醫務衛生署年報 Medical and Health Department Annual Report 1972-1973

1972-73

ANNUAL DEPARTMENTAL

REPORT

72 73

DIRECTOR OF MEDICAL AND HEALTH SERVICES

MARINESTARS IN A RARE EARN A LA UNITED AR

22501293267

HONG KONG

ANNUAL DEPARTMENTAL REPORT

BY THE

DIRECTOR OF MEDICAL AND HEALTH SERVICES

G. H. CHOA, C.B.E., J.P., M.D. (HONG KONG), F.R.C.P., F.R.C.P.E., D.T.M. & H. (LIVERPOOL)

FOR THE

FINANCIAL YEAR 1972 - 73*

PEINTED AND PUBLISHED BY J. R. LEE, GOVERNMENT Printer AT THE Government Press, JAVA ROAD. HONG KONG

* 1st April 1972-31st March 1973

EXCHANGE RATES

When dollars are quoted in this Report, they are. unless otherwise stated, Hong Kong dollars. The official rate for conversion to United States dollars at 31st March 1973 was HK$5.085=US$1.

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CONTENTS

I. INTRODUCTION

II. PUBLIC HEALTH

Vital Statistics

Communicable Diseases

III. WORK OF THE HEALTH DIVISION

Area Health Work

Tuberculosis

Social Hygiene Service

Port Health

Midwifery Service

Paragraphs

1 38

39 - 51

52 - 70

71 - 72

73 - 82

83 - 87

88 - 89

90 91

92 - 94

Maternal and Child Health Services.

School Health Service

School Medical Service Board.

Dental Service

Forensic Pathology

96 - 97

98 - 99

Government Laboratory

Medical and Health Department, Institute of

Pathology

Industrial Health

Health Education

IV. WORK OF THE MEDICAL DIVISION

General Remarks

Government Hospitals

Out-Patient Services

Specialist Services

Radiological Services .

Ophthalmology.

111

100

101 - 105

106 - 117

118

124

125

126

127

128 - 154

155 - 157

158

159 - 166

167 168

IV. WORK OF THE MEDICAL DIVISION-Contd.

Ear, Nose and Throat Service.

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. TRAINING PROGRAMME

Doctors

Dental Staff

Nursing Staff

Radiographers

Laboratory Technicians

Paragraphs

169

170 - 171

172 - 176

177 - 179

180 - 183

184 - 186

187

188 192

School of Physiotherapy

Other Forms of Departmental Training

VII. DEVELOPMENT

Forward Planning

193 - 198

199 - 200

201 - 226

227 - 229

230 - 232

233 - 235

236 - 242

243

244

245

246

247 - 255

Completed Projects

256

Projects under Construction

257

VIII. MAPS

IX. STATISTICAL APPENDIX

Statistical information in this report refers to the calendar year 1972.

I. INTRODUCTION

A CHANGE has been brought into this Report. The main review adheres to traditional presentation, but this Introduction has been revised, as well as lengthened, so as to highlight some of the significant events and developments which occurred in 1972-73.

General

　　　　2. It is gratifying to note from the vital statistics that the health of the population remained good during the year. The general picture is favourable, and reflects the rapid improvement of medical and health services for a young and expanding population. An interesting develop- ment relates to the crude birth rate. At 19.4, this was slightly above. the rate for 1971, and appears to have reversed a continuous down. ward trend since 1960. What this portends for the future remains to be seen, but the reversal comes in a year when the Department is preparing to assume a more direct role in family planning, making the timing most opportune.

3. There was no outbreak of cholera in 1972, but on three occasions, routine examination of nightsoil samples on Hong Kong Island re- vealed the presence of cholera vibrio. The public were informed of the findings, and advised to observe strictly the rules of personal and food hygiene. In the event, the record of freedom from cholera in Hong Kong since the last notification in 1969 remains unbroken.

　　　　4. Tuberculosis continued to be the major cause of death among the communicable diseases. Although virtually eradicated among the young as a result of vaccination with B.C.G. of the new-born, the disease took a significant toll among the unprotected adult population, with mortality increasing from 30.9 in 1971 to 32.2 this year. The Chest Service reports continuing progress on Hong Kong's collaboration with the Medical Research Council of the United Kingdom as to the ways. by which treatment of tuberculosis could be made more efficient, cheaper, and shorter. Many of the results of the numerous current investigations are in fact already being applied in practice. What is significant about this joint endeavour is that although the studies are

primarily intended to benefit the people of Hong Kong, the findings have worldwide implications.

5. But this emphasis on tuberculosis as a continuing problem should be seen in the proper perspective of its relationship to the other major causes of mortality. Again this year tuberculosis ranks fifth, the first being cancer, followed by heart diseases, pneumonia, and cerebro vascular diseases. In 1972, the death rate from cancer rose to 107.3 per 100,000 of the population from 104.7 in 1971. The com- monest types were cancer of the lung, primary cancer of the liver, nasopharyngeal cancer, and cancer of the stomach.

Disablement and Age

6. The year saw an increase in problems connected with caring for the chronic sick, the disabled, the elderly, and the drug-addicted. The Government announced its intention to provide an allowance without a means test for the severely physically disabled and the elderly aged 75 and over. Although the scheme is to be operated by the Social Welfare Department, the Medical and Health Department will become involved because of the need to assess the severity of the disability.

7. Increasing concern for the welfare of the aged was also reflected in 1972 by the Government's appointment of a widely representative working party to consider the needs of the elderly. The Department took part in these deliberations, and made a useful contribution to the working party's final report. This stressed the point that the elderly should be served in a variety of ways, helped to stand on their own feet, encouraged to feel they were still contributing to the community, and not placed in institutions unless this was absolutely necessary. These recommendations accorded largely with world trends in atti- tudes, both philosophic and practical, towards the problems posed by geriatrics.

Siu Lam Hospital

8. The Siu Lam Hospital for the severely mentally retarded was completed in the last financial year, but opened in 1972. When Sir Kenneth Ping-fan FUNG cut the ribbon on 28th June, he said the Hospital was a manifestation of the Government's view that the time had come for all sections of the community even the most dis- advantaged, to be 'brought into the fold to enjoy the benefits of an improved economy and general prosperity. Siu Lam was a recom-

mendation of Dr. L. T. HILLIARD, who had been invited in 1959 to investigate, advise and report to the Government on the problems of mental deficiency in Hong Kong.

9. Dr. HILLIARD concluded that mentally subnormal or defective persons should be grouped in three main categories, according to the severity of their handicaps. He proposed that those with a minor- degree of mental retardation should be the responsibility of the Educa- tion Department which would set up special classes for them. The Social Welfare Department should provide institutional care and train- ing for the medium grade, and the Medical and Health Department should undertake the medical and nursing care of the severe grade.

10. Siu Lam Hospital was built with the third recommendation in mind, and its opening implemented in full the main proposals in the Hilliard Report. The Hospital was built with a donation of $5.7 million from the Royal Hong Kong Jockey Club, with accommodation for 200 patients. After the formal opening, patients were accepted in groups of 50 at a time from special wards in the Tung Wah Hospital and the Po Leung Kuk to enable the staff to adjust to the routines. required for this type of patient. Most began to thrive as a result of their transfer from urban centres to a country hospital. Siu Lam is now playing a role in the treatment of the severely mentally handi- capped in our midst, and the conscience of a progressive Hong Kong requires that we do no less for them.

Methadone Maintenance

11. The year also saw the start of the Medical and Health Depart- ment's methadone maintenance programme with the first volunteer patients arriving at the Pilot Methadone Study Centre in Eastern Street on 1st December for admission. The programme got off the ground after some deliberation. It has been fully documented as a result of large scale experiments in the United States that the majority of patients on methadone maintenance are able to hold responsible jobs and do manual work, but methadone is itself an addictive drug, and main- tenance implies a permanent responsibility to keep up the supply.

　　　12. The Department's pilot study is to last three years, and will involve 550 patients. It is hoped the programme will throw light on the efficacy of methadone as a medication capable of achieving the pharmacological effect that is intended-namely the elimination of hereoin hunger, heroin-seeking behaviour, and blockade against the

euphoric actions of heroin. The goal of social rehabilitation by a treatment programme is a broader objective.

13. The maximum dosage used in the Centre is 40 mgm a day in one dose by mouth. This low dosage blocks heroin craving, but does not induce euphoria. In the first five months of the programme, 228 patients were treated. Some of the problems encountered and over- come included medical, social and psychological difficulties.

Polyclinic for South Kwai Chung

14. Her Royal Highness Princess Alexandra opened the first stage of the South Kwai Chung Jockey Club Polyclinic on 25th October. This development extended the Department's services to a section of the community in an area where there were formerly no convenient medical facilities. Its opening was also in step with the rapid increase in the population of Tsuen Wan and Kwai Chung in recent years. A year earlier, a standard urban clinic in north Kwai Chung was opened for the benefit of residents in the northern parts of the township.

15. The Polyclinic is named after the Royal Hong Kong Jockey Club, which was responsible for the capital cost of the project. The Depart- ment has many clinics and other medical facilities bearing the Club's name. They testify to the Club's magnificant contribution to Hong Kong's medical and health services.

The Institute of Immunology

16. The conquest of disease, especially infectious diseases, by the application of the principle of immunization is one of the most colour- ful and exciting stories in the history of medicine. Starting in the 18th century with the epoch-making discovery of Sir Edward JENNER, and proceeding to the classical experiments of Louis PASTEUR in the 19th, it has progressed into the 20th century with the work of Sabin and Salk. The list of diseases preventable by immunization is now a most impressive one. The control and eradication of these diseases have. made the world a different place, and millions of lives have been saved.

17. In Hong Kong, in the first few years after the end of World War II, there were still epidemics of smallpox and cholera, and the incidences of other infectious diseases, such as diphtheria, tuberculosis and poliomyelitis were high. But as a result of a large scale immuniza- tion campaign coupled with other preventive measures, smallpox has

disappeared since the last case in 1952. The immunization of infants and children is now accepted by parents in relation to diphtheria, whooping cough, poliomyelitis and tuberculosis. We continue to meet with some traditional resistance only with regard to immunization against measles, but even here, more and more parents are gradually being convinced.

18. Against such a background, the Department's new Institute of Immunology in Victoria Road was opened in 1972. The new building replaced the old vaccine institute in Caine Lane. In designing the building, the planners had to keep pace with the many recent advances in the science of immunology.

19. For example, the designers had to consider the World Health Organization's recommendations for public health laboratories, namely that separate laboratory facilities be provided for the manufacture of bacterial and viral vaccines as a precaution against contamination. The Institute continues to produce human vaccine for the public health service in Hong Kong. In times of emergency, if required, it will also produce certain vaccines for export to other countries in the region to meet their urgent needs. Completion of the Institute signified a further step in the development of this particular field of the health services in Hong Kong.

Termination of Pregnancy and Venereal Diseases

20. The Offences Against the Person Ordinance was amended during the year to afford more protection to doctors involved in the thera- peutic termination of pregnancy. Regulations made under the amended Ordinance allowed 11 hospitals to carry out such therapeutic terminations.

21. Unfortunately, publication of the amendments and the names of the 11 hospitals led to mis-interpretation of the issue by some members of the Press and public that abortion had been legalized in Hong Kong. This was subsequently corrected.

22. The incidence of veneral diseases rose by 12 per cent during the year, an increase considered slight compared with many other parts of the world. Among teenagers, the incidence was approximately 6 per cent of the total cases of venereal disease.

Dental Health

23. His Excellency the Governor, Sir Murray MACLEHOSE, in his address to the Legislative Council on 18th October, announced that a school dental health programme to provide children with routine check-ups and simple conservative treatment was being considered by the Government. Initially, he thought the programme might cover all children entering Primary I in a given year. It could gradually be extended to cover all children in the primary school age group, and later, in the light of experience, we might consider extending it to post-primary school children'. Sir Murray said to provide scuh a service, it would be necessary to set up a school for training dental

nurses.

24. So far, the Department's dental service provides comprehensive dental care for all monthly-paid government officers, their dependents, and pensioners, in addition to a limited treatment programme for in- patients of government hospitals, prisoners, and trainees at training centres. Clinics in densely-populated urban and rural areas also pro- vide emergency dental treatment for the general public, and a monthly helicopter 'flying doctor' service makes treatment available to residents in inaccessible areas.

25. His Excellency's announcement indicated for the first time the direction which the Department's dental service would take to extend the scope of its activities. During the year, work proceeded on plans for the proposed dental nurses training school, to be located in the Morrison Hill area close to the Tang Shiu Kin Hospital.

Family Planning

26. The Governor also referred in his speech to the future direct par- ticipation of the Medical and Health Department in family planning. His Excellency explained that, since the mid-1950s, the Government had supported family planning mainly by subventions to the Family Planning Association and the Catholic Marriage Advisory Council.

27. During the past decade, the decline in Hong Kong's birth rate had been significant. It had fallen from 40 per 1,000 of the population in 1962 to 19.4 per 1,000 of the population in 1971. But it was clearly in the public interest and family health, having regard to the pressure generated by people on services such as housing and education, that 'the blessing of children should be bestowed at a rate which is planned and not profligate', the Governor said.

New Laundry Building

　　　28. Another development worthy of note in 1972 was the opening of a new laundry in Chai Wan. Until then, most of the Department's washing was carried out by a special unit in the Queen Elizabeth Hospital, commissioned in 1964. An investigation in 1965 showed that by 1972, even with the expansion of this unit to handle one million lbs. of laundry a month, future additional laundry requirements were likely to exceed the availble facilities by 50 per cent, or 500,000 lbs. a month.

29. In effect, by the beginning of this year, the machinery at the Queen Elizabeth Hospital, working in two shifts a day, was processing 1,100,000 lbs. of laundry a month. This was clearly unsatisfactory, because little opportunity could be taken either for maintenance or repairs. There was also the problem that would arise with the expected opening of the Princess Margaret Hospital in 1974, when the Depart- cent's laundry requirements would be increased substantially.

　　　　30. It was in these circumstances that construction of the new Jaundry at Chai Wan was conceived and undertaken. It was designed not only to meet growing pressures, but also to reduce the work load of the Queen Elizabeth Hospital unit to a reasonable limit. The total cost of the project amounted to $8.4 million, of which $2.7 million was set aside for the purchase and installation of equipment, including two of the most modern, fully-automatic, continuous-flow washing machines. These 'tunnel' washers, as they are called, are not only the largest laundry equipment ever to be installed in Hong Kong, but are also believed to be the only two of their kind in Southeast Asia. The new laundry is handling 1,100,000 lbs. of departmental washing a month.

Past and Future Development

31. The Department's 10-year Plan, issued as a White Paper in 1964, and kept under constant review by the Medical Development Plan Standing Committee, ended on 31st March, 1973. With the Plan's conclusion, the Standing Committee also ceased to function. The target of providing 4.25 hospital beds per 1,000 of the population was achieved with the completion of the projects in the pipeline.

　　　32. A Medical Development Advisory Committee, under the chair- manship of Dr. the Hon. Sir Albert RODRIGUES, and the Director of Medical and Health Services as its vice-chairman, was set up by the Government on 27th March. It replaced the defunct Standing Com-

mittee, and its terms of reference were: 'To keep under continuous review and to advise on the development and phased implementation of medical and health services in Hong Kong, having regard to all factors which would determine the progress of expansion-including financial, the rate of building construction, the availability of qualified staff, and the principles of subvention'. In addition, the Committee was given a remit to advise in what programmes of improvement and expansion would be appropriate over the next 10 years in the circum- stances of Hong Kong, and to produce a report to the Governor by 31st July, 1973.

Acknowledgements

33. The 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 rural areas, maintains maternal and child health, school health, and port health services, and undertakes measures for the control of epidemic and endemic diseases. To do all this, a staff of 12,737 was needed in 1971. In 1972, the total grew to 13,264, of which 747 were medical officers of all grades, and 4,504 nurses.

34. I would like to place on record my sincere appreciation to the staff of all ranks 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 the pressure of difficult circumstances, they all carried out their duties effectively, with a true sense of devotion and dedication. I am grateful to them all for their unfailing support throughout the year.

35. My nursing, dental and medical colleagues are the original authors of the chapters that follow. I gratefully acknowledge their help.

36. The Department 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 many unavoidable shortcomings is also deeply appreciated.

37. I also wish to thank the many public-spirited persons who devoted so much of their time in order 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,

38. Finally, thanks are also due for the contributions of private in- dividuals, and local and overseas organizations who assisted the Department in providing facilities for those in need of subsidized medical care.

1st August, 1973.

G. H. CHOA,

Director of Medical and Health Services.

II. PUBLIC HEALTH

(Tables 6-20)

VITAL STATISTICS

(Tables 6-12)

39. The estimated population of Hong Kong in the middle of 1972 was 4,077,400. Approximately 83 per cent of this total was concentrated in the urban areas of the Island, Kowloon and New Kowloon. About 35 per cent was under 15, and 8 per cent over 60 years of age. The general state of health remained satisfactory. The crude death rate, based on the number of deaths registered, was 5.2 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 medical and health services on a young and expanding population. The crude birth rate at 19.4 was slightly above the rate for 1971, and reversed a continuous downward trend since 1960.

FIGURE 1

AGE AND SEX SPECIFIC DEATH RATE-1972

ENDUR JO NË HOLLYMERA DAR, MEN SHUTIO

7: H4

ASI CADUT

MALE

40. The infant mortality and neo-natal mortality rates continued to decline. 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 1958-72

KO OF DEATHS PER 1,00 LIVE BIRTHS

INFANI

£1

岛

OLAR

Infant Mortality

41. The infant mortality rate was 17.5 per thousand live births, and is now at a lower level than many European and American countries. The 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.

42. Among the major causes of infant mortality there were reduc- tions in mortality from preventable diseases, particularly tetanus, pneu- monia and bronchitis. There has been a steady reduction in mortality from prematurity due to improvement in midwifery and maternal health services. As experienced elsewhere, congenital malformations and other diseases of the new-born proved during the year to be more intractable, and mortality from these causes was little affected.

Maternal Mortality

43. The rate for 1972 was 0.20, a slight increase on the 1971 rate. The causes of maternal mortality, which increased during the year, were haemorrages, abortions and toxaemia.

General Mortality

44. The marked social and economic changes occurring in Hong Kong during the years following World War II were again reflected in the mortality trends and patterns of disease 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 infections and intestinal diseases.

45. In all age groups, malignant neoplasms were the main cause of death, being responsible for 20.8 per cent of all deaths in 1972. The five leading causes of death were cancer, diseases of the heart including hypertensive disease, pneumonia, cerebro-vascular disease, and tuber- culosis, in that order.

46. The death rate from cancer continued to increase, rising from 30 per 100,000 of the population for both sexes in 1950 to 69.7 in 1961, and to 107.3 in 1972. 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, nasopharyngeal cancer, and cancer of the stomach.

47. Heart disease, including hypertensive diseases, was the second leading cause of death with a mortality rate of 58.9 per 100,000 of the population in 1961, increasing to 74.4 in 1972.

48. Pneumonia was the third leading cause of death. The disease was a major cause of death in the mid-1950s, but the mortality rate dropped from 85.8 in 1961 to 57.8 in 1972.

49. Cerebro-vascular disease, fourth in the list, had a mortality rate of 44.2 in 1961. This rose to 46.4 in 1972.

50. Mortality from tuberculosis increased from 30.9 in 1971 to 32.2 in 1972. In 1961, the rate was 60.2.

51. 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 reg- istered 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.

COMMUNICABLE DISEASES

(Tables 13-16)

52. The total notifications of communicable diseases during 1972 was 10,873. Of this figure, tuberculosis comprised 77.4 per cent. Satis- factory progress continued to be made in the control of diphtheria, and poliomyelitis. The incidence of bacillary dysentery and enteric fever continued their downward trend. The incidence of these four diseases is illustrated in Figure 3. The number of measles cases and deaths showed an increase compared with 1971, despite the continuing anti-measles vaccination campaign.

FIGURE 3

INCIDENCE OF MAJOR INFECTIOUS DISEASES 1958-72

NO IN CATES REPORTE

DATENTRY

POLIOMYELITIS

וי|

ENTERIC FEVER

TELA

x w

Cholera

53. Cholera has not been reported in Hong Kong since October 1969. Routine sampling of nightsoil for cholera vibrio was carried out on a year-round basis as part of the surveillance programme. In June, cholera vibrio were isolated from a sample of nightsoil taken routinely from a collection route at Shau Kei Wan on Hong Kong Island. In July, cholera organisms were again isolated from the same nightsoil route, but in each case subsequent samples from the same route were negative. In September, specimens taken from nightsoil vehicles serving the Happy Valley and Wan Chai areas were found to be positive, but subsequent investigations from these two sources proved negative. No case of cholera was reported during the period when positive nightsoil samples were obtained. The public were informed of the findings and advised to observe strictly the rules of personal and food hygiene.

