醫務衛生署年報 Medical and Health Department Annual Report 1970-1971

1970-71 DIRECTOR OF MEDICAL

AND HEALTH SERVICES

Annual Departmental Report

22501293187

HONG KONG

ANNUAL DEPARTMENTAL REPORT

BY THE

DIRECTOR OF MEDICAL AND HEALTH SERVICES

G. H. CHOA, J.P., M.D. (H.K.); F.R.C.P. (Lond.); D.T.M. & H. (Liv.)

FOR THE

FINANCIAL YEAR 1970-71*

PRINTED AND PUBLISHED BY J. R. Leg, GOVERNMENT PRINTER AT THE GOVERNMENT PRESS, JAVA ROAD, HONG KONG

1st April 1970-31st March 1971

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$14.55=£1 (HK$1=6.875p).

Aux.

2115.

زیت

117777

87552-14K-12/71

CONTENTS

Paragraphs

1 - 5

I. INTRODUCTION

II. PUBLIC HEALTH

Vital Statistics

Communicable Diseases

III. WORK OF THE HEALTH DIVISION

Area Health Work

Tuberculosis.

Social Hygiene Service.

Port Health.

District Midwifery Service

Maternal and Child Health Services

School Health Service.

School Medical Service Board

Dental Service

Forensic Pathology

Government Laboratory

Medical and Health Department, Institute of

Pathology.

Industrial Health.

Health Education

6 - 12

13 - 32

34 - 45

46 - 50

53 - 54

55 - 56

58 - 59

60 - 62

64 - 68

69 - 77

78 - 84

IV. WORK OF THE MEDICAL DIVISION

General Remarks.

Government Hospitals.

Out-Patient Services.

Specialist Services

Radiological Services Ophthalmology

Pharmaceutical Service.

Medical Social Work

Physiotherapy

Occupational Therapy .

Paragraphs

87 - 109

110 112

113

114 - 116

117

118

119 120

121 - 125

Orthopaedic and Prosthetic Appliances

Medical Examination Board.

Hospital Maintenance and Supply

Auxiliary Medical Service

Registration of Medical Clinics

V. GOVERNMENT-ASSISTED HOSPITALS.

VI.

DEVELOPMENT

Forward Planning

Completed Projects

Projects under Construction.

VII. TRAINING PROGRAMME

VIII.

Doctors

Dental Staff

Nursing Staff

Radiographers

Laboratory Technicians

126 129

130 - 134

135 137 138

139 - 142

143 146

147 148

149 - 169

170 172

174

173

175

176

177 - 179

180 - 182

183 - 189

190

Other Forms of Departmental Training

ACKNOWLEDGEMENT

IX. MAPS

X. STATISTICAL APPENDIX

191

192

193 - 195

I. INTRODUCTION

THE general health of the population continued to be good. Due to great advances in disease control the pattern of diseases is changing rapidly. Most of the communicable diseases which have been the major causes of mortality and morbidity in the past two decades have now been brought under control. Great improvement was particularly noticed in the control of infectious diseases affecting predominantly children. Due largely to the immunization campaigns the incidences of diphtheria, poliomyelitis and measles have remained at a low level. During the year there was no occurrence of any epidemic disease. Since the notification of the last case of cholera in October 1969, Hong Kong remained free from the disease throughout the year under review.

2. While tuberculosis remains the major cause of mortality among the communicable diseases, the Colony is facing increasing problems arising from non-communicable diseases. The major causes of death are cancer, heart and hypertensive diseases, pneumonia, cerebro- vascular lesions and tuberculosis. The effects of industralization and urbanization together with the ageing of a relatively young population have added problems for the care of the sick and the disabled.

　　　3. The Development Programme of the Medical and Health Depart- ment has been making steady progress. Altogether there were 23 projects being planned or built for the improvement and expansion of health and medical facilities in the urban and rural areas at the end of the year. In October 1970 the Kowloon Hospital West Wing was completed, providing useful subsidiary accommodation for patients from Queen Elizabeth Hospital during convalescence as well as an acute Psychiatric unit and a paraplegic unit. In March 1971, the David Trench Rehabilitation Centre at Sai Ying Pun was opened. In addition to rehabilitation services the Centre also contains the Hong Kong psychiatric Centre and the Western Maternal and Child Health Centre. The Organ Transplant Unit and the new Maternity Ward at Queen Mary Hospital were completed during the year. Other projects in prog-

ress were the new Lai Chi Kok Hospital; the new vaccine institute at Pok Fu Lam; Kwai Chung North standard clinic and stage I, Kwai Chung South polyclinic; reprovisioning of the mortuary, virus labora- tory and clinical pathology services and the construction of a new clinical building at Queen Mary Hospital; the Siu Lam Hospital for the mentally subnormal; and the construction of the Medical Department laundry. Planning was underway for many other Government projects including polyclinics for Kowloon East and Tsuen Wan/Kwai Chung areas, and the specialist clinic at Hong Kong Island east.

4. 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. There is also greater appreciation of the value of personal health services, and attendances at maternal and child health centres and other health services continued to be satisfactory.

5. In the following pages are reviewed the state of the public health and the more important developments in the work of the Medical and Health Department, and of the major voluntary agencies which are in receipt of substantial subventions from Government funds for the 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 60.

II. PUBLIC HEALTH

(Tables 6-19)

VITAL STATISTICS

(Tables 6-12)

6. Based on the crude results of the 1971 census, the estimated mid-year population in 1970 was 3,941,600 of which approximately 81% was concentrated in the urban areas of Hong Kong Island and Kowloon. Approximately 37% of the population are under the age of 15 years and only 6.5% 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, based on the number of deaths regis- tered, was 5.3 per thousand of the population. As shown in Figure 1,

FIGURE I

AGE & SEX SPECIFIC DEATH RATE-1970

HONEYTON DOEL VI SHIVER 20 TON

נד

MALE

H J 44 45

AGĘ GROUP

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 continued its downward trend and the crude birth rate fell further to 19.7 per thousand of population. Based on actual registration of births and deaths, there was a natural increase of 56,702, about three thousand nine hundred less than in the previous

year.

　　　7. The gratifying decline in the infant and neonatal mortality rates, which are a useful index to the trend of health conditions of the general population, is illustrated in Figure 2.

NO OF DEATHE PEN THOU LIVE BIRTH

FIGURE 2

INFANT AND NEO-NATAL MORTALITY RATE 1956 - 70

NEO-HATAL

11 AR

Infant Mortality

8. 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 re- ductions in mortality from the preventable diseases, particularly bron- chopneumonia, gastro-enteritis, tuberculosis and, in the last three years, measles. There has aslo been a steady reduction in mortality from prematurity, due to improvement in the midwifery and maternal health services. As has been the experience elsewhere, congenital malforma- tions 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 mortality has reached a low level. Maternal Mortality

9. 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 effected in the fields of toxaemia of pregnancy, haemorrhage and puer- peral 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

10. The marked social and economic changes which have occurred in Hong Kong during the years following the Second World War are reflected in the mortality trends and patterns of diseases, which have changed considerably in the past two decades. Improvements in the general level of public health are demonstrated by the decline in pro- portionate mortality from infectious, respiratory and intestinal dis- eases, while the ageing of the population (which is, however, predomi nantly young) is reflected in the increasing mortality from heart and hypertensive, cerebro-vascular and neoplastic diseases.

11. The first five leading causes of death are cancer, diseases of the heart including hypertensive diseases, pneumonia, cerebro-vascular disease and tuberculosis in that order. As in many countries in different parts of the world, the death rate from cancer continued to increase, rising from approximately 30 per 100,000 population for both sexes in 1950 to 100.6 per 100,000 in 1970. In the local female com- munity the common causes of death from cancer are cancer of the breast and cancer of the uterine cervix, and in the community as a whole the common cancer deaths are cancer of the lung, primary cancer of the liver, nasopharyngeal cancer and cancer of the stomach.

12. The Eighth Revision of the International Statistical Classifica- tion of Diseases, Injuries and Causes of Death published by the World Health Organization came into use on 1st January, 1969. All registered medical practitioners were supplied with a supplement of the Eighth Revision and were requested to ensure that the nomenclature of causes of death given by them on death certificates agreed with those in the International Classification. Use is being made of computer facilities in mortality statistics and it is hoped that this will result in a better handling of the mortality data.

COMMUNICABLE DISEASES (Tables 13-16)

　　　　13. The total number of notifications of communicable diseases during 1970 was 13,473, of which tuberculosis formed 74.8%. Satis- factory progress continued to be made in the control of diphtheria and poliomyelitis. The incidences of bacillary dysentery and enteric fever which remained at about the same level in the past years have shown a tendency to decline. Trends in the incidence of these four diseases

are shown in Figure 3. The incidence of measles continued to remain low since the commencement of the anti-measles vaccination campaign in late 1967.

FIGURE 3

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1956 - 1970

REPORTER

QEPHI HERIA

EHTENI FLYER

COYSENTERT

POLIONT ELLE

5 D TEAN

Cholera

14. Since the last reported case of cholera in October 1969, Hong Kong remained free from the disease throughout the year under review. The surveillance programme for the disease was continued on a year- round basis. This included routine sampling of nightsoil for cholera vibrio, 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 started in April and continued into the summer months.

15. In addition to the surveillance programme, other special preven- tive measures, including environmental and food hygiene, were continued and strict quarantine restrictions were maintained in respect of neigh- bouring countries declared infected.

Amoebiasis

　　　16. This disease continued to occur endemically, being most preva- lent in the overcrowded urban areas. A total of 68 cases were notified. The disease remained predominantly one of adult males.

Bacillary Dysentery

17. This disease showed a further decline in incidence falling from 736 cases in 1969 to 609 cases in 1970. The disease occurs at all ages, but 40.1% of the notifications were in respect of children under the age of 5 years. Shigella flexneri and Shigella sonnei remained the predominant organisms isolated.

18. Transmission 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 363 carriers were discovered during investigations of reported cases. All were given appropriate

treatment.

Chickenpox

19. This is a very common disease among children; a total of 959 cases were notified, almost all 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

20. Only 43 cases of the disease were notified during the year, this being the lowest number ever recorded for many years. As a result of annual immunization drives, which have been in progress since 1959, the disease has shown a continuous and steady decline, falling from 2,087 cases in 1959 to 43 cases in 1970. The disease affects largely children, and 48.8% of the cases were under the age of 10 years. The case fatality ratio in 1970 was 9.3%, and death occurred primarily among the unimmunized children. Corynebacterium diph- theria mitis remained the predominant organism isolated in clinical cases.

Enteric Fever

　　　　21. The number of cases notified was 438, a decrease of 108 cases. over the preceding year. The disease in Hong Kong is generally mild,

and the case fatality ratio is less than 2%. Transmission of infec- tion 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 pre- ventive measure enforced, with special attention to environmental and food hygiene and the control of food premises.

Malaria

22. The incidence of malaria during recent years has fallen to a very low level, and for the first time in many years no local case due to natural transmission was reported. Of the 3 cases recorded during the year two were imported cases, while the remaining one was due to blood transfusion.

Measles

23. A total of 1,011 notifications of the disease were received during the year. As revealed in Figure 4, measles in Hong Kong has in the

FIGURE 4

MONTHLY MEASLES NOTIFICATIONS, 1960 - APRIL 1971

GALVENATION 30 DN

previous years 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. Commencing 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, and the vaccine was also made available through mobile teams to children living in resettlement and housing estates, tenement buildings and other crowded areas. Since the occurrence of the last epidemic in 1966-67, the disease incidence and its mortality have remained satisfactorily low.

　　　24. These results were due, at least in part, to the immunization campaign which is now on a year-round basis, and the continuing health education efforts to encourage parents to seek early medical advice.

Poliomyelitis

　　　25. Twenty-seven cases of poliomyelitis were reported during the year, an increase of 11 cases when compared with 1969 and 22 cases when compared with 1967. Of the 27 cases, 24 were type 3 poliovirus infection confirmed by laboratory investigation, this being the highest number of type 3 poliovirus infection recorded in a single year since the introduction of the vaccination programme in 1965. The programme consists of giving one dose of type I polio-vaccine, soon after birth, followed by 2 doses of balanced trivalent vaccine at three and five months of age. Of the 27 reported cases, 6 were aged 5 to 7, the others were all under 5.

26. Approximately 73% of infants received one dose of type 1 polio-vaccine soon after birth and 70% of infants received two doses of the trivalent vaccine at Maternal and Child Health Centres. A general campaign is mounted annually, usually in January and March, in an attempt to immunize the remainder.

27. Virological investigation of the disease is maintained throughout the year. A poliomyelitis faecal survey in normal children aged under 5 years was carried out in June. The result showed that the excretor rate of 'vaccine' types of poliovirus was about 3.5% among a total of 367 children included in the survey. The 'wild' types of poliovirus

were not detected, but it was believed that such virus was prevalent in the community in view of an increase in the number of clinical polio- myelitis in the year under review. In 1967 the number of poliomyelitis cases notified was 5, increasing to 15 in 1968 and 16 in 1969.

Influenza

28. The surveillance programme for influenza is continued on a year- round basis. A number of general out-patient clinics are designated as influenza surveillance centres, which report regularly the number of influenza-like illness seen at these clinics. The Virus Laboratory con- tinues to function as a World Health Organization National Influenza Centre and virological investigations of throat swabbings and throat washings are carried out routinely on samples taken from influenza-like

cases.

29. During the year the disease caused sporadic outbreaks. In- creased incidences were recorded in March and August 1970 but no epidemic was observed. Between January and September 1970 the predominant influenza virus was type A2, but the strains showed no antigenic deviation from the A2/Hong Kong/68 variant which caused an epidemic of influenza in July 1968. After September influenza virus type B was predominant. One of the two antigenic strains of the influenza type B virus was closely related to B/Czechoslovakia/28/70, and the other strain to B/Rome/1/67.

Tetanus

30. This disease, although not notifiable, is recorded with reason. able accuracy owing to the severity of the symptoms, requiring hospitalization of clinical cases. In past years approximately half the cases reported were in those new-born whose birth had not been attended by trained personnel and who had been exposed to various hazards from unsterile materials. In 1970 tetanus neonatorum was responsible for only 13.6% of the recorded cases, and infant mortality from such infection fell from 1.2 deaths per 1,000 in 1951 to 0.103 deaths in 1970.

Viral Hepatitis

31. Notification of this disease is on a voluntary basis. A compari- son between the number of notifications received and the number of

viral hepatitis cases discharged from Government and Government- assisted hospitals showed that notifications for this disease are far from complete. A better and more complete reporting and investigation of the disease was under review at the end of the year, and it was hoped that such improvement would result in a better understanding of the true incidence of the disease in Hong Kong and its epidemiology.

　　　　32. Developments in certain other communicable diseases are reviewed later in this report; the remainder showed little variation during 1970 and hence require no comment.

III. WORK OF THE HEALTH DIVISION

(Tables 20-45)

AREA HEALTH WORK

　　　　33. Much of the work of the area Health Officers, apart from their duties with the Urban Services Department in the maintenance of satisfactory standards of 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 communi. cable diseases but also the co-ordination of the activities of teams of inoculators participating in prophylactic immunization drives. Five such drives were staged during the year and reference has already been made to four, namely, cholera, poliomyelitis, measles and diphtheria (and in the latter campaign the vaccine used combined immunization against diphtheria with active anti-tetanus prophylaxis). The fifth, promoting smallpox vaccination, was held in February 1971. 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

(Tables 20-26)

34. 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-born, who are particularly vulner- able to the fulminating forms of the disease, and the primary school

entrants who may develop active disease later in life. After consider- able thought and investigation, B.C.G. vaccination was extended to school leavers in March. 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. It is gratifying to note that in complete contrast to the past there is now no waiting list for hospital admission and indeed during the year 153 tuberculosis beds were made available for other uses. The not inconsiderable institu- tional 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, par- ticularly the Hong Kong Anti-Tuberculosis and Thoracic Diseases Association and the Haven of Hope Sanatorium. The Government Chest Service maintains the B.C.G. vaccination and out-patient treatment programme, while the voluntary agencies, aided by substantial Govern- ment subventions, maintain most of the hospitals.

35. To keep pace with the rapid changes which are occurring in the fields of treatment and prevention of tuberculosis, close liaison is maintained with agencies outside the Colony. At the moment there are underway, in collaboration with the Medical Research Council of the United Kingdom, no less than four major lines of research. The results of these studies should eventually result in much improved treatment regimens and considerable financial savings.

36. Preliminary results of a joint study with the World Health Organization concerning B.C.G. vaccination of the new-born are now available and the study continues on a follow-up basis.

Case Finding

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

Education Campaign lasting 1 week was held in December. The theme of the campaign was: If you have a chronic cough lasting more than one month, please have a chest X-Ray'.

Mortality and Morbidity

　　　　38. During the year the number of deaths fell slightly. 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. Tuberculosis mortality by age and sex is shown in Figure 5.

FIGURE 5

TUBERCULOSIS MORTALITY BY AGE & SEX 1958 - 1960 AND 1968 - 1970

andut 300 m 100 HET MIJ SHITIO

HALE WHIL

www*

FEMALE SESE.

T'S

　　　　39. During the year the notification rate fell to 255.7 per 100,000 of the population. Figure 6 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

FIGURE 6

TUBERCULOSIS NOTIFICATIONS BY AGE & SEX

1958-1960 AND 1968 - 1970

ANGUS DOT KA 100 001 434 Satyaspo

MALE 50-60

AGE CROUP

-FEMALĖ STO

been little change in the vulnerability of adolescents, 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.

Working of the Government Chest Service

40. The Government Chest Clinics provide ambulatory chemother- apy 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. Increasing attention is being paid to the public health aspects of tuberculosis. 72 Health Auxiliaries whose main duties consist of contact tracing and home visiting are attached to the Chest Service. These Health Auxil- iaries are supervised by one Health Sister and eleven Health Visitors. They had all aspects of the disease thoroughly explained to them by Health Visitors and were given explanatory leaflets. Regular attendance

for out-patient chemotherapy is regarded as being of paramount impor- tance, 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 under- take surveys of selected groups such as Government employees and prisoners, in co-operation with the Radiological Service. 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.

　　　　41. During the year attendances at Government Chest Clinics remained at the high level of 1,727,930. After intensive investigation twice weekly fully supervised Streptomycin 1G with Isoniazid 750 mgm had been introduced the previous year. The changing pattern away from unsupervised PAS/INAH tablets to supervised treatment is shown in the following figures. At the end of 1969 there were 10,796 cases on PAS/INAH tablets whilst at the end of 1970 there were only 6,126 cases; however, cases on fully supervised intermittent treat- ment rose to 4,237.

42. The high incidence of primary and secondary drug resistance in Hong Kong has been demonstrated by research undertaken in conjunc- tion with the Medical Research Council 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 organisms investigated showing resistance to one or more of the first-line drugs commonly used in ambulatory chemotherapy. Recent investigations suggest that there has been a fall in the level of drug resistance possibly due to the very considerable efforts which are now being made to prevent irregularity in taking treatment.

The B.C.G. Campaign

43. 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 mainly directed to the new-born, school entrants and school leavers. During the year 95% of the new-born were given B.C.G. Bearing in mind that the remaining 5% usually have some contraindication to B.C.G. (for example, prema- turity) this represents an almost 100% coverage of eligible babies, perhaps the highest coverage in the world. The decline in infant mor- tality from tuberculosis which has resulted is shown in Figure 7.

FIGURE 7

TUBERCULOSIS MORTALITY & B.C.G. VACCINATION OF NEW-BORNS 1955 - 1970 (MORTALITY RATES AS PERCENTAGE OF 1955 RATES)

PERCENTAGE

TEM

BEN MACCINATION OF ALL

MORTALITY, ALL AGES.

HORTALITY, CHEANTE

44. Covering the schools 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.

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

SOCIAL HYGIENE SERVICE

(Tables 28-32)

46. The incidence of early infectious syphilis was 18, i.e., 35.7% less than the previous year. The number of syphilitic cases was 21.1% less than the previous year. There was also a marked reduction of latent syphilitic cases in 1970. 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 8 to 10.

FIGURE 8

SYPHILIS 1961 - 1970

xww

--- WCIDENCE RATE

CASES

TOTAL_ CASER BEYON

* INCIDENCE RATE PER TALONE POPULATION AGED 116 OVER

ון

-------- INCIDENCE MATC

CALI

FIGURE 9

INFECTIOUS SYPHILIS 1961 - 1970

CASE T

NO.

HACIGENCE RATE PER 189MM POPULATION AGED 14 - DYER

TILL LIIT

YELL

TOTAL CASES

171

FIGURE 10

GONORRHOEA 1961 - 1970

TEA.

INCIDENCE MATE

CAFE+

THEIDENCE RATE PER TORRES POPULATION AGED 15 & DVER

47. Case finding continued at a high level, particularly in ante-natal cases where an initial positive serology rate of 1.0% was observed. Of the 104 positive cases referred from ante-natal clinics, only 90 cases. i.e., 86.5% were actually suffering from syphilis. Contact tracing, particularly of infectious syphilis, was continued.

Leprosy

48. New cases of leprosy treated numbered 135, representing a rate of 3.4 per 100,000 of population. Tuberculoid manifestations comprised 51.8% of total cases. Of the infectious cases 70 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.

49. 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 to the prevention of dis- abilities in tuberculoid cases.

Dermatology

50. The incidence of skin diseases is shown in Table 31. There was a very low incidence of skin cancers. The total number of new

cases rose by about 4.3% more than the previous year and 157% more than ten years ago. The types of skin diseases in 1970 were similar to previous year, the six commonest types being eczema, fungal infections, contact dermatitis, lichen simplex, urticaria and warts.

PORT HEALTH (Table 33)

　　　　51. The Port Health Service continued to fulfil its routine duties in connection with the prevention of the introduction of quarantinable communicable diseases, the sanitary control of port and airport areas, the provision of facilities as required by the International Health Regulations, and a regular exchange of epidemiological information with the World Health Organization as well as with ports and airports in other countries.

　　　52. With the increasing importance of Hong Kong as a tourist and an international transit centre, the work of the Service has steadily mounted during the recent years. This has not only been due to the increase of shipping entering the port resulting in the necessity of maintaining a full 24-hour daily quarantine service, but to a vast increase in air traffic at Kai Tak Airport. The Service is also responsible for the Port Health work in connection with travelling between Macau, Kwangtung province and Hong Kong, while particular attention is paid to vessels and aircraft from plague-infected areas, as well as to food imports from cholera-infected places.

DISTRICT MIDWIFERY SERVICE

(Table 34)

　　　53. Nearly all births took place in institutions, either hospitals or maternity homes. Delivery in hospitals gradually increases as all cases are carefully screened, and any high risk cases are referred to the specialist units for further management. Thus, only 18% of the births were attended by the Government District Midwives, and midwives in private practice attended another 19%, as compared with 20% and 22% respectively in 1969. The remainder of the births took place in Government, Government-subsidized and private hospitals.

54. During the year, there was no change in the number of Govern- ment district maternity homes. On the other hand 2 new private maternity homes were registered, while 8 old ones were voluntary sus- pended, with a reduction of 58 beds. During the past 5 years there

has been a steady reduction in the still birth rates in both Government and private maternity homes.

MATERNAL AND CHILD HEALTH SERVICE

(Tables 35-36)

55. The public appreciation of the value of these services in the maintenance of health amongst infants and expectant and nursing mothers is again reflected by the fact that 85.4% of the children born had attended a centre on at least one occasion; the corresponding figure for 1969 was 85.2%. Approximately 1% of the new attendants at the various centres were found to have abnormalities; of these, the majority again 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 ante-natal care as reflected in the average attendances per person at ante-natal sessions and by the low maternal mortality rate.

56. In May 1970, the subsidiary centre in Hung Hom was converted into a full time centre. In August 1970, the sessions in Sha Tau Kok were transferred to the newly leased premises of the Sha Tau Kok Dispensary. The maternity cases of that area are still covered by the Shek Wu Hui Maternity Home, In March 1971, four new subsidiary centres began to operate in the existing clinic premises in the outlying islands of Peng Chau, Silver Mine Bay, Lamma Island and Tai O. In the same month the Western Maternal and Child Health Centre, one of the oldest centres established in 1939, was transferred to the newly opened David Trench Rehabilitation Centre. No maternity ward is attached to the latter centre because the Tsan Yuk Maternity Hospital is in the vicinity.

SCHOOL HEALTH SERVICE

57. The Medical and Health Department provides an advisory service to the Education Department on matters relating to environmental health and hygiene in schools. Inspection of schools is carried out by School Health Inspectors with special regard to lighting, ventilation and sanitary arrangements, Immunization against diphtheria, tetanus, 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 tuberculin testing and B.C.G. vaccina- tion in schools.

SCHOOL MEDICAL SERVICE BOARD

(Table 37)

58. 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. Remunera- tion of the doctors is on a per capita basis, half the annual fee being paid by the participating pupil and half contributed by Government, which also meets the Board's administrative expenses.

　　　59. On 31st March, 1971, the number of pupils participating was 43,663, from 704 schools, compared with 41,244 pupils from 672 schools on the same date in the previous year. Doctors participating in the scheme numbered 183 compared with 195 in the previous year.

DENTAL SERVICE

(Table 38)

60. The Dental Service provides dental care for all monthly-paid Government officers and their dependants, and Government pensioners, and offers a limited specialized treatment for in-patients of Government Hospitals, prisoners, inmates of Training Centres, and emergency treatment for members of the general public.

61. 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 community water supplies. The cost of this operation is now estimated at about 12.1 cents per person receiving fluoridated water per annum. Dental health education plays an important part in com- bating 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.

62. Although no training in dentistry is undertaken in Hong Kong, a programme of overseas training is maintained by Government, and during the year three scholarships were awarded to students for study in the University of Otago in New Zealand and one scholarship 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 under training for dental nursing in Penang, Malaysia, under a World Health Organization Fellowship returned during the year. Two Dental Surgery Assistants were under training for dental nursing in Singapore under Fellowships awarded by the World Health Organization. Three Dental Surgery Assistants were due to go to Penang for similar training in January 1971. Due to unforeseen circumstances the period of their training has been delayed by about three months. A Dental Nurse is now on a 12 month Dental Nurse Tutor Course in New Zealand under a World Health Organization Fellowship to assist, on her completion of the course, in the training of our own Dental Nurses; another Dental Nurse returned after having successfully completed such a course.

FORENSIC PATHOLOGY

(Table 39)

63. 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 deals 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 Medical and Health Department Institute of Pathology, homicidal deaths and deaths under suspicious circumstances still remain in the hands of the Forensic Pathologists.

GOVERNMENT LABORATORY

(Table 40)

64. The Laboratory provides chemical and related scientific serv- ices for Government Departments. During the year 32,078 items were examined by the professional and technical staff, and this figure con- stitutes an all-time record.

65. In the Forensic Science Division the examination of questioned documents continued on an increasing scale, and new techniques were developed for the visualization of latent fingerprints on paper and other materials. The characteristics of numerous home-made bombs were determined.

66. Officers of the Narcotics Section assayed the largest ever volume of illicit drugs during the year, including more than 6,000 lbs. of raw opium.

67. Items handled by the General Division showed a substantial increase over the previous year. The most notable increases involved work carried out under the Dangerous Goods Ordinance and the Public Health and Urban Services Ordinance.

　　　68. Surveys were carried out on the presence of mercury in tuna fish and lead in preserved eggs. During the year work to provide extra working space by the building of a small extension in the laboratory was completed.

MEDICAL AND HEALTH DEPARTMENT, INSTITUTE OF PATHOLOGY

(Tables 41-44)

　　　69. The Medical and Health Department Institute of Pathology operates a number of clinical and public health laboratories providing laboratory investigations in both curative and preventive medicine. It serves mainly Government hospitals, clinics and various public health divisions. It also helps to conduct laboratory examinations for the Tung Wah Group of Hospitals. Work arising from Queen Mary Hospital on pathology, clinical biochemistry and bacteriology is under- taken by the University Department of Pathology which receives a grant from Government for such services. During the year the total number of examinations undertaken by the Institute exceeded that of the previous year by 149,114, indicating an increase of about 7.8%. The increase was mainly in the Histopathology, Haematology, Bacteriology and Chemical Pathology sections.

Morbid Anatomy and Histopathology

　　　70. A total of 753 post-mortem examinations were carried out during the year, of which 413 had medico-legal implications. The brains of 45 dogs were examined for the presence of Negri bodies (indicating death from rabies) but no positive findings were obtained. Over 3,300 specimens of sputum, pleural fluid, vaginal and cervical smears and other specimens were received for cytological examination, of which 50 showed definite evidence of malignant diseases. Over 41,000 biopsy specimens were examined in order to determine the histo- pathological diagnosis. Of these about 3,800 were benign or malignant

tumours.

