Class II

Medical Laboratory (Biochemical)

Techniques

Third Advanced Course in Clinical

Chemistry

Visits in various Orthopaedic

Hospitals/Institutions

Attendance at 20th Asia Labour

Leadership Institute

TOTAL

LLL

137

...]

| | |

J--

---

LL-

...

111

|--

-13

NN-Num

[

9 | 45

TABLE 73

DEPARTMENTAL TRAINING-1968

(Position at 31st March, 1969)

Appointment Resignation Strength at

Passed

31.3.69

Student Assistant Physiotherapist

Student Assistant Radiographer

(Therapy)

(Diagnostic) ...

Student Dispenser

Student Laboratory Assistant

Student Medical Laboratory

Technician

· · ·

نيا

+11

Student Nurse

*++

158

423

274

Student Male Nurse

Student Nurse (Psy.)

Student Male Nurse (Psy.)

1 year Midwifery Training for

Registered Nurses

Student Midwives undergoing

2 year training at Tsan Yuk Hospital

Student Health Auxiliary

+10

109

142

Female

---

[

نيا

1882

IIT

Male ...

Pupil Nursing Auxiliaries

Pupil Nursing Auxiliaries (Male)

Medical Social Worker

Student Assistant Orthopaedic

Appliance Technician...

Pupil Nursing Auxiliaries (Psy.)

Female

Male...

---

138

TABLE 74

ATTENDANCE AT CONFERENCES ETC. OVERSEAS

Appointment

Conferences etc. attended

Place

Director of Medical and

Health Services

W.H.O. 19th Regional Committee Meeting

¡Manila,

Philippine.

Director of Medical and

Health Services

Senior Radiographer

National Seminar on Urban Health Admin- Manila,

istration

Annual Conference of the Society of Radio-Western-

graphers

'Philippine.

Super-

:Mare.

England.

Specialist (Ophthalmo-

logy) Medical & Health!

Officer

---

ILJ

Medical Laboratory

...3rd Congress of the Asia-Pacific Academy of Singapore.

Ophthalmology

Institute of Medical Laboratory Frienniel Con-Belfast,

ference

United

Kingdom.

Specialist (Social Hygiene) 2nd Regional Seminar on Venereal Diseases Manila,

Control

¡Philippine.

6.5.68

17.5.68

20.5.68

22.6.68-27.6.68

22.6.68

25.6.68

12.8.68

29.8.68

TABLE 75

OVERSEAS VISITORS

GENERAL

Dr. D. G. Harington HAWES, Director-General of the International Hospital Federation.

Miss Jean GARSIDE, the National Secretary for the International Society for Rehabilitation of the Disabled in Australia. Members of the Queensland Parliamentary Mission, led by the Hon. P. R. DELAMOTHE, O.B.E., M.B., B.S., M.L.A.-Minister for Justice and Attorney-General.

60 physicians on the Oriental Medical Tour from the Methodist Hospital of Gary, Indiana.

Mr. R. H. MASON, C.M.G., O.B.E. Assistant Under Secretary of State, Commonwealth Office.

Major-General J. A. D. JOHNSTON, O.B.E., M.C., Q.H.P., Director of Medical Services, Far East Land Forces.

Dr. J. B. O'BRIEN of the Western Australia Prisons Department. Dr. Frank G. PACINO of the Los Angeles Country Health Depart- ment.

139

29.8.68-4.9.68

30.9.68

15.10.68

31.10.68

18.11.68

29.12.68-1.1.69

January 69

17.1.69

10.3.69

24.3.69

TABLE 75-Contd.

Mr. John CHADWICK, C.M.G., Director of the Commonwealth Foundation.

Mr. Alec DICKSON, C.B.E., Head of Community Service Volun- teers.

Prof, K. E, Loose of the German Section of the International College of Surgeons.

Drs. Gwyn HoWELLS and R. M. PORTER of Australia.

Dr. T. W. HARRISON of Wellington, specializing in the treatment of alcoholism.