54. No mass immunization campaign was carried out during the year, but emphasis was placed on the importance of personal, environ- mental and food hygiene as safegurards, both against cholera and the other intestinal groups of communicable diseases. Strict quarantine restrictions were maintained in respect of countries declared infected.

Amoebiasis

55. This disease continued to occur endemically, being most prev alent in overcrowded urban areas. A total of 35 cases was notified. The disease remained predominantly one affecting adult men.

Bacillary Dysentery

56. This disease showed a further decline in incidence, falling from 543 cases in 1971 to 462 cases in 1972. It affected all ages, but 27.5 per cent of the notifications concerned children under five. Shigella flex- neri and Shigella sonnei remained the predominant organisms isolated.

57. Transmission of infection among families and in institutions is a feature of the disease, and as in the past, a few symptomless carriers were detected among members of the same family, or immates of the same institution. In all, a total of 167 carriers was discovered during investigations of reported cases during the year. All were given appropriate treatment.

Chickenpox

58. This is generally a common disease among children. During the period under review, a total of 510 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

　　　　59. Only five cases of the disease were notified during the year, an even lower figure than the 25 cases recorded in 1971. As a result of annual immunization drives since 1959, the disease has shown a con- tinuous and steady decline, falling from 2,087 cases in 1959 to five

cases in 1972.

Enteric Fever

60. The number of cases notified was 438, a decrease of 77 cases over the preceding year. The disease was generally mild, and the case fatality rate was less than one 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 environmental and food hygiene, and the control of food premises.

Malaria

　　　　61. The incidence of malaria during recent years has fallen con- siderably. Of the 10 cases recorded in 1972, one was considered to be an induced infection, while nine were imported.

Measles

　　　　62. A total of 783 notifications of the disease was reported 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 reg- ularly 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 the availability throughout the year of free vaccine for immunization, and continuing health education to encourage parents to seek early medical advice.

FIGURE 4

MONTHLY MEASLES NOTIFICATIONS 1962 - MAY 1973

1444

SHOUTILLON 10 ON

נתי

VELR

Poliomyelitis

63. Four cases of poliomyelitis were reported during the year as compared with two in 1971. Three of the cases were of the type 2 poliovirus infection, confirmed by laboratory investigation. The pro- gramme 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.

64. Approximately 78 per cent of infants received one dose of type 1 polio-vaccine soon after birth, and 74 per cent of infants received two doses of the trivalent vaccine at maternal and child health centres. The annual general immunization campaign against poliomyelitis was held in January and March.

65. Virological investigation of the disease was maintained through- out the year. A poliomyelitis faecal survey among normal children

　　　aged under five was carried out in June-August. The result showed that the excretor rate of 'vaccine' types of poliovirus was 1.40 per cent, among a total of 501 children included in the survey. The 'wild' type of poliovirus (type 3) was detected in one child giving an excretor rate of 0.20 per cent. The findings of the survey indicated the con- tinuing existence of 'wild' poliovirus type 3 in the community, but did not demonstrate the existence of type 2 poliovirus which was isolated from three of the four cases of clinical poliomyelitis recorded during the year.

Influenza

66. The surveillance programme for influenza was continued on a year-round basis. Several general out-patient clinics have been des ignated 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 In- fluenza 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, pneumonia and bronchitis were recorded regularly as part of the programmes of epidemiological surveillance of the disease.

67. The disease occurred sporadically between January to May and August to October. The most prevalent strain of influenza A virus occurring in January to May was A/Hong Kong/5/72 while strain A/England/42/72 was most prevalent between August to October. Influenza virus B was isolated several times during the year. The strain B/HK/5/72 isolated in December is under close surveil- lance for possible epidemic spread in view of its significant change in antigenicity.

Tetanus

68. This disease, although not notifiable, was recorded during the period under review 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 ex- posed to various hazards from unsterile equipment. In 1972, tetanus neonatorum was responsible for only 0.5 per cent of recorded cases, and infant mortality from such infection fell from 1.2 deaths per 1,000 in 1951 to 0.025 deaths in 1972.

Viral Hepatitis

69. Notification of this disease remained voluntary. A total of 729 cases was notified in 1972. Most cases were among adolescents and adults, and a higher proportion was found among men. During the year, steps were taken to promote better and more complete reporting and investigation of the disease.

70. Developments in other communicable diseases showed little variation during 1972.

III. WORK OF THE HEALTH DIVISION

AREA HEALTH WORK

71. Area health officers worked during the year to maintain satis- factory standards of environmental sanitation and food hygiene. But they also carried out field investigations into the major communicable diseases, and helped to co-ordinate the activities of teams of inocu- lators participating in prophylactic immunization campaigns.

72. Four such campaigns were carried out. They were against poliomyelitis, measles, diphtheria and smallpox. Hong Kong has not had a case of smallpox since June 1952, and the latest drive against the disease, held in February 1973, was intended to remind the public of the need to preserve this record. Moreover, the sudden outbreak of smallpox in the spring of 1973 in Britain, focussed attention on vigi- lance in view of Hong Kong's increasing importance as a crossroads. in international travel in this part of the world.

TUBERCULOSIS

73. 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 partic- ularly 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 has been shown that in a large proportion of cases, out-patient therapy is at least as good as institutional treatment. In complete contrast to the past, there is now no waiting list for hospital admission for the treatment of tuberculosis. Institutional resources are reserved for those not responding to out- patient therapy, for acutely-ill cases, for those where the diagnosis is in doubt, and for those in need of surgical intervention. In line with

this policy, there is a high degree of co-operation between the Govern- ment 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.

74. To keep pace with rapid changes occurring in the treatment and prevention of tuberculosis, close liaison continued to be maintained with agencies outside Hong Kong. During the year, there was much 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, cheaper, and shorter. Many of the results of numerous current investigations are now being applied in practice. Although these studies are primarily intended to benefit the people of Hong Kong, many of the results have worldwide implica- tions. As it has been shown that the advantages obtained from routine pre-treatment sensitivity testing in newly-registered cases are minimal, routine pre-treatment sensitivity testing, previously thought to be important in view of the high level of drug resistance in Hong Kong, has been abandoned. Reliance is now placed on regular examination of the sputum as the best monitor of response to treatment. That failure to take drugs is an important cause of treatment failure has been clearly demonstrated for the Hong Kong population in one of the recent controlled trials. In view of this, a careful record is kept of attendance for treatment. Whenever a patient defaults, immediate action is taken to call him back either by a home visit or by telephone. The present course of treatment for tuberculosis is long and arduous, averaging some 18 months. A large controlled clinical trial to inves- tigate the possibility of shortening this is underway.

75. There have also been important investigations with regard to B.C.G., particularly in the methods of administration of B.C.G. at birth, when full-time, highly-trained staff are not available. Results of the survey on children born on, or after, 11th July, 1966, and notified as suffering from tuberculosis, are just beginning to become available. In this connection, the collaboration of the Medical Research Council Statistical Research and Services Unit has been obtained. The study on direct B.C.G. given to children of school age has been completed, and this indicates that direct B.C.G., except for the new-born, has a small role to play in Hong Kong.

Case Finding

76. In the past, the many patients attending the chest clinics made large scale case-finding undersirable. With improved facilities and the decrease in the number of patients, case finding is now playing a greater role than in the past. During the year, there was an anti-tuberculosis week lasting from 20th November to 30th November, 1972, based on the theme 'If you have a chronic cough lasting more than two weeks, get a chest X-ray.' This was successful, considering the limited scale of the campaign. A much more intensive effort is needed for the future.

Mortality and Morbidity

77. During the year, there was a slight rise in the tuberculosis death rate from 30.9 to 32.2. Although this was disappointing, its importance should not be exaggerated, as it probably reflected a slight reaction from the considerable fall in the death rate during the pre- vious year. Tuberculosis mortality by age and sex is shown in Figure 5.

FIGURE 5

TUBERCULOSIS MORTALITY BY AGE AND SEX 1962 AND 1972

DEATHS PER 1890,00 POPULATION IN AGE GADUR

FEMALE 197Į

LEE GROUN

FEMALE.

　　　During the year, the notification rate fell to 206.5 per 100,000 of the population. Figure 6 shows the age and sex specific notification rates. Tuberculosis is much more common in men than women, and is especially common among older men. Tuberculosis is now rare among residents under 15, probably due to the high level of B.C.G. administration to the new-born.

FIGURE 6

TUBERCULOSIS NOTIFICATIONS BY AGE AND SEX

1962 AND 1972

Jnown Bow IN HOLLYNEMOJ DOD BOL

KOTT CATIONS FEA

ཅ

10 15 H J #

AGE

GROUP

帅

HULLE KH

MAT TEZL

FEMALE 17

FEMALE 977

口 45

Work of the Government Chest Service

78. The government chest clinics provide ambulatory chemotherapy services for the great majority of cases of tuberculosis, hospitai admission being reserved for special cases. Increasing attention is being paid to the public health aspects of tuberculosis, and 80 health

auxiliaries, whose main duties consist of contact tracing and home visiting, are attached to the chest service. They are supervised by one senior health visitor and 13 health visitors. Patients have all aspects. of the disease thoroughly explained to them by the health visitors, and are given explanatory leaflets. Regular attendance for out-patient chemotherapy is regarded as being of paramount importance, and con- siderable emphasis is placed on the follow-up of defaulters, and on ensuring that contacts are examined. The clinics also provide medical social work, contact tracing and supervisory services, and undertake surveys of selected groups such as government employees and prisoners, in co-operation with the radiological service. A regular financial grant is allowed where a family depends on the patient's earnings and no other source of income is available to maintain it during the bread- winner's hospitalization.

79. During the year, attendances at government chest clinics re- mained at the high level of 1,441,958. The standard treatment of tuberculosis was three months of Streptomycin, PAS and INAH followed by intermittent, fully-supervised Streptomycin and high dosage INAH. Intermittent Streptomycin and high dosage INAH have, in the majority of cases, replaced the monthly issues of PAS/INAH tablets as the follow-up treatment of choice. At the end of 1972, there were 4,676 cases on intermittent Streptomycin and INAH compared with 1,752 on PAS/INAH. Although anti-T.B. drugs were extremely efficient, the total duration of treatment remained long, stretching from 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-Guerin (B.C.G.) Campaign

80. With the high density of the 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 new-born, school entrants and school leavers. During the year, 96 per cent of the new-born were given B.C.G. Bearing in mind that the remaining four per cent usually had some contraindication to B.C.G., for example, prematurity, this represented an almost 100 per cent coverage of eligible babies, per- haps the highest in the world. The decline in infant mortality from tuberculosis which resulted is shown in Figure 7.

FIGURE 7

TUBERCULOSIS MORTALITY AND B.C.G. VACCINATION OF NEW-BORNS 1957-72 (MORTALITY RATES AS PERCENTAGE OF 1957 RATES)

PERCENTAGE

BOG NACERATION OF ALL NEW-BORNE IN INSTITUCIONE

18 MOMTALITY, ALL ACES

TE MORTALITY MEANTS

ផ

K PS H

TELA

　　　　81. 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.

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

SOCIAL HYGIENE SERVICE

　　　　83. The incidence of venereal diseases rose by 12 per cent during 1972. This increase is considered slight, compared with many other parts of the world. The incidence in the teenage group was approxi- mately 6 per cent of the total cases of venereal disease. The trends over past ten years are illustrated in Figures 8 to 10.

84. Case finding continued at a high level, particularly in ante- natal cases where an initial positive serology rate of 0.84 per cent was observed. Of the 208 positive cases referred from anle-natal clinics, only 136 cases, that is, 65.4 per cent, were actually suffering from syphilis. Contact tracing. particularly of infectious syphilis, was continued.

Leprosy

85. New cases of leprosy treated numbered 100, representing a rate of 2.5 per 100,000 of the population. Tuberculoid manifestations

TO1AL CASECA

wwww.g

FIGURE &

SYPHILIS 1963-72

INCIDENCE RATE

CASES

ТЕДИ

NO DE CASES

FIGURE 9

INFECTIOUS SYPHILIS 1963-72

− + INCIDENCE MATE

CASES

ИИИ

YEAR

[E]

INCIDENCE RATE PER 44,000 POPULATION AGEN 15 * OVER

INC.DENCE RATE PËR KNUDE POPULATION AGED 19 * DVER 1

TOTAL CASED IN 100

FIGURE 10

GONORRHOEA 1963-72

TAMAAN INCIDENCE ASTE

CASES

•

INC DENCE RATE PER HILDE POPULATION ACEO IS E

OVER

comprised 40 per cent of total cases. Of the infectious cases, 79 were admitted to the Hay Ling Chau Leprosarium maintained by the Leprosy Mission Hong Kong Auxiliary, with which the social hygiene service maintains close liaison.

86. During recent years, there has been some advance in over- coming the prejudice against employment of cured leprosy patients, and to this end great attention was paid by the social hygiene service in 1972 to the prevention of disabilities in tuberculoid cases.

Dermatology

87. Dermatology clinics were held in various centres. Table 33 shows the incidence of skin diseases seen at the clinics. The total number of new cases was about 3.4 per cent more than the previous year. It is of note that the incidence of skin cancers has remained low as in previous years.

PORT HEALTH SERVICE

88. The port health service continued to be responsible for en- forcing control measures to prevent the introduction of quarantinable

diseases into Hong Kong by land, sea and air. It also has the task of ensuring the maximum security against the spread of quarantinable diseases with a minimum of interference with world traffic, in accord ance with the provisions laid down in the Quarantine and Prevention of Diseases Ordinance and the International Health Regulations (1969).

89. Sanitary control of the port and airport was maintained as usual. Vaccinations and the issuing of international vaccination cer- tificates were carried out for travellers at three vaccination centres. A 24-hour daily quarantine service was maintained at the western entrance to the harbour. Medical assistance and medical advice were given on request to ships in the harbour and at sea. The granting of radio pratique to ships from non-infected ports steadily increased in 1972.

MIDWIFERY SERVICE

90. 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 high-risk cases were referred to specialist units for further management. Only 19.25 per cent of the births were attended by government midwives, and midwives in private practice attended another 11.86 per cent, com- pared with 18.5 per cent and 15.5 per cent respectively in 1971. The remainder of the births took place in government, government- subsidized and private hospitals.

91. The South Kwai Chung Polyclinic with 26 maternity beds began to receive patients on 25th October, 1972. On the other hand, six private maternity homes were voluntarily closed, with a reduction of 30 beds. In recent years, there has been a steady reduction in the still-birth rates in both government and private maternity homes.

MATERNAL AND CHILD HEALTH SERVICES

92. Public appreciation of the value of these services in the main- tenance of health among infants and expectant or nursing mothers was again reflected by the fact that, of the children born, 91.9 per cent were brought to a centre for attention on at least one occasion. The corresponding figure for 1971 was 89.6 per cent. Of new attendants at the various centres, approximately 1 per cent were found to have abnormalities. Of these, the majority had either congenital defects or displayed effects of prematurity.

　　　　93. A further encouraging trend was the increasing appreciation by expectant mothers of the need for regular ante-natal care. This was reflected by the average attendances per person at ante-natal sessions and by the low maternal mortality rate.

94. In October 1972, the South Kwai Chung Maternal and Child Health Centre was opened. It is a full-time centre. This development brought the total number of full-time maternal and child health centres throughout the Colony to 20.

SCHOOL HEALTH SERVICE

　　　　95. 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 1972. Inspections of schools were carried out by school health inspectors who took particular note of unsatisfactory 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 re- sponsibility for tuberculin testing and B.C.G. vaccination in schools.

SCHOOL MEDICAL SERVICE BOARD

96. The School Medical Service is operated by private medical practitioners under the aegis of the School Medical Service Board, an independent statutory body incorporated by ordinance. Remuneration to doctors is on a per capita basis, one-fifth of the annual fee being paid by the participating pupil and four-fifths contributed by the Government, which also meets the Board's administrative expenses.

　　　　97. On 31st March, 1973, the number of pupils participating was 70,758 from 700 schools, compared with 37,181 from 661 schools on the same date in the previous year. Doctors participating in the scheme numbered 181 compared with 174.

DENTAL SERVICE

　　　　98. The dental service provides comprehensive dental care for all monthly-paid government officers, their dependents, and pensioners, in addition to a limited treatment programme for in-patients of govern- ment hospitals, prisoners, and trainees at training centres. Certain clinics in densely-populated urban areas and in rural areas also provide emergency dental treatment for the general public. In addition, a

monthly helicopter dental service makes available treatment to resi- dents in inaccessible areas. With the opening of the Tai Lam Dental Clinic, there are at present 33 government dental clinics, including a mobile dental unit.

99. Fluoridation of the Colony's urban water supplies began in 1961. The rate of enrichment was formerly at two levels. This was changed in 1972 to 0.7 parts of fluoride per million throughout the year. This level was maintained in 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 16.3 cents a person a year. Dental health education plays an important part in combatting dental disease, and the dental service continued to take advantage of major educational exhibitions to disseminate information and advice on dental health.

FORENSIC PATHOLOGY

100. The forensic pathology service consists of a main laboratory in the Hong Kong headquarters of the Royal Hong Kong Police Force, and another laboratory in the Mong Kok Police Station. It deals mainly with medico-legal work in close association with the Royal Hong Kong Police Force. This includes all homicidal deaths, deaths under suspicious circumstances, sexual offences, and other offences against the person. Autopsies are performed in both the Victoria Public Mortuary, Hong Kong, and the Kowloon Public Mortuary, Kowloon.

GOVERNMENT LABORATORY

101. The laboratory provides chemical and related scientific services for government departments. During the year, 39,759 items were examined by the professional and technical staff, an all-time record.

102. In the forensic science division, there was a marked 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 murder cases occupied the attention of the scientific staff of the division throughout the year.

103. The quantity of illicit drugs of all kinds examined by the narcotics section was steady, and staff of the narcotics section had to work through several week-ends on the larger seizures

104. The introduction of the methadone maintenance scheme im- posed on the staff of the toxicology section a considerable additional

免質

The Methadone Pilot Scheme Treatment Centre was opened during the year in Eastern Street, occupying premises of the former mental hospital. The Centre is responsible for the Department's three-year methadone maintenance programme involving 550

volunteer patients.

In-patients at the Methadone Pilot Scheme Treatment Centre have much time on their hands. A favourite occupation is to watch television. Here two patients are enjoying an afternoon programme,

고

The Department's new Institute of Immunology was opened during the year, replacing the former Vaccine Institute in Caine Lane. Picture shows the series of buildings making up the Institute in a rural setting at Pokfulam.

This is the new Medical and Health Department Laundry at Chai Wan. Some of the world's most advanced washing equipment is installed in the building. The plant is capable of processing, one million lbs of laundry a month.

The social event of the year was the opening of the first stage of the South Kwai Chung Jockey Club Polyclinic by Her Royal Highness Princess Alexandra. In the photograph she is shown conversing with two nurses in the company of the Director of Medical and Health Services, Dr. G. H. CHOA.

Construction of the new Princess Margaret Hospital at Lai Chi Kok progressed satisfactorily during the year. The picture above shows a section of the complex already completed. The general wing is expected to be opened in early 1975.

The Medical Development Advisory Committee, a new body, was given the task this year to advise the Government on what programmes of improvement and expansion would be appropriate over the next 10 years in the circumstances of Hong Kong. This picture shows the Committee in session. Reading from left to right: Mr. Tai Kuen, Dr. Li Shu-pui, Sister (Dr.) M. AQUINAS, Dr. G. H. CHOA (Vice Chairman), Dr. Sir Albert RODRIGUES (Chairman), Mr. R. H. Loвo, Mr. Li Fook-wo, Mr. S. F. BAILEY,

Mr. D. G. JEAFFRESon, and Mr. P. B. WILLIAMS.

A nurse and a ward aid lend helping hands to patients at the Siu Lam Hospital for the mentally subnormal. The children in this play room spend hours toying with blocks and jigsaw puzzles.

　　　burden. The work involved the screening of urine samples for narcotic drugs which required the evaluation of the most up-to-date scientific methods for rapid screening.

105. Lectures in respect of scientific aid to crime investigations were given to police staff by forensic scientists of the laboratory. Officers of the general division were active throughout the year. The pharmaceu- ticals section continued to expand, recording a four-fold increase in the volume of work done, and the output of the food control section was greatly increased. There was an upsurge in the work carried out for the Commerce and Industry Department, and other departments. The determination of arsenic content in oyster sauces and poisonous metals in sea food and canned food was carried out.

