醫務衛生署年報 Medical and Health Department Annual Report 1971-1972

1971-72

DIRECTOR OF MEDICAL AND HEALTH SERVICES

HONG

KONGY

ANNUAL

　DEPARTMENTAL REPORT

22501293221

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 1971 - 72*

PRINTED AND PUBLISHED BY J. R. Lee. GOVERNMENT PRINTER AT THE GOVErnment Press, Java Road, HONG KONG

1st April 1971 - 31st March 1972

EXCHANGE RATES

When dollars are quoted in the 1971-72 Reports, they are, unless otherwise stated, Hong Kong dollars. At the 31st March 1972, the official rate for conversion to pounds sterling was HK$ 14.55 =£1 (HK$1=approx. 7p). The official rate for conversion to U.S. dollars was HK$5.58=US$1.

Annet

THO

97996-13K-2/73

CONTENTS

I. INTRODUCTION

II. PUBLIC HEALTH

Vital Statistics

Communicable Diseases

III. WORK OF THE HEALTH DivisION

Area Health Work

Tuberculosis.

Paragraphs

1 - 6

7- 20

21 44

45 - 46

47 57

Social Hygiene Service .

58 - 62

Port Health.

63 - 64

District Midwifery Service

Maternal and Child Health Services

School Health Service.

School Medical Service Board

71 - 72

Dental Service

73 - 74

Forensic Pathology

Government Laboratory

76 - 80

Medical and Health Department, Institute of

Pathology.

Industrial Health.

81-91

92 - 98

Health Education.

99 - 100

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

Prosthetic Orthotic Service. 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

Doctors

Dental Staff

Nursing Staff

Radiographers

Laboratory Technicians

Other Forms of Departmental Training

VIII. ACKNOWLEDGEMENT

IX. MAPS

X. STATISTICAL APPENDIX

Paragraphs

101

102 - 126

127 - 129

130

131 - 139

140 - 141

142 - 143

144 - 148

149 - 152

153 - 157

158 - 161

162

163 - 167

168 - 171

172 173

174 - 198

199 - 202

203

204

205

206 - 207

208 - 210

211 - 217

218

219

220

221 - 222

1. INTRODUCTION

THE Medical and Health Department is responsible for administering services which provide medical and health care for the community of Hong Kong. It operates hospitals and clinics throughout both the urban and the rural areas, maintains maternal and child health, school health, and port health services, and undertakes measures for the control of epidemic and endemic diseases. The department carries out its functions through two main divisions. The medical division is respon- sible for the treatment and rehabilitation of the sick in hospitals, and the health division promotes personal and public health. The department works closely with other departments holding statutory responsibility for safeguarding public health. These are the Urban Council, the Urban Services Department, the Labour Department and the New Territories Administration. To some of these departments, doctors are seconded.

2. During the year, the general health of the population continued to be good. Considerable improvements were made in the control of those communicable diseases, which have been the major causes of mor- tality and morbidity in the last 20 years. The incidence of diphtheria, poliomyelitis and measles remained at a low level as a result of im- munization campaigns. There was no outbreak of cholera, but precau- tionary measures against the disease were maintained. In fact, cholera has not appeared in Hong Kong since notification of the last case in October 1969.

3. While tuberculosis remained a major cause of mortality among the communicable diseases, the Colony faced increasing problems arising from non-communicable diseases. The other major causes of death were cancer, heart and hypertensive diseases, pneumonia and cerebral-vascular lesions. Problems in caring for the sick and disabled increased as a result of industrialization, urbanization, and the increase in proportion of population in the elderly age group.

4. The department's development programme made steady progress. Thirty projects were being either 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. A newly-completed urban standard clinic in the north of Kwai Chung was opened in November 1971. Other projects under construction included the New Lai Chi Kok Hospital, the new Vaccine Institute at Pok Fu Lam, the stage one of the Kwai Chung South Polyclinic, a reprovisioning of the mortuary, virus laboratory and clinical pathology services, the construction of a new clinical building at Queen Mary Hospital, and the Medical Department Laundry.

5. There was increasing use of the department's services by the public, and attendances at general out-patients and specialist out- patients clinics remained high. The number of patients admitted to, and treated in, government hospitals showed an increase compared with the previous year. There was also a 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.

6. In the pages that follow, the state of the public health and the more important developments in the work of the department are reviewed. There are also references to the major voluntary agencies receiving substantial grants from government funds to support their medical activities. Detailed information covering all this can be found in the statistical appendix to this report, the index to which is on page 64.

II. PUBLIC HEALTH

(Tables 6-20)

VITAL STATISTICS

(Tables 6-12)

7. The estimated population of Hong Kong in the middle of 1971 was 4,045,300 and approximately 83 per cent of this total was con- centrated in the urban areas of the Island, Kowloon and New Kowloon.

In regard to age, about 36 per cent was under 15, and 7.4 per cent over 60. The general state of health continued to be satisfactorily reflected by the vital statistics. The crude death rate, based on the number of deaths registered, was 5.0 per thousand of the population. As shown in Figure 1, age and sex specific death rates were also low, and reflected 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 to 19.0 per thousand of the population.

DOWN BUT WE NOVINADE ORI

FIGURE I

AGE & SEX SPECIFIC DEATH RATE-1971

DEATS PER

、

12345

AGE GROUP

¿FEMALE

　　　8. There was a gratifying decline in the infant and neo-natal mortality rates. This useful index to the trend of health conditions of the general population is illustrated in Figure 2.

FIGURE 2

INFANT AND NEO-NATAL MORTALITY RATE 1957 -71

NIA-KATAL

14 H

YEAR

Infant Mortality

9. The infant mortality rate was 18.4 per thousand live births. The steady decline in infant mortality during the year was 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 among infants and mothers.

10. Among the major causes of infant mortality, there were reduc- tions in mortality from preventable diseases, particularly bronchopneu. monia, gastro-enteritis, and tuberculosis. In the last four years, deaths from measles also fell. There has been a steady reduction in mortality from prematurity, due to improvement in the midwifery and maternal health services. As was also the experience elsewhere, congenital malformations and other diseases of the new-born proved during the year to be more intractable, and mortality from those causes was only little affected.

Maternal Mortality

11. Here also the statistics reached standards prevailing in the technically-advanced countries of the world. The rate in 1971 was 0.14 per thousand total births. During recent years, great reduction in mor- tality rates have been effected in toxaemia of pregnancy, haemorrhage and puerperal sepsis. There was also some reduction in mortality from

abortion and ectopic pregnancy, and deaths attributed to other diseases occurring during pregnancy, or childbirth, also decreased,

General Mortality

　　　12. The marked social and economic changes occurring in Hong Kong during the years following the Second World War were again reflected in the mortality trends and patterns of diseases during the year. These have changed considerably in the past two decades. Improvements in the general level of public health were demonstrated by the decline in proportionate mortality from infectious, respiratory and intestinal diseases, while the ageing of the population-still predominantly young -was reflected in the increasing mortality from heart and hypertensive, cerebrovascular and neoplastic diseases.

　　　13. In all age-groups, malignant neoplasms were the main causes of death, being responsible for 20.9 per cent of all deaths in 1971. The first five leading causes of death were cancer, diseases of the heart including hypertensive diseases. pneumonia, cerebro-vascular disease, and tuberculosis-in that order.

　　　14. The death rate from cancer continued to increase, rising from approximately 30 per 100,000 of the population for both sexes in 1950, to 69.7 in 1961, and to 104.7 in 1971. Among women, the common causes of death from cancer were cancer of the breast and cancer of the uterine cervix. In the community as a whole, the common cancer deaths were cancer of the lung, primary cancer of the liver, nasopharyn- geal cancer, and cancer of the stomach.

15. Heart disease, including hypertensive disease, was the second leading cause of death with a mortality rate of 58.9 per 100,000 of the populations in 1961, increasing to 73.0 in 1971.

　　　16. Pneumonia was the third leading cause of death. The disease was a major cause of death in 1955-57, but the mortality rate dropped from 85.8 in 1961 to 55.9 in 1971.

　　　17. Cerebro-vascular disease, fourth in the list, had a mortality rate of 44.2 in 1961. This rose to 48.35 in 1971.

　　　18. Mortality from tuberculosis showed a steady decline, falling from 60.2 in 1961, to 30.9 in 1971.

　　　19. The eighth revision of the International Statistical Classification 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 complied with those in the International Classification.

20. Use was made during the year of computer facilities in mortality statistics, and it is hoped that this will result in a better handling of mortality data.

COMMUNICABLE DISEASES (Tables 13-16)

21. The total of notifications of communicable diseases during 1971 was 11,410. Of this figure, tuberculosis comprised 79.1 per cent. Satisfactory progress continued to be made in the control of diphtheria and poliomyelitis. The incidence of bacillary dysentery continued its downward trend, but a slight increase in the incidence of enteric fever was noted. Trends in the occurrence of these four diseases are shown in Figure 3. The number of measles cases continued to remain low since the beginning of the annual anti-measles vaccination campaign in late 1967.

FIGURE

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1957 - 1971

190, OF CASES REPORTED

POLSATELITIS

PHIHERAL

A BYEENTEAT

724

[

YEAR

CONFERIE FEVER

Cholera

　　　22. Since the last reported case of cholera in October 1969, Hong Kong has remained free from the disease. The cholera surveillance programme was continued on a year-round basis. This included routine sampling of nightsoil for cholera vibrio, routine bacteriological investiga- tion of speciments sent to the department's pathology laboratories of cases of gastro-enteritis, as well as the sampling of well water and of foodstuffs liable to be involved in the transmission of the vibrio. No positive samples were obtained from these investigations.

　　　23. Unlike previous years, no mass immunisation campaign was carried out, but emphasis was placed on the importance of personal. environmental and food hygiene as safeguards, both against cholera and the other intestinal groups of communicable diseases. Strict quarantine restrictions were maintained in respect of countries declared infected.

Amoebiasis

　　　24. This disease continued to occur endemically, being most prev alent in overcrowded urban areas. A total of 66 cases was notified. The disease remained predominantly one affecting adult males.

Bacillary Dysentery

　　　25. This disease showed a further decline in incidence, falling from 609 cases in 1970 to 543 cases in 1971. It affected all ages, but 40.1 per cent of the notifications were in respect of children under five. Shigella flexneri and Shigella sonnei remained the predominant or- ganisms isolated.

26. Transmission of infection among families and in institutions was a feature of the disease, and as in the past, a few symptomless carriers were detected among members of the same family, or inmates of the same institution. In all, a total of 290 carriers were discovered during investigations of reported cases during the year. All were given appropriate treatment.

Chickenpox

27. This is generally a common disease among children. During the period under review, a total of 443 cases was notified, almost all being under 15. The seasonal prevalence of the disease being in the winter and spring, the earlier part of the year saw an increase in the number of notifications,

Diphtheria

28. Only 25 cases of the disease were notified during the year, an even lower figure than the 43 cases recorded in the previous year. As a result of annual immunization drives since 1959, the disease has shown a continuous and steady decline, falling from 2,087 cases in 1959 to 25 cases in 1971. The disease affects largely children, and 76 per cent of the year's cases were under 10. Two deaths were recorded, giving a case fatality rate of eight per cent. Corynebacterium diphtheria mitis remained the predominant organism isolated in clinical cases.

Enteric Fever

29. The number of cases notified was 515, an increase of 77 cases over the preceding year. The disease was generally mild, and the case fatality rate was less than two per cent. Transmission of infection was frequently associated with neglect in personal and food hygiene. As elsewhere in the world, the peak incidence occurred among children of school age and young adolescents. Free inoculation was offered, and the usual preventive measures enforced, with special attention to environ- mental and food hygiene, and the control of food premises.

Malaria

30. The incidence of malaria during recent years has fallen to a very low level, and again no fresh case of the disease due to natural transmission was reported. Of the nine cases recorded during the year, seven were imported, one was recurrent, and one was due to blood transfusion.

Measles

31. A total of 591 notifications of the disease was received during the year. As shown in Figure 4. the incidence of measles in Hong Kong has in previous years tended to fall into a distinct biennial pattern, with exacerbation of the disease every alternate winter and spring Since December 1967, measles vaccine has been available regularly at all government maternal and child health centres, and during campaign periods, the vaccine has also been made available through mobile teams to children living in resettlement and housing estates, tenement buildings, and other crowded areas. Since the last epidemic in 1966-67, the disease incidence and its mortality have remained low. These results were due, at least in part, to immunization campaigns which are now on a year- round basis, and continuing health education efforts to encourage parents to seek early medical advice.

FIGURE 4

MONTHLY MEASLES NOTIFICATIONS, 1961 - MAY 1972

SHOUTIÚION JE "ON"

или

TEAR

Poliomyelitis

　　　32. Only two cases of poliomyelitis were reported during the year. This showed a significant reduction when compared with 27 cases in 1970, and was the lowest recorded since the introduction of the poliomyelitis vaccination campaign in 1963. Both cases were of the type 3 poliovirus infection, confirmed by laboratory investigation. The programme of vaccination consisted of giving one dose of type 1 polio-vaccine, soon after birth, followed by two doses of balanced trivalent vaccine at three and five months. Beginning in October 1971, a booster dose of the vaccine was introduced at the age of about 18 months.

　　　33. Approximately 74 per cent of infants received one dose of type 1 polio-vaccine soon after birth, and 72 per cent of infants received two doses of the trivalent vaccine at maternal and child health centres. A general immunization campaign is mounted annually in January and March.

34. Virological investigation of the disease was maintained through- out the year. A poliomyelitis faecal survey among normal children under five was carried out in July-September. The result showed that the excretor rate of 'vaccine' types of poliovirus was about 0.96 per cent among a total of 518 children included in the survey. The 'wild' types of poliovirus (type 3) were detected in two children giving an excretor rate of 0.38 per cent. The findings in the survey indicated the continuing existence of 'wild' poliovirus type 3 in the community-responsible for nearly all clinical cases since 1970.

Influenza

35. The surveillance programme for influenza was continued on a year-round basis. Several general out-patient clinics have been designated as influenza surveillance centres, and these reported regularly the number of influenza-like illnesses seen. The government virus unit continued to function as a World Health Organization National Influenza Centre during the year, and virological investigations of throat swabbings and throat washings were carried out routinely on samples taken from influenza-like cases. Deaths from influenza, pneu- monia and bronchitis were recorded regularly as part of the programmes of epidemiological surveillance of the disease.

36. The disease occurred sporadically from February to September 1971. but high incidences of influenza A and B virus infections were observed in June and July respectively. The most prevalents strain of influenza A virus was A/Hong Kong/68 (H3N2). A/England/878/69 variant was detected twice in March, and a new antigenic variant A/ Hong Kong/107/71 was detected in September. The latter strain was closely studied by both the government virus unit and the World Influenza Centre.

Tetanus

37. This disease, although not notifiable, was recorded during the period under review, as in the past, with reasonable accuracy owing to the severity of the symptoms, requiring hospitalization of clinical cases. In past years, approximately half the cases reported were among the new-born whose births had not been attended by trained staff and who had been exposed to various hazards from unsterile equipment. In

1971, tetanus neonatorum was responsible for only 15.5 per cent of the recorded cases, and infant mortality from such infection fell from 1.2 deaths per 1,000 in 1951 to 0.117 deaths in 1971.

Viral Hepatitis

　　　38. Notification of this disease remained voluntary. A total of 357 cases was notified in 1971. Most cases were among adolescents and adults, and a higher proportion was found among males. During the year, steps were taken to promote better and more complete reporting and investigation of the disease.

Japanese B encephalitis

39. This disease among humans is encountered occasionally in Hong Kong, and during the year, four cases were reported. All were from the New Territories, and all were children under 10. The disease is trans- mitted by a mosquito vector and the important species known to transmit the disease is Culex tritaeniorhynchus. This mosquito is found in the rural areas of the New Territories.

40. Humans and horses are only incidental hosts to the Japanese encephalitis virus, but pigs are considered important reservoirs. In June, five horses at the Royal Hong Kong Jockey Club stables at Beas River, New Territories, were found to be infected by the virus. Preventive and control measures against the disease were immediately reinforced, including mosquito control and personal anti-mosquito measures. The affected horses were isolated. There was no connection between the occurrence of the four human cases mentioned earlier, which came from other areas of the New Territories, and this outbreak. A serological survey of the incidence of the Japanese encephalitis virus infection among horses was subsequently carried out. There was no evidence of extensive virus dissemination among the horses. (See paragraph 91 for details).

Acute Kerato-Conjunctivitis

41. This disease is of worldwide distribution. It occurs as sporadic cases, but epidemics are often reported. In the beginning of August 1971, there was a sudden increase in the number of patients attending the three government ophthalmic clinics for treatment of acute conjunc- tivitis. Between August 5 and 7, a total of 1,571 cases was treated.

In the following week, the number of cases rose to 4,909. After August 16, the number of cases began to decline, and by the end of August, the incidence of the disease returned to normal.

42. The disease was of acute onset, causing redness and soreness of the eyes, and so became known locally as 'red eye. It tended to spread among families and in public places such as swimming pools. Clinically the disease presented a picture suggestive of the adenovirus type of conjunctivitis. Laboratory examinations were carried out of conjunctival and throat swabs taken from patients. Preliminary findings suggested that the disease was of viral origin.

43. During the outbreak, the public were advised to observe the rules of personal hygiene, and were informed of the possible danger of contracting the disease in swimming pools. At the same time, measures were stepped up to ensure that the filtration and chlorina- tion plants in swimming pools were working properly. The disease was self-limiting, and there was no evidence of further outbreaks after the peak was reached in August.

44. Developments in certain other communicable diseases are re- viewed later in this report. The remainder showed little variation during 1971, and require no comment.

III. WORK OF THE HEALTH DIVISION

(Tables 21-46)

AREA HEALTH WORK

45. Much of the work of 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 during the year not only field investigations into the major communicable diseases, but also the co-ordination of the activities of teams of inoculators participating in prophylactic immunization drives.

46. Four such drives were carried out, and reference has already been made to three, namely, poliomyelitis, measles and diphtheria (and in the latter campaign the vaccine used combined immunization against

diphtheria with active anti-tetanus prophylaxis). The fourth, promoting smallpox vaccination, was held in February 1972. The increasing importance of Hong Kong in international travel by sea and air, and the prevalence of smallpox in nearby countries, underlined the need to maintain high level of community protection against the disease.

TUBERCULOSIS

(Tables 21-27)

47. Tuberculosis remained the major health problem in Hong Kong. The policy for control of the disease continued during the year to be to protect, by vaccination with B.C.G., the new-born, who were particularly vulnerable to the fulminating forms of the disease, and primary school entrants and school leavers who could develop active disease later in life. For actual cases of the disease, it was shown that in a large proportion of cases, out-patient therapy was at least as good as institutional treatment. It was gratifying to note that in complete contrast to the past, no waiting list for hospital admission for the treatment of tuberculosis was necessary in 1971, and a further 32 tuberculosis beds, making a total of 185 tuberculosis beds in the last two years, were made available for other uses. Institutional resources. still considerable, were reserved for those not responding to out-patient therapy, for acutely ill cases, for those where the diagnosis was in doubt, and for those in need of surgical intervention. In the execution of this policy, there was a high degree of co-operation between the Government and Voluntary Agencies concerned with the problem, particularly the Hong Kong Anti-Tuberculosis and Thoracic Diseases Association, the Haven of Hope Sanatorium, and the Tung Wah Group of Hospitals. The government chest service maintained the B.C.G. vaccination and out-patient treatment programme, while the Voluntary Agencies, aided by substantial government subventions, maintained most of the hospitals.

　　　48. To keep pace with the rapid changes occurring in the fields of treatment and prevention of tuberculosis, close liaison was maintained with agencies outside Hong Kong. During the year, there was intense activity, in collaboration with the Medical Research Council of the United Kingdom, as to ways by which the treatment of tuberculosis could be made more efficient and cheaper as well as shortened. The study of

policies of chemotherapy in Hong Kong showed that an initial period of six months of three drugs is no more effective than an initial period of three months of three drugs, and the results were presented at the 21st International Tuberculosis Conference at Moscow. The study also showed that expensive routine pre-treatment sensitivity tests, were not as essential as previously believed, and should not be used on a routine basis. Investigations of international interest were carried out with regard to second-line drugs, and a belief prevailed that the problems of drug toxicity associated with second line drugs could be overcome so that these drugs could be given without the present initial period of hospitalization.

49. The joint study with the World Health Organization, namely the Comparative Study of Different Techniques of giving B.C.G. Vaccination to newborn infants in Hong Kong, continued on a follow- up basis. During the year, a new survey was begun of children born on or after 11th July, 1966, and notified as suffering or dying from tuber- culosis. In this connection, the collaboration of the Medical Research Council Statistical Research and Services Unit was obtained. In certain parts of the world, direct B.C.G. is given to children of school age and a study to evaluate its role in Hong Kong came under planning. Another study, also under planning, was related to the differentiation between tuberculin positivity due to B.C.G. and that due to tuberculosis, or infection with atypical myco bacteria.

Case Finding

50. In the past, the many patients attending the chest clinics made large scale case-finding undesirable. With improved facilities and the decrease in the number of patients, case-finding during the year came to play an increasingly important role. Emphasis was placed in 1971 on symptom-motivated patients, and health education techniques were used to ensure a proper understanding of the disease. The chest unit participated in the Fisheries Exhibition at Aberdeen from 14th to 19th February, 1972.

Mortality and Morbidity

51. During the year, there was a marked fall in the tuberculosis death rate from 36.3 to 30.9. The 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

1961 AND 1971

ப4 **

.. H

- H

AGC GROUP

MALE HAI

52. Also during the year, the notification rate fell to 223.2 per 100,000 of the population. Figure 6 shows the changes which have taken place in age and sex specific notification rates. There were marked reductions in the incidence of the disease during childhood. There was little change in the vulnerability of adolescents, and some reduction in the incidence of the disease among middle-aged adults. The high susceptibility of males, except in childhood, corresponded with the patterns recorded elsewhere in the world.

FIGURE 6

TUBERCULOSIS NOTIFICATIONS BY AGE & SEX

1961 AND 1971

MODE DÓM A HORTIDA KOM IN SHUGULON

WALL STE

PENALE 19:

-- SA

ני

Working of the Government Chest Service

53. The government chest clinics provided ambulatory chemotherapy servcies 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 was paid to the public health aspects of tuberculosis. Seventy-four Health Auxiliaries, whose main duties consist of contact tracing and home visiting, were attached to the chest service. They were supervised by one Senior Health Visitor and eleven Health Visitors. Patients had all aspects of the disease thoroughly explained to them by Health Visitors and were given explanatory leaflets. Regular attendance for out-patient chemotherapy was regarded as being of paramount impor-

tance, and considerable emphasis was placed on the follow-up of defaulters, and on ensuring that contacts were examined. The clinics also provided medical social work, contact tracing and supervisory services, and undertook surveys of selected groups such as government employees and prisoners, in co-operation with the radiological service. A regular financial grant was allowed where a family depended on the patient's earnings and no other source of income could be found to maintain the dependants during his hospitalization.

54. During the year, attendances at government chest clinics remained at the high level of 1,657,332. The standard treatment of luberculosis was three months of Streptomycin, PAS and INAH followed by intermittent, fully-supervised Streptomycin and high dosage INAH. Intermittent Streptomycin and high dosage INAH had, in the majority of cases, replaced the monthly issues of PAS/INAH tablets as the follow-up treatment of choice. At the end of 1971, there were 5,281 cases on intermittent Streptomycin and INAH compared with 2,631 cases on PAS/INAH. Twice-weekly fully-supervised PAS 10 gms. and INAH 750 mgms. was a new regimen now being evaluated with, so far, encouraging indications. Although anti-T.B. drugs were extremely efficient, the total duration of treatment remained long, at 18 to 24 months. If a means for shortening the course of treatment could be found, this would be of major importance.

The Bacille Calmette-Guérin (B.C.G.) Campaign

55. With the high density of population and comparatively high prevalence of tuberculosis, in Hong Kong B.C.G. has a vital role to play in the prevention of the disease. The B.C.G. campaign, as in previous years was mainly directed at the newly-born, school entrants and school leavers. During the year, 96 per cent of the newly-born were given B.C.G. Bearing in mind that the remaining four per cent usually had some contra-indication to B.C.G. (for example, prematurity) this represented an almost 100 per cent coverage of eligible babies, perhaps the highest in the world. The decline in infant mortality from tuber- culosis which resulted is shown in Figure 7.

FIGURE 7

TUBERCULOSIS MORTALITY & B.C.G. VACCINATION OF NEW-BORNS 1956 - 1971

(MORTALITY RATES AS PERCENTAGE OF 1936 RATES)

PERCENTAGE

1995 $7 5+ 59

■

团

"I CO VACCINATION OF ALL

NEW BORNS IN INSTITUTION:

TE MORTALINY, ALL AGES

TO MORTALITY, INFANTS

龉 ++

61 게 31

1E40

56. B.C.G. was brought to schools by 10 inoculators divided into five teams for tuberculin testing and the administration of B.C.G. It takes approximately two years for all schools to be covered.

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

SOCIAL HYGIENE SERVICE

(Tables 29-33)

58. The incidence of venereal diseases rose by 11 per cent during 1971. The increase was considered slight compared with many other parts of the world. The incidence in the teenage group was approximately 6 per cent of the total cases of venereal diseases. The trends over the past ten years are illustrated in Figures 8 to 10.

FIGURE &

SYPHILIS 1972 - 1971

│_..

TOTAL CASES I ONL

*** (CIDENCE RATE

-130

CASES

INCIDENCE RATE FOR 100 000 POPULATION AGED 'S AND OVER

軸

זל

*----* [AZIDENCE RATC

CATCS

FIGURE 9

INFECTIOUS SYPHILIS 1962 1971

NO * CASES

HEL

INCIDENCE RATE PER 100404 POPULATION AGED 15 * QUE

FIGURE 10

GONORRHOEA 1962 1971

10ʻAL CASES IN KONTA

_I_

KAHCIDENCE RATE

CASES

INCIDENCE RATE PER 100,000 POPOLATION AGED NA

AND OVER

1942

[5]

PELA

59. Case finding continued at a high level, particularly in ante-natal cases where an initial positive serology rate of 0.9 per cent was observed. Of the 212 positive cases 1eferred from ante-natal clinics, only 171 patients, that is, 81 per cent, were actually suffering from syphilis. Contact tracing, particularly of infectious syphilis, was continued.

Leprosy

60. During the past 10 years, there has been a continuing reduction in the incidence of this disease, and the number of new cases treated in 1971 numbered 117, representing a rate of 2.9 per 100,000 of the population. Investigation disclosed that 14 patients were immigrants who had developed the disease before their arrival in Hong Kong. Tuberculoid manifestations comprised 38.4 per cent of total cases. There were 85 admissions to the Hay Ling Chau Leprosarium main- tained by the Leprosy Mission-Hong Kong Auxiliary. Of these, 47 cases were infectious, and 38 cases were admitted for reconstructive surgery or treatment of ulcers.

61. In recent years, there has been some advance in overcoming the prejudice against employment of cured leprosy patients, and to this end, much attention was paid in 1971 to the prevention of disabilities in tuberculoid cases.

Dermatology

62. The incidence of skin diseases is shown in Table 32. There was a very low incidence of skin cancers in 1971. The total number of new cases was about 5 per cent less than the previous year, but 107 per cent more than ten years ago. The types of skin diseases in 1971 were similar to that of the previous year, the six more common types being eczema, fungal infections, contact dermatitis, lichen simplex, urticaria and warts.

PORT HEALTH

(Table 34)

　　　　63. The Port Health Service in 1971 continued to fulfil its routine duties in connection with the prevention of the introduction of quarantinable communicable diseases into Hong Kong, 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, and ports and airports in other countries.

64. With the increasing importance of Hong Kong as a tourist and an international transit centre, the work load of the Service has steadily risen in recent years. This has not only been due to the increasing number of ships entering the port, resulting in the necessity of main- taining a full 24-hour daily quarantine service, but also to a vast growth in air traffic at the Hong Kong International Airport. The Service has responsibility for port health work in connection with travelling between Macau, Kwangtung province, and Hong Kong, with particular emphasis on vessels and aircraft from plague-infected areas, and food imported from cholera-infected places.