Haematology and Serology and Blood Bank

　　　71. Slightly more than 360,000 haematology specimens were examined, the most common examinations being haemoglobin estima-

tions, total and differential white cell counts, blood slide examinations and blood grouping. Over 128,000 serology tests were performed, the most common being the V.D.R.L. floculation slide test for syphilis. In the blood banks 27,503 pints of blood were received during the year, 26,723 pints of which were from the blood collecting centres of the Hong Kong Red Cross Society. A total of over 180,000 examinations of blood were carried out in the blood banks.

Chemical Pathology

72. Some 390,000 specimens were examined, the most common being various quantitive examinations upon blood, which accounted for over 290,000 of the examinations.

Bacteriology and Public Health

73. Over 583,000 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, but no positive findings were obtained.

74. Apart from routine bacteriological diagnosis of tuberculosis, the tuberculosis laboratory was involved in anti-tuberculosis drug sensi- tivity 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 satisfactorily.

Virology

75. 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.

76. In the year there were 24 cases of laboratory-confirmed poliomyelitis, (See paragraph 25 for details). The laboratory continued to function as a World Health Organization National Influenza Centre. Influenza occurred as sporadic outbreaks during the year. Increased incidences were reported in March and August, but no epidemic was observed. A2 influenza virus, antigenically indistinguishable from the A2/Hong Kong/68 variant was prevalent from January up to September, after which period influenza type B virus was predominant.

Two different antigenic strains of type B virus were isolated. One was closely related to B/Czechoslovakia/28/70 and the other to B/Rome/ 1/67. The study of other respiratory viruses associated frequently with acute respiratory infections was continued.

77. Cytomegalovirus was prevalent in Hong Kong. This virus was isolated in 36 infants manifested with a wide spectrum of clinical syndromes, such as jaundice, hepatosplenomegaly, convulsion and meningo-encephalitis. Further serological studies are being carried out to determine the epidemiological pattern of this infection.

INDUSTRIAL HEALTH

(Table 45)

　　　　78. The health of workers in factories and the other industrial under- takings is the statutory responsibility of the Commissioner of Labour. The Industrial Health Division of the Labour Department, which is staffed by personnel seconded from the Medical and Health Depart- ment, 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 monitor- ing 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.

79. 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.

　　　80. The work of the Workmen's Compensation Unit, which is part of the Industrial Health Division, continued to increase. The introduc- tion of the Industrial Injury Notification system has increased the number of recorded industrial accidents from an average of 1,000 a month in 1969 to an average of 2,050 a month in 1970.

81. 33,609 occupational injuries were recorded by industrial health visitors and nurses of the Industrial Health Division; of these 24,610 were accidents which caused the injured person to be off work for more than 3 days and were therefore reportable under the Workmen's Compensation Ordinance. 259 occupational deaths were recorded, but

it was found on investigation that 70 occurred in seamen outside Hong Kong, and that 53 were due to natural causes or the person was not employed at the time. Of the remaining 136 the manufacturing industries accounted for 43 and the construction industry for 38.

82. Monitoring of air pollutants continued, the number of stations being increased to 33. 5 new stations were installed in the New Territories and one in Hong Kong Island. A complete coverage of the Colony has now been achieved. 4 Assistant Smoke Inspectors were appointed to the Air Pollution Control Unit in November and it is hoped that the establishment of 7 will be completed by April 1971. A reconstituted Air Pollution Committee under the chairmanship of Mr. J. L. MARDEN, J.P., met for the first time in March and will in future hold meetings at regular two monthly intervals,

83. The Industrial Health Laboratory was designated by the World Health Organization in December as a national laboratory which will take part in an international study on air pollution in conjunction with other national laboratories throughout the world.

84. Industrial Medical Officers participated in Medical Boards, held under the Workmen's Compensation Ordinance, and assessed the disability of 6,426 injured workers. Health visitors and industrial nurses carried out case work and visited homes as well as attending at the casualty departments of major hospitals.

HEALTH EDUCATION

85. 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 Depart- ment and the co-operation of all voluntary agencies interested in such topics was actively sought.

IV. WORK OF THE MEDICAL DIVISION

(Tables 46-69)

86. At the end of 1970, there was a total of 15,638 beds available in all hospitals in Hong Kong excluding those hospitals maintained by Her Majesty's Armed Forces; in addition, there were 489 beds in Government maternity homes and 344 beds in private maternity and

　　　nursing homes. The total 16,471 beds represented 4.2 beds per thousand of the population. 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 11 and it will be noted that the bed provision in 1970 represents an increase of 66% over the bed provision in 1961.

FIGURE 11

HOSPITAL BEDS 1961 - 1970

เพ

LEO WAON WINSON 30 DN

י.

TOTAL

ASSERTED.

GOVERNMENT

PRIVATE

QUEEN MARY HOSPITAL

(Table 50)

　　　　87. 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 supervision is provided partly by the University Clinical Departments and partly by Government Specialist Units.

　　　　88. The total bed capacity in Queen Mary Hospital was 1,062 at the end of 1970. On completion of the new maternity ward and other minor alterations at the end of the year under review, the bed complement has been further increased to 1,155. The Intensive Care Unit began to function in November 1970. An Organ Transplant Unit was set up in February 1971. The new maternity ward on the roof of A and B blocks was commissioned in January 1971. The major works now in progress

are a new Pathology Building consisting of a new Mortuary, a Virus Laboratory and Clinical Pathology Services, and a new Clinical Building to cater for an increased intake of medical students. These works are due for completion in 1972.

QUEEN ELIZABETH HOSPITAL

(Tables 51-52)

89. This hospital serves a population of approximately 23 million people living in Kowloon and the New Territories as a medical centre for emergency and specialist care.

90. During its seventh year of operation attendances at the casualty department rose by 5.3% compared with the previous year. Of these attendances 30.8% were due to trauma, the main causes being in order of frequency, industrial, domestic, assult and traffic cases. 37.9% of all cases seen in the casualty department required immediate admission to hospital and 4.3% were referred for admissions to other hospitals such as Kwong Wah Hospital and Lai Chi Kok Hospital. (Paragraph 152 below gives details of the operation of the casualty department of the Kwong Wah Hospital). The average time spent in the hospital by each in-patient was 6.7 days. Once tided over the acute episode of the illness, patients are either discharged or trans- ferred to Kowloon or Lai Chi Kok Hospitals for convalescence. The pressure of admission necessitated increasing the bed state to 1,893 although the hospital's capacity was only for 1,596 beds.

KOWLOON HOSPITAL

91. This hospital serves partly as a subsidiary centre for Queen Elizabeth Hospital and also as a centre for chest diseases requiring both medical and surgical treatment. It also contains an acute psychiatric ward and a paraplegic unit.

92. With the completion of the West Wing in October 1970, the total bed complement of the hospital has increased from 500 to 1,042, including an acute psychiatric unit of 67 beds, a paraplegic unit of 50 beds, 188 beds for thoracic diseases and 737 convalescent beds for Queen Elizabeth Hospital. Towards the end of the year under review, the West Wing was not yet in full operation. However, it is envisaged that full functioning of the hospital will gradually be achieved in not too distant future.

TSAN YUK HOSPITAL

(Table 54)

　　　　93. 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 292 beds including 51 beds for the care of premature babies and is the teaching centre in obstetrics for medical undergraduates and the training school for midwives.

94. About 89% of admissions were booked cases. These were mainly primigravidae, grand mutiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from Government Maternity Homes. There were 5,920 deliveries with one maternal death.

MENTAL HEALTH SERVICE

(Tables 55-56)

Castle Peak Hospital (Table 55)

　　　　95. This hospital of 1,242 beds was required to accommodate 1,721 patients at the end of the year. This is the only hospital in the Colony for the full-time care of psychiatric patients.

　　　　96. Continued efforts to turn the hospital into a modern therapeutic community have 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. Three wards are entirely open, the patients housed therein being convalescent and receiving intensive attention to prepare them for discharge. Some patients travel daily to Tsuen Wan and San Hui to work in factories for a short period of rehabilitation prior to final discharge and many are given permission to go freely within the hospital.

　　　　97. All modern treatments in psychiatry were given, but reliance was placed mainly on drug treatment and social measures. It was clear that maintenance treatment of many schizophrenics over a long period of time could result in a drop in the relapse rate. There was an increasing tendency to treat patients in psychiatric out-patients' centres rather than admit them to hospital.

　　　　98. Continued efforts were made to rehabilitate the long-stay and grossly mentally disabled patients, the aim being to discharge 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 employment 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.

99. A wide variety of social and recreational activities was organized for the patients. Television sets were installed in all the wards during the year.

Psychiatric Centres (Table 56)

100. 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 the treatment of psychoneurotics and disturbed adolescents and children. On Hong Kong Island the Hong Kong Psychiatric Centre continued to see out and day-patients, follow-up cases from Castle Peak Hospital and forensic cases. The centre moved into its new premises in the David Trench Rehabilita- tion Centre opened in March 1971. In addition to these centres, psychiatric services were provided for the Psychiatric Observation Unit in Victoria Reception Centre and for the Tai Lam Centre for Women. A 67-bed Psychiatric Unit in the West Wing of the Kowloon Hospital has been completed.

New Life Psychiatric Rehabilitation Association

101. 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. A hostel on the Farm accommodates 22 discharged mainly chronic schizophrenic patients at a time. The Association also owns a 'Half-way Home' in Hung Hom-a hostel accommodating 67 selected discharged patients from Castle Peak Hospital. These patients spend a transitional period there before returning to normal society.

Drug Addiction

102. A Drug Addiction Liaison Officer from this Department maintains close liaison with the Action Committee Against Narcotics

(ACAN), other voluntary agencies and Government Departments con- nected with this work. A bibliography of all important publications on the various aspects of the problem of drug addiction is kept by the Department.

　　　　103. In November 1970 an anti-narcotic campaign organized jointly by the Medical and Health Department and the Action Committee Against Narcotics was held. The campaign was given the widest publicity. Emphasis was given on the preventive aspect of drug addic- tion particularly towards health education of the young.

INFECTIOUS DISEASES HOSPITALS

104. 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 pro- vides some accommodation for convalescent cases from the Queen Mary and Queen Elizabeth Hospitals.

　　　　105. None of the common infectious diseases showed any dramatic variation. However, the overall trend was towards a reduction, both in incidence and mortality. No examples of the major quarantinable diseases were encountered. There is a definite clinical impression that patients are now coming for treatment earlier, and the moribund child admitted in the terminal stage of illness, though not entirely a memory of the past, is now seldom seen.

TANG SHIU KIN HOSPITAL

(Table 53)

　　　　106. This hospital, built with a substantial donation from Sir Shiu-kin TANG, C.B.E., LL.D., J.P., is situated at Morrison Hill, Hong Kong. Opened in 1969, it replaced the former Eastern Public Dis- pensary and Maternity Home, the Harcourt Health Centre and the Wan Chai Social Hygiene Female Clinic.

107. The hospital is equipped with a casualty department and casualty wards for 40 patients. It has a general out-patient department, a maternal and child health centre, a 36-bed maternity ward, a social hygiene clinic, a skin clinic and an obstetrical and gynaecological clinic.

　　　　108. The hospital also contains the head office of the Maternal and Child Health Services and a training school for Health Visitors and Health Auxiliaries. Quarters are available in the hospital for medical

and nursing staff. Since its opening the hospital has been playing a useful role in providing casualty and emergency services for the eastern part of the Island.

OTHER GOVERNMENT HOSPITALS

109. 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 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, Tai Lam Centre for Women, Tai Lam Prison for convicted drug addicts, Tong Fuk Prison and Chi Ma Wan Prison.

OUT-PATIENT SERVICES

(Tables 57-59)

110. Pressure remained heavy throughout the year on all 43 general out-patient clinics and also on most special clinics. Trends during the past 10 years are shown in Figure 12.

FIGURE 12

OUT-PATIENT ATTENDANCES 1961 - 1970

IND OF ATTENDANCES IN URMEA

TEAR

"י.

TOTAL

AS TERDAHEL

111. New facilities which became available during the year are detailed in paragraphs 173 to 174 of this report.

112. In addition to general out-patient service, regular out-patient sessions were maintained at a number of clinics by staff of specialized units. Evening out-patient sessions continued to be held at 10 clinics.

in the more densely populated areas; they are namely the Aberdeen Jockey Club Clinic, the Kowloon Hospital out-patient department, the Kwun Tong Jockey Club Clinic, the Lady Trench Polyclinic, the Li Po Chun Health Centre, the Robert Black Health Centre, the Sai Ying Pun Jockey Club Polyclinic, the Shau Kei Wan Jockey Club Poly- clinic, the Violet Peel Polyclinic and the Yau Ma Tei Jockey Club Polyclinic. Sunday and public holiday clinics are also held amongst six of the above-mentioned clinics. The more remote areas of the New Territories continued to be served by two mobile dispensaries and the 'floating clinics", while the 'flying doctor' service to more isolated and inaccessible villages was maintained.

SPECIALIST SERVICES

113. There are Government Specialist Clinical Units in medicine, surgery, obstetrics and gynaecology, anaesthesiology, dentistry, neuro- surgery, ophthalmology, orthopaedic surgery, otorhinolaryngology, pathology, paediatrics, psychiatry, radiodiagnosis, radiotherapy, social hygiene, thoracic surgery and tuberculosis. In addition the Professors of the University Faculty of Medicine act as consultants in medicine, surgery, obstetrics and gynaecology, orthopaedics, pathology and paediatrics. A number of Government Specialists act as Honorary Consultants to the Tung Wah Group of Hospitals and others serve as part-time lecturers in the University clinical departments.

RADIOLOGICAL SERVICES

(Tables 60-61)

114. The Medical and Health Department Institute of Radiology operates a service comprising Radiodiagnosis, Radiotherapy. Radiation Physics, Radioisotope, Radiobiology and Clinical Photography. The Radiodiagnosis Division provides a X-ray diagnostic service mainly for Government institutions, but a free consultant service is available to the Tung Wah Group of Hospitals and the Pok Oi Hospital in the New Territories. Consultant services are also available to medical practitioners in private practice on a payment basis. The Radiotherapy Division based at Queen Elizabeth Hospital and Queen Mary Hospital treats over 90% of all patients requiring radiotherapy in the whole of Hong Kong and also some patients referred to the Institute from overseas. The Radioisotope service is included in the Radiotherapy Division. It serves mainly Government institutions, but a consultant service is also available to the Tung Wah Group of Hospitals and

medical practitioners in private practice on a limited scale. The Radiation Physics Division is responsible for the operation of the Radiological Workshop which provides a maintenance service for Government radiological equipment and also of a film-badge radiation monitoring service for the whole Colony. These duties are in addition to its main function in assisting the first two divisions in their routine work. The Radiobiology Division is responsible for investigating radio- biological and cancer problems to help the Radiotherapy Division in its work and also for assisting it in the training of radiotherapists. The Institute also undertakes the training of medical undergraduates of the Hong Kong University in Clinical Radiology and Radiological Anatomy. The Radiotherapy Division also operates a Colony-wide Cancer Registry.

115. Under the direction of the Radiation Board the Radiation Physics Division carries out a programme of visits to premises where irradiating apparatus or radioactive substances are used, to give advice on radiation protection and ensure that adequate arrangements are being made for the protection of radiation workers and the public in the proximity of such premises.

116. In the field of research the Radiotherapy Division is con- tinuing its collaboration with the International Agency for Research on Cancer in the investigation of the Epidemiology of Nasopharyngeal Carcinoma, as well as carrying a part of this research independently. In addition this division is also collaborating with the Department of Epidemiology of Harvard University in a study of the urinary oestrogen profiles of selected North American and Asian populations to test a hypothesis concerning the aetiology of breast carcinoma. The cost of these 3 research projects is borne respectively by the International Agency for Research on Cancer, the Hong Kong Anti-Cancer Society, and jointly by the American Cancer Society and the World Health Organization; while accommodation facilities are provided by Govern- ment to carry out such studies.

OPHTHALMOLOGY

(Tables 62-63)

117. 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. 56% 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.

　　　　118. During the year the number of persons first registered as blind was 226, including 10 under the age of 15 years. Trends of previous years in the causation of blindness continued, with increasing frequency of the eye diseases of advancing age, and a reduction in those caused by deficiency states and trauma; senile cataract and glaucoma have replaced keratomalacia as the predominant causes; amongst children the main cause of blindness is congenital defect, while blindness due to keratomalacia is now comparatively rare.

PHARMACEUTICAL SERVICE

(Table 64)

119. This service is concerned with the enforcement of the Ordinance 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.

120. Central sterile supply departments are maintained at Queen Mary Hospital on Hong Kong Island and at Queen Elizabeth Hospital in Kowloon. These have been extended to include the sterile require- ments of Tang Shiu Kin Hospital, Tsan Yuk Hospital, Kowloon Hospital and other institutions.

MEDICAL SOCIAL WORK

　　　　121. The expansion of the medical services and the increasing emphasis on rehabilitation in its various aspects continued to make heavy demands on the services of Medical Social Workers. The medical social service of the Hong Kong Division with its head office at Queen Mary Hospital continued to deal with an increasing number of patients treated at Queen Mary Hospital. The allocation during the year of 78 beds at Grantham Hospital as convalescent beds for chest and heart cases from Queen Mary Hospital has resulted an extension of the service to patients transferred to the Grantham Hospital. The medical social workers of the Hong Kong Division also undertake medical social work in Tsan Yuk Hospital, Sai Ying Pun Infectious Disease Hospital, Tang Shiu Kin Hospital, Sai Ying Pun Jockey Club

Polyclinic and Violet Peel Polyclinic. The medical social work in the ophthalmic service was re-organized and all new cases are now seen by the medical social worker in the Yau Ma Tei Ophthalmic Clinic.

122. The medical social service of the Kowloon Division based at Queen Elizabeth Hospital covers medical social work in the Govern- ment hospitals and other medical institutions on Kowloon side. Close liaison was maintained with other Government departments and voluntary agencies in regard to the various aspects of rehabilitation, such as job placement, vocational training, housing and education of the physically disabled. The continuing co-operation and assistance given by them contributed much help to the patients.

123. The medical social workers in the Chest and Special Skin Division continued to see patients on a referral and selection system. Medical social workers of this Division work at all main chest clinics and special skin clinics. In addition to services rendered to out- patients, this Division also provides medical social service to tuber- culosis patients treated at such hospitals as Grantham Hospital, Ruttonjee Sanatorium, Wong Tai Sin Infirmary, Sandy Bay Convalescent Hospital and other medical institutions. In the Special Skin Service medical social workers maintained close liaison with the Hay Ling Chau Leprosarium. There are now less difficulties with such rehabilita. tion problems as the housing of leprosy patients, the employment of cured persons and their integration into the community.

124. In the Mental Health Service the scope of medical work both at Castle Peak Hospital and the out-patient psychiatric centres widened considerably due to an increase in the number of hospital patients and out-patient attendances. There is also increasing aware- ness of the availability of treatment facilities and social assistance for the mentally ill.

125. In-service training for new recruits was provided as before. Ful use is also made of lectures given by specialists in various related fields, as well as extra-mural courses designed for social workers. Medical Social Workers continued to give lectures to other students in training mainly in nursing, medicine, physiotherapy, health visitors service, social work and trainees in the social welfare field. In education for social work the Medical Social Service continued to offer field training placements and the service of Medical Social Workers as supervisors for the practical training of university students

　　　of the two universities, and for the post-graduate social study diploma students of the University of Hong Kong.

PHYSIOTHERAPY (Table 65)

　　　　126. Demand for physiotherapy services continues to rise and there was increasing concentration on education and training of the handicapped in re-adapting themselves to day-to-day activities. The physiotherapy unit at Queen Mary Hospital has continued to treat those patients transferred to the Sandy Bay Convalescent Hospital, and the Wan Chai Polyclinic now supplies a number of staff for Tang Shiu Kin Hospital.

127. Since July 1970 a part time service has been supplied to give further physiotherapy to physically handicapped trainees at the World Rehabilitation Fund Day Centre in Kwun Tong. All other services have been maintained and in March 1971 the Tang Shiu Kin Physiotherapy Unit in the David Trench Rehabilitation Centre at Sai Ying Pun was opened to patients. This will provide a much needed service for patients in the Western half of Hong Kong Island and for the first time the service of hydrotherapy treatment has been made available on this side of the Island.

　　　　128. An increasing interest in sport for the handicapped resulted in the first annual sports meeting for the physically handicapped in August 1970, when some 96 Hong Kong 'athletes' and 14 from New Zealand competed in 9 different events. Training and planning for the last annual sports meeting was carried out by the physiotherapists and planning for the next meeting is already in progress. Intermediate matches and competitions are held on a regular basis especially at Kowloon Rehabilitation Centre. While these events are mainly for permanent wheelchair victims, amputees and cerebral palsy patients and others are also encouraged to improve their physical fitness.

129. The Physiotherapy Training School had 41 students under training at the end of the year under review, the number including 7 for non-Government institutions. An additional 3rd classroom for the training of student physiotherapists was added to the School during the year.

OCCUPATIONAL THERAPY (Table 66)

130. The demand for occupational therapy services has continued. With the appointment of two officers and the return form overseas of

the first three scholarship graduates, the staffing position with regard to occupational therapists has somewhat improved. During the year two female candidates were awarded scholarships to receive training in the United Kingdom.

131. At Castle Peak Hospital the department continued to provide a diverse programme of progressive treatment, covering work, recrea- tion and group social activities. Visits were made by small groups of patients to neighbouring villages accompanied by members of the staff in civilian dress, with the aim of bridging the gap between hospital and community. Industrial out-work', consisting of contracts with factories, continued as a valuable adjunct to the treatment programme, and domestic, hospital and office equipment continued to be produced to meet Government Supplies Department orders.

132. The Hong Kong Psychiatric Centre (now located in the David Trench Rehabilitation Centre) and Yau Ma Tei Mental Health Centre continued to provide a treatment programme for out-patients, includ- ing selected patients from Castle Peak Hospital for whom a short follow-up period was necessary and those receiving other forms of therapy referred for observation prior to

　　　　　　　　　observation prior to assessment for future employment.

133. The Kowloon Jockey Club Rehabilitation Centre now includes a regular attendance of cerebral palsy children, for whom a special treatment room has been reserved which is located apart from the main work areas. Otherwise, treatment has followed the same pattern as in previous years and with the same aim in view to assist patients to return to their previous employment, or where this is not possible, to an alternative means of livelihood. This unit has been directly responsible for the placement of an increased number of patients. The Hong Kong Telephone Company alone accepted a total of 8 against vacancies exclusively reserved for the disabled.

134. The occupational therapy units in Queen Mary Hospital and Queen Elizabeth Hospital continued wtih the treatment of in-patients. In Queen Elizabeth Hospital there is also an attendance of out-patients, including cerebral palsy children. The Wan Chai Polyclinic has con- tinued to function to its maximum with the limited accommodation available. The expansion of the service included two new units, a physical unit in the David Trench Rehabilitation Centre and a psychiatric unit in Kowloon Hospital West Wing.

ORTHOPAEDIC AND PROSTHETIC APPLIANCES

135. Due to the increase of industrial and traffic accidents the demand for artificial limbs is increasing. Because of this, work-study in the production section has been directed mainly to improving the technique of fabricating prostheses. The main research and develop- ment undertaken during the year included modification to hip-disarticu- lation prostheses, improved prosthesis for fitting the Syme's amputee, and new prosthetic components for geriatric above-knee amputees. Though the number of new poliomyelitis patients requiring orthopaedic appliances has decreased the old poliomyelitis patients are growing up, and therefore the demand for medium and large sizes of long leg braces with knee hinges is increasing.

　　　　136. The number of Student Prosthetists under training in the department is now up to six. Since the training period for Student Prosthetists has been reduced from four years to three years a revised syllabus with more comprehensive lectures for the Prosthetic- Orthotic Course is being prepared. During the year one prosthetist was awarded the diploma of Orthopaedic Technician by the British Institute of Surgical Technicians and another prosthetist was awarded a prosthetic course by Government to study in the United Kingdom.

　　　　137. With the opening of the David Trench Rehabilitation Centre in March 1971 a comprehensive service to in-patients and out-patients on the Island has been achieved. The scope of the unit now covers all aspects of prosthetic and orthotic services for patients on either side of the harbour. The workshops of this unit also served as a supplier of special surgical appliances and instruments to the Ortho- paedic Surgery Unit, the physiotherapy Unit and the Special Skin Clinic.

MEDICAL EXAMINATION BOARD

(Tables 67-68)

　　　　138. This section performs medical examinations of new entrants to Government employment and to the Essential Services Corps. The number of persons classified as unfit on account of tuberculosis decreased considerably when compared with the previous year. Tuberculosis remained the primary reason for non-acceptance of applicants on medical grounds, being responsible for 6 out of the 9 classifications as 'unfit' in each thousand examinations.

HOSPITAL MAINTENANCE AND SUPPLY

139. As a result of the continued development of the services pro- vided in medical institutions operated by the Medical and Health Department, coupled with further increases in the demands upon them, the administration and supply of the hospital service becomes increas- ingly complex.

140. As in previous years, the Central Laundry has been kept under continuous review, particularly with reference to its future requirements and its relationship with other essential service departments. Further investigations into the use of disposable items have been undertaken with a view to reducing the work-load on the already overloaded service. However, the conclusions reached still confirm that disposable products are not yet an economic proposition in Hong Kong. Work on the new Shau Kei Wan Laundry is proceeding, and it is hoped that this new Unit will be in operation early next year thus easing the load on the existing Laundry at the Queen Elizabeth Hospital. Investigations indicate that owing to the continued expansion of the Department's activities a third laundry will eventually be required, and steps are being taken to find a suitable site for this.

141. Efforts to promote harmonious staff relations have continued during the year under review. The Joint Consultative Committee of Kowloon Hospital is proving a success, and it is hoped that further Joint Consultative Committees will be established in the near future. Proposals for the reorganization of the Medical and Health Department Staff Welfare Association have been approved, and the Association is now known as the Medical and Health Department Staff Society. Approval is also being sought for the appointment of a full-time Welfare Officer, and it is hoped to conduct a membership recruiting campaign shortly in order to encourage greater staff participation in the staff Society.

142. The design and types of special and standard items of hospital equipment in use have been kept under review, so as to achieve some standardization between one unit and another and ensure greater efficiency and economy.

AUXILIARY MEDICAL SERVICE

143. This branch of the Essential Services Corps has a strength of over 5,400 men and women-2,000 of whom are under 25 years of age-trained to augment the Colony's medical services during any

emergency. Approximately half the strength is used to make up the Ambulance Depot teams, which are dispersed throughout the Colony and are affiliated to the nearest Fire Stations (Ambulance Service). These ambulance depot teams are trained to reinforce the regular ambulance service, to provide mobile first aid parties and light rescue teams, especially in the New Territories and on the islands.

144. Members of the Service who are assigned for emergency duties in Medical Establishments carry out training annually in one of the major hospitals. Members who are assigned to reinforce the Ambulance Service perform duties with the latter service at weekends and on public holidays. There are also over 250 members, male and female, who are trained as life-savers, and who reinforce the regular life guards on the beaches at weekends and on public holidays.

　　　　145. Members attended at the scenes of large fires throughout the Colony during the year. They assisted in the distribution of anti- narcotics leaflets, during the anti-narcotics campaign in November 1970, in resettlement estates, at cinemas and theatres, at playgrounds, at markets and at ferry piers, besides showing films at selected secondary schools.

146. The Band of the AMS has performed on a number of occasions in public, at Medical Department functions, and gave concerts at Christmas 1970 at seven of the Colony's major hospitals.

REGISTRATION OF MEDICAL CLINICS (Table 69)

　　　　147. In accordance with the Medical Clinics Ordinance, Chapter 343, all clinics were required to be re-registered annually. On 31st March, 1971, there were 75 registered static clinics and 3 registered mobile clinics in the charge of registered medical practitioners, and 350 clinics registered with exemption, making a total of 428.

　　　　　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 62 clinics in Resettle- ment Estates and 14 in Housing Estates operated by registered doctors. In addition there were 34 clinics in Resettlement Estates and 2 clinics in Housing Estates which were registered with exemption.

GOVERNMENT-ASSISTED HOSPITALS

(Tables 70-73)

149. Financial assistance mainly by means of an annual subven- tion is given by Government to certain voluntary organization main- taining hospitals in the Colony. Such hospitals, containing a total of 7,533 beds, provide mainly sub-acute general beds or facilities for persons suffering from certain specific diseases or handicaps. The total Government subvention to these hospitals during the year was $62,081,016 recurrent and $1,065,719 special expenditure.