INSTITUTE OF PATHOLOGY

　　　　106. The department's Institute of Pathology operates a number of clinical and public health laboratories providing laboratory investiga tions 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, and the Pok Oi Hospital. Work arising from the Queen Mary Hospital on pathology, clinical biochemistry and bacteriology is undertaken by the University of Hong Kong's Department of Pathology, which receives a grant from the Government for such services. During the year, the total number of examinations under- taken by the Institute exceeded that of the previous year by 13,362. The increase was mainly in histopathology, chemical pathology, haematology, serology and virology.

Morbid Anatomy and Histopathology

　　　　107. A total of 1,307 post-mortem examination was carried out in 1972, of which 789 had medico-legal implications. The brains of 39 dogs were examined for the presence of Negri bodies (indicating death from rabies), but no positive findings were obtained. More than 4,900 specimens of sputum, pleural fluid, vaginal and cervical smears and other specimens, were received for cytological examination, of which 108 showed definite evidence of malignant disease. More than 40,500 biopsy specimens were examined in order to determine the histo- pathological diagnosis. Of these, about 3,000 were benign or malignant tumours.

Haematology and Serology and the Blood Bank

108. More than 426,000 haematology specimens were examined, the most common examinations being haemoglobin estimations, total and differential white cell counts, blood examinations and blood grouping. More than 137,500 serology tests were performed, the most common being the V.D.R.L. floculation slide test for syphilis. In the blood banks, 36,140 pints of blood were received during the year, 33,794 pints of which were from the blood-collecting centres of the Hong Kong Red Cross Society. A total of more than 238,500 blood tests was carried out in the blood banks.

Chemical Pathology

109. Some 479,500 specimens were examined, the most common being various quantitative examinations on blood, which accounted for more than 368,500 of the examinations.

Bacteriology and Public Health

110. More than 592,500 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. V. cholerae, biotype Eltor, serotype Inaba was isolated from nightsoil on three occasions during the period from June and September 1972, but no clinical case of cholera was recorded.

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

Virology

112. During the year, the incidence of poliomyelitis remained low. There were only three laboratory-confirmed cases of poliovirus type 2 infection. One case occurred in January and the other two in August. The annual poliomyelitis faecal survey revealed a relatively low excreter rate of 0.20 per cent of 'wild' poliovirus in 501 children under the age of five.

113. There were two outbreaks of influenza in the year. The first outbreak lasted from January to May and was caused by the variant A/HK/5/72. The second outbreak in August - October was due to the variant A/England/42/72 of which a world-wide spread was later reported. Influenza B virus was responsible for sporadic cases. The

#rain B/HK/5/72 isolated in December was under close surveillance for possible epidemic spread in view of its significant change in antigenicity. Of other respiratory viral infections, parainfluenza type 3 and adenovirus type 3 were found more prevalent in the first quarter of the year.

114. A follow-up study of viral conjunctivitis was carried out in the summer season. There was only one case confirmed of infection by the virus HK3454/71, which was responsible for the epidemic in 1971, while most of the sporadic cases were adenovirus type 3 infection.

　　　　115. Cytomegalovirus infection was confirmed in 36 children, rang- ing from three weeks to five years. Of these, 30 (83 per cent) had hepatitis, three (8 per cent) pneumonia, and the remaining three (8 per cent) central nervous system diseases.

116. Australia antigen was found positive in 53 (10.8 per cent) of 494 cases of viral hepatitis, while Australia antibody was detected in two cases of aplastic anaemia with repeated transfusions,

Vaccine Production

117. Smallpox, rabies, typhoid-paratyphoid, and cholera vaccines were prepared at the Institute of Immunology, and issued free to doctors if used in Hong Kong. Occasional shipments were made avail- able to neighbouring governments or agencies when requested.

INDUSTRIAL HEALTH

118. The health of workers in factories and industrial undertakings is the statutory responsibility of the Commissioner of Labour. The industrial health division of the Labour Department, staffed by officers seconded from the Medical and Health Department, is responsible for advising the Commissioner on all matters affecting the health and welfare of industrial workers, and providing an advisory service on the medical aspects of industrial problems. The division's main functions are to prevent occupational diseases and to promote health at work. The inspection of industrial undertakings by medical officers, the monitoring of the working environment by the laboratory staff, and the investgiation of notified occupational diseases and medical surveil- lance of special groups of workers, are the principal ways in which these functions are carried out. Professional and technical staff of the division lecture labour officers, assistant factory inspectors and labour inspectors under training, medical students of Hong Kong University, students health visitors, health inspectors and health auxiliaries.

119. Environmental surveys include measurement of silica dust in quarries, and of concentrations in the air of, among many, lead, man- ganese, solvents, and sulpur dioxide. These surveys also investigate standards of thermal comfort, ventilation, noise and lighting.

120. 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.

121. A total of 47,685 occupational injuries was recorded by indus- trial health visitors and nurses of the Industrial Health Division. Of these, 29.639 were accidents which caused the injured person to be off work for more than three days, and were therefore reportable under the Workmen's Compensation Ordinance. A total of 296 occupational deaths was recorded. It was found on investigation that 25 occurred among seamen recruited in Hong Kong, and 61 were due to natural

causes.

122. Industrial health officers took part in medical boards to assess the degree of disability of 8,117 injured workers. Health visitors and nurses carried out case work, visiting homes and places of work as well as attending at the casualty sections of major hospitals.

123. Monitoring of air pollutants continued throughout the year. The results from the four daily stations were shown along with the Huey plate figures for the 33 monthly stations-13 on Hong Kong Island, 13 in Kowloon and 7 in the New Territories. The Advisory Committee on Air Pollution continued to meet regularly once every two months. During the year, the staff of the Air Pollution Control Unit was increased to ten inspectors. The Clean Air (Furnace, Ovens and Chimneys) (Installation and Alteration) Regulations 1972 took effect on 15th December, 1972.

124. The industrial health laboratory is now designated by the World Health Organization as a collaborating laboratory. It takes part in international studies on air pollution in conjunction with other national laboratories throughout the world.

HEALTH EDUCATION

125. 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.

　　　　126. In December 1972, the department participated in the Agricul- tural Show at Sek Kong with 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 and nutrition.

IV. WORK OF THE MEDICAL DIVISION

127. At the end of 1972, a total of 15,993 beds was available in all hospitals in Hong Kong, excluding those maintained by the armed forces. In addition, there were 740 beds in government maternity homes, and beds in private maternity and nursing homes. The total 16,733 beds represented a ratio of 4.1 beds per 1,000 of the popula tion. 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 recent past is illustrated in Figure 11, and it will be noted that the bed provision in 1972 represented an increase of 67 per cent over the bed provision in 1962.

FIGURE IL

HOSPITAL BEDS 1963-72

ERO NI 3000 TELLUSON 10 ON

101AL

GOVERNMENT

TEAR

COVER WMENT-

ASSISTED

-12

QUEEN MARY HOSPITAL

128. Built in 1937, the Queen Mary Hospital is the main acute and specialist centre for the Island, and 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. The workload at the casualty section continued to increase, attendances rising by 12 per cent over those of the previous year. Traumatic cases accounted for 26.1 per cent of all cases seen. A total of 39.8 per cent of all attendances at the casualty department was admitted to hospital for further treatment. Of those admitted, the average length of stay was 8.4 days a patient.

129. A new psychiatric unit was commissioned in January 1972. A new pathology building consisting of a new mortuary, a virus labora- tory and clinical pathology services, and a new clinical building to cater for an increased intake of medical students were all completed by the end of 1972. They are now functioning. The bed complement of the hospital is 1,164.

QUEEN ELIZABETH HOSPITAL

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

131. Last year, attendance at the casualty section rose by 9 per cent compared with the previous year. Of these attendances, 28.3 per cent were due to trauma. A total of 40.7 per cent of all cases attended to in this section required immediate admission to hospital. A small number was referred to the Lai Chi Kok Hospital for admission. The average length of stay in the Queen Elizabeth Hospital was 5.9 days a patient. However, some patients were transferred to the Kowloon, the Lai Chi Kok and the Pok Oi hospitals for further treatment of the sub-acute phase of their illness. The pressure of admissions made it necessary to increase beds to 1,896, in addition to about 100 camp beds, although the hospital's normal capacity is 1,596 beds. The planned opening of the Princess Margaret Hospital in October 1974, will relieve the considerable congestion at the Queen Elizabeth.

KOWLOON HOSPITAL

132. 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.

133. 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, 209 beds for thoracic diseases, and 716 convalescent beds for patients from the Queen Elizabeth Hospital. Towards the end of the year, the west wing was almost fully operational, while some wards in the old section were being renovated.

TSAN YUK HOSPITAL

134. This hospital, under the clinical supervision of the Professor of Obstetrics and Gynaecology of the University of Hong Kong, is the main specialist obstetric hospital in Hong Kong. It has 300 beds, including 50 for the care of premature and sick babies. It is the teaching centre of obstetrics for medical undergraduates and the training school for midwives.

135. About 91 per cent of admissions during 1972 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 6,186 deliveries with two maternal deaths.

Castle Peak Hospital

MENTAL HEALTH SERVICE

　　　136. This hospital of 1,242 beds was required to accommodate 1,942 patients at the end of the year-1.915 actually living in, and 27 on trial discharge. It is for the time being the only hospital in Hong Kong for the full-time care of all types of psychiatric patients.

137. The hospital continued to develop during the year, in accord- ance with contemporary psychiatric practice, into a modern thera- peutic community. Except for one closed ward for patients involved in court proceedings, the rest of the wards were in various degrees 'open', with free access to their own gardens. Eight wards were entirely open, the patients housed being convalescent and receiving attention in preparation for discharge. Some patients travelled daily to Tsuen Wan, Sham Tseng, and San Hui to work in factories. Others went to the adjacent New Life Rehabilitation Farm each week, for a short period of rehabilitation prior to final discharge, and many were given permission to move freely within the hospital.

138. All modern treatment in psychiatry was administered. Reli- ance continued to be placed on drug treatment and social measures, with the emphasis on inter-disciplinary, participatory-democratic team- work, co-ordinating the functions and resources of social workers, nurses, occupational therapists, doctors 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.

139. 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 a 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 bearing on their work after discharge. By these means, a number of patients were able to find employment while still in hospital. They later left the hospital for full-time employment.

140. A variety of social and recreational activities was organized for the patients, and they were always kept informed. In addition, they had their own social club. Every ward has a televison set,

141. Planning for the second mental hospital at Lai Chi Kok within the Princess Margaret Hospital complex was in an advance stage, and the date of completion was set for 1976-77.

Psychiatric Centres

142. The Yau Ma Tei Psychiatric Centre provides treatment for both out- and day-patients, including follow-up cases from the Castle Peak Hospital. Its facilities include a child psychiatric unit. The day hospital is useful for the treatment of psychoneurotics and disturbed adolescents and children. On the Island, the Hong Kong Psychiatric Centre continued to look after out-and day-patients, follow-up cases from the Castle Peak Hospital, and forensic cases. In addition to these centres, psychiatric services were provided for the Siu Lam Hospital for the mentally subnormal, the Prisons Department Siu Lam Psychiatric Centre, the Tai Lam Centre for Women, and the Social Welfare Department's Aberdeen Rehabilitation Centre.

Kowloon Hospital Psychiatric Unit

143. This unit, located in the west wing of the Kowloon Hospital, provides comprehensive psychiatric services in a general hospital setting. Because of a shortage of staff, only the out-patients' section.

the day hospital, and two-thirds of 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

　　　　144. The New Life Psychiatric Rehabilitation Association, with the close co-operation of the mental health service, operates the New Life Rehabilitation Farm adjacent to the Castle Peak Hospital for the bene- fit 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 houses for both men and women, and a sheltered workshop for selected discharged patients from the Castle Peak Hospital. The Mental Health Association continued to provide the useful function of bridging the gap between the service and the com- munity in 1972. The Irene House, a half-way hostel run by the Association for short-stay discharged patients from the Castle Peak Hospital, could accommodate 32 patients at a time.

Drug Addiction

145. 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. Representatives from this department served as members on various sub-committees of the Action Committee Against Narcotics and par- ticipated in activities, particularly in relation to the treatment and re- habilitation of drug addicts, and research and health education in the dangers of drug addiction.

146. A notable achievement of the department during 1972 was the setting up, on 1st December, of the Pilot Methadone Study Centre in Eastern Street, Sai Ying Pun, in the old premises of the former Mental Hospital. The Centre aims at finding out if local addicts will take to methadone maintenance instead of heroin, or opium, and if not, why not. The Government made available more than $2 million for a study to last three years, covering an estimated 550 addicts, who are being treated free, and who are volunteers.

147. Ten beds were made available. The procedure lays down that a patient should be treated for withdrawal symptoms for about ten days, depending on the individual. As soon as withdrawal signs occur,

the patient is given 20 mg of methadone diluted in a mixture of orange juice. The intake is once a day, with the dosage increasing by 10 mg a day until a maximum of 40 mg is reached on the fifth day. When the final dosage is found to be adequate to relieve the patient's craving for 36 hours, he is discharged, and then encouraged to return to the Centre every day for his daily dose of methadone taken in the orange cordial. The procedure also requires the regular testing of urine for the detec- tion of morphine, heroin, or opium.

148. In the first five months of the programme, 228 patients were treated. Difficulties resulting from their addiction, such as medical. social and psychological problems, were dealt with. The Centre received valuable help from the Association of Volunteers for Service.

INFECTIOUS DISEASES HOSPITALS

149. 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. The two infectious diseases hospitals will soon be replaced by the 110-bed Infectious Diseases Block of the Princess Margaret Hospital, to be opened in late 1974.

150. While the overall trend was towards a reduction in incidence of infectious diseases, food and water-borne diseases, namely typhoid and the dysenteries, and to some extent viral hepatitis, still accounted for a significant number of cases of notifiable diseases. (See Table 14.)

THE TANG SHIU KIN HOSPITAL

151. The Tang Shiu Kin, built with a substantial donation from Sir Shiu-kin TANG, is situated at Morrison Hill, Hong Kong. Opened in 1969, it replaced the former Eastern Public Dispenary and Maternity Home, the Harcourt Health Centre, and the Wan Chai Social Hygiene Female Clinic.

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

153. 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

154. Other hospitals maintained by the Government are the St. John Hospital, serving the Island of Cheung Chau and neighbouring islands of the western sea-board; the South Lantau Hospital, serving villages on the south-west coast of Lantau Island; and six hospitals within compounds 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 the Chi Ma Wan Prison.

OUT-PATIENT SERVICES

155. Pressure remained heavy throughout the year on all 49 general out-patient clinics and also on most specialist clinics. Trends during the past 10 years are shown in Fgiure 12.

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156. New facilities which became available during the year are detailed in paragraph 218 of this report.

157. 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 to 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 in- accessible villages was maintained.

SPECIALIST SERVICES

158. The Department provides specialist services units in anaesthe- siology, dentistry, medicine, neuresurgery, ophthalmology, orthopaedic surgery, obstetrics and gynaecology, otorhinolaryngology, pathology, paediatrics, psychiatry, radiodiagnosis, radiotherapy, social hygiene, surgery, 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

159. The Medical and Health Department Institute of Radiology comprises five divisions:-radiodiagnosis, radiotherapy, radiation physics, radioisotope, radiobiology and clinical photography.

160. 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 payment of a fee. In all, 19 static X-ray departments and three mobile chest radiography

　　　units were in operation with a total output of 776,766 examinations, an increase of approximately three per cent over the previous year. During 1972, a major diagnostic X-ray machine, with cineradiography. screening and television monitoring facilities, was installed at the Queen Elizabeth Hospital X-ray Department. A new Chest X-ray Department was opened at the Kwai Chung Chest Clinic.

　　　　161. The radiotherapy division based at the Queen Elizabeth and Queen Mary hospitals treated more than 90 per cent of all patients requiring radiotherapy in the whole of Hong Kong and also operates a Colony-wide cancer registry.

162. The radioisotope service is included in the radiotherapy divi- sion. Because of its modest outlay, it serves mainly government in- stitutions, but a consultant service is also available, on a limited scale, to the Tung Wah group of hospitals, and medical practitioners in private practice.

　　　　163. The radiation physics division is responsible for the opera- tion of the radiological workshop which provides a maintenance service for government radiological equipment, and also a film-badge radiation monitoring service for the whole Colony. During 1972, the latter service covered 49 government institutions with 401 radiation workers, 120 private practitioners' X-ray laboratories with 386, and industrial firms with 74. Approximately 180 visits were made to non-government premises to inspect the working conditions of radiation workers. Special attention was paid to gas mantle factories where radioactive thorium nitrate forms an integral part of the production process. These duties were in addition to the radiation physics division's main func- tion of assisting the radiotherapeutic and radiodiagnostic divisions in their routine work and the training of staff.

164. The radiobiology division is responsible for investigating radio- biological and cancer problems to help the radiotherapy division in its work. It also assists in the training of radiotherapists.

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

166. In the field of research, the radiotherapy and radiobiology divisions are continuing their own as well as the collaborative research with the International Agency for Research on Cancer in an investiga-

tion into the epidemiology of nasopharyngeal carcinoma, the common- est cancer among Hong Kong men.

OPHTHALMOLOGY

167. This service maintains three full-time centres with surgical facilities, and in addition, holds regular sessions at 15 out-patient clinics in urban and rural areas. Ophthalmic surgery is performed in two government hospitals with a total of 36 beds for ophthalmic cases as well as in out-patient clinics. Emergency ophthalmic services are also available at the three casualty departments in the Queen Mary, Queen Elizabeth, and Kwong Wah hospitals.

168. During the year, the number of persons first registered as blind was 224, including 17 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 keratemalacia was comparatively rare.

EAR, NOSE AND THROAT SERVICE

169. Table 66 shows statistics collected by clinics run by the ear, nose and throat service at various centres, and also hospital cases taken care of by the consultant surgeon and his staff. Under the consultant surgeon are also an audiometric unit and a speech therapy unit. The former handles diagnostic hearing tests on patients referred by qualified E.N.T. surgeons in Hong Kong, and the latter treats all patients referred by registered doctors, with defects and disorders of voice, articulation, fluency, and so on, except cases of severe deafness in children. The latter are taken care of by the hearing and speech centre of the Education Department.

PHARMACEUTICAL SERVICE

170. This sub-department meets the requirements for drugs, dress- ings, surgical instruments and hospital sundries of all government hospitals, clinics, and health centres, including government-subsidized medical institutions. Headed by the chief pharmacist, it has a staff of 24 pharmacists and 192 dispensers. As a result of the renovation of the Central Medical Store in North Point, the major manufacture of pharmaceutical products, except for tabletting, was carried out solely

at the Kowloon Medical Store. The work of this new manufactory has been completed. It will be ready for fuli operation as soon as it is equipped.

　　　　171. The other responsibility of the chief pharmacist is the en- forcement of the law pertaining to dangerous drugs, pharmacy and poisons, and antibiotics. During the year, 107 prosecutions were taken out, and all resulted in convictions. Examinations for the registration of pharmacists were held as usual in June and December. A total of 34 candidates sat, but only seven passed.

MEDICAL SOCIAL WORK

　　　　172. The expansion of the medical and health services, and the increasing emphasis on rehabilitation in its various aspects, continued to make heavy demands on the services of medical social workers who have been enjoying good team-work with the other professional members of the medical and health team. The trend of moving from basic material and financial assistance to the giving of more and more. attention to the problems, or factors, that have led to the need for assistance, has called for more sophisticated social work knowledge, discipline and skill, so as to help the handicapped and the chronically- ill to re-integrate into society with a role and a task which can give them dignity and social status. The allocation of about 100 beds at the Grantham Hospital as convalescent beds for cases from the Queen Mary Hospital resulted in an extension of the service to patients transferred there. 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 and Jockey Club Clinic, 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 Violet Peel Polyclinic, the Eye Services of the Yau Ma Tei, Violet Peel and Yuen Long clinics, and the Mount Parish School for Mentally Sub-nomal Children, Wan Chai.

173. The medical social service of the Kowloon division which covers medical social work of the Queen Elizabeth Hospital, the Kowloon Hospital, the Lai Chi Kok Hospital, the Kowloon Rehabili- tation Centre, the Queen Elizabeth Specialist Clinic, the Cancer Wing of the Caritas Medical Centre and three out-patient departments in Kowloon, continued to provide service to an increasing number of

patients treated at these hospitals and clinics. Besides helping them to regain maximum health and social capability in a joint effort with medical staff, close liaison was maintained during the year with other government departments and voluntary agencies for the rehabilitation and after care of these patients.