DISTRICT MIDWIFERY SERVICE

(Table 35)

65. Nearly all births during the year took place in institutions- either hospitals or maternity homes. Delivery in hospitals gradually increased, as all cases were carefully screened and any high-risk cases were referred to specialist units for further management. Only 18.5

per cent of the births were attended by the government district midwives, and midwives in private practice attended another 15.5 per cent, compared with 18 per cent and 19 per cent respectively in 1970. The remainder of the births took place in government, government- subsidized and private hospitals.

66. During the year, there was no change in the number of govern- ment district maternity homes. On the other hand, one new private maternity home was registered, while eight old homes were voluntarily suspended, with a reduction of 53 beds. During the past five years, there has been a steady reduction in the still-birth rates in both govern- ment and private materntiy homes.

MATERNAL AND CHILD HEALTH SERVICES (Tables 36-37)

67. Public appreciation of the value of these services in the maintenance of health among infants, and expectant or nursing mothers was again reflected by the fact that 89.6 per cent of the children born had been brought to a centre for attention on at least one occasion. The corresponding figure for 1970 was 85.4 per cent. Approximately 1 per cent of the new attendants at the various centres was found to have abnormalities. Of these, the majority had either congenital defects or displayed effects of prematurity. A further encouraging trend was the increasing appreciation by expectant mothers of the need for regular ante-natal care, this reflected by the average attendances per person at ante-natal sessions and by the low maternal mortality rate.

68. In July 1971, developmental screening for sight, hearing and speech was started at all full-time maternal and child health centres. Children attending these centres were seen at six weeks, 8-10 months, 18-20 months, 2 years, 34 years and 4 years respectively. Children found having, or suspected to have, defects were referred to specialist clinics. Those with permanent defects were referred to the special education section of the Education Department. A special register is kept at each centre for children with defects, and follow-up visits were made by health visitors once every three months.

69. In November 1971. the North Kwai Chung Maternal and Child Health Centre was opened. It is a full-time centre. This brings the total number of full-time maternal and child health centres throughout Hong Kong to 19.

SCHOOL HEALTH SERVICE

　　　70. The Medical and Health Department provides an advisory service to the Education Department on matters relating to environ- mental health and hygiene in schools, and this was continued in 1971. Inspections of schools were carried out by school health inspectors with special regard to lighting, ventilation and sanitary arrangements. Immunization against diphtheria, tetanus and smallpox was carried out in schools during the year by staff under the direction of area health officers. The government chest service maintained responsibility for tuberculin testing and B.C.G. vaccination in schools.

SCHOOL MEDICAL SERVICE BOARD

(Table 38)

　　　　71. The School Medical Service is administered by the School Medical Service Board, an independent statutory body incorporated by ordinance and operated by private medical practitioners. Remuneration of the doctors is on a per capita basis, half the annual fee being paid by the participating pupil, and half contributed by the Govern- ment, which also meets the Board's administrative expenses.

72. On 31st March, 1972, the number of pupils participating was 37,181 from 661 schools, compared with 43,663 pupils from 704 schools on the same date in the previous year. Doctors participating in the scheme numbered 174 compared with 183 in the previous year.

DENTAL SERVICE

(Table 39)

73. 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 treat- ment for members of the general public.

74. 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 was maintained in 1971. It represented 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 was estimated at about 14.5 cents per person receiving fluoridated water per annum. Dental health education plays an important part in com- bating dental disease in Hong Kong, and the Dental Service continued to take advantage of major educational exhibitions to distribute in- formation and advice on the maintenance of dental health.

FORENSIC PATHOLOGY

(Table 40)

75. 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 public mortuaries in Victoria and Kowloon is in the hands of the Medical and Health Department Institute of Pathology, homicidal deaths and deaths under suspicious circumstances remained in 1971 in the hands of the forensic pathologists.

GOVERNMENT LABORATORY

(Table 41)

76. The Laboratory provides chemical and related scientific services. for government departments. During the year. 37,804 items were examined by the professional and technical staff, an all-time record.

77. In the forensic science division, there was an appreciable increase in the number of questioned documents examined, particularly passports and forged papers. Handwriting examinations featured prominently in the year's work. A series of bomb incidents throughout Hong Kong occupied the attention of the scientific staff of the division for several months. Numerous visits were made to scenes of crime.

78. The quantity of illicit drugs of all kinds examined by the narcotics section was again a record. Seizures recorded included 12,057.086 lbs. of raw opium.

79. Officers of the general division were active throughout the year. The new pharmaceuticals section continued to expand, recording a ten-fold increase in the volume of work done and the output of the food control division doubled. There was also an upsurge in the specialist work carried out for the fire services division, the volume

of which more than doubled. The fire services section assisted in the investigations into the cause of the Jumbo' Floating Restaurant fire.

80. Surveys were carried out on the presence of cadmium on pottery, and in the confection commonly known as 'Love-Beads. The arsenic content of bean curd also came under examination during the year.

MEDICAL AND HEALTH DEPARTMENT, INSTITUTE OF PATHOLOGY (Tables 42-45)

81. 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 the Queen Mary Hospital on pathology, clinical biochemistry and bacteriology is under- taken by the University of Hong Kong, Department of Pathology which receives a grant from the Government for such services. During the year, the total number of examinations undertaken by the Institute exceeded that of the previous year by 152,741, indicating an increase of about 8 per cent. This was mainly in the fields of histopathology, chemical pathology, clinical pathology, haematology, serology and virology.

Morbid Anatomy and Histopathology

　　　　82. A total of 1,239 post-mortem examinations was carried out in 1971, of which 736 had medico-legal implications. The brains of 32 dogs were examined for the presence of Negri bodies (indicating death from rabies) but no positive findings were obtained. More than 4.200 specimens of sputum, pleural fluid, vaginal and cervical smears, and other specimens, were received for cytological examination, of which 77 showed definite evidence of malignant disease. More than 47,000 biopsy specimens were examined in order to determine the histo- pathological diagnosis. Of these, about 4,000 were benign or malignant

tumours.

Haematology and Serology and the Blood Bank

83. More than 400,000 haematology specimens were examined, the most common examinations being haemoglobin estimations, total and differential white cell counts, blood examinations and blood grouping. More than 128,000 serology tests were performed, the most common

being the V.D.R.L. floculation slide test for syphilis. In the blood banks, 28.469 pints of blood were received during the year, 27,966 pints of which were from the blood-collecting centres of the Hong Kong Red Cross Society. A total of more than 200,000 examinations of blood was carried out in the blood banks.

Chemical Pathology

84. Some 460,000 specimens were examined, the most common being various quantitive examinations on blood, which accounted for more than 350,000 of the examinations.

Bacteriology and Public Health

85. More than 600,000 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.

86. Apart from routine bacteriological diagnosis of tuberculosis, the tuberculosis laboratory was involved in anti-tuberculosis drug sensitivity tests in conjunction with the Medical Research Council of the United Kingdom.

Virology

87. The government virus unit carried out diagnostic examinations for virus diseases and special investigations of virus infections prevalent in Hong Kong. During the year, a total of 9,728 specimens was examined, which was 44 per cent more than that in 1970.

88. In 1971, a survey of influenza antibody was carried out among pigs. Haemagglutination-inhibiting antibody to A/Hong Kong/68 virus was found present in 12.5 per cent of locally-bred, and in 8 per cent of imported pigs. In 1969, a similar survey was carried out which showed that haemagglutination-inhibiting antibody was present in 13.8 per cent of locally-bred and 25.7 per cent of imported pigs. The findings in the 1971 survey indicated a notable reduction during the year in the incidence of A/Hong Kong/68 influenza virus infection among imported pigs.

89. Parainfluenza type I virus infections were prevalent in March and April, and type 3 in December 1971. Other viruses associated with sporadic respiratory infections, in the order of frequency, were adeno-

virus type 3 and type 2, ECHO type 1, Coxsackie B2 and B4 and cytomegalovirus.

90. Cytomegalovirus was isolated in 30 infants presenting clinical syndromes of jaundice, hepatosplenomegaly, pneumonia or convulsion. A serological study showed 74 per cent of 100 adults aged between 20 and 30, had complement-fixing antibody against the virus. The finding suggested the endemicity of the disease.

91. In connection with the occurrence of Japanese B encephalitis among five horses in the New Territories, a serological survey of 436 horses was subsequently carried out. There was no evidence of exten- sive virus dissemination. About 9 per cent of the horses showed low titres of haemagglutination-inhibiting antibody against the virus.

INDUSTRIAL HEALTH

(Table 46)

92. The health of workers in factories and other industrial under- takings is the statutory responsibility of the Commissioner of Labour. The Industrial Health Division of the Labour Department, staffed by personnel seconded from the Medical and Health Department, is responsible for advising the Commissioner on all matters affecting the health and welfare of industrial workers. Its principal functions are to prevent occupational diseases and to promote health at work. The inspection of industrial undertakings by medical officers of the division, the monitoring of the working environment by laboratory staff, and the investigation of notified occupational diseases and medical sur- veillance of special groups of workers, are the principal ways in which these functions are carried out.

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

94. Industrial health officers also act as advisers to commercial undertakings and other government departments on occupational health matters. They examine government divers annually to safeguard their health and safety.

　　　　95. A total of 38,306 occupational injuries was recorded by indus- trial health visitors and nurses of the division during the year. Of

these, 27,192 were accidents causing the injured to be off work for more than three days, and were therefore reportable under the work- men's compensation ordinance. Exactly 379 occupational deaths were recorded, but it was found on investigation that 137 occurred among seamen recruited in Hong Kong, and 54 were due to natural causes.

96. Industrial health officers participated on medical boards to assess the degree of disability of 6,731 injured workers. Health visitors and industrial nurses carried out case work, calling on homes and attend- ing at the casualty departments of major hospitals.

97. Monitoring of air pollutants continued, the number of stations being 33, 13 on the Island, 13 in Kowloon and 7 in the New Terri- tories. The use of the Huey plate for sulphation rate was found to be satisfactory, and completely replaced lead candles. The advisory com- mittee on air pollution continued to meet regularly at intervals of two months.

98. The industrial health laboratory was designated by the World Health Organization as a national laboratory. It took part in an international study on air pollution in conjunction with other national laboratories throughout the world.

HEALTH EDUCATION

99. A better community appreciation of the basic principles of personal and environmental hygiene, and the prevention of disease, continued to be the main health objective. A wide field was covered by many branches of the department, and the co-operation of all voluntary agencies interested in such topics was actively sought.

100. In February 1972, the department participated in the Fisheries Exhibition at Aberdeen by producing displays on various aspects of preventive medicine. In addition, the health education unit in the New Territories organized a number of local health exhibitions in rural towns. Exhibits included displays on personal and environmental hygiene, prevention of diseases, prevention of home accidents, maternal and child health, nutrition, and so on.

IV. WORK OF THE MEDICAL DIVISION (Tables 47-72)

101. At the end of 1971, a total of 15,916 beds was available in all hospitals in Hong Kong, excluding those maintained by the armed

H.R.H. The Princess Anne inspecting the model of the New Lai Chi Kok Hospital at the foundation stone laying ceremony on 27th October, 1971.

....

|: .

יון ינווי

FRASI

The North Kwai Chung Clinic opened on 6th November, 1971.

A patient being attended by a nurse at the North Kwai Chung Clinic.

A baby attending the infant welfare session at the maternal and child health centre at North Kwai Chung Clinic.

NETERARAKTANERKES

Huh

A Health Visitor giving a health talk at the maternal and child health centre at North Kwai Chung Clinic.

A health education stall by the Department's Health Education Unit in the New Territories.

MEDICAL & HEALTH DEPARTMENT

NEDICAL & HEALTH DEPARTNE

　　forces. In addition, there were 485 beds in government maternity homes, and 288 beds in private maternity and nursing homes. The total 16,689 beds represented a ratio of 4.1 beds per thousand of the population. The figures are based on the normal bed capacities of hospitals, but in some cases, the actual bed occupancy was much higher, since camp beds and other additional beds were used whenever the need arose. Development over the past 10 years is illustrated in Figure 11, and it will be noted that the bed provision in 1971 represented an increase of 67 per cent over the bed provision in 1962.

FIGURE 1]

HOSPITAL BEDS 1962 - 1971

HO. OF HOSPITAL BEDS IN 1,000%

TOTAL

軸

YEAR

ÇOVERNMENT- ASSISTED

PRIVITE

--16

QUEEN MARY HOSPITAL

(Table 51)

102. Built in 1937, the Queen Mary Hospital is the main acute and specialist centre for the Island, and is also the teaching hospital for the Medical Faculty of the University of Hong Kong. Clinical supervision is provided partly by the University's clinical departments, and partly by government specialist units.

103. A new psychiatric unit was commissioned in January 1972. The construction of 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, were in progress. They are due for completion in the latter part of 1972. During the year, the bed complement of the hospital

increased to 1,164-the result of the addition of a number of cots in the paediatric ward, and some maternity beds.

QUEEN ELIZABETH HOSPITAL (Tables 52-53)

104. The Queen Elizabeth Hospital serves a population of approx- imately 2.5 million in Kowloon and the New Territories as a medical centre for emergency and specialist care.

105. During its eighth year of operation, attendances at the casualty department rose by 12.1 per cent compared with the previous year. Of these attendances, 29.5 per cent were due to trauma, the main causes being, in the order of frequency, industrial, domestic, traffic and assault cases. A total of 39.9 per cent of all cases seen in the casualty department required immediate admission to hospital, and 1.6 per cent were referred for admissions to other hospitals such as the Kwong Wah Hospital and the Lai Chi Kok Hospital. (Paragraph 177 below gives details of the operation of the casualty department of the Kwong Wah Hospital). The average time spent in the Queen Elizabeth Hospital by each in-patient was 6.5 days. Once the acute period of the illness was over, patients were either discharged, or transferred to Kowloon or Lai Chi Kok hospitals for convalescence. The pressure of admission necessitated increasing beds to 1,893, although the hospital's normal capacity is 1,596 beds.

KOWLOON HOSPITAL

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

107. With the completion of the west wing in October 1970, the total bed complement of the hospital increased from 500 to 1,042, including an acute psychiatric unit of 67 beds, a paraplegic unit of 50 beds, 192 beds for thoracic diseases, and 733 convalescent beds for the Queen Elizabeth Hospital. Towards the end of the year, the west wing was almost fully operational, while some wards in the old section underwent renovation.

TSAN YUK HOSPITAL

(Table 55)

108. The Tsan Yuk, 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 300 beds, including 50 beds for the care of premature and sick babies. It is the teaching centre in obstetrics for medical undergraduates and the training school for midwives.

109. About 90 per cent of admissions during 1971 were booked cases. These were mainly primigravidae, grand multiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from government maternity homes. There were 5,985 deliveries with no maternal death.

MENTAL HEALTH SERVICE

(Tables 56-58)

Castle Peak Hospital (Table 56)

　　　　110. This hospital of 1,242 beds was required to accommodate 1,916 patients at the end of the year-1,798 actually living in, and 118 on trial discharge. It is the only hospital in Hong Kong for the full-time care of all types of psychiatric patients.

111. The hospital continued its development during the year, in accordance with contemporary psychiatric practice, into a modern therapeutic community. Except for one closed ward for patients involved in court proceedings, the rest of the wards are in various degrees 'open', having also free access to their own gardens. Six wards are entirely open, the patients housed being convalescent and receiving attention in preparation for discharge. Some patients travel daily to Tsuen Wan, Sham Tseng, and San Hui to work in factories. Others go to the adjacent New Life Rehabilitation Farm each week, for a short period of rehabilitation prior to final discharge, and many are given permission to move freely within the hospital.

112. All modern treatments in psychiatry are administered. Reliance is placed on drug treatment and social measures, with emphasis on inter-disciplinary, participatory-democratic teamwork, co-ordinating the functions and resources of social worker, nurse, occupational ther- apist, doctor and others in therapy. There was an increasing tendency

to treat patients in psychiatric out-patients' centres and day hospitals rather than to admit them to Castle Peak.

113. Continued efforts were made to rehabilitate the long-stay and severely mentally disabled patients, the aim being to discharge them when they were fit to earn their living. Two wards were especially set up for this purpose. The usual therapeutic measures, including occupa- tional therapy, group therapy and re-education, were intensively used, but emphasis was placed on training in activities having a direct bear- ing on their work after leaving hospital. By these means, a number of patients were able to find employment while still in hospital. They were later discharged for full-time employment.

114. A variety of social and recreational activities was organized for the patients, who also had their own social club. Every ward has a television set.

115. Planning was underway for a new mental hospital at Lai Chi Kok, and the target date of completion was set for 1976/77.

Psychiatric Centres

116. 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 dis- turbed adolescents and children. On the Island, the Hong Kong Psychiatric Centre continued to see out-and day-patients, follow-up cases from Castle Peak Hospital, and forensic cases. In addition to these centres, psychiatric services were provided for the psychiatric observation unit in the Victoria Reception Centre and for the Tai Lam Centre for Women.

Kowloon Hospital Psychiatric Unit

117. The unit, located in the West Wing of Kowloon Hospital, was opened in July 1971. It aims to provide comprehensive psychiatric services in a general hospital setting. Because of shortage of staff, only the outpatients' section, the day hospital and half the in-patients' section, were operational. All types of patients, except those with strong suicidal and aggressive tendencies, were admitted. During their stay, they were subjected to an intensive treatment programme. Average length of stay was two weeks.

Voluntary Mental Health Organizations

118. The New Life Psychiatric Rehabilitation Association, with the close co-operation of the mental health service, operates the New Life Rehabilitation Farm adjacent to Castle Peak Hospital for the benefit of patients requiring a period of orientation before returning to full social and economic activity in the community. The Association also owns two half-way homes and a sheltered workshop catering to selected discharged patients from Castle Peak Hospital. The Mental Health Association continued to serve a useful function in bridging the gap between the service and the community in 1971. The Irene House, a half-way hostel run by the Association for short-stay discharged patients from Castle Peak Hospital, was recently enlarged to accommodate 32 patients at a time. The Association successfully organized the 24th annual meeting of the World Federation for Mental Health in Hong Kong in November 1971.

Drug Addiction

119. The department maintained close liaison during the year with the Action Committee Against Narcotics (ACAN), other voluntary agencies and government departments connected with this work. Rep- resentatives from this department served as members on various sub- committees of the Action Committee Against Narcotics and participated in activities, particularly in relation to the treatment and rehabilitation of drug addicts, and research and health education in the dangers of drug addiction.

120. A notable achievement of the Action Committee Against Narcotics during the year was the setting up of a central registry for drug addicts in the narcotics division of the Secretariat for Home Affairs. The aims of this registry were described as; to obtain information on the average success rate for institutionalized treatment, to estimate the total number of drug addicts in Hong Kong, and to compare the success rate of organized treatment with that of other forms. Government departments and voluntary agencies concerned, private practitioners, hospitals, and so on, which might have contact with drug addicts, were requested to forward the information confidentially.

INFECTIOUS DISEASES HOSPITALS

121. There are two hospitals which admit patients suffering from infectious diseases-the Sai Ying Pun Hospital on Hong Kong Island,

and the Lai Chi Kok Hospital in Kowloon. The latter also provides some accommodation for convalescent cases from the Queen Mary and Queen Elizabeth hospitals.

122. During 1971, none of the common infectious diseases showed any serious variation, but the overall trend was towards a reduction, both in incidence and mortality. None of the major quarantin- able diseases were encountered. There was a definite clinical impression that patients were coming for treatment earlier, and the moribund child admitted in the terminal stage of illness, though not entirely a memory of the past, was seldom seen.

TANG SHIU KIN HOSPITAL

(Table 54)

123. The Tang Shiu Kin, 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.

124. 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.

125. The hospital also houses the head office of the maternal and child health services and a training school for health visitors and health auxiliaries. Quarters are available for medical and nursing staff. Since its opening, the hospital has played a useful role in providing casualty and emergency services for the eastern part of the Island.

OTHER GOVERNMENT HOSPITALS

126. Other hospitals maintained by the Government are the St. John Hospital, serving the Island of Cheung Chau and neighbouring islands of the western seaboard; the South Lantau Hospital, serving villages on the south-west coast of Lantau Island; and six hospitals within com- pounds at Stanley Prison, Victoria Prison, the Tai Lam Centre for Women, the Tai Lam addiction Treatment Centre, the Ma Po Ping Addiction Treatment Centre and Chi Ma Wan Prison.

OUT-PATIENT SERVICES

(Tables 59-61)

127. Pressure remained heavy throughout the year on all 44 general out-patient clinics and also on most specialist clinics. Trends during the past 10 years are shown in Figure 12.

FIGURE 12

OUT-PATIENT ATTENDANCES IN GOVERNMENT INSTITUTIONS 1962 - 1971

OUT-PATIENT ATTENDANCES IN GOVERNMENT INSTITUTIONS HETI

NO. OF ATTENDANCES IN LOOK,DONG.

ATTENDANCES

NEW ATICHDANCES

YEAR

128. New facilities which became available during the year are detailed in paragraph 203 of this report.

129. 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 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 Polyclinic, the Violet Peel Polyclinic and the Yau Ma Tei Jockey Club Polyclinic. Sunday and public holiday clinics were also held at six of the 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 main- tained.

SPECIALIST SERVICES

130. There are government specialist clinical units in medicine, surgery, obstetrics and gynaecology, anaesthesiology, dentistry, neuro- surgery, ophthalmology, orthopaedic surgery, otorhinolaryngology, pa- thology, paediatrics, psychiatry, radiodiagnosis, radiotherapy, social hygiene, thoracic surgery and tuberculosis. In addition, professors of the University of Hong Kong's 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's clinical departments.

RADIOLOGICAL SERVICES

(Tables 62-63)

131. The Medical and Health Department Institute of Radiology consists of a Radiodiagnostic, Radiotherapy, Radiation Physics, Radio- isotope, Radiobiology and Clinical Photography divisions.

132. The Radiodiagnostic Division provides an 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. An additional mobile radiography unit was commissioned in April 1971, and is engaged primarily in serving New Territories chest clinics without static x-ray facilities. This addition brought the total number of mobile units to three.

133. The Radiotherapy Division based at the Queen Elizabeth and the Queen Mary Hospital treats more than 90 per cent of all patients requiring radiotherapy in the whole Colony, and also some patients referred to the Institute from overseas. It also operates a Centralized Cancer Registry.

134. The Radioisotope service is included in the radiotherapy division. Because of its modest outlay, 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.

135. The Radiation Physics Division is responsible for the operation of the radiological workshop, which provides a maintenance service for

government radiological equipment, and also a film-badge radiation monitoring service for the whole of Hong Kong. During 1971, the latter service covered 29 government institutions with 322 radiation workers, 133 private practitioners' X-ray laboratories with 381 workers, and industrial firms with 49 workers. Under the direction of the Radiation Board, the radiation physics division carried out a programme of visits to premises where irradiating apparatus, or radio-active substances. were used, to give advice on radiation protection and ensure that adequate arrangements were made for the protection of radiation. workers and the public in the proximity of such premises. These duties. were in addition to its main function of assisting the first two divisions in their routine work.

　　　136. The Radiobiology Division is responsible for investigating radiobiological and cancer problems to help the Radiotherapy Division in its work, and also assisting it in the training of radiotherapists.

137. The Institute also undertakes the training of medical under- graduates of the University of Hong Kong in clinical radiology and radiological anatomy.

138. In the field of research, the radiotherapy and radiobiology divisions continued their collaboration with the International Agency for Research on Cancer in the investigation on the possible role of a virus in the causation of nasopharyngeal carcinoma, the commonest cancer in the Hong Kong male population. In addition, these two divisions carried out other investigations on the epidemiology of the cancer. The radiotherapy division also collaborated during the year with the department of epidemiology of Harvard University in a study of the urinary oestrogenic profiles of selected North American and Asian populations to test a hypothesis that the nature of the oestrogens pro- duced by a young woman could be a determinant of her breast- cancer risk in later life.

　　　139. Oriental women have been reported to have a definitely lower risk than their occidental counterparts. A preliminary report of this study was published in The Lancet, 23rd October, 1971 issue, pp. 900- 902. The findings are compatible with the hypothesis. It is still too early to imply from these findings that the difference in oestrogen profile between Asian and North American women is responsible for their different breast-cancer rates, but they suggest that the oestrogen profiles warrant further studies. In collaboration with the World Health Organization regional office in Manila, a number of radiation measure.

ments were made to relate the techniques employed, and values obtained, for Cobalt-60 teletherapy units throughout Asia. At the end of the year, the findings were still being correlated in the World Health Organiza- tion in Geneva. The cost of these three research projects was supported respectively by grants from 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.

OPHTHALMOLOGY (Tables 64-65)

140. This service maintains three full-time centres with surgical facilities, and in addition, holds regular sessions at 15 out-patients clinics in urban and rural areas. Ophthalmic surgery is performed in the two government hospitals with a total of 40 beds for ophthalmic cases as well as in the out-patient clinics. Emergency ophthalmic service is also pro- vided to the three casualty departments at the Queen Mary, Queen Elizabeth, and Kwong Wah hospitals.

141. During the year, the number of persons first registered as blind was 228, including 11 aged under 15. 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 replaced keratomalacia as the predominant causes. Among children, the main cause of blindness was congenital defect, while blindness due to keratomalacia became comparatively rare.

PHARMACEUTICAL SERVICE

(Table 66)

142. 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 on the Island and one in Kowloon, manufactured and dis- tributed some 250 different types of pharmaceutical products to these institutions in 1971. In the two largest hospitals, sterile preparation units supplied all the hospital departments with their requirements of all intravenous fluids, and an extensive range of injections. During the year, alteration work was begun in the manufacturing depot on the Island

to provide larger and improved accommodation for the manufacture and control of drugs.

　　　143. Following an increase in the number of Pharmacists in the Pharmacy Inspectorate Section, a larger number of prosecutions were taken out-132 in 1971 as compared with 63 in 1970-under the ordinances governing the conduct of pharmacies and the sale of dangerous drugs, poisons and antibiotics in the commercial sector.

MEDICAL SOCIAL WORK

　　　144. 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 there. The allocation of 78 beds at Grantham Hospital as con- valescent beds for chest and heart cases from Queen Mary Hospital resulted in an extension of the service to patients transferred to the Grantham. Medical Social Workers of the Hong Kong division also undertook medical social work in the Tsan Yuk Hospital, the Sai Ying Pun Infectious Disease Hospital, the Tang Shiu Kin Hospital, the Duchess of Kent Children's Orthopaedic Hospital, the Tung Wah Sandy Bay Convalescent Hospital, the David Trench Rehabilitation Centre, the Wan Chai Physiotherapy Centre, the Sai Ying Pun Jockey Club Poly- clinic and the Violet Peel Polyclinic.

145. The medical social service of the Kowloon division, with its head office at Queen Elizabeth Hospital, covers medical social work in government hospitals and other medical institutions in Kowloon. Close liaison was maintained during the year with other Government depart- ments, and voluntary agencies, in regard to the various aspects of re- habilitation, such as job placement, vocational training, and housing and education of the physically handicapped. The continuing co-operation and assistance given by them greatly helped the patients.

　　　146. Medical Social Workers in the Chest and Special Skin Division continued to see patients in a referral and selection system, in addition to automatic interviews of all patients on admission arising from the social aspects of these diseases. Medical social workers of this division worked full-time at all main chest clinics and special skin clinics, and part-time at other sub-clinics, including New Territories clinics and the

Aberdeen Jockey Club Clinic. In addition to services rendered to out- patients, this division also provided medical social services to tubercu losis patients treated at such hospitals as the Kowloon, the Grantham, the Ruttonjee Sanatorium, the Wong Tai Sin Infirmary, the Haven of Hope Sanatorium and other medical institutions. In the special skin service, medical social workers maintained close liaison with the Hay Ling Chau Leprosarium. There were fewer difficulties in 1971 with such rehabilitation problems as the housing of leprosy patients, the employ- ment of cured persons, and their re-integration into the community.