THE TUNG WAH GROUP OF HOSPITALS

150. The Tung Wah Group of Hospitals, which celebrated the 100th Anniversary of its founding this year, 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, the subvention amounting to $34,891,431.

151. Construction work of the 12-storey Centenary Block in Tung Wah Hospital started in July 1970 and is expected to be completed at the end of 1972. The building will have 424 beds, with a new out-patient department, a new casualty department, X-Ray facilities, new operating theatres, and additional quarters for 50 nurses.

152. The Casualty Department at Kwong Wah Hospital handles all accident cases taking place between Waterloo Road and Lai Chi Kok Road. A large number of patients was referred to it by Govern- ment clinics both in Kowloon and in the New Territories. As a result this department dealt with cases not only from the northern part of the Kowloon peninsula but also from other areas. A police post has been established to deal with medico-legal cases, and an industrial nurse from the Labour Department attends to advise in cases of industrial accidents. An officer from the Fire Services Department was also posted to the casualty department to handle the ambulance services.

153. A new modern and well-equipped Dental Clinic in Kwong Wah Hospital was established and opened for use in February 1971 to serve all staff working for the Tung Wah Group of Hospitals.

154. The development of Wong Tai Sin Infirmary Phases II and III was completed. There are altogether 681 beds, 185 of them allocated

to the Government tuberculosis service. Patients for long-term treat- ment are transferred to the Infirmary from Queen Elizabeth Hospital or from Kwong Wah Hospital. There are also 503 beds in the Tung Wah Sandy Bay Convalescent Hospital for the treatment of chronic patients. However, the provision of a total of 1,184 beds for long-term patients under the management of the Tung Wah Group of Hospitals is still not sufficient to meet the demand for more chronic beds for the Colony.

THE ALICE HO MIU LING NETHERSOLE HOSPITAL

　　　　155. This hospital, supported by the London Missionary Society, received a Government subvention of $3,799,879 during the year. The hospital has been considerably modernized in recent years and its facilities greatly improved.

　　　　156. During the year the three gynaecology operating theatres and associated rooms were extensively remodelled and modernized; the cost was partly met by a capital subvention from Government. The changes have been welcomed by both patients and staff. The X-Ray department, over-burdened with increasing work, received a capital subvention from Government to add a diagnostic X-Ray unit and table. This has been installed and has markedly reduced the waiting lists.

POK OI HOSPITAL

　　　　157. 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 included the construction of minor staff quarters, a kitchen and a mortuary.

CARITAS MEDICAL CENTRE

　　　　158. This hospital of 850 beds, erected with the aid of donations from Roman Catholic communities in many parts of the world, in particular the Federal Republic of Germany, and maintained partly with the aid of a Government subvention of $3,700,000, 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. During the year

the new extension of the laundry unit was commissioned and has provided useful service for the hospital.

HONG KONG ANTI-TUBERCULOSIS AND THORACIC DISEASES ASSOCIATION

159. This Association, in its three institutions, the Grantham Hospital, the Ruttonjee Sanatorium, and the Freni Memorial Con- valescent 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 (Table 71)

160. This hospital of 612 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 610 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 218 of the beds.

161. This hospital is also a centre for cardiac surgery. As a result of contributions from Government, the University and the Association, open-heart surgery started in 1968. Staff of this Unit consists of specialists from the Departments of Medicine and Surgery of the University of Hong Kong and from the Medical and Health Department.

Ruttonjee Sanatorium and Freni Memorial Convalescent Home

(Table 72)

162. 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 amounting to $2,300,000 in the year under review.

HAVEN OF HOPE SANATORIUM

163. This hospital of 322 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 $1,080,000.

邱

ON THA TMI TRE

David Trench Rehabilitation Centre, opened in March 1971.

Weighing a baby in the Western Maternal and Child Health Centre inside the building of the David Trench Rehabilitation Centre.

Patients receiving physiotherapy treatment at the Tang Shiu Kin Physiotherapy Clinic in the David Trench Rehabilitation Centre.

The bydrotherapy pool in the Tang Shiu Kin Physiotherapy Clinic.

A patient being fitted with an artificial limb in the Orthopaedic and Prosthetic Appliance Unit in the David Trench Rehabilitation Centre.

Kowloon Hospital West Wing, completed in October 1970.

THE

DUCHESS OF KENT CHILDREN'S ORTHOPAEDIC HOSPITAL

AND CONVALESCENT HOME

　　　　164. Maintained by the Society for the Relief of Disabled Children, with the aid of a Government subvention of $1,215,858, this modern children orthopaedic hospital now contains 200 beds for children requiring specialized long-term orthopaedic care and surgery. Patients are admitted to the hospital through its own out-patient department and other clinics. Traumatic cases are transferred from Queen Mary Hospital for convalescence. An orthopaedic appliance department is provided at the hospital. 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

165. This hospital is administered by the Maryknoll Sisters, and was maintained during the year with the aid of a Government subven- tion of $1,050,000. It is located at Wong Tai Sin in north-east Kowloon and provides general in-patient and out-patient facilities for this rapidly expanding area. The new wing of the hospital was opened in 1969. The hospital now has a total of 220 beds, 180 for general third class patients and 40 for first and second class patients and maternity

cases.

HAY LING CHAU LEPROSARIUM (Table 73)

　　　　166. This leprosarium, situated on an island six miles from Hong Kong Island, is maintained by the Leprosy Mission, Hong Kong Auxiliary, with the aid of a Government subvention, which in the year under review was $800,000. It provides in-patient and rehabilita- tion facilities for leprosy patients and has special facilities for those who require reconstructive surgery or who are suffering from inter- current disease. Fortunately the number of patients has fallen in recent years as a result of the decreasing incidence of leprosy and at the end of the year under review there were fewer than 250 patients in the leprosarium.

HONG KONG SOCIETY FOR REHABILITATION

MARGARET TRENCH MEDICAL REHABILITATION CENTRE

167. This centre, aided by a recurrent grant from Government amounting to $655,000 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

168. 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. During the year planning was underway to expand the capacity of the hospital by an addition of 60 beds to a complement of 180 beds.

HONG KONG BUDDHIST HOSPITAL

169. This hospital, situated at Lo Fu Ngam, Kowloon, was opened in October 1970. It has a capacity for 350 beds, and during its first stage of operation the hospital opened 178. The capital cost of this hospital was met by the Hong Kong Buddhist Association with Government granting the hospital site at nil premium. The hospital was assisted by Government in respect of its recurrent cost to the amount of $250,026 during the year,

VI. DEVELOPMENT

(Table 74)

FORWARD PLANNING

170. Reference has been made previously in this report to the un- paralled hospital development of the past 16 years. However, the population has also been increasing very rapidly and there is consider- able 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 the Legislative Council in February 1964, outlined the medical

problems of the Colony and made suggestions to remedy deficiencies in order to produce, in the face of a rapidly increasing population, a reasonably satisfactory standard of medical facilities. Developments have to take into account the ability of the community to afford these facilities either by direct payment or by indirect payment by means of taxation. The Working Party which prepared the White Paper was re-constituted by His Excellency the Governor as the Medical Develop- ment Plan Standing Committee. The Director of Medical and Health Services is its Chairman and the Committee comprises two nominated members and representatives of the Medical and Health Department, of the Finance and Social Services Branches of the Colonial Secretariat, and, when necessary, of the Public Works Department. The Committee has held 51 meetings since its inception, in order to keep the recom- mendations made in the White Paper under continuous review and to report its conclusions on all major matters to Government. The Committee's activities fall into five main categories, namely: develop- ment of medical institutions; staffing of such institutions; subventions to Government-assisted institutions; fees and charges; and improved utilization of existing medical facilities.

171. The principal matters with which the Committee were occupied were: the 350-bed United Christian Hospital at Kwun Tong; the 100-bed Yan Chai Hospital at Tsuen Wan; the Hong Kong Buddhist Hospital in Kowloon; the working party on medical subven- tions; and the subventions paid to Government-assisted institutions.

　　　　172. Amongst new matters considered by the Committee were: Fanling Hospital, Sha Tau Kok Clinic and the Specialist Clinic on Hong Kong Island East; a permanent midwives training school and an extension to Block B of Queen Elizabeth Hospital; medical facilities at Kwun Tong; and the utilization of vacant beds in sub- vented hospitals.

COMPLETED PROJECTS

　　　　173. The year 1970-71 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.

　　　　174. Government projects completed during the year were the Kowloon Hospital West Wing, the Organ Transplant Unit and the new maternity ward at Queen Mary Hospital, the additional third-class

room at the Physiotherapy Training School at Queen Elizabeth Hospital and the David Trench Rehabilitation Centre. Also completed, the Government-assisted hospital, the Hong Kong Buddhist Hospital.

was

PROJECTS UNDER CONSTRUCTION

175. Major projects on which construction had commenced were the new vaccine institute at Pok Fu Lam, a standard clinic for Kwai Chung North, Queen Mary Hospital reprovisioning of the mortuary, virus laboratory and clinical pathology services, Tsuen Wan/Kwai Chung Polyclinic, stage I, a Medical Department laundry, the New Clinical Building at Queen Mary Hospital, the Yan Chai Hospital at Tsuen Wan, and the Centenary Block of the Tung Wah Hospital.

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

VII. TRAINING PROGRAMME

(Tables 75-77)

DOCTORS

177. 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 rec- ognized for post-graduate training by the majority of examining bodies in Britain.

178. Mention has been made in recent reports of the shortage of qualified medical personnel. In February 1969 a Committee was appointed by Government to review the doctor problem in the Hong Kong Government. The Committee, under the chairmanship of Sir Charles HARTWELL, C.M.G., submitted its report in the same year. In the report reference was made to the need for increasing the intake of medical students by the Medical Faculty of the University of Hong Kong. Between 1965 and 1969 the University's intake of medical students was 120 a year; with effect from October 1970 the intake has been increased to 150, Extension plans to increase the facilities for clinical teaching at Queen Mary Hospital are already in hand, in order to allow for the larger number of students expected to start their clinical training in October 1972.

179. A programme for the training of Government doctors for post- graduate qualifications has been in existence. A number of training posts are established in the clinical units for post-qualification training. Suitable candidates when selected will be given training under the supervision of the clinical specialists for a period of about four years. Subject to departmental needs a local officer who has completed four years continuous resident service and who has been confirmed to the pensionable establishment, may be granted paid study leave to attend a course of study outside the Colony for the purpose of acquiring knowledge, experience or qualifications which will be of advantage to the public service or to the officer in the official capacity. Through this arrangement, many Government doctors in the past years have been given study leaves and granted fellowships, scholarships, or study tours to attend courses of study overseas. Between 1965 and 1970, a total of 48 Government doctors returned to the Colony with higher qualifications in various fields.

DENTAL STAFF

　　　　180. No training in dentistry is available in Hong Kong but Govern- ment annually awards scholarships for the study of dentistry overseas. Four such scholarships were awarded during the year. One scholar returned to the Colony after qualification, bringing the total of returned graduates to 63 out of a total of 85 scholarships so far awarded.

　　　　181. 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 seven Government student dental technicians passed the Intermediate Examination of the City and Guilds of London Institute in Dental Technology. In-service training for selected dental surgery assistants in the fields of dental radiography and orthodontics is also carried on.

　　　　182. Two Dental Surgery Assistants are in Singapore under World Health Organization scholarships for training in dental nursing. A Dental Nurse is now on a 12-month Dental Nurse Tutor course in New Zealand under a World Health Organization Fellowship, to assist, on her completion of the course, in the training of Dental Nurses in Hong Kong.

NURSING STAFF

Nurses

183. There are three Government hospital schools of nursing. Those at the Queen Elizabeth and Queen Mary Hospitals are general schools, and 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 Genera! Nursing Council of England and Wales.

Nursing Auxiliaries

184. 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 theoretical and practical training in basic and routine nursing care of general hospital patients. The psychiatric course, also of two years' duration, is held at Castle Peak Hospital, and consists of theoretical and practical training in the performance of routine nursing duties for, and in the maintenance of custodial care of, psychiatric patients.

Post-graduate nurses

185. Seven qualified nurses who had been sent overseas for further study returned to the Colony having successfully gained post-graduate certificates in nursing education, nursing administration, neuro-surgical nursing and dietetics. A further ten nurses proceeded overseas to study nursing education, theatre service centre technique, intensive care therapy, orthopaedic nursing and dietetics.

Midwifery

186. For registered general nurses a one-year course in midwifery is held three times a year. 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.

187. 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

　　　　188. A nine-month Health Visitors' Course is held yearly for Registered Nurses who also hold a Midwifery Certificate. 15 trained nurses successfully completed this course, which ended in January 1971.

Health Auxiliaries

189. A two-year course for health auxiliaries is held yearly. 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

　　　　190. Training in this sphere continued during the year and examina- tions were held in the Colony for Membership of the Society of Radio- graphers of England for both therapy and diagnostic radiographers.

LABORATORY TECHNICIANS

191. The Medical and Health Department 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 Kingdom being held in the Colony. Tech- nicians were also sent to the United Kingdom to obtain the AIMLT qualifications.

OTHER FORMS OF DEPARTMENTAL TRAINING

192. In-service courses of training were continued for dispensers, dental technicians and prosthetists. These do not all lead to recognized qualifications, but prepare those concerned for appointment to per manent posts in Government service after passing a departmental examination.

ACKNOWLEDGEMENT

193. During the year under review, Dr. P. H. TENG, C.M.G., O.B.E. retired on 1st July, 1970. Within the 7-year period of his tenure of office the Medical and Health Services in Hong Kong underwent rapid and far-reaching expansion resulting in better improvement all round. The Department is greatly indebted to him for much accomplishment and achievement.

194. I would like to place on record my sincere appreciation to all ranks of the Department for their help in dealing with the many problems which the Department has to face everyday. In spite of the fact that they often have to work under adverse circumstances, they have all carried out their duties effectively with a true sense of devotion and dedication. The Department has also received every assistance and co-operation from other Government Departments, all voluntary agencies, the Press, and the Radio and Television networks. The patience shown by members of the public in spite of the many unavoid- able shortcomings of the Service is deeply appreciated.

195. 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 agencies dealing with the many aspects of medical and health problems in Hong Kong. Thanks are also due to contributions made by private individuals, local and overseas organizations to assist Government in providing facilities for all those in need of subsidized medical care.

24th July, 1971.

G. H. CHOA,

Director of Medical and Health Services.

HONG KONG ISLAND MEDICAL FACILITIES

MAP |

SEE MAP ||

100

HONG

KONG

DES VOEUX RD W

QUEEN'S RO. W

MAP II

он

CAINE RD.

CON

PEAK TRAN

HENNESSY RD.

JOHNSTON RO

HONG KONG ISLAND

MAP IMAP II

M.AP

GOVERNMENT INSTITUTIONS (Contd.)

MAP 1

MAP II

17.

Stanley Prison Hospital

18. Tang Shiu Kin Hospital (a casualty and materni- ty hospital with out-patient Department)

A I

GOVERNMENT INSTITUTIONS

1. Aberdeen Jockey Club Clinic (Generalout-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, maler- nity home, dental clinic and X-ray survey centre); 3. Central District Health Centre (general out.. patient facilities, maternal and child health centre. and special clinics)

4. Central Police Medical Post (General out-patient and dental facilities for police officers and their families)

5. Chai Wan Clinic and Maternity Home

6. David Trench Rehabilitation Centre (Embracing Tang Shiu Kin Physiotherapy Unit, Hong Kong Psychiatric Centre, Western M.C.H.)

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

B 1

E 1

B 1

19. Tsan Yuk Hospital (a maternity hospital) 20.

Victoria Reception Centre (General out-patient facilities for prison officers and their families, and general medical and psychiatric facilities for detainees)

21, Violet Peel Polyclinic (General out-patient facili-, ties with special clinics and an ophthalmic centre) 22. Wan Chai Clinic (a dental centre, tuberculosis' clinic and physiotherapy Department)

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

B 1

A 1

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

A 1

B 1

Canossa Hospital fa general hospital)

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

Duchess of Kent Children's Orthopaedic Hospi-' tal and Convalescent Home

A 1

Freni Memorial Convalescent Home

9. Li Sing Dental Clinic

A 1

10. Medical Examination Board

B 1

Grantham Hospital (a tuberculosis bopsital)

11. Port Health Inoculation Centre, Harcourt Road. 12. Port Health Inoculation Centre, Marine Building 13. Queen Mary Hospital (an acute gencral bospital with casualty department)

B 1

Hong Kong Central Hospital (a general hospital) Hong Kong Sanatorium and Hospital (a general hospital)

B 1

A 1

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

15. Shau Kei Wan Jockey Club Clinic (general out- patient facilities, maternal and child health cen- tre, maternity home, chest clinic and dental clinic)

Matilda and War Memorial Hospital (a general hospital)

A 1

Nam Long Hospital (a cancer hospital) Ruttonjee Sanatorium (a tuberculosis hospital)'

B 1

K. Sandy Bay Convalescent Hospital

A 1

L. St. Paul's Hospital (a general hospital)

C 1

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

M. Tung Wah Hospital (a general hospital with out- patient department and special clinics)

B 2

N. Tung Wah Eastern Hospital (a general hospital with out-patient department)

LAI

+1}

MAP III

SHANSHUIPO

HOHA KOK

YAU MA TEI

*22

KOWLOON PENINSULA MEDICAL FACILITIES

- 120

TSIM SHA TSUI

VICTORIA

HUNG HOM

AIR PORT

$12

KOWLOON

MAY

HARBOUR

GOVERNMENT INSTITUTIONS

KOWLOON

MAP III

GOVERNMENT INSTITUTIONS (Contd.)

MAP 111

1. Air Port Health Station

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

B 2

3. Canton Road Police Medical Post (general out-patient| and dental facilities for police officers and their families)] Cheung Sha Wan Jockey Club Clinic (general out-patient facilities, maternal and Child health centre, maternity home and eye clinic)

B 2

B. 1

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

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

20, Sham Shui Po Public Dispensary (general out-patient| facilities)

B 1

5. Cheung Sha Wan Police Medical Post (general out-patienti and dental facilities for police officers and their families)| 6. Farm Road Dental Clinic

7. Government Ophthalmic Clinic-Arran Street (an ophtha- mic centre)

B 2

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

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

22. Tai Hung Tung Clinic (general out-patient facilities) Tsim Sha Tsui Port Health Inoculation Centre, Ocean, Terminal

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

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

B 1

B 2

10. Kowloon Chest Clinic (a tuberculosis Clinic)

B 2

B. 2

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

B 2

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

B 2

12. Kwun Tong Health Centre (general out-patient facilities. maternal and child health centre, dental clinic and mater- nity home)

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

D 2

13. Lai Chi Kok Hospital (an infectious diseases and conva-! lescent hospital, with an Isolation Unit for the segrega-. tion of suspected cases of quarantinable diseases) 14. Li Kee Memorial Dispensary (general out-patient facili- ties with special clinics and a dental clinic) 15. Li Po Chun Health Centre (general out-patient facilities, maternal and child health centre and maternity home) 16. Lions Club Maternal & Child Health Centre (maternal, and child health centre and maternity home) 17. Queen Elizabeth Hospital (an acute specialized general hospital with casualty department and specialist clinic) 18. Queen Elizabeth School Dental Clinic

Baptist Hospital (a general hospital)

B 1

Caritas Medical Centre (a general and tuberculosis:

A 1

hospital)

Evangel Medical Centre (a general hospital)

Hong Kong Buddhist Hospital (a general hospital)

Kwong Wah Hospital (a general hospital with out-patient'

B 2

department)

B 2

Margaret Trench Medical Rehabilitation Centre

Our Lady of Maryknoll Hospital (a general hospital) Precious Blood Hospital (a general hospital)

B 1

B 2

St. Teresa's Hospital (a general hospital) Wong Tai Sin Infirmary

B 1

枘

NEW TERRITORIES

MEDICAL FACILITIES

CASTLE

TALO

LANTAU

ISLAND

YUEM LOHE

ŞAN TIN

10 WU

OPING CHAU

SHEUNG SHUI

TAI

SHA TAU KEI

FAMLING

SAL

SHATINA

UHAY LING CHAU

KONG KONG

CHEUNG CHAU

SHÉK KWỤ CHAU

습다

LAKHA ISL

MAP IV

[H]

பு

NEW TERRITORIES

GOVERNMENT INSTITUTIONS

1. 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. Maurine 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 (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)

16. St. John Hospital (a general hospital with out-patient department)

17. Tai Lam Addiction Treatment Centre

18. Tai Lam Centre for Women

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

20. Tai Po Jockey Club Clinic (general out-patient facilities, dental clinic and maternity home) 21. Tong Fuk Prison Hospital

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

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

Adventist Sanitarium & Hospital (a general hospital)

B. Fanling Hospital (a general hospital)

C. Haven of Hope Tuberculosis Sanatorium

D. Hay Ling Chau Leprosarium

E. Pok Oi Hospital (a general hospital)

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

MAP IV

B 2

B 4

B 3

B 2

A 3

A 4

B 2

B 3

B 2

B 4

INDEX TO STATISTICAL APPENDIX

Table No.

II.

ADMINISTRATION

Establishment of the Medical and Health Department as at 31,3,71 Administration of the Medical and Health Department Statement of Expenditure from 1966-67 to 1970-71

---

+TT

LII

Legislation of Medical and Health Importance-April 1970 to March 1971 Work of Statutory Councils and Boards-April 1970 to March 1971

PUBLIC HEALTH

(a) Vital Statistics

Estimated Population Structure-1970

Births and Deaths 1956 and 1961-70

+++

---

Infant and Maternal Mortality 1956 and 1961-70 Major Causes of Infant Mortality 1956, 1961 and 1966-70 ... Major Causes of Maternal Mortality 1956 and 1961-70 Proportionate Mortality by Disease Groups 1956, 1961 and 1966-70 The Ten Leading Causes of Deaths by age and sex 1970 (b) Infectious Diseases

Infectious Diseases notified (cases and deaths) 1966-70 Mortality Rates for Certain Infectious Diseases 1966-70 Principal Infectious Diseases by age and Sex 1970 Prophylactic Immunizations 1966-70

.. T

Number of Cancer Deaths by Age and Sex, 1970

+++

---

+++

---

тгг

---

Main Causes of Death from Cancer in Hong Kong, 1960-70 New Cases of Cancer notified to the Cancer Registry by age and sex,

1967

WORK OF HEALTH DIVISION

III.

(a) Tuberculosis

Tuberculosis Mortality 1956 and 1961-70

ILL

Tuberculosis in Childhood 1956 and 1961-70 Tuberculosis Notifications 1956, 1961 and 1966-70 Work of Government Chest Service 1970 X-Ray Surveys 1960-70... Contact Examinations 1970

LL+

+++

---

+++

---

Classification of Orthopaedic Tuberculosis of New Patients by Site

1966-70 ...

(b) Malaria

---

444

---

Distribution of Cases and Identification of Parasites 1966-70 (c) Social Hygiene and Dermatology

Annual Incidence and Trend of Venereal Disease 1961-70 V.D.R.L. Examinations in Expectant Mothers 1966-70 Leprosy 1970

+++

· ++

****** * S

***=*

---

Analysis of Dermatological Conditions Presenting at Clinics, 1970... Cultures for Mycological Identifications, 1970

---

INDEX TO STATISTICAL APPENDIX-Contd.

Table

No.

III.

WORK OF HEALTH DIVISION-Contd.

(d) Port Health

Work of the Port Health Service 1970 ...

(e) District Midwifery Services

Midwifery Services 1969-70-1970-71

(f) Maternal and Child Health Services

Distribution of Maternal and Child Health Centres at 31.3.1971 Work of Maternal and Child Health Services 1969-70

(g) School Medical Service Board

Number of Participating Schools, Pupils and Doctors at 31.3.1971

(k) Dental Service

Work of the General Dental Service 1966-70...

(i) Forensic Pathology

Work of the Forensic Pathology Laboratories 1969-70

(j) Government Laboratory

Work of the Government Laboratory 1969-70

(k) Medical and Health Department, Institute of Pathology

Work of Medical and Health Department, Institute of Pathology,

1969-70 ...

---

Vaccine Production 1969-70

Blood Banks 1969-70

ITT

Work of Public Mortuaries 1969-70

(1) Industrial Health

...

Work of Industrial Health Section 1970

---

- 11

+++

---

IPT

---

- JJ

IV.

WORK OF THE MEDICAL DIVISION

Number of Hospital Beds in Hong Kong 1970

In-patients Treated in Government, Government-Assisted and Private

Hospitals, Clinics and Maternity Homes, 1970...

Disease Classification of In-patients Treated in Government and

Government-Assisted Hospitals and all Deaths in the Colony, 1970

(a) Government Hospitals

TTO

Hospital Costing 1969-70 and 1970-71 Work of the Queen Mary Hospital 1969-70 Work of the Queen Elizabeth Hospital 1969-70 Work of the Queen Elizabeth Hospital Casualty 1970 Work of the Tang Shiu Kin Hospital 1969-70

Work of the Tsan Yuk Hospital 1969-70

Work of Castle Peak Hospital 1970

+++

Work of Day Hospitals and Psychiatric Centres 1970

---

IV.

INDEX TO STATISTICAL APPENDIX-Contd.

WORK OF THE MEDICAL DIVISION-Contd.

(b) Out-patient Clinics

New Out-patient Attendances at Government and Government-

Assisted Hospitals and Clinics, 1970

Table No.

VI.

Work of Radiodiagnostic Branch 1970 Radiotherapeutic Division 1970...

(d) Ophthalmology

Work of the Ophathalmic Service 1969-70 Analysis of Major Causes of Blindness

ILL

Total Out-patient Attendances at Government and Government-

Assisted Hospitals and Clinics, 1970 New Territories Clinics 1970

---

ז..

..ז

---

-- J

LII

ILL

+++

---

+11+

+++

•

---

+++

588

(e) The Pharmaceutical Services

Work of Pharmaceutical Services 1969-70

() Physiotherapy

Work of Physiotherapy Service 1970

(g) Occupational Therapy

---

Work of Occupational Therapy Service 1970

(k) Medical Examination Board

Work of Medical Examination Board 1969-70 Unfitness of Candidates by Causes 1960, 1969-70

(7) Medical Clinics Registration

GOVERNMENT-ASSISTED HOSPITALS

(a) Government Medical Subventions to Voluntary Institutions 1966-

67-1970-71

..ז

(6) Work of the Grantham Hospital 1970... (c) Work of Ruttonjee Sanatorium 1966-70 (d) Admissions to Leprosarium 1970

DEVELOPMENT PROGRAMME

Building Programme

---

...

CR28

...

VII.

TRAINING PROGRAMME

(a) Nurses in Training at 31.3.1971 (b) Courses of Study Overseas 1970-71 (c) Departmental Training at 31.3.1971

VIII, MISCELLANEOUS

ייז

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

---

(d) Samaritan Fund

+++

(e) Donations....

---

+++

---

RRE

JLL

ILL

LLL

+++

Fr+

110

...

TABLE 1

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT AS AT 31ST MARCH, 1971

Grade

Zone

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Kowloon Hospital

Castle Peak Hospital and Mental Health Centre

Tsan Yuk Hospital

Dental Service

Tuberculosis Service

Clinics and Services

Other Hospitals,

Total

Strength on 31.3.71

Director of Medical and Health

Services

---

Deputy Director of Medical and

Health Services

Assistant Director of Medical and

Health Services

Specialist

LLL

---

Principal Medical and Health

Officer

Chief Executive Officer/Senior

Executive Officer/Executive Oficer

---

Senior Treasury Accountant/

Treasury Accountant

Senior Médical and Health

Officer/Medical and Health Officer/Assistant Medical and Health Officer

LEL

Senior Dental Officer/Dental

Officer/Assistant Dental Officer Principal Matron

Nursing Staff

---

Senior Dietitian/Dietitian

---

Senior Medical Social Worker/

106

Š།།

نيا

تيا

6 27 19 12

27 341

634

572

LL.

794 1,012 207 349

326

135 808 3.804

3,521

12 12

2 7 13 2

---

Medical Social Worker Class 1 and 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..

Hospital

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

---

Steward Class I, Class 11 and

Clası [[I...

General Grade Staff

ггг

ILL

гг.

20 16]

---

56. 1001

Superintendent Radiographer!

Senior Radiographer/

Radiographer Class [

Radiographer Class 11/Student

Radiographer

Carried forward

---

142 220

197

1 19

- 22

226 643 621

41 [41 122

.1124 1,033 1,347| 261| 444| 402 193 96| 238 1,629) 5,761 5,326

Grade

Zone

TABLE 1-Contd.