174. Medical social workers in the chest and special skin division continued to see patients by 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 divsion 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 to out-patients, this division also provided medical social services to tuberculosis 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 1972 with such rehabilitation problems as the housing of leprosy patients, the employment of cured persons, and their re-integration into the community.

175. Medical social work in the mental health service widened in scope with the Medical and Health Department's expansion, and with the new psychiatric unit in the Kowloon Hospital and the Queen Mary Hospital University Psychiatric Unit now fully operational. The increase of intake naturally had its impact on medical social workers who were required to meet social problems of patients in treatment, the care of these patients' families, as well as planning for their dis- charge, aftercare and rehabilitation. The full implementation of the public assistance scheme of the Social Welfare Department further increased the demand on medical social workers' time and attention. The opening of the Siu Lam Hospital resulted in an upsurge of re- ferrals to the mental health service of mentally retarded individuals. often with accompanying social problems, such as family rejection, for whom the medical social worker's assistance in counselling and referral for other welfare services was essential.

176. 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 appre- ciated because of its teamwork implications, continued to be main- tained. 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 sec- tion, and so on, for medical social workers' contributions towards their staff development 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

　　　　177. The demand for physiotherapy services continued to rise, particularly for the serverely handicapped and patients requiring inten- sive care. Another large group, mainly out-patients, consisted of those suffering from cervical spondylosis, the symptoms of which are often caused by sedentary occupations and the lack of physical activities among office workers.

　　　　178. The physiotherapy services in the west wing of the Kowloon Hospital continued a programme of expansion to give convalescent patients, particularly spinal lesions, as much attention as possible so as to overcome their disabilities. Many were also treated at the Kowloon Rehabilitation Centre. These long-stay patients need much encouragement, and sports activities were arranged for them to help increase their strength and independence. Most of them become pro- ficient at various wheelchair sports and take part in competitions against patients from other centres in basketball, table tennis, archery, javelin, swimming and discus-throwing. More social activities were arranged, such as picnics, visits to tea houses and homes, shopping, ten-pin bowling, and music lessons. A similar service was inaugurated by physiotherapists for about 26 patients at the Queen Elizabeth Hospital.

　　　　179. The David Trench Rehabilitation Centre continued to expand slowly. It drew on the Wan Chai Clinic for patients needing hydro- therapy. The Wan Chai Clinic started swimming sessions for the more

independent at the Urban Services Department's all-season swimming pool at Morrison Hill. As more major surgery came to be done at the Queen Mary Hospital, the Queen Elizabeth Hospital, and the Surgical Thoracic Unit at the Kowloon Hospital, more time came to be spent on pre and post-operative care.

OCCUPATIONAL THERAPY

180. During the year, the occupational therapy sub-department reached full strength with the appointment of two expatriate officers, and the return of one scholarship graduate from the New South Wales College of Occupational Therapy in Sydney.

181. There was an increased demand for occupational therapy services in many government hospitals and out-patient centres--there are now eleven occupational therapy units within the sub-department. Otherwise, treatment in 1972 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.

182. The occupational therapy units in the Queen Mary and Queen Elizabeth hospitals continued with the treatment of in-patients. The Queen Elizabeth Hospital also has a regular attendance of out-patients. The Lai Chi Kok Hospital occupational therapy unit was closed on 10th April, 1972, becasue of an acute staff shortage. The Wan Chai Polyclinic unit continued to function to the maximum, despite its physical limitations and location, and these together prevented further expansion of the service offered.

183. The occupational therapy unit continued to provide a diverse programme of progressive treatment in the Castle Peak Hospital cover- ing work, recreation and group-social activities. The Hong Kong Psychiatric Centre and the Yau Ma Tei Mental Health Centre con- tinued to provide a treatment programme for out-patients, including selected patients from the Castle Peak Hospital. For the latter, a short follow-up period was necessary, and the same was also true for those receiving other forms of therapy referred for observation prior to assessment for future employment.

PROSTHETIC-ORTHOTIC SERVICE

184. The prosthetic-orthotic service provides modern artificial limbs and orthopaedic appliances for the public and for in-patients of

　　　government hospitals. The demand for prosthetic-orthotic service con- tinued 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.

185. 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 1972 to take a post-graduate prosthetic course, 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 research and development centres in those countries.

　　　　186. Work study in the production of artificial limbs continued. The main research and development undertaken during the year in- cluded: (i) dynamic splint for the correction of T.E.V. foot deformities, (ii) new techniques for fitting and manufacturing below-knee prosthesis, and (iii) improved design of all walking aids.

MEDICAL EXAMINATION BOARD

　　　　　187. 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 1972 when compared with the previous year. Tuberculosis remained the primary reason for non-acceptance of applicants on medical grounds, being responsible for seven out of the 10 classifications as 'unfit' in each 1,000 examinations. The Medical Examination Board is now located in the Canton Road government offices.

HOSPITAL MAINTENANCE AND SUPPLY

　　　　188. The development of the services provided in medical institu- tions operated by the Medical and Health Department continued during the year to make the administration and supply of the hospital service increasingly complex.

　　　　189. Work on the planning and commissioning of the Princess Margaret Hospital complex made good progress. The majority of the equipment is on order, or will soon be. A Commissioning Unit has been formed, and it is expected that the general hospital will be

opened in phases starting late in 1974. Every attempt has been made to ensure that both the buildings and equipment conform to modern ideas and standards. But in a project of this magnitude, which will have taken some eight years to reach fruition, during which period. there have been impressive improvements in diagnostic and therapeutic procedures, some shortcomings are inevitable. These should still be minimal, and it is hoped that the new complex will form a hospital of which the Colony will be proud.

190. Detailed planning on the second mental hospital, which will form part of the Princess Margaret Hospital complex, is now under- way and work on the equipment schedules and other maintenance and administrative aspects has started.

191. Staff welfare continued to improve with the appointment of a full time Staff Welfare Officer.

192. A considerable degree of assistance was rendered to various subsidized hospitals in regard to equipment and detailed planning of new projects, in particular to the Yan Chai and the United Christian hospitals which are due to open soon.

AUXILIARY MEDICAL SERVICE

193. The Auxiliary Medical Service consists of more than 6,000 young men and women, of whom at least 2,000 are under 24. The service continued to expand during the year, and there was always a long list of recruits waiting to be trained. Members augment Hong Kong's medical, ambulance and rescue services during any emergency.

194. Approximately 3,500 officers and members are in the ambu- lance depot teams, which are dispersed, with their stores, throughout the urban areas, the New Territories and outlying islands. These terms are affiliated to the nearest fire stations, and members carry out duties as drivers and crews of ambulances at weekends and on public holidays. They are also trained in light rescue and life-saving. There are more than 600 trained life-savers-men and women-who also carry out regular life-guard duties on the beaches and in public swimming pools during weekends and on public holidays.

195. Officers and members assigned for emergency duties in hospi- tals carry out annual training for a week in one of the major hospitals. Others are trained as inoculators, dental surgery assistants, and for work with the chest service.

　　　　196. All trained members carried out operational duties during the year. Members attended at scenes of all major fires to help care for the injured and homeless, and stood by to assist whenever typhoons threatened.

197. Members manned weekend sessions of the Medical Examina- tion Board set up since mid-December 1972 in response to a mass recruitment campaign for auxiliary police. This has helped considerably to speed up the recruitment procedure of the campaign. The weekend sessions were continued for other defence units after the auxiliary police campaign was over.

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

REGISTRATION OF MEDICAL CLINICS

199. In accordance with the Medical Clinics Ordinance, all clinics are required to be re-registered annually. On 31st March, 1973, there were 75 registered static clinics, three registered mobile clinics in the charge of registered medical practitioners, and 344 clinics registered with exemption, making a total of 422.

　　　　200. The low cost medical care scheme, aimed at providing general practitoner services to the population residing in all housing estates, continued to operate. Eighty-five registered medical practitioners took part in the scheme in resettlement estates, and 27 in housing estates. In addition, 36 of the 344 clinics registered with exemption under the Medical Clinics Ordinance (para. 159) also operated under the scheme.

V. GOVERNMENT-ASSISTED HOSPITALS

　　　　201. Financial assistance, mainly by means of an annual subven- tion, is given by the Government to certain voluntary organizations maintaining hospitals in Hong Kong. Such hospitals, containing a total of 7,621 beds, provide mainly non-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 $98,704,432 recurrent, and $10,272,687 special expenditure.

THE TUNG WAH GROUP OF HOSPITALS

　　　　202. 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 $52,255,214.

203. Construction of the 12-storey Centenary Block in the Tung Wah Hospital was continued, and phase I of the project was completed in August 1972. Work on phase II began in early 1973. When com- pleted, the building will have 424 beds, with a new casualty depart- ment, X-ray facilities, new operating theatres, and single quarters for 20 medical officers.

204. In the Kwong Wah Hospital, a medical social service was established in August 1972. Planning began during the year to erect a 10-storey clinical pathology building which will provide accommoda. tion for the clinical pathology service, the physiotherapy department, the occupational therapy department, the medical social service, and other services in the hospital.

205. The casualty section of the Kwong Wah Hospital handles accident cases 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 section dealt with cases not only from the northern part of Kowloon peninsula, but also from other areas. The officers attached to the police post, the industrial health division of the Labour Department, and the ambu lance control post in the casualty section continued to work in close liaison with the staff there.

206. In the Wong Tai Sin Infirmary, there are altogether 681 beds, of which 185 are 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.

207. In March 1973, the Tung Wah Eastern Hospital completed its programme of alteration. The work carried out included the pro- vision of two major operating theatres, one minor theatre, two air- conditioned X-ray rooms, an expanded laboratory, and an enlarged

kitchen. After the alteration, the hospital is expected to receive straight-forward emergency cases from its own out-patient section and receiving room, and also from the casualty section of the Tang Shiu Kin Hospital.

ALICE HO MIU LING NETHERSOLE HOSPITAL

208. This hospital, supported by the London Missionary Society, received a subvention of $8,582,584 during the year. The hospital has been considerably modernized in recent years, and its facilities greatly improved.

　　　　209. It has had another busy year with an increase in in-patient admissions over the previous year of 15 per cent and in out-patient attendances of 10 per cent. The greatest demand is on the obstetric service which remains overcrowded despite strict limitations on bookings.

POK OI HOSPITAL

　　　　210. This charitable hospital in Yuen Long, New Territories, continued in 1972 to serve the population of Yuen Long and surround- ing areas. Recently, the hospital was modestly expanded and during the year the north wing extension project was completed and brought into use. The new building provides a kitchen, a laundry room, and quarters for minor staff.

211. 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

212. 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 main- tained partly with the aid of a government subvention. In 1972, this was $5,495,940. 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.

213. During the year, a prosthetic and orthotic section was established. 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

214. The three institutions of this Association the Grantham Hospital, the Ruttonjee Sanatorium, and the Freni Memorial Con- valescent Home provide the great majority of beds available for the treatment of tuberculosis, and a close liaison is maintained with the government chest service.

Grantham Hospital

215. This hospital of 625 beds is equipped as a modern chest hospital and is adminstered 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, 78 beds been re-allocated for general use as convalescent beds for chest and heart cases from the Queen Mary Hospital.

216. 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.

Ruttonjee Sanatorium and Freni Memorial Convalescent Home

217. The Ruttonjee Sanatorium has 250 beds, including 40 for children. It is supported by voluntary contributions and by a subven- tion from the Government amounting to $3,700,000 in the year under review. Patients are referred for admission by the government chest clinics or the casualty sections 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 also admitted. A special unit is provided for the manage- ment 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 patients whose progress is uncomplicated but who need supervised anti- tuberculosis chemotherapy. The medical and nursing staff of the Ruttonjee Sanatorium operate the Freni Memorial Convalescent Home.

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

HAVEN OF HOPE SANATORIUM

　　　　219. 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 subvention of $1,944,000.

DUCHESS OF KENT CHILDREN'S ORTHOPAEDIC HOSPITAL AND

CONVALESCENT HOME

　　　　220. Maintained by the Society for the Relief of Disabled Children, with the aid of a subvention of $1,677,569, this modern children's orthopaedic hospital now has 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. During the year, a new spinal X-ray equip- ment was installed. The hospital continued its research on the treat- ment of spinal deformities with the halo-pelvic traction apparatus. Following surgery, rehabilitation is achieved with physiotherapy, occupational therapy and primary schooling.

OUR LADY OF MARYKNOLL HOSPITAL

　　　　221. This hospital of 264 beds is administered by the Maryknoll Sisters, and was maintained during the year with the aid of a sub- vention of $2,006,082. It is located at Chuk Yuen in north-east Kowloon, and provides general in-patient and out-patient facilities

for this rapidly expanding area. The hospital also provides a two- year training programme for enrolled nurses.

HAY LING CHAU LEPROSARIUM

222. This leprosarium, situated on an island six miles from Hong Kong Island, is maintained by the Leprosy Mission, Hong Kong Auxilary, with the aid of a subvention of $925,000. 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. The number of patients has fallen in recent years as a result of the decreasing incidence of leprosy, and at the end of 1972, there were only 149 patients at Hay Ling Chau, a decrease of 47 patients compared with the previous year.

THE HONG KONG SOCIETY FOR REHABILITATION

MARGARET TRENCH MEDICAL REHABILITATION CENTRE

223. This Centre, aided by a recurrent grant from the Government amounting to $741,000 in 1972, accommodates 80 patients, with occupational workshops and facilities for physiotherapy and the manufacture 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

224. 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 disease. 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.

HONG KONG BUDDHIST HOSPITAL

225. This hospital, situated in north-east Kowloon, was opened in October 1970. It has a capacity of 350 beds. The hospital is provided with beds for general medical, surgical and obstetric patients. During the year, both out-patient attendances and in-patient admissions

　　　showed an increase. The hospital was assisted by the Government with $1,580,897 in 1972.

FANLING HOSPITAL

　　　　226. This hospital, administered by the Lutheran World Federa- tion, has 54 beds. It is situated in the Fanling area of the New Territories. From April 1971, it began to be assisted by the Govern- ment in respect of its recurrent expenditure on a two-thirds cost basis. 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. Towards the end of the year under review, dis- cussions were completed for the hospital to be taken over by the Government on 1st April, 1973.

VI. THE TRAINING PROGRAMME

　　　　227. To provide the people of Hong Kong with comprehensive and freely available medical and health services, the department needs a considerable number of doctors, nurses and various para-medical staff to run its hospitals, out-patient sections, polyclinics and other institutions. As the demand for medical services increase yearly, the overall staffing problem can only be met by recruiting and training more men and women of all grades.

　　　　228. The training of officers in all grades is therefore an important task. Unless adequate numbers of staff are available, the services will be affected. In addition, the department recognizes the need for pro- viding continuing training for medical and health staff to enable them to improve their skill in their respective fields. This will keep them up-to-date with developments and improved techniques, and so raise general standards.

　　　　229. In line with such a policy, the post of Medical Training Administrator was created during the year. This officer is now respon- sible for co-ordinating and organizing all aspects of training among doctors, nurses and the professions supplementary to medicine.

DOCTORS

　　　　230. Post-graduate training for doctors in the various branches of medicine and surgery is carried out by the University of Hong Kong's clinical professors and government clinical specialists. Every year, subject to the requirements of the time, a number of doctors are

sent overseas for higher professional qualification and to obtain the necessary clinical experience in specialized subjects.

231. In addition to the co-operation of university professors, there are arrangements for higher professional examinations in Hong Kong by the Royal Colleges of Medicine, Surgery, Obstetrics and Gynae- cology, Pathology, and the Faculty of Anaesthesia.

232. Besides full-pay study leave, other financial assistance include the New Zealand Medical Aid Programme, the World Health Organiza- tion Aid Programme, the Sino-British Trust, the Commonwealth Scholarship, and the Li Po Chun Scholarship for the training of doctors overseas. Last year, 26 government doctors were enabled by these means to acquire higher qualifications in their respective fields.

DENTAL STAFF

233. 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-three for study at the University of Otago, New Zealand, and one for study at Guy's Hospital, London. One graduate returned to Hong Kong, bringing the total number of such qualified dentists to 68 from a total of 93 scholarships so far awarded.

234. In-service training in dental technology for government student dental technicians was suspended in 1972 because of the absence of new recruits, while evening classes for dental technicians in the private sector were held at the Hong Kong Technical College.

235. During the year, two dental officers were sent abroad for further study in prosthetic dentistry and dental health tutorship in the United Kingdom and New Zealand. A dental nurse who was sent on a 12-month dental nurse tutor course in New Zealand under a World Health Organization fellowship, returned to Hong Kong after completion of her studies. Seven dental surgery assistants were in Singapore and Penang for training in dental nursing under World Health Organization fellowships.

NURSING STAFF

Nurses

236. 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 Cantonese. Examinations are held by the Nursing Board of Hong Kong, and there is full reciprocity of registration between the Board and the General Nursing Council of England and Wales.

Enrolled Nurses

　　　　237. Two types of course are held for enrolled nurses. The general course lasts two years. It is conducted at the Kowloon Hospital. The psychiatric course, also two years, is held at the Castle Peak Hospital. Enrolment examinations are held by the Hong Kong Nursing Board, but there is no reciprocity between the Board and the General Nursing Council of England and Wales.

Post-graduate Courses

　　　　238. Eight nurses returned to Hong Kong from overseas, having successfully gained post-graduate certificates in nursing education. nursing administration, ophthalmic nursing, dietetics, theatre-service- centre technique, and venereal disease nursing. A further nine nurses have gone overseas to study nursing education, nursing administration, dietetics, central-sterile-supply technique, and burn and plastic surgery nursing.

Midwifery

239. 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.

240. 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 qaulifications with the Central Midwives Board of England and Wales is not possible. Only the one-year post-graduate courses conducted in English, held at the Queen Elizabeth Hospital and the Caritas Medical Centre, have reciprocity with the Part I Examination of the Central Midwives Board of England and Wales.

Health Visitors

241. The nine-month health visitors course was temporarily suspended in 1972-73.

Health Auxiliaries

242. 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 disease in particular.

RADIOGRAPHERS

243. Radiographers continued to receive in-service training during the year, and examinations were held in Hong Kong for membership of the Society of Radiographers for both therapy and diagnostic radio- graphers. Seven student radiographers passed the Part II D.S.R.(R) examination, and one passed the Part II D.S.R.(T), so becoming qualified radiographers.

LABORATORY TECHNICIANS

244. The department's 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 was held in Hong Kong, and technicians were sent to the United Kingdom to obtain the A.I.M.L.T. qualification.

SCHOOL OF PHYSIOTHERAPY

245. The full programme of the Physiotherapy Training School had to be curtailed during the year as the result of a shortage of teaching staff. No new intake of students was accepted in October 1972, but students in training continued as usual. Thirteen students, including three for non-government institutions, qualified in 1972, leaving 28 who are continuing training at present, of whom eight will eventually work in the private sector. There continued to be much interest in the course, especially among students in secondary schools.

OTHER FORMS OF DEPARTMENTAL TRAINING

246. In-service courses of training continued in 1972 for dispensers and prosthetists. These courses do not lead to recognized qualifica- tions, but qualify those who complete them for appointment to permanent posts in government service after passing a departmental examination.

VII. DEVELOPMENT

FORWARD PLANNING

　　　　247. Hospital development has been unparalleled in the past 18 years. But the population has also increased rapidly, and there is considerable pressure on most categories of hospital beds, particularly those for acute and chronic general and mental patients.

　　　　248. The white paper on the development of medical services in Hong Kong, tabled in the Legislative Council in February 1964, out- lined the medical problems in Hong Kong, and made suggestions for the correction of deficiencies in order to produce, alongside a rapidly increasing population, a reasonably satisfactory standard of medical facilities. The working party which prepared the white paper was re-constituted by the Governor as the Medical Development Plan Standing Committee.

249. The Committee held 57 meetings since its inception in order to keep the recommendations made in the white paper under con- tinuous review, and to report its conclusions on all major matters to the Government. The committee's activities fell into five main cate- gories-the development of medical institutions, the staffing of such institutions, subventions to government-assisted institutions, fees and charges, and improved utilization of existing medical facilities.

　　　　250. The principal matters considered by the Committee during the year were the future role of the Fanling Hospital, the Violet Peel Clinic, the United Christian Hospital, the Kowloon Public Mortuary, the standard urban clinics at Li Muk Shue and Ha Kwai Chung, the review of policy governing recurrent subvention, the dental nurses training school and school dental clinics, and the subventions paid to government-assisted institutions.