147. In the mental health service, medical social work widened further in scope with the establishment of a medical social service in the newly-started psychiatric unit în Kowloon Hospital, with its com- plement of out-patient psychiatric clinic and an additional day hospita! -the third in Hong Kong. Towards the end of the year, the Out- Patient Psychiatric Clinic of the Hong Kong University department of Psychiatry came into operation at the Hong Kong Psychiatric centre of the David Trench Rehabilitation Centre. This led to the start of the second psychiatric unit in a general hospital, the Queen Mary. The demand for psychiatric social work further increased, apart from the need to cope with an increased number of admissions and out-patient attendances in existing services.

148. As a result of the rapid expansion in the medical and health services, there was a larger intake of new recruits in the medical social service, and the in-service training and orientation programme was carried out on a larger scale than before with the appointment of a training officer. Interdisciplinary departmental training, much appreciated because of its teamwork implications, continued to be maintained. Requests also came from other hospitals' nursing schools such as the Tung Wah group of hospitals, from hospital administrators, welfare organizations, the Social Welfare Department's training section, and so on, for medical social workers' contributions towards their staff develop ment programmes. Practical work placements in the department's hospitals, mainly the Queen Elizabeth, the Queen Mary, and the Kowloon hospitals, continued to be made available to the B. Soc. Sc. undergraduates of the two universities, and graduates undertaking the diploma of social studies course of the University of Hong Kong. In both respects, experienced and qualified medical social workers were designated as supervisors in the field training of social work students.

PHYSIOTHERAPY

(Table 67)

　　　149. The physiotherapy units of government hospitals and clinics. continued to report increasing numbers of patients and treatments carried out. The greatest number of patients in all units continued to be referred by the orthopaedic units, reflecting a continuing increase in the number of people in the community injured in industry, on the roads, and elsewhere. A great deal of time was spent in the treatment of surgical cases, including the intensive care unit at the Queen Mary, neurosurgical cases, at the Queen Elizabeth, and thoracic cases, at Kowloon Hospital, because they often required care urgently. Cases referred by paediatric and medical units, while not requiring care so urgently, also called for close attention and more continued care.

150. The opening of the West Wing of Kowloon Hospital necessitated the reorganization of this unit in an attempt to give convalescent patients, especially spinal cases, as full a programme as possible between treatment in the wards and the Rehabilitation centre. These long-stay patients needed much encouragement, and the sports activities arranged for them proved to be one of the best ways of increasing their strength and independence. Many of them became proficient at various wheelchair sports-including basketball, table-tennis, archery, javelin and discus.

　　　151. The David Trench Rehabilitation Centre reached one full year of operation in 1971. While it obviously provides a necessary service for patients living in the western end of the island, it has not reached its capacity yet, and has not taken much pressure off Wan Chai Polyclinic.

152. The physiotherapy training school had a busy year. During the summer, two open days attracted a large number of visitors who were able to view the various projects students had prepared, and to see some practical demonstrations of their work. 44 students were under training at the end of the year. The number included 11 who were receiving training for work in non-government institutions.

OCCUPATIONAL THERAPY (Table 68)

153. During the year, the occupational therapy unit became fully established with the appointment of two expatriate officers in August and September, followed a few months later by the return of two more scholarship graduates from the Melbourne and Sydney schools of occupational therapy.

154. On 16th August, the psychiatric occupational therapy unit was opened in the New Kowloon Hospital west wing ward block, followed on October 26 by the opening of the new physical unit in the David Trench Rehabilitation Centre.

155. There was an increased demand for occupational therapy service at the Kowloon Rehabilitation Centre following the opening of the new Kowloon Hospital West Wing and a more regular attendance of cerebral palsy children. Otherwise, treatment in 1971 followed the same pattern as in previous years, with the same aim in view to assist patients to return to their previous employment, or to an alternative form of livelihood.

156. The occupational therapy units in the Queen Mary and Queen Elizabeth hospitals continued with the treatment of in-patients. In the Queen Elizabeth, the attendance of out-patients, particularly cerebral palsy children, reached an all-time high. The Lai Chi Kok Hospital occupational therapy unit was re-opened on 13th April, 1971, and continued as a fully functional treatment unit throughout the year. The Wan Chai Polyclinic also continued to function to the maximum, in spite of its physical limitation and location, which together prevented further expansion of the service offered.

157. The Medical and Health Department continued to provide a diverse programme of progressive treatment in the Castle Peak Hospital covering work, recreation and group-social activities. The Hong Kong Psychiatric Centre and the Yau Ma Tei Mental Health Centre continued to provide a treatment programme for an attendance of out-patients, including selected patients from the Castle Peak Hospital, for whom a short follow-up period was necessary, and those receiving other forms of therapy referred for observation prior to assessment for future employment.

PROSTHETIC-ORTHOTIC SERVICE

(Table 69)

158. The prosthetic-orthotic service provides modern artificial limbs and orthopaedic appliances for members of the public and for in-patients of government hospitals. The demand for prosthetic-orthotic service continued to rise as a result of increased industrial and traffic accidents. Though the number of new poliomyelitis patients requiring orthopaedic appliances decreased, the old poliomyelitis patients were growing up

during the year, and so the demand for medium and large sizes of long leg-braces with knee-hinges increased.

　　　　159. To ensure that artificial limbs available in Hong Kong were the best possible, and that the method of fabrication and limb fitting kept abreast of developments, one prosthetist was sent abroad in July 1971 to take a post-graduate prosthetic course and to make an up-to-date general survey of prosthetics and orthotics in England, Denmark, and West Germany, and to work in some of the famous research and development centres in those countries.

160. Work study in the production of artificial limbs continued. The main research and development undertaken during the year was: (1) modification to above-elbow prosthesis, (2) improved fabrication of the forearm section for all upper-extremity prosthesis, and (3) a new design of the SACH foot for all lower extremity prosthesis.

161. In-service training in prosthetics and orthotics continued for government student prosthetists. During the year, four student prosthe- tists successfully completed a training course of three years in pros- thetics-orthotics, passing the prescribed examinations. Their ultimate qualification was recognized by the appropriate professional body in the United Kingdom.

MEDICAL EXAMINATION BOARD

(Tables 70-71)

162. This section carries out medical examinations of new entrants. to the civil service and certain units of the Essential Services Corps. The number of persons classified as unfit, on account of tuberculosis. decreased considerably in 1971 when compared with the previous year. Tuberculosis remained the primary reason for non-acceptance of appli- cants on medical grounds, being responsible for seven out of the 10 classifications as 'unfit' in each 1,000 examinations. In May 1971, the Medical Examination Board was removed to new premises in the Canton Road government offices.

HOSPITAL MAINTENANCE AND SUPPLY

163. The development of services provided in medical institutions operated by the Medical and Health Department makes the administra- tion and supply of the hospital service increasingly complex, and there was little doubt during the year that this trend would persist.

164. The Central Laundry Organization continued to be kept under review, particularly with reference to its future requirements, and its relationship with other essential service departments. Work on the new Shau Ki Wan laundry proceeded. It was hoped that this unit would be in operation by October 1972, and that it would ease the load on the existing services at the Queen Elizabeth Hospital. Approval was obtained for a third laundry in Kowloon, and planning would start soon.

165. The reorganization of the Medical and Health Department Staff society was completed and this, combined with the appointment of a Staff Welfare Officer, helped to promote harmonious staff relations during 1971.

166. Work on the planning and equipping of the new Lai Chi Kok Hospital was well underway in 1971. The design and types of standard and special items of hospital equipment were reviewed, and where. necessary modified, in order to ensure that the most modern equipment would be obtained for the new hospital.

167. A degree of assistance was rendered to various subsidized hospitals, particularly medical equipment, and detailed requirements when planning new projects.

AUXILIARY MEDICAL SERVICE

168. This branch of the Essential Services Corps has a strength of more than 5,700 men and women-2,000 of whom are under 25-trained to augment Hong Kong's medical services during an emergency. Approximately half the strength was used in 1971 to make up the ambulance depot teams, dispersed throughout the Island, Kowloon and New Territories, and affiliated to the nearest ambulance service of the fire stations. These ambulance depot teams are trained to reinforce the regular ambulance service, and to provide mobile first-aid parties and light rescue teams, especially in the New Territories and outlying islands.

169. Members of the service assigned to emergency duties in medical establishments carry out training annually in one of the major hospitals. Members assigned to reinforce the ambulance service perform duties at weekends and on public holidays. There were more than 450 members, men and women, trained as life-savers, who reinforced regular life guards on beaches at weekends and on public holidays during the year.

170. Members attended at scenes of all major fires in 1971 to care for the injured and the homeless. Members were on duty during three

typhoon alerts during 1971, and helped to rescue persons from flooded areas in the New Territories.

　　　　171. The band of the AMS performed on many occasions in public parks, at medical functions, and gave concerts at hospitals at Christmas.

REGISTRATION OF MEDICAL CLINICS

(Table 72)

172. In accordance with the Medical Clinics Ordinance, all clinics were required to be re-registered annually. On 31st March, 1972, there were 75 registered static clinics, and three registered mobile clinics in the charge of registered medical practitioners, and 349 clinics registered with exemption, making a total of 427.

173. 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 1971, there were 74 clinics in resettlement estates, and 18 in housing estates operates by registered doctors. In addition, there were 34 clinics in resettlement estates, and two clinics in housing estates, registered with exemption.

V. GOVERNMENT-ASSISTED HOSPITALS

(Tables 73-76)

174. Financial assistance, mainly by means of an annual subvention, is given by the Government to certain voluntary organizations main- taining hospitals in Hong Kong. Such hospitals, containing a total of 7,664 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 $78,942,866 recurrent, and $3,103,195 special expenditure.

THE TUNG WAH GROUP OF HOSPITALS

175. The Tung Wah group of hospitals is a long-established Chinese charitable organization, managed by a board of directors elected annually. During recent years, a programme of modernization and expansion has been undertaken, with assistance from the Government, in staff especially medical officers and consultant services-money, and material. The subvention for this was $41,864,776.

176. Construction of the 12-storey Centenary Block in the Tung Wah Hospital was begun in July 1970, and the first stage was due to be completed at the end of May 1972. The building will have 424 beds, with a new casualty department, X-ray facilities, new operating theatres, and single quarters for 20 medical officers.

177. The casualty department at the Kwong Wah Hospital handles cases of accident occurring between Waterloo and Lai Chi Kok roads. Many patients were referred to it by government clinics in Kowloon and the New Territories. As a result, this casualty department dealt with cases not only from the northern part of Kowloon peninsula, but also from other areas. A police post was established to deal with medico-legal cases, and an industrial nurse from the Labour Department attended during the year to advise in cases of industrial accidents. An officer from the Fire Services Department was also posted to the casualty department to handle ambulance services.

178. In the Wong Tai Sin Infirmary, there are altogether 681 beds, 185 allocated to the government tuberculosis service. Patients for long- term treatment are transferred to the Infirmary from the Queen Elizabeth or the Kwong Wah hospitals. There are also 503 beds in the Tung Wah Sandy Bay Convalescent Hospital for the treatment of chronic patients. But the provision of a total 1,184 beds for long-term patients under the management of the Tung Wah group of hospitals was still not sufficient, according to the year's experience, to meet the demand for more chronic beds in Hong Kong.

179. Towards the end of 1971, the Tung Wah Eastern Hospital began a programme of alteration to convert the present hospital for acute and sub-acute cases. The work is expected to be completed in September 1972. After renovation, there will be two major operating theatres, and one minor theatre, and two air-conditioned X-ray rooms. The laboratory will be expanded, and the kitchen enlarged. The number of beds will be reduced from 338 to 330. The hospital will receive straight-forward emergency cases from its own out-patient department and receiving room, and also from the casualty department of the Tang Shiu Kin Hospital.

THE ALICE HO MIU LING NETHERSOLE HOSPITAL

180. This hospital, supported by the London Missionary Society. received a government subvention of $5.484.613 during the year. The

hospital has been considerably modernized in recent years, and its facilities greatly improved.

　　　　181. In 1971, there was an increase in the number of surgical operations and laboratory examinations. Pathological facilities were completed by the establishment of a histology and cytology laboratory, handling all the hospital's work in this field. But the reading of micro- scope slides was still performed by the consultant pathologist. The small autopsy room in the hospital was also improved and re-equipped.

POK OI HOSPITAL

　　　　182. This charitable hospital at Yuen Long in the New Territories continued in 1971 to serve the population in Yuen Long and surround- ing areas. Recently, the hospital was modestly expanded, and during the year, tenders were called for the construction of minor staff quarters, a kitchen, and a mortuary.

183. To improve the use of facilities, two surgical teams from the Queen Elizabeth Hospital visited the Pok Oi once a week for surgical clinics and operations. A small quantity of blood began to be stocked in the hospital for urgent use when required.

CARITAS MEDICAL CENTRE

184. The Caritas Medical Centre has 898 beds. It was erected with the aid of donations from Catholic communities in many parts of the world, in particular the Federal Republic of Germany, and is maintained partly with the aid of a government subvention. In 1971, this was $4,440,000. The centre 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 Hong Kong.

185. During the year, a physiotherapy service on a small scale was set up. Other improvements included furnishing and equipping the milk kitchen in the maternity ward, the installation of an incinerator, and the extension of the hospital kitchen. The hospital also planned to develop the site adjacent to the medical centre by the construction of a nurses training centre, a physiotherapy block, a new chronic hospital block and staff quarters.

THE HONG KONG ANTI-TUBERCULOSIS AND THORACIC

DISEASES ASSOCIATION

186. The three institutions of this Association-the Grantham Hospital, the Ruttonjee Sanatorium, and the Freni Memorial Convales- cent 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 74)

187. 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. The Government main- tains 610 of the beds, but all staff of the hospital are provided by the Association, with the exception of government medical officers posted to the government clinical units, which are directly responsible for 218 of the beds. Because of the decline in the need for hospital beds for the treatment of pulmonary tuberculosis, 70 beds have been re-allocated for general use as convalescent beds for chest and heart cases from the Queen Mary Hospital.

188. The Grantham Hospital is also a centre for cardiac surgery. As a result of contributions from the Government, the University of Hong Kong, and the Association, open-heart surgery was begun 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.

The Ruttonjee Sanatorium and Freni Memorial Convalescent Home

(Table 75)

189. The Ruttonjee Sanatorium has 250 beds, including 40 for children. It is supported by voluntary contributions and by a subvention from the Government amounting to $2,640,000 in the year under review. Patients are referred for admission by the government chest clinics or the casualty departments of government hospitals. Provision is also made for employees of the principal subscribers to the Association. Though the majority of patients admitted during the year suffered from pulmonary tuberculosis or its sequelae more patients with lung cancer were now being admitted. A special unit is provided for the management of patients suffering from tuberculous meningitis. The Freni Memorial Convalescent Home has 110 beds for adult males, and allows a greater

turnover of patients to take place in the Ruttonjee Sanatorium. It is used for post-operative patients, and also for those patients whose pro- gress is uncomplicated but who need supervised anti-tuberculosis chemotherapy. The medical and nursing staff of the Ruttonjee Sana- torium operate the Freni Memorial Convalescent Home.

190. The hospital is currently co-operating with the Hong Kong Government and the British Medical Research Council in clinical studies on various aspects of the treatment of tuberculosis.

THE HAVEN OF HOPE SANATORIUM

191. 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 $1,382,400.

THE DUCHESS OF KENT CHILDREN'S ORTHOPAEDIC HOSPITAL

AND CONVALESCENT HOME

192. Maintianed by the Society for the Relief of Disabled Children, with the aid of a government subvention of $1.200,000, this modern children's 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 the 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 educa- tion during convalescence.

OUR LADY OF MARYKNOLL HOSPITAL

193. This hospital of 264 beds is administered by the Maryknoll Sisters, and was maintained during the year with the aid of a government subvention of $1,600,000. It is located at Wong Tai Sin in north-east Kowloon and provides general in-patient and out-patient facilities for this rapidly expanding area. During the year, certain imporvements were made and new services provided, including a number of measures in the Out-Patient Department, the laboratory, and the setting up of ophthalmology and physiotherapy services.

HAY LING CHAU LEPROSARIUM

(Table 76)

194. 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 of $840,000. It provides in-patient and rehabilitation facilities for leprosy patients, and has special facilities for those who require reconstructive surgery, or who are suffering from intercurrent disease. Fortunately, the number of patients has fallen in recent years as a result of the decreasing incidence of leprosy, and at the end of 1971, there were fewer than 200 patients at Hay Ling Chau.

THE HONG KONG SOCIETY FOR REHABILITATION

MARGARET TRENCH MEDICAL REHABILITATION CENTRE

195. This centre, aided by a recurrent grant from the Government amounting to $670,000 in 1971, accommodates 80 patients, with occupational workshops and facilities for physiotherapy and the manu- facture of prostheses. It is designed to assist in the quick return to employment of those who have been injured, particularly as a result of industrial accidents.

NAM LONG HOSPITAL

196. The Nam Long, maintained by the Hong Kong Anti-Cancer Society, is situated at Brick Hill overlooking Aberdeen harbour. It has 120 beds, and takes in cancer patients, convalescing from major surgery, or from radiotherapy, and also those with advanced diseases. Chemotherapy is also given to patients. Cases are referred by govern- ment or private hospitals or by medical practitioners, and it is the policy of the hospital to admit only such cases. All needy 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, a third ward of 60 beds was completed in the expansion programme, and when it is put into operation, the hospital will accom- modate a total of 180 patients.

THE HONG KONG BUDDHIST HOSPITAL

197. This hospital, situated in north-east Kowloon, was opened in October 1970. It has a capacity for 350 beds. The hospital is provided with beds for general medical, surgical and obstetric patients. During

the year, additional clinics in dermatology, ophthalmology and obstetrics were opened. The hospital was assisted by the Government with $946,700 in 1971.

FANLING HOSPITAL

198. The Fanling Hospital has 54 beds. It is situated in the Fanling area of the New Territories. It is administered by the Lutheran World Federation. From April 1971, it began to be assisted by the Govern- ment in respect of its recurrent expenditure on a two-thirds cost per bed, subject to a ceiling. In addition to the provision of an in-patient service for general cases, the hospital also operates an out-patient clinic for residents in the Fanling district.

VI. DEVELOPMENT

(Table 77)

FORWARD PLANNING

199. Reference has been made to the unparalleled hospital develop- ment of the past 17 years. But the population has also been increasing rapidly, and there is considerable pressure on most categories of hospital beds, particularly those for acute and chronic general and mental patients. The White Paper on the Development of Medical Services in Hong Kong, 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, alongside a rapidly increas- ing population, a reasonably satisfactory standard of medical facilities. Developments were described as having to take account of the ability of the community to afford these facilities, either by direct payment or by indirect payment by means of taxation.

200. The working party which prepared the White Paper was re- constituted by the Governor as the Medical Development Plan Standing Committee. The Director of Medical and Health Services was appointed chairman, and the committee comprised two nominated members, and representatives of the Medical and Health Department, the Finance and Social Services branches of the Colonial Secretariat, and, when necessary, the Public Works Department. The committee has held 53 meetings since its inception, in order to keep the recommendations made in the White Paper under continual review and to report its conclusions on all major matters to the Government. The committee's activities

have fallen into five main categories-the development of medical institution, staffing of such institutions, subventions to government- assisted institutions, fees and charges, and improved utilization of existing medical facilities.

201. The principal matters with which the committee has been oc cupied were the Ad Hoc Committee on Medical Subventions, the utiliza- tion of vacant beds in government-assisted hospitals, medical facilities in the Kwun Tong district, and the subventions paid to government- assisted institutions.

202. Among new matters considered by the committee were the Kwong Wah Hospital Clinical Pathology Building, a review of the geographical distribution of medical services, the maternal and child health centre at Yau Tong, the additional floor of the Arran Street Clinic, the milk kitchen at the Tsan Yuk Hospital, a pupil nursing auxiliaries training school and quarters, and quarters for student nurses at Queen Mary Hospital.

COMPLETED PROJECTS

203. Two projects were completed and handed over to the Depart- ment during the year, namely the standard urban clinic at north Kwai Chung and the Tai Lam dental clinic at Tai Lam Chung. The Siu Lam Hospital was completed, and the buildings were in the process of being handed over to the Department by the end of the year.

PROJECTS UNDER CONSTRUCTION

204. Major projects on which construction had begun were the New Lai Chi Kok Hospital, the foundation stone of which was laid by H.R.H. The Princess Anne, the new Vaccine Institute at Pok Fu Lam. the reprovisioning of the Victoria Public Mortuary, reprovisioning of the mortuary at the Queen Mary Hospital, virus laboratory and clinical pathology services, Tsuen Wan/Kwai Chung Polyclinic, stage I, a Medical Department laundry, and the new Clinical Building at Queen Mary Hospital. Government-assisted projects under construction were the Yan Chai Hospital at Tsuen Wan, the centenary block of the Tung Wah Hospital, and the United Christian Hospiatl in Kwun Tong.

205. A detailed statement of development will be found in the statistical appendix to this report.

VII. TRAINING PROGRAMME

(Tables 78-80)

DOCTORS

206. This report has said earlier that the Queen Mary and the Tsan Yuk hospitals are used as teaching hospitals by the Faculty of Medicine of the University of Hong Kong. The University confers the degrees of M.B., B.S., which have been registrable with the General Medical Council of the United Kingdom since 1911. Between 1965 and 1969, the University's intake of medical students was 120 a year. From October 1970, the intake was increased to 150. Building works to expand the facilities for clinical teaching at the Queen Mary were in progress during 1971 to allow for the larger number of students expected to start their clinical training in October 1972.

207. There is a programme for the training of government doctors for post-graduate qualifications. A number of training posts has been established in the clinical units of major hospitals for post-qualification training, recognized by examining bodies in the United Kingdom and Australia. When selected, suitable candidates are given training under the supervision of clinical specialists for 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 to acquire knowledge, experience, or qualifications of advantage to the public, or to the officer in his official capacity. Through this arrangement, many government doctors have been given study leave and granted fellowships, scholarships, or study tours to attend courses of study overseas. Between 1965 and 1971, a total of 59 government doctors returned to Hong Kong with higher qualifications in various fields.

DENTAL STAFF

208. No training in dentistry is available in Hong Kong, but the Government annually awards scholarships overseas for the study of dentistry. Four such scholarships were awarded during the year. One scholar returned to Hong Kong after qualification, bringing the total of returned graduates to 67 out of a total of 89 scholarships so far awarded.

209. In-service training in dental technology continued in 1971 for government student dental technicians, while evening classes for dental technicians in private employment were held at the Hong Kong Technical College. During the year, three government student dental technicians passed the intermediate examination of the City and Guilds of the London Insitute in Dental Technology. In-service training for selected dental surgery assistants in the fields of dental radiography and ortho- dontics was also carried out.

210. Seven dental surgery assistants were in Singapore and Penang during the year under World Health Organization scholarships for training in dental nursing. A dental nurse was 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

211. There are three government hospital schools of nursing. Those at the Queen Elizabeth and Queen Mary hospitals are general schools, and the one 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 Can- tonese. Examinations are held by the Nursing Board of Hong Kong, and there is full reciprocity of registration between the Board and the General Nursing Council of England and Wales.

Nursing auxiliaries

212. Two types of course are held for nursing auxiliaries. The general course lasts two years. It is undertaken at the Kowloon Hospital, and consists of theoretical and practical training in basic and routine nursing care of general hospital patients. The psychiatric course, also two years, is held at the 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

213. Nine qualified nurses who had been sent overseas for further study returned to Hong Kong, having successfully gained post-graduate certificates in nursing education, dietetics, theatre service centre tech- nique, orthopaedic nursing and intensive care therapy. A further nine nurses went overseas to study nursing education, nursing admin- istration, dietetics, theatre service centre technique and ophthalmic nursing.

Midwifery

214. 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.

215. 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

216. A nine-month health visitors' course is held yearly for regis- tered nurses who also hold a midwifery certificate. Nine trained nurses successfully completed this course, which ended in January 1972.

Health auxiliaries

217. 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

218. Training in this sphere continued during the year, and examina- tions were held in the Colony for membership of the Society of Radio- graphers if England for both therapy and diagnostic radiographers. During the year, three D.M.R.D. and four D.M.R.T. candidates passed the part I examination, held in Hong Kong in October 1971, by examiners from the Examining Board in England. Five candidates passed the final D.M.R.D. examination, and one the D.M.R.T.

LABORATORY TECHNICIANS

219. 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 Hong Kong. Technicians were also sent to the United Kingdom to obtain the AIMLT qualifications.

OTHER FORMS OF DEPARTMENTAL TRAINING

220. 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.

VIII. ACKNOWLEDGEMENT

221. 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 had to face every day in the year under review. In spite of the fact that they often had to work. under adverse circumstances, they all carried out their duties effectively with a true sense of devotion and dedication. The Department also received every assistance and co-operation from other government departments, voluntary agencies, the Press, and the radio and television networks. The patience shown by members of the public in spite of the many unavoidable shortcomings of the Service is deeply appreciated.

222. I would also wish to thank the many public-spirited persons who devoted so much of their valuable time to serve on statutory boards, advisory committees, 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 the Government in providing facilities for all those in need of subsidized medical care.

18th September, 1972.

G. H. CHOA.

Director of Medical and Health Services.

TABLES

WEST

HONG KONG ISLAND MEDICAL FACILITIES

MAP

CENTRAL

NORTH POINT

HONG

KONG

LBEROEEN

STANLEY

EAST

HONG KONG ISLAND

GOVERNMENT INSTITUTIONS

MAP |

GOVERNMENT INSTITUTIONS (Contd.)

MAP I

1. Aberdeen Jockey Club Clinic (general out-patient facil-| ities, dental clinic, maternal and child health centre and maternity home)

17. Tang Shiu Kin Hospital (a casualty and maternity hospital with out-patient department)

A 2

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

18. Tsan Yuk Hospital (a maternity hospital)

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

A |

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

20. Violet Peel Polyclinic (general out-patient facilities with special clinics and an ophthalmic centre)

B 1

A 1

4. Central Police Medical Post (general out-patient and dental facilities for police officers and their families) 5. Chai Wan Clinic and Malemity Home 6. David Trench Rehabilitation Centre (embracing Tang Shiu Kin Physiotherapy Unit, Hong Kong Psychiatric Centre, Western M.C.H.)

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

B 1

A 1

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

A I

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

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

A 1

B. Canossa Hospital (a general hospital)

A 1

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

C. Duchess of Kent Children's Orthopaedic Hospital and Convalescent Home

A 1

D. Freni Memorial Convalescent Home

9. Li Sing Dental Clinic

19. Port Health Inoculation Centre, Harcourt Road 11. Port Health Inoculation Centre, Marine Building 12. Queen Mary Hospital (an acute general hospital with casualty department)

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

14. Shau Kei Wan Jockey Club Clinic (general out-patient facilities, maternal and child bealth centre, maternity home, chest clinic and dental clinic)

Grantham Hospital (a tuberculosis hospital)

Hong Kong Adventist Hospital (a general hospital) G. Hong Kong Central Hospital (a general hospital)

H. Hong Kong Sanatorium and Hospital (a general hospital) Matilda and War Memorial Hospita! (a general hospital) Nam Long Hospital (a cancer hospital)

B 2

A 1

B 2

A |

Ruttonjse Sanatorium (a tuberculosis hospital)

Sandy Bay Convalescent Hospital

A I

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

的

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

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

A L

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

LAI CHI KOR

SHAMSHUIRO

MONG KOK]

YAU MA TEI

KOWLOON PENINSULA MEDICAL FACILITIES

MAP II

15.

•E

160

AIR PORT

HUNG HOM

KOWLOON

BAY

TSIM SHA TSUI

VICTORIA

HARBOUR

KWUN TONG

KOWLOON

GOVERNMENT INSTITUTIONS

1. Air Port Health Station

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

3. Canton Road Police Medical Post (general out-patient and dental facilities for police officers and their families) 4. Cheung Sha Wan Jockey Club Clime (general out-patient facilities, maternal and Child health centre, maternity home and eye clinic)

MAP II

B 1

GOVERNMENT INSTITUTIONS (Contd.)