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Kowloon Hospital

Castle Peak Hospital and Mental Health Centre

Tsan Yuk Hospital

Dental Service

Tuberculosis Service

Other Hospitals, Clinics and Services

Total

Strength on 31.3.71

LL-

124| 1,033|| 1,347, 261 444

402 195 96 238 1,629 5,761) 5,326

Brought forward

Superintendent Physiotherapist/

Senior Physiotherapist/Tutor Physiotherapist/Physiotherapist Class I/Physiotherapist Class H Student Physiotherapist Superintendent Occupational

Therapist/Senior Occupational Therapist/Occupational Therapist/Occupational Therapy Assistant

Chief Medical Technologist/

Senior Medical Technologist/ Medical Technologist/Medical Laboratory Technician Class IĮ Medical Laboratory Technician Class II/Student Medical Laboratory Technician.. Senior Laboratory Assistant/

Laboratory Assistant/Student Laboratory Assistant

110

Senior Health Inspector/Health

Inspector Class I and II Senior Inoculator/Inoculator Audiology Technician Prosthetist Class I/Prosthetist Class [[/Student Prosthetist Mould Laboratory Technician/ Student Mould Laboratory Technician

Dental Technologist

---

...

Dental Technician/Student Dental

Technician

Dental Inspector

LLL

Senior Dental Surgery Assistant/

Dental Surgery Assistant

Dental Nurse

Laundry Manager/Assistant

Laundry Manager/Laundry Supervisor

Senior Linen Room Supervisor/

Linen Room Supervisor/Linen Production Unit Manager Senior Electrical Technician/

Electrical Technician

ггг

---

Senior Optical Technician/Optical

Technician

...

Technical Assistant (Social

Hygiene)...

---

Supplies Officer/Asistant Supplies

Officer/Supplies Supervisor!

Supplies Assistant

Other StafT.....

---

TOTAL

---

140

22 103

102

184

143

14.

115

129

126

16!

[]

it 341 34

799 1,289 201 492 992, 130 42 32 1,759 5,350 4,776

1,875 2,750| 515 958, 1,048 326 261 276 3,745 1,894| 10,794

DEPUTY DIRECTOR (HEALTHI

JASST DIRECTOR (HYGIENE )

15.0.

PMHO

| PORT

HEALIMI

TABLE 2

ADMINISTRATION OF MEDICAL & HEALTH DEPARTMENT

DIRECTOR

ASST DIRECTOR (HEALTH)

ASST. DIRECTOR CADHING

IN TKHEALTH)

PWH O

PLANNING

Ideputy direcTOR *MEDICAL}

ASST DIRECTOR (MEDICAL)

PM.H.D. Р Н.НО P.H.H.Q. (KOWLOON) CHEMICAL) (LC KH

PM H.O

QEHE

GROUP SUPT

TUNG WAN

GROUP OF

HOSPITALS

TB SERVICE N.T CLINICS MCH SERINCE

DENTAL SERVICE

AND

FORE HŠIC PATH

HEALTH

INSTITUTE OF

PATHOLOGY.

SOCIAL HYGIENE

SERVICE GOVT LAB

OFFICES

|HEALTH OFFICES HK. & KLN INDUSTRIAL H. OFFICES. ¡EPIDEMIOLOGY.

SEN. TREAS. ACCOUNTANT

SECRETARY

CHIEF HOSP|||| PRINCIPAL SECRETARY MATRON

TREAS.ACCT

|(SUBVENTIONS)

DEPUTY

SECRETARY

ACCOUNTS STORES GENERAL PERSONNEL

SECRETARY (BOARDS:

MATTERS

JOTHER HOSPITALS &

CLINICS, H.K. MED. EXAM. BOARD MED CLINIC REG

MENTAL HEALTH SERVICE ANAES SERVICE. RAO SERVICE OPHTH SERVICE. ENT SERVICE. MED SOCIAL SERVICE PHYSIO SERVICE JOCOUP THERAPY SERVICE |PHARMACEUTICAL SERVICE SUBVENTED HOSPS. OTHER THAN TWIG, HOSAS NARCOTIC ADDICTION LIAISON OFFICE

TABLE 3

STATEMENT OF EXPENDITURE FROM 1966-67 TO 1970-71

Particulars

(a) Medical and Health Department

(b) Medical Subventions

---

1966-67

1967-68

1968-69

1969-70

1970-71

112,713,222 120,524,934 133,582,644 148,239,041, 177,874,176

45,478,728 46,341,311 52,457,856 57,732,380

63,146,736

15,236,622 7,439,173; 8,420,115) 11,434,288

Total

---

Total expenditure of the Colony

---

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

Colony

-IL

---

LIJ

11,225,360

173,428,572 174,305,418 194,460,615 217,405,709 252,246,272

1,806,066,602| 1,766,022,040; 1,872,974,955, 2,032,183,388 2,452,192,832

9.60%

9.87%

10.38%

10,70%

10.29%

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE

APRIL 1970 TO MARCH 1971

Ordinances:

(i) Drug Addicts Treatment and Rehabilitation (Amendment) Ordinance 1970. (ii) Medical Registration (Amendment) Ordinance 1970,

(iii) Nurses Registration (Amendment) Ordinance 1970.

(iv) Radiation (Amendment) Ordinance 1970.

(v) Tung Wah Group of Hospitals Ordinance 1971.

Rules and Regulations:

(a) Medical Practitioners (Registration and Disciplinary Procedure) (Amendment)

Regulations 1970.

(b) Enrolled Assistant Nurses (Enrolment and Disciplinary Procedure) Regula-

tions 1970.

(d) Poisons (Amendment) Regulations 1970.

(e) Radiation (Control of Irradiating Apparatus) (Amendment) Regulations

1970.

(ƒ) Radiation (Control of Radioactive Substances) (Amendment) Regulations

1970,

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS-APRIL 1970 TO MARCH 1971

Medical

Council

Dental Council

Nursing Board

Midwives

Board

Pharmacy

and

Radiation Polsons Board Board

Medical

Advisory

Board][

Number of meetings held

---

Dental

Dentists

Hygienists

General Mental|

Number on the Register

---

2,030

Female:

4,897

4,263

182

3141

487

Male:

200

General Mental

Number of applications for registration

Female:

338

---

162+ (115)*

281

¡Male:

2748

271

General Mental

Number of registrations granted

Female:

333

---

ггг

[57† ([15)*|

22+

Male:

271

254

Oral & Practical 10

Written

ггг

---

Oral & Practical 10 Written

LLL

Oral & Practical

Written

---

...

.-.

Number of examinations held

Number of candidates examined

Number of successful

candidates

Number of disciplinary hearings held

Number of removals from register

---

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

* Including 2 restorations to the register.

Including 2 restorations to the register,

$ Including

restoration to the register.

Not a statutory Board.

¶ These figures refer to the licensing of irradiating apparatus.

** These figures refer to number of cancellation of irradiating aparatus Licences.

Gener 3

General Mental||

General Mental

322

306

General Mental 314

296

General Mental|

Female:

Male:

16**

TABLE 6

POPULATION STRUCTURE MID 1970

MALE

75-79

FEMALE

70-74

65-69

60-

35-59

SO-54

145-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

0-4

POPULATION IN 100,000

REPRESENTS DIFFERENCE IN THE AGE GROUP

Estimated*

Year

Mid-Year

Registered Live Births

Population

TABLE 7

BIRTHS AND DEATHS 1956 AND 1961-70

Crude Birth Ratet (per 1,000 Population)

Still Births | Registered Recorded Deaths

Crude Death

Ralet (per 1,000 Population)

1956

---

2,440,000

96,746

39.7

988

19,295

7.9

1961 1962 1963

---

3,168,600

108,726

34.3

1,683

18,738

5.9

---

3,294,600

111,905

34.0

1,560

20,324

6.2

3,411,500

115,263

33.8

1.633

19,748

5.8

1964

3,493,500

[08,519

31.1

1,485

18.113

5.2

1965

3,585,800

102,195

28.5

1,363

17,621

4.9

1966

3,617,400

92,476

25.6

1,246

18,700

5.2

1967

3,708,900

88,171

23.8

999

19,644

5.3

1968

3,787,200

82,992

21.9

832

19,319

5.1

1969 1970

огт

3,847,700

79,329

20.6

757

18,730

4.9

3,941,600

77,465

19.7

726

20,763

5.3

* Provisional revised population estimates based on the crude results of 1971 Census and subject to

revision later (For the years 1961-70).

↑ Rates based on provisional revised population estimates.

TABLE 8

INFANT AND MATERNAL MORTALITY 1956 AND 1961-70

Infant Mortality Rate (per 1,000 live births)

Year

Both

Male Female

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

Sexes

1956...

61.9

59.9

60.9

24.2

Maternal Mortality Rate (per 1,000 total births)

0.90

1961...

40.6

34.5

37.7

21.0

0.45

1962...

39.9

33.7

36.9

21.2

0.48

1963...

35.3

30.5

32.9

18.9

0.29

1964...

29,2

23.5

26.4

16.6

0.38

1965...

26.8

20.5

23.7

15.2

0.33

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

1969...

24.2

19.3

21.8

14.9

0.15

1970...

22.2

16.8

19.6

12.7

0.19

---

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1956, 1961 AND 1966-70

(per 1,000 registered live births)

Detailed

List

Diseases Group

Number

1956* 1961 1966 1967 1968 1969 1970

8th

Revision

Respiratory

Tuberculosis...

010-012

Tuberculosis Meningitis

013

0.42 0.04 0.03 0.01 0.01 1.24 0.35 0.08 0.02

0,01

0.03

| │

Other Forms of

Tuberculosis...

Tetanus...

014-019

0.33 0.07

0.01

0.02

0.03

---

Pneumonia

037 480-486

2.50 0.97

0.10

0.18

0.04

0.05

0.10

20.21

10.72

6.58

6.97

6.13 4.29 4.21

111

---

Bronchitis

466.

1.23

0.06

---

0.02 0.09

0.06

0.09

490-491

Gastro-enteritis

561

16.13

5.80: 1.50 1.70

1.64

1.29

0.53

Congenital Anomalies 740-759

1.20 1.44

2.14 2.05

2.88

3.33 3.09

Births Injuries...

764-768,

0.70 0.43

0.68 0.66

0.51

0.43

0.25

772

Anoxia and Hypoxia of

Newborn

776

2.55

1.30

1,28

1.75

1.64

1.53

1.56

TII

Blood Diseases of New

born

774-775

0.75

1.07

1.97

1.81

1.58

1.40 1.38

Nutritional Deficiency 260-269

1.04

Immaturity

Ill-defined Causes

+++

777 795-796

0.22: 0.14 0.04 0.13 10.13 10.48 5.73 5.39 5.27 1,24 1,44 0.43 0.24 0.11

0.03

0.04

6.62 5,14

0.04

0.06

• Data Grouping according to L.C.D. 7th Revision.

TABLE 10

MAJOR CAUSES OF MATERNAL MORTALITY 1956 AND 1961-70

(per 1,000 total births)

Year

Sepsis (excluding

septic abortions)

Toxaemias

Haemorr- hages

Abortions

Ectopic Pregnancies

Others

*1956

0.020

0.368

0.358

0.020

0.072

0.061

TTP

*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

+TT

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

0.13.5

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 1969 1970

0.024

0.084

0,024

0.012

0.025

0.050

0.012

0.037

---

0.038

0.051

0.013

0.064

0.026

+11

• Data Grouping according 10 I.C.D. 7th Revision,

TABLE 11

PROPORTIONATE MORTALITY BY DISEASE GROUPS 1956, 1961 AND 1966-70

(Percentage of Total Deaths)

Detailed List

Disease Group

Number

1956" 1961*

1966*

1967* 1968*

1969

1970

8th Revision

I. Infectious and Parasitic

2. Neoplasm

3. Endocrine, Nutritional, Metabolic

and Blood

4. Nervous System and Sense Organs.

5. Circulatory System

+++

000-136

16.2

15.3

11.5

12.6

9.0

8.9

7.9

...

140-239

7.0

12.3

17.6

17.4

18.7

20.6

19.1

240-289

1.2

1.1

1.5

1.7

2.2

1.6

1.5

+++

290-389

4.9

8.3

10,7

10,3

1.0

1.1

390-458

7.6

10.7 !

14.7

14.0

15.2

25.0+

25.1†

6. Respiratory System

460-519

21,3

14.8

12.4

12.8

12.5

13.5

15.0

Pr+

---

+++

7. Intestinal System

8. Genito-Urinary System

520-577

15.1

7.7

5.0

5.3

5.5

5.8

5.3

+++

580-629

2.1

2.0

1.8

1.9

2.1

2.2

9. Pregnancy, Child-birth and Puerperium

630-678

0.5

0,3

0.2

10. Skin and Musculo-Skeletal System... 11. Congenital Anomalies and Causes of Perinatal Morbidity and Mortality

680-738

0.4

0.2

0.1

0.2

0.4

740-779

11.2

11.1

8.4

7.8

7.5

---

12. Ill-defined Causes

780-796

7.5

10,4

8.9

8.8

9.3

10.0

-- J

13. Accidents, Poisonings and Violence E800-E999

5.0

5.9

7.1

6.8

7.2

៩១៩។

0.1

0.3

0.2

6.2

4.8

9.4

4.8

8.3

• Data Grouping according to I.C.D. 7th Revision.

+ Including Cerebrovascular Disease (formerly Vascular lesion affecting central nervous system under the Nervous System and Sense Organs).

TABLE 12

THE TEN LEADING CAUSES OF DEATHS BY AGE AND SEX, 1970

Rank

Age Group

Cause of Death

Detailed

List No.

8th Revision

Sex

All Ages

| |

5-14 15-44 45-64 65 &

Un-

Over known

All Causes

Malignant neoplasms, includ-

ing neoplasms of lymphatic &

140-209

haematopoietic tissues

MET MET

11,666

890

200

9,092

629

207

20,763(5)| 1,521(2)|

407

276 1,795 4,767 3,729 9 177 904 2,360 4,814 1 453 2,699 7,127 8,543

8,543

13(3)

2,266

1,698

3471

3,964

24.

835

32 403 1,260

553]

25 263

788

609

666 2,048

1,162

390-392

393-398

1,532

109

723 685

Heart Diseases, including

hypertensive diseases

400-404

1,589

105

418

1,047

410-414

T 3,121

214 1,141

1,732) 1

420-429

3 Pneumonia, all forms

480-486

4 Cerebrovascular Disease

430-438

010-012

5 Tuberculosis

013-019

MLTMET ME

996

176

318

341 2

989

150

1671

548

Τ 1,985

326

106

135!

485

889

NIN

927

414

436 1

879

2.23

619

1,806

637 1,055!

1,102

163

614

321

334

139

135

1,436

213

753

456

E800-E807 M

710

137

3101

130;

6 | All accidents

E810-E823 F

338

561

59:

E825-E949 T 1,050(2)

109

196

383

203

125 3(2)

TABLE 12-Conid,

Age Group

Detailed

Cause of Death

List No. Sex

65 & Un-

8th Revision

Ali Ages

1-4 5-1415-44 45-64

Over known

603

Bronchitis, emphysema and

490-493

323

asthma

MNA

321

251

11]

229

926

32,

400

480

Suicide and self-inflicted

E950-E959

injuries

Certain causes of Perinatal Mortality

760-779

10 Cirrhosis of Liver

571

Congenital Anomalies

740-759

Nephritis and Nephrosis

580-584

Peptic ulcer

531-533

All Other causes

ELF ELF ELF MLT MLT MOT ELF

310

230

540

LAN LA

152

122

248

185

102

328

201

529

284

176

370

215

175

129

143

108

320(2)

239(2) 39

583

156

137

293

- -

$89

411

97 87

128

]

}

182

GA NA

| | |

2,149

223

346

584

911 3

2,091

141

168

310 1,376

4,241(1)| 364

101

75 514

894 2,287 6(1)

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

TABLE 13

INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1966-70

Cases

Deaths

Diseases

1966

1967

1968

1969

1970

1966

1967

1968

1969

1970

Cholera

LLL

Amoebic Dysentery

220

154

117

Bacillary Dysentery

766*

829*

869*

736

Cerebro-spinal Meningitis

Chickenpox

600

1,257

900

445

Diphtheria

307

226

113

Enteric Fever (Typhoid

and Paratyphoid)

686

728

552

Leprosy

160

148

164

Malaria

127

TIL

Measles

2,360

4,726

1,138

994

Ophthalmia Neonatorum

203

191

203

2XERA BARBA

609

10*

959

438

135

1,011

384

654

Poliomyelitis

រ

Puerperal Fever

Scarlet Fever

]

Tuberculosis

11,427

15,253

9,792

11,072

10,077

1,515

1,493

1,483

1,470

1,436

Typhus (Mite-borne)

Whooping Cough

108

Total

17,048 23,742 14,011

14,210 13,473

1,983

2,240

1,583 |

1,528 1,481

‡Influenza

ttu

+ T-

---

1,220 4,923

8,493 3,232 5,814

14 |

Remarks:

* Including unspecified Dysentery.

† Cases reported in 1969.

+ 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 1966-70

Case Fatality Ratio

Death Rate

(Deaths as percentage of Notifications)

(per million population)*

Diseases

1966

1967 1968

1969

1970

1966

1967

1968 1969

1970

Cholera

...

Amoebiasis...

10.91

13.64

10.26

8.23

5.88

6.63

5.66

3.17

1,82

1.01

Cerebrospinal Meningitis..

70.00

29.09 43.75

17.39

40.00

1.94

4.31

3.70

1.04

1.01

Diphtheria

8.79

7.96

8.85

16.13

9.30

7.46

4.85

2.64

2.60

1.01

Bacillary Dysentery

1.30

0.844

0.69†

0.68

1.15

2.76||

1.89+

1.58t

1.30

1.78

Enteric

[Typhoid

1.02

1.51

1.45

1.28

1.14

Fever

1,94

2.97

2.11

1.82

1.27

Paratyphoid

Measles

16.27

13.84

4.04

2.11

1.29

106.15

176.33

12.15

5.46

3.30

Poliomyelitis

3.12

60.00

13.33

18.75

11.11

0.27

0.81

0.53

0.78

0.76

Tuberculosis

13,26

9.79

15.15

13.28 14,25 418.81 402.55

391.58

382,05 364.32

*Based on population figures provisionally revised after 1971 census. + Including unspecified dysentery.

TABLE 15

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1970

CASES NOTIFIED

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

04 5-9

+++

10-14

WNW

142

102

نيا

15-19

633

457

20-24

944

489

25-29

605

174

---

30-34 35-39

671

175

669!

185

40-44 45-49 50-54

---

760

149

716

167

...

729

150

55-59

671

167

60-64

438

138

---

65-69

263

70-74

1.58

75 and over

NON

Unknown

Total

זז.

7,462 2,615 17

26 233 205

341

268

DEATHS

Age Group

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

04 5-9 10-14 15-19 20-24

+++

-- J

+++

FIL

25-29

30-34

35-39

40-44

84 14

---

45-49 50-54

---

+++

$5-59

87 140 211

60-64

65-69

176

150 48

70-74

75 & Over Unknown

Total

1,102 334

29208959862

दूध

اليا

...

---

TABLE 16

PROPHYLACTIC IMMUNIZATIONS 1966-70

Immunological Procedure

Anti-Smallpox Vaccination

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1966

1967

1968

1969

1970

487,790

575,869

767,541

550,092

553,714

1,467,271

1,318,991

1,385,272

2,506,348

1,715,249

1st Dose

2nd Dose

---

+++

290,226

341,632

335,128

339,428

329,279

249,738

301,097

293,746

331,250

320,757

TIT

---

огг

Booster Dose

Anti-Typhoid Inoculations:

1st Dose

2nd Dose

---

TTT

167,557

175,359

181,735

169,085

167,579

---

- rr

---

49,913

29,799

32,324

27,744

14,456

.гг

***

FFF

---

19,115

12,793

14,417

10,191

4,126

Booster Dose

65,042

61,447

67,464

72,989

92,813

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

Infants

Others

---

84,839

85,917

80,354

77,004

75,749

---

TTI

---

13,933

28,274

33,895

18,232

51,576

Poliomyelitis Vaccinations:

1st Dose

2nd Dose

---

/106,190

107,302

97,754

85,145

82,659

- LI

116,009

90,880

82,939

74,949

71,671

Oral Poliovaccine Type I for Newborn"

54,590

69,495

62,869

59,057

57,065

- - -

83,107

33,504

28,611

Anti-Measles Vaccinationt

+++

* From April 1966.

+ From end of December 1967.

TABLE 17

NUMBER OF CANCER DEATHS BY AGE AND SEX 1970

13 21 23 27 25 12

A-List

Number

Detailed List Number 1965 Revision

Cause Group

AIL

10- 20

Sex

0-9

Ages

30- 35-40-45- 29 34 39 44 49 54 59

55 60

70-

75+ || Unk.

A45

$40-149

---

M 326

F 137

201 14

8 £7 30 471 58. 58 38 24 18 17

17 13 12

Malignant Neoplasm of Buccal Cavity and Pharynx

די.

ггг

A46

150

Malignant Neoplasm of Oesophagus

---

A47

151

Malignant Neoplasm of Stomach

M 148

M 221

F 139

זזי

A48

152, 153

|Malignant Neoplasm of Intestine, except Rectum

981

---

A49

154

Malignant Neoplasm of Rectum and Rectosigmoid Junction

4 13 기

36 33 40 25 26

15 21

13 13

20 23 23 28

***

- W

14 111 12

Il 16:

7 7

In m

10 8.

A50

161

Malignant Neoplasm of Larynx

ASI

162

Malignant Neoplasm of Trachea, Bronchus and Lung

467

---

319

A52

170

Malignant Neoplasm of Bone

10:

---

亞

ப

1 |

511

9 21 25 52 54 65 42 44

सल

1 1

TABLE 17-Contd.

•

A-List

Number

Detailed List · Number | 1965 Revision

Cause Group

Sex

All

Ages

0-9

10-20-30-35-40 45

60-65-

19 29 34 39 44 49 54 59

70-

75+ Unk.

A53

172, 173

¡Malignant Neoplasm of Skin

Immi

---

A54

174

Malignant Neoplasm of Breast...

159

A55

180

Malignant Neoplasm of Cervix Uteri...

141

A56

181, 182

|Other Malignant Neoplasm of Uterus... F

24 16) 26 19

7 16 17 24

19 10 L6

25 17 111

ليا

A57

185

Malignant Neoplasm of Prostale

कभ

---

A58(4)

155

Malignant Neoplasm of Liver and Intrahepatic Bile Ducts, Specified as Primary...

503

12 13

[32

हल

30 43 71 75 99

39 25 20

10 16 18

18 16

(6)

156-160, 163, Malignant Neoplasm of Other and

171, 183, 184,

Unspecified Sites

---

270 12

23 36 34 401

27 20

186-199

3341

131 30

29 38 31 46 33)

A59

204-207

Leukaemia

TTT

---

57 113

3 11 10

च

A60

200-203

208, 209

Other Neoplasm of Lymphatic and Haemotopoietic Tissue

36j

NIN

enna

NO N

A45-

140-209

All forms of Cancer

LLL

M 2,266 32 43 42 53 101 182 260 324 359 317 237 173 143)

1.698

36 35 59 122 152, 192 224 220 220 167

TABLE 18

MAIN CAUSES OF DEATH FROM CANCER IN HONG KONG 1960-70

Cause Group

(According to I.C.D. 1965 Revision)

All Forms of Cancer (140-209)

Malignant Neoplasm of Nasopharynx (147)

Malignant Neoplasm of Oesophagus (150)... Malignant Neophasmj of stomach (151)

1960

1961

1962

1963

1964

1965

1966

1967

1968

1969

1970

R D R

R D R D R D R

R D R

D R D R

1,985 64.8 2,280 72.0 2,488 75.5 2,697 79.1 2,916 83.5 3,155 88.0 3,249 89.8 3,380 91.1 3,582 94,6 3,839 99.8 3,964 100.6

217 7.1 235 7.4 272 8,3

286 8.4

278 8.0 321 9.0 320 8.8 336 9.1 357 9.4 376 9.8 393) 10.0

75 2.4 126 4.0

108 3.3

112 3.3

147 4.

148) 4.1

132 3.6:

163 4.4

[59 4.2 180 4.7 203 5.2

243 7.9

284 9.0

307 9.3 298 8.7

361 10.31 378 10.5

366 10.1

314) 8.5

342 9.0 414| 10.8) 360 9.1

of intestine except Rectum (153)

93 3.0

100 3.2

1131 3.41

96 2.8

123 3.5 130 3.6) 151

151 4.2; 171 4.6 170) 4.5|

185

185 4.8 172 4.4

Malignant Neoplasm

Malignant Neoplasm of liver and Intra- hepatic Bile Ducts,

specified as Primary

(155)

Malignant Neoplasm

of Trachea, Bron-

*357 11.7 418 13.2 470 14.3 *564 16.5 537 15.4] *607| 16.9] *589; [6.3 *601; 16.2 647 17.1

626) 16.3) 635 16.1

chus and Lung (162) †259 8.5 1294 9.3 1329 10.0 +387 11.3 1449 12,9 1513 14,3 1551 15.2 +616 16.6 1638 16.8 787 20.5 786, 19,9

Malignant Neoplasm of Breast (174)

115 3.8

111 3.51

104 3.2 120 3.5

138 4.0 145 4.0) 135 3.7 125 3.4 147 3.9

134 3.5 [59 4.0

IPI

Malignant Neoplasm

of Cervix Uteri (180) 138 4.5 137 4.3 143 4. 146 4.3

153 4.4 127 3.5 163 4.5| 158 4.3 153| 4.0 141 3.7 141 3.6 Malignant Neoplasm of Biliary Passages and of Liver (155-156) according to I.C.D. 1955 Revision.

† Malignant Neoplasm of Trachea, Bronchus and Lung not specified as Secondary (162-163) according to I.G.D. 1955 Revision. Note: D- Death.

Mortality Rate per 100,000 population using revised estimated population based on the crude results of 1971 census and subject to revision later (For the years 1961-70).

TABLE 19

NEW CASES OF CANCER NOTIFIED TO THE CANCER REGISTRY BY AGE AND SEX 1967

Detailed List

A-List

Number

1965 Revision

$75. Uok.

20-30-35-40-45- 50-55-60-65-70-

Cause Group

Sex

0-9

Ages

29 34 39 44 49 54 59

* |

A45

140-149

Malignant Neoplasm of Buccal Cavity and Pharynx

441

---

F 206

A46

150

Malignant Neoplasm of Oesophagus

117

A47

ISL

Malignant Neoplasm of Stomach

137

A48

152, 153

Malignant Neoplasm of Intestine, except Rectum

111

84]

гг.

---

| F

A49

154

Malignant Neoplasm of Rectum and Rectosigmoid Junction

LLL

M 61

A50

161

Malignant Neoplasm of Larynx

231 32 71| 80 63

फ

15 25

ASI

162

Malignant Neoplasm of Trachea, Bronchus and Lung

272

111

199 1.

A32

[70

Malignant Neoplasm of Bone

NIN

نيا دا

KNO

ALA

לי לי

帝霸

69 39

19 15

22 18

GO LA

29 18

***

27 14 10 15

22 12

[2 13

40 00

- -

16 13

13 12 6

9 16 10 1.

10 11

10 Il

照

44 46

22 29 13

35 29 25 20

العالميا

સન

Detailed List

A-List

Number

Cause Group

1965 Revision

TABLE 19-Contd.

Sex

All

Ages

0-9

A53

172, 173

Malignant Neoplasm of Skin

---

461

A54

174

Malignant Neoplasm of Breast...

335

爷

60- 65-

70-

75+ Unk.

10- 20-30-35-40-45-50-55- 19 29 34 39 44 49 54 59 64 69 74

A55

180

A56

181, 182

Malignant Neoplasm of Cervix Uteri... F 4791

Other Malignant Neoplasm of Uterus... F 72

A57

185

Malignant Neoplasm of Prostate

A$8(a)

155

Malignant Neoplasm of Liver and

---

Intrahepatic Bile Ducts, Specified as Primary

232

---

(b)

156-160, 163, Malignant Neoplasma of Other and 171, 183, 184, Unspecified Sites 186-199

$17

181

110

F 495

12 22

A59

204-207

Leukaemia

FFF

110

PIP

고1

A60

200-203

208, 209

Other Neoplasm of Lymphatic and Haemolopoietic Tissue

---

321

A45-

140-209

All forms of Cancer

A,60

LLL

và tạ

VO VA

M 2,046 31 38 69

F 2,236 211 30:

→

→ →

2 --

ऊं ।

43.