　　　　251. Over the past 10 years, the medical services have been con- siderably expanded, and the aims set out in the white paper were broadly achieved. For example, the target for an overall provision of 4.25 hospital beds per 1,000 of the population was attained, and developments already in the pipeline will increase the ratio to 4.5.

　　　　252. The programmes of improvement and expansion over the next 10 years between 1973 and 1982 would now have to be separately examined, and it was in this context that in March 1973, a new

Medical Development Advisory Committee was appointed by the Governor to replace the Medical Development Plan Standing Committee whose task had been completed.

253. The terms of reference of the Medical Development Advisory Committee were: 'To keep under continuous review and to advise on the development and phased implementation of medical and health services in Hong Kong having regard to all factors which would determine the progress of expansion including financial, the rate of building construction and the availability of qualified staff, and on the principles of subvention.'

254. The Medical Development Advisory Committee was also asked to advise on what programmes of improvement and expansion would be appropriate over the next 10 years, in the circumstances of Hong Kong, and to submit a report to the Governor by 31st July, 1973.

255. The Medical Development Advisory Committee consisted of the following Members:

Dr. the Hon. Sir Albert RODRIGUES (chairman); the Director of Medical and Health Services, Dr. G. H. CHOA (vice-chairman); the Deputy Financial Secretary, Mr. D. G. JEAFFRESON; the Principal Assistant Colonial Secretary (Social Services), Mr. P. B. WILLIAMS; the Secretary, University and Polytechnic Grants Committee, Mr. S. F. Bailey; the Hon. R. H. LOBO; Mr. TAI Kuen: Mr. Li Fook-wo; Sister (Dr.) M. Acquinas; and Dr. Li Shu-pui.

COMPLETED PROJECTS

256. Six projects were completed during the year. They are the Medical and Health Department Institute of Immunology, stage one of the South Kwai Chung Jockey Club Polyclinic, the new clinical building and the new pathology building and virus laboratory at the Queen Mary Hospital, the Medical and Health Department Laundry at Chai Wan, and the new Victoria Public Mortuary. The Siu Lam Hospital for the mentally subnormal, completed at the end of the previous year, was opened in June 1972. The only government-assisted project completed was the alteration to the Tung Wah Eastern Hospital.

PROJECTS UNDER CONSTRUCTION

　　　　257. Major projects under construction included the general wing of the Princess Margaret Hospital, the combined staff quarters for the general and psychiatric wings of the same hospital, the Tsz Wan Shan standard urban clinic and maternity home, the major alterations and the new out-patient department at St. John Hospital, Cheung Chau, and the new Sha Tau Kok Clinic and maternity home. 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 Hospital in Kwun Tong.

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

WEST

CENTRAL

HONG KONG ISLAND MEDICAL FACILITIES

MAP I

MANCHA

NORTH POINT

HONG

KONG

ABERDEEN

STANLEY

EAST

HONG KONG ISLAND

GOVERNMENT INSTITUTIONS

MAP 1

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)

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

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

A 2

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)

3. 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)

E 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 Maternity 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, chest clinic and phy- siotherapy department)

GOVERNMENT-ASSISTED AND PRIVATE

INSTITUTIONS

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

hospital)

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)

Duchess of Kent Children's Orthopaedic Hospital and Convalescent Home

A 1

Freni Memorial Convalescent Home

B 1

9. Li Sing Dental Clinic

E. Grantham Hospital (a tuberculosis hospital)

B 2

10. Port Health Inoculation Centre, Harcourt Road 11. Port Health Inoculation Centre, Li Po Chun Chambers; 12. Queen Mary Hospital (an acute general hospital with casualty department)

B 1

Hong Kong Adventist Hospital (a general hospital)

A 1

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 health Centre, maternity. home, chest clinic and dental clinic)

Hong Kong Central Hospital (a general hospital) Hong Kong Sanatorium and Hospital (a general hospital); Matilda and War Memorial Hospital (a general hospital) Nam Long Hospital (a cancer hospital)

A 1

B 1

A 1

A I

Ruttonjce Sanatoriun (a tuberculosis hospital)

Sandy Bay Convalescent Hospital

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

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

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

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

LAI CHI KOK

SHAMSHUIRO

MONG, KOKI

YAU MA TEI

KOWLOON PENINSULA MEDICAL FACILITIES

MAP II

HUNG HOM

200

AIR PORT

KOWLOON

BAY

TSIM SHA TSUI

VICTORIA HARBOUR

KWUN TONG

GOVERNMENT INSTITUTIONS

KOWLOON

MAP 11

GOVERNMENT INSTITUTIONS (Contd.)

MAP [I

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

5. Cheung Sha Wan Police Medical Post (general out- patient and dental facilities for police officers and their [amilies)

6. Farm Road Dental Clinic

C 1

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

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

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

10. Kowloon Chest Clinic (a chest 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)

19. Queen Elizabeth School Dental Clinic 20. Robert Black Health Centre (general out-patient facilities, 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- Lies 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)

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

GOVERNMENT-ASSISTED AND

PRIVATE INSTITUTIONS

B 2

# 1

and

B 2

13. Lai Chi Kok Hospital (an infectious diseases and convalescent hospital, with an Isolation Unit for the segregation of suspected cases of quarantinable di- $cases)

14. Li Kes Memorial Dispensary (general out-patient facili- ties with special clinics and a dental clinic) 15. Li Po Chun Health Centre (general out-patient facilities, maternal and child health centre and maternity home) 16. Lions Club Maternal and Child Health Centre (maternal and child health centre and maternity home)

Baptist Hospital (a general hospital)

A 1

Caritas Medical Centre (a general and tuberculosis hospital)

Evangel Medical Centre (a general hospital)

Hong Kong Buddhist Hospital (a general hospital)

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

B 2

17. Medical Examination Board

Margaret Trench Medical Rehabilitation Centre Our Lady of Maryknoll Hospital (a general hospital) H. Precious Blood Hospital (a general hospital)

18. Queen Elizabeth Hospital (an acute specialised gencrai hospital with casualty department and specialist clinic)

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

NEW TERRITORIES

MEDICAL FACILITIES

CASTLE PEAKE

THIÊN LONG

LANTAU KLAND

SHA 140

SHEUNG SHUI

LE THI

TAI PO

SHEK KWU CHOỤ

FAKLING

WAN

SHATIN

SAI KUME

UEE CH

LNG CHAY

HONG

KONG

MAP IN

NEW TERRITORIES

GOVERNMENT INSTITUTIONS

MAP [11

GOVERNMENT INSTITUTIONS (Contd.)

MAP 111

L. Castle Peak Hospital (a mental hospital)

B 2

2. Tuen Mun Clinic (general out-patient facilities and maternity home)

17. South Kwai Chung Jockey Club Polyclinic (general out- patient facilities with special clinics and maternal and child health centre)

3. Chi Ma Wan Prison Hospital

18. South Lantau Hospital (a general hospital with out- patient facilities)

A 4

4. Ho Tung Dispensary (general out-patient facilities and maternity home)

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

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

(20. Tai Lam Addiction Treatment Centre

B 2

21. Tai Lam Centre for Women

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

B 2

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

A 3

7. Maurine Grantham Health Centre (maternal and child health centre and maternity home)

23. Tai Po Jockey Club Clinic (general out-patient facilities, dental clinic and maternity home)

8. North Kwai Chung Clinic (general out-patient facilities and maternal and child health centre)

24. Ma Po Ping Addiction Treatment Centre

A 4

9. North Lamma Clinic (a maternity home with some out- patient facilities)

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

टस

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

A 3

11. Sai Kung Dispensary (general out-patient facilities and maternity Home)

GOVERNMENT-ASSISTED AND

PRIVATE INSTITUTIONS

12. Sha Tau Kok Clinic (some out-patient facilities)

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

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

B. 2

Fanling Hospital (a general hospital)

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

Haven of Hope Tuberculosis Sanatorium

Hay Ling Chau Leprosarium

B-3

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

Pok Oi Hospital (a general hospital)

B 2

16. Slu Lam Hospital (a hospital for the mentally sub- normal)

B 1

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 31.3.73 Organization of Medical and Health Department Statement of Expenditure from 1968-69 to 1972-73

ILL

---

Table No.

---

LAPS NO -

Legislation of Medical and Health Importance-April 1972 to March 1973 Work of Statutory Councils and Boards-April 1972 to March 1973

PUBLIC HEALTH

(a) Vital Statistics

Estimated Population Structure-Mid 1972 Births and Deaths 1958 and 1963-72

Infant and Maternal Mortality 1958 and 1963-72

Major Causes of Infant Mortality 1958, 1963 and 1968-72 Major Causes of Maternal Mortality 1958 and 1963-72 Proportionate Mortality by Disease Groups 1958, 1963 and

1968-72...

LLI

The Ten Leading Causes of Deaths by age and sex 1972 Leading Causes of Death 1956, 1966 and 1972

(b) Infectious Diseases

Infectious Diseases notified (cases and deaths) 1968-72 Mortality Rates for Certain Infectious Diseases 1968-72 Principal Infectious Diseases by age and sex 1972 Prophylactic Immunizations 1968-72

Number of Cancer Deaths by Age and Sex 1972

LJI

FrT

---

LLJ

---

BERA INS

---

ILI

NER 50

Main Causes of Death from Cancer in Hong Kong 1962-72 New Cases of Cancer notified to the Cancer Registry by age and

sex 1969

New Overseas Cases of Cancer Diagnosed in Hong Kong 1969 (d) Deaths from Heart Diseases by Age and Sex 1972

WORK OF HEALTH DIVISION

(a) Tuberculosis

110

Tuberculosis Mortality 1958 and 1963-72 Tuberculosis in Childhood 1958 and 1963-72 Tuberculosis Notifications 1958, 1963 and 1968-72 Work of Government Chest Service 1972 X-Ray Surveys 1962-72

---

LII

LLJ

ILL

+++

TPI

---

-J

---

LLI

Examination of New Contacts 1972

**3858

...

(b) Malaria

Distribution of Cases and Identification of Parasites 1968-72

Annual Incidence and Trend of Venereal Disease 1963-72 V.D.R.L. Examinations in Expectant Mothers 1968-72 Leprosy 1972

Analysis of Dermatological Conditions Presenting at Clinics 1972... 33 Cultures for Mycological Identifications 1972

- 11

ILI

r..

---

INDEX TO STATISTICAL APPENDIX Contd.

Table

No.

[[1.

WORK OF HEALTH DIVISION-Contd.

(d) Port Health

Work of the Port Health Service 1972

(e) District Midwifery Services

Midwifery Services 1971-72-1972-73

(f) Maternal and Child Health Services

Distribution of Maternal and Child Health Centres at 31,3.1973 Work of Maternal and Child Health Services 1971-72

(g) Social Medical Service Board

---

...

Number of Participating Schools, Pupils and Doctors at 31,3,1973... 39

(1) Dental Service

Work of the General Dental Service 1968-72

(i) Forensic Pathology

Work of the Forensic Pathology Laboratories 1971-72

(j) Government Laboratory

- Fr

Work of the Government Laboratory 1971-72 (k) Medical and Health Department, Institute of Pathology

Work of Medical and Health Department, Institute of Pathology

1971-72

Vaccine Production 1971-72

---

LLJ

ILL

JL L

JLL

Blood Banks 1972

PIL

LIJ

ILL

Work of Public Mortuaries 1971-72

(1) Industrial Health

Work of Industrial Health Section 1972 ..

---

IV.

WORK OF THE MEDICAL Division

Number of Hospital Beds in Hong Kong 1972

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

Hospitals, Clinics and Maternity Homes 1972

Disease Classification of In-patients Treated in Government and

Government-Assisted Hospitals and all Deaths in the Colony 1972

(a) Government Hospitals

---

ILI

ILL

FIT

-FF

---

Expenditure on Hospitals 1971-72 and 1972-73 Work of the Queen Mary Hospital 1971-72 Work of the Queen Elizabeth Hospital 1971-72 Work of the Queen Elizabeth Hospital Casualty 1972 Work of the Tang Shiu Kin Hospital 1971-72 Work of the Tsan Yuk Hospital 1971-72 Work of Castle Peak Hospital 1972 ... Work of Day Hospitals and Psychiatric Centres 1972 Work of Kowloon Hospital, Psychiatric Unit

---

F +1

Frr

IV.

VI.

VII.

INDEX TO STATISTICAL APPENDIX Contd.

Table No.

WORK OF THE Medical DIVISION-Contd.

(6) Out-patient Clinics

Total Out-patient Attendances at Government and Government

Assisted Hospitals and Clinics 1972...

Total Out-patient Attendances at New Territories Clinics 1972

Work of Radiodiagnostic Branch 1972 Radiotherapeutic Division 1972

(d) Ophthalmology

Work of the Ophthalmic Service 1971-72 Analysis of Major Causes of Blindness

(e) Ear-Nose-Throat Service

717

---

Work of the Ear-Nose-Throat Service 1971-72

() The Pharmaceutical Services

Work of Pharmaceutical Services 1971-72

(g) Physiotherapy

Work of Physiotherapy Service 1972

(h) Occupational Therapy

+++

T10

PPT

- rr

+++

ייז

ITT

2 22 33 28

.г т

---

...

---

Work of Occupational Therapy Service 1972 ... (1) Work of Prosthetic-Orthotic Service 1972 (J) Medical Examination Board

Work of Medical Examination Board 1971-72 Unfitness of Candidates by Causes 1971-72 (k) Medical Clinics Registration

GOVERNMENT-ASSISTED HOSPITALS

..ז

(a) Government Medical Subventions to Voluntary Institutions

1968-69 1972-73

(b) Work of the Grantham Hospital 1972. (c) Work of Ruttonjee Sanatorium 1968-72 (d) Admissions to Leprosarium 1972

DEVELOPMENT PROGRAMME

Building Programme

---

-T

---

RRRR

TRAINING PRogramme

(a) Nurses in Training at 31.3.1973

(b) Overseas Courses of Instruction 1972-73 (c) Departmental Training at 31.3.1973

VIII. MISCELLANEOUS

Itr

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

(d) Samaritan Fund

(e) Donations

---

+++

---

· · ·

LLL

+++

- г г

---

LJ J

*****

TABLE 1

ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT AS AT 31ST MARCH, 1973

Grade

Zone

Director of Medical and Health Services

ILL

Deputy Director of Medical and Health Services Assistant Director of Medical and Health Services.

ггг

---

Medical Training Administrator

LLI

LIL

Medical Administrator...

Fri

Senior Specialist and Specialist

PPI

Principal Medical and Health Officer

LLL

Chief Executive Officer/Senior Executive Officer Executive Officer

LIL

Senior Treasury Accountant/Treasury Accountant... Senior Medical and Health Officer/Medical and Health Officer/Assistant Medical and Health Officer

PPT

---

Senior Dental Officer/Dental Officer/Assistant Dentel

LIL

Principal Nursing Officer

Officer

Nursing Staff

rrr

ггг

Senior Dietitian/Dietitian

LLL

--L

ILL

।। सुध

|| ==|||||

1.1.

1241

---

3 799 1,016 575

661

185

ггг

17:

---

22.

---

94 1431 56 33

ليا

357

748

607

ཙནྡྷུ

151 828

4,663

4,142

13.

131

103

[48]

229

227

31 943 1,231 943 1,231

653

653 716

493

201

206 206 1,396

1,396 5,929

5,230

Senior Medical Social Worker/Medical Social Worker Class I and Class li

PPP

Chi Pharmacist/Senior Pharmacist/Pharmacist/ Chief Dispenser/Senior Dispenser/Dispenser/ Student Dispenser/Dispensary Supervisor... Government Chemist/Senior Chemist/Chemist/ Assistant Biochemist

---

Carried forward

---

Grade

Zone

TABLE 1-Contd.

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Kowloon Hospital

Castle Peak Hospital and Mental Health

Brought forward

9431 1,231

653)

716.

Scientific Officer (Medical) and (Clinical Psychologist), Senior Physicist/Physicist

ILL

Chief Hospital Secretary/Senior Hospital Secretary)| Hospital Secretary/Assistant Hospital Secretary Steward Class I, Class II and Class II[ General Grade Staff

......

FIL

Superintendent Radiographer/Senior Radiographer/ Radiographer Class I/Radiographer Class Hi Student Radiographer

X-Ray Assistant

ILL

Superintendent Physiotherapist/Senior Physiother- apist/Tutor Physiotherapist/Physiotherapist Class 1/Physiotherapist Class Il/Student Physiotherapist

IPI

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 1/Student Medical Laboratory Technician

---

111

Senior Laboratory Assistant/Laboratory Assistant/ Student Laboratory Assistant Senior Health Inspector/Health Inspector Class I and I

---

Senior Inoculator/Inoculator Audiology Technician ...

...

---

ייי

---

...

Curried forward

---

LFF

114

110!

NNU

146). 1873) 1+5406

的

ลงการค

Tsan Yuk Hospital

493

2011

30;

Dental Service

Tuberculosis Service

Clinics and Services

Other Hospitals.

Tolal

Strength on 31,3,1972

206 1,396;

5,929 5,230

Là

4 n

21.

28!

242

708'

713

YAR

[49]

136

201

261

11 ||

10어

103

191

177

ཙྪཱ

J13

127

121

191 78

"276, 2,034)

6,680

Grade

Zone

Brought forward

---

Prosthetist Class I/Prosthetist Class 11/Student

---

Mould Laboratory Technician/Student Mould

Prosthetist

Laboratory Technician

Dental Technologist

Dental Inspector

- 10

100

Dental Technician/Student Dental Technician

---

Senior Dental Surgery Assistant/Dental Surgery Assistant

LLL

---

Dental Nurse Laundry Manager/Assistant Laundry Manager/

Laundry Supervisor

ггг

יי

Linen Production Unit Manager/Linen Production

...

Unit Supervisor/Linen Room Supervisor... Senior Electrical Technician/Electrical Technician Senior Optical Technician/Optical Technician Technical Assistant (Social Hygiene)

---

Kitchen Supervisor

Mortuary Assistant

---

-11

---

➖ ➖ ➖

Medical Board Assistant Poster Artist

LLL

---

LLL

Photographer Class I and Class II Fumigator

---

Foreman Class I and Class [II

JLL

---

111

Supplies Officer/Assistant Supplies Officer/Supplies

Supervisor/Supplies Assistant

Telephone Operator

Hospital Receptionist ...

---

Other Staff

Headquarters

Queen Mary Hospital

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Kowloon Hospital

Castle Peak Hospital and Mental Health Centre

Tsan Yuk Hospital

Dental Service

Tuberculosis Service

Clinics and Services

Other Hospitals.

18101

Strength on 31.3.1972

146 1,073 1,510

731

781

586

200

1:00

276 2,034) 7,445 6,680

||-||-|||~|

| |

-EELA

[6]

تب

* unga k* *

N-

•

---

111

14; 862 1,303

196 484

700

125

39 1,729 5,499

5,140

---

164 1,963 2,867

2,867|

934 1,278 1,295

339 276

315 3,833

13,264

12,130

TOTAL

---

TABLE 2

ORGANIZATION OF MEDICAL AND HEALTH DEPARTMENT 1972-73

MEDICAL TRAINING ADMINISTRATOR

DEPUTY DIRECTOR (HEALTH)

ASST. DIRECTOR (HEALTH)

T.O.SERVICE DENTAL SERVICE

FORENSIC PATH INSTITUTE OF PATHOLOGY SOCIAL HYGIENE SERVICE

GOVT. LAO. EPIDEMIOLOGY

N C.H. SERVICE

RMMOs. CHEALTH (HVISION)

HEADQUARTERS PORT HEALTH REGIONAL HEALTH OFFICES -H.K.. K. INT.

PRINCIPAL INFORMATION OFFICER

DIRECTOR

ASST. DIRECTOR (ADMINISTRATION)

[PRINCIPAL,

NURSING

OFFICER

SEN. TREAS. ACCOUNTANT

P.M.H.O.

(PLANNING)

SECRETARY

CHIEF HOSP SECRETARY

DEPUTY DIRECTOR (MEDICAL)

ASST. DIRECTOR (MEDICAL)

MEDICAL FADMINISTRATOR (P.M.H.)

IG N. SUPT.