MAP II

B 1

3. Sheung Sha Wan Police Medical Post (general out-patient and dental facilities for police officers and their families) 6. Farm Road Dental Clinic

7. Government Ophthalmic Clinic-Arran Street (an oph- thalmic centre)

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

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

B 2

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

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

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

23. Tai Hang Tung Clinic (general out-patient facilities) 24. Tsim Sha Tsui Port Health Inoculation Centre, Ocean Terminal

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

26. 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)

11. Kowloon Hospital and Out-patient Department (a general hospital with general out-patient and dental facilities) 12. Kwun Tong Health Centre (general out-patient facilities, maternal and child health centre, dental clinic and maternity home)

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

B 2

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

DŹ

13. Lai Chi Kok Hospital (an infectious diseases and convs- lescent hospital, with an Isolation Unit for the segrega- tion of suspected cases of quarantinable diseases) 14. Li Kec 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)

A. Baptist Hospital (a general hospital)

B 1

Caritas Medical Centre (a general and tuberculosis hospital)

A T

C. Evangel Medical Centre (a general hospital)

B 1

16. Lions Club Maternal and Child Health Centre (maternal; and child health centre and maternity bome)

Hong Kong Buddhist Hospital (a general hospital) Kwong Wah Hospital (a general hospital with out- patient department)

B 2

Margaret Trench Medical Rehabilitation Centre

17. Medical Examination Board

18. Queen Elizabeth Hospital fan acute specialised general hospital with casualty department and specialist clinic) 19. Queen Elizabeth School Dental Clinic

日2

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

St. Teresa's Hospital (a general hospital)

Wong Tai Sin Infirmary

NEW TEAAITORIES MEDICAL FACILITIES

"CASTLE PEAR

544 140

SHEUNG SHUI

TUEN LONG

KAH TIH

TAI

LANTAU ISLAND

FING CHAU

WAN

-1

FABLING

SKATIN

SAL KUNG

LING CHAU

HONG KONG

CHOUNG CHAU

SHEK KWU CHAU

ISLAHO

MAP NI

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 Kwai Chung Clinic (general out-patient facilities and maternal and child health centre) 9. North Lamma Clinic (a maternity home with some out-patient facilities,

10. Peng Chau Clinic (a maternity home with some out-patient facilities)

11. Sai Kung Dispensary (general out-patient facilities and maternity Home) 12. Sha Tau Kok Clinic (some out-patient facilities)

13. Sha Tin Clinic (general out-patient facilities and maternity home)

14. Shek Wu Hui Jockey Club Clinic (general out-patient facilities and maternity home)

15. Silver Mine Bay Dispensary (a maternity home with some out-patient facilities)

16, South Lantau Hospital (a general hospital with out-patient facilities)

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

18. Tai Lam Addiction Treatment Centre

19. Tai Lam Centre for Women

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

21. Tai Po Jockey Clinic (general out-patient facilities, dental clinic and maternity home) 22. Tong Fuk Prison Hospital

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

Hong Kong Adventist Hospital, Tsuen Wan (a general hospital)

GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS

Fanling Hospital (a general hospital)

Haven of Hope Tuberculosis Sanatorium

Hay Ling Chau Leprosarium

MAP III

B 2

B 4

B 1

B 2

C 2

B 3

C 2

C 1

B 3

A 4

B 4

B 2

A 3

A 4

B 2

C 1

B 3

B 2

Pok Oi Hospital (a general hospital)

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

B 4

II.

III.

INDEX TO STATISTICAL APPENDIX

ADMINISTRATION

Establishment of the Medical and Health Department as at 31.3.72 Administration of the Medical and Health Department Statement of Expenditure from 1967-68 to 1971-72

-J

Legislation of Medical and Health Importance-April 1971 to March

1972

---

Work of Statutory Councils and Boards April 1971 to March 1972

PUBLIC HEALTH

(a) Vital Statistics

Estimated Population Structure-1971

Births and Deaths 1957 and 1962-71

+++

---

Infant and Maternal Mortality 1957 and 1962-71 Major Causes of Infant Mortality 1957, 1962 and 1967-71 Major Causes of Maternal Mortality 1957 and 1962-71 Proportionate Mortality by Disease Groups 1957, 1962 and 1967-71 The Ten Leading Causes of Deaths by age and sex 1971

(b) Infectious Diseases

---

Table No.

123

LLJ

Lrr

---

ггг

---

TII

---

Infectious Diseases notified (cases and deaths) [967-71 Mortality Rates for Certain Infectious Diseases 1967-71 Principal Infectious Diseases by age and sex 1971 Prophylactic Immunizations 1967-71

Number of Cancer Deaths by Age and Sex, 1971

ייז

Main Causes of Death from Cancer in Hong Kong, 1961-71 New Cases of Cancer notified to the Cancer Registry by age and

sex, 1968

LLL

I LI

---

(d) Deaths from Heart Diseases by Age and Sex, 1971

WORK OF HEALTH DIVISION

(a) Tuberculosis

Tuberculosis Mortality 1957 and 1962-71 Tuberculosis in Childhood 1957 and 1962-71 Tuberculosis Notifications 1957, 1962 and 1967-71 Work of Government Chest Service 1971 X-Ray Surveys 1961-71

ILL

Examination of New Contacts, 1971

---

TII

---

urt

Classification of Orthopaedic Tuberculosis of New Patients by Site

1967-71 ...

(b) Malaria

-- L

JIL

---

Distribution of Cases and Identification of Parasites 1967-71

Annual Incidence and Trend of Venereal Disease 1962-71 V.D.R.L. Examinations in Expectant Mothers 1967-71 Leprosy 1971

---

Analysis of Dermatological Conditions Presenting at Clinics, 1971 Cultures for Mycological Identifications, 1971

---

288*38 6 8 89788

---

.ז.

INDEX TO STATISTICAL APPENDIX-Contd.

Table No.

III. WORK OF HEALTH DIVISION-Contd.

(d) Port Health

Work of the Port Health Service 1971

(e) District Midwifery Services

Midwifery Services 1970-71-1971-72 ...

() Maternal and Child Health Services

ггт

. . .

Distribution of Maternal and Child Health Centres at 31.3.1972 Work of Maternal and Child Health Services 1970-71

(g) School Medical Service Board

---

Number of Participating Schools, Pupils and Doctors at 31.3.1972

(h) Dental Service

Work of the General Dental Service 1967-71

(i) Forensic Pathology

ILI

Work of the Forensic Pathology Laboratories 1970-71

() Government Laboratory

гтт

Work of the Government Laboratory 1970-71 (k) Medical and Health Department, Institute of Pathology

Work of Medical and Health Department, Institute of Pathology, 1970-71

Vaccine Production 1970-71

Blood Banks 1970-71

---

Work of Public Mortuaries 1970-71

(1) Industrial Health

Work of Industrial Health Section 1971

74L

+++

IV.

WORK OF THE Medical DIVISION

Number of Hospital Beds in Hong Kong 1971

+11

T+1

TII

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

Hospitals, Clinics and Maternity Homes, 1971 Disease Classification of In-patients Treated in Government and

Government-Assisted Hospitals and all Deaths in the Colony, 1971

(a) Government Hospitals

Expenditure on Hospitals 1970-71 and 1971-72 Work of the Queen Mary Hospital 1970-71

Work of the Queen Elizabeth Hospital 1970-71

Work of the Queen Elizabeth Hospital Casualty 1971 Work of the Tang Shiu Kin Hospital 1970-71 Work of the Tsan Yuk Hospital 1970-71

Work of Castle Peak Hospital 1971

Work of Day Hospitals and Psychiatric Centres 1971 Work of Kowloon Hospital, Psychiatric Unit

гг.

---

++-

P+1

711

...

57 58

IV.

INDEX TO STATISTICAL APPENDIX-Contd.

Table No.

WORK OF THE MEDICAL DIVISION-Contd.

(b) Out-patient Clinics

New Out-patient Attendances at Government and Government-

Assisted Hospitals and Clinics, 1971

ILL

Total Out-patient Attendances at Government and Government-

Assisted Hospitals and Clinics, 1971 New Territories Clinics 1971

Work of Radiodiagnostic Branch 1971 Radiotherapeutic Division 1971

(d) Ophthalmology

י ד ז

Work of the Ophthalmic Service 1970-71 Analysis of Major Causes of Blindness

(e) The Pharmaceutical Services

Work of Pharmaceutical Services 1970-71

(S) Physiotherapy

Work of Physiotherapy Service 1971

(g) Occupational Therapy

Work of Occupational Therapy Service 1971 (6) Work of Prosthetic-Orthotic Service, 1971 (i) Medical Examination Board

---

...

Irr

...

---

гтт

r++

ггт

80 28 V

ILL

+++

гг+

228 88

Work of Medical Examination Board 1970-71 Unfitness of Candidates by Causes, 1970-71 (j) Medical Clinics Registration

GOVERNMENT-ASSISTED HOSPITALS

---

(a) Government Medical Subventions to Voluntary Institutions

1967-68-1971-72

(b) Work of the Grantham Hospital 1971

DEVELOPMENT PROGRAMME

---

--J

FIL

VI.

Building Programme

VII.

TRAINING PROGRAMME

---

-- J

---

(a) Nurses in Training at 31.3.1972

(b) Overseas Courses of Instruction 1971-72 (c) Departmental Training at 31.3.1972

VIII. MISCELLANEOUS

(a) Attendance at Conferences, etc., Overseas (6) Overseas Visitors...

(d) Samaritan Fund

(e) Donations...

LII

---

LII

JLL

---

+42

---

1 2 3 2

TABLE 1

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT

AS AT 31ST MARCH, 1972

Grade

Zone

Director of Medical and Health

Services

Deputy Director of Medical and

Health Services

Assistant Director of Medical and

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Kowloon Hospital

Castle Peak Hospitaland Mental Health Centre

Tsan Yuk Hospital

Dental Service

Tuberculosis Service

Clinics and Services

Olber Hospitals,

Total

Strength on 31.3.71

Health Services ...

Senior Specialist and Specialist

Principal Medical and Health

Officer

- PI

Chief Executive Officer/Senior

　　　Executive Officer/Executive Officer

LLL

---

Senior Treasury Accountant/

Treasury Accountant Senior Medical and Health

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

---

Senior Dental Officer/Dental

Officer/Assistant Dental Officer Principal Nursing Officer... Nursing Staff

Senior Dietitian/Dietitian Senior Medical Social Worker/

　　　Medical Social Worker Class 1 and Class Il

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

(Clinical Psychologist)... Senior Physicist/Physicist Chief Hospital Secretary/Senior Hospital Secretary/Hospital Secretary/Assistant Hospital Secretary...

- - -

Steward Class I, Class II and

Class 1][...

110

General Grade Staff

Superintendent Radiographer/

Senior Radiographer!

Radiographer Class I/

Radiographer Class 11/Student | Radiographer

X-Ray Assistanı

Superintendent Physiotherapist/

Senior Physiotherapist/Tutor Physiotherapist/Physiotherapist Class I/Physiotherapist Class [1/ Student Physiotherapist

Carried forward

48: 46

94 143

32 19 12

343

681

586

796; 1,014, 5

661

445

LBJ

151

B24 4,490

3,792

121 2

7 13

109

33; 53

9 56

9 143 227

212

LTE

227,

34 671

663

និង

42 149| 128

26 (10 99

134 1.046 1.468 478 769. 5231 208| 97 260 1,698 6,6811 5,806

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 Hospitais, Clinics and Services

Total

Sirength on 31.3.71

Brought forward

...134 1,046 1,468, 478 769

Superintendent Occupational

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

Chief Medical Technologist/

Senior Medical Technologist/ Medical Technologist/Medical Laboratory Technician Class 1/ Medical Laboratory Technician Class 11/Student Medical Laboratory Technician Senior Laboratory Assistant/

Laboratory Assistant/Student Laboratory Assistant

Senior Health Inspector/Health

Inspector Class I and 11 Senior Inoculator/Inoculator Audiology Technician

LLI

Prosthelist Class [/Prosthetist

Class II/Student Prosthetist

Mould Laboratory Technician/

Student Mould Laboratory Technician

Dental Technologist

523 208 97 260 1,698 6,681 5,806

T 51

12 83

---

34 36

104

191

152

1131

125

Dental Technician/Student Dental

Technician

Dental InspeCLOT

---

Senior Dental Surgery Assistant/

Dental Surgery Assistant

Dental Nurse

Laundry Manager/Assistant

Laundry Manager/Laundry Supervisor

ггг

Linen Production Unit Manager/

Linen Production Unil Supervisor/Linen Room

Supervisor

Senior Electrical Technician,

Electrical Technician

---

L-L

Senior Optical Technician/Optical

Technician

Technical Assistant (Social

Hygiene)...

Kitchen Supervisor

Mortuary Assistant

Medical Board Assistant

Poster Artist

LLI

Photographer Class I and Class II Fumigator

Foreman Class 1 and Class II!

•

| |

IN EN IN

करन कुल हुल

** IN 20

| | _|| | | |

树的

| | | | |

|||

T-TFT NO

---

791 1,278 196 486 722 124 43 39 1,611 5,302 4,768

TOTAL

150 1,882 2,838 721 1,275 1,308 338 263 313 3,649 12,737 11,267

---

Supplies Officer/Assistant Supplies

Officer/Supplies Supervisor

Supplies Assistant

Telephone Operator Hospital Receptionist Other Staff...

DEPUTY DIRECTOR (HEALTH)

TABLE 2

ADMINISTRATION OF MEDICAL AND HEALTH DEPARTMENT

ASST DIRECTOR (HYGIENE), U 5.D.

ASST DIRECTOR (HEALTH)

PMHO РИНО PMHO PMHO

(PORT

HEALTH)

ONTI

CHEALTH) ||[KOWLOON),

TB SERVICE DENTAL SERVICE FORENSIC PATH. [INSTITUTE OF PATHOLOGY SOCIAL HYGIENE

SERVICE

GOVT LAB

NT CLINICS MCH SERVICE

* HEALTH, H.K HEALTH

OFFICES

OFFICE

INDUSTRIAL

H OFFICE

EPIDEMIOLOGY

DIRECTOR

ASST DIRECTOR. (ADMIN)

DEPUTY DIRECTOR (MEDICAL)

ASST DIRECTOR (MEDICAL)

PMHO

(PLANNING)

енно PHHO PMHQ (METHICAL (LCKHO

PMHO ||PMH O

GROUP SUPT.

OEM)||(AMH

TUNG WAH

GROUP OF

HOSPITALS

KOWLOON

CLINICS

& HEALTH

SEN. TREAS

ACCOUNTANT

SECRETARY

OFFICE

CHIEF HOSP PRINCIPAL SECRETARY NURSING OFFICER

TREAS ACCT

(SUBVENTIONS)

DEPUTY

SECRETARY

ACCOUNTS STORES GENERAL PERSONNEL

MATTERS | MATTERS

SECRETARY (BOARDS)

OTHER HOSPITALS & CLINICS.HK

MED EXAM BOARD MEO CLINIC REG

MENTAL HEALTH SERVICE

ANAES SERVICE

RADIO SERVICE

OPHTH SERVICE E.NT SERVICE MED SOCIAL SERVICE PHYSIO SERVICE DOCUP THERAPY SERVICE "PHARMACEUTICAL SERVICE SUBVENTED HOSP OTHER THAN TWO HOSPS NARCOTIC ADDICTION LIAISON OFFICE

TABLE 3

STATEMENT OF EXPENDITURE FROM 1967-68 TO 1971-72

Particulars

1967-68

1968-69

1969-70

1970-71

1971-72

(a) Medical and Health Department

(b) Medical Subventions

.гг

ггт

120,524,934 133,582,644 148,239,041 177,874,176 189,714,915

46,341,311

52,457,856 57,732,380 63,146,736 82,046,061

7,439,173 8,420,115 11,434,288; 11,225,360 32,615,571

Total

---

огт

+++

Total expenditure of the Colony

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

+++

174,305,418 194,460,615 217,405,709 252,246,272 304,376,547

1,766,022,040 1,872,974,955 2,032,183,388 2,452,192,832 2,901,375,575

9.87%

10.38%

10.70%

10.29%

10.49%

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE APRIL 1971 TO MARCH 1972

Ordinances:

(i) Clean Air (Amendment) Ordinance 1971.

(ii) Dangerous Drugs (Amendment) Ordinance 1971.

(iii) Medical Registration (Amendment) Ordinance 1971,

(iv) Quarantine and Prevention of Disease (Amendment) Ordinance 1971,

(v) Offences against the Person (Amendment) Ordinance 1972.

Rules and Regulations:

(a) Drug Addiction Treatment Centres (Amendment) Regulations 1971.

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

Regulations 1971.

(No. 2) Regulations 1971.

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS-APRIL 1971 TO MARCH 1972

Medical

Council

Dental Council

Nursing Board

Midwives

Board

Pharmacy

and

Poisons

Board

Medical

Radiation

Board

Advisory Board**

Number of meetings held.

Local

Over-

SEAS

Dentists

list list

Dental

Hygienists

General Mental

Number on the Register

2.157

487

Female: 5,313 Male: 312

109

4,561

190

328||

General Mental

Number of applications for 192 registration

354

25+

---

(115)+

Female:

Male:

4239

305

36:1

General Mental)

-11

Number of registrations 192* granted

354

26+

Female: 4169

298

2811

111

---

(115)†

Male:

Oral & Practical

Written

---

Oral & Practical Written

---

Oral & Practical 6 Written

---

...

Number of examinations held

Number of candidates examined

Number of successful

candidates

Number of disciplinary hearings held

Number of removals from register

• Including 4 restoratoins to the register.

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

+ Including I restoration to the register.

Female:

Mala:

Including 2 restorations to the register.

II These figures refer to the licensing of irradiating apparatus.

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

** Not a statutory Board.

General Mental

General Mental 378

248

General Menta

374

232

General Men al

149

TABLE 6

POPULATION STRUCTURE, MID 1971

80+

MALE

FEMALE

75-79

70-74

65-69

60-64

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

5-9

0-4

POPULATION IN 100.000

REPRESENTS DIFFERENCE IN THE AGE GROUP

Estimated"

Year

Mid-Year

Registered

Population

Live Births

TABLE 7

BIRTHS AND DEATHS 1957 AND 1962-71

Crude Birth Ratet (per 1,000 Population)

Still Births Recorded

Registered Deaths

Crude Death

Ratet (per 1,000 Population)

1957...

2,736,300

97,834

35.8

1,245

19,365

7,1

1962 1963 1964

3,305,200 111,905

33.9

1,560

20,324

6,1

TTI

3,420,900 115,263

33.7

1.633

19,748

5.8

3,504,600 108,519

31.0

1,485

18,113

5.2

1965

3,597,900 102,195

28.4

1,363

17,621

4.9

1966

3,629,900

92,476

25.5

1,246

18,700

5.2

1967

TII

---

3,722,800

88,171

23.7

999

19,644

5.3

1968

---

3,802,700

82,992

21.8

832

19,319

5.1

1969

3,863,900

79,329

20.5

757

18,730

4.8

1970

3.959.000

77,465

19.6

726

20,763

5.2

1971

4,045,300

76,818

19.0

656

20,253

5.0

* Revised population estimates based on the results of 1971 Census. (For the years 1962-71). * Rates based on revised population estimates.

TABLE 8

INFANT AND MATERNAL MORTALITY 1957 AND 1962-71

Infant Mortality Rate (per 1,000 live births)

Neo-natal Mortality Maternal Mortality

Year

Rate (per 1,000

Both

Male

Female

live births)

total births)

Sexes

1957 ...

57.6

53.3

55.6

23.8

1.06

1961.

40.6

34.5

37.7

21.0

0.45

+++

1962

39.9

33.7

36.9

21.2

0.48

ггт

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

PTT

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

1971..

21.0

15.5

18.4

12.6

0.14

ILL

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1957, 1962 AND 1967-71 (per 1,000 registered live births)

Detailed

List

Diseases Group

Number 1957 1962 1967 1968 1969

| |

1970

1971

8th Revision

　　　Respiratory Tuberculosis 010-012 Tuberculosis Meningitis 013

0.36 1.04

0.05 0.01 0.01 0.14

0.01

0.02 0.01 0.03

Other Forms of

Tuberculosis

Tetanus ...

Pneumonia

+++

TII

Bronchitis

||T

014-019 037 480-486 466, 490-491

0.17 0.05 2.00 0.52 21.06 9.83 0.36 0.05

0.02 0.02 0.03 0.18 0.04 0.05 0.10 0.12 6.97 6.13 4.29 4.21 3.85 0.09 0.06

0.09

0.08

Gastro-enteritis

Congenital Anomalies 740-759

561

11.46 5.83

1.32 1,46

---

1.70 1.64 1.29 2.05 2.88 3.33 3.09 3.14

0.53

0.76

Births Injuries

764-768.

0.51

0.48

0.66

0.51 0.43 0.25 0.46

772

Anoxia and Hypoxia of

Newborn

776

2.68

1.35

1.75

1.64 1.53

1.56

1.58

---

..ז

born

Blood Diseases of New

Nutritional Deficiency

! 774-775

1.00

1.74

1.81

1.58

1.40

1.38 1.05

TII

260-269

0.80

0.32

0.04

0.13

0.03 0.04 0.01

ITI

Immaturity

777

9.68 9.20

5.39

5.27

6.62

Ill-defined Causes

+++

795-796

1.28 1.52 0.24 0.11

5.14 4.78 0.04 0.06 0.08

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

TABLE 10

MAJOR CAUSES OF MATERNAL MORTALITY 1957 AND 1962-71

(per 1,000 total birth)

Sepsis

(excluding

Haemor-

Toxaemias

Abortions

Year

septic

hages

Ectopic Pregnancies

Others

abortions)

*1957

0.020

0.373

0.334

0.040

---

0.060

0.132

*1962

0.018

0.141

0.185

0.026

0,044

---

0.062

*1963

0.017

0.077

0.111

0.009

0.034

0.051

*1964

0.009

0.055

0.118

0.045

0.055

0.100

*1965

0.019

0.077

0.135

0.009

0,019

0.068

*1966

0.011

0.053

0.107

0.032

0.128

0.096

*1967

0.011

0.056

0.123

0.011

0.034

0.067

*1968

LJ J

0.024

0.084

0.024

0.012

1969

0.012

0.025

0.050

0.012

TTT

0.037

1970

0.038

0.051

0.013

0.064

0.026

1971

0.013

0.039

0.013

0,039

0.026

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

TABLE 11

PROPORTIONATE MORTALITY BY DISEASE GROUPS 1957, 1962 AND 1967-71

(Percentage of Total Deaths)

Detailed List

Disease Group

Number

1957* 1962*

1967*

1968*

1969

1970

1971

8th Revision

1. Infective and Parasitic

2. Neoplasm

3. Endocrine, Nutritional, Metabolic

and Blood

LII

---

4. Nervous System and Sense Organs.

5. Circulatory System

6. Respiratory System

7. Intestinal System

---

8. Genito-Urinary System

9. Pregnancy, Child-birth and

Puerperium

---

10. Skin and Musculo-Skeletal System...

11. Congenital Anomalies and Causes

of Perinatal Morbidity and Mortality

огт

---

000-136

16.6

13.5

12.6

9.0

8.9

7.9

7.2

140-239

7.5

12.4

17,4

18.7

20.6

19.1

21.0

240-289

1.6

1.2

1,7

2.2

1,6

1.5

1.2

290-389

4.6

8.4

10,7

10.3

1.0

1,1

0.8

390-458

8.0

11.0

14.0

15.2

---

25.0†

25.1†

25.3†

460-519

22.8

13.9

12.8

12.5

13.5

15,0

16.6

520-577

12.1

6.8

580-629

2,2

2.1

5.3

5.5

5.8

5.3

5.1

1.9

2.1

2.2

630-678

0.5

680-738

0.4

0.3

0.1

0.2

0.4

0.3

0.1

0.2

740-779

10.5

11,4

7.8

7.5

6.2

4.8

4.4

12. Ill-defined Causes

---

JII

780-796

8.2

11.4

8.8

9.3

10.0

9.4

8.8

13. Accidents, Poisonings and Violence E800-E999 5.0

7.6

6.8

7.2

4.8

8.3

7.1

* 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 DEATH BY AGE AND SEX, 1971

Cause of Death

Detailed

List No. 8th Revision

Age Group

Sex

All Ages

I-4

5-14 15

15-44 45-64 Over known

65 & Un-

All Causes

Malignant neoplasms, includ-

1 ing neoplasms of lymphatic &

140-209

haematopoietic tissues

MLT MLT

11,410

832

182

238 1,685 4,686 3,787

8,843

578

132

161

834 2,237 4,901

20,253

1,410

314

3991 2,519 6,923 8,688

2,469

1,768

4,237

*** 00

27;

426) 1,367

628:

217 796 721

511

643 2,163 1,349

390-392

393-398

2 Heart Diseases, including hypertensive diseases

400-404

410-414

MFT

1,5222

[]

130

681

696

1,430

106 353 956

2,952

23.

236: 1,034 1,652

420-429

1,242

157

120

368 504

3 Pneumonia, all forms

480-486

1,021

139

45 137

636

2,263

296

102

55!

165,

505

1,140

4 Cerebrovascular Disease

430-438

010-012

5 Tuberculosis

013-019

E800-E807

6 All accidents

E810-E823

E825-E949

ZET İZLE MET

1,003

953

1,956

WN -

456

4841

46)

248 653

12,

704 1,137

949

301

1,250

187

128

565

254;

105

1351

179

670

389

634

291

925

BON

99;

242

153

55.

68i

102

152

285

224

123|

TABLE 12-Contd.

Rank

Cause of Death

Detailed

List No.

8th Revision

Age Group

Sex

All Ages

1-4

. 5-14 15-44 45-64

65 &

Over known

Un-

Bronchitis, emphysema and

490-493

asthma

Suicide and self inflicted

E950-E959

injuries

Certain causes of Perinatal Mortality

760-779

284

10 Cirrhosis of Liver

571

363

+++

ليا

[49

129

Congenital Anomalies

740-759

134

112

283

241

135

Nephritis and Nephrosis

580-584

Peptic ulcer

531-533

All Other causes

MLT MET ELF MAT ZAF ZAF 24F 24F

526

362

888

--N

240

247

t11

239

351

486

217

171

388

INNE

74|

173

140

SEEEEE

65 156 58

1901

BAS

138

273

LA NI KU

*** |998

95.

114

163

[

1,772

118

1,920

3,692

193

***

326

516

743

188

275 1,327

514

791 2,070

TABLE 13

INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1967-71

Cases

Deaths

Diseases

1967 | 1968 1969 1970 1971 1967

1968

1969

1970

1971

Cholera

Amoebic Dysentery

154

117

Bacillary Dysentery

829**

869* 736

Cerebro-spinal Meningitis

Chickenpox

1,257

900

445

Diphtheria

226

113

Enteric Fever (Typhoid

and Paratyphoid}

728

552

546

г.

Leprosy

Malaria

---

148

164

---

Measles

Ophthalmia Neonatorum

4,726

1,138

994

ག⌘8པ¥d ྂs=R

609

959

188987

543

نیا -

443

438

515

127

135

117

1,011

191

203

Poliomyelitis

-- L

Puerperal Fever

Scarlet Fever

Tuberculosis

Typhus (Mite-borne)

བྷུནཁར་

591

654

قبا

15,253

9,792

11,072

10,077

9,028 1,493

1,483

1,470

1,436

1,250

Whooping Cough

Total

23,742 | 14,011

14,210 13,473 | 11,410 2,240 1,583

1,528

1,481

1,271

*Influenza

4,923 8,493

3,232

5,814 7,397

Remarks: * Including unspecified Dysentery.

+ Case 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 1967-71

Cases Fatality Ratio

(Deaths as percentage of Notifications)

Death Rate

(per million populations)*

Diseases

1967

1968

1969

1970

1971

1967

1968

1969

1970

1971

Cholera

Amoebiasis

ILL

Cerebrospinal Meningitis..