40! 49 381 16 14

44 66 105 69 56 3.2 24 11 24

12 22

29 38

16 28 45 41

نيا توتا

GO LA

41 341 35 14] 7

ม 7 9 10:

གླ

社

20 16

53 42 31 13

A LA

│ │

- +

144 201 248 314 271 251 (64 125 73 3[

67 145 222 277 312 285 261 225 148 156|

نيا

Death Rate

per 100,000

population

Year

TABLE 20

TUBERCULOSIS MORTALITY 1956 AND 1961-70

Total Deaths from Tuberculosis

Tuberculosis

Tuberculosis Deaths as

Average age at

percentage of

death from Tuberculosis

total deaths

1956

+ Tr

2,629

107,7

13.6

-IPL

1961 1962

---

TTI

1,907

60.2*

10.2

JFF

1,881

57.1*

9.2

1963

+++

1,762

51.6*

8.9

1964

1,441

41.2"

7.9

---

1965

+++

1,278

35.6*

7.2

1966

---

1,515

41.9*

8.1

1967 1968 1969

---

1,493

40.3*

7.6

+++

1.483

39.2*

7.7

55 56.5

---

1,470

38.2*

7.9

1970

---

1,436

36.4*

6.9

57.5

• Based on provisionally revised population after 1971 census & subject to revision later.

TABLE 21

TUBERCULOSIS IN CHILDHOOD 1956 AND 1961-70

Percentage of newborns

Percentage of

receiving B.C.G.

Percentage of Tuberculosis deaths below

5 years

Percentage of Tuberculosis deaths under 1 year

Infantile Mortality from Tuberculosis

(per 1,000 live Births)

1956

24.21

25.0

7.34

1.99

FIL

1961

1962 1963 1964

79.31 81.59

11.48

2.62

0.46

5.74

1.43

0.24

+++

83.44

5.50

1.08

0.16

---

86.40

4.09

0.90

0.12

---

1965

91.65

3.36

0.70

0.09

1966

90.22

2.71

0.73

0.12

---

1967

95.42

2.01

0.33

0.07

1968

94.23

1.15

0.20

0.04

1969

94.78

0.95

0.27

0.05

1970

95.33

---

0.63

0.00

TABLE 22

TUBERCULOSIS NOTIFICATIONS 1956, 1961 AND 1966-70

1956 1961

1966 1967 1968 1969 1970

Govt. Chest Clinics

...

7,704 8,957

8,105 11,917 6,844

8,391 7,061

Other Govt.

Origin of

Notifica- tion

Inst. Tung Wah

Group Other Non-

Govt. Inst. and Private Sources

1,643 2,056

990 1,167 688

947

ILL

618 563 309

432

299 443

494

2,808

---

624 1,714 1,606 1,951

1,900 2,079

Total

Notification rate per

100,000 population

+++

12,155 12,58411,427 15,253 9,792 11,072 | 10,077

488 397* 316* 411* 259* 288* 256*

• Based on provisional revised population after 1971 census and subject to revision later.

TABLE 23

WORK OF GOVERNMENT CHEST SERVICE

GOVERNMENT CHEST CLINICS

1970

Hong Kong

Kowloon

Full-time Centres... Wan Chai

Part-time Centre

New Territories

Chest Clinic Sai Ying Pun

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

Kowloon Chest

Clinic Shek Kip Mei Chest Clinic Yau Ma Ti

Chest Clinic

Robert Black

Health Centre

:Kwun Tong

Jockey Club

Castle Peak Clinic Kam Tin Clinic

Lady Trench Polyclinic Sai Kung Dispensary

Health Centre Sha Tin Clinic

Shek Wu Hui J.C.C. St. John Hospital

Tai Po J.C.C.

Yuen Long Jockey Club

Health Centre

TABLE 23-Contd.

Other Centres (for

injections only)...

Hong Kong

Kowloon

Hung Hom

Dispensary

New Territories

Ho Tung Dispensary

Peng Chau Clinic North Lamma Clinic Silver Mine Bay Dispensary Tai O Dispensary

South Lantau Hospital

Chi Wan Floating Dispensary

Chi Hong Floating Dispensary

ATTENDANCES AT GOVERNMENT CHEST CLINICS, 1970

Total Attendances

---

1,727,930

Total Patients attending, new and old Number of new patients

---

-г г

100

r++

Total with examination completed

N.S.D....

Disease other than T.B.

Non-respiratory T.B.

(a) Meninges

---

(b) Bones and Joints (c) Others

Respiratory T.B.

---

(a) Not active and unknown activity (b) Active

...

By bacteriology and extent

Negative

T10

ILL

---

Positive

+++

128588

Incomplete OI

гт т

ILL

---

By bacteriology and presence of cavity

Negative

A Yes

P11

A No

Positive

B Yes

B No

---

ггг

---

.יד

103,901

43,209 (100.00%)

42,178 (97.61%)

20,622 ( 47,73%)

6,264 (14,50%)

1 (0.00%) 87 ( 0,20% 76 (0.18

17.8938

7,732 (17.89%) 7,396 (17.11%)

2,264

5.24

811

1.88

208

0.48

1,181

2.73

1,356

3.14

1.069

2.47

3E1

0,72

+++

123

0.28

0.17%

---

321 2,962 1,237

0.74%

(6.8%

2.86

...

2,369

5.48

106

401

0.25 (0.92%)

5,615

(12.99%

[34

0.31

1,646

3.81

I (0.00

---

Incomplete O Yes

O No

By previous history and treatment

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

гг.

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

Year

TABLE 24

X-RAY SURVEY 1960-70

Government Servants

Conditional Survey

Prisoners Survey

Total

% with

　　　　　　　　　　　　　　　　　　　　　　　　　% with Examined Active T.B. Examined Active T.B. Examined Active T.B.

Total % with

Total

1960

42,482

0.88

17,311

1,25

9,481

10.39

1961

45,617

0.88

26,809

I.17

9,735

4.98

1962

TTI

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

LLI

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

....

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

1969

41,925

0.75

50,233

0.53

7,107

1.31

1970

51,812

0.63

47,741

0.34

6,417

1.70

(A)

Under 8 years

TABLE 25

CONTACT EXAMINATIONS 1970

Number of patients giving rise to contacts Number of contacts listed to be examined

-- J

---

TIG

---

Number of B.C.G. given

---

+++

---

Number of Number Contacts X-rayed

Result

Un-

known

N.S.D.

---

+++

- 10

---

9,488

25,465

1,554

Result of Examination

Respiratory TB

Disease

other

than TB

Positive

---

1,316

1,152

1,060

Tuberculin

Tested

Negative

1,554

Not Read

Active

Not

Non-

Respira-

Active

tory TB

Not Tuberculin Tested

1,314

490

451

Total under 8 years

4,184

1,642

1,511 102

(B) 8 years and over

ILL

21,281

15,117

13,979

356

109

504

Remarks: (A) Under 8 years

examined with active respiratory T.B.-0.03%.

(B) 8 years and over

examined with active respiratory T.B.-1.18%

1966

1967

1968

1969

1970

---

· · ·

---

...

---

TABLE 26

CLASSIFICATION OF ORTHOPAEDIC TUBERCULOSIS OF NEW PATIENTS, BY SITE 1966-70

Site of Disease

Year

TOTAL

Hip

Spine

Knce Ankle Femur | Others

Joint

---

-ON

---

122

TABLE 27

MALARIA 1966-70

DISTRIBUTION OF CASES

(According to notified place of residence)

Urban

Year

Cases Notified

Areas

Deaths Controlled Sai Kung* Lantau* Tai Po* District District District

Other Areas

1966...

127

---

1967...

1968...

1969...

1970...

---

• Including floating population.

IDENTIFICATION OF PARASITES

† Case reported in 1969.

Imported cases.

Year

P. vivax P. falciparum P. malariae

Mixed infection

Species undetermined

1966...

115

---

ITT

1967...

]

1968...

+71

1969...

+++

1970...

---

TABLE 28

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1961-70

1961

1962

1963 1964 1965

1966

1967 1968

1969

1970

Venereal Diseases

Total (Except Congenital)

SYPHILIS

Primary

Secondary

Early Latent... Late Latent

All others

Congenital

Gonorrhoea

TII

LII

1,555

1,858

1,487

1,036 1,197!

1,177

1,082

1,314·

983

722

154

...

· · ·

164

119

28]

20.

...

---

LII

26.

601

35:

202

3.59

307

197

2631

198

220

233

125

116

---

1,173

1,216

864

590

791

874

788

981

763

538

119

103

661

---

48!

109

5,997

5,747

5,696

5,008

5,096

6,353

7,344

7,375

6,331

6.470

509

453

11 T

379

496

---

578

629

648

659

613

608

635

356

347

268

254!

105

286

862

387

[]

130)

...

Under I year....... Over 1 year

Non-Gonococcal Urethritis

Chancroid

Lymphogranuloma Venereum

Granuloma inguinale.

Other Diseases

Non-Venereal Disease

Skin Diseases

+++

Attendances at Clinics (All Types) New Attendances

Total Attendances

4,293 5,489 4,155 1,548 5,169 5,191 4,672 12,173 12,917 10,740 12,570 14,121 15,014 13,206

5,074 4,200 3,488 15,846. 18,361 20,704

25,819 27,264 23,761 25,224 27,541 29,254 27,669 31,342 32,027 32,994 182,049 179,135 147,588 143,381 147,311 161,994 170,532 209,916 221,882 208,319

TABLE 29

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1966-70

No. of tests (Clinics and Hospitals)...

%% Positive

No. of tests (Private Midwives)

Positive

---

　　　　1965 1966 1967 1968

---

TTT

1969

1970

Year

1966 1967 | 1968

1969

1970

52,381

52,381 | 55,012

47,552

50,952

52,382

2.4

1.8

1.7

1.4

1.0

4,580

3,577

3,208

2,625

1.7

0.8

1.2.

0.7

1,797 0.5

TABLE 30

LEPROSY 1970

INCIDENCE OF LEPROSY 1965-70

New Cases

Rate per 100,000 population*

6.1

217

JIJ

163

LLT

+++

149

---

THE

160

127

135

4.5

4.0

4.2

3.3

3.4

• Based on population figures provisionally revised after 1971 census.

ANALYSIS OF CASES BY AGE 1970

Age Group

---

Under 1 1 4 9

　　　　10 - 14 15 E9 20 - 24

25 - 29 30 34 35 - 39 40

45 - 49

50 54

55 59

―

---

60 & Over

+++

---

ггт

+++

ггт

---

TIL

---

+++

1+1

-11

110

---

+44

---

No. of Cases

135

Total

New admissions

Relapses

For surgery

ADMISSION TO LEPROSARIUM 1970

+++

ILL

---

Total

---

ILL

---

LJI

***

TABLE 31

ANALYSIS OF DERMATOLOGICAL CONDITIONS

PRESENTING AT CLINICS 1970

Acne

330

Neurofibromatosis

---

+++

Alopecia

+1+

Angioedema

Carcinoma

ггт

Contact dermatitis

Dermatitis Exfoliative

Dermatitis Herpetiformis Dermatomyositis

Drug Eruption Eczema (All types) Epidermolysis Bullosa Erythema Multiforme Erythema Nodosum Granulomata

...

Herpes Simplex Herpes Zoster ...

Ichthyosis

Keloid

+++

Keratosis (All types)

Lichen Amyloidosis

Lichen Planus

160

+++

ILI

JLI

Nevi (All types)

+++

rt+

+++

Pediculosis

++d

---

וזז

Pemphigus

тіт

1,072

Paronychia

Pityriasis Rosea

Pityriasis Alba

Pruritus

Psoriasis

+++

7,036

Purpura

+++

Pyoderma

Raynaud's Phenomenoma

TII

Rosacea

---

Scabies ...

145

166

203

199

292

+++

178

ггг

ייז

Scleroderma

---

rr T

---

Tinea (All types)

1,401

---

FFF

T.B. Cutis

Tumors, Benign

Ulcer, Varicose

---

TTG

Urticaria

609

יז

ITT

Light Sensitivity

(All types)

Vasculitis

.יד

Lupus Erythematosus

Verruca...

573

FIT

---

Vitiligo...

285

111

+++

Miliaria

...

Molluscum Contagiosum

Neurodermatitis

Xanthoma

+++

111

Leprosy

---

664

Miscellaneous

586

---

Total

---

14,784

TABLE 32

CULTURES FOR MYCOLOGICAL INDENTIFICATION 1970

T. rubrum

+++

T. mentogrophytes

M. canis

T. versicolor

M. ferrugineum

+++

220

Trichomycosis axilliaris...

T. tonsurans

E. floccosum

111

+++

LLL

M. gypseum

C. albicans

---

+++

Total specimens examined

LLL

---

ILL

1,736

TABLE 33

WORK OF THE PORT HEALTH SERVICE-1970

INSPECTIONS

Immigration

Overseas

By Sea Macau

By Air By Train

Junks etc.

Total

No. of

No. of Vessels

No, of Pas- sengers

No, of Crew

Smallpox Cholera

Vaccina- Inocula-

pas- sengers under Sur-

tions

veillance

ILJ

5,799

23,833

227,684

320

312

1 TT

1,466,809)

220,989

173,499.

9.240

122,261

22,774 1,175,913

219,276

2,468

461

355,623

19,242

108

37,783 3,022,178 790,210 195,565

Emigration

By Sea

292

• Number not recorded.

FUMIGATION

No. of ships fumigated

...

LEF

+++

---

Total net tonnage...

Cubic capacity (cubic feet)

Rats recovered

Exemptions granted

---

No. of ships disinfected and disinsected

---

No. of supervision of disinfecting aircraft

TTT

To ships at sea To ships in port

---

IT-

MEDICAL ASSISTANCE TO SHIPS

+++

rrr

---

882

---

16 35,098.58 2,957,103

48 253

+++

6 365

TABLE 34

MIDWIFERY SERVICES 1969-70-1970-71

(Excluding Hospitals)

PRIVATE MIDWIFERY SERVICES

Number of midwives in active practice

Number of registered maternity homes.... Number of maternity beds Maternity home deliveries

444

---

Domiciliary deliveries

Total deliveries

ITT

1969-70

1970-71

101

огг

340

282

17,489

15,028

245

17,734

15,114

GOVERNMENT MIDWIFERY SERVICES

1969-70

1970-71

Maternity beds in maternity homes (Urban)

291

LLL

---

Maternity beds in maternity homes (Rural)

225

Midwives (excluding hospitals)

130

137

Cases attended (excluding hospitals)

Average case-load for each midwife (excluding Hospitals)

16,788 129

15,243

111

TABLE 35

DISTRIBUTION OF M.C.H. CENTRES AT 31ST MARCH, 1971

Full-time Centres

Subsidiary Centres

District

Hong Kong Kowloon N.T. & Islands

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

Total

TABLE 36

MATERNAL AND CHILD HEALTH SERVICES 1969-70

No. of full-time centres

No. of subsidiary centres

Ante-natal Sessions

Total Sessions

New attendances

Total attendances

---

Average attendance per session Average attendance per person

Post-natal Sessions

ITI

1969

1970

لعيا

---

2,596 20,892

2,714

20,725

113,836

119,388

43.85

43.99

5.45

5.76

Total Sessions

869

898

New attendances

5,918

5,296

TTP

Total attendances

7,091

6,636

Percentage presenting with some abnormality

+++

23.54%

22.69%

Infant Welfare Sessions (0-2 years of age)

Total Sessions

---

New attendances

Total attendances

6,084

6,243

HTT

71,098

69,073

847,668

811,529

Toddler Welfare Sessions (2-5 years of age)

Total Sessions

---

1,292

1,379

New attendances

28,124

28,236

143,251

144,641

Total attendances

Percentage presenting with some abnormality

(0-5 years of age)

Home Visits

..ז

+++

• New attendances only.

0.92%*

0.91%*

123,072

124,578

TABLE 37

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF PARTICIPATING SCHOOLS, PUPILS AND DOCTORS AT 31st March, 1971

Districts

Hong Kong

Wan Chai

No. of Part. Schools

No. of Part. Pupils

No, of Part. Doctors

1,223

1,986

1,766

---

3,671

ILL

2,543

433

---

TI-

...

1,780

231

13,402

Central and Sheung Wan

Western

Causeway Bay North Point

Shau Kei Wan

Aberdeen

Sub-total

Kowloon

rro

ILL

---

Tsim Sha Tsui

---

1,273

Yau Ma Tei

---

1,650

Mong Kok

ггт

---

6,393

Cheung Sha Wan

1,762

---

Shek Kip Mei

LL+

1,898

Hung Hom and To Kwa Wan

1,452

San Po Kong

3,774

---

Kowloon Tong

228

Kai Tak

2,381

Irt

4,445

363

25,256

Kwun Tong

Sub-total

New Territories

Tsuen Wan Yuen Long Sha Tin Tai Po ... Sheung Shui Rennie's Mill

Sub-total

Grand Total

+10

гот

IIT

1,714

---

1,129

215

E 1

222

--L

---

+++

554

---

1,171

110

5,005

704

43,663

183

TABLE 38

WORK OF THE GENERAL DENTAL SERVICE 1966-70

Deciduous Teeth

Permanent Teeth

Persons

Year

Attend-

ances

rendered

dentally

Restored Extracted

fit

1966...

244,097

23,107 29,996

96,851

39,991

44,262

1967...

---

258,399

21,836

30,257

100,312

38,941

23,475

1968... 1969...

1970...

---

277,935

20,975

34,033

95,694

42,692

57,245

276,847

19,648

32,454

93,961

42,634

60,670

282,713

20,072 33,306

90,479

43,448

61,996

TABLE 39

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1969-70

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)

100

1969

1970

734

942

TII

142

210

124

159

106

159

+++

ILL

1,349

1,719

916

1,219

224

376

г гт

---

2,408

3,181

1,464

304

Blood grouping (Police officers).

Lectures to Police Officers

+++

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

Chemical examinations of mortuary cases Assistance in Raids:

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance

Unregistered Medical Practitioners

+++

---

Abortionists

110

Unregistered Dentists

- ་ ་

---

TABLE 40

WORK OF THE GOVERNMENT LABORATORY 1969 AND 1970

EXAMINATIONS

1. FOR GOVERNMENT

1969

1970

A. General Division:

Dutiable Commodities Ordinance.

---

8,125

8,228

Public Health and Urban Services

Ordinance

Food

Drugs

+++

Dangerous Goods Ordinance

Pharmaceuticals

Imports & Exports (Prohibition)

Regulations

+++

Miscellaneous

719

+++

1,193

ILL

+++

325

598

---

..ז

1,470

1,597

B. Forensic Division:

General

---

Pharmacy and Poisons Ordinance ]

Antibiotics Ordinance

Dangerous Drugs Ordinance

Toxicology

---

II. FOR ARMED SERVICES

Total

---

864

992

1,365

2,670

14,716

14,127

...

2,576

2,627

Grand Total

+++

---

30,247

32,078

TABLE 41

WORK OF MEDICAL AND HEALTH DEPARTMENT INSTITUTE OF PATHOLOGY

Clinical Laboratories

2. Public Health Laboratories

Virological Laboratory

Vaccine Production

Blood Banks

---

+++

---

1969 AND 1970

LABORATORIES

LLL

Sai Ying Pun Polyclinic Queen Elizabeth Hospital Kowloon Hospital

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

Queen Mary Hospital

Old P.I. Caine Lane Laboratory Queen Mary Hospital

Queen Elizabeth Hospital

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

of Pathology, University of Hong Kong.

MORTUARIES

Victoria Public Mortuary

2. Kowloon Public Mortuary

SPECIMENS Examined 1969 and 1970

1. Protozoology and Helminthology

2. (a) Haematology

(6) Blood grouping

---

+++

---

1969

1970

---

OLD

41,290 323,179

38,908

361,657

3. Serology

ILL

4. Bacteriology

5. Mycology

6. Public Health..

---

1,241 121,408

946

---

128,479

---

ILL

535,952

583,865

---

15,454

17,942

120,490

7. Morbid Anatomy and Histopathology

8. Chemical-pathology

9. Clinical Pathology

10. Virology

11. Special investigations

гтт

---

83,604

---

27,308

45,304

331,940

390,521

62,892

68,846

2,925

5.309

..ז

---

...

1,006

886

12. Blood Banks

172,858

180,790

Total

---

1,757,943

1,907,057

AUTOPSIES ON MEDICAL LEGAL CASES PERFORMED 1969 AND 1970

1969

1970

Queen Mary Hospital

288

318

---

Queen Elizabeth Hospital

305

340

Total

593

658

RODENTS EXAMINED AND AUTOPSIES PERFORMED 1969 AND 1970

1969

1970

　　　　Victoria Public Mortuary Kowloon Public Mortuary

37,963

18,078

24,590

21.043

---

Total

---

62,553

39,121

TABLE 42

VACCINE PRODUCTION 1969-70

(in millilitres)

Prepared

Issued

Vaccine

1969

1970

1969

1970

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

T.A.B.... Anti-cholera

Anti-Plague

Autogenous Vaccine...

+++

41,470

40,110

37,614

34,701

+++

57,550

40,500

63,000

32,350

+++

66,500

36,900

64,600

33,200

+++

80,250

204,000

80,700

153,200

+++

2,581,950

2,276,250

2,805,559

1,101,650

2,650

2,100

++-

British Red Cross Society Patient's relative and friends

Other sources

++,

огг

Total

TABLE 43

BLOOD BANKS 1969-70

1. SOURCES OF BLOOD

1969

1970

100

+11

ILL

24,596 pints

26,723 pints

349 pints

263 pints

---

394 pints

517 pints

..ז

25,339 pints

27,503 pints

---

2. DISTRIBUTION OF BLOOD

1969

1970

Government Hospitals

Government-assisted Hospitals

---

111

+++

18,053 pints

19,761 pints

---

5,125 pints

4,973 pints

Private Hospitals

+-+

1,506 pints

1,712 pints

Military Hospitals

Unusable due to various causes...

Total

---

+11

46 pints

18 pints

+++

FIL

---

727 pints

25,457 pints

777 pints

27,241 pints

100

TABLE 44

WORK OF PUBLIC MORTUARIES 1969-70

Total number of bodies received

Total number of autopsies perfomed

Victoria

Kowloon

1969

1970

1969

1970

886

938

2,435

2,645

633

684

697

806

793

825

1,914

2,140

113

521

505

---

608

641

---

1,730

огт

2,024

278

297

705

621

Number of bodies claimed for burial

　　　　Number of bodies unclaimed for burial Deaths due to natural causes

Deaths due to unnatural causes

TABLE 45

WORK OF INDUSTRIAL HEALTH SECTION 1970

MONITORING AND SURVEY Work

-- J

---

TTP

+++

Atmospheric Samples:

(a) Benzene

---

(b) Carbon monoxide

(d) Cycohexane

---

(e) Deposited matters (/) Dust

(g) Hydrogen sulphide

(h) Lead

(1) Manganese

() Methyl ethyl ketone

(k) Nitrogen dioxide

(1) Oxygen

---

(m) Phosphoric acid (n) Smoke

(0) Sulphur dioxide (p) Sulphur trioxide (9) Sulphuric acid (r) Toluene (s) Xylene

Tota!

+++

יז

---

rtt

Fr+

--T

ITT

---

Numbers

TII

---

24 25

---

..ז

---

ITT

L++

---

+++

PTT

---

+++

LL+

---

TTT

- J-

FEE

+++

---

101

---

+++

1,181 1,181

ILL

---

380

---

+++

---

NON

---

+++

---

2,828

Ventilation Surveys:

(a) Effective Temperature (b) Radiant Heat (c) Relative Humidity (d) Velocity of Air

Total

Samples for Analysis:

(a) Silica

Total

TABLE 45-Contd.

Urinalyses:

(a) Coproporphyrin in Urine (b) Fluoride in Urine

Total

J-I

---

444

---

ITT

TTE

---

...

---

LII

Numbers

---

***

ILL

LII

ILL

114

---

+++

---

-10

---

+++

Blood Counts:

(a) Cholinesterase activity.. (b) Haemoglobin Estimation (c) Red Blood Count

Total

Miscellaneous Measurements:

(a) Lighting.

(b) Radiation

---

тті

---

TTL

---

Total

---

+++

---

--L

+++

WORKMEN'S COMPENSATION CASE WORK

Total No. of interviews

Number of visits

Cases assessed by I.H.O.

---

Cases assessed at Medical Boards

---

1966

1967

1968

1969

1970

ILL

26,593 21,957

33,571 | 43,738 63,403

815

1,532

1,437

789

161

717

489

607

580

234

+++

3,92 E

4,030

4,456

4,868

6,192

102

103

Institutions

TABLE 46

NUMBER OF HOSPITAL BEDS IN HONG KONG 1970

Classification of Beds

HONG KONG

(A) GOVERNMENT INSTITUTIONS

Queen Mary Hospital Sai Ying Pun Hospital Stanley Prison Hospital Tang Shiu Kin Hospital Tsan Yuk Hospital

יו.

---

278 399

"།།

| | | | | | 2

༅།eg1⌘7

241.

106

না।।8।

0 1,052

292

108

Medical

Surgical

Ophthalmic

E.N.T.

Gynaecology

Maternity

Paediatric & Babies

Tuberculosis

Leprosy

Psychiatry

Rehabilitation & Convalescent Custodial, Casualty & Observation

Chronic.

Infectious

Radiotherapy

Others

TOTAL

---

...

ггг

---

Victoria Reception Centre

LLL

LEL

Govt. Clinics and Maternity Homes

---

(B) GOVERNMENT-ASSISTED INSTITUTIONS

Alice Ho Miu Ling Nethersole Hosp. Duchess of Kent Children's Orthop. Hosp, and Convalescent Home

Grantham Hospital

Nam Long Hospital

Ruttonjee Sanatorium

ILL

---

Sandy Bay Convalescent Hospital

Tung Wah Hospital

Tung Wah Eastern Hospital

Canossa Hospital

111

---

= 8311858

100

|24|

141

257

ггг

Frr

37:

---

120

115

---

LIJE 31

Hong Kong Central Hospital Hong Kong Sanatorium & Hospital Matilda & War Memorial Hospital St. Paul's Hospital

ILL

Private Nursing & Maternity Homes

---

Intall

A|6||

| | | 1938

*BILUL ~

| 1999

है

360

120

233

| | - | | | |

|* | | | |

350

200

612

120

360

503

435

338

180

120

390

225

TOTAL (Hong Kong)

LLL

1,202 1,253 31 39' 226 692 395

951

459

220

48 118 5,726

104

Institutions

Classification of Beds

TABLE 46-Contd.

Medical

Surgical

Ophthalmic

E.N.T.

Gynaecology

Maternity

Paediatric

& Babies

Tuberculosis

Leprosy

Psychiatry

Rehabilitation

Chronic,

& Convalescent

Custodial, Casualty & Observation

Infectious

Radiotherapy

Others

TOTAL

KOWLOON

A) GOVERNMENT INSTITUTIONS

Kowloon Hospital

Lai Chi Kok Hospital

Queen Elizabeth Hospital

...

Govt. Clinics and Maternity Homes

(B) GOVERNMENT-ASSISTED INSTITUTIONS

---

198

566

104

26 238

29:

277

569

1901

263

160'

[66

76 6 12 105 100

160

120

---

384

399

***

13 104

303

201

Caritas Medical Centre

LLL

---

➖ ➖ ➖

340

Hong Kong Buddhist Hospital

Kwong Wah Hospital

Margaret Trench Medical Rehabilitation

Centre

---

Our Lady of Maryknoll Hospital Wong Tai Sin Infirmary

Baptist Hospital

---

111

---

JJJ

Evangel Medical Centre

111

| N

22|

།"

185

FIL

+++

111

123

230

Ta.

Precious Blood Hospital

$1. Teresa's Hospital

Private Nursing and Maternity Homes...

TOTAL (Kowloon)

PIO

173

1,042

492

1,596

165

850

178

130, 1,552

250

681

107

380

246

1,834 2,233 501 66 434 1,112|

752 478

73 202

43 173 83 228 7,766

105

Classification of Beds

Institutions

NEW TERRITORIES

(A) GOVERNMENT INSTITUTIONS

Castle Peak Hospital

Chi Ma Wan Prison Hospital St. John Hospital...

---

-11

ггг

South Lantau Hospital

Tai Lam Addiction Treatment Centre Tai Lam Centre for Women

Tong Fuk Prison Hospital

LLL

---

Govt. Clinics and Maternity Homes

(B) GOVERNMENT-ASSISTED INSTITUTIONS

Haven of Hope T.B. Sanatorium

Hay Ling Chau Leprosarium

Pok Oi Hospital

LLL

Medical

TABLE 46 Contd.

|||

201

TÊTUŻ ZA

310

| | | | _| ||_

||||16||

1,242

18||BARA

1,242

28-**** 190

Surgical

Ophthalmic

E.N.T.