TUNG WAH

GROUP OF

HOSPITALS

P.M.H.OS. (MEDICAL DIVISION) HEADQUARTERS HOSPITALS −0 M. QUE .K. AND TY. URBAN OUTPATIENT SERVICES

MENTAL HEALTH SERVICE ANAESTHETIC SERVICE | RADIOLOGICAL SERVICE OPHTHALMIC SERVICE E N.T. SERVICE |MED. SOCIAL SERVICE PHYSIO. SERVICE

OCCUP. THERAPY SERVICE PHARMACEUTICAL SER SUBVENTED HOSA DIHER- THAN 1.WO HOSPS. NARCOTIC ADDICTION LIAISON OFFICE

TREAS: ACCT. (SUBVENTIONSI

DEPUTY STAFF WEL SECRETARY OFFICER

ACCOUNTS||STORES GENERAL PERSONNEL

SECRETARY (BOARDS)

REGISTRY REGISTRY

TABLE 3

STATEMENT OF EXPENDITURE FROM 1968-69 TO 1972-73

Particulars

1968-69

1969-70

1970-71

1971-72

1972-73

Medical and Health Department....

b. Medical Subventions

133,582,644 148,239,041 177,874,176 189,714,915 235,243,875 52,457,856 57,732,380 63,146,736 82,046,061 110,108,034

Capital expenditure on medical projects under Public Works Non-Recurrent

8,420,115 11,434,288 11,225,360 32,615,571 51,923,641

Total

Total expenditure of the Colony

194,460,615 217,405,709 252,246,272 304,376,547 397,275,550

1,872,974,955 2,032,183,388 2,452,192,832 2,901,375,575 4,299,555,179

1. I

111

10.38% 10.70% 10,29% 10.49%

9.24%

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

---

TABLE 4

LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE

FROM APRIL 1972 TO MARCH 1973

Ordinances

(i) Pharmacy and Poisons (Amendment) Ordinance 1972.

(ii) Nurses Registration (Amendment) Ordinance 1972.

Rules and Regulations

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

1972.

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

ment) Regulations 1972.

(d) Pharmacists (Disciplinary Procedure) Regulations 1972.

(e) Clean Air (Furnacies, Ovens and Chimneys) (Installation and Alteration)

Regulations 1972.

(ƒ) Termination of Pregnancy Regulations 1973.

TABLE 5

WORK OF STATUTORY COUNCILS AND BOARDS APRIL 1972 TO MARCH 1973

Number of meetings held.

Medical

Council

Dental Council

Nursing Board

Pharmacy Midwives and Board

Poisons

Board

Radiation

Board

Local

Over-

Dentists

list

List

Dental

Hygienist

General Mentali

Number on the Register

Reg. Nurses

5,919

184

4,806

201

323g

2,311 60

489

Enrolled Nurses

985

LLL

General Mental

Number of applications for registration

163 28d

30/

दभ

Reg. Nurses

308

258

38g

(130)b|

Enrolled Nurses

1,733

General Mental|

Number of registrations granted

Number of examinations held

Number of candidates examined

Number of successful candidates

LLL

163 a 28

(130)6

21/

Reg. Nurses

29.3

247

278

Enrolled Nurses

DIP

1,437

General Mental,

Oral & Practical 15 Written

Reg. Nurses

Enrolled Nurses

MIN

---

General Mental)

Oral & Practical 15) Written

Reg. Nurses

393

240

Enrolled Nurses

153

...

General Mental

Oral & Practical 15 Written

Reg. Nurses

380

233

Enrolled Nurses

150

General Mental|

Number of disciplinary hearings held

(18)

Reg. Nurses

(1)

Enrolled Nurses

General Mental|

Reg. Nurses

324

---

111

JJJ

Enrolled Nurses

Number of removals from register

Including 3 restorations to the List and 3 transferred from the Overseas List.

b. Figures in brackets represent applications for provisional registra-

Including Il transferred to the Overseas List.

tion (not included in total).

Including II transferred from the Local List.

Including 3 transferred to the Local List.

Including 1 restoration to the register.

These figures refer to the licensing of irradiating apparatus. These figures refer to number of cancellations of irradiating appara- tus licences.

The figures in brackets indicate the number of persons against whom charges were made.

TABLE 6

POPULATION STRUCTURE, MID 1972

MALE

FEMALE

75-79

70-74

65-

40-64

55-59

50-54

45-49

|40-44

35-39

30-34

25 - 29

20 - 24

15 - 19

5 9

POPULATION IN 100,000

REPRESENTS DIFFERENCE IN THE AGE GROUP

TABLE 7

BIRTHS AND DEATHS 1958 AND 1963-72

Estimated

Year

Mid-Year

Registered

Live Births

Population

Crude Birth Ratet

(per 1,000

Still Births Recorded

Registered

Deaths

Population)

Crude Death

Rait (per 1,000 Population)

1958

2,854,100

106,624

37.4

1,297

20,554

7.2

➖ ➖ ➖➖ ➖ ➖➖➖ ➖ ➖

1963

3,420,900

115,263

33.7

1,633

19,748

5.8

1964

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

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 1972

---

4,045,300

76,818

19.0

656

20,253

5.0

---

4,077,400

79,053

19.4

736

21,145

5.2

1958

• Revised population estimates based on the results of 1971 Census (for the years 1963-72), † Using revised population estimates.

TABLE &

INFANT AND MATERNAL MORTALITY 1958 AND 1963-72

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

56.2

$2.1

54.3

23.4

0.85

1963

35.3

30.5

32.9

18.9

0.29

---

1964

29,2

23.5

26.4

16.6

0.38

1965

26.8

20.5

23.7

15.2

0.33

1966

27.2

22.3

24.9

15.3

0.43

1967

28.7

22.3

25.6

15.9

0.30

1963

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

1972

18.9

15.9

17.5

11.6

0,20

---

TABLE 9

MAJOR CAUSES OF INFANT MORTALITY 1958, 1963 AND 1968-72

(per 1,000 registered live births)

Diseases Group

Detailed List Number 8th

1958* 1963* 1968 1969 1970 1971

1972

Revision

Other Forms of

Respiratory Tuberculosis 010-012 Tuberculosis Meningitis 013

Tuberculosis ..

0.39 0.02 0.01 0.98

0.01

0.14 0.01 0.03

0.03

014-019

0,14 0.01

0.02 0.03

Tetanus

FEE

Pneumonia

037 480-486

2.08

0.42

0.04 0.05

0.10

0.12

0.03

6.13 4.29

4.21 3.85

3.78

---

Bronchitis

Gastro-enteritis

Congenital Anomalies

Birth Injuries

466, 0.20

0.17

0.06 0.09

0.09 0.08 0.06

490-491

561

740-759

764-768, 0.44 0.36

0.51

1.64 1.29 0.53 2.88 3.33 0.43

0.76 0.86

3.09

3.14

3.59

0.25 0.46

0.40.

772

Anoxia and Hypoxia of

Newborn

776

...

1.64

1.53

1.56

1.58

1.35

born

774-775

---

LLI

Immaturity

-1

Blood Diseases of New

Nutritional Deficiency 260-269

Ill-defined Causes

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

0.78

1.76

777 8.06 795-796 1.04

1.58 1.40 0.13 8.90 5.27 6.62 0.66 0.11 0.04

1.38 1.05

0.89

0.03

0.04 0.01

0.01

5.14 4.78

4.41

0.06 0.08

0.05

TABLE 10

MAJOR CAUSES OF MATERNAL MORTALITY 1958 AND 1963-72

(per 1,000 total births)

Year

*1958

Sepeis (excluding

Наешоп-

Toxaemias

Abortions

septic

hages

Ectople Pregnancies

Others

abortions)

---

0.065

LII

0,260

0.250

0.028

0.111

0.139

*1963 *1964

*1965

*1966 *1967 *1968 1969

+++

---

0.017

0.077

0.111

0.009

0.034

0.051

---

0.009

0.055

0,118

0.045

0.055

0.100

111

0.019

0.077

0.135

0.009

0.019

0.068

0.011

0.053

...

0.107

0.032

0.128

0.096

0.011

0.056

0.123

0,011

0.034

0.067

LJ J

0.024

0.084

0.024

0.012

0.025

0.050

0.012

0.037

1970

HTT

гг.

0.038

0.051

ггг

0.013

0.064

0.026

1971 1972

0.013

---

0.039

0.013

0.039

0.026

ILL

0,050

0.050 0.038

0.038

0.025

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

TABLE 11

PROPORTIONATE MORTALITY BY DISEASE GROUPS 1958, 1963 AND 1968-72

(Percentage of Total Deaths)

Detailed List

Disease Group

Number

8th Revision

1958* 1963* 1968*

1969

1970

1971

1972

1. Infective and Parasitic

000-136

14.6

12.8

9.0

8.9

7.9

7.2

6.9

2. Neoplasms

140-239

8.9

13.4

18.7

20.6

19.1

21.0

20.8

3. Endocrine, Nutritional, Metabolic and Blood

240-289

1.1

1.5

2.2

1.6

1.5

1.2

1.3

4. Nervous System, Sense Organs and Mental Disorders

290-389

5.3

9.1

10.3

1.0

1.1

0.8

0.7

- - -

5. Circulatory System

390-458

8.3

12.2

15.2

25.0†

25.1+

25.3+

24.4†

..ז

6. Respiratory System

460-519

24.2

13.3

12.5

13.5

15,0

16.6

17.2

...

-гт

7. Intestinal System

8. Genito-Urinary System

520-577

11.1

7.1

5.5

5.8

5.3

5.1

4.9

T11

ггт

580-629

1.9

2.2

2.1

2,2

2.2

2,2

2,1

9. Pregnancy, child-birth and Puerperium

630-678

0.5

0,2

0.1

10. Skin and Musculo-Skeletal System...

680-738

0.5

0,2

0.4

0.3

0.1

0.2

0.1

0.2

0.1

0.2

11. Congenital Anomalies and Causes of Perinatal Morbidity and Mortality

740-779

10.8

11.3

7.5

6.2

4.8

4.4

12. Symptoms and Ill-defined Conditions

780-796

8,0

9.9

9.3

10.0

9.4

8.8

8.6

13. Accidents, Poisonings and Violence E800-E999

4.8

6.3

7.2

4.8

8.3

7.1

8.4

* Data Grouping according to J.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 1972

Detailed

Age Group

Rank

Cause of Death

List No. Sex 8th Revision

65 &

All Ages

1-4

5-14 | 15-44 45-64

Un.

Over known

11,910

771

163

All Causes

9,233

607

139

T| 21,145(2)

1,380(2)

302)

243] 1,740 4,789 4,156. 167 847 2,355 5,113 410 2,587 7,144|| 9,269,

Malignant neoplasms includ

2,555

321

437 1,400 674

1 ing neoplasms of lymphatic and haematopoietic tissuses

140-209 F

1,820

213

852 720

4,375

650 2,252 1,394|

390-392

393-398

Heart Diseases, including

400-404

hypertensive diseases

410-414

ELT

1,592

1,443

3,035

202

12 108 657 815

9 94 951 21 202 1,046 1,766

389

420-429

نیا

Pneumonia, all forms

480-486

1,233

168

F 1,126

131

T 2,359

299

=RX

31 106 378 501

55 166

707

52 161

544

1,208

235

4 Cerebrovascular Disease

430-438

010-012

Tuberculosis

013-019

All accidents

E800-E807 M E810-E823

E825-E949 T

ILF 246 | ZRE

939

11 55

427

440

953

229

687

1,892

656

1,127

1,032

132

550

343

280

132

1,312

180,

644

475

785

101

3571

194

407

103

1,192

102

166

450

297

134

TABLE 12-Contd.

Detailed

Age Group

Rank

Cause of Death

List No.

8th Revision

Sex

All Ages

1-4

5-14 15-44 | 45-64

65 & Un- Over known

621

Bronchitis, emphysema and asthma

490-493

391

It wa

301

281

T 1,012

نیا نیا

151 93 278

50 394 559

Certain causes of Perinatal

760-779

Mortality

Suicide and self-inflicted injuries

E950-E959

10 Congenital Anomalies

740-759 F

Cirrhosis of Liver

571

Nephritis and Nephrosis

580-584

Diabetes Mellitus

250

MLT METELE MET ZLE ZLE

329

247

576

EEEEEE

276

139 102 32

187

463

تيا تيا

208

167

188

148

21.

160

134

ஆய

350(2)

284(2)

231

મ

309

FIN

134

166

149

106

255

95 84

100

179

103

AMR 1978|988

M 1,902

285

554

879

All Other causes

1,934

179

263 1,369

3,836

165

464

817 2,248 34

Note: Figures in brackets denote no. of deaths with sex unknown (included).

Number of Deaths

Causes of Death

1956❘ 1966 1972

TABLE 13

LEADING CAUSES OF DEATH 1956, 1966 AND 1972

(RANKING ACCORDING TO 1956)

Rate per 100,000 population

1956 1966 1972

Percent of Deaths from all Causes 1956 1966 1972

All Ages

All Causes

Heim 4 vi

Pneumonia, all forms

LLJ

LL+

Tuberculosis, all forms

19,295 18,700| 21,145| 3,548 1,829 2,359 2,629 1,515 1,312

100.0

100,0 100.0,

738.0 $15.2 518.6

18.4

9.8! 11.2

135.7

50.4

57.9

13.6

8.1

6.21

100,6

41,7

32,2

---

Malignant neoplasms

---

All other causes

1-4 years

All Causes

Tuberculosis, all forms

All accidents

Measles

---

All other causes

5-14 years

Gastritis, duodenitis, enteritis and colitis (except diarrhea of new born), Heart disease, including hypertensive disease

---

2,364

167

12.3

0.9

90.4)

4.6

TTT

1,354; 2,591 3,035

7.0

13.8!

14.3:

51.8

71.4

74.4

1,328 3,249 4,375

6.9

17.4

20.7

50.8

89.5

107.3

---

8,072; 9,349 10,064

41.8

50.00

47.6 308.71

257.6

246.8

---

2,819

968

302

100.0

100.01

100.0] 768.7

229.1

95.4

Pneumonia, all forms

Gastritis, duodenitis, enteritis and colitis (except diarrhea of new born)

---

1,112

288

39.5

29.81

29.8

303.2

68.1

28.4

731

25.9.

3,6

199,3

8.3

470

· · ·

TII

---

364

All causes

1. Tuberculosis, all forms

Pneumonia, all forms

All accidents

+1=

Gastritis, duodenitis, enteritis and colitis (except diarrhea of new born)

5. Nephritis and nephrosis

All other causes

TTT

· · ·

TII

194

ENY 1399 fazŽi

16.7

3.1

0.7

128.2

7.1

0.6

104

1021

2.7 10.7

33.8

20.7

24.6

32.2

293

2.3

30.3

1.6

18.0

69,3

1.6

218

103

12,9

22.5

34.1

99.3

51.6

32.5

489

410

100.0

138.0

50.5

39.5

7 22,5

2,5

1,7

31.1

1.2

0.7

52 22.4

11.9

12.7

30.9

6.0

5.0

177

166 14.4 36.2

40.5

19.9

18.3

16,0

8.0

4.1

226

174] 28.6 46.

$NO

0.8

11.어

0.4

2.7

5.7

1.2

1.1

42.41

39.4

23.31

16.7

TABLE 13-Contd.

Percent of Deaths from all Causes

Number of Deaths

Causes of Death

1956

1966 1972

1956

1966

Rate per 100,000 population

1972

1956

1966 1972

15-44 years

All causes

LL+

3,275 2,573

2,587

100.0

100.0 100.0

258,7 178,6 148.6

1. Tuberculosis, all forms Malignant neoplasms

865 335

180

26.4

13.0

7.0

68.3

23.3

10.3

360

618

650

11,0

24.0

25.1

28.4

42.9

37.3

111

Heart disease, including hypertensive disease

-- L

...

287

261

202

8.8

10.2

7.8

22.7

18.1

11.6

All accidents

260

340

450

7.9

13.2

TII

17,4] 20.5

23.6

25.9

Pneumonia, all forms

1971

110

161

6.0

4.3

6.2 15.6

7.6

9.3

---

All other causes

...

1,306

909

944

39.9

35.3

36.5

103.2

63.1

54,2

Pneumonia, all forms

---

All other causes

65 years and over

45-64 years

All causes

1. Tuberculosis, all forms

Malignant neoplasmns

Heart disease, including hypertensive disease

---

Cerebrovascular disease

3,897

5,806

7,144)

771

779

644

686

1-г

111

1,631

2,252

17.6'

100.0 100.0

19.8 13.4)

28.1

100.0 1,190,8 1,025.4 1,004.8

9.0 235.6 137.6 31.5 209.6 288.1

90.6

316.7

5841

929

1,046

15.0

16.0

14,7|

3731

692

656

9.6:

11.9

178.4

9.2 114.0

164.1

147.1

122.2 92.3

711

215

2731

544

5.51

4.7

7.6 65.7

48.2 76.5

➖ ➖ ➖

1,268

1,502

2,002

32.5

25.91

28.0 387.5! 265.3

281.6

---

All causes

Heart disease, including hypertensive disease

---

LIJ

2,723

6,552

9.269, 100.0

100.0j

100.0 4,448.6 4,737.6 4,870.7

---

JJJ

451]

1,316

1,766 16.5

20.11

19.1; 736,8 951.6 928.0

Cerebrovascular disease

373

יי.

1,013

1,127

13.7

15.5

12.2! 609.4

732,5 $92,2

+11

Malignant neoplasms

2421

904

1,394

8.9

13.8

---

15,0 395.3

653.7

732.5

Pneumonia, all forms

2311

687

---

1,208

8.5

10.5

13.01

377.4

496.7

634.8

Tuberculosis, all forms

177

348

475

6.5

5.3

5.1

289,2

251,61

249.6

All other causes

1,249

2,284

3,299

45,9

---

34,8;

35,6 2,040.5 1.651.5' 1,733.6

• Inapplicable.

TABLE 14

INFECTIOUS DISEASES NOTIFIED-CASES AND DEATHS 1968-72

Cases

Deaths

Diseases

1968

1969

1970 | 1971 1972 1968 1969

1970

1971

1972

Cholera

Amoebic Dysentery

117

Bacillary Dysentery

869**

736

Cerebrospinal Meningitis.

Chickenpox

900

445

---

Diphtheria

---

Enteric Fever (Typhoid

and Paratyphoid)

Leprosy

113

552

546

438

164

127

188-99 82

543

443

Malaria

---

Measles

Ophthalmia Neonatorum.

Poliomyelitis

---

1,138

994

1,011

591

18ཙཱནྡྷསྶ ཀྑུམྦནྡྷནཱ

515

466

117

783

203

Ingen 2015

6**

اد

...

---

Puerperal Fever

↓

M-

---

Scarlet Fever

Tuberculosis

9,792

11,072

10,077

9,028

8,420

1,483

1,470

1,436

1,250

1,312

Typhus (Mite-borne) Whooping Cough

---

Total

14,011

14,210

13,473 | 11,410 10,873 1,583

1,528 1,481

1,271 1,337

Influenzaţ

... 8,493 3,232

5,814 7,397

7,473 | 45

14 |

† Case reported in 1969.

Remarks: * Including unspecified Dysentery.

# 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 15

MORTALITY RATES FOR CERTAIN INFECTIOUS DISEASES 1968-72

Cases Fatality Ratio

(Deaths as percentage of Notifications)

Death Rate

(per million population)*

Diseases

1968

1969

1970

1971

1972

1968

1969

1970

1971

1972

Cholera

Amoebic Dysentery

Cerebrospinal Meningitis..

Diphtheria

Bacillary Dysentery

Enteric Typhoid Fever

Measles

Poliomyelitis

Tuberculosis

10.26

8.23

5.88

6.06

8.57

3.16

1.81

1.01

---

0.99

0.74

43.75

17.39

40.00

20.00

50.00

3.68

1.04

1.01

0.25

1,23

8.85

16.13

9.30

8.00

2,63

2.59

1.01

0.49

0.69+

0.68

1.15

0.55

0.22

1.58t

1.29

1.77

0.74

0.25

Paratyphoid

}

1.45

1.28

1.14

1.17

0.86

2.10

1.81

1.26

1.48

0.98

4.04

2.11

1.29

0.68

1.15

12.10

5.43

3.28

0.99

2.21

13.33

18.75

11.11

25.00

0.53

0.78

0.76

0.25

15.15

13.28 14.25 13.85

15.58 389.99

...

380.44 362.72

309.00

321.77

* Using revised population estimates based on the results of 1971 census,

† Including unspecified dysentery.