Dr. Teizo UEDA, Director of Fukuoka City Office Hygienic Department.

Messrs. P. E. O. BRYAN, D.S.O., M.C., H. E. ATKINS, and G. T. CAMPBELL, Members of Parliament.

Major General R. A. SMART, C.B.E., Q.H.S., M.R.C.P., D.P.H., Director of the Medical Services, Far East Land Forces.

Prof. Harry L. SMITH, Associate Professor of Microbiology, The Jefferson Medical College of Philadephia.

Mr. J. S. MALCOLM, member of the British Hospitals Export Council Mission.

W.H.Q. and U.N.I.C.E.F,

Consultant and Administrative

24.6.68

25.5.68-29.5.68 Dr. David E. BARMES, Epidemiologist, Dental Health, W.H.O.

Dr. A. KESSLER, Chief of the Human Reproduction Unit of W.H.O. Dr. D. BARUA of Bacteria Diseases Unit, W.H.O.

18.8.68-20.8.68

1.10.68-4.10.68

24.10.68

28.11.68

9.12.68-11.12.68

22.1.69

22.2.69

Dr. N. F. IZMEROV, Assistant Director-General, W.H.O.

Drs. Gene STOLLERMAN, Max Moody, Ralph READER and Z. FEJPAR of Cardiovascular Disease Unit, W.HO.

Prof. SECHER, Dr. DYRBERG and Dr. HOBSON of Geneva Head- quarters.

Dr. W. FERREIRA of the Virus Diseases Unit, W.H.O. Dr. L. R. VERSTUYFT, W.H.O. Representative, Taipei. Dr. Brian JONES, Regional Director, U.N.I.C.E.F.

Fellowships

21.4.68-25.4.68

13.5.68-17.5.68

13.5.68-15.5.68

Miss Leonora M. LIWANG of the Philippines. Fellowship in public health nursing facilities.

Dr. Yeung-joo LEE of Korea. Fellowship in tuberculosis and social hygiene services.

Drs. Hong-mok Moon and Jae-ha Kiм of Korea. Fellowship in public health education.

140

25.5.68

8.7.68-12.7.68

8.7.68-10.7.68

12.7.68-19.7.68

15.7.68-19.7.68

22.7.68-4.8.68

27.8.68-30.8.68

16.9.68-20.9.68

30.9.68-7.10.68 8.11.68

6.1.69-17.1.69

10.2.69-14.2.69

10.3.69-14.3.69

31.3.69-11.4.69

TABLE 75-Contd.

Dr. Jan S. REID of Papua and the Trust Territory of New Guinea. Fellowship in paediatric surgery.

Mr. NGUYEN Ngocminh of Vietnam. Fellowship in venereal disease control.

Drs. LE Nhan-thuan and DANG Quoc-phu of Vietnam. Fellowship in quarantine measures.

Dr. Rodolfo C. MERCADOW of the Philippines. Fellowship in leprosy, public health and epidemiology.

Dr. TRAN Minh-man of Vietnam. Fellowship in quarantine administration and epidemiological control.

Mr. George A. MELLA of the Philippines. Fellowship in narcotics control.

Drs. Yuan-ching Ko and Lin-tong MING, Mr. CHEN Ching-yu and Mrs. YAO LOH of Taiwan. Fellowship in social and preventive medicine, urban public health set-up and manpower,

Drs. Kyu-don CHOI and Jie-young HAN of Korea. Fellowship in tuberculosis control.

Dr. Han-chung LIN of Taiwan. Fellowship in tuberculosis control. Mr. Yung-kil Kiм of Korea. Fellowship in narcotics control. Mr. KO WATANABE of Japan, Fellowship in public health adminis- tration.

Miss Salud GARCIA of the Philippines. Fellowship in maternal and child health.

Dr. E. E. BAUTISTA of Japan, Fellowship in laboratory diagnosis of tuberculosis.

Drs. Ha-thuc Le, Nguyen-man HoANG and Nguyên-thank PHUOC of Vietnam, Fellowship in international quarantine.