Gynaecology

Maternity

Paediatric

& Babies

Tuberculosis

Leprosy

Psychiatry

Rehabilitation

Chronic.

& Convalescent

Custodial. Casualty & Observation

Infectious

Radiotherapy

Others

TOTAL

Adentist Sanatorium and Hospital

Fanling Hospital

Private Nursing & Maternity Homes

TOTAL (New Territories)

151

---

ILL

219

711

359

540) 1,242:

1 2,979

Government Institutions

Government-Assisted Institutions Private Institutions

1,694

830 1,812 39 1,280| 26| 731 432 16.

34, 254

962

484!

146,

1,309.

376; 261

103 178 6,788

41 360:

603

552 1,573

540:

28. 161 7,533

30 46,

579

182

10,

14.

Si 8 2,150

COLONY TOTAL

3,255 3.544

81| 105 660 2,144 1,218 1,788 340 1,319

661|

412|261| 136 347| 16,471

• Beds in Rennie's Mill Church Clinic.

N.B. (1) Sanday Bay Children's Orthopaedic Hospital and Convalescent Home was renamed as Duchess of Kent Children's Orthopaedic Hospital and Convalescent Home.

(2) Hong Kong Buddhist Hospital was opened in October 1970.

(3) Hong Kong Society for Rehabilitation (Kwun Tong Rehabilitation Centre) was renamed as Margaret Trench Medical Rehabilitation Centre.

TABLE 47

IN-PATIENTS TREATED IN GOVERNMENT, GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS, CLINICS AND MATERNITY HOMES, 1970

In-patients Discharged

Deaths

Total

General

ID-

Tuber- Mater- Psy-

|fectious culosis Dily chiatric Total General fectious culosis Dity (chiatric]

In-

In- Tuber- Mater- Psy-

Total

patients

Treated

29,227 221

391

1,787

531 1,309

58 31,684

5 1,856

1,832

1,026

ггг

[65]

65 1.307

3,272

1,088

4,392

1,964

7,596

9,560

--L

306

4,846 5,162!

---

1,653

1,653 |

1,890

33,374

1,868

1,310

4,430

9,612

5.173

1,653

HONG KONG

(A) GOVERNment InstituTIÓNS

111

Queen Mary Hospital Sai Ying Pun Hospital Stanley Prison Hospital Tang Shiu Kin Hospital Tsan Yuk Hospital Victoria Reception Centre Government Clinics and Maternity Homes

(B) GOVERNMENT-ASSISTED

FIL

---

106

INSTITUTIONS

Alice Ho Miu Ling Nethersole

Hospital

7,040

362

103 5,262

31 12,798

263]

269 13,067

Dutchess of Kent Children's

Orthopaedic Hospital &

Convalescent Home

308

698

Grantham Hospital

546

---

1,163

1,700

1,825

Nam Long Hospital Ruttonjee Sanitorium ... Sandy Bay Convalescent Hospital

82)

322

---

322

404

3311

...

1,127)

1,459

106

1,565

3,188

401

Tung Wah Hospital

---

2,638

201

[06

1,208

Tung Wah Eastern Hospital

2,101

137

1,182

Main

3,268

294

303

3,571

3,981

357,

418

4,399

3,466

324.

373

3,839

Canossa Hospital

3,408

355

3,792

59.

3,836

Hong Kong Central Hospital.

FIL

3,266

268

51 3,592

161

162

3,754

Hong Kong Sanscorium & Hospital

Matilda & War Memorial Hospital

St. Paul's Hospital

Private Nursing & Maternity

Homes

TOTAL (Hong Kong)

10,648 263

161

111

3,065

90 14,227

443

449

14.676

---

...

705

6,015

136

874

106

100

676

116

7,013

111

1,088

1 비

877

199

7,212

1,088

76,602

2,634

3,622 25,414|

5,370 113,662 4,356

363

4,789 118,451

107

TABLE 47 Contd.

In-patients Discharged

Deaths

Total

In-

General

In- Tuber- Mater- Psy- fectious culosis aity chiatric

Total General

In- Tuber- Mater- Pay- fectious culosis nity |chiatric

Total

patients

Treated

6,358

717

221

978

340

191

59,264

2,349|

1,024 13,841

1 6,955

1 1,202

128 76,606

3,046

5,238

---

KOWLOON

(A) GOVERNMENT INSTITUTIONS

Kowloon Hospital

Lai Chi Kok Hospital

---

Queen Elizabeth Hospital Government Clinics and Maternity Homes

(B) GOVERNMENT-ASSISTED

Caritas Medical Centre

101

7,056

1,219

3,219

79,825

5,238

INSTITUTIONS

4,330)

242

409

2,288

7,281

589

618

7,899

Hong Kong Buddhist Hospital

138

152

18;

171

Kwong Wah Hospital

29,442

1,031

1,500 19,214

172

51,359

3,5091

232

3,772

35,131

Margaret Trench Medical

Rehabilitation Centre

395

418

3,111

103

$8 2,075

5,440

224

236

5,676

376

1,222

1,598

638

210

850

2,448

Our Lady of Maryknoll Hospital

Wong Tai Sin Infirmary

Baptist Hospital

Evangel Medical Centre

Precious Blood Hospital

St. Teresa's Hospital Private Nursing & Maternity Homes

---

1 гг

гго

2,637

478

3,117|

70!

3,187

ILL

1,127

18| 590

1,758

1,787

---

1,708

8,049

659

2,444❘

157

165

2.609

121

1,420

9,725

388

402

10,127

ггг

12, 122]

[2,122

12,122

TOTAL (Kowloon)

117,156 4,886

4,812 58,119|

442 185,4151 8,767

605

9,498❘ 194,913

TABLE 47-Contd.

In-patients Discharged

Deaths

Total

Jn-

In-Tuber Mater- Pay-

General

Total General'

fectious; culosis

nity chistric!

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

Total

patients

Treated

120

13.

10:

3,136, 3,279

360)

401

764

313

1,204

ILL

149

328

гог

---

145

555

201

99%

406

2111

796

7,241

7,241¦

911 3,370

401

1,237

149

406

211

796

7,241

383

2,290,

327

925

576

1,067

10:

1,107

]

104

116

1,133

3,872

208

223

4,095

NEW TERRITORIES

(A) GOVERNment InstitUTIONS

Castle Peak Hospital

Chi Ma Wan Prison Hospital St. John Hospital

South Lantau Hospital

IIL

Tai Lam Addiction Treatment Centre...

Tai Lam Centre for Women Tong Fuk Prison Hospital Government Clinics and Maternity Homes

(B) GOVERNMENT-ASSISTED

INSTITUTIONS

---

Haven of Hope T.B. Sanatorium

Hay Ling Chau Leprosarium

108

Pok Of Hospital

Adventist Sanatorium &

Hospital

2,652

725

3,377

106

Fanling Hospital

709

856

Private Nursing & Maternity

Homes

L,B[8]

1,818

80 1

3,483

908

1,818

TOTAL (New Territories)

3,318

B01

913 11,362

3,382 24,776

458

550

25.326

GOVERNMENT HOSPITALS

104,453

GOVERNMENT-ASSISTED

HOSPITALS

---

PRIVATE HOSPITALS

40.924

5,285|

36,699 2,519

537

2,075 38,995

8,494 159,302

5,173

127

154

5,467 164,769

111

...

6,678 32,460

594 23,420

372 98,748)

6,843

38)

780

7,669 106,417

328 65,803

1,565

108

1,701 67,504

GRAND TOTAL

202,076 8,341

9,347 94,895

9,194

9,194, 323,853 13,581

190 1,042

12] 14,837) 338,690

TABLE 48

DISEASE CLASSIFICATION OF IN-PATIENTS TREATED IN GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND OF ALL DEATHS IN THE COLONY 1970 (Patients treated in maternity homes are excluded)

Detailed

Inter-

mediate

List

Discharges

Deaths

Number

List

Cause groups

Number

1965

Govern-

Frent

Revision

Hospitals!

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

Fondat

Assisted

Hospitals

Whole Colony

Male Female

Sex Un-

known

Total

000

Cholera

A 2

001

Typhoid fever

A 3

002, 003

A 4(a)

(b)

004

Bacillary dysentery

006

Amoebiasis.

008, 009

diseases

- 10

A 6

010-012

A 7

013

A 8

014

A 9

015

A 10

016-019

A 11

020

Paratyphoid fever and other

salmonella infections

Enteritis and other diarrhoeal

---

Tuberculosis of respiratory system Tuberculosis of meninges and

central nervous system Tuberculosis of intestines, peri- toneum and mesenteric glands Tuberculosis of bones and joints. Other tuberculosis, including late effects

Plague

---

377

125

16|

FEE

+++

729

591

T10

1,977

718

1,569

6,179

142

749

1,067

304

1,371

---

19 15

253

218

168

220

न

الية في

بيا

انيا

+++

A 12

022

Anthrax

A 13

023

Brucellosis

---

A 14

030

Leprosy

---

TTI

A 15

032

Diphtheria

· · ·

Carried forward

T11

105.

---

5,341

7,724|

162

786 1,117

342

1,459

109

Detailed

Inter-

mediate

List

TABLE 48-Contd.

Discharges

Deaths

Number

List

Cause groups

1965

Number

Govern-

rent

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Gover-

ment

Hospitals

Govern

ment

Assisted

Hospitals

Whole Colony

Male Female

Sex Un-

known

Total

A 16

033

Whooping cough.

A 17

034

Brought forward

Streptococcal sore throat and

scarlet fever

5,341 7,724 162 786 1,117 342

نيا

1,459

A 18

035

Erysipelas

+++

---

...

A 19

036

A 20

037

A 21(2)

005

(6)

038

Meningococcal infection

Tetanus

Food poisoning (bacterial) Septicaemia

ONNNER

(c)

007,

021,

024-027,

Other bacterial diseases

---

031,

039

A 22

040-043

Acute poliomyelitis

A 23

044

Late effects of acute poliomyelitis

A 24

050

Smallpox

---

J--

A 25

055

Measles

124

265

409

---

+44

LLT

A 26

060

Yellow fever

A 27(a)

990

062

063

064

(d)

065

A 28

070

Mosquito-borne viral encephalitis

Tick-borne viral encephalitis Viral encephalitis 'transmitted' by other arthropods Viral encephalitis unspecified Infectious hepatitis

Carried forward

---

TTT

---

617

266

6,736 8,562

265

815 1,203

408

1,611

110

TABLE 48-Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

List

Number

1965

Revision

Cause groups

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Deaths

Whole Colony

Male

Female

[Sex Un-

known

Total

6,736 8,362 265 815 1,203

408

1,611

Brought forward

---

זוז

A 29(a)

052

Chickenpox

161

+++

(6)

061

Dengue

A 29(c)

045, 046,

051,

053, 054,

Other viral diseases

269

355

056, 057,

+++

066-068,

11]

071-079

A 30(a)

080

(5)

081

Other typhus

(c)

082

Epidemic louse-borne typhus

Tick-borne rickettsiosis

---

(d)

083

Other rickettsiosis

| |

...

A 31

084

Malaria

A 32

086, 087

Trypanosomiasis

---

A 33

088

Relapsing fever

---

+++

A 34

090

Congenital syphilis

---

A 35

091

A 36

094

A 37

092, 093,

095-097

A 38

098

A 39(a)

120.0

Early syphilis, symptomatic

Syphilis of central nervous system

} Other syphilis

Gonococcal infections

Schistosomiasis vesical (S. haematobium)

Carried forward

---

+++

---

7,284

...

8,986:

281

818 1,223 410

1,633

TABLE 48 Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

List

Cause groups

1965

Number

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Sex Uo-

Male

Female

Tola!

known

+++

7,284 8,986 281 818 1,223

410

1,633

(b)

120.1

(S. mansoni)

(c)

120.2

(S. japonicum)

Brought forward

Schistosomiasis intestinal

Schistosomiasis pulomnary

++1

For

+++

(d)

120.3,

120.8,

Other and unspecified schistosomiasis

120.9

---

112

A 40

122

Hydatidosis

---

A 41

125

Filarial infection

ILL

A 42

126

Ancylostomiasis

Nul

---

A 43

121, 123,

124,

Other helminthiases

127-129

A 44(a)

100

Leptospirosis

---

(b)

102

Yaws

111

Irt

+++

(c)

110

Dermatophytosis

| | |

---

(A)

085, 089,

099, 101,

103, 104,

All other infective and parasitic discases

184

111-117,

130-136

LII

A 45

140-149

Malignant neoplasm of buccal

cavity and pharynx

736

3.62

111

246 326 137

463

+++

Carried forward

8,096

096

9,559|

392

064 1,064 1,549

547

2,096

Detailed

Inter-

List

TABLE 48-Contd.

Discharges

Deaths

mediate

Number

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Whole Colony

Hospitals

ment

Assisted

Hospitals

[Sex Uc-

Male Female

Total

known

A 46

A 47

150

151

A 48

152, 153

A 49

154

A 50

161

A 51

162

A 52

170

A 53

172, 173

A 54

174

A 55

180

A 56

181, 182

A 57

185

A 58(a)

155

(b)

156-160,

163, 171,

183, 184,

Brought forward

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

Malignant neoplasm of rectum and rectosigmoid junction Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and jung Malignant neoplasm of bone Malignant neoplasm of skin Malignant neoplasm of breast Malignant neoplasm of cervix

uteri

TIT

+++

Other malignant neoplasm of uterus

ггг

+10

Malignant neoplasm of prostate Malignant neoplasm of liver and intrahepatic bile ducts, specified as primary

ITI

Malignant neoplasm of other and unspecified sites...

8,096 9,559 392 1,064) 1,549

5471

2,096

291

128

277

200

215

204

132

117

440

403

---

96!

3761

688

152

-P+

No £ Netê AB & §I

INCO EN ~ 28

148

203

154,

221

139

360

416

ཋ སྱཱ! ༷༠%

981

179

114

نیا

467, 319

786

159

301

141

18!

4: 14

248

161:

198

2731 503

132

635

---

845

414

142

251 270 334

604

186-199

Carried forward

+++

---

12,146 11,826 1,153

2,531 3,376 2,012

5,388

113

Detailed

Inter-

mediate

List

TABLE 48-Contd.

Discharges

Deaths

Number

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Deaths

Whole Colony

Malc

Female

Sex Un-1

known

Total

Brought forward

+++

12,146 11,826 1,153 2,531 3,376 2,012

5,388

A 59

204-207

Leukaemia

118

124

---

A 60

200-203,

208 209

Other neoplasms of lymphatic andĮ haemotopoietic tissue

130

221

ILL

A 61

210-239

Benign neoplasms and neoplasms

of unspecified nature

2,016

1,431

A 62

240, 241

Non-toxic goitre

169

124

TTT

A 63

242

Thyrotoxicosis with or without

goitre

392

193

+++

A 64

250

Diabetes mellitus

730:

445

167

---

A 65

260-269

Avitaminoses and other

nutritional deficiency

Lot

A 66

243-246,

Other endocrine and metabolic

251-258,

diseases

318

176

270-279

A 67(a)

280

Iron deficiency anaemias

LLL

(b)

281

(c)

282-285

A 68

286-289

A 69

290-299

Psychoses

A 70

300-309

Other deficiency including

pernicious anaemias

Other anaemias

Other diseases of blood and

blood-forming organs

Neuroses, personality disorders and other non-psychotic mental disorders

Carried forward

9771

252

25. 34

---

296

143

...

TIL

---

2,853

LA CA

نيات

NO ON

भ

8- 18 ==

+++

5,575

270

25,842 15,079 1,333 2,673 3,653 2,280

5,933

114

Detailed

Inter-

mediate

List

TABLE 48-Contd.

Discharges

Deaths

Number

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern

ment

Assisted

Whole Colony

Hospitals

Male Female

|Sex Un-

known

Total

Brought forward

25,842 15,079 1,333 2,673 3,653 2,280

5,933

A 71

310-315

Mental retardation

---

بیا

A 72

320

Meningitis (excluding all

meningitis between 000-136)

176

A 73

340

Multiple sclerosis

---

A 74

345

Epilepsy

876

270

+++

---

MNO

53 39

A 75

360-369

Inflammatory diseases of eye

+++

A 76

374

Cataract

354

107

---

...

ייז

A 77

375

Glaucoma

וזז

---

A 78

381-383

A 79(a)

370-373,

Otitis media and mastoiditis

All other diseases and conditions

152

376-379

of eye

274

---

(b)

321-333,

341-344.

346-358,

All other diseases of the nervous

380,

system and sense organs

917

496

384-389

A 80

390-392

Active rheumatic fever

553

160

---

A 81

393-398

Chronic rheumatic heart disease...

833

335

107

166

273

A 82

400-404

Hypertensive disease

979

1,134

371

125

374

388

762

A 83

410-414

Ischaemic heart disease

615

260

184

160 526

473

999

A 84

420-429

Other forms of heart disease

1,521

1,298

333

639 523 555

1,078

...

A 85

430-438

Cerebrovascular disease

---

1,345

1,090

902

900 927 879

1,806

Carried forward

...

34,659 20,596

20,596

2,944

4,612 6,239 4,836

11,075

115

TABLE 48-Contd.

Brought forward

A 86

440-448

Diseases of arteries, arterioles and capillaries

A 87

450-453

Venous thrombosis and embolism]

A 88

454-458

Other diseases of circulatory

system

ILL

A 89(a)

460-465

Acute upper respiratory infections

(b)

466

Acute bronchitis and bronchiolitis

470-474

Influenza

---

480

A 92(a)

481

()

482-486

A 93(a)

490-491

(b)

A 94

492-493

500

adenoids

A 95

510, 513

A 96(a)

515

(b)

501-508,

511, 512,

514,

$16-519

+++

Viral pneumonia

Pneumococcal pneumonia Other pneumonia including bronchopneumonia

Bronchitis, chronic and unqualified

---

Emphysema and asthma Hypertrophy of tonsils and

---

Emphyema and abscess of lung Pneumoconiosis

Other diseases of respiratory system

Detailed

Inter-

mediate

List

Discharges

Deaths

List

Number

1965

Cause groups

Number

Gover-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

Deaths

Whole Colony

ment

[

Hospitals

Tent

Assisted

Hospitals

Male Female

|Sex Un-

known

Total

34,659 20,596| 2,944 4,612 6,239 4,836

11,075

139 143

282

28극

A 90

A 91

HON ON-

****

187

166

865

1,038

1,799

2,656

187

216)

192

106

223

213

4,299

3,321

801

625

1,322

ггг

1,731

1,215

||ཀླུའ

862

960)

967

1,927

133

303

163

466

300, 160

460

426

334

162

901

2,052

1,232

69 86 45

131

Carried forward

...

---

47,464 32,567 3,975

5,859 8,113 6,367|

14,480

116

TABLE 48 Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govem-

Meni

Assisted

Hospitals

Govern-

10200

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male

Female

1Sex Un-l

known

Total

Brought forward

Diseases of teeth and supporting

47,464 32,567| 3,975 5,859 8,113 6,367

14,480

A 97

520-525

structures

407

---

A 98(a)

531

Ulcer of stomach

ILL

1,481

287

(b)

532

Ulcer of duodenum

538

583

+11

---

1548

(c)

533

117

A 99

535

A100

540-543

Peptic ulcer, site unspecified (excluding gastrojejunal ulcer, 534)

---

Gastritis and duodenitis

Appendicitiş

LII

---

1,855

1,868

463

6571

---

4,375

2,040,

A101

550-553,

Intestinal obstruction and hernia.

560

1,921,

1,046

45. 23

A102

571

Cirrhosis of liver

6771

273

109

157

284

TII

A103

574, 575

Cholelithiasis and cholecystitis

2,741

1,430

52]

NXN

370

168

ཉྩཨཔྤ ུ བྷུ་ྱོ

A104

526-530,

534, 536,

537,

561-570,

Other diseases of digestive system

4,275

1,881

207

721

158!

127

285

572, 573,

576, 577

A105

580

A106

581-584

A107

590

Acute nephritis

Other nephritis and nephrosis Infections of kidney

598

279

600

311;

153

128

281

156

96:

43!

---

A108

592, 594

Calculus of urinary system

816

440

8 11

+++

Carried forward

...

68,367 43,810) 4,458

8139,04 6,313 9,041 6,927

15,968

A109

600

A110

610, 611

All(a)

603

(b)

626

(4)

591,593,

595-599,

601, 602,

604-607,

Detailed

Inter-

mediate:

List

TABLE 48-Contd.

Discharges

Number

List

Cause groups

1965

Number

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Deaths

Govern

Deaths

Govern-

Whole Colony

ment

Hospitals

ment

Assisted

Hospitals

Male Female

Sex Un-

known

Total

Brought forward

Hyperplasia of prostate

Diseases of breast

Hydrocele

117

1541

+++

---

120

---

273

---

184

---

1,042

1,647

Disorders of menstruation

Other diseases of genito-urinary system

---

68,367 43,810) 4,458 6,313 9,041 6,927

15,968

3,856

3,540

101

27 20:

612-625,

627-629

A112

636-639

Toxaemias of pregnancy and the puerperium

456

535

➖ ➖ ➖

A113

632.

651-653

Haemorrhage of pregnancy and childbirth

685

833

A[14

640, 641

A115

642-645

A116

670, 671

Abortion induced for legal

indications

- - -

Other and unspecified abortion Sepsis of childbirth and the

3,181

3,702

673

puerperium

A117

630, 631,

633-635,

654-662,

672,

Other complications of pregnancy, childbirth and the puerperium

6,047

3,650

674-678

Carried forward

84,160 58,208

4,476|

6,350 9,077 6,966

16,043

118

Detailed

Inter-

TABLE 48- Contd.

Discharges

Deaths

List

mediate

Number

List

Cause groups

Gover-

Govern

Govern-

1965

Number

ment

Revision

Hospitals Hospitala

ment

Assisted

ment

Hospitals!

Govern

ment

Assisted

Hospitals

Deaths

Whole Colony

Male Female

Sex Un-

known

Total

16,043

A118

650

A119

680-686

A120(6)

707

(b)

690-706,

708, 709

A121

710-715

A122

716-718

A123

720

Osteomyelitis and periostitis

A124

727,

Ankylosis and acquired

735-738

musculoskeletal deformities

130

A125

721-726,

728-734

Other diseases of musculoskeletal system and connective tissue

936

---

A126

741

---

A127

746

371

A128

747

...

A129

749

145

Brought forward

Delivery without mention of complication

---

Infection of skin and

subcutaneous tissue

Chronic ulcer of skin

84,160 58,208 4,476

14,455 23,727||

+++

1,620

901!

100

114

779

463

---

Other diseases of skin and

subcutaneous tissue

---

Arthritis and spondylitis Non-articular rheumatism and

rheumatism unspecified

Spina bifida

Congenital anomalies of heart Other congenital anomalies of circulatory system Cleft palate and cleft lip

171

2. Evt a xa **

6,350 9,077 6,966

6,350

نيا اليا

لنا

نيا

A130

740,

742-745,

748,

All other congenital anomalies

488

458

ŭ in ånw

பு5

169

142

750-759

Carried forward

LEF

103,910 85,324 4,566

6,4259,265 6,425 9,265 7,146

2 16,413

119

TABLE 48-Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

Cause groups

List

Number Revision

1965

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male Female

*Sex Un-

known i

Total

A131

A132

A133

A134

A135

760-763,

120

769, 773,

777-779

A136

794

A137

780-793,

764-768,

772

770, 771

774, 775

776

Brought forward

} Birth injury and difficult labour Conditions of placenta and cord Haemolytic disease of newborn Anoxic and hypoxic conditions not elsewhere classified...

Other causes of perinatal morbidity and mortality

Senility without mention of

psychosis.

---

Symptoms, and other ill-defined

103,910, 85,324 4,566 6,425

6,425 9,265 7,146

2.16,413

12!

2,437

684

121

1,140

828

177

271

165

436

201

666

603

309

599

908

1795, 796

condition

9,953

---

4,564

333

298

568

487

...

1 1,056

AE140 E850-E877 AE141 E880-E887 AE142 E890-E899 AE143 E910

AE144

AE138 ¡E810-E823 AE139 E800-E807,

E825-E845

Other transport accidents

Accidental poisoning Accidental falls

Motor vehicle accidents

3,941

843

171

211

123

334

495

1,341

---

тти

---

7,252

1,935

Accidents caused by fires

301

152

96 42

9 28 15

**2

ཐབྷཱཝ

138

E922

Accidental drowning and

submersion

Accident caused by firearm missiles

168

209 84

295

---

Carried forward

... 131,052

131,052 95,229| 5,392

7,623,11,132] 8,786

519,923

Detailed

Inter-

mediate

TABLE 48-Contd.

Discharges

Deaths

List

Number

List

Number

Cause groups

Gover-

Govern-

Govero-

Govern-

Deaths

Whole Colony

1965

Revision

ment

Hospitals

meat

Assisted

Hospitals

ment

Hospitals

ment

Assisted

Hospitals

Male Female

Sex Un-i

known

Total

AE145

(0) E924

Brought forward

Accident caused by hot substance,!

131,052 95,229 5,392

7,623,11,132| 8,786

5|19,923

corrosive liquid, and steam

1,528 337

E923,

E925-E928

(b) E916-E921,

Accidents mainly of industrial

type

---

6,923

876

AE146

(a)

E905

Bites and stings of venomous

animals and insects

121

(b)

E906

(c)| E914

331

(d)] E915 (e) E900-E904, E906-E909, E911-E913. E929-E949 AE147 E950-E959 AE148 E960-E978

AE149E980-E989

AE150 E990-E999

Other accidents caused by animals Foreign body accidentally entering

eye and adnexa

Foreign body entering other orifice

All other accidents

Injury undetermined whether

accidentally or purposely inflicted

- - -

Injury resulting from operation

578

225

174

2,491

1,369

33:

131

Suicide and self inflicted injury Homicide and injury purposely inflicted by other persons; legal intervention

494

122

310

230)

540

1,587

397

---

125

200

2. 45 24

of war

---

}

..ז

---

+++

GRAND TOTAL

145,170 98,748) 5,467

98,748

7,669 11,666 9,092

5.20,763

122

TABLE 48-Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

1965

Revision

Cause groups

Govem-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

Gover-

ment

Deaths

Whole Colony

Hospitals

ment

Assisted

Hospitals

Male Female

Sex Un-

known

Total

AN138 N800-N804 AN139 N805-N809 AN140 N810-N829 AN141 N830-N839.

Fracture of skull

338

125

275

141

416

---

Fracture of spine and trunk Fracture of limbs

621

126

64 31

---

4,097

1,460

Dislocation without fracture

246

AN142 N840-N848

Sprains and strains of joints and

adjacent muscles

531

AN143 |N850-N854

Intracranial injury (excluding

skull fracture)

8,956

683

117

110

178

སྒྲ|

AN144 N860-N869 Internal injury of chest, abdomen

and pelvis

121

33;

121

163

AN145N870-N907

AN146 N910-N929

Laceration and open wound Superficial injury, contusion and crushing with intact skin surface

6,854

1,509

1,078

1,397

AN147 N930-N939

AN148 N940-N949 AN149 N960-N989|

AN150 N950-N959 N990-N999

Foreign body entering through orifice

---

TTG

1,236

181

Burn

---

1,589

549

34 18

Adverse effects of chemical substances

2,016

295

166

} All

All other and unspecified effects

of external causes

383

248

370

202

574

- TT

TOTAL

27,622|

6,646

373

126 1,111

604

2 1,717

TABLE 49

HOSPITAL COSTING 1969-70 AND 1970-71

1969-70

1970-71

Unit

No. of

beds

in-patient admissions

Total

cost

Cost per

bed

Cost per in-patient

No. of

beds

No. of

in-patient admissions

Total

cost+

Cost per

bed

in-patient

123

Castle Peak Hospital (Psychiatric Service)

...

Kowloon Hospital (Tuberculosis and Convalescent)

1,242*

3,625

...

14,415,218 | 11,606.46

3,976.61

1,242. 3,494

15,867,956 12,776.13; 4,541.49

500

7,095

10,506,221

1.480.79 21,012.44

500

7.379

10,903,719 21,807.441

1,477.67

Lai Chi Kok Hospital (Infec- tious and Convalescent)

492

5,589

6,613,110 23,441.28

1,183.24 492

LLL

5,180

6,549,537 | 13,322.07!

1,264.39

Queen Elizabeth Hospital (Acute and General) ...

1,525

75,596

53,957,478 35,381.95

713.76 1,596

81,095

54,833,194 34,356.64 676.16

...