TABLE 16

PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1972

CASES NOTIFIED

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

0-4 5-9 10-14 15-19

---

535

384

20-24

901

490

---

25-29

504

194

30-34

440

113

35-39

505 118

40-44

592

129

45-49

588 109

50-54

$53

55-59

533

128

60-64

442

117

65-69

248

70-74

148

75 & over

Unknown

---

Total 6,190 2,230

232

234

246

216

DEATHS

Tuberculosis

Diphtheria

Enteric Fever

Poliomyelitis

B/Dysentery

Age Group

04 5-9 10-14

---

NNNI

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

115

---

55-59

162

60-64

196

65-69

148

70-74

102

75 & over 93

Unknown

Total

---

1,032,

280

Immunological Procedure

Anti-Smallpox Vaccination

Anti-Cholera Inoculation

Anti-Diphtheria Inoculations:

1st Dose

---

ILL

TABLE 17

PROPHYLACTIC IMMUNIZATIONS 1968-72

2nd Dose Booster Dose

---

+++

Anti-Typhoid Inoculations:

1st Dose

2nd Dose

+++

Booster Dose

F11

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

Infants

Others

---

P10

---

Poliomyelitis Vaccinations:

1st Dose

---

1968

1969

1970

1971

1972

767,541

550,092

553,714

536,374

441,067

1,385,272

2,506,348

1,715,249

388,109

350,511

335,128

339,428

329,279

278,595

178,131

293,746

331,250

320,757

289,040

177,833

181,735

169,085

167,579

159,650

160,132

32,324

27,744

14,456

14,969

15,814

---

14,417

10,191

4,126

5,389

5,263

67,464

72,989

92,813

75,648

68,892

80,354

77,004

75,749

76,191

78,525

---

33,895

18,232

51,576

54,380

57,020

97,754

85,145

$2,659

85,243

87,393

82,939

74,949

71,670

77,400

80,697

---

T11

10,792

84, 534

T17

62,869

59,057

57,065

57,512

62,854

83,107

33,504

28,611

30,306

35,622

2nd Dose

---

ггг

Booster Dose*

Oral Poliovaccine Type I for Newborn

Anti Measles Vaccination

• From October 1971.

TABLE 18

NUMBER OF CANCER DEATHS BY AGE AND SEX 1972

بيا ليا

击

ခို

| 65-70-75+ Unk.

69 74

48 53

17] 13

휴스

L21

7 9

3 11

Detailed List

A-List

Number 8th Revision

Cause Group

Sex

Ages

10-20-130-135-40-

0-9

19 | 29

39 44

Malignant Neoplasm of Buccal Cavity and Pharynx

323

131

སྐངོ

15B

A46

150

Malignant Neoplasm of Oesophagus

A45

140-149

A47

151

Malignant Neoplasm of Stomach

231

173

A48

152, 153

Malignant Neoplasm of Intestine, except Rectum...

г-г

M 106

115

Malignant Neoplasm of Rectum and Rectosigmoid Junction

---

चं

A50

161

Malignant Neoplasm of Larynx

A49

154

ASI

162

Malignant Neoplasm of Trachea, Bronchus and Lung

A$2

170

|Malignant Neoplasm of Bone

562

367

20 19

10 13

12 13

ناني

9 9 12

26 17

22 21 20 21 47

N-

| |

च

لجيا

फार्म

公司

1 I

100

K-

132

| -

A-List

Detailed List Number 8th Revision

10-20-30

35 40

45- | 50- | 55--- || 60---

49 54

TABLE 18-Contd.

All

Cause Group

Sex

0-9

Ages

19 29

A53

172, 173

Malignant Neoplasm of Skin

A54

174

Malignant Neoplasm of Breast...

175

A55

180

Malignant Neoplasm of Cervix Uteri...

159

A56

181, 182

Other Malignant Neoplasm of Uterus... F

261

A57

185

Malignant Neoplasm of Prostate

A58(0)

155

---

391

144

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

---

-10

E56-160, 163,|Malignant Neoplasm of Other and Unspecified Sites

---

म

दम

70-

75+ Unk.

ادر

man

14 20 24

-8

34 27

17 28 25

21 22

68)

J01

La M

(6)

171, 183, 184,; 186-199

A59

204-207

Leukaemia

290 10

294 10

모순

41 13

A60

200-203

Other Neoplasm of Lymphatic and Haematopoietic Tissue

LLL

140-209

All forms of Cancer

M 2,555

F 1,820

39)

חח

83 19

Vô Đ

PLA

INN

NO NO

| ليا

-M

min

50 110 200 263 312) 412 413 296 213 163 18 51 103 142 1981 254 258 205| 204 311

TABLE 19

MAIN CAUSES OF DEATH FROM CANCER IN HONG KONG 1962-72

Cause Group

1962

1963

1964

1965

1966

1967

(According to J.C.D. 8th Revision)

R D R

D│R│D

1968

DR D R D R D

1969

1970

1971

1972

D R

All Forms of Cancer (140-209)

---

Malignant Neoplasm of Nasopharynx (147)

2,488, 75,312,697| 78.8| 2,916 83.2, 3.155; 87.7.3,249 89,5 3,380 90.8 3,582 94.2 3,839 99.4 3,964 100.1 4,237 104.7 4.375 107.3

272 8.2

286 8.4 278 7.9 323 8.9 320 8.8 336 9.0

357

357 9.4 376 9.7

3931 9.9 346 8.61 390 9.6

Malignant Neoplasm of Oesophagus (150))

108 3.3

112 3.3

147 4.2, 148 4. 132 3.6 163 4.4

139, 4.2

180 4.7

203

5.1 219 5.4 234 5.7

Malignant Neoplasm

(151)...) of Stomach (ISI)... 307 9.3 298 8.7 361 10.3 378 10.5 366 10, |

314 8.4 342 9.0 414 10.7

360

9.1 378 9.3 404

9.9

Malignant Neoplasm

of Intestine except Rectum (153)

113 3.4

96 2.8 123 3.5 130 36 151 42

171 4.6

170 4.5

185 4.8

172

4.3 [85

213 5.2

*470) 14.2] *564 16.5 *537 15.3 607| 16.9] *389| 16.2 *601| 16.1] *647; 17,0

26 16.2

635 16.0 729 18.0 73.5 18.0

Malignant Neoplasm of liver and Intra-

hepatic Bile Ducts, specified as

Primary (155)

Malignant Neoplasm of Trachea,

Bronchus and Lung: (162)

Malignant Neoplasm of Breast (174)

Malignant Neoplasm of Cervix Uteri

(180)

+329 10.0 +387 11.3 $449 12.8 †513 14.3 1551| 15.2′ †616 16.5 +638 16.8

787 20.4 786 19.9

909 22.5 949 23.3

104 3.1 120 3.5 138 3.9 145 4.0 135 3.7

135 3.7 123 125 3.4 147 3.9 134 3.3 159

4.0 171; 4.2 178 4.4

148 4.5

444

146 4.3 153 4.4

163 127 3.3 163 4.3

158 4.2

153 4.0

141 3.6 141|

3.6 157

157 39

139 3.9

Malignant Neoplasm of Biliary Passages and of Liver (155-156) according to I.C.D. 7th Revision (1955). + Malignant Neoplasm of Trachea, Bronchus and Lung not specified as Secondary (162-163) according to I.C.D. 7th Revision (1955).

Note: D-Death,

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

TABLE 20

NEW CASES OF CANCER NOTIFIED TO THE CANCER REGISTRY BY AGE AND SEX 1969

Detailed List

A-List

Number

8th Revision

A45

140-149

A46

150

Cause Group

Sex

All

Ages

0-9

10-20-30-35-40 | 45- 29 34 44

49 54 59 64 69

60 65 70 75+ Unk.

Malignant Neoplasm of Buccal Cavity and Pharynx

---

Malignant Neoplasm of Oesophagus

$30

240

162

A47

151

Malignant Neoplasm of Stomach

בד

230

115

A48

152, 153

Malignant Neoplasm of Intestine, except Rectum...

...

108

A49

154

Malignant Neoplasm of Rectum and Rectosigmoid Junction

118

23 36

تات

Wel

મ

تيات

A50

161

Malignant Neoplasm of Larynx

771

A51

162

Malignant Neoplasm of Traches, Bronchus and Lung

407

LLL

LLI

224

A52

170

Malignant Neoplasm of Bone

पच

- LA

骂

药

0吋

கக

[4 19

- LA

IND

401

10 14

wy.co

15!

10. 14

En co

NA DA

37 74 75 70

[4] 33 44

***

elm

A-List

TABLE 20 Contd.

Detailed List |

ALL

Number 8th Revision

Cause Group

Sex

0-9

Ages

10 20 30 19 29 | 34

| 35-40 | 45-

50 | 55 | 60-65-

70-

¡75+ Unk.

54 39

A53

172, 173

Malignant Neoplasm of Skin

100.

க்க

A54

174

ĮMalignant Neoplasm of Breast...

LLL

360

A$5

180

Malignant Neoplasm of Cervix Uteri F

345

25 78. 99

2.2

30 19

77 77, 36 26 21 19

A36

181, 182

Other Malignant Neoplasm of Uterus... F

112

2 3.

6 15 32 23

A37

185

Malignant Neoplasm of Prostale

M 33

---

1아

A58(@)

155

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

---

ILL

363

109

12 18

(b)

156-160, 163, Malignant Neoplasm of Other and

171, 183, 184,| 186-199

Unspecified Sites

A59

204-207

Leukaemia

---

M 520

ILI

M 34 10

A60

200-203.

208-209

Other Neoplasm of Lymphatic and Haematopoietic Tissue

打足

A45-

A60

140-209

JAll forms of Cancer

.-.

M 2.739

2,569

NÜN

58 76

25 21

41 4)

MON

174 271 313 388

342 256 104 126

86| 186, 283 313 322 324, 303| 226| 177 174

TABLE 21

NEW OVERSEAS CASES OF CANCER DIAGNOSED IN HONG KONG 1969

Detailed List

All

10-20-30 35-

40-

A-List

Number 8th Revision

Cause Group

Sex

0-9

Ages

19 29 34 | 39

A45

140-149

Malignant Neoplasm of Buccal Cavity and Pharynx

---

A46

150

Malignant Neoplasm of Oesophagus

A47

151

|Malignant Neoplasm of Stomach

A48

152, 153

Malignant Neoplasm of Intestine, except Rectum

---

A49

154

Malignant Neoplasm of Rectum and Rectosigmoid Junction

LLL

A50

161

Malignant Neoplasm of Larynx

ASI

162

Malignant Neoplasm of Trachea, Bronchus and Lung

---

FIL

LLL

A52

170

Malignant Neoplasm of Bone

Fot

FLL

लाल

54 59

55-60-65-| 70- 74

175+ Unk.

| |

A-List

Detailed List Number 8th Revision

TABLE 21-Contd.

All

Cause Group

Sex

Ages

A53

172, 173

Malignant Neoplasm of Skin

111

יי

A54

174

Malignant Neoplasm of Breast...

0-9

A55

180

Malignant Neoplasm of Cervix Uteri... F

A56

181, 182

Other Malignant Neoplasm of Uterus... F

A37

185

Malignant Neoplasm of Prostate

---

A58(0)

155

Malignant Neoplasm of Liver and

Intrahepatic Bile Ducts, Specified as Primary

-11

156-160, 163, Malignant Neoplasm of Other and Unspecified Sites

()

171, 183, 184. 186-199

A59

204-207

Leukaemia

---

A60

200-203.

208-209

ခို

35 40-

50-55-

39 44

54 59

FFF

Other Neoplasm of Lymphatic and Haematopoietic Tissue

FFF

A45-

A60

140-209

All forms of Cancer

---

121

200

| |

कल

65-

70-

75+ Unk.

TABLE 22

DEATHS FROM HEART DISEASES BY AGE AND SEX 1972 (INCLUDING HYPERTENSIVE DISEASE)

Age Group

40-45-50-

60-

1994

65- 70- 75+ Unk.

17.

|| SE

** ** 2* NA No ÉN AO RO

ww ge

טיח

DONO

ព

M-

GRAN

** **

9: 12 24

القالب

A-Lisi

No.

Cause

(with detailed list No.)

Sex

All

0-10-20-30-35

Ages

A80

ACUTE RHEUMATIC FEVER (390-392)

111

1-1

Rheumatic fever with heart involvement (391)

LLL

ABL Chronic RHEUMATIC HEART Disease (393-398)

Diseases of mitral valve (394)

A82 HYPERTENSIVE DISEASE (400-404)

A83

Hypertensive heart disease (402)

ISCHAEMIC Heart Disease (410-414)

LIL

FLL

---

Acute myocardial infarction (410)

A84

Chronic ischaemic heart disease (412)

OTHER FORMS of Heart DISEASE (420-429)

Pulmonary heart disease (426)

Symptomatic heart disease (427)

JJJ

---

en en

Den en

M 420

332

M 187

120

612

559

ILL

284

2171

M 3201

335

EL EL L XL XL Za ZL Zu Eu

---

444

405

351

275.

---

ZŁ Zo

M 113

144

NN ||

N-

ctn

DZ AR IZ OD SA

108

50 195

153

** ** ** ** 2* ** *A FE AX **

फल

92 106 102 154

51 58 92 281

2- ** AA YR SA JA NO 09 *A

23 78 87 3A NA BA NA DE

JO NU NA ZA 48 32 32 au

عليا

Total

Deaths

Year

TABLE 23

TUBERCULOSIS MORTALITY 1958 AND 1963-72

Tuberculosis

Tuberculosis Deaths as

Death Rate

from Tuberculosis

per 100,000

percentage of

population

total deaths

Average age at death from Tuberculosis

1958

2,302

80.7

11.2

36.5

1963 1964

---

1,762

51.5*

8.9

---

1,441

41.1*

---

7.9

1965

1,278

35.5*

7.2

1966 1967

---

1,515

41.7*

8.1

1,493

40.1*

7.6

1968

1,483

---

39,0*

7,7

56.5

1969

---

1,470

38.0*

7.9

1970

1.436

---

36.3*

6.9

57.5

1971

1,250

30.9*

6.2

57.5

1972

---

1,312

32,2*

6.2

1958

*Based on revised population estimates after 1971 Census.

TABLE 24

TUBERCULOSIS IN CHILDHOOD 1958 AND 1963-72

Percentage of

newborns

Year

receiving

B.C.G.

LEE

Percentage of Tuberculosis deaths below

5 years

35.93

19.63

100

Infantile Mortality from Tuberculosis

(per 1,000

Percentage of Tuberculosis deaths under 1 year

live Births)

7.04

1.52

----

1963

83.44

5.50

1.08

0.16

1964

86,40

4.09

0.90

0.12

1965

91.65

3.36

0.70

0.09

1966

90.22

2,71

0.73

0.12

1967

95,42

---

2.01

0.33

0.07

1968

94.23

1.15

0.20

0.04

1969

---

94.78

0.95

0.27

0.05

1970

95.33

0.63

огг

0.00

1971

96.78

---

0.64

0.08

0.01

1972

---

ILI

96,63

0.30

0.15

0.02

TABLE 25

TUBERCULOSIS NOTIFICATIONS 1958, 1963 AND 1968-72

Origin

1958

1963

1968 1969

1970

1971

1972

Govt. Chest Clinic

8,787 8,794

6,844

8,391

7,061

6,141

5,509

Other Govt. Inst.

2,366 | 1,660

688

482

494

524

597

Tung Wah Group

864

309

299

443

412

282

Other non-Govt. Inst. and Private Sources

2,332

1,713

1,951

1,900 2,079

1,951

2,032

FFF

472,5

Total

Notification rate per

100,000 population

* Based on revised population estimates after 1971 conses.

13,485 13,031

9,792 11,072 |10,077

9,028 8,420

380.9* 257,5* 286.6* 254,5*| 223,2* 206.5*

TABLE 26

WORK OF GOVERNMENT CHEST SERVICE

GOVERNMENT CHEST CLINICS

1972

Hong Kong

Full-time Centres...Wan Chai

Chest Clinic Sai Ying Pun

Chest Clinic Shau Kei Wan Chest Clinic

Kowloon

New Territories

Kowloon Chest Kwai Chung Chest Clinic

clinic

Shek Kip Mei

Chest Clinic Yau Ma Tei

Chest Clinic

Part-time Centres... Aberdeen Jockey

Club Clinic

Robert Black Tuen Mun Clinic

Health Centre Sai Kung Dispensary

Kwun Tong Sha Tin Clinic

Jockey Club Shek Wu Hui J.C.C. Health Centre St. John Hospital

Tai Po J.C.C.

Other Centres (for

injections only)

Hung Hom

Dispensary

Yuen Long Jockey Club H.C.

Ho Tung Dispensary

Lady Trench Polyclinic 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 26-Contd.

ATTENDANCES AT GOVERNMENT CHEST CLINICS 1972

Total Attendances

LJI

LIJ

LLJ

Total Patients attending, new and old

Number of new patients

Total with examination completed

N.S.D.

rrr

FEE

---

110

LIJ

PII

LLF

...

1,441,958

102,953

42,238 (100.0%

41,921 (99.2%)

20,153 (47.7%

Disease other than tuberculosis

Non-respiratory tuberculosis

(a) Meninges

---

(b) Bones and joints

...

гтт

ГГ.

ог г

Respiratory tuberculosis

(a) Not active and unknown activity

(b) Active

rrr

By bacteriology and extent

Negative

110

Positive

Incomplete 01

By bact, and presence of cavity

---

огг

110

...

---

LJ J

7,348 (17.4%)

2 ( 39 (0.1%)

106 (0.3%)

8,314 (19.7% 5,959 ( 14.1%)

1,718 ( 4.1% 682 (1.6% 81 (0.2%)

908 (2.1%) 1,277 (3.0% 735 (1.7%) 356 (0.8%)

157 (0.4%

45 (0.1%

...

г 11

110

---

Negative

A Yes

A No

Positive

B Yes

B No

---

111

J11

PIL

---

Incomplete O Yes

O No

By previous history and treatment

...

No previous history of tuberculosis Previously diagnosed no treatment Previously diagnosed and treatment Previous history not known

---

+11

LLL

ILL

---

Remarks: Figures in bracket denote precentage of total new patients,

• Less than 0.05 %.

100

197 (0.5%

2,284

(5.41

5.4%)

1,050 (2.5%

1,870 (4.4% 66 (0.2%

492 (1.2%)

4,462 (10.6%)

139 (0.3%)

1,358

3.2%

0 (

)

TABLE 27

X-RAY SURVEY 1962-72

Government Servants

Conditional Survey

Prisoners Survey

Year

Total Examined

% with

Active

T.B.

Total Examined

% with

Active

Total Examined

% with

Active

T.B.

1962

39,232

1.04

20,019

2.06

5,852

5.52

1963

51,180

0.55

...

41,905

0.86

4,994

4.60

1964

50,009

0.55

47,521

0.78

9,524

2.90

1965

57,893

0.64

44,271

0.71

5,876

3.94

1966

59,691

0.51

..ז

40,572

0.74

5,904

4.18

1967

31,096

0.71

56,826

0.56

4,997

3.58

1968

54,947

0.50

53,703

0.51

7,082

1.57

1969

41,925

0.75

50,233

0.53

7,107

1.31

1970

51,812

0.63

47,741

0.34

6,417

1.70

1971

48,247

0.45

49,821

0.39

8,543

0.75

1972

30,533

0.74

46,879

0.25

6,593

1.37

TABLE 28

EXAMINATION OF NEW CONTACTS 1972

Number of patients listed

Number of contacts listed

...

(a) Number of children with negative tuberculin

Number of children given B.C.G.

(b) Number of contacts X-rayed

Results: N.S.D.

rrr

Disease other than T.B.

Respiratory T.B.

Active A

Not active

ILL

ייי

JJ J

Non-respiratory T.B.

Result not yet known

LLI

LIJ

ILL

...

LII

זיי

101

L-L

ILI

---

LLL

7,471

21,609

1,764

---

1,760

11,182 (100.00%)

10,273 (91.87%

323 ( 2.89%)

76 (0.68%) 32 (0.29%)

5 (0.04% 413 ( 3.69%)

1 ( 0.01%) 59 ( 0.53%)

LIJ

IIL

TABLE 29

MALARIA 1968-72

DISTRIBUTION OF CASES

(According to notified place of residence)

Year

Cases Notified

Urban Deaths Controlled Kung" Areas

Sai

Lantau

Tai Po*

Other

District

Areas

District

1968

1969

[

1970

1971

1972

• Including floating population.

† Case reported in 1969. + Imported cases.

IDENTIFICATION OF PARASITES

Year

p. vivax

p. falciparum p. malariae

Mixed

Species infection undetermined

FUIT

1968

1969

1970

1971

FIL

1972

- 11

102

TABLE 30

ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1963-72

1963

1964

1965 1966

1967 1968

1969

1970

1971

1972

Venereal Diseases

Syphilis

Total (Except Congenital)

Primary

Secondary

Early Latent

---

Late Latent...