Miss Askao HIRAYAMA of Japan, Fellowship in public health nursing education.

Mrs. Kcun-hwa KIM of Korea. Fellowship in maternal and child health services.

141

TABLE 76

PUBLICATIONS

BY MEMBERS OF THE MEDICAL & HEALTH DEPARTMENT

Title of Articles

'Malignant Hypertension in

Pregnancy'

'Mendalson's Syndrome'

Publication

Far East Medical Journal Vol. 4, No. 11, Nov., 1968.

Far East Medical Journal

Vol. 5, No. 2, Feb., 1969.

Author

K. H. LEE, Medical and

Health Officer.

H. ABDULLAH, Specialist

(Obstetric and Gynaecology).

H. ABDULLAH, Specialist

(Obstetrics and Gynaecology).

W. F. PAU. Medical and

Health Officer.

'Rupture of Sinus of Valsalva' British Medical Journal R. J. BARNES, Specialist

Vol. 1.

(Medicine).

*Some Aspects of Atrial Septal Far East Medical Journal R. J. BARNES, Specialist

Defect

Vol. 4.

'Electrocardiographic Changes

in Amitriptyline Poisoning'

British Medical Journal

Vol. 3.

'Coronary Artery Disease in

the Chinese"

'Coronary Artery Fistula'

(Medicine).

Lindsay GRIGG, Specialist

(Thoracic Surgery).

Raymond W. Y.

Medical and Health Officer.

Wu,

R. J. BARNES, Specialist

(Medicine).

S. M. KONG, Medical and

Health Officer.

Raymond W. Y Wu,

Medical and Health Officer.

Far East Medical Journal. R. J. BARNES, Specialist

'British Heart Journal

Vol. 31.

'Lymphoblastoid Transforma- Nature.

tion and Presence of Herpes- Type Viral Particles in a Chinese Nasopharyngeal Tumour Cultured in Vitro*

(Medicine).

R. J. BARNES, Specialist

(Medicine).

Anthony C. S. CHEUNG,

Medical and Health

Officer.

Raymond W. Y. Wu,

Medical and Health Officer.

H. C. Ho, Senior

Specialist (Radiology) one of the Co-writers.

H. C. KWAN, Medical

Laboratory Technol. ogist, one of the Co- writers.

142

Title of Articles

'Roentgen Diagnosis of

Tuberculosis of the Spine'

'Congenital Choanal Atresia"

TABLE 76 Contd.

Publication

Roentgen Diagnosis of Tuberculosis of the Spine.

Far East Medical Journal

Vol. 5, No. 2, February, 1969.

"The Hong Kong/68 Influenza Lancet, December 28,

A2 Variant"

'Non-cholera Vibrios from

Night Soil'

'A Modified Phosphotungstic

Haemotoxylin Stain for Formalin-fixed tissue'

*Problems of Youth in Hong

Kong'

"Treatment of Adolescents in

Hong Kong"

"The Psychiatry of

Adolescence and Questions"

'A comparison of the

　tuberculin status of school children in Hong Kong 1952 and 1968*

'The Control Programme in

Hong Kong

'Long Term Ambulatory

Treatment of Tuberculosis in Hong Kong' 'Psychogenic Regional Pain'

'Actiological Factors in

Childhood Neurosis' 'Rheumatoid Arthritis in

Chinese Patients"

1968, pp. 13841386.

Journal of Medical

Laboratory Technology July, 1968, Vol. No. 25 page 183-201 Journal of Medical

Laboratory Technology January, 1969. Vol. 26, No. 1, p. 38-42.

!Problems of Youth in

Hong Kong. 124th meeting of the

American Psychiatric Association, Boston, May, 1968. 4th Pan Pacific

Rehabilitation Con- ference, Hong Kong. September, 1968. Journal of the Society of

Medical Officers of Health Vol. 3, 1968.

4th Pan Pacific

Rehabilitation Con- ference. 14th Pan Pacific

Rehabilitation Con- ference. Bulletin of the Hong

Kong Chinese Medical Association. British Journal of

Psychiatry Vol. 115. Far East Medical Journal

Vol. 4, May, 1968.