Queen Mary Hospital (Acute, General and Teaching)

1.076

ггг

32,433

29,943,931 27,828,93

923.25 1,062

34,059

36,221,625 34,106.99 1,063.50

Tsan Yuk Hospital (Maternity & Teaching)

241

---

7,336 4,784,055

19,850.85

652.13

241

7,980

5,125,435 21,267,37; 642.28

Additional temporary beds were provided which resulted in an average bed occupancy rate for 1969-70 and 1970-71 of 39% and 36% respectively over the official number of beds in the hospital. The cost per bed per annum calculated on this basis reduces therefore to $8,356.65 (1969-70) and $9,372.69 (1970-71).

† The number of functional beds was 1,893 and the cost per functional bed per annum reduces to $28,96

The total cost per institution is inclusive of all ancillary and out-patient services.

TABLE 50

WORK OF THE QUEEN MARY HOSPITAL 1969-70

1969

1970

Total number of In-patients Discharged

29,294

31,684

Total number of Deaths

ттг

---

FIT

---

ог г

1,687

1,890

Total number of In-patients Treated

+++

JIL

30,981

33,574

Total Attendances at Casualty

FIL

42,509

44,886

Total Out-patient Attendances at Specialist Clinics

13,164

17,566

---

Total number of Operations (Excluding Minor

Operations)

Average Length of Stay

Mortality (% of total In-patients Treated)

12,615

16,823

9.2

9.7

5.4

5.6

TABLE 51

WORK OF THE QUEEN ELIZABETH HOSPITAL 1969-70

Total number of In-patients Discharged

Total number of Deaths...

Total number of In-patients Treated

---

Total Attendances at Casualty

+ TT

Total Out-patient Attendances at Specialist Clinics

Operations:

Casualty Department Operating Theatre Suites

+++

Specialist Clinics

Total

Average Length of Stay

---

Mortality (% of total In-patients Treated)

124

1969

1970

74,549

76,606

IPT

3,068

3,219

---

77,617

79,825

***

149,351

157,336

264,047

276,236

22,405

20,441

20,607

20,676

---

2,489

2,656

45,501

43,773

6.8

6.7

4.0

TABLE 52

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1970

A. TRAUMATIC Cases

First Attendance

Admissions

Cause

Cases

Assault Traffic Industrial

+++

6,306

13.0

2,256

12.5

5,821

12.0

2,101

11.7

+++

111

15,584

32.2

5,780

32.1

Domestic Animal Bite

---

PIL

---

13,826

28.5

5,353

29.7

2,903

6.0

Sport Other

---

1,055

2.2

LET

2,979

6.1

ON-

1,063

5.9

370

2.1

1,076

6.0

Total

---

48,474

100.0 17,999

100.0

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

=30.8%

-30.2%

Infectious Tuberculosis

---

　　　　Medica! Surgical Obstetrical Gynaecology Paediatric Psychiatric Other

Cause

++4

-- ·

+++

---

B. NON-TRaumatic Cases

First Attendance

Admissions

Cases

3,352

3.1

1,072

2.6

4,139

3.8

1,231

3.0

30,998

28.5

12,155

29.2

22,793

20.9

8,094

19.4

---

2,261

2.1

1.581

3.8

5.399

5.0

---

3,149

7.6

+++

---

24,889

22.8

9,148

22.0

1,185

1.1

13,846

12.7

+++

5,153

12.4

Total

LLL

108,862

100.0

41,583

100.0

　　Non-traumatic attendances as a percentage of total attendances at Casualty-69,2% Non-traumatic admissions as a percentage of total admissions from Casualty=69.8

125

TABLE 53

WORK OF THE TANG SHIU KIN HOSPITAL 1969-70

1969*

1970

Total number of In-patients Discharged

---

2,972

4,392

Total number of Deaths

---

Total number of In-patients Treated

Total Attendances at Casualty

Total General Out-patient Attendances

Total number of Operations...

Average Length of Stay

2,999

4,430

29,118

49,500

56,571

115,025

4,495

7,160

1.8

3.5

---

Mortality (% of total In-patients Treated)...

0,9

0.9

• Figures from April to December 1969.

TABLE 54

WORK OF TSAN YUK HOSPITAL 1969-70

Total Admissions:

Special Care Babies Maternity

Total infants born

---

ד..

1969

1970

2,362

1,971

7,042

7,794

5,926

5,920

11.64

9.96

9.61

8.45

0,33

огг

+++

22.97%

28.23%

...

LII

5,194 29,163

4,743

31,315

rrr

IF T

3,065

3,101

-г г

3,438

3,625

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:

New Total

---

Post-natal Out-patient Attendances:

New Total

---

+++

+1.

126

TABLE 55

WORK OF CASTLE PEAK HOSPITAL 1970

Patients in hospital on 1st January, 1970...

Patients admitted: First admissions

Re-admissions

Total admissions

---

Patients discharged

+++

Patients transferred

ייי

...

---

Deaths

---

Total discharges

---

Patients remaining on 31st December, 1970

Male Female

Total

1.116

5821

1.698

863

603

1,466

1,144

790

ILL

1,934

2,007

1,393

3,400

1,864

1,275

3,139

140

2,004

1,366

3,370

1,119

609

1,728

TABLE 56

WORKS OF DAY HOSPITALS AND PSYCHIATRIC CENTRES 1970

HONG KONG PSYCHIATRIC DAY HOSPITAL

Patients attending on 1st January, 1970

Admissions Discharges

---

Patients attending on 31st December, 1970

Male Female Total

---

T17

155

---

168

---

YAU MA TEI PSYCHIATRIC DAY HOSPITAL

Patients attending on 1st January, 1970

Male

Female Total

143

106

249

+++

ILL

+++

140

100

240

Admissions Discharges

---

+11

ггг

---

Patients attending on 31st December, 1970

+++

ATTENDANCES AT PSYCHIATRIC CENTRES

New Repeated Total

Hong Kong Psychiatric Centre

---

...

---

1,118 27,168 28,286

Queen Elizabeth Hospital, Psychiatric Clinic

155 1,479 1,634

Tsuen Wan Psychiatric Clinic

124

---

2,127

2,251

Yau Ma Tei Psychiatric Centre

---

1,493

43,207

44,700

Violet Peel Psychiatric Sunday Clinic

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

TOTAL

1,905

2,122

2,890

78,008

80,898

127

TABLE 57

NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED

HOSPITALS AND CLINICS 1970

General Chines

Special Clinics

Social

General

Casu-

alty

General!

Child

Health

Ante- Posi- Natal Natal

E.N.T.

Eye

Tuber- Psychi- culosis atry

Derma- Leprosy Hygi- !' tology!

Total

ene

Government-assisted

Institutions;

Grantham Hospital

128

Tung Wah Hospital

HÙNG KONG

Government Institutions

Alice Ho Miu Ling Nethersole Hospital

Duchess of Kent Children's

Orthop. Hospital &

Convalescent Home

Rulonjee Sanatorium

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

KOWLOON

Government Enstitutions Government-assisted Institutions:

Caritas Medical Centre H.K. Buddhist Hospital Kwong Wah Hospital Our Lady of Maryknoll Hospital

TOTAL (Kowloon)

NEW TERRITORIES

Government Institutions

Government-assisted

400

635,903 97,941 17,764

29,182

9,2351 5,419 25,38L 5,829

15,537

1,118 101, 17,756 7,627 868,793

400, 5,713! 14,936!

931 3,757

3,757 2,492

160

28,549

---

265

361

178

ггг

FFF

18,307

13,854

1,066'

TOS. 668,550 103,654 34,736

997

511 1,372;

473

170.

22,436

961;

30,113' 14,950

1,072,690|| 164,478 27,305

204 313 471. 8,166 27,226, 6,773. 56,691 14,182 7,582 49,881

16,589

L6,022 1,118

LOL 17,756

7,787 936,952

6.443

21,401 1,648)

426 11,676 7,157 1,441,560

[5,571

12,055

3,019 62,256 88,221, 12,914,

158.

1,272 2,005 997! 995 1,843* 47 15,042 8,606 1,724 2,153

897,

36,332

3,224

190,916

ггг

---

7,876! 1,161,234,252,877 56,549|

4,117,

1,580 2,441! 262 248 59,543: 33,640 17,185 52,862|| 10,734|

324,

16,890

22,422

1,648:

427 11,676

8,125| 1,688,922

---

433,024 26,860

15,277 9,847! 665

8,242❘ 704

6,271)

3,974

80! 505,089

Institutions:

Pok Oi Hospital

---

28,410 919

Rennie's Mill Church Clinic

1,388

TOTAL (New Territories)

462,822 27,779

TOTAL (GOVERNMENT INSTITUTIONS) 2,141,617 289,279, 45,078 TOTAL (GOVT.-ASSISTED INST.) 151,167 94,853| 46,216| GRAND TOTAL (Colony) 2,292,784 384,132 91,294

---

1,051

93 691 [5,370 10,967| 767 8,242 704 101,150 33,264 13,666 83,504| 12,976 3,876 26,293 12,472 4,826 5,235: 105,026 59,557| 26,138 B&,230 18,211

122

30,502

6,279

43,209

1,514

44,723

1,558

136

2,902

3,974 $27 33,406 14,864 2,815,442 1,128 347,581 2,9021 528 33,406 15,992 3,163,023

80. 537.149

TABLE 58

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED

HOSPITALS AND CLINICS 1970

HONG KONG

Government Institutions

Government-assisted

Institutions:

Alice Họ Miu Ling Nethersole Hospital

ILI

LII

Duchess of Kent Children's

Orthop. Hospital & Convalescent Home

General Clinics

Special Clinics

General

+++

Casu-

alty

1,198,949, 102,2551 126,765]

General

Child Ante- Posi- Health Natal Natal

Eye E.N.T.

Tuber- Psychi- hi-Lep culosis atry

Social Leprosy| Hygi-

Derma- Total tology

CNC

327,861 57,950| 6,603) 66,819) 16,432)

507,578, 30,191] 8,274 119,231 19,701 2,588,609

5,516 5,713 63,360

2,666 25,689 2,492 730

521

1,560

603 106,769

(749

2,255

Grantham Hospital

LII

---

Rultonjee Sanatorium

Tung Wah Hospital

---

Tung Wah Eastern Hospital

---

3911

591

8,919,

8,919

TOTAL (Hong Kong)

59,127. 9,815

31,200 4,983: 1,295,313107,968 206,483,

5,108 261 4,920, 2,964,

2,298

84,493

4,543 2151 922 1,854

2,623!

46,340

330,527. 93,290 9,571) 73,391 21,250

KOWLOON

Government Institutions

Government-assisted

1,905.170 164,478 208,511 542,328 81,

322,1831 30,191 8,274 119,231) 20,304 2,837,976 542,328 81,280 10,411 153,807 21,111 1,005,269 48,456 18,041 83,403 21,273 4,263,538

LIDI

58,678'

6,036' 171,211 88,22

48,589,

286,

78,301

38,312,

21.112

2,179,407 252,699356,799,

---

908,899, 26,860

146

50,809 919 15,135

4,218

577 458

118,871 61,524

Institutions:

Caritas Medical Centre H.K. Buddhist Hospital Kwong Wah Hospital Our Lady of Maryknoll Hospital

TOTAL (Kowloon)

NEW TERRITORIES

Government Institutions

Government-assisted Institutions:

Pok Of Hospital

Rennie's Mill Church Clinic ... TOTAL (New Territories) TOTAL (GOVERNMENT INSTITUTIONS) TOTAL (Govt.-ASSISTED INST.) GRAND TOTAL (Colony)

974,843 27,779 146. 4,013,018 293,593, 335,422 436,545 94,853 228,006 4,449,563, 388,446 563,428

994 11,685 108. 1,438,036 988,483 196,078 17,693 240,773. 39,848, 1,727,930. 80,914 27,309, 214,319 41,082, 8,216,464 11,007: 152,749 15,727 15,942. 18,639, 67,679 | 4,756 1,045,904 999,490 348,827 33,422.256,715 58.487 1,795,609 80,914 27,310 214,319 45,838 9,262,368

1,329 16,530 1,462 2,990 4,343

51,[12

4,022 189,055

73;

83,779; 9,479, 5,882

8,788

6,395

455,661

6,435, 12,424) 1,310 498

617

867

13||

81,707

118,294, 36,845" 681 20,147 2,305 [15,083 2,267

550,092 194,013,] 22,662 163,177 34,932 1,057,248 48,456 18,042 83,403 25,426| 4,986,356 994 11,685|

108 1,364,317

168;

340

1,095

56,114

17,605

1,189 20,147, 2,305 216,178

2,267

129

TABLE 59

NEW TERRITORIES CLINICS, 1970

Out-patient Attendances

Dispensaries

New Attendances

Total Attendances

Maternity

Cases

General

Special Total

General Special Total

Castle Peak Clinic

Chee Hong Floating Clinic Chee Wan Floating Clinic Helicopter Medical Service Ho Tung...

31,243;

2,900, 34,143

61,790

15,670

77,460

685

---

4,825

6,085

· · ·

T11

8,377

11,635

1,564

1,564)

1,564!

1,564:

| 1 |

+++

-tr

LL+

3,817

647

4,464|

8,726,

1,453

10,179|

151

Kam Tin...

---

5,755

728-

6,483

10,116

5,113!

15,229

153

Lady Trench Polyclinic..

ILI

73,119

7,338

80,457

212,648

48,678

261,326

Maurine Grantham M.C.H. Centre.

9,448

77,979;

77,979

1,898

North Lamma

-- L

...

---

4,884

50)

4,934

11,527)

219

11,746

Peng Chau

5,113

473

5,586

7,635

1,426

9,061

Sai Kung

г..

31,519

TII

---

1,524

33,043

57,887

10,441

68,328'

323

Sai Kung Travelling

+++

4,769

4,769,

Sha Tau Kok

7,586

4531

+ TT

TTO

rrr

8,039;

11,269

3,153

14,422,

Sha Tin

---

15,257

1,252|

16,509

20,836

13,164❘

34,000

474

Shek Wu Hui

..ז

+++

54,612

6,432

61,044

104,071

34,726

138,797

1,592

Silver Mine Bay.

---

--L

5,988

6,051

7,677

3291

8,006

Tai O

17,209

267

17,476

46,813

682

47,495

166

Tai O Travelling

360

---

Tai Po

---

31,889

3,920

35,809

59,305

23,673

82,978

954

Tai Po Travelling

+++

2,326

Yuen Long

TII

39,812

7,085

46,897

83,908

44,951

128,859

1,142

TOTAL

...

349,687

42,580

392,267

730,947

281,657 1,012,604

7,734

130

TABLE 60

WORK OF RADIODIAGNOSTIC BRANCH 1970

Centres

Hong Kong Island

1. H.M. Prison Victoria

2. Medical Examination Board

3. Mobile Mass Radiography Unit No. 1

4. Queen Mary Hospital

5. Sai Ying Pun Chest Clinic 6. Sai Ying Pun Polyclinic...

7. Shau Kei Wan Chest Clinic

8. Tang Shiu Kin Hospital...

---

9. Tang Shiu Kin X-ray Survey Centre 10. Tsan Yuk Hospital

11. Tung Wah Hospital

12. Sandy Bay Convalescent Hospital

13. Tung Wah Eastern Hospital

14. Wan Chai Chest Clinic...

Total

ггт

Examinations

+++

12,082

21,093

---

38,076

---

+++

80,312

---

25,214

---

LII

26,632

15,588

---

22,197

+++

40,801

8,019

404

TII

---

+ Tr

++1

34,673

325,156

Kowloon and New Territories

1. Castle Peak Hospital 2. Kowloon Chest Clinic

3. Kowloon Hospital 4. Lai Chi Kok Hospital

---

TII

---

FFF

+10

---

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

---

ז ז ז

---

+++

---

...

10. Yau Ma Tei X-ray Survey Centre

---

-10

4.151 63,876 13,991

---

+TI

1,266 51,792

---

+++

2,002 168,668

---

42,369

---

LIE

32,577

40,286

---

+++

Total

г гт

420,978

---

GRAND TOTAL (WHOLE COLONY)...

...

746,134

131

TABLE 61

RADIOTHERAPEUTIC DIVISION

A. RADIOTHERAPY

1970

---

3,047

1,837

1,210

2,325

1,611

714

522

New Patients seen

New Patients with malignant disease seen... New Patients with non-malignant disease seen Total Patients with malignant disease treated

New Patients treated

Old Patients treated

Patients with non-malignant disease treated

---

ГГГ

---

ILT

Diagnosis Traces

1-131 Uptake Test T-3 Triosorb Test

Therapy

Hyperthyroidism... Thyroid Carcinoma

Phospherus-32

Scanning

I-131 Neck

1-131 Whole body

Sr-85 Skeleton

+44

B. RADIOISOTOPES

---

Q.E.H. Q.M.H.

706

904

---

ILL

JLL

---

1,221

1,422

---

+++

159

270

709

---

TTT

...

+++

664

...

---

LIF

+++

· +

-- J

In-113m Liver and Spleen

In-113m Brain

In-113m Kidney

In-113m Lung

HTT

In-113m Placenta...

In-113m Peritoneum

132

TABLE 62

WORK OF THE OPHTHALMIC SERVICE 1969 AND 1970

1969

1970

New Out-patient at tendances...

86,452

82,810

Total Out-patient attendances

235,170

239,175

Operations performed...

יז+

1,785

י ז ז

2,036

Operations classed as sight-restoring (included in above)

1,251

1,300

Home visits by Health Visitors

HTT

---

1,958

1,969

TABLE 63

ANALYSIS OF MAJOR CAUSES OF BLINDNESS

(EXPRESSED AS PERCENTAGE OF BLIND CASES)

TOTAL INCIDENCE 1969 AND 1970

Causes

1969

1970

Keratomalacia...

Senile cataract...

Trachoma

Glaucoma

---

ILL

---

T10

+++

---

+++

Injuries (all types)

Syphilis...

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

---

Degenerative diseases... Neoplasms

---

IIL

---

TII

---

IIT

་་-

---

5.8

-10

31.3

9.5

8.5

12.7

22.6

4.5

---

0.9 4

0.4

2.2

16.1

19.1

---

16.4

INCIDENCE IN CHILDREN UNDER 15 YEARS OF AGE 1969 AND 1970

Causes

1969*

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

Neoplasms

1970+

5.9

110

L++

---

64.7

---

+++

23.5

יוז

FIF

+++

---

5.9

2881

+++

-P+

• Total Cases: 17.

* Total Cases: 10.

133

TABLE 64

PHARMACEUTICAL SERVICES

BULK PHARMACEUTICAL Centres

Store and Bulk Manufacture

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

Sterile Preparation Centres

Queen Mary Hospital

Queen Elizabeth Hospital

Cost of Drugs and Dressings

Cost of Instruments, Medical and Surgical Equipment

1969

1970

1969

1970

Queen Mary Hospital Queen Elizabeth Hospital

2,630,560.11, 2,985,051.98 3,669,454.73 3,975,908.17 767,457.75

592,598.42

491,197.92

426,052.59

Sai Ying Pun J.C.C. Violet Peel Polyclinic Q.E.H. Specialist Clinic

1,061,046.61

1,106,662.63

2,646.34

3,283.75

501,618.86

1,167,488.46

521,972,23 1,315,906.63

1,054.73

7.733.33

Other Hospitals and

Clinics...

---

6,928,721.91

7,949,053.66 1,095,435,22 1,602,572,73

TOTAL COST

$15,958,890.68 $17,854,555,30 $2,459,192.46 $2,530,840.32

PHARMACEUTICAL CONTROL 1969 AND 1970

1969

1970

515

511

1,138

1,280

111

Fr+

325

222

244

יד.

3,253

3,529

---

ILL

...

Wholesale Poisons Licences issued Authorized Sellers Licences issued Listed Sellers Licences issued... Dangerous Drugs Licences issued Antibiotics Permits issued

---

Licences for movement of Dangerous Drugs Premises inspected

...

ггт

Prosecutions

---

134

TABLE 65

WORK OF PHYSIOTHERAPY SERVICE 1970

Number of Attendances

Centres

New Patients

Total Attendances

　　　Queen Elizabeth Hospital Queen Mary Hospital... Kowloon Hospital

Lai Chi Kok Hospital...

Kowloon Rehabilitation Centre

Wan Chai Polyclinic

ILL

---

7,053

11,797

5,145

7,566

1,656

3,893

997

- J

2,390

1,495

4,699

---

+++

+40

+++

1,541

4,588

Skin Clinic

Sandy Bay Hospital

---

Tang Shiu Kin Hospital

209

+++

392

949

283

373

brr

+++

Kwun Tong W.R.C.

+++

178

TOTAL

+++

18,628

36,642

TABLE 66

WORK OF OCCUPATIONAL THERAPY SERVICE 1970

Centres

Castle Peak Hospital...

Hong Kong Psychiatric Centre

Kowloon Hospital

+++

Kowloon Jockey Club Rehabilitation Centre

Lai Chi Kok Hospital...

Queen Elizabeth Hospital

Queen Mary Hospital...

Wan Chai Polyclinic

Yau Ma Tei Jockey Club Polyclinic...

TOTAL (Colony)

Patients Treated

Total Attendances

+++

4,615

503,370

192

11,359

+1+1

430

19,581

1,040

15,447

---

1,398

842

urb

14,882

---

2,114

22,964

273

---

5,125

267

++T

12,321

9,830

606,447

135

TABLE 67

WORK OF MEDICAL EXAMINATION BOARD 1969 AND 1970

Government Auxiliary Appointments Defence Units

New examinations.

Re-examinations

Annual Total

Miscellaneous

Total

1969

1970 1969 1970 1969 19

1970

1969 1970

---

7,120 9,956 2,312 2,619 406 472 6.958 6,696 1,672 1,350,

9,838 13,047

8,630 8,046

14,078 16,652, 3,984 3,969 406

472 18,468 21,093

TABLE 68

UNFITNESS OF CANDIDATES BY CAUSES 1960, 1969 AND 1970

(PER 1,000 TOTAL EXAMINATIONS)

Causes

Pulmonary Tuberculosis

Other diseases of the Respiratory System Diseases of the Circulatory System.... Diseases of the Alimentary System.... Diseases of the Skeletal System Diseases of the Genito-urinary System Diseases of the Nervous System Diseases of the Endocrine System Diseases of the Eye

Diseases of the Skin... Other diseases

ווז

All Causes

1960

1969

1970

41.27

6.77

5.61

---

1.84

0.92

0.55

1.06

1.41

1.14

-- J

0.11

0.27

0.18

0.06

0.05

ILL

---

0.33

0.05

0.26

---

0.44

0.05

0.18

-- J

0.39

0.32

0.15

0.22

0.05

0.06

0.04

+++

0.83

0.65

0,41

---

46.61

10.54

8.53

---

TABLE 69

MEDICAL CLINICS REGISTRATION

---

+++

350

---

Number of clinics fully registered at 31st March, 1971 Number of clinics registered with exemption at 31st March, 1971 Number of clinics in respect of which registration was refused during 1970-71 Number of clinics in respect of which registration was cancelled during

1970-71

זז.

TTI

136

I ADLE JU

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS FROM 1966-67 TO 1970-71 (FIGURE IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Institutions

1966-67

1967-68

1968-69

1969-70

1970-71

Alice Ho Miu Ling Nethersole Hospital

LLL

---

2,483,358

2,500,000

2,991,400

3,481,400

3,799,880

(130,200)

British Empire Leprosy Relief Association... Bureau of Hygiene and Tropical Diseases... Caritas Medical Centre

800

гго

гг.

PPP

7,200

1,600

727

1,455

727

3,636

727

3,636

IPL

ז་.

1,824,976

2,000,000

2,568,802

3,429,306

3,700,000

Family Planning Association of Hong Kong Grantham Hospital

--1

тгг

450,000

500,000

740,000

---

777

LLL

4,873,220

4,895,800

4,992,782

5,468,125

5,693,138

Haven of Hope Tuberculosis Sanatorium ...

111

Frr

---

441,500

715,900

$80,000

1,080,000

(150,000)

(26,626)

Hong Kong Anti-Cancer Society

241,188

543,962

558,850

656,000

Hong Kong Anti-Tuberculosis & Thoracic Diseases Association.

1,946,900

ггг

1,900,000

2,021,360

2,363,400

2,300,000

(20,21,2)

(116,900)

(157,800)

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

---

- LI

...

(23,800)

(116,200)

---

117

LLL

100,000

169,890

267,700

273,200

280,000

(13,300)

(38,400)

John F. Kennedy Centre

JIL

---

212,800

400,000

Princess Alexandra Residential School

LLI

---

29,400

31,800

Tsz Wan Shan School

LLL

---

500

6.900

Leprosy Mission, Hong Kong Auxiliary

---

717

гг.

---

700,000

775,000

820,000

800,000

(84,900)

(800)

Hong Kong Buddhist Hospital

Lrr

250,026

---

Oxfam Hostel for Cancer Patients

---

Pok Oi Hospital

-Pr

Rennie's Mill Church Clinic...

London School of Hygiene and Tropical Diseases Our Lady of Maryknoll Hospital

LLL

---

LLL

1,600

387,000

1,600

387,000

1,455

830,922

1,454

870,375

1.454

1,050,000

LII

13,000

650,000

6,500

800,000

---

1,056,000

1,100,000

1,000,000

(496,903)

(25,556)

(23,306)

18,000

---

гг.

24,000

St. John Ambulance Brigade

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

---

80,000

45,000

10,000

5,000

865,000

1,255,700

1,431,800

2,565,800

2,869,726

(194,363)

(108,609)

(26,659)

150,000

584,000

830,807

1,215,858

(24,905)

(36,743)

(32,483)

(11.902)

The Hong Kong Society for Rehabilitation

---

550,000

600,000

700,000

655,000

(40,000)

(2,700)

(1) Administration

Tung Wab and Associated Hospitals

Kwong Wah Hospital

Tung Wab Sandy Bay Convalescent Hospital Wong Tai Sin Infirmary, Phases II & III

United Nations Children's Fund:

(2) Relief Expenses University of Hong Kong

Centenary Block, Tung Wah Hospital

26,226,500

27,268,888

29,161,060

29,641,998

34,891,431

(186,442)

(442,811)

TIL

---

(42,210)

(1,426,338)

(125,833)

---

(50,848)

(74,369)

(1.099,447)

(1,340,726)

(189,837)

8,000

JJJ

PPP

---

LLL

гіг

гго

25,000

790,650

[1,248

31,200

850,000

---

913,750

1,150,000

(10,000)

LLL

Total

---

42,602,704 (2,299,831)

45,165,314

(541,589)

$0,432,975 (1,440,816)

$5,606,978

(17,976)

61.494,576

(1,562,352)

(1,065,717)

137

TABLE 71

WORK OF THE GRANTHAM HOSPITAL 1970

Total Admissions...

Total Discharges

---

ILL

---

Tuberculosis Cases Non-tuberculosis Cases

Deaths

Total Bed-days

---

Surgery-operations performed:

Lung

++-

---

ILL

---

'Open' heart *** 'Closed' heart

Orthopaedic

Other ...

TTI

FEE

+++

LII

JLI

---

T11

-- J

---

+++

---

LII

---

ILJ

---

ITT

---

+++

---

-་་

1,826

1,713

1,163

548

115

---

220,762

---

$30

...

+++

...

TABLE 72

WORK OF RUTTONJEE SANATORIUM 1966-70

Admissions

1966

1967

1968

1969

1970

Adults through Government Clinics 420

612

716

496

646

Children (pulmonary through

Government Clinics)

Children (Orthopaedic)

Children (Miscellaneous)

---

Other admissions and re-admissions

648

660

715

839

867

TOTAL

1,113

1,324

1,501

1,389 1,577

* data not available.

TABLE 73

ADMISSIONS TO LEPROSARIUM 1970

Adults

Children

Total

Male

Female

New Admissions Re-Admissions

+1.

Total Admissions

+++

---

+++

138

TABLE 74

BUILDING PROGRAMME

I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

(1) West Wing, Kowloon Hospital-A block of almost 600 beds for beds for convalescent patients from Queen Elizabeth Hospital and with a psychiatric and a paraplegic unit. Completed in November 1970.

(ii) Queen Mary Hospital, Alteration to Existing Main Hospital Building-A new maternity ward of 54 beds and an organ transplant unit completed in January/February 1971.

(iii) Redevelopment of Medical Institutions, Sai Ying Pun-David Trench Rehabi- litation Centre-A redevelopment providing a rehabilitation centre for Hong Kong Island, a new Western Maternal and Child Health Centre, new head- quarters of the Mental Health Service, and the Hong Kong Psychiatric Centre, and a central dental laboratory. Opened in March 1971.