13.64

10,26

8.23

5.88

6.06

5.64

3.16

1.81

1.01

0.99

огг

ггг

29.09

43.75

17.39

40.00

20.00

4.30

3.68

1.04

1.01

0.25

Diphtheria

7,96

8.85

16.13

9.30

8.00

4.84

2.63

2.59

1.01

0.49

Bacillary Dysentery

0.84**

0.69+

0.68

L.IS

0.55

1.88t

1.58+

1.29

1.77

0.74

Enteric

Typhoid

1.51

1.45

1.28

1.14

1.17

2.95

2.10

1.81

1.26

1.48

Fever

Paratyphoid

Measles

13.84

4.04

2.11

1.29

0.68

175.67

12.10

5.43

3.28

0.99

ILL

...

Poliomyelitis

Tuberculosis

60.00

13.33 18.75

11.11

0.81

0.53

0.78

0.76

---

LII

9.79 15.15 13.28 14.25 13.85

401.04 389.99

380.44

362.72 309.00

• Revised population estimates based on the results of 1971 census.

+ Including unspecified dysentery,

TABLE 15

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1971

CASES NOTIFIED

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

0-4

116

102

5-9

45.

10-14

541

15-19

564

398

20-24

906

510

25-29

545

179

30-34

538

145

35-39

607

167

40-44

613

139

45-49

595

145

...

50-54

619

150

00:00

55-59

547

121

...

60-64

446

118

65-69

2381

70-74

169

...

75 & Over

Unknown

Total

6.587 2,441

14 289

226

287

256

Tuberculosis

Age Group

04 5-9 [0-14

DEATHS

Diphtheria

Enteric Fever

Poliomyelitis

M│

B/Dysentery

15-19

20-24

25-29

12:

30-34

35-39

40-44

45-49

50-54

140

55-59

159

60-64

177

65-69

122

70-74

76.

75 & Over

Unknown

[ 800X5

Total

949

301

TABLE 16

PROPHYLACTIC IMMUNIZATIONS 1967-71

Immunological Procedure

Anti-Smallpox Vaccination

1967

1968

1969

1970

1971

575,869

767,541

550,092

553,714

$36,374

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1st Dose

---

2nd Dose Booster Dose

Anti-Typhoid Inoculations:

1st Dose

2nd Dose

---

Booster Dose

ILL

...

-TI

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

1,318,991

1,385,272

2,506,348

1,715,249

388,109

341,632

335,128

339,428

329,279

278,595

301,097

293,746

331,250

320,757

289,040

175,359

181,735

169,085

167,579

159,650

29,799

32,324

27,744

14,456

14,969

12,793

14,417

10,191

4,126

5,389

TII

61,447

67,464

72,989

92,813

75,648

Infants

LLJ

85,917

80,354

77,004

75,749

76,191

Others

---

Poliomyelitis Vaccinations:

FFT

28,274

33,895

18,232

51,576

54,380

1st Dose

---

ILL

ILJ

2nd Dose

107,302

97,754

85,145

82,659

85,243

90,880

82,939

74,949

71,671

77,400

Booster Dose*

Oral Poliovaccine Type I for Newborn

Anti Measles Vaccinationt

• From October 1971.

TII

10,792

69,495

62,869

59,057

57,065

$7,512

---

83,107

33,504

28,611

30,306

† From end of December 1967.

TABLE 17

NUMBER OF CANCER DEATHS BY AGE AND SEX, 1971

A-List

Detailed List Number 1965 Revision:

Cause Group

Sex

Ages

All 0-9 10-20-30-35-40-45-50-55-60-165-70-75+ Unk.

34 39

54 39

69 74

A45

| 140-149

Malignant Neoplasm of Buccal Cavity and Pharynx

---

2951

F LOSI

A46

150

Malignant Neoplasm of Desophagus

---

150

A47

151

Malignant Neoplasm of Stomach

233

145

A48

152, 153

Malignant Neoplasm of Intestine, except Rectum

---

110

---

F 102

A49

154

A50

161

Malignant Neoplasm of Rectum and Rectosigmoid Junction

Malignant Neoplasm of Larynx

---

...

I L

ASI

162

Malignant Neoplasm of Trachea, Bronchus and Lung

375

A52

170

Malignant Neoplasm of Bone

---

12:

1123

نيا

59 $3 45. 41 26

10 [4]

20 L3

14 26 25 25 23 151

기

15 18

கக

20 25.

46 341 33

12 14 24 13

22 36

29 23

די!

* 10

ल

38 87

12 3.0

97 101

62 52 69 70 66

| |

| 1

A-List

TABLE 17-Contd.

Detailed List

Number 1965 Revision|

Cause Group

Sex

All

0-9 10-20.

30-35-40-45-50-

65-70 75+ Unk.

Ages

44 49 54

64 69 74

A53

172, 173

Malignant Neoplasm of Skin

A54

174

'Malignant Neoplasm of Breast...

170.

LOI 25 33 23 23

1 |

A$5

180

Malignant Neoplasm of Cervix Uteri ... F

157

19 16

A56

181, 182

Other Malignant Neoplasm of Uterus....

36:

ليا

A57

185

Malignant Neoplasm of Prostate

A58(0)

155

---

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

LII

ILL

---

573;

1561

29 58 79: 81 7 12 12

29 12.

(b)

136-160, 163.|Malignant Neoplasm of Other and 171, 183, 184, Unspecified Sites 186-199

-1-

M 307 14 12.

3131

10:

A59

204-207

Leukaemia

---

LLL

A60

200-203,

208, 209

Other Neoplasm of Lymphatic and Haematopoietic Tissue

A45-

A60

140-209

All forms of Cancer

T10

---

821 11

2,469,

1,768 17

ي العيا

Loven

ㄝ

101

दमक

اليا فيا

231

اسي

100 205 258 346 405 358 268 2021 158 58 109 136: 209 238 213]

2321 260

TABLE 18

MAIN CAUSES OF DEATH FROM CANCER IN HONG KONG, 1961-71

1961

1962

1963

1964

1965

...

1966 1967

1968

1969

D R D R D R

R D R D R

D R

1970

D R DR

1971

D R

2,280, 72,0 2,488 75.3 2,697 78.82,916 83.2 3,15587.7 3.249 89.5. 3,380 90.8 3,582 94.2 3,839 99.43,964 100.1|4,237| 104.7

Cause Group

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

All Forms of Cancer (140-209)

---

Malignant Neoplasm of Nasopharynx (147)

---

235 7.4 272 8.2 286 8.4 278 7.9

321 8.9 320 8.8 336 9.0- 357 9.4 376 9.7 393 9.9 346 8.6

Malignant Neoplasm of Oesophagus (150)

126 4.0

108 3.3

Malignant Neoplasm

of Stomach (151)

284 9.0

112 3.3, 147 4.2

307 9.3, 298 8.7 361 10.3

148 4.1

132 3.6

163 4.4 159 4.2

180 4.7

203 5.1 219 5.4

378 10.5

366 10.1

314 8.4

342 9.0

414 10.7

360- 9,1 378

9.3

Malignant Neoplasm

of Intestine except Rectum (153)

100 3,2

(13 3.4 96 2.8

123 3.5

130 3.6

ISI 4.2

171

170 4.5

185 4.8

172 4.3 185 4.6

*418 13.2 *418 13.2

470 14.2 *564 16.5 537 15.3 470 14.2) *564 16.5 *537 15.3

...

10.0

111 3.5

104 3.1

120 3.5 139 3.9

137 4.3

148 4.5

146, 4.3 153 4.4

Malignant Neoplasm of Liver and Intra- hepatic Bile Ducts. Specified as Primary (155)

Malignant Neoplasm Trachea, Bronchus and Lung (162)

Malignant Neoplasm of Breast (174)

Malignant Neoplasm of Cervix Uteri (180)

* Malignant Neoplasm of Biliary Passages and of Liver (155-156) according to L.C.D. 1955 Revision.

† Malignant Neoplasm of Trachea, Bronchus and Lung not specified as Secondary (162-163) according to 1.C.D. 1955 Revision. Ner: E Death.

R =

Mortality Rate per 100,000 population using revised population estimates based on the results of 1971 Census.

607 16 *607, 16.9 *589 16,2 *601 16.1' *647 17.0

626 16.2

635 16.0 729 18.0

1294 9.3 +329 10.0j +38711.3 †449 12.8 +513 14.3 1551 15.2 1616 16.5 1638 16.8

787 20.4

786, 19.9 909 22.5

! 145, 4.0 135 3.7 125 3.4 147 3.9

134 3.5 159 4.0 171 4.2

127 3.5 163 4.5 158 4.2 153 4.0 141 3.6 141

3.6 157

3.9

TABLE 19

NEW CASES OF CANCER NOTIFIED TO THE CANCER REGISTRY BY AGE AND SEX, 1968

| Detailed List

A-List

Number

1965 Revision

Cause Group

Sex All 0-910- 20-30-35-40 45- 30 35 60 65 70 Ages 19 29 34 39 44 49 54 59

63 70-75+ Unk.

69 74

A45

140-149

Malignant Neoplasm of Buccal Cavity and Pharynx

---

LLL

503

232

74 B4 74

28 33

66 30 21 9 29 27 16|

A46

150

Malignant Neoplasm of Oesophagus

---

M 132

14 25 26 18 231

A47

151

Malignant Neoplasm of Stomach

M 201

30 28

108

241

17 16

A48

152, 153

·Malignant Neoplasm of Intestine, except Rectum

M 94

8 15 13 11

14 11 10: 14

NIN

A49

154

Malignant Neoplasm of Rectum and Rectosigmoid Junction

A50

161

Malignant Neoplasm of Larynx

A51

162

Malignant Neoplasm of Trachea, Bronchus and Lung

M 283

F 197

A52

170

Malignant Neoplasm of Bone

34 51 51.

10 9 25 36 37

171

NĮ

Nom

TABLE 19-Contd.

حباط

نيات

A-list

Detailed List Number 1965 Revision

Cause Group

Sex

All

0-9

10- 20-30-35 40 45 50 55-60-65-170-75+ Unk.

Ages

19 29

34 39

49 54

59 64

بوط

تيا كيا

LAND

-N

一

F 361

[4. 37 44 46 50

笠」

440

46 65] 76 75

A$3

172, 173

Malignant Neoplasm of Skin

A34

174

Malignant Neoplasm of Breast

LLL

ASS

180

Malignant Neoplasm of Cervix Uteri...

A56

181, 182

Other Malignant Neoplasm of Uterus ... F 104

AST

185

Malignant Neoplasm of Prostate

---

A58(a)

155

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

LLL

283

(5)

156-160, 163,|Malignant Neoplasm of Other and

171, 183, 184,

Unspecified Sites

ггг

186-199

A59

A60

204-207 Leukaemia

200-203,

208, 209

г-г

Other Neoplasm of Lymphatic and Haematopoietic Tissue

---

A45-

A60

140-209

All forms of Cancer

---

ཋ།

514

515

---

52 24 11.

141

36 34 39 4 4. 1

71.

14 38 43 55

14 17 36 SL 58 561

岡

10 20 12 11 14

34 12

कल

541 12

2,307

- M

Tam

147 229 279) 348 348) 264) 204 LOS **

55 73 171 251 266 314 316

290-|

290) 215) 135 126

TABLE 20

DEATHS FROM HEART DISEASES BY AGE AND SEX, 1971 (INCLUDING HYPERTENSIVE DISEASE)

Age Group

A-List

No.

Cause

(With detailed list No.)

Sex All

Ages

10-20-30- | 35-|40-45-

45-50- 55-60-65- 65-70- 75 +

Unk.

A80

ACUTE RHEUMATIC FEVER (390-392)

111

Rheumatic fever with heart involvement (391)

ABI CHRONIC RHEUMATIC HEART DISEASE (393-398)

Diseases of mitral valve (394)

AB2 HYPERTENSIVe Disease (400-404)

LLL

Hypertensive heart disease (402)

A83

Ischaemic HEART DISEASE (410-414)

产类

mimi

मां सल

EL EL EL EL 34 ZŁ ZA

334

313

175

156

5781

548

FFF

ZŁ ZE ZŁ ZE ZE

M 281

178

290

360

491

414

368

279

Acute myocardial infarction (410)

Chronic ischaemic heart disease (412)

A84

OTHER FORMS of Heart Disease (420-429)

Pulmonary heart disease (426)

Symptomatic heart disease (427)

ल |

LA MO

}

13 15

22 27

56. 79

93 123

_WIN

30 29 29 8* ** ** P* ** .-

52 46

76| 145

60 199

98| 264

R= 8 g 90 28 32 48 **

David

601

201 201 36 57 41

31: 24 25 35

181 31| 21

271 33

ON UN 85 AM ON

ངས ཀཉ

ཙུཏྟཱ

སྦྱིན རྔུཀླུ ཅུཀྟ

38 34

ཨུ ཅུ

and or d

£7 29

རྒྱུཪྵཱ ཆག

فيه

NONN

INN

குல்

SAM

Total

Deaths

Year

TABLE 21

TUBERCULOSIS MORTALITY 1957 AND 1962-71

Tuberculosis

Tuberculosis Deaths as

Average

Death Rate

from Tuberculosis

per 100,000

population

percentage of total deaths

1957

2,675

97.8

13.8

age at death from Tuberculosis

1962

1,881

56.9*

9.2

1963

1,762

51.5*

8.9

1964

1,441

41.1*

7.9

---

1965

1,278

35.5*

7.2

--L

1966 1967 1968

---

1,515

41.7*

8.1

L-F

J-F

1,493

40.1*

7.6

---

1,483

39.0*

7.7

1969 1970 1971

---

1,470

38.0*

7.9

1.436

36.3*

6.9

1,250

30.9*

6.2

1599AAXAGG

56.5

57,5

57.5

• Based on revised population estimates after 1971 Census.

TABLE 22

TUBERCULOSIS IN CHILDHOOD 1957 AND 1962-71

1 year

Percentage of

newborns

Year

receiving

Percentage of Tuberculosis deaths below

Percentage of Tuberculosis deaths under

B.C.G.

5 years

1957

LL+

35.93

21.20

5.76

Infantile Mortality from Tuberculosis

(per 1,000 live Births)

1.57

1962 1963 1964

---

81.59

1г.

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

J-L

95.42

2.01

0.33

0.07

1968 1969 1970

---

94.23

1.15

---

0,20

0.04

---

94.78

0.95

0.27

0.05

95.33

0.63

0.00

1971

96.78

0.64

0.08

0.01

TABLE 23

TUBERCULOSIS NOTIFICATIONS 1957, 1962 AND 1967-71

Origin

1957 1962 | 1967 1968

1969

1970

1971

Govt. Chest Clinics

JIL

8,194 | 10,691 | 11,917

6,844

8,391

7,061

6,141

Other Govt. Inst.

2,517

1,630 1,167

688

482

494

524

801

563

309

299

443

412

2,954

---

1,091 1,606

1,951 1,900 2,079 1,951

Tung Wah Group

Other non-Govt. Inst. and Private Sources

Total

Notification rate per

100,000 population

13,665 (4,26315,253 9,792 11,072 10,077 9,028

499

432* 410* 258* 287* 255* 223*

• Based on revised population estimates after 1971 census.

TABLE 24

WORK OF GOVERNMENT CHEST SERVICE

GOVERNMENT CHEST CLINICS

1971

Hạng Kong |

Kowloon

New Territories

Kowloon Chest

Clinic

Full-time Centres...Wan Chai

Part-time Centre

Other Centres (for

injections only)

Chest Clinic Sai Ying Pun

Chest Clinic Shau Kei Wan

Chest Clinic Aberdeen J.C.C.

Shek Kip Mei

Chest Clinic Yau Ma Tei

Chest Clinic

Robert Black Castle Peak Clinic Health Centre Kam Tin Clinic

Kwun Tong Lady Trench Polyclinic Jockey Club Sai Kung Dispensary Health Centre Sha Tin Clinic

Hung Hom

Dispensary

Shek Wu Hui J.C.C.

St. John Hospital

Tai Po J.C.C.

Yuen Long Jockey Club

Health Centre

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

TABLE 24Contd.

ATTENDANCES AT GOVERNMent Chest Clinics, 1971

Total Attendances

Total Patients attending, new and old

Number of new patients

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.

ייי

-10

гг.

---

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

By bacteriology and extent

Negative

---

.гг

+++

ILL

+++

...

1,657,332

103,158

39,696 (100.0%) 38,648 (97.4%) 18,546 (46.7%)

6,171 (15.6%)

2 ( 0.0%)

51 (0.1%)

89 (0.2%)

7,472 (18.9%) 6,317 (15.9%

2,086 ( 5.3

Positive

Incomplete 01

588

By bact, and presence of cavity

Negative

A Yes

A No

Positive

B Yes

B No

---

110

TOI

810 ( 2.0%)

133 (0.3%)

917 (2.3%) 1,171 (2,9%) 779 (2,0%)

276 (0.7%) 107 (0.3%) 38 ( 0.1%)

266 (0.7%) 2,763 ( 7.0%)

1,002 (2.5%) 1,865 (4.7%)

57 (0.1%) 364 (0.9%

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

Remarks:

JIL

---

. г.

4,712 (11.9%)

185 (0.4%) 1,419 ( 3.6%) 1 ( 0.0%)

Figures in brackets denote percentage of total new patients.

Year

TABLE 25

X-RAY SURVEY 1961-71

Government Servants

Conditional Survey

Prisoners Survey

Total

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

% with

Total

% with

1961 1962

45,617

0.88

+++

26,809

1.17

9,735

4.98

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 ...

FTT

50,009

0.55

47,521

0.78

9.524

2.90

1965 1966

57,893

0.64

44,271

0.71

5,876

3.94

---

59,691

0.51

40,572

0.74

5,904

4.18

1967 1968 1969 1970 1971

31,096

0.71

56,826

0.56

4,997

3.58

54.947

---

0.50

53,703

0.51

7,082

1.57

41,925

0.75

---

50,233

0.53

7.107

1.31

51,812 │ 0.63

47,741

0.34

6,417

1.70

--L

48,247

0.45

49,821

0.39

8,543

0,75

TABLE 26

EXAMINATION OF NEW CONTACTS

Number of patients listed Number of contacts listed

1971

(a) Number of children with negative tuberculin

Number of children given B.C.G.

(b) Number of contacts X-Rayed

Results:

N.S.D....

Disease other than T.B.

Respiratory T.B.

Active A

8,196 22,587

...

1,502

-T

1,499

12,934 (100.00%)

[1,951 ( 92,40%) 358 ( 2,77%)

84 (0.65%) 34 (0.26%

8 (0.06% 424 ( 3.28%)

0 (0 % 75 (0.58%)

T11

...

110

ILL

LLL

Not active

Non-respiratory T.B.

Result not yet known

ILI

LLJ

TABLE 27

CLASSIFICATION OF ORTHOPAEDIC TUBERCULOSIS OF NEW PATIENTS, BY SITE, 1967-71

Site of Disease

Year

TOTAL

Spine

Hip

Knee Ankle Femur Others

Joint

1967...

1968...

1969...

---

1970...

122

1971...

ليا

110

TABLE 28

MALARIA 1967-71

DISTRIBUTION OF CASES

(According to notified place of residence)

Year

Cases Notified

Urban Deaths Controlled

Sai Kung" Lantau* | Tai Po* District District District

Other

Areas

1967...

1968...

1969...

1970...

1971...

• Including floating population.

+ Case reported in 1969.

Imported cases.

IDENTIFICATION OF PARASITES

Year

P. vivax

[p. falciparum p. malariae

Mixed infection

Species undetermined

1967...

1968...

--L

1969...

1970...

1971...

TABLE 29

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1962-71

1962

1963

1964 1965

1966

1967

1968

1969

1970

1971

Secondary

Early Latent

Late Latent

All others

ггг

Venereal Diseases

Total (Except Congenital)

1,858

1,487

1,036

1,197

1,177

1,082

1,314

983:

722

850

Primary

154

---

164;

I 19

28]

SYPHILIS

12;

359

307

397

263

1981

120

233

125

116

145

1,216

---

864:

590

791

8741

788

981

763

538!

556

103

69|

73.

---

16|

12|

561

451

109

125

.гг

· · ·

5,747

5,696

5,008

5,096

6,353

7,344

7,375

6,331

6,470

7,198

453

ILL

379

496

578

629

648

659

613

608

687

Chancroid

3561

3471

268

---

...

254

105

286

862

3871

442

130

165

이

Congenital

Gonorrhoea

Under 1 year..

Over 1 year

IL L

Non-Gonococcal Urethritis...

Lymphogranuloma Venereum

Granuloma inguinale

Other Diseases

Non-Venereal Disease Skin Diseases

Attendances at Clinics (All Types) New Attendances Total Attendances

---

5,489. 4,155) 4,548 5,169 5,191 4,672 5,074 4,200 3,488 3,301 12,917 10,740 12,570 14,121| 15,014| 13,206 15,846 18,361 20,704 22,524

27,264 23,761| 25,224 27,541 29,254 27,669 31,342 32,027 32,994 35,802 179,135| 147,588| 143,381 147,311| 161,994 170,532 209,916 221,882 208,319 196,371

TABLE 30

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1967-71

1967

1968

1969

1970

1971

No. of tests (Clinics and Hospitals)... 55,012

47,552

50,952

52,382

54,462

%% Positive

1.8

1.7

1.4

1.0

..ז

гто

0.9

No of tests (Private Midwives)

Positive

3,577 0.8

3,208

2,625

1,797

2,361

1.2

ггт

0.7

0,5

0.5

Year

TABLE 31

LEPROSY 1971

INCIDENCE OF Leprosy 1966-71

New Cases

Rate per 100,000 population*

1966

1967

---

TII

ITI

163

149

1968

1969

---

1970

1971

---

160

127

135

117

ггт

4.5

4.0

4.2

3.3

3.4

2.9

• Revised population estimates based on the results of 1971 census.

ANALYSIS OF CASES BY AGE 1971

Age Group

No. of Cases

100

TII

+10

111

---

J-J

---

Under 1 4

―

14...

5 - 9 10 - 14 15 - 19 20 - 24 25 29 30 - 34 35 - 39 40 - 44 45 49 50 - 54

55 59

―

60 & Over

---

ILF

---

TII

---

117

---

Total

New admissions

Relapses

For surgery

ADMISSION TO LEPROSARIUM 1971

---

-15

Total

ITI

гтт

+++

H+

305

157

IIT

690

---

- rr

-г т

LLJ

---

Keratosis (All types)

---

Lichen Amyloidosis

Acne

Alopecia Angioedema

Carcinoma

TABLE 32

ANALYSIS OF DERMATOLOGICAL CONDITIONS

-IT

Contact dermatitis

Dermatitis Exfoliative

PRESENTING AT CLINICS, 1971

Dermatitis Herpetiformis

Dermatomyositis

Drug Eruption

Eczema (All types) Epidermolysis Bullosa Erythema Multiforme Erythema Nodosum

Granulomata

Herpes Simplex

Herpes Zoster

Ichthyosis

Keloid

гтт

ггт

---

6,617

---

+++

Pyoderma

Raynaud's Phenomenoma

Scleroderma

Tinea (All types)

T.B. Cutis

Tumors, Benign

Ulcer, Varicose

Neurofibromatosis

Nevi (All types)

---

Pediculosis

Pemphigus

Paronychia

Pityriasis Rosea

178

+10

Pityriasis Alba

140

PLE

Pruritus

332

Psoriasis

175

---

Purpura

218

Rosacea

Scabies ...

396

ILJ

---

ILL

Jrr

Urticaria

Lichen Planus...

Vasculitis

Light Sensitivity

Lupus Erythematosus

(All types)

Miliaria

Molluscum Contagiosum

Neurodermatitis

---

Verruca

110

Vitiligo...

INT

1,294

590

587

260

---

Xanthoma

...

Leprosy

---

672

Miscellaneous

477

---

Total ...

13,996

TABLE 33

CULTURES FOR MYCOLOGICAL IDENTIFICATION, 1971

T. rubrum

T. mentagrophytes

M. canis

T. versicolor

---

146 7

Trichomycosis Axiliaris

T. tonsurans

E. floccosum

T, violaceum

C. albicans

M. ferrugineum

Total specimens examined

++1

1.331

TABLE 34

WORK OF THE PORT HEALTH SERVICE-1971

INSPECTIONS

Immigration

No. of

Vessels

Pas- sengers

No. of Crew

No. of No. of Smallpox Cholera

No. of

pas-

Vaccina- Inocula-

tions

sengers lunderSur-

tions

veillance

Overseas

5,817

42,118 200,059

306

444

By Sea

Macau

1,589,442 302,950 | 155,672

Junks etc.

9,670

10,713 115,013

By Air

23,433

1,202,555| 232,590

3,136

791

By Train

442,439

22,276

Total

--L

By Sea

38,920 3,287,267|| 850,612 181,453 1,247

Emigration

159

70 | ·

■ Number not recorded.

FUMIGATION

No. of ships fumigated

Total net tonnage...

ггг

- ..

Cubic capacity (cubic feet)

Rats recovered

Exemptions granted

---

　　　No, of ships disinfected and disinsected No. of supervision of disinfecting aircraft

+1¬

LIJ

ILL

-| -| -

+++

ILL

---

　　　To ships at sea To ships in port

MEDICAL ASSISTANCE TO SHIPS

---

9 8,401.54 979,641 151 293

3 365

TABLE 35

MIDWIFERY SERVICES 1970-71-1971-72

(Excluding Hospitals)

PRIVATE MIDWIFERY SERVICES

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

---

Total deliveries*

---

1970-71

1971-72

282

229

---

15,028

11,972

15,114

11,999

GOVERNMENT MIDWIFERY SERVICES

1970-71

1971-72

291

303

225

222

137

141

+++

---

15,243

15,817

111

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

+++

Cases attended (excluding hospitals)*

---

Average case-load for each midwife (excluding

Hospitals)*

יזז

HTT

ггт

+++

* Refers to calender year.

TABLE 36

DISTRIBUTION OF M.C.H. CENTRES AT 31ST MARCH, 1972

District

Full-time Centres

Subsidiary Centres

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

NN-

6 7

Hong Kong Kowloon

N.T. & Islands...

Total

TABLE 37

MATERNAL AND CHILD HEALTH SERVICES 1970-71

No. of full-time centres

No. of subsidiary centres

Ante-natal Sessions

Total Sessions

New attendances

ILL

711

Total attendances

Average attendance per session

Average attendance per person

Post-natal Sessions

Total Sessions

New attendances

Total attendances

1970

1971

---

++1

2,714

2,713

20,725

21,745

---

ITI

119,388

125,982

TIL

+++

43.99

46.44

5.76

5.79

r..

+++

rrt

Percentage presenting with some abnormality

Infant Welfare Sessions (0-2 years of age)

Total Sessions

---

New Attendances

Total attendances

---

Toddler Welfare Sessions (2-5 years of age)

Total Sessions

...

New attendances

++.

Total attendances

LJ J

898

907

...

5,296

5,937

6,636

7,051

711

22.69%

21.94%

6,243

6,521

---

69,073

73,068

811,529

870,920

-- J

Percentage presenting with some abnormality (0-5 years

of age)

Home Visits

- F

• New attendances only.

1,379

1,429

28,236

32,219

144,641

155,440

0.91%*

0.85%*

124,578

123,515

TABLE 38

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF PARTICIPATING SCHOOLS, PUPILS AND DOCTORs at 31st March, 1972

Districts

Hong Kong

Wan Chai

Central and Sheung Wan Western Causeway Bay

North Point

Shau Kei Wan

---

Aberdeen

Sub-total

Kowloon

Tsim Sha Tsui

---

ILL

No. of Part. Schools

No. of Part. Pupils

No. of Part. Doctors

---

..ז

PTT

ANSAMAA

945

1,420

8 23

1,561

2,627

2,070

927

2,152

213

11,702

Yau Ma Tei

---

Mong Kok

Cheung Sha Wan

...

San Po Kong

Kai Tak

Shek Kip Mei

Hung Hom and To Kwa Wan

Kowloon Tong

Kwun Tong

Sub-total

New Territories

Tsuen Wan Yuen Long Sha Tin Tai Po ... Sheung Shui Rennie's Mİ]}

+10

TII

---

*AAGANGTOK

555

2,102

3,468

1,852

1,404

1,508

4,035

2,222

4,093

335

---

21,316

T10

Ngroun

I,765

1,132

214

289

442

321

J-

Sub-total

113

ILI

LJ J

4,163

Grand Total

661

37,181

174

100

TABLE 39

WORK OF THE GENERAL DENTAL SERVICE 1967-71

Deciduous Teeth

Permanent Teeth

Persons

Year

Attend-

ances

rendered

dentally

Restored Extracted

Restored

Extracted

fit

1967 ..