Author

W. L. WONG, Senior

Specialist (Radiology) one of the Co-writers. K. S. Low, Senior

Medical and Health Officer.

W. K. CHANG, Senior Medical and Health Officer, one of the Co-writers.

W. K. YAN, Senior

Medical Technologist.

W. K. SHUM, Medical

Laboratory Technician

J. K. Y. HON, Medical

Technologist.

G. Ou Ta-wei, Specialist

(Psychiatry).

G. Ou Ta-wei, Specialist

(Psychiatry).

G. Ou Ta-wei, Specialist

(Psychiatry).

W. G. L. ALLAN,

Assistant Director

(Tuberculosis).

W. G. L. ALLAN,

Assistant Director (Tuberculosis). ĮG. K. K. CHENG,

Specialist (Tuberculosis).

W. H. Lo, Senior Medical

and Health Officer.

W. H. Lo, Senior Medical

and Health Officer, IK, P. CHAN, Senior

Medical and Health Officer one of the Co-writers.

143

Title of Articles

*Brittain Ischiofemoral

Arthrodesis for Tuberculosis of the Hip'

*Clinical Methods in the

Diagnosis of Pain in the Arm'

'Painful Para-articular

Calcification'

*Plasmacytoma*

*Experience with Chymopapain

Injection into Lamber Disc"

*Report of a Haemoglobin

Screening Study on Children in Aberdeen Hong Kong'.

*Dermatophytosis in Hong

Kong'.

*Tuberculosis of the Skin in

Hong Kong' (A Review of 160 Cases).

"A Variant of Trichophyton Rubrum Isolated in Hong Kong'.

'Systemic Lupus

Erythematosus".

'漫談麻㞊

TABLE 76-Contd.

Publication

Journal of Bone & Joint Surgery, Vol. 50-A Oct., 1968.

Far East Medical Journal

Vol. 4, Dec., 1968.

Far East Medical Journal

Vol. 5, Feb., 1969.

Cancer March 1969.

Journal of the Western

Pacific Orthopaedic Association Vol. 6, No. 1, March, 1969. Journal of Society of

Medical Officers of Health of Hong Kong, 1968.

The British Journal of

Dermatology, Vol. 80, No. 5, May, 1968.

The British Journal of

Dermatology, Vol. 80, No. 7, July, 1968.

The British Journal of

Dermatology Vol. 80, No. 10, October, 1968.

The British Journal of

Dermatology Vol. 81, No. 3, March, 1969. The Hong Kong Nursing Journal Fourth Issue, May, 1968.

Author

K. P. CHAN, Senior

Medical & Health Officer, one of the Co-writers.

K. P. CHAN, Senior

Medical and Health Officer.

K. P. CHAN, Senior

Medical and Health Officer.

K. P. CHAN, Senior

Medical and Health Officer one of the Co-writers. Vincent MA, Specialist

(Orthopaedic).

LAU Hung-pien, Medical and Health Officer one of the Co-writers.

WONG Kwok-on,

Specialist (Social Hygiene). CHAN Yu-fook, Medical

Technologist. WONG Kwok-on,

Specialist (Social Hygiene),

LEE King-pang, Medical

and Health Officer. CHU Shung-fan, Medical

and Health Officer. WONG Kwok-on,

Specialist (Social Hygiene).

CHAN Yu-fook, Medical

Technologist. WONG Kwok-on,

Specialist (Social Hygiene).

Marina TSENG TAng

Shen-mei, Health Visitor (Social Hygiene).

144

145

TABLE 77

SAMARITAN FUND

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH, 1969 EXPENDITURE

Grants to needy patients for temporary maintenance,

---

LLL

г-г

travelling expenses etc. Balance carried to Accumulated Fund

rrr

$38,631.00

10,077.00

Donations:

INCOME

The Royal Hong Kong Jockey Club Li Po Chun Charitable Trust Fund Lutheran World Federation

Mr. Ho Sai-lai

---

PIL

Standard Sing Tao Fat Choy Drive Hang Seng Bank Ltd.