(iv) Kowloon Hospital-Additional staff quarters for senior and resident medical

staff. Completed in November 1970.

(v) Government Laboratory-Additional space for laboratory benches and centra-

lized air-conditioning system,

(2) Government-assisted

(1) Hong Kong Buddhist Hospital, Lo Fu Ngam-A 350-bed general hospital with 178 beds being provided in the first phase and with an out-patient department. Opened in October 1970.

II. PROJECTS UNDER CONSTRUCTION

(1) Government

(i) New Lai Chi Kok Hospital-A new general, geriatric and infectious diseases hospital of some 1,320 beds. Site formation complete. Construction of super- structure in hand. Expected completion date is 1973.

(ii) Siu Lam Hospital for the Mentally Subnormal-A 200-bed hospital at Siu Lam, New Territories, to provide accommodation for the severely retarded. Expected completion date is October 1971.

(iii) New Vaccine Institute-A new institute to be built at Pok Fu Lam for the production of vaccines and their evaluation. Expected completion date is February 1972.

(iv) Standard Clinic for Kwai Chung North-A standard urban clinic with general out-patient and maternal and child health services. Expected completion date is June 1971.

(v) Queen Mary Hospital, Reprovisioning of the Mortuary, Virus Laboratory and Clinical Pathology Services A project to provide additional and improved facilities for the teaching of an increased intake of medical students and to provide further facilities for in-patients in the expanded hospital. Expected completion date is February 1972,

139

TABLE 74 Contd.

(vi) Tsuen Wan Kwai Chung Polyclinic, Stage -A standard urban clinic with

maternity home and with a Chest Clinic and Chest X-Ray Section.

(vii) Medical Department Laundry, Shau Kei Wan-A laundry to be built on Hong Kong Island to deal with laundry items from medical institutions on the Island. Expected completion date is February 1972.

(viii) New Clinical Building, Queen Mary Hospital-A project to provide further facilities for the clinical teaching of an increased intake of medical students. Expected completion date is 1972.

(2) Government-assisted

(1) United Christian Hospital, Kwun Tong-A 379-bed acute general hospital with emergency services and out-patient departments. Expected completion date is 1972.

(ii) Yan Chai Hospital, Tsuen Wan-A 100-bed sub-acute general hospital with

out-patient department.

(iii) Centenary Block, Tung Wah Hospital-A 12-storey building to provide 424 beds, new out-patient department, casualty department and quarters for 50

nurses.

III. PROJECTS ON WHICH DETAILED PLANNING HAS COMMENCED

(1) Government

(i) St. John Hospital, Cheung Chau-Out-patients' Clinic and Major Alterations. (ii) Kowloon East Polyclinic.

fii) New Mental Hospital, Lai Chi Kok.

(iv) Victoria Public Mortuary-Reprovisioning.

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

(vi) Health Office and Staff Quarters, Cheung Sha

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

(viii) Castle Peak Hospital-Additions and Improvements.

(ix) Specialist Clinic-Hong Kong Island East.

(x) Pharmaceutical Manufactory, Central Medical Stores, Government Supplies

Department Compound, North Point-Alterations and Extensions.

(xi) Dental Clinic at Tai Lam,

(xii) Tsz Wan Shan Standard Urban Clinic and Maternity Home.

(2) Government-assisted

(i) Redevelopment of Tung Wah Eastern Hospital.

140

TABLE 75

NURSES IN TRAINING AT 31ST MARCH, 1971

Government School of Nursing

Tung Wah Group of Hospitals

Nethersole Hospital ..

Hong Kong Sanatorium and Hospital

Caritas Medical Centre

Total

Female

Male

Total

501

148

---

649

355

166

161

100

гтт

1,283

148

1,431

TABLE 76

COURSES OF STUDY OVERSEAS 1970-71

BY PLACE OF STUDY

Staff

U.K.

North America

Australia S.E. Asia Others

Total

Medical

---

IPP

---

Dental

---

444

ILL

---

Nursing

Physiotherapist

Medical Technologist

Prosthetist

Radiographer

Laboratory Assistant

[

ггг

---

TTF

---

...

ггг

1 1

ויז

TOTAL

LLI

---

141

→

TABLE 76 Contd.

BY SOURCE OF FUNDS

Gover- ment

W.H.O.

Qwn expenses

Others Total

Slaf

Courses of Study

Medical

Diploma in Psychological Medicine

M.R.C.P. (Paediatrics)

¡M.R.C.P....

D.P.H.

F.R.C.S.

D.M.R.T....

D.M.R.D.

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

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

D.A. & F.F.A.

M.R.C.O.G.

D.L.O.

L.A.H.

Others

Dental

M.D.S.

Nursing

---

ILL

огг

---

171

-J

---

LLL

---

ггг

ILI

LLI

---

111

ггг

---

JJJ

LLL

---

111

LII

---

IIL

LLL

---

ггг

---

111

Ir-

Periodontology

Dental Nurse Tutor Course

Dental Nurse Course

---

दर्भ

LLI

---

ггг

---

|W.H.O. Training Course on In-Service

Education for Nursing Personnel

Diploma in Nursing Education...

Orthopaedic Nursing

---

FOL

rrr

---

Theatre Service Technique

Intensive Care Nursing

General Nurse Training...

---

111

| N

Psychiatric Nursing

Paediatric Nursing

---

-LI

Diploma Course in Dietetics

E.N.T. Nursing

---

ггг

---

111

ггг

Physiotherapist Intensive Care Therapy ...

Medical

Technologist

的

LL-

---

Physiotherapy for Cerebral Palsy

Training Course for Overseas Medical

Technician Tutors

1 L

---

]

---

Prosthetist

Radiographer

Laboratory

Prosthetic Training

Teacher's Diploma Course

ггг

---

B.Sc. Course in Chemical Engineering.....

Assistant

B.Sc. Course in Chemistry

TOTAL

---

142

TABLE 77

DEPARTMENTAL TRAINING 1970-71

(Position at 31st March, 1971)

Appointment Resignation

Strength at 31.3.71

Passed

Student Physiotherapist

Student Prosthetist

Student Radiographer:

Diagnostic

Therapeutic

Medical Social Worker

(In-training)

Student Health Auxiliary:

Female

Student Dispenser.....

Student Laboratory Assistant

Student Medical Laboratory

Technician

FTT

+++

Male

نيا الية

Student Health Visitor

+++

1 year Midwifery Training for

Registered Nurses

Student Midwives undergoing 2 year Training at Tsan Yuk Hospital ...

Student Nurse:

Female

Male

Student Nurse (Psy):

Female

Male

Pupil Nursing Auxiliary:

Female

Male

---

Pupil Nursing Auxiliary (Psy):

Female

Male

---

188

469

145

[11

[]

+++

143

TABLE 78

ATTENDANCE AT CONFERENCES ETC. OVERSEAS

Appointment

Conferences etc. attended

Place

Director of Medical and

Health Services

W.H.O. 21st Regional Committee Meeting Manila

Principal Medical and

Health Officer

Assistant Director of

Medical and Health Services...

Specialist (Psychiatry)

Senior Dental Officer

Senior Nursing Sister

ггт |

International Regional Seminar on the

Organization of Cholera Control Programme

International Congress on Alcoholism and

Drug Dependence

Manila

Sydney

(a) Nineteenth Australian Dental Congrees Brisbane (6) Annual Conference of the Commonwealth Manchester

Dental Association

Operation theatres of hospitals in London and London

Edinburgh

Physiotherapist

Technical Assistant

Senior Medical and Health Officer

2 Senior Medical Social

Workers

and Edinburgh

Third Commonwealth Paraplegic Games

Edinburgh

TII

Study visit to Stateus Serum-institut

Copenhagen

Fifth Combined Meeting of the Orthopaedic Sydney

Association of the English-Speaking World

15th International Conference on Social

Welfare

Manila

144

April 70 8.4.70-10.4.70

20.4.70

May 70

2.5.70 4.5.70

9.5,70

June 70

4.6.70

7.6.70-11.6.70

10.6.70

27.6.70-3.7.70

28.6.70-3.7,70

July 70

1.7.70 4.7.70

13,7,70-17,7.70

23.7.70-27.7,70

6.8.70-9.8.70

14.8.70-18.8.70

25.8.70-26.8.70

27.8.70-1.9.70

2.9.70-12.9.70

7.9.70-9.9.70

8.9.70-16.9.70

9.9.70-18.9.70

10.9.70-18.9.70

TABLE 79

OVERSEAS VISITORS

GENERAL

Members of the Japan Radiological Technicians Association.

Dr. D. B. KHANIJOU, Medical Officer of Health, Delhi, India. Dr. WEHNERT, West German medical advisor to various German chanceries and embassies in the Far East.

Dr. Struan SUTHERLAND of Commonwealth Serum Laboratories.

Mr. and Mrs. George TEELING-SMITH.

Professor R, J. KELLAR, Professor of obstetrics and Gynaecology, University of Edinburgh.

Dr. James L. TRONPIN, M.D., Public Health Consultant, Director of Professional Education and his group.

20 medical doctors of the Alameda Contra Costa Medical Associa- tion of San Francisco Bay Area.

Mrs. Sheila DRUMMOND.

Tan Sri Haji SARDON the Malaysian Minister of Health.

A group of doctor members of the American Professional Practice Association.

Mr. James GERTH, a psychologist specializing in speech pathology and correlative therapies.

Phuc,

Dr. Pham Van PHỤC, Director of Sargon Re-education Centre Hospital.

Dr. Sook BANG, Chief of Fertility and Family Planning Division of ECAFE,

The Hon. A. H. JAGO, M.L.A., Minister of Health, New South Wales Government,

Mr. S. I. RoWLEY, a New Zealander.

Professor Robert M. WORTH of University of Hawaii.

Dr. J. B. FONTANA and a group of dentists.

Members of the Phlebology Society.

The Hon. Mr. Gloria MCPHEE, Member for Health and Welfare,

Government of Bermuda.

Mr. E. O. Laird, C.M.G., M.B.E., Head of the Hong Kong Department, Foreign and Commonwealth Office,

Mr. Ed. MARTIN, Chairman of the Development Assistance Committee of the OECD in Paris.

37 Canadian Doctors.

Mr. A. R. G. PROSSER, Adviser on Social Development, Ministry of Overseas Development, U.K.

Mr. S. M. DAVIES, Assistant Secretary and Director of the Depart- ment's Production Authority and Research Branch, The Association of the British Pharmaceutical Industry.

145

23.9.70-26.9.70

TABLE 79-Contd.

Mr. D. G. HARINGTON HAWES, Director-General, International Hospital Federation.

1.10.70-3.10.70 Dr. STEIGER, a dermatologist from U.S.A.

3.10.70-7.10.70 Mr. J. A. L. MORGAN, Head of Far Eastern Department, F.C.O.

6.10.70-7.10.70 Miss Mary ROBINSON, M.B.E. of Britain,

21.10.70

Mr. V. R. NEDUNCHEZHIAN, Minister for Education and Health, State Government of Tamilnadu, India and Mr. S. V. CHITTIBABU, Director of School Education, Government of Tamilnadu.

Professor W. K. No, Acting Head, Department of Social Medicine and Public Health, Faculty of Medical, University of Singapore.

26.10.70-27.10.70 Two groups of visitors consist five senior family planning officials from India; Dr. Kee Chun Han, Dr. Pyung Chun HAM and Mr. Sang Kyum KIM of the Yonsei University, Korea; Dr. Young Joo PARK, Director of Payu-Gun Health Centre, Korea and Mr. Sup Hoe, Administration Officer, Office of Ichon Country, Kyunggi Do, Korea.

9.11.70-13.11.70 Dr. Gwyn HOWELLS, Director of T.B. for the Commonwealth of Australia, Dr. R. S. A. MARSHMAN, Director of T.B. for the State of Victoria and Dr. F. G. B. EDWARDS, Director of Tuber- culosis for the State of Western Australia,

26.11.70

Mr. Ron BOXALL, Principal Information Officer of H.K. Govern- ment London Office.

24.11.70-10,12,70 Dr. Anton GESER of Carcinogenesis Unit International Agency on

Cancer projects visiting.

4,12,70

16.12.70-21.12.70

6.1.71-12.1.71

12.1.71-14.1.71

17.1.71-23.1.71

21.1.71-25.1.71

22.1.71-26.1.71

Feb. 71

February, 1971

His Holiness Pope Paul VI,

Lord and Lady Segal.

Messrs. BLAKER and FORTESCUE Members of Parliament.

Dr. Russell C. MILLS, Ph.D., of the Philippine Center for the Health Sciences University of the Philippines.

Dr. Lionel R. C. HAWARD, Principal Psychologist, Department of Clinical Psychology, Graylingwell Hospital, Chichester, Sussex,

Dr. Neville RoWELL, M.D., F.R.C.P., consultant physician in the Department of Dermatology at the General Infirmary at Leeds and reader in dermatology at the Division of Medicine at the University of Leeds.

Mr. P. D. TREVOR-Roper, Consultant Ophthalmic Surgeon of Westminster Hospital.

Professor John LOEWENTHAL, Professor of Surgery in University of Sydney.

Dr. Alan HARDY, Consultant-in-charge of the Spinal Injuries Unit at Lodge Moor Hospital, Sheffield.

146

20.2.71

13.3.71-17.3.71

TABLE 79-Contd.

A group of Surgeons from West Germany.

Dr. W. D. STEWART, M.D., F.R.C.P. (C), Associate Professor of Dermatology, University of British Columbia.

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

Consultant and Administrative

24.4.70-26.4.70 Dr. Donald THOMSONS, Representative to Indonesia.

24.4.70-29,4,70 Dr. D. J. M. MacKenzie, W.H.O. Representative to Indonesia. 27.4.70-29.4.70 Dr. E. LANG, Consultant of the First Regional Seminar on the Quality Control of Pharmaceutical Substances.

23.7.70-24.7,70

10.9.70-11.9.70

Dr. K. K. MATHEN, W.H.O. Short-term Consultant and Professor of Statistics at the all India Institute of Hygiene and Public Health, Calcutta, India.

Dr. Leonce R. VERSTUYFT, W.H.O. Representative to Taipei. 12.10.70-17.10.70 Dr. Hashem El KADI, Under-Secretary for International Health in

the Ministry of Health, UAR.

3.11.70-4.11,70 Dr. Leandro V. UYGUANCO, Director of the Bureau of Disease

Control.

26.11.70-29,11,70 Dr. E. M. De MAEYER of the Nutrition Division of W.H.O. Head-

quarters.

28.12.70-31.12,70 Miss Geneviene W. STOUT, W.H.O. Short-term Consultant on

venereal disease serology.

22.3.71

Fellowship

23.4.70-26.4.70

25.4.70-27.4.70

27.4.70-1.5.70

29.4.70-15.5.70

18.5.70-22.5.70

25.5.70-29.5.70

8.6.70-19.6.70

20,6.70-27.6.70

23.6.70

Dr. Francisco J. DY, Regional Director.

Mrs. Gladys J. TAYLOR of New Zealand. Fellowship in health education.

A group of 19 participants from W.H.O. on the Interregional training course.

Mrs. KIM Yum-ok of Korea. Fellowship in public health nursing services in relation to tuberculosis control, MCH services, family planning programme.

Miss CHEN Ling-chiao of Taiwan, Fellowship in rehabilitation and social work.

Mr. Robert H. BOROWSKI, Fellowship in public health administra- tion.

Dr. Huynh Duc TINH of Viet Nam. Fellowship in organization of typical venereal disease programmes or services,

Dr. Tsu Yung-chao and Miss LAI Tsai-yung of Taiwan, Fellow- ship in tuberculosis control.

Mrs. M. T. SPELLE. Fellowship in venereal disease control. Mr. M. SOEHODO. Fellowship in MCH services.

147

TABLE 79-Contd.

13.7.70-16.7.70

Dr. Kenneth F. BRONNAN of Australia. Fellowship in venerea! disease control,

19.7.70-24.7.70 Dr. Shafika AZAMY of Afghanistan. Fellowship in teaching of

paediatrics.

20.7.70-25.7.70 Dr. Tilak N. SANGHI of India. Fellowship in leprosy control.

20.7.70-24.7.70 Dr. Marianito MONTERO of Philippines. Fellowship in public

health administration (with emphasis on mental health).

4.8.70-14.8.70

13.8.70-15.8.70

October 70

Mr. Keiichiro GENKA of the Ryukyu Islands. Fellowship in tuber- culosis control,

Mr. Jagnandan S. MANJUL of India, Fellowship in health educa- tion.

Dr. Hiroto MISAWA of Japan, Dr. Mareichi ToYOHARA of Japan, Dr. KIM Jae-won of Korea, Dr. Wu Yung-tung of Taiwan, Dr. Mir Haider HESSAMI of Afghanistan, Dr. Recep Cengis YALCIN of Turkey, Dr. T. B. WAWORUNTU of Indonesia, Dr. R. Hadji SU'DAN of Indonesia, Dr. Mohammed Javad BAGHAI of Iran and Dr. Loutfy El Sayed MOHAMED of United Arab Republic, Fellow- ships in tuberculosis control.

17.10.70-23.10.70 Dr. Izzat MUSTAPHA, Minister of Health and Dr. Sa'adoon K. AL-TIKRITI, Director-General of Preventive Medicine, Ministry of Health, Iraq. Fellowship in public health administration.

19.10.70-23.10.70 Dr. Tjut Irawati PAT of Indonesia. Fellowship in paediatric

teacher training.

2.11.70-3.11.70 Dr. LEE Sung-woo of Korea. Fellowship in the field of acute

communicable disease control and quarantine activities.

9.11.70-13.11.70 Dr. Antonio CARAM of Philippines. Fellowship in quarantine

practices.

19.11.70-20.11.70 Dr. Fetuao Alama Tota of Samoan. Fellowship in maternal and

child health (family planning).

4.1.71-8.1.71

11.1.71-12.1.71

1,2.71-12.2.71

9.3.71-12.3.71

Dr. LAI Chung-hsuan of Taiwan. Fellowship in laboratory and venereal disease control methods.

Mr. Kao Tsing-jun of Taiwan. Fellowship in public health ad- ministration.

Drs. LEE Chang-chos and OH Sang-baik of Korea. Fellowship in tuberculosis control.

Dr. Kyaw KHIN of Burma. Fellowship in stump preparation, initial check-outs, training in the use of the prostheses and find check-out procedures.

148

TABLE 80

PUBLICATIONS

BY MEMBERS OF THE MEDICAL AND HEALTH DEPARTMENT

Title of Articles

Publication

Author

'Psychotropic Medication in

Hong Kong

*Nasopharyngeal Carcinoma

(NPC)

I. Types of Cultures from Tumour Biopsies and Non- Tumorous Tissues of Chinese Patients with Special

Reference to Lymphobastoid Transformation'

'Genetic and Environmental

Factors in Nasopharyngeal Carcinoma'

"Nasopharyngeal Carcinoma

(NPC)'

*H-Hong Kong

Indonesian Psychiatric Quarterly Vol. III No. 3/4, October 1970.

International Journal of Cancer Vol. 6, 1970.

The First International Symposium of the Princess Takamatsu Cancer Research Fund 'Human Tumor Virology and Immunology' in Tokyo.

Advances in Cancer Research Vol. 15.

Hospital Physicists

Association Bulletin, June 1970.

'Obstetric Anaesthetic Deaths' British Medical Journal

*Awareness and Pain during

August 1970 p. 347.

Excerpta Med. Found.

George T. W. Ou,

Specialist (Psychiatry).

H. C. Ho, Senior

Specialist (Radiology) one of the Co-writers. H. C. KWAN, Medical Laboratory Tech- nologist, one of the Co-writers.

H. C. Ho, Senior

Specialist (Radiology).

H. C. Ho, Senior

Specialist (Radiology).

G. MAULDON, Senior

Physicist.

Z. LETT, Senior Specialist

(Anaesthetic).

Z. LETT, Senior Specialist

(Anaesthetic).

General Anaesthesia Proceedings of 4th World Congress Fed. Soc. Anaesth. London'

'A Comparison between the Employment of "General" and "Local Anaesthesia" "

Elixir, Spring, 1971,

'The Training and Experience Elixir, Spring, 1971.

of the Anaesthetists'

Z. LETT, Senior Specialist

(Anaesthetic).

Z. LETT, Senior Specialist

(Anaesthetic).

149

Title of Articles

TABLE 80-Contd.

Publication

Author

*Fluorescent Spot Test for Screening Erythrocyte Glucose-6-Phosphate Dehydrogenase Deficiency in Newborn Babies'

'Hypoglycemia in Neonatal

Sepsis

Journal of Paediatrics

Vol. 76 No. 6, 931-934 June 1970.

Journal of Paediatrics,

Vol. 77, No. 5, 812-817 November 1970.

C. Y. YEUNG, Specialist

(Paediatric).

N. K. LEUNG, Medical

and Health Officer. H. C. LAI, Medical and

Health Officer.

C. Y. YEUNG, Specialist

(Paediatrics).

'Health a many splendoured Far East Medical Journal, J. LAMBIE, Senior Medical

thing'

'Cystic Fibro-osseous Lesion

of the Maudible'

*Quantitative Inorganic

Analysis (3rd Edition)'

*Poisoning due to Gelsemium

Elegans Benth (Loganiaceae)'

'Parenteral fluid and

Electrolyte Replacement in Surgical Patients'

'Increasing Public Awareness of Psychiatric Treatment through the Media of Spontaneous Artistic Expression'

Vol. 6, October 1970.

and Health Officer.

Dental Magazine, Vol. 87, Eric H. FUNG, Senior

No. 4.

Quantitative Inorganic

Analysis (3rd Edition).

Far East Medical Journal

Vol. 7, 1971, pp 52-53.

Dental Officer. Richard H. K. YIU,

Specialist (Surgery).

A. J. NUTTON,

Government Chemist one of the Co-writers.

L. C. C. CHOI, Chemist. C. W. YIM, Laboratory

Assistant.

G. I. FORBES, Principal

Medical and Health Officer.

Far East Medical Journal, M. L. YEUNG, Specialist

Vol. 7, January 1971,

p. 8-12,

(Anaesthetic).

Journal of the Association R, F. COUCH,

of Occupational

Therapists (U.K.) March 1971.

Occupational Therapist.

150

Title of Articles

TABLE 80 Contd.

Publication

Author

'Fluorescent Spot Test for Screening Erythrocyte G-6-PD Deficiency in Newborn Babies'

Journal of Paediatrics

76:931, June 1970.

'Neonatal Jaundice in Chinese Journal of Obstetrics and

Newborns'

'Recent Experience in

Phenobarbitone Therapy on Neonatal

Hyperbilirubinaemia'

Gynaecology of the British Commonwealth 77:561, June 1970.

Hong Kong Medical

Association Bulletin November 1970, p. 120.

'Phenobarbitone Prophylaxis

for Neonatal

Journal of Paediatrics.

Hyperbilirubinaemia'

'Phenobarbitone Enhancement Journal of Paediatrics.

of Bromsulphalein Clearance

in Neonatal

Hyperbilirubinaemia*

C. Y. YEUNG, Specialist

(Paediatrics) one of the Co-writers.

W. K. Stu, Medical and Health Officer one of the Co-writers. N. K. LEUNG, Medical

and Health Officer one of the Co-writers.

C. Y. YEUNG, Specialist

(Paediatrics) one of the Co-writers.

C. Y. YEUNG, Specialist

(Paediatrics).

C. Y. YEUNG, Specialist

(Paediatrics) one of the Co-writers. Angeline CHAN, Medical and Health Officer. ¡L. 5. TAM, Medical and

Health Officer.

C. Y. YEUNG, Specialist

(Paediatrics) one of the Co-writers.

'Cerebral Embolism in Chronic Far East Medical Journal R. J. BARNES, Specialist

Rheumatic Valve Disease in

the Chinese

'Anomalous Muscle Bundle'

Vol. 6.

British Heart Journal, | Vol. 33.

151

(Medicine).

R. B. BERNARDO, Senior

Medical and Health

Officer.

Raymond W. Y. Wu,

Medical and Health Officer,

R. J. BARNES, Specialist (Medicine) one of the Co-writers.

Anthony C. S. CHEUNG, Medical and Health Officer.

Title of Articles

TABLE 80 Contd.

Publication

Author

*Assessment of Congenital Heart Disease for Open- Heart Surgery'

Bulletin of the Hong Kong R. J. BARNES, Specialist

Medical Society.

American Journal of

Public Health, Vol. 60 No. 9, 1970.

(Medicine).

Anthony C. S. CHEUNG, Medical and Health Officer.

W. K. CHANG, Senior Medical and Health Officer.

'Epidemic Disease in Hong

Kong 1968, Associated with an Antigenic Variant of Asian Influenza Virus'

'Current Trends in Psychiatric Far East Medical

Treatment'

'Gilles de la Tourette's

Syndrome'

Journal, Vol. 6, 1970.

'British Journal of

Psychiatry, Vol. 117 1970.

K. SINGER, Specialist

(Psychiatry).

K. SINGER, Specialist

(Psychiatry).

'Severe Persistent Chorea with Prolonged Phenothiazine Therapy'

Postgraduate Medical

Journal, 1970.

'Genetic Aspects of Tuberose

Sclerosis'

American Journal of

Human Genetics, Vol. 23, 1971.

K. SINGER, Specialist

(Psychiatry).

M. WONG, Medical and

Health Officer,

K. SINGER, Specialist

(Psychiatry).

'Gilles de la Tourette's Disease Proceedings of American

in the Chinese'

Psychiatric Association

K. SINGER, Specialist

(Psychiatry).

1971.

152

153

TABLE 81

SAMARITAN FUND

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH, 1971

EXPENDITURE

Grants to needy patients for temporary maintenance,

...

travelling expenses etc. Balance carried to Accumulated Fund

ггг

LLL

$30,908.70

43,203.62

ггг

Donations

INCOME

The Royal Hong Kong Jockey Club Sir Robert Ho Tung Charitable Fund Li Po Chun Charitable Trust Fund Hr. Họ tại Lai Others.

11-

LLL

LIABILITIES

Accumulated Fund as at 1st April, 1970 Surplus from Income and Expenditure Account

$74,112.32

BALANCE SHEET AS AT 31ST MARCH, 1971

$34,500.00

25,000.00

12,000.00

LIJ

---

1,000.00

1,612.32

$74,112.32

$74, 112.32

Irr

---

$28,838,23 Cash with Accountant General 43,203.62

$72,041.85

ASSETS

---

$72,041.85

CERTIFICATE OF THE DIRECTOR OF AUDIT

Certified Correct. GERALD CHOA,

Director of Medical & Health Services. 14th May, 1971,

I have examined the attached Balance Sheet and the Income and Expenditure Account in accordance with the provisions of Condition 5(2) of the Schedule to the Legislative Council Resolution dated 21.5.1969 (L.N. 70 of 1969). I have obtained all the information and explanations that I have required and I certify as the result of my audit that in my opinion the attached Balance Sheet and the Income and Expenditure Account are correct.

AUDIT DEPARTMENT,

Hong Kong, 8th June, 1971.

P. T. WARR, Director of Audit.

REPORT ON THE SAMARITAN FUND 14.70-31.3.7L

The Samaritan Fund is entirely dependant on voluntary donations and a total of $74,112.32 was received during this financial year. The main purpose of the Fund is to give financial assistance to needy patients to meet the expenses of transportation to hospitals and clinics to enable them to obtain essential medical treatment, and to assist in the payment of rent and school fees etc. Small monetary grants are also made to assist needy patients for the purchase of clothing, daily necessities and food for extra nourishment after discharge from hospital. With the very generous donations by the Royal Hong Kong Jockey Club, Sir Robert Ho Tung Charitable Fund and Li Po Chun Charitable Trust Fund, it has been possible to assist a total of 4,374 needy patients during this financial year.

GERALD CHOA, Director of Medical & Health Services. 5th July, 1971.

TABLE 82

LIST OF DONATIONS RECEIVED FOR THE YEAR ENDED 31ST MARCH, 1971

Samaritan Fund

The Royal Hong Kong Jockey Club

Sir Robert Ho Tung Charitable Fund...

Li Po Chun Charitable Trust Fund

Mr. Ho Sai-lai

+TI

Others

Christmas Fund

The Royal Hong Kong Jockey Club The Hong Kong Football Association

Others

---

Miscellaneous

---

$34,500.00

---

25,000.00

...

12,000,00

Patients' donations to Queen Elizabeth Hospital Library

154

1,000.00

1,612.32 $74,112.32

$ 8,750,00

1,200.00

7,760,85

$17,710.85

$ 625.20

$92,448.37

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