258,399

21,836

30,257

100,312

38,941

23,475

1968

---

277,935

20,975

34,033

95,694

42,692

57,245

1969

276,847

19,648

32,454

93,961

42,634

60,670

1970 1971

TII

282,713

20,072

33,306

90,479

43,448

61,996

264,874

17,026

31,574

85,059

44,901

57,006

TABLE 40

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1970-71

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

1970

1971

942

1,131

210

239

159

139

+11

159

197

TII

1,719

1,859

LLJ

I LJ

1,219

1.609

376

422

3,18[

304

3,863

-г г

.гг

Blood grouping (medico-legal)

Blood grouping (Police officers)

Lectures to Police Officers

ггт

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

Chemical examinations of mortuary cases

Assistance in Raids:

--L

ILL

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance

ггт

Abortionists

+11

101

TABLE 41

WORK OF THE GOVERNMENT LABORATORY 1970 AND 1971

FOR GOVERNMENT

A. General Division:

EXAMINATIONS

Dutiable Commodities Ordinance

Public Health and Urban Services Ordinance

Food

Drugs

--L

ILJ

· LJ

---

Dangerous Goods Ordinance

Pharmaceuticals

...

..ז

Imports and Exports (Prohibition) Regulations Miscellaneous

+++

B. Forensic Division:

+10

General

ILL

Pharmacy and Poisons Ordinance

Antibiotics Ordinance

Dangerous Drugs Ordinance Toxicology

II. FOR ARMED SERVICES

Total

---

Grand Total

1970

1971

8,228

9,726

1,193

2,348

598

1,285

222

1,597

2,000

992

LII

1,781

гто

2,670

4,208

ייז

+1.

14,127

14,371

2,627

1,794

---

102

32,078

37,804

TABLE 42

WORK OF MEDICAL & HEALTH DEPARTMENT INSTITUTE OF PATHOLOGY

1970 & 1971

LABORATORIES

1. Clinical Laboratories

ILJ

4 નં

Public Health Laboratories

Virological Laboratory

Vaccine Production

Blood Banks ...

יזי

огт

TII

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.

Victoria Public Mortuary

Kowloon Public Mortuary

MORTUARIES

SPECIMENS EXAMINED 1970 and 1971

1970

1971

1. Protozoology and Helminthology

2. (a) Haematology

(b) Blood grouping (Auxiliary Services)

---

...

38,908 361,657

42,747 410,095

3. Serology

4. Bacteriology

5. Mycology

· F +

Frr

946 128.479

1,486

129,890

---

583,865

600,731

---

17,942

17,618

6. Public Health...

7. Morbid Anatomy and Histopathology

8. Chemical-pathology

9. Clinical Pathology

10. Virology

гто

11. Special investigations

12. Examination done in Blood Banks 13. Blood Products Preparation

83,604

38,731

45,304

52,632

390,521

464,795

ILL

LLT

LL+

Lrr

---

rrr

68,846

82,599

5.309

9.728

LIJ

ILL

886 180,790

1,223

206,834

---

689

Total

1,907,057

2,059,798

AUTOPSIES ON MEDICAL LEGAL CASES PERFORMED 1970 AND 1971

Queen Mary Hospital

Queen Elizabeth Hospital

1970

1971

318

391

---

rri

LIJ

340

345

Total

658

736

J-

LJ J

LJI

103

Vaccine

Anti-Smallpox

Anti-Rabies (2%)

Anti-Rabies (4%)

T.A.B.

Anti-cholera

---

Anti-Plague Autogenous Vaccine

-- J

TABLE 43

VACCINE PRODUCTION 1970-71

(in millilitres)

Prepared

Issued

1970

1971

1970

1971

40,110

35,840

34,701

36,670

40,500

.г.

28,200

32,350

29,800

36,900

23,100

33,200

27,200

204,000

71,450

[53,200

74,100

IIT

2,276,250

1,101,650

643,000

10,150

---

2,100

3,800

TABLE 44

BLOOD BANKS 1971

L. BLOOD RECEIVED

From:

British Red Cross

Patients' relative and friends

Other donors

---

Brought forward from previous year

Total

Q.M.H.

Q.E.H.

TOTAL

13,483

14,483

27,966

241

131

374

131

148

158

306

13,947

14,828

28,775

2. BLOOD DISTRIBUTED

To:

Government hospitals

Private hospitals

Govt.-assisted hospitals

Military hospitals

Other non-government Institutions

Unusable due to various causes

Stock in hand at end of year

Total

---

8,922

2,790

11,776 2,155

20,698

4,945

---

1,498

389

1,887

---

618

467

1,085

104

13,947

14,828

28,775

104

TABLE 45

WORK OF PUBLIC MORTUARIES 1970-71

Victoria

Kowloon

1970

1971

1970

1971

938

-T1

1,102

2,645❘ 2,593

684

897

806

777

825

983

2,140 | 2,141

113

119

огт

505

452

641

---

708

2,024

1,834

297

394

ггт

621

759

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

TABLE 46

WORK OF INDUSTRIAL HEALTH SECTION 1971

MONITORING AND SURVEY WORK

1. Atmospheric samples:

(a) Ammonia

110

T10

(b) Benzene

...

(d) Carbon monoxide

(e) Chromic acid

(f) Dust

|-+

LJ J

Numbers

LLL

ILL

LJI

---

J-

LIL

---

...

-11

[11

---

...

---

ייי

770

+1-

+44

---

FFF

----

1,166

---

1,151

(g) Ether

(4) Lead

---

(i) Metnyl Ethyl Ketone

(j) Nitrogen dioxide

(k) Oxygen

(1) Smoke

(m) Styrene

---

(n) Sulphuric acid (0) Sulphur dioxide (p) Sulphur trioxide

(g) Toluene

+++

(r) Trichloroethylene

(s) Xylene

ILL

---

105

---

- г г

---

484

2,984

Miscellaneous analysis:

(a) Silica (b) Lead

гг.

TABLE 46 Contd.

LJ J

LIJ

ILI

3. Ventilation survey:

(a) Air velocity

(b) Effective temperature (c) Radiant heat

+++

(d) Relative humidity

I LJ

LIJ

L-

Numbers

فيا فيا

+++

---

PIE

ITI

---

...

ILI

3016

197

...

гг.

TTO

++1

++.

4. Miscellaneous measurements:

(a) Capture velocity

H+T

(6) Lighting.

---

(d) Radiation

IJI

---

ITT

5. Urinalysis:

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

c) Glucose in urine

(d) Proteins in urine

...

Blood examinations:

(a) Haemoglobin estimations (b) Red blood cell counts...

Clinical examinations:

(a) Divers

(b) Radiation workers

---

+++

TIE

---

TII

---

BORD

183

---

128

---

295

-- J

---

--L

-- J

239

319

Total No. of interviews Number of visits

Cases assessed by I.H.O.

WORKMEN'S COMPENSATION Case Work

Cases assessed at Medical Boards

1967

1968

1969

1970

1971

21,957

33,571

43.738

63,403

63,988

1.532.

1,437

789

161

гг.

489 4,030

607 4,456

580

234

250

4,868

6,192

6,731

106

107

Institutions

TABLE 47

NUMBER OF HOSPITAL BEDS IN HONG KONG, 1971

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

PIP

Victoria Reception Centre

---

11-

ILL

LLI

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

PERBET

I T

115

291

སྐྱུ མནྟུའ[ཟླ།

-10

---

IPT

|| | ||

€ 883|1568

98 L08

LOC

257

141

1839

46)

100

120,

250

---

278 442

10 9:0

£ | ន

ZURO

| | | | | 8 |

€111

301

[6]

356

200

612

120

360

503

435

338

180

120

390

283

110 1,128

Medical

Surgical

Ophthalmic

E.N.T.

Gynaecology

Maternity

Paediatric

& Babies

Tuberculosis

Leprosy

Psychiatric

Rehabilitation & Convalescent

Chronic.

Custodial, Casualty & Observation

Infectious

Radiotherapy

Others

TOTAL

Nam Long Hospital

---

Ruttonjec Sanatorium

-11

-10

Sandy Bay Convalescent Hospital

Tung Wah Hospital

Tung Wah Eastern Hospital

Canossa Hospital

LLL

Hong Kong Adventist Sanitorium and Hospital...

Hong Kong Central Hospital

LLL

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

LLL

Private Nursing and Maternity Homes

TOTAL (Hong Kong)

1,306 1,250 27 34 221

785

408

B69|

$29

216 88 48 (42) 5,927

108

Institutions

Classification of Beds

Medical

---

203)

KOWLOON

(A) GOVERNMENT InsitutionS

Kowloon Hospital

Lai Chi Kok Hospital

Queen Elizabeth Hospital

---

Government Clinics and Maternity Homes

LLL

LLI

(B) GOVERNMENT-ASSISTED INSTITUTIONS

277

TABLE 47-Contd.

Psychiatric

Chronic, Rehabilitation & Convalescent

Custodial, Casualty & Observation

Enfectious

Radiotherapy

Others

TOTAL

190

29.

263

154

Caritas Medical Centre

LII

166

12 105

108

125

Hong Kong Buddhist Hospital

Kwong Wah Hospital

399

13 104

303

201

Margaret Trench Medical Rehabilita

Centre

JIJ

Our Lady of Maryknoll Hospital

106

51;

346 116,

Wong Tai Sin Infirmary

"GAROY

---

Baptist Hospital

гог

111

---

Evangel Medical Centre

...

Precious Blood Hospital

St. Teresa's Hospital

Private Nursing and Maternity Homes

2582 |

Tallu

TET

PITAT

2:06

Etaja

।।।।

173

TIST

1,043

492

82 1,596

161

895 |12

898

187

30 1,352

264

681

112

115

400

222

TOTAL (Kowloon)...

---

1,880 2,242 52

68 437 1,079 760 475)

67 200,

173 86 287 7,853

109

Institutions

Classification of Beds

NEW TERRITORIES

(A) GOVERNMENT INSTITUTIONS

Casile Peak Hospital

Čhi Ma Wan Prison Hospital St. John Hospital

South Lantau Hospital

---

ייי

יי -

Tai Lam Addiction Treatment Centre Tai Lam Centre for Women

Tong Fuk Prison Hospital

---

Government Clinics and Maternity Homes

LLL

(B) GOVERNMENT-ÅSSISTED INSTITUTIONS

Fanling Hospital

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

ггг

Adventist Sanitarium and Hospital

Private Nursing and Maternity Homes

TOTAL (New Territories)

Medical

Surgical

TABLE 47-Contd.

199

││*། | 2}!

1,242

121|ARE A

1,242

100

226

310.

...

45:

230

311

...

---

77) 323, $40 1,242

TETT

|_| | -

540

162

131

114

1 2,909

888 1,786 37

33 254

1,019

110

1,309

1,740, 1,259 26 796 493

41 359

611

586

ייי

...

28 45 545 169

1,498

$40

723

365, 261 105 192 6,849 22 28 231 7,664

7| 2,176

3,424, 3,538 79 102 638 2,175 1,245 1,667

540 1,313

729

392 261, 136| 430 16,689

Government Institutions

Government-Assisted Institutions

Private Institutions

GRAND TOTAL (Colony)

• Beds in Rennic's Mill Church Clinic.

TABLE 48

IN-PATIENTS TREATED IN GOVERNMENT, GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS, CLINICS AND MATERNITY HOMES, 1971

HONG KONG

(A) GOVERNMent InstituTIONS

Queen Mary Hospital

---

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

Victoria Reception Centre Government Clinics &

Maternity Homes

(B) GOVERNMENT-ASSISTED

INSTITUTIONS

Alice Ho Miu Ling Nethersole Hospital

rri

Dutchess of Kent Children's

Orthopaedic Hospital &

Convalescent Home

LLL

.-.

Grantham Hospital Nam Long Hospital Ruttonje Sanatorium Sandy Bay Convalescent Hospital

LLL

111

Tung Wah Hospital

Tung Wah Eastern Hospital

יי

In-patients Discharged

Deaths

Total

In-

General fectious culosis nity chiatric

Jn- Tuber. Mauer- Psy-

Total

General

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

Total

patients

Treated

31,221 253

363

2,850

34,767

1,942

486 1,208

1,707

1,027

122

1,241

3,529.

1.007.

4,603

LLI

688

8,079

8,767

407

3,221❘

3,647

1,876!

1,876

1,992 36.759

22'

1,729

1,246

4.632

8.826

3,655

1,376

7.093

251

韩

5,341

13 12,799

273

278 13,07T

353

279

774

1,575

1,089

2,672

134.

304

319

1,068

1,388❘

3,166

3,226

319

2,505

1,017;

3,663

345

1,183

837

2,111

226

1813 188

Canossa Hospital

3,889

---

Hong Kong Central Hospital ...

3,319

150

389-

4,284

208:

57 3,589!

136

Hong Kong Adventist Sanitar- ium & Hospital

249

293

Hong Kong Sanatorium &

Hospital

9,933

611

138 4,054

247 14,983

429

दूध

Matilda & War Memorial

Hospital

---

St. Paul's Hospital

Private Nursing & Maternity

Homes

823

5,957 190

129

960

130

798

90 7,165

176

941

TITT

774

192|| 2,864

304

364

107

1.493

3,546

4,041

255

2,366

4,352

136

3,725

298

434 13,417

965

LBB

7,353

941

TOTAL (Hong Kong)

---

77,784

3,007

3,265) 27,567 | 3,893, 115,516

4,511

222

4,785; 120,301

110

|1|

TABLE 48 Contd.

In-patients Discharged

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

Deaths

Total

Deral.

In- Tuber- Maler-

|fectious culosis milychiatric

Psy- Total

patients

Created

6,017

1[4] 399

186

160

7,676

991

---

$35 1,030 66,863 2,456

1,294 14,583

] 1,870 224 85,420

3,082

6,350

KOWLOON

(A) GOVERNment InstituTIONS

Kowloon Hospital

Lai Chi Kok Hospital.... Queen Elizabeth Hospital Government Clinics & Matemity Homes

(B) GOVERNMENT-ASSISTED

INSTITUTIONS

Caritas Medical Centre

Hong Kong Buddhist Hospital Kwong Wah Hospital... Margret Trench Medical Rehabilitation Centre Our Lady of Maryknoll Hospital Wong Tai Sin Infirmary

---

Baptish Hospital Evangel Medical Centre Precious Blood Hospital St. Teresa's Hospital Private Nursing & Maternity Homes

100

---

ггг

106

7,782

1,902

3,247

88,667

6,350

LLI

5.322

1,464

27,366

162

381

2,720

16 8,601

635

$13 1,286

19,402|

31 1,622 107 48,676

149

3,382

178

354

367

3,538

294

PIL

1,086

2,354

70 6,332

286

1,340

$13

179

*°8 | 18

683

9,286

161

1,783

3,595

52,271

367

304 6,640

694

2,034

2,680

1,365)

1,989

9,378

བྷ|

155

1233

530

3,210

807

2,242

712

2,798

1,519

106)

11,234 |

346

བྷཏྟུཔྤཏྟཱ

9,617

TOTAL (Kowloon)

128,225 4,757

4,824 58,806

743, 197,355

8,770

129

533

3,302

2,287

115

2,913

361

11,595

9,617

9,441 | 206.796

112

NEW TERRITORIES

TABLE 48 Contd.

In-patients Discharged

Deaths

Total

In-

General

! In- Tuber- Materi Psy- fectious culosis nitychiatric)

Total General'

In- Tuber- Mater- Psy- [fectious culosis nitychiatric

Total

patients Treated

(A) GOVERNMENT ÎNSTITUTIONS

Castle Peak Hospital

110:

3,649 3,783

Chi Ma Wan Prison Hospital

384.

387

St. John Hospita!

673'

303

1,041

South Lantao Hospital

132:

34:

186

Tai Lam Addiction Treatment

Centre

397!

463!

Tai Lam Centre for Women Tong Fuk Prison Hospital

Government Clinics & Maternity Homes

(B) GOVERNMENT-ASSISTED

INSTITUTIONS

Fanling Hospital

106:

212

249

309

---

7,847!

7,847'

3,865

387

1,076

186

463

212

310

7,847

441

36.

41,

548

Haven of Hope T.B.

Sanatorium

264

$24

53'

883:

---

Hay Ling Chau Leprosarium

125

Pok Oi Hospital

1,960

219,

921

1,249|

3,520

213

$86

34:

917

133

151

771

3,748

Adventist Sanitarium &

Hospital

2,259

281

890

3,583

3,670

---

Private Nursing & Maternity

Homes

LLL

1,521

TOTAL (New Territories)

6,975

774

822 |1,914

3,923 24,408) 433

1001

$13

24,921

GOVERNMENT INSTITUTIONS

гог

113,924 3,225

2,284 43,120

7,599 172,152 5,342

122

144

5,618 177,770

GOVERNMENT-ASSISTED InstitutionS

---

ггг

TII

PRIVATE INSTITUTIONS

г--

ווז

57,219 2,069 41,841 1,244

6,030 33,035

597 22, 132]

354 98,707 6,682 606 66,420 1,490

644

7,385 106,292

GRAND TOTAL

212,984

6,538

8,911 98,287

98,2

337,279 8,559 337,279 13,714

187

821

14,739 14,739) 352,018

1,536 67,956

352,01

TABLE 49

DISEASE CLASSIFICATION OF IN-PATIENTS TREATED IN GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND OF ALL DEATHS IN THE COLONY 1971 (Patients treated in maternity homes are excluded)

Inter-

mediate

Detailed

List

Number

List

1965

Number

Revision

Discharges

Deaths

Cause groups

Govern-

ment

Hospitals!

Govern-

πιτήι

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male

Female

|Sex Un-

known

Total

000

Cholera

ILL

001

002, 003

Typhoid fever

Paratyphoid fever and other

salmonella infections

A 4(0)

004

Bacillary dysentery

(b)

006

Amoebiasis...

ггт

A 5

008, 009

diseases

FIL

A 6

010-012

Enteritis and other diarrhoeal

Tuberculosis of respiratory system

ILL

A 7

013

Tuberculosis of meninges and

A 8

014

central nervous system

Tuberculosis of intestines, peritoneum and mesenteric glands

---

438

+++

107

478

ггт

2,332

622

LIT

1,700

5,559

125!

613

6353

914

272

1,186

113

A 9

A 10

015

016-019

Tuberculosis of bones and joints. Other tuberculosis, including late

ILL

264

219

یرابی

COLA

eflects

2.22

189

---

A 11

020

Plague

ILL

A 12

022

Anthrax

A 13

023

Brucellosis

।।

A 14

030

Leprosy

A 15

032

Diphtheria

· P.

Carried forward

---

130

ILL

- Fr

5,682

6,973

157

648:

965

306

1,271

Detailed

Inter-

List

TABLE 49-Contd.

Discharges

Deaths

mediate

Number

List

Cause groups

1965

Number

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Gover-

meni

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male

Female

Sex Un-

known

Total

Brought forward

...

5,682 6,973

157 648 965

306

1,271

A 16

033

Whooping cough

A 17

034

Streptococcal sore throat and

scarlet fever

A 18

035

Erysipelas

TII

---

A 19

036

A 20

037

Tetanus

A 21(a)

005

Meningococcal infection

Food poisoning (bacterial)

+10

(b)

038

Septicaemia

---

25:

---

109

| | -818

(c)

007,

021,

024-027,

031,

A 22

039

040-043

A 23

044

Other bacterial diseases

Acute poliomyelitis

Late effects of acute

poliomyelitis

---

IIT

701

284

---

A 24

050

Smallpox

A 25

055

Measles

ггт

- rr

374

139

---

A 26

060

Yellow fever

IIL

ILL

A 27(a)

062

(6) 063

(c)

064

(d)

065

Mosquito-borne viral

encephalitis

Tick-borne viral encephalitis Viral encephalitis 'transmitted' by other arthropods

Viral encephalitis unspecified

Carried forward

ILL

++1

6,292 7,514

255 684 1,055 366!

1,421

114

TABLE 49 Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

Cause groups

List

1965

Number

Govern-

ment

Revision

Hospitals Hospitals

Govern-

Assisted

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Deaths

Whole Colony

Male

Female

|Sex Un-|

known

Total

Brought forward

Infectious hepatitis

6,292 7,514, 2551 684 1,055

366

---

832

180

112

26!

1.421

146

188.

A 28

070

A 29(a)

052

Chickenpox

(6)

061

Dengue

ггг

- гг

(c)

045, 046,

051,

053, 054,

Other viral diseases

056, 057,

115

066-068,

071-079

A 30(2)

080

(b).

081

Other typhus

(c)'

082

Epidemic louse-borne typhus

Tick-borne rickettsiosis

---

ILL

(d)

083

Other rickettsiosis

FIT

A 31

084

Malaria

---

A 32

086, 087

Trypanosomiasis

---

A 33

088

Relapsing fever

LL+

A 34

090

Congenital syphilis

A 35

091

A 36

094

---

A 37

092, 093,

095-097

A 38

098

Early syphilis, symptomatic

Syphilis of central nervous

system

Other syphilis

Gonococcal infections

Carried forward

---

ггг

---

7,423

7,926

266

696; 1,086

372

1,458

TABLE 49-Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

List

Number

1965

Revision

Cause groups

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Whole Colony

Assisted

Hospitals

Male

Female

|Sex Un-

known

Total

Brought forward

Schistosomiasis vesical

TII

7,423 7,926 266 696 1,086

372

1,458

ན

116

A 39(a);

120,0

(S. haematobium)

(b),

120.1

Schistosomiasis intestinal

(S. mansoni)

120.2

Schistosomiasis pulmonary

(S. japonicum)

(d)

120.3,

120.8,

Other and unspecified

schistosomiasis

120.9

-11

A 40

122

Hydatidosis

TII

...

+1¬

125

Filarial infection

A 42

126

Ancylostomiasis

---

A 43

121, 123,

124,

Other helminthiases

---

127-129

A 44(a);

100

Leptospirosis

+++

(6)

102

Yaws

---

710

(c)]

110

Dermatophytosis

---

(d) 085, 089,

099, 101,

103, 104,

111-117,

All other infective and parasitic diseases

115

130-136

Carried forward

7,509 8,079

266

697 1,087

372

1,459

TABLE 49 Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

Cause groups

List

Number

Govern-

1965

Revision

1000

Govern-

ment

Assisted

Govern-

ment

Hospitals

Hospitals Hospitals

Govern-

ment

Assisted

Deaths

Whole Colony

Male Female

|Sex Un-|

known

Total

---

7,509 8,079

266

697 1,087

372)

1,459

Brought forward

A 45

140-149

Malignant neoplasm of buccal

cavity and pharynx

826 259

115

210 295 105

---

A 46

150

Malignant neoplasm of

oesophagus

346.

164

A 47

151

|17

Malignant neoplasm of stomach.

34E:

195!

A 48

152. 153

Malignant neoplasm of

intestine, except rectum

227

180

A 49

154

Malignant neoplasm of rectum

and rectosigmoid junction

256

144

A 50

161

Malignant neoplasm of larynx

145

A 51

162

Malignant neoplasm of trachea,

bronchus and lung

590

447

173

515

---

A 52

170

Malignant neoplasm of bone

A 53

172, 173

Malignant neoplasm of skin

A 54

174

Malignant neoplasm of breast

419

263

A 55

180

Malignant neoplasm of cervix

uteri

752

289

TII

A 56

181, 182

Other malignant neoplasm of

uterus

146,

A 38 MMA 2

56. 150 156 233

534

* ** * ** ***

400

219

1451

378

102)

197

124

375

909

170

29 8892

1571

157

A 57

185

Malignant neoplasm of prostate....

27:

361

Carried forward

11,696 10,189, 866

1,991 2,544 1,608

4,152

Detailed

Inter-

mediate

List

Number

List

Number

1965

Revision

Cause groups

118

TABLE 49--Contd.

Discharges

Govern-

ment

Deaths

Govern

Govern-

Hospitals

ment

Assisted

Hospitals

Govern-

ment

Whole Colony

Hospitals

ment

Assisted

Hospitals'

Maic

Female

[Sex Un-

Total

known

1,608

4,152

Brought forward

+++

Malignant neoplasm of liver and intrahepatic bile ducts,

specified as primary

יז

Malignant neoplasm of other and unspecified sites

Leukaemia

Other neoplasms of lymphatic

and haemotopoietic tissue

Benign neoplasms and neoplasms

of unspecified nature

Non-toxic goitre

---

огт

A 58(a)

155

(b)

156-160,

163, 171,

183, 184,

186-199

A 59

204-207

A 60

200-203,

208, 209

A 61

210-239

A 62

240, 241

A 63

242

A 64

250

A 65

260-269

A 66

243-246,

251-258,

270-279

A 67(a)

280

(b)

281

(c)

282-285

Other anaemias

---

Carried forward

Thyrotoxicosis with or without

goitre

---

Diabetes mellitus

---

Avitaminoses and other

nutritional deficiency

11,696 10,189 866 1,991 2,544 1,

443

158

241; 220

573

156

729

748

404

170

305.

307

313

620

122

...

145

23:

110

1,992,

1,411

10:

ILL

130

104

503

161

8431

465

34i

87.

159

---

356

188

➖ ➖ ➖

---

18.

942

2171

---

18,021 13,531 1,421|

2,635 3,666 2,278

16: 20

261

5,944

Other endocrine and metabolic

diseases

Iron deficiency anaemias...

Other deficiency including

pernicious anaemias

---

en st

TABLE 49 Contd.

Conta

Detailed

Inter-

mediate

List

Number

List

Number

1965

Revision

Cause groups

119

Discharges

Gover-

meni

Govern-

ment

Assisted Hospitals Hospitals

Deaths

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Deaths

Whole Colony

Male Female

[Sex Un-

known

Total

18,021 13,531 1,421 2,635 3,666 2,278

Brought forward

---

A 68 ! 286-289

A 69

A 70

290-299

300-309

Other diseases of blood and

blood-forming organs

Psychoses

Neuroses, personality disorders

and other non-psychotic

mental disorders

389! 111

3,531

们的

en el

5,944

---

4,022

244

A 71

310-315

Mental retardation

LT+

A 72

320

Meningitis (excluding all

N-

A 73

340

meningitis between 001-136) Multiple sclerosis

155

20:

--T

A 74

345

Epilepsy

858

274

---

- - -

A 75

360-369

Inflammatory diseases of eye

A 76

374

Cataract

402

129

---

тгг

A 77

375

Glaucoma

128

---

A 78

381-383

A 79(a)!

370-373,

376-379

}

Otitis media and mastoiditis

All other diseases and conditions of eye

158,

342

OFF

(6)

321-333,

341-344,

346-358,

380,

All other diseases of the nervous system and sense organs

1,043,

479

221

384-389

A 80

390-392

Active rheumatic fever

575

124

Carried forward

++*

29,714, 15,302 1,500

2,693 3,780 2,335

6,115

TABLE 49-Contd.

Detailed

Inter-

List

Discharges

Deaths

mediate

Number

List

Number

Cause groups

1965

Revision

Govern-

ΠΕΠΙ

Hospitals

Govern-

mient

Assisted Hospitals

Govern-

Gover-

Whole Colony

ment

Hospitals

ment

Assisted

Hospitals

| Male Female

Sex Un-

known

Total

A 81

393-398

400-404

410-414

Brought forward

Hypertensive disease

Ischaemic heart disease

29,714. 15,302 1,500 2,693 3,780 2,335|

6,115

Chronic rheumatic heart disease.

807

382

53 [17]

154

271

927

---

1,019:

[14

334

313!