---

LIABILITIES

Accumulated Fund as at 1st April, 1968 Surplus from Income and Expenditure Account

$48,709.00

Others...

BALANCE SHEET AS AT 31st March, 1969

---

$ 3,406.58 10,077.00

$13,483,58

LIP

ASSETS

Cash with Accountant General

$30,000.00

10,000.00

5,000.00

---

1,500.00

гг.

1,000.00

208.00

$48,708.00

110

---

$13,489.38

$13,483.58

CERTIFICATE OF THE DIRECTOR OF AUDIT

Certified Corect.

P. H. TENG,

Director of Medical & Health Services. 9th May, 1969.

The above Balance Sheet and Income and Expenditure Account have been examined in accordance with Condition 5(2) of the Schedule to the Legislative Council Resolution dated 24th May, 1950 (G.N.A. [13 of 26th May, 1950, as amended by G.N.A. 33 of 22nd April, 1960). I have obtained all the information and explanations that I have required, and I certify, as a result of this audit, that in my opinion the Balance Sheet and the Income and Expenditure Account are correct subject to the following observation,

The accounts were certified by the Director of Medical and Health Services though the Principal Almoner was required to sign them. The title of Principal Almoner was changed and the post of the officer holding the revised title was abolished before 31st March, 1969. The Legislative Council on 21st May, 1969 passed a resolution cancelling the previous resolution (as amended) and provided for the Director to carry out the duties previously ascribed to the Principal Almoner.

AUDIT DEPARTMENT,

Hong Kong, 30th June, 1969.

REPORT ON THE SAMARITAN FUND 1.4.68-31.3.69

D. G. BRITTON, Director of Audit.

Heavy calls on the Fund with resulting expenditure in excess of income for the past three years caused the balance of the accumulated fund to be reduced to as low as $3,406.58 on 1st April 1968. It was therefore necessary during the year under review to seriously curtail expenditure to ensure not only that the Fund remained solvent, but to attempt to build up again a small reserve against a shortfall in donations. In spite of this, It was found possible to assist some 3,143 needy patients to the extent of a total of $38,63 1.00. The main purposes for which assistance is given to needy patients are for transportation to hospitals and clinics to enable them to obtain essential medical treatment, assistance with payment of rent, school fees, etc. Small monetary grants are also made to assist needy patients in the purchase of clothing, toilet necessities and food for extra nourishment after discharge from hospital.

The Samaritan Fund is entirely dependent on voluntary donations and receives no assistance whatsoever from public funds.

P. H. TENG, Director of Medical & Health Services. 30th June, 1969.

TABLE 78

LIST OF DONATIONS RECEIVED FOR THE YEAR ENDED

31ST MARCH, 1969

Samaritan Fund

The Royal Hong Kong Jockey Club

Trustee, Li Po Chun Charitable Trust Fund

Mr. Ho Shai-lai

Lutheran World Federation

---

...

Hang Seng Bank Ltd.

ILL

ILI

Standard Sing Tao Fat Choy Drive Others

Christmas Fund

The Royal Hong Kong Jockey Club

The Hong Kong Football Association Ltd, Others

$ 30,000.00

---

10,000.00

1,500.00

5,000.00

1,000.00

---

1,000.00

---

208.00 $ 48,708.00

$ 7,500.00

1,000.00

7,680.65 $ 16,180,65

Miscellaneous

+10

..ז

...

---

Sir Shiu-kin TANG for the proposed Tang Chi Ngong

Specialist Clinic Mr. and Mrs. K. C. JAY for instruments in the Yau

Ma Tei Ophthalmic Clinic

---

W.H.O. Grant for Co-operative Survey of Severe

Respiratory Infections in Children

Others for the Radiotherapy Unit, Queen Elizabeth

Hospital

י ז!

ייז

$500,000.00

TII

8,375.00

6,097.50

6,586,51 $521,059,01

146

$585,947.66

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