647

769

344

238

215

578

548

---

1,126

420-429

430-438

Other forms of heart disease Cerebrovascular disease

ILL

1,729

1,213,

3011

601

491 414

905

1,759

---

1,093

969

985

1,003

953

1,956

A 86

440-448

120

A 87

450-453

A 88

454-458

system

A 89(@) 460-465

(5),

466

A 90

A 91

470-474

480

A 92(a)]

481

(6)

482-486

A 93(0)

490-491

(5) 492-493

Diseases of arteries, arterioles and capillaries

Venous thrombosis and embolism Other diseases of circulatory

Acute upper respiratory

infections

Acute bronchitis and

bronchiolitis

Influenza

---

Viral pneumonia

Pneumococcal pneumonia Other pneumonia including bronchopneumonia Bronchitis, chronic and unqualified Emphysema and asthma

---

209

150.

107

106

213

-- L

---

933

1,090

1,326

2,369,

287 340.

---

352

95.

20:

.гг

174

168

4,585.

2,509 785

|ཀླg

53.

862 1,188 1,004|

2,192

665 1,476'

1,957; 1,317

107 167 150 62 359 212

317

571

Carried forward

46,241 28,910 3,987

5,769 8,211 6,228

14,439

TABLE 49-Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

Cause groups

List

Number

Govern-

1965

Revision

meni

Hospitals Hospitals

Govern-

meni

Assisted

Govern-

ment

Hospitals

lovem-

ment

Assisted Hospitals

Whole Colony

Malc Female

|Sex Uo-|

known

Total

14,439

121

A 94

500

608

Brought forward

Hypertrophy of tonsils and

adenoids

46,241 28,910 3,987 5,769 8,211 6,228

273

A 95

510, 513

A 96(a)

515

Empyema and abscess of lung Pheumoconiosis

[19

13.

...

---

(6)

501-508,

511, 512,

514,

system

516-519,

}

A 97

520-525

Other diseases of respiratory

Diseases of teeth and supporting

---

structures

---

A 98(a)|

531

Ulcer of stomach

(b)|

532

Ulcer of duodenum

NO DO

{c}|

533

A 99

535

Gastritis and duodenitis

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

---

A100

540-543

Appendicitis

A101

550-553,

560

Intestinal obstruction and hernia...

A102

571

Cirrhosis of liver

---

A103

574, 575

2,935 1,741

781

432

393

436

536!

665

-TT

2,489

1,429

356!

628

4,926: 2,051

2,012; 1,049

201

3,194

689: 251

1,517

138

136!

284

363

44' 67

142

132

བཏྶ་བས་དྨེ་

X31

Www8

Cholelithiasis and cholecystitis

Carried forward

64,933 39,074

4,280 6,07 6,079, 8,801 6,519

6,079

| 5,320

TABLE 49-Contd.

Detailed

Inter-

mediate

List

Number

Discharges

Deaths

List

Number

1965

Revision

Cause groups

Gover- Govern- menl ment Assisted Hospitals Hospitals

· Govern. Govern- | ment ment Assisted Hospitals: Hospitals

Deaths

Whole Colony

Male Female

Sex Un-

known

Total

Brought forward

64,933 39,074

4,280 6,079 8,801 6,519

15,320

122

A104

526-530,

534, 536,

537.

561-570,

Other diseases of digestive system

5,236 2,322

219

91 180 143

323

572, 573,

576, 577

A105

580

Acute nephritis

504

202

A106

581-584

A107

590

Other nephritis and nephrosis Infections of kidney

674

310

-J

128

A108

592, 594

Calculus of urinary system

748

466

A109

600

A110

610, 611

Hyperplasia of prostate Diseases of breast

157!

-wäỡn

137

-gan |

66 131

135!

266

341

58;

98.

All[(@)

603

Hydrocele

269

166

(b)

626

(c)

591, 593,

595-599.

601, 602,

604-607,

ILJ

612-625,

627-629

A112

636-639

IIT

---

Disorders of menstruation

Other diseases of genitourinary system

Toxaemias of pregnancy and the puerperium

FEE

1,385

1,868

LL J

LJJ

4,284 3,629

16 19 32

769

432

نيا

Carried forward

79,150 48,778 4,566

187 6,279 9,187 6,899

[ 6,086

TABLE 49 Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

Cause groups

List

Number

1965

Revision

Govern-

ment

Hospitals

Govern-

hen!

Assisted

Hospitals

Govern-

ment

Hospitals

-Govern-

meni

Assisted

Hospitals

Deaths

Whole Colony

Male

Female

|Sex Un-|

known

Total

16,086

A113

632,

651-653

A114

640, 641

ALIS

642-645

A116

670, 671

673

puerperium

---

...

Brought forward

Haemorrhage of pregnancy and childbirth

Abortion induced for legal indications

Other and unspecified abortion Sepsis of childbirth and the

79,150 48,778 4,566 6,279 9,187 6,899

809 1,204

- - -

105

3,483

3,634i

18.

A[17

630, 631,

633-635,

654-662,

672,

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

8,380

4,178

بيا

674-678

A118

650

A119

680-686

A120(a)

(b)|

707

690-706,

Delivery without mention of complication

Infection of skin and

subcutaneous tissue Chronic ulcer of skin

PJI

---

13,488 23,565

* 11

1,912

747

...

51.

N |

708, 709

}

Other diseases of skin and

subcutaneous tissue

713)

489

A121

710-715

Arthritis and spondylitis

632

409

بیان

A122

716-718

Non-articular rheumatism and

rheumatism unspecified

A123

720

Osteomyelitis and periostitis

1441

Carried forward

108,920 83,237 08,920

4,576 6,293 9,193; 6,929|

16,122

123

TABLE 49-Contd.

Detailed

Inter-

Discharges

List

mediate

Number

Cause groups

Govern-

Deaths

Govern-

Deaths

List

Number:

1965

Revision

Govern-

ment

Hospitals

| Govern-

Whole Colony

ment

Assisted

Hospitals

ment

•Hospitals!

ment

Assisted

Hospitals

Male Female

Sex Un-1

known

Total

A124

727,

735-738

Brought forward

Ankylosis and acquired

---

musculoskeletal deformities

108,920, 83,237 4,576 6,293 9,193 6,929

16,122

122

A125

721-726,

728-734

Other diseases of musculoskeletal system and connective tissue

1,067|

386,

A126

741

Spina bifida

огт

A127

746

1224

A128

747

---

Congenital anomalies of heart Other congenital anomalies of circulatory system

378

122

241

157

---

A129

749

Cleft palate and cleft lip

LJJ

217;

A130

740,

742-745,

748,

All other congenital anomalies

660

414]

241

121

750-759

A131

764-768,

772

A132

770, 771

A133

774, 775

A134

776

A135

760-763.

769, 773,

777-779

A136

794

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

Carried forward

2,334

837

བྷནྡྷུཊྛཝཱ

421

T+

121

1,303

908

1.23

154 255

124

379

539

579 253 623

876

+++

+44

115,072 86,837 4,893

7,145 9,991 7,916|

17,907

TABLE 49 Contd.

Detailed

Inter-

List

Discharges

Deaths

mediate

List

Number

1965

Cause groups

Number

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern

ment

Assisted

Hospitals

Deaths

Whole Colony

Sex Un-

Male

Female

Total

known

A137

780-793,

AE138

AE139

795, 796

E810-E823

Brought forward

} Symptoms, and other ill-defined

Motor vehicle accidents

T11

+1-

115,072 86,837 4,893 7,145 9,991 7,916

17,907

JJL

12,426 4,768

328| 3251 470 438

908

2,956 945

192

40 213

117

330

E800-E807

E825-E845

Other transport accidents

301

AE140 E850-E877

125

AE141 E880-E887

Accidental poisoning Accidental falls

1,378

7,266

1,351;

119

AE142 E890-E899

Accidents caused by fires

483

ཋནྡྷནྡྷསྶ

AE143

E910

Accidental drowning and submersion

192

197

255

---

AE144

E922

Accident caused by firearm missiles

+++

AE145

(2)

E924

Accident caused by hot substance, corrosive liquid, and steam

1,453

552

(5)| E916-E921,

E923.

E925-E928

Accidents mainly of industrial type

---

...

TII

8,300

701

AE146

(a)]

E905

Bites and stings of venomous animals and insects

229

26!

(5)]

E906

Other accidents caused by animals

111

---

Carried forward

150,169 95,488| 95,488|

5,533 7,531 10,996 8,609

19,605

126

TABLE 49-Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

List

Number

1965

Revision

Cause groups

Govern-

ment

Hospitals

Govern-

meni

Assisted

Hospitals

Govern-

Tent

Whole Colony

Hospitals!

meni

Assisted

Hospitals

Male

Female

|Sex Uo-¡

known

Total

Brought forward

19,605

(d)] E915

Foreign body accidentally

entering eye and adnexa

150,169 95,488 5,533 7,531 10,996 8,609

17|

874

---

- - -

170

Foreign body entering other

orifice

(e) E900-E904,

E907-E909,

All other accidents

E911-E913.

2,572

2,194

991

ليا

134

E929-E949

AE147 E950-E959

AE148 E960-E978

Suicide and self inflicted injury

657

201

217

171

388

Homicide and injury purposely

inflicted by other persons; legal intervention

1,655

478

26!

AE149

E980-E989

Injury undetermined whether

accidentally or purposely inflicted

111| 159

AE150 E990-E999

Injury resulting from operation of

war

- JI

GRAND TOTAL

156,079 98,707

,410 5,618 7,585 11,410 8,843

20,253

Detailed

Inter-

List

TABLE 49-Contd.

Discharges

Deaths

mediate

Number

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govern

ment

Assisted Hospital

Govern-

Whole Colony

ment

Hospitals

Assisted

Hospitals

Male Female

|Sex Un-|

known

Total

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

Fracture of skull Fracture of spine and trunk Fracture of limbs

337

113

6 194

121

315

F+4

622

192

4,421

---

1,666

AN141 N830-N839

Dislocation without fracture

237

AN142 N840-N848

Sprains and strains of joints and adjacent muscles

206

]

AN143 N850-N854

Intracranial injury (excluding

skull fracture)

8,142

1,385,

139

160

233

AN144 |N860-N869

Internal injury of chest, abdomen

and pelvis

106

147

---

AN145 N870-N907 AN146 N910-N929

Laceration and open wound

Superficial injury, contusion and crushing with intact skin surface

7,413

1,491

970

669

AN147 N930-N939

| N930-

AN148 N940-N949 AN149 N960-N989

AN150 N950-N959

N99 N990-N999

Adverse effects of chemical substances

All other and unspecified effects

of external causes

Foreign body entering through orifice

Burn

1,684

194

➖ ➖ ➖

---

гог

1,878

699

351

IL L

2,258

268

241

--L

II L

334

284

368;

171

539

TOTAL

---

28,581

7,102

397

115

949,

489

1,438

127

TABLE 50

EXPENDITURE ON HOSPITALS

1970-71 and 1971-72

1970-71

Unit

No. of

beds

No. of

Total

Expendi-

in-patient Expendi- admissions turé

ture

per bed

ture per

in-patient

No. of

beds

No. of

in-patient admissions)

1971-72

Tolai Expendi-

Expendi-

Lure

Luret

per bed

Expendi

ture per

in-patient

Castle Peak Hospital

(Psychiatric Service)

1,242*

3,494

15,867,956 12,776.13

4.541.49

1,242*

3,834

21,794,676 17,548.05

5,684.58

128

Kowloon Hospital (Tuber- culosis and Convalescent).

500

7.379

10,903,719 21,807.14

1,477,67

678

7,759

15,768,432 23,257,27- 2,032.28

Lai Chi Kok Hospital (Infec tious and Convalescent)‡

492

5.180

6,549,537 13,312.07

1,264.39

492

6,409

7,512,173 15,268.64 L. 172.13

Queen Elizabeth Hospital

(Acute and General)

1,596

81,095

54,833,194 34,356.64 676.16

1,596$

88,764

61,870,920 38,766.24 697.03

Queen Mary Hospital (Acute, General and Teaching)

1,062

34,059

36,221,625 34,106.99 1,063.50

1.128

36,793

46,960,861 41,631.97, 1,276.35

Tsan Yuk Hospital (Maternity! and Teaching

241

111

7,980

5,125,435 21,267.37

642,28

301

8,093

5,656,187 18,791.32| 698.90

Additional temporary beds were provided which resulted in an average bed occupancy rate for 1970-71 and 1971-72 of 36% and 42% respectively over the official number of beds in the hospital. The expenditure per bed per annum calculated on this basis reduces therefore to $9,372.69 (1970-71) and $11,838.50 (1971-72).

+ The total expenditure per institution is inclusive of all ancillary and out-patient services, but does not include overhead expenses.

* The expenditure does not include the additional posts for the new Lai Chi Kok Hospital.

§ The number of functional beds was 1,893 and the expenditure per functional bed per annum reduces to $32,684.10.

TABLE 51

WORK OF THE QUEEN MARY HOSPITAL, 1970-71

1970

1971

Total number of In-patients Discharged...

TII

31,684

34,767

Total number of Deaths

1,890

1,992

Total number of In-patients Treated

33,574

36,759

Total Attendances at Casualty

---

44,886

48,402

Total Out-patient Attendances at Specialist Clinics

17,386

19,873

Total number of Operations (Excluding Minor

Operations)

---

16,823

18,765

Average Length of Stay (in days)

Mortality (% of total In-patients Treated)

9.7

9.4

ITI

IIT

5.6

5.4

TABLE 52

WORK OF THE QUEEN ELIZABETH HOSPITAL, 1970-71

1970

1971

Total number of In-patients Discharged

76,606

85,420

Total number of Deaths

LJO

ILL

3,219

3,247

Total number of In-patients Treated

---

79,825

88,667

Total Attendances at Casualty

157,336

176,385

Total Out-patient Attendances at Specialist Clinics

276,236

285,717

Operations:

Casualty Department

.гг

20.441

20,486

Operating Theatre Suites

20,676

21,619

Specialist Clinics

Average Length of Stay (in days)

Mortality (% of total In-patients Treated)

---

2,656

2,754

Total

-г г

43,773

44,859

6.7

6.5

4.0

3.7

LIT

129

TABLE 53

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1971

A. TRAUMATIC CASES

First Attendance

Admissions

Cause

Cases

Assault

Traffic

7,374

14.2

2,860

13.9

7,449

14.3

2,907

14.1

---

Industrial

17,190

33.1

7,001

34.0

Domestic

Animal Bite

Sport Other

13,694

26.3

5,481

26.6

2.552

4.9

961

4.7

Frr

...

- r

1,355

2.6

504

2.4

---

2,392

4.6

884

4.3

Total

52,006

100.0

20,598

100.0

Traumatic attendances as a percentage of total attendances at Casualty =29.5% Traumatic admissions as a percentage of total admissions from Casualty -29.2%

B. NON-TRAUMATIC CASES

First Attendance

Admissions

Cause

Cases

Infectious

5,308

4.3

1,566

3.2

IIL

Tuberculosis

4,540

3.7

1,758

3.5

Medical

33,856

27.2

13,348

26.8

Surgical

27.430

22.0

10,488

21.0

---

Obstetrical

Gynaecology Paediatric Psychiatric Other

2,475

2.0

2,042

4.1

6,251

5.0

4,219

8.5

---

28,514

22.9

10,788

21.6

---

1,352

1.1

14,653

11.8

5,641

11.3

Total

124,379

100.0

49,850

100.0

Non-traumatic attendances as a percentage of total attendances at Casualty=70.5% Non-traumatic admissions as a percentage of total admissions from Casualty=70.8%

130

TABLE 54

WORK OF THE TANG SHIU KIN HOSPITAL 1970-71

1970

1971

4,392

4,603

4,430

4,632

54,528

64,129

115,025

126,773

7,160

8,784

3.5

3.3

0.9

0.6

Total number of In-patients Discharged.

Total number of Deaths

Total number of In-patients Treated

Total Attendances at Casualty

Total General Out-patient Attendances (Including

Casualty Attendances)

Total number of Operations

Average Length of Stay (in days)

+++

Mortality (% of total In-patients Treated)

TABLE 55

WORK OF TSAN YUK HOSPITAL 1970-71

1970

1971

Total Admissions:

Special Care Babies Maternity

1,971

849

111

7,794

8,092

Total infants born

---

110

..ז

гто

5,920

5,985

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 Clinic Attendances:

New Tota!

гтт

+++

ILL

Post-natal Clinic Attendances:

9.96

7.85

---

+++

8.53

9.94

0.34

28.23%

28.34%

4,743

5,010

---

31,315

33,165

New

Total

---

3,101

3,387

---

3,625

3,800

131

TABLE 56

WORK OF CASTLE PEAK HOSPITAL 1971

Male

Female

Total

Patients in hospital on 1st January, 1971

1,214

733

1,947

Patients admitted: First admissions

933

624

1,557

Re-admissions

Total admissions

1,274

1,003

2,277

...

2,207

1,627

3,834

Patients discharged

Patients transferred

TII

Deaths

2,043

1,548

3,591

112

192

+++

TII

Total discharges...

2,209

1,656

3,865

Patients remaining on 31st December, 1971

1,212

704

1,916

TABLE 57

WORKS OF DAY HOSPITALS AND PSYCHIATRIC CENTRES 1971

PSYCHIATRIC DAY PATIENTS AT PSYCHIATRIC CENTRES

Patients attending on 1,1.71

Admissions in 1971

Total Treated

Discharged in 1971

Patients attending on 31.12.71

* Opened on 2,7,71

Hong Kong Psy. Centre

Yau Ma Tei Psy. Centre

Kowloon Hospital

Psy. Unit*

POR FOR #FA 352 PAR

24F 248 MLT MLF 248

231

125

133

356

260

144

158

404

226

130

121

356

JNU

132

TABLE 57-Contd.

OUT-PATIENT ATTENDANCES AT PSYCHIATRIC CENTRES

New

Repeated

Total

Hong Kong Psychiatric Centre

1,087

26,735

27,822

Kowloon Hospital Psychiatric Unit"

437

1,685

2,122

Queen Elizabeth Hospital, Psychiatric Clinic

135

1,611

1,746

Tsuen Wan Psychiatric Clinic

2,274

2,349

Yau Ma Tei Psychiatric Centre

LL+

1,275

47,553

48,828

Violet Peel Psychiatric Sunday Clinic

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

1,598

2,857

TOTAL

• Opened on 2.7.71.

---

3,009

84,313

87,322

TABLE 58

WORK OF KOWLOON HOSIPTAL PSYCHIATRIC UNIT*

Patients in hospital on 1st January, 1971

T11

Male

Female

Total

Patients admitted: First admissions

Patients discharged

Re-admissions

Total admissions

152

177

141

...

---

Patients transferred

ILL

Deaths

---

Total discharges...

Patients remaining on 31st December, 1971

162

* Opened on 2.7.71.

133

TABLE 59

NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED

HOSPITALS AND CLINICS 1971

General Clinics

General Casu- alty

Special Clinics

Social

General

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

T.B.

Psy. Leprosy! Hygi-

ene

Derma

tology

Total

HONG KONG

Government Institutions

Government-assisted Institutions: Alice Ho Miu Ling Nethersole Hospital

Duchess of Kent Children's

Orthop. Hospital and Convalescent Home

682,833 108,195 23,724

6.017

30,346, 9,048 6,017, 30,679 5,129 12,260

1,132,

76. 19,563 7.291.

936,299

306

-- J

6,231 | 16,14||

1.172 3,762 2,623

129

206

30,669

370

---

370

Grantham Hospital

Ruttonjce Sanatorium

Tung Wah Hospital

L44

огг

144

182

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

KOWLOON

Government Institutions

Government-assisted Institutions:

Caritas Medical Centre

H.K. Buddhist Hospital Kwong Wah Hospital

Our Lady of Maryknoll Hospital;

TOTAL (Kowloon)

Government Institutions

111

Government-assisted Institutions:

NEW TERRITORIES

Fanling Hospital Pok Oi Hospital

---

Rennie's Mill Church Clinic

111

TOTAL (New Territories)

---

24,837.

8,774;

716,750 144,426 45,761|

5,061

929: 154

465

7931 184

2,641

289

1,145

549.

35,316

353,

10,901

31,518 14,532- 8,978 33,738)

6,833:

13,178 1,132,

76 19,563

7,396' 1,013,881

...

1,012,138 185,650, 21,028

58,963 15,519. 8,865 55,828 9.094

21,119 1,847

362, 12,924

6,699, 1,410,036

14,625

---

9,791

1,326 2,182

1,057 1,347)

1,709

570

1.013

33,620

9.9211

1,015!

109

414:

202. 11,661

111

54,210, 90,778

12,455

16,782 7,681, 581,

1,302

2,647;

185,855

---

19,761!

L,L10,655,276,428 53,085|

8,796,

1,872 1,911

62,16|| 36,394

17,603

588

17,603 59,174 14,236

372!

794

198

34,292

22,483, 1,847,

362 12,924

8.112 1,675,464

443,301 39,140|

1,786

23,739. 978

1,462

19,964 10,120 1,242. 10,154 708 110

6,338

3,773

177 $35,006

3,454

---

TOTAL (Government InstITUTIONS) TOTAL (GOVT.-Assisted Inst.)

GRAND TOTAL (Colony)

---

1,279|

470,105 40,118 1,462 2,138,272 332,985 44,752 159,238; 97,987 55,556 2,297,510 430,972 100,308

1.135 97 76 327

25.969

84 20,048 11,351 1,666; 10,182 818!

1,775

6,387

3,773

205 566,204

109,273 34,687, 16,124 96,661 14,931 4,454 27,390 12,123 6,433 6,956

39,717,

2,331;

3,068

438 36,260

יד

14,173 2,881,341 1,540 374,208

[13,727| 62,2771 28,247| 103,094 21,887

42,048 3,068

438 36,260 15,713 3,255,549

134

alty

Health Natal Natal

TABLE 60

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED

General Clinics

HOSPITALS AND CLINICS 1971

General Casu- General Child Ante- Posl- Eye E.N.T.

Special Clinics

Social

T.B.

Psy. Leprosy Hygi- Derma-

Total

ene

tology

HONG KONG

Government Institutions

Alice Ho Miu Ling Nethersole Hospital

---

Duchess of Kent Children's

Orthop. Hospital and Convalescent Home

1,202,074 116,836| 136,606

347,920 57,472 6,850 78,206) 16,039

482,069 29.471| 8,128 105,794) 19,024) 2,606,489

Government-assisted Institutions:

---

6,660 6,231 65,074

2,594 24,880

2,623, 544

3༠༠།

457 109,616

3,097

ILL

Grantham Hospital

Ruttonjee Sanatorium

Tụng Wah Hospital

---

405

8,092

405

8,092

KOWLOON

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

Government Institutions

Government-assisted Institutions!

- - -

49,347,

25,155

10,506

3,557

1,283,436 123,067 218,840

100

4,526 278; 4,855 2,851 3,580 226 1,157] 1,603) 350,514, 90,4581 9,977 84,762 21,056

1,684.

74,247

1,639,

36,927

493,889, 29,471 8,128|| 105,794 19,481 2,838,873

1,680,719 185,650 212,354 575,517 92,275

Caritas Medical Centre H.K. Buddhist Hospital...

...

Kwong Wah Hospital...

Our Lady of Maryknoll Hospital

TOTAL (Kowloon)

NEW TERRITORIES

Government Institutions

Goverment-assisted Institutions: Fanling Hospital

Po Oi Hospital

111

Rennie's Mill Church Clinic

111

58,908 46,713)

27,790 2,670 152,420. 90,778 76,385 48,326, 23,053

1,968,363 276,428 | 361,175

43,655

12,172 159,998 29,284 957,193 55,553 17,591 79,855 19,435 4,077,396 2,064 18,355, 1,693, 3,809 4,765 177, 1,004 74.415 8,915 4,835; 8,496 7,769 15,540 1,611 909, 667

3,9741

183,936

388

32,029

416,244

1,395,

400

99,870

585,350 200,585 24,391 169,728 44,216 1,002,243, 55,553 17,591 79.855; 24,197 4,809,675

916,426 39,140

19,106 48,112 978 14,954.

3,887,

137,488 57,745|

1,392; 24,068 2,445 219,091 2,363; 958 11,586

336 1,413,105

109

220.

$56.

166 24,344

143,

327)

TOTAL (New Territories)

998.598: 40.118

3,954

4,878

565 500 138,053 63,123: 1,862 24,177j 2,665 221,089 2,363.

1,142

54,111

17,488

502 1,509,048

135

TOTAL (GOVERNMENT INSITTUTIONS) 3,799,219, 341,626 349,027 1,060,925 207,492 20,414 262,272 47,768 1,658,353 87,387 TOTAL (GOVT.-ASSISTED INST.) 451,178 97,987 234,942 12,992 146,674 15,816 16,395; 20,169 58,868

GRAND TOTAL (Colony)

958 11,586. 26,677 197,235 38,795 8,097,190 5,385 1,060,406

4,250,397| 439,613 583,969 1,073,917 354,166 36,230 278,667| 67,937 1,717,221|| 87,387 26,677, 197,235; 44,180|9,157,596

TABLE 61

NEW TERRITORIES CLINICS 1971

Out-patient Attendances

Maternity

Dispensaries

New Attendances

General

Special Total

Total Attendances General Special Total

Cases

Treated

Castle Peak Clinic

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

+++

ILL

ILI

30,377

3,193|

33,570

54,192) 17,632 71,824

736

4,826

יי.

יי་

4,826

6,229

6,229,

9,532

9,915

9,915'

1,468

יו-

3,217,

405!

3,622

3,217)

1,640,

4,857

160

Kam Tin Clinic

---

5,081

810

5,891

8,374

4,942

13,316

128

136

Lady Trench Polyclinic (day)

95,662

8,208

103,870

237,163

47,018

284,181

Lady Trench Polyclinic (Evening) Maurine Grantham M.C.H. Centre

45,312

54,410

11,363

81,515

81,515!

2,311

North Kwai Chung Polyclinic

9,509

10,856

10,856|

North Lanima Clinic

---

5,346

225

5,571,

14,043

1,229

15,272

Peng Chau Clinic

Sai Kung Clinic

Sai Kung Travelling Clinic

Sha Tau Kok Clinic

Sha Tin Clinic

Sbek Wu Hui J.C.C.

Silver Mine Bay Dispensary Tai O Dispensary

Tai O Travelling Dispensary Tai Po J.C.C.

Tai O Travelling Clinic

Yuen Long Dispensary

5,054

500

5,554

6,967;

2,197

9,164

26,675

1,5731

28,248

49,188

10,297;

59,485

299

4,789

4,789;

4,789

FL+

6,780

491

7,271

9,097

2,994

12,091

+++

LL+

12,859

1,249

14,108

21,568

10,758

32,326

280

...

57,662

6,986

64,648

115,285

37,952

153,237

1,379

ILJ

6,113

230

6,343

8,896

1,408

10,304

19,083

276

19,359

51,941

704

52,645

145

299

---

гг.

33,004

4,053

37,057

57,648

23,496

81,144

1,004

2,849

L++

48,319

7,345

55,664

121,220

46,883 168,103

1,275

TOTAL

433,539

46,907

480,446

849,614

290,665 1,140,279

7,847

JIL

TABLE 62

WORK OF RADIODIAGNOSTIC BRANCH 1971

Centres

Examinations

Hong Kong Island

1. H.M, Prison Victoria

---

2. Mobile Mass Radiography Unit No. 1 3. Queen Mary Hospital 4. Sai Ying Pun Chest Clinic 5. Sai Ying Pun Polyclinic

6. Shau Kei Wan Chest Clinic

7. Tang Shiu Kin Hospital

bru

---

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

10. Tung Wah Hospital

11. Sandy Bay Convalescent Hospital 12. Tung Wah Eastern Hospital

13. Wan Chai Chest Clinic ...

---

10,901

26,823

89,267

19,231

29,751

13,669

---

24,385

31,783

7.484

436

-T1

29,004

---

LLP

---

Total

ILL

---

JIL

---

Kowloon and New Territories

1. Castle Peak Hospital 2. Kowloon Chest Clinic 3. Kowloon Hospital 4. Lai Chi Kok Hospital

---

5. Medical Examination Board

...

THE

　　6. Mobile Mass Radiography Unit No. 2 7. Mobile Mass Radiography Unit No. 3 8. Pok Oi Hospital

TII

9. Queen Elizabeth Hospital 10. Shek Kip Mei Chest Clinic

11. Yau Ma Tei Chest Clinic

---

12. Yau Ma Tei X-ray Survey Centre

---

Total

---

+++

282,791

5,837 58,254 15,500 1,288 21,892

TII

---

36,771

- J-

31,370

1,576

TII

187,889

40,175

33,085

...

36,484

470,121

GRAND TOTAL (WHOLE COLONY)

752,912

137

TABLE 63

RADIOTHERAPEUTIC DIVISION

A+

RADIOTHERAPY

1971

3,148

ILL

1,951

1,173

2,396

...

111

1,814

582

New Patients seen

FT+

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

New Patients treated

Old Patients treated

100

Patients with non-malignant disease treated

-T

ILL

Diagnostic

Thyroid Function

1-131 Uptake Test

T-3 Triosorb Test

---

B. RADIOISOTOPES

425

Q.E.H.

Q.M.H.

708

781

1,289

863

714

196

---

893

T-4 Tetrosorb Test

Vit B12-Malabsorption

Dicopac (Co-57 and Co-58)

Scanning

Therapy

1-131 Neck

I-131 Whole Body

---

In-113m Liver and Spleen

In-113m Brain

In-113m Kidney

In-113m Lung

In-113m Placenta

---

TII

T11

+++

TII

In-113m Bone marrow

Hyperthyroidism Thyroid Carcinoma

Phospherus-32

---

LL J

LJ J

LII

---

138

130

244

TABLE 64

WORK OF THE OPHTHALMIC SERVICE 1970 AND 1971

New Out-patient attendances

Total Out-patient attendances

1-0

---

TII

Operations performed

TII

Operations classed as sight-restoring (included in above)

Home visits by Health Visitors

1970

1971

+++

82,810

95,894

239,175

260,142

---

2,036

2,630

1,300

1,424

1,969

1,587

TABLE 65

ANALYSIS OF MAJOR CAUSES OF BLINDNESS

(EXPRESSED AS PERCENTAGE OF BLIND CASES)

TOTAL INCIDENCE 1970 AND 1971

Causes

1970

1971

Keratomalacia

Senile cataracts Trachoma

Glaucoma

Injuries (all types) Syphilis

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

Neoplasms

Meningitis

ייז

---

5.8

3.5

45.2

---

100

8.5

6.5

---

22.6

13.7

...

+10

1.3

0.4

---

ייי

2.2

---

3,5

ייי

+--

JJJ

19.1

[1.0

---

16.4

[1.4

---

2.6

1.3

ILJ

--J

INCIDENCE IN CHILDREN UNDER 15 YEARS OF AGE 1970 AND 1971

Causes

1970*

1971+

+++

---

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

• Total Cases: 10 ↑ Total Cases: 11

139

TABLE 66

PHARMACEUTICAL SERVICES

Store and Bulk Manufacture

BULK PHARMACEUTICAL CENTRES

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

Sterile Preparation Centres

Queen Mary Hospital

Queen Elizabeth Hospital

Cost of Drugs and Dressings

Cost of Instruments, Medical and Surgical Equipment

Queen Mary Hospital

Queen Elizabeth Hospital Sai Ying Pun J.C.C.

Violet Peel Polyclinic Q.E.H. Specialist Clinic

1970

1971

1970

1971

↓

2,985,051.98 4,584,362.58

491,197,92

798,795.78

3,975,908.17 5,119,371,16 426,052.59

635,563.65

1,106,662.63 1,364,376.45

3,283.75

5,917.32

521,972.23 617,117.31

7,733.33

2,159.96

1,315,906.63 1,552,902.07

Other Hospitals and Clinics...

7,949,053.66 8,874,364.91 1,602,572.73 2,028,390,18

―

TOTAL COST

| 17,854,555.30|22,112,494.48 2,530,840.32 3,470,826.89

PHARMACEUTICAL CONTROL 1970 AND 1971

Wholesale Poisons Licences issued Authorised Seller Licences issued Listed Seller Licences issued Dangerous Drugs Licences issued Antibiotics Permits issued

ILJ

+11

+10

---

ILJ

..ז

Licences for movement of Dangerous Drugs Premises inspected

---

-IT

---

Prosecutions

---

140

1970

1971

511

506

TTE

1.280

1,482

TII

וזי

325

237

244

LIF

230

FTI

3,529

4.531

132

---

TABLE 67

WORK OF PHYSIOTHERAPY SERVICE 1971

Number of Attendances

Centres

...

Queen Elizabeth Hospital

Queen Mary Hospital

Kowloon Hospital

Lai Chi Kok Hospital

Kowloon Rehabilitation Centre

Wan Chai Polyclinic

Tang Shiu Kin Hospital

Sandy Bay Hospital

...

David Trench Rehabilitation Centre

Kwun Tong W.R.C.

TOTAL

---

Patients

Treated

Total Attendances

16,216

112,970

7,629

61,884

4,613

64,810

2,844

55,158

5,533

---

48.170

---

4,386

43,256

420

3,097

177

---

1,012

21,260

1.865

19,645

...

367

2,603

---

+++

44,985

432,853

TABLE 68

WORK OF OCCUPATIONAL THERAPY SERVICE 1971

Centres

David Trench Rehabilitation Centre

Castle Peak Hospital

---

Hong Kong Psychiatric Centre

Kowloon Hospital

Kowloon Hospital, West Wing

Kowloon Jockey Club Rehabilitation Centre

Patients Treated

Total Attendances

---

5,420 59

528,084

---

743

155

...

for

12,060

502

21,311

139

---

4,000

JEL

802

14,568

531

---

14,793

---

837

14,618

---

2,064

19,246

TII

---

259

5,845

371

TIE

---

17,619

Lai Chi Kok Hospital

Queen Elizabeth Hospital

---

Queen Mary Hospital

Wan Chai Polyclinic

Yau Ma Tei Jockey Club Polyclinic

TOTAL (Colony)

J-

---

[1,139

652,887

141

TABLE 69

WORK OF PROSTHETIC-ORTHOTIC SERVICE 1971

Type of Patients

No. of Patients Treated

Total Attendances

Patients requiring Spinal Braces

Patients requiring Hand and Arm Splints

Patients requiring Leg Braces

232

526

2,595

Patients requiring Foot Appliances and Shoe Corrections

884

2,721

Upper Extremity Amputee

222

Lower Extremity Amputee

150

716

...

ггг

ггт

Patients requiring repairs

Patients called for checking

296

359

1,164

1.164

TOTAL

---

3,135

8,053

TABLE 70

WORK OF MEDICAL EXAMINATION BOARD 1970 AND 1971

Government Auxiliary Appointments Defence Units

Miscellaneous Total

1970 1971 1970 1971 1970

1971 1970 1971

New examinations

---

9,956 9,783 2,619 2,784

472

851 13,047 13,418

Re-examinations

6,696 6,624 1,350 1,850

8,046 8,474

Annual Total

16,652 16,407 3,969 4,634

472

851 21,093 21,892

142

TABLE 71

UNFITNESS OF CANDIDATES BY CAUSES 1970 AND 71

Causes

Pulmonary Tuberculosis

Other Chest Lesions

ייז

111

+11

110

Disease of the Endocrine System

Disease of the eye

Disease of the Circulatory System

Disease of the Alimentary System

Disease of the Skeletal System

---

Disease of the Genito-urinary System

Miscellaneous

ILI

TOTAL

---

1970

1971

152

145

---

..ז

ILI

231

212

TABLE 72

MEDICAL CLINICS REGISTRATION

Number of clinics fully registered at 31st March, 1972

---

--T

огт

ггт

349

---

огг

Number of clinics registered with exemption at 31st March, 1972

Number of clinics in respect of which registration was refused during 1971-72

Number of clinics in respect of which registration was cancelled during

1971-72 ...

---

143

TABLE 73

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS FROM 1967-68 TO 1971-72 (FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Institutions

Alice Ho Miu Ling Nethersole Hospital

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

ггг

гг-

---

LLL

---

Family Planning Association of Hong Kong

Chesire Home

Fanling Hospital

- Pr

Grantham Hospital

LLL

Haven of Hope Tuberculosis Sanatorium

Hong Kong Anti-Cancer Society

Hong Kong Anti-Tuberculosis & Thoracic Diseases Association..

Hong Kong Council of Social Service

LII

---

JJJ

1,600

2,000,000

1967-68

2,500,000

1968-69

2,991,400

800

727

1,455

2,568,802

1969-70

1970-71

1971-72

3,481,400

3,799,880

5,484,613

(130,200)

727

3,636

3,429,306

3,636

3,700,000

...

111

500,000

740,000

---

3.636

4,440,000

49,000

814,000

373,300

4,895,800

4,992,782

5,468,125

5,693,138

8,634,384

715,900

111

880,000

111

1,080,000

1,382,400

(150,000)

(26,626)

(93,156)

241,188

543,962

558,850

656,000

680,000

1,900,000

2,021,360

2,363,400

300,000

2,640,000

(116,900)

(157,800)

(45.364)

(23,800)

(1 16,200)

Hong Kong Red Cross Blood Bank

John F. Kennedy Centre

LLL

Princess Alexandra Residential School

---

FPP

Tsz Wan Shan School

111

--1

Leprosy Mission, Hong Kong Auxiliary

169,890

267,700

273,200

290,000

366,100

(13,300)

(38,400)

212,800

400,000

450,000

29,400

31.800

37,000

500

6,900

8,500

LLL

775,000

820,000

800,000

840,000

(800)

Hong Kong Buddhist Hospital

London School of Hygiene and Tropical Medicine Nam Long Cancer Hospital Extension Our Lady of Maryknoll Hospital Oxfam Hostel for Cancer Patients Pok Oi Hospital

--L

LLL

-LL

111

---

LIL

230,026

946.700

LLL

1,600

1,455

1,454

1.454

(71,050)

387,000

IPP

830,922

870,375

1,050,000

1,600,000

6,500

800,000

1,056,000

1,100,000

1,000,000

1,300,000

(25,556)

(23,506)

(69,663)

Rennie's Mill Church Clinic..

ILL

LLL

18,000

St. John Ambulance Brigade

---

FIL

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

80,000

18,000

80,000

18,000

24,000

80,000

45,000

5,000

1,255,700

1,431,800

2,565,800

2,869,726

4,589,150

(108,609)

(26,659)

(27,330)

Society for the Relief of Disabled Children

The Hong Kong Society for Rehabilitation Tung Wah and Associated Hospitals

ггг

זו.

150,000

584,000

830,807

1,215,858

1,200,000

(36,743)

(32,483)

(11,902)

(149,389)

600,000

700,000

655,000

670,000

L-L

-LL

I. L

(40,000)

27,268,888

(2,700)

(7,020)

29,161,060

29,641,998

34,891,431

41,864,775

(186,442)

(442,811)

(510,411)

Tung Wah Sandy Bay Convalescent Hospital Wong Tai Sin Infirmary, Phases [I & ]] ... United Nations Children's Fund:

PIP

יי.

(125,833)

(50,848)

(74,369) (1,099,447)

(1,340,726)

(189,837)

(5,609)

(1) Administration

(2) Relief Expenses

United Christian Hospital

LLL

11,248

31,200

LIL

---

(1,605,085)

University of Hong Kong

Centenary Block, Tung Wah Hospital

111

...

850,000

913,750

1,150,000

(17,976)

(518,920)

Total

-11

יי-

--1

45,165,314

(541,589)

50,432,975

(1,440,816)

$5,606,978

61,494,576

78,520,012

(1,362,352)

(1,065,717)

(3,103,191)

144

TABLE 74

WORK OF THE GRANTHAM HOSPITAL 1971

Total Admissions

Total Discharges

Tuberculosis Cases Non-tuberculosis Cases

Deaths

---

JJI

Surgery-operations performed:

Lung 'Open' heart 'Closed' heart Orthopaedic Other ...

...

---

гг.

---

...

---

1,851

2,672

1,089

1,583

192

---

112

---

38 120

...

---

TABLE 75

WORK OF RUTTONJEE SANATORIUM 1967-71

Admissions

1967

1968

1969

1970 1971

Adults through Government Clinics| 612

716

496

646

566

Children (pulmonary through

Government Clinics)

---

Children (Orthopaedic)

Children (Miscellaneous)

ཚན

Other admissions and re-admissions

660

715

839

867

861

TOTAL

1,324

1,501

1,389 1,577

1,494

• dala not available.

TABLE 76

ADMISSIONS TO LEPROSARIUM 1971

Adults

Children

Total

Male

Female

New Admissions

J--

Re-Admissions

نيا

Total Admissions.

---

145

TABLE 77

BUILDING PROGRAMME

I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

(i) Standard Clinic for Kwai Chung North-A standard urban clinic with general out-patient and maternal and child health services. Opened in November 1971.

(1) Dental Clinic at Tai Lam-A single-storey structure to provide dental care to staff and inmates of the prisons at Tai Lam and Siu Lam in Castle Peak as well as villages in the vicinity. Completed towards the end of the year.

(iii) Siu Lam Hospital for the Mentally Subnormal-A 200-bed hospital at Siu Lam, New Territories, to provide accommodation for the severely retarded. Completed towards the end of the year.

II. PROJECTS UNDER CONSTRUCTION

(1) Government

(1) New Lai Chi Kok Hospital-A new general, geriatric and infectious diseases hospital of some 1,320 beds. Site formation completed. Construction or super- structure in hand. Expected completion date is 1974.

(ii) New Vaccine Institute-A new institute at Pok Fu Lam for the production of

vaccines and their evaluation. Expected completion date is June 1972.

(iii) 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 1972.

(iv) Tsuen Wan Kwai Chung Polyoclinic, Stage I-A standard urban clinic with maternity home and with a Chest Clinic and Chest X-Ray Section. Expected completion date is mid-1972.

(v) 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 late 1972.

(vi) 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.

(vii) Victoria Public Mortuary-Reprovisioning.

146

TABLE 77-Contd.

(2) Government-assisted

(i) United Christian Hospital, Kwun Tong-A 555-bed acute general hospital with casualty and emergency services and out-patient departments. Expected com- pletion date is mid-1973.

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

out-patient department, Expected completion date is early 1973.

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

(iv) Redevelopment of Tung Wah Eastern Hospital-A programme of alteration, to

convert the hospital into an acute and sub-acute hospital.

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.

(iii) New Mental Hospital, Lai Chi Kok.

(iv) New Lai Chi Kok General and Mental Hospital Combined Staff Quarters,

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

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

(vii) Castle Peak Hospital-Additions and Improvements.

(viii) Specialist Clinic-Hong Kong Island East.

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

Department Compound, North Point-Alterations and Extensions.

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

TABLE 78

NURSES IN TRAINING AT 31ST MARCH, 1972

Government School of Nursing (Male and Female)

714

---

Tung Wah Group of Hospitals

383

Alice Ho Miu Ling Nethersole Hospital ...

Hong Kong Sanatorium and Hospital

Caritas Medical Centre

--L

206

174*

...

Total

---

119

1,596

* Including one male student nurse.

147

TABLE 79

OVERSEAS COURSES OF INSTRUCTION 1971-72

BY PLACE OF STUDY

Staff

Medical

Dental

Nursing

---

Medical Social Work

FFP

Occupational Therapist...

Physiotherapist

111

LLL

Medical Laboratory Technician

Medical Technologist

111

Prosthetist

...

LLL

---

111

---

U.K.

North America

Australia S.Ę. Asia

Others

Total

---

Scientific Officer (Medical)

Hospital Secretary

117

---

Assistant Medical Defence Staff Officer

Dispenser ...

ггг

---

Chemist

---

Pharmacist

TOTAL

Stal

Medical

---

BY SOURCE OF FUNDS

Courses of Study

Diploma in Psychological Medicine

D.P.H.

M.R.C.P.

LLL

D.M.R.D.

D.M.R.T.

F.F.R. (T)

LII

---

M.R.C.O.G.

717

Diploma in Physical Medicine

D.P.H. & D.I.H.

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

F.R.C.S.

Other

---

- Pr

148

Govern- ment

Own

W.H.O.

Expenses

Others

Total

| | | | | _ |

Staf

TABLE 79 Contd.

BY SOURCE OF FUNDS-Contd.

Courses of Study

Govern- ment

W.H.O.

Own Expenses

Others

Dental

Nursing

Medical Social

Worker

Occupational Therapist

Crown & Bridge Course Dental Nursing

Dental Nurse Tulor

ггг

OphthalmicNursing Course

Sister Tutor's Diploma Course.

---

717

Middle Management Course (Nursing

Administration)

Nursing Administration Course

Psychiatric Nursing

Dietitian's Diploma Course

Mental Subnormality Nursing

T.S.C. & C.S.S.D.

Renal Dialysis

Diploma in Nursing Education

---

-11

-Pr

---

Training organised by the Council of International Programs for Youth Leaders & Social Workers, Inc., USA.

Study course on Job Placement of the

Disabled

JJI

111

Physiotherapist Physiotherapy Post-graduate Training

|Visits/Attachments

---

...

Diploma Course for Teachers of

Physiotherapy...

Total

141

بيا

Medical

A.I.M.L.T.

---

Laboratory

Technician

Medical

Overseas Medical Laboratory Tech-

---

Prosthetist

Prosthetic Training

Scientific Officer Advanced

(Medical)

Technologist nician Tutor's Course

Hospital

Secretary

Assistant

Medical

Defence Staff

Officer

Dispenser

Chemist

Pharmacist

Course in Clinical Chemistry for Staff Members of Teaching Hospital Laboratories

JJ J

Attachment to the Department of Health

& Social Security in London... Diploma Course in Hospital

Administration

LLL

General Administration, Organization & Training of Uniformed & Volunteer Services

LLL

Degree Courses in Pharmacy

Toxicology

rrr

Quality Control of Drugs

---

- PI

LLL

LII

TOTAL

149

TABLE 80

DEPARTMENTAL TRAINING 1971-72

(Position at 31st March, 1972)

Student Dispenser

Student Laboratory Assistant

Student Medical Laboratory

Technician

...

Student Physiotherapist

Student Prosthetist

Student Radiographer:

Diagnostic

Therapeutic

огг

זי

Appoint- Resigna-

ment

tion

Strength at 31.3.72

Passed

do en

422

(In-training)

Medical Social Worker

---

Student Health Auxiliary

(Male and Female)

Student Health Visitor

1 year Midwifery Training for

Registered Nurses

Student Midwife undergoing

2 year Training at Tsan Yuk Hospital ...

--L

rrh

308

632

173

Student Nurse (Male and Female)

Student Nurse (Psy):

(Male and Female)

102

ILJ

Pupil Nursing Auxiliary:

(Male and Female)

Pupil Nursing Auxiliary (Psy):

(Male and Female)

150

TABLE 81

ATTENDANCE AT CONFERENCES ETC, OVERSEAS

Appointment

Conferences etc. attended

Place

Director of Medical and

Health Services

Principal Medical and

Health Officer

...

Principal Medical and

Health Officer ...

Principal Medical and

Health Officer

ILL

Specialist (Tuberculosis

Control)

Senior Nursing Officer

Government Pathologist

Senior Specialist

　　　　(Radiology) i/c Specialist (Radiotherapy) Specialist (Radiodiagnosis)

Specialist (Psychiatry)

Nursing Officer

LJI

S.H.O. 22nd Regional Committee Meeting Manila

First Regional Seminar on Methods of

Epidemiological Surveillance and Geographical Pathology

Manila

Regional Seminar on Hospital Administration Manila

and Planning

21st International Tuberculosis Conference. Moscow Second Regional Seminar on Tuberculosis Seoul

Control

Seminar in Effective Nursing Care

Copenhagen

Asian Pacific Meeting on Laboratory Animals Tokyo

First Asian and Oceanian Congress of Melbourne

Radiology

Seminar on the Standardization of Psychiatric Tokyo

Diagnosis, Classification and Statistics

Seminar on Safety Measures in the Operating Melbourne

Theatre of Royal Australiasian College of Surgeons

Senior Medical and Health Officer

LLI

Acting Senior Medical and Health Officer

Speakers Panel Seminar

London

11th Annual Meeting of the Japanese

Society of Nuclear Medicine

Tokyo

10th Meeting of Japan Radioisotope

Tokyo

Conference

151

TABLE 82

OVERSEAS VISITORS

GENERAL

Mr. and Mrs. G. L. PEARSON.

1.4,71-30.4.71

6.5.71-13.5.71 Dr. E. D. CooPER, Medical Officer of Health City of Cape Town.

19,5.71-22,5,71 Dr. David K. LEVIN from Ohio, U.S.A.

25.5.71-24.6.71

29.7.71-2.8.71

4.9.71-6.9.71

Mr. J. F. BARROW, Assistant Director of Commerce and Industries Department, Hong Kong Government, Washington Officer (design- ate) and Mrs. J. F. BARROW.

Professor J. H. MARTIN of the Department of Medical Biophysics, Dundee University, Scotland.

Professor PEPYS, Professor in Clinical Immunology, Director, Department of Clinical Immunology, Institute of Diseases of the Chest, University of London, Brompton,

11.9.71-18.9.71 Mr. Charles FLETCHER-COOKE, Q.C., M.P. from Darwen,

Lancashire.

5.10.71-9.10,71

12.10.71-14.10.71

13.10.71

15.10.71

17.10.71-19.10.71

25.10.71-27,10.71

Dr. Jerry M. RUSSELL, Administrative Director of postpartum programme, The Population Council, New York, U.S.A.

Dr. W. MURPHY, Director, Division of Public Health, New Zealand.

Mr. N. J. BRUNE, Technical Director, W.S. Atkins and Partners.

Mr. Takeo ISHIMARN, Chief of The Hospital Architecture and Equipment Department, The Institute of Hospital Administration, Government of Japan.

Mr. F. J. ALDRIDGE, Controller and Under Secretary and Mr. S. M. DAVIES, Director, Industries and Exports Branch, Department of Health and Social Security, London.

Miss Jean GARSIDE, M.B.E., Executive Director of the Australian Council for Rehabilitation of Disabled.

25.10.71-6.11.71 Dr. Amado MACARANAS and Dr. Manuel SANCHEZ from The

Philippines, advisors on narcotic problems.

15.11.71

9.12.71-16.12.71

9.2.72

Mrs. Nancy HARRINGTON of the Southwest Mississippi General Hospital.

Professor R. E. STEINER, Head of the Department of Diagnostic Radiology at the Royal Postgraduate Medical School.

Dr. W. M. HAINING, an ophthalmologist from Dundee.

152

9.2.72-10.2.72

13.2.72-15.2.72

2.3.72

4.3.72-7.3.72

8.3.72-10.3.72

10.3.72-16.3.72

15.3.72

TABLE 82-Contd.

Dr. ROSEN of the Manchester Eye Hospital.

Sir Alec DOUGLAS-HOME, K.T., M.P., Secretary of State for Foreign and Commonwealth Affairs.

Professor F. ICHIDA from Medical Department of Niigata Univer sity, Japan.

Dr. J. H. GESA, Minister of Health, Uganda and five members of the Ugandan Delegation.

Professor T. CRAWFORD, President of the Royal College of Patho- logists and Professor of Pathology, St. George's Hospital, London.

Dr. D. WHITTET, Chief Pharmacist, Department of Health and Social Security, London.

Dr. Rosemary STEWART, Fellow at the Oxford Centre for Manage- ment Studies.

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

Consultant and Administrative

9.7.71-11.7.71 Dr. L. SUNDBOM, W.H.O. Medical Physicist.

30.9.71-1.10.71

Dr. W. Lane-Petter, W.H.O. Short-term Consultant on animal housing and the care of experimental animals.

11.10.71-16.10.71 Mr. E. S. KRISHNAMOORTHY, Member of the U.N. International

Narcotics Control Board.

14.10.71-17.10.71

Dr. Samuel M. WISHIK, Consultant on the Teaching of Family Planning, Human Reproduction and Population Dynamics in Medical Schools.

15.10.71-18.10.71 Eight officials of the Turkish Family Planning Association.

22,10,71-1.11,71 Mr. Isakala PaɛNIU, Mr. Ibeata TONGANibeta, Mr. Paul Tokatake and Mr. Tom AINSWORTH of the Study Mission from the Gilbert and Ellice Islands.

7.11.71-9.11.71 Dr. HANSLUWKA, Workshop Director and Medical Officer from the Dissemination of Statistical Information, W.H.O, Headquarters, Geneva.

17.11.71-28.11.71

Dr. E. M. DEMAEYER of the Nutrition Division of W.H.O. Head- quarters.

24.11.71-28.11.71 Dr. Ali A. ZAHEDI, Col. Dr. Ismail Yazdan, Mr. M. G. ASHTIANI and Mr. Amir Hosein ALEME of the Iranian Group Study Tour in Family Planning.

153

25.11.71-1.12,71

3.2.72-4.2.72

2.3.72-6.3.72

TABLE 82-Contd.

Mrs. R. LUNT of the Cancer Unit of W.H.O. Headquarters, Geneva.

Dr. S. FLACHE, Director of Health Services, W.H.O. Regional Office for the Western Pacific.

Dr. John HIGGINSON, Director of International Agency Research Cancer.

Fellowship

3.5.71-5.5.71

2.7.71-23.7.71

26.7,71-30,7,71

9.8.71-13.8.7[

30.8.71-19.11.71

6.9.71-18.9.71

13.9.71-17,9.71

Dr. Muna AL-SALIHI, Dr. Fouad H. GHALI and Miss Makroohy OHANESIAN of Iraq. Fellowships in family planning.

Mr. Oupatump THANOMSATYA of Thailand. Fellowship in rehabi- litation of socially-handicapped women,

Dr. Norman T. BARNETT of New Zealand. Fellowship in public health administration and social problems.

Dr. Kokila VAIDYA of Nepal and Dr. Chalam NOMSIRI of Thailand. Fellowships in maternal and child health and family planning.

Dr. Uneklabh THONGCHAI of Thailand. Fellowship in rehabilitation of narcotic drug addicts.

Mr. Carlo T. PENARANDA of the Philippines. Fellowship in Phy- siotherapy.

Dr. Nobuo ONODERA and Dr. Fujio. KUMAGAI of Japan. Fellow- ships in public health administration.

25.10.71-29.10.71 Dr. Akhtar KнOSHDEEN of Afghanistan Fellowship in mental health

services.

1.11.71-19.11.71 Mrs. Anne Shu-chu CHEN of Taiwan Fellowship in venereal disease

control.

15.11.71-3.12.71

29.11.71-3.12.71

3.1.72-14.1.72

28.2.72-3.3.72

Mrs. Mei-Fei WANG of Taiwan, Fellowship in venereal disease control.

Mrs. Luzonica M. PESIGAN of the Philippines. Fellowships in food and drug control,

Dr. Marie O. Y. NAZARETH of India. Fellowship in tuberculosis control.

Mr. Anthony NG Wan Tho of Brunei. Fellowship in international quarantine.

154

TABLE 83

PUBLICATIONS

BY MEMBERS OF THE MEDICAL AND HEALTH DEPARTMENT

Title of Articles

Publication

Author

'Thiopropazate Hydrochloride British Medical Journal,

in irreversible Dyskinesia'

"Thiopropazate Hydrochloride in irreversible Dyskinesia'

Volume 4, page 22-25.

British Medical Journal, Volume 4, page 626,

"The Mental Health Service of Aspects of Mental Health

Hong Kong"

in Hong Kong.

'Physique and Mental Health Aspects of Mental Health

in Hong Kong, November 1971.

*Prognostic Studies on Narcotic Aspects of Mental Health

Addiction'

'Drinking Patterns and

Alcoholism in the Chinese'

in Hong Kong, November 1971.

British Journal of

Addiction, Volume 67, page 1-12.

'Physique, personality and

British Journal of

mental illness in the

Southern Chinese'

Psychiatry, Volume 120.

'Psychotropic drugs in medical J. Hong Kong Medical

practise

*Transcultural Aspects of Depressive Disorders"

'Genetic and Environmental

Factors in Nasopharyngeal Carcinoma'

Association.

M. Hamilton (ed.).

Depressive Disorders.

Recent Advances in

Human Tumor Virology; and Immunology

-Proceedings of the 1st International Symposium of the Princess Takamatsu

Cancer Research Fund in Tokyo, 1970.

155

K. SINGER, Specialist