---

1,487)

1,036

1,197

1,177

1,082

1,082;

1,314,

983

722

850.

666

---

164 119

28i

10/

86:

20,

307

397

263

198

220

---

233

125

116.

145:

120

864

590

791

874

788-

981

763

538

556

427

All others

921

69:

50.

Congenital Und

Under 1 year

과

16;

Over 1 year

47.

56:

109

125,

Chancroid

Gonorrhoea

Non-Gonococcal Urethritis

Lymphogranuloma Venereum

Granuloma inguinale

---

5,696

5,008

5,096

6,353

7,344

7,375

6,331 6,470,

7,198

8,186

LLL

3791

496

578

629:

648

659

613 608

687 1,054

3471

268

254

105:

28-61

862

3871

442

396

ILL

130

165

144

어

103

Other Diseases

Non-Venereal Disease

TII

Skin Diseases

4,155 4,548 5,169 5,191 4,672 5,074 10,740 12,570 14,121 15,014 13,206 15,846

Attendances at Clinics (All Types)

L++

IL L

New Attendances

Total Attendances

---

...

4,200, 3,488 3,301 3,512 18,361 20,704 22,524 23,502

23,761 25,224 27,541 29,254 27,669 31,342 32,027 32,994, 35,802 38,203 147,588 143,381 147,311 161,994 170,532 209,916 221,882 208,319 196,371, 189,337

TABLE 31

V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1968-72

1968

1969 1970

1971 1972

Clinics and Hospitals% Positive

No. of tests

47,552 50,952 52,382

54,462 | 59,467

---

Private Midwives

No. of test %% Positive

1.7 3,208 1.2

1.4 2,625 0.7

1.0

1,797 0.5

0.9 2,361

0.5

0.8 5,387 0.3

Year

1967 1968

Frr

1969 1970 1971 1972

---

ILL

---

TABLE 32

LEPROSY 1972

INCIDENCE OF LEPROSY 1967-72

New Cases

149

160

127

135

117

101

Rate per 100,000 population*

4.0

4.2

3.3

3.4

2.9

2.5

Under I 1 4

5 9 10 14

15 - 19

20 24 25 - 29 30 34

35 - 39 40 44 45 - 49 50 - 54

55 59

―

---

ILI

60 and Over

• Based on revised population estimates after 1971 census,

ANALYSIS OF CASES BY AGE 1972

Age Group

---

ггг

---

No. of cases

LL+

ILL

---

...

ILL

IJL

ггг

...

110

111

---

...

Total

101

New admissions

Relapses

For surgery

ADMISSION TO LEPROSARIum 1972

---

Total.

---

104

...

ггт

---

LLL

llal sax

Acne

Alopecia

Angioedema

Carcinoma

TABLE 33

ANALYSIS OF DERMATOLOGICAL CONDITIONS PRESENTING AT CLINICS 1972

ILL

Contact dermatitis

Dermatitis exfoliative Dermatitis herpetiformis Dermatomyositis

Drug eruption

---

Eczema (all types) Epidermolysis bullosa Erythema multiforme Erythema nodosum Granulomata

Herpes simplex Herpes zoster Ichthyosis

---

Keloid

352

160

Neurofibromatosis Nevi (all types) ...

Pediculosis

Pemphigus

J - -

LLF

LJ J

LLL

736

отнема

Paronychia Pityriasis rosea Pityriasis alba

Pruritus

Psoriasis

11-

LII

гг.

6,746

LII

IL-

---

164

154

404

---

186

Purpura

Pyoderma

--1

Raynaud's phenomenoma

ILI

---

217

...

---

PIL

ILL

526

1,398

ILL

LLL

J-1

P11

...

---

52 548

---

LII

---

--L

Rosacea

Scabies

---

Scleroderma

Tinea (all types)

Tumors, benign

T. B. Cutis

Ulcer, varicose

Urticaria...

Vasculitis

Light sensitivity....

Lupus erythematosus (all types)

Miliaria

Molluscum contagiosum Neurodermatitis

Verruca

PIJ

Vitiligo

177

brr

H+

Xanthoma

гг.

Leprosy

676

Miscellaneous

---

111

Keratosis (all types)

Lichen amyloidosis

Lichen planus

J--

LLL

ILL

ггг

---

PI1

580 263

492

14,474

TABLE 34

CULTURES FOR MYCOLOGICAL IDENTIFICATION 1972

Total specimens examined

T. rubrum

ILL

T. mentagrophytes

M. canis

ILL

T. versicolor

M. ferrugineum

M. gypseum

LIJ

LLL

---

...

гг.

---

Trichomycosis Axilliaris

T. tonsurans E. floccosum

T. violaceum C. albicans

---

PII

ILI

Pri

---

ייי

+++

1,052

...

---

- г г

100

rri

---

ILL

FIT

---

Ꮀ Ꮀ Ꮀ

---

105

TABLE 35

WORK OF THE PORT HEALTH SERVICE-1972

INSPECTIONS

Immigration

Overseas

By Sea❘ Macau

J Junks etc.

By Air By Train

-г г

---

By Sea

Total

No. of Vessels

No. of Passengers

No. of Crow

No. of Smallpox Vaccina-

No. of Cholera Inocula-

cions

tions

No. of Passengers under Surveillance

5,865

40,198

199,961

325

593

---

2,156,945

75,123

191

23,299 1,431,221

248,392

4,648

1,721

152

717,778

35,493

---

29,174 4,346,142 448,544 115,589

2,324

152

Emigration

114

* Number not recorded.

FUMIGATION

No. of ships fumigated

Total net tonnage

ггт

LII

-- J

Cubic capacity (cubic feet)

Rats recovered

Exemptions granted

---

LL+

---

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

To ships at sea To ships in port

...

---

...

---

13 33,154,85 3,327,612

328

LLL

---

335

MEDICAL ASSISTANCE TO SHIPS

---

...

110

-11

гг.

ггг

---

585

106

TABLE 36

MIDWIFERY SERVICES 1971-72-1972-73

(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*

---

JJJ

ILL

JLL

1971-72

1972-73

---

229

199

---

11,972

9,488

11,999

9,530

GOVERNMENT MIDWIFERY SERVICES

1971-72

1972-73

303

306

111

222

248

141

146

15,817 112

17,351

I 19

Maternity beds in maternity homes (Urban)

Maternity beds in maternity homes (Rural)

Midwives (excluding hospitals)

Cases attended (excluding hospitals)"

ггг

Average case-load for each midwife (excluding Hospitals)*

• Refers to calender year,

TABLE 37

DISTRIBUTION OF M.C.H. CENTRES AT 31ST MARCH, 1973

District

Hong Kong Kowloon

N.T. and Islands

Full-time Centres

Subsidiary Centres

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

NN-

VNN

Total

107

TABLE 38

WORK OF MATERNAL AND CHILD HEALTH SERVICES 1971 AND 1972

1971

1972

No. of full-time centres

No. of subsidiary centres

Ante-natal Sessions

Total Sessions

New attendances

Total attendances

110

Average attendance per session

Average attendance per person

Post-natal Sessions

Total Sessions

New attendances

Total attendances

---

TII

---

2,713

2,931

---

21,745

24,440

+41

125,982

149,331

46.44

50.95

5.79

6.11

907

992

5,937

6,613

---

7,051

7,748

21.94%

21.76%

Percentage presenting with some abnormality...

Infant Welfare Sessions (0-2 years of age)

Total Sessions

New attendances

---

LLL

IPT

---

6,521 73,068 870,920

6,931

77,300

934,666

Total attendances

...

Toddler Welfare Sessions (2-5 years of age)

Total Sessions

---

New attendances

Total attendances

---

111

[11

1,429

1,500

32,219

31,133

---

155,440

150,835

Percentage presenting with some abnormality (0-5)

years of age)...

Home Visits

---

• New attendances only.

108

0.85%*

0.87%*

123,515

109,314

TABLE 39

SCHOOL MEDICAL SERVICE BOARD

NUMBER OF PARTICIPATING SCHOOLS, PUPILS AND DOCTOrs at 31st March, 1973

Districts

No. of Part. Schools

No. of Part. Pupils

No. of Part. Doctors

Hong Kong

Wan Chai

Central

Western

+++

T10

---

Causeway Bay North Point Shau Kei Wan Aberdeen

LJI

ITI

6298888

1,291

599

3,529

3,225

2,553

2,253

3,501

* 1 ** 0 ** ** in

Sub-total

209

LIL

16,951

Kowloon

Tsim Sha Tsui

Yau Ma Tei

Mong Kok

789

---

3,927

+++

6,160

2,335

---

-- J

2,408

+++

3,243

6,914

414

5,191

гтт

11,080

347

42,461

Cheung Sha Wan

Shek Kip Mei

Hung Hom

San Po Kong

110

Kowloon Tong

---

Kai Tak

Kwun Tong

Sub-total

New Territories

　　Tsuen Wan Yuen Long Sha Tin

Tai Po ...

Sheung Shui Rennie's Mill

Sai Kung

Sub-total

Grand Total

LJL

5,186

2,072

354

1,383

912

---

584

---

855

---

144

11,346

700

LJI

---

70,758

181

109

TABLE 40

WORK OF THE GENERAL DENTAL SERVICE 1968-72

Deciduous Teeth

Permanent Teeth

Persons

Year

Attend-

ances

rendered

dentally

Restored Extracted

fit

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

282,713

20,072

33.306

90,479

43,448

61.996

1971

264,874

17,026

31,574

85,059

44,091

57,006

1972

271,554

16,280

29,862

85,061

43,528

55,557

TABLE 41

WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1971 AND 1972

1971

1972

Examination of victims and suspects

LJ J

Attendance at scenes of crime

1,131

239

1,277

288

110

Attendance at courts

Examination of hairs, fibres, etc....

139

143

---

...

Medico-legal examination of weapons

197

185

---

TII

---

1,859

2,127

Examination of clothing

---

1,609

1,941

422

3,863

4,861

469

Miscellaneous examination

Blood grouping (medico-legal)

Blood grouping (Police officers)

Lectures to Police Officers

---

-- J

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

Chemical examinations of mortuary cases

Assistance in Raids:

Breach of Pharmacy and Poisons Ordinance and

Penicillin Ordinance

Abortionists

---

+++

110

نيا

---

TABLE 42

WORK OF THE GOVERNMENT LABORATORY 1971 AND 1972

EXAMINATIONS

I. FOR GOVERNMENT

A. General Division:

Dutiable Commodities Ordinance

Public Health and Urban Services

Ordinance

1971

1972

LEF

9,726

11,014

Food

2,348

4,254

Drugs

Dangerous Goods Ordinance

1,285

990

Pharmaceuticals

222

858

זז.

Imports and Exports (Prohibition)

Regulations

TTT

Miscellaneous

2,000

2,455

B. Forensic Division:

General

+++

---

Pharmacy and Poisons Ordinance

Antibiotics Ordinance

Dangerous Drugs Ordinance

Toxicology...

II, FOR ARMED SERVICES

+--

Total

Grand Total .......

111

1,781

1,876

-- J

4,208

3,262

rr+

14,371

13,448

1,794

1,584

37,804

39,759

TABLE 43

WORK OF MEDICAL & HEALTH DEPARTMENT, INSTITUTE OF PATHOLOGY

1. Clinical Laboratories

2. Public Health Laboratories

3. Virological Laboratory

4. Vaccine Production

5. Blood Banks

---

1971 AND 1972 LABORATORIES

---

+++

ILL

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 Depart-

ment of Pathology, University Hong Kong.

MORTUARIES

1. Victoria Public Mortuary

2. Kowloon Public Mortuary

SPECIMENS EXAMINED

1971

1972

1. Protozoology and Helminthology

2. (a) Haematology

(b) Blood grouping (Auxiliary Services)

TII

гтт

42,747 410,095

38,602 426,345

LLL

3. Serology

4. Bacteriology

5. Mycology

6. Public Health

---

+++

1,486 129,890

1,857

137,817

---

P+1

600,731

548,933

17,618

20,276

H+

711

7. Morbid Anatomy and Histopathology

8. Chemical Pathology

38,731

44,054

52,632

47,467

ILJ

464,795

479,726

9. Clinical Pathology

10. Virology

L++

ILL

--L

82,599

77,571

9,728

9,305

11. Special investigations

12. Examination done in Blood Banks

13. Blood Products Preparation

1,223

1,008

206,834

238,656

689

1,543

Total

2,059,798

2,073,160

AUTOPSIES ON MEDICAL LEGAL CASES PERFORMED

1971

1972

391

352

345

437

736

789

4++

+++

Queen Mary Hospital

Queen Elizabeth Hospital

+++

Total

112

Vaccine

Anti-Smallpox

Anti-Rabies (2%)

TABLE 44

VACCINE PRODUCTION 1971 AND 1972

(in millilitres)

Prepared

Issued

1971

1972

1971

1972

35,840

37,170

36,670

73,926

28,200

16,450

29,800

23,750

---

23,100

19.300

27,200

23,550

71,450

81,500

74,100

96,400

83,490

643,000

580,283

10,150

3,800

200

+++

Anti-Rabies (4%)

T.A.B.

Anti-Cholera

Anti-Plague

Autogenous Vaccine...

TABLE 45

BLOOD BANKS 1972

1. BLOOD RECEIVED

Q.M.H.

Q.E.H.

TOTAL

+++

15,408 209

18,386

33,794

101

320

TII

750

---

750

104

...

15,686

19,282

34,968

From:

British Red Cross

Patients' relative and friends

Other donors

Brought forward from previous year

TOTAL

To:

2. BLOOD DISTRIBUTED

Government hospitals

Govt,-assisted hospitals

Private hospitals...

Military hospitals

LJ J

Ꮀ Ꮀ Ꮀ

Other non-government institutions

Unusable due to various causes

Stock in hand at end of year

TOTAL

100

10,490

16,060

26,550

2,813

1,917

4,730

1,441

524

1,965

772

686

1,458

170

257

15,686

19,282

34,968

113

TABLE 46

WORK OF PUBLIC MORTUARIES 1971 AND 1972

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

Victoria

Kowloon

1971

1972

1971

1972

1.102

1,067

2,593

2,816

897

911

777

1,091

983

992

2,[41

2,365

119

452

451

708

667

1,834

2,006

394

400

759

810

TABLE 47

WORK OF INDUSTRIAL HEALTH SECTION 1972

MONITORING AND SURVEY WORK

1. Atmospheric samples:

(a) Acetone

rrr

Frr

(6) Alcohol

---

(d) Benzene

(e) Carbon dioxide

(

+++

Carbon monoxide

(g) Carbon tetrachloride

(4) Chromic acid

Numbers

י.

+++

---

FIL

---

LLL

---

TIP

---

++T

109

---

...

TTI

---

++1

---

TII

...

---

PIJ

L+

---

LTT

FFF

Frr

+TI

+10

гтт

---

(i) Dust

() Ethyl acetate

---

(1) Hydrogen cyanide

(k) Explosive gas

(m) Hydrogen sulphide (7) Lead

(0) Nitrogen dioxide

(p) Oxygen

(a) Smoke

(r) Styrene

+++

---

($) Sulphur dioxide

(1) Sulphur trioxide (4) Toluene

() Trichloroethylene (w) Xylene

TII

---

7 1,150

LIJ

LL+

1.186

---

387

T10

---

...

3,028

114

TABLE 47-Contd.

---

PIL

---

L-I

2. Miscellaneous analysis:

(a) Calcium (b) Chloride. (c) Lead

IF T

ILL

---

(d) Sulphate....

---

Ventilation survey:

(a) Air velocity

(6)

---

Effective temperature

Miscellaneous measurements:

(a) Capture velocity

ILI

(b) Lighting...

(d) Radiation

ггг

LLL

---

+++

Numbers

24 25

---

* HNA

---

+++

...

---

ILL

---

5. Urinalysis:

(a) Coproperphyrin in urine

(6) Glucose in urine

Blood examinations:

(a) Haemoglobin estimation (6) Red blood cell counts...

Clinical examinations:

(a) Divers

+++

(b) Radiation workers

LII

IIL

+++

F++

---

167

---

239

Pir

---

LIL

---

-J

190

Irr

---

LL+

+11

248

---

+--

ггт

---

340

Total No. of interviews

Number of visits

.гг

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

Cases assessed at Medical Boards

WORKMEN'S COMPENSATION CASE Work

---

1968 1969 1970 1971

33,571 43,738 63,403 63,988 | 86,000

1972

110

гг.

1.437 607 4,456

789

161

580

234

250

619

4,868

6,192

6,731

8,117

115

116

Institutions

TABLE 48

NUMBER OF HOSPITAL BEDS IN HONG KONG 1972

Classification of Beds

HÀNG CÔNG

---

(A) Government Institutions Queen Mary Hospital Sai Ying Pun Hospital Stanley Prison Hospital Tang Shiu Kin Hospital Tsan Yuk Hospital Victoria Reception Centre Govt. Clinics and Maternity Homes

---

(B) Government-assisted Institutions

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

Nam Long Hospital

Ruttonjec Sanatorium

---

-гг

---

Sandy Bay Convalescent Hospital

Tung Wah Hospital

Tung Wah Eastern Hospital

Canossa Hospital ...

---

Hong Kong Adventist Sanitarium and Hospital

FIL

ILL

Hong Kong Central Hospital

LLL

---

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

гги

г--

Private Nursing and Maternity Homes

---

TOTAL (Hong Kong)

---

Unclassified†

TOTAL

278

76 113

106 1,144

250

3:00

106

PLE

100

104

127

FEED

£72

162]

བརྡལ

208|||||

100

423

120

360

233.

| 82|16||

356

200

625

120

360

503

392

319

8 153167

180

120

390

187

1,076 1,237

242

772 377

22 834

176

4371

165

5,748

117

Institutions

Classification of Beds

Medical

TABLE 48-Contd.

Surgical

Gynaecology

Maternity

Paediatric and Babies

Psychiatric

Tuberculosis

Other Infections Diseases

Radiotherapy and Cancer

Chronic, Re- babilitation and Convalescent

Olber Specialty

Custodial, Casualty and Observation

Unclassifiedt

TOTAL

KOWLOON

(A) Government Institutions

Kowloon Hospital

Lai Chi Kok Hospital

Queen Elizabeth Hospital

LLL

ILL

---

277 569

194 5591

225

r-r

Government Clinics and Maternity Homes

JLLL

(B) Government-assisted Institutions

Caritas Medical Centre

Hong Kong Buddhist Hospital Kwong Wah Hospital

---

BAN

108

173

1,043

492

98 1,596

KAZ

118

160

155

166

IIL

---

384 3991 104

---

681 Sta

སྦྲཎྜ |༦སྶ

76 103 1081

[23

160

303 201

Margaret Trench Medical Rehabilitation Centre

LIL

LLL

L-L

LLL

Our Lady of Maryknoll Hospital Wong Tai Sin Infirmary

Baptist Hospital

Evangel Medical Centre Precious Blood Hospital St. Teresa's Hospital

110

---

346

---

LLG

---

111

190

107

---

**85 |

* 1981

斷

241

168

Private Nursing and Maternity Homes....

奶器

| |

160

130

898 189

898

45]

225

1,552

262

681

130

100

427

184

TOTAL (Kowloon)

...

1,862|

1,862 2,193 463 1,023

787

67 459

179

230, 112

371|

7,880

118

Institutions

Classification of Beds

NEW TERRITORIES

(A) Government Institutions

Castle Peak Hospital

ILL

Chi Ma Wan Prison Hospital

LLF

Ma Po Ping Addiction Treatment Centre

Siu Lam Hospital...

St. John Hospital...

South Lantau Hospital

ILL

Tai Lam Addiction Treatment Centre

ггг

Tai Lam Centre for Women Government Clinics and Maternity Homes

---

(B) Government-assisted Institutions

Fanling Hospital

---

Haven of Hope T.B. Sanatorium Hay Ling Chau Leprosarium

Pok Oi Hospital

Fir

Adventist Sanitarium and Hospital Private Nursing and Maternity Homes

TOTAL (New Territories)

-2|||||

TABLE 48-Contd.

224

1,242

200

TTIT

Unclassifiedt

TOTAL

1,242

200

100

248

2|||

| | | |

ייי

32.

3:00

---

Tô

---

| | | |

312

$40

142

122

144

---

333 68 1,442

307 392

127

3,105

---

862

1,570

650

1.799

254 1,015

1,213

468

---

100

505 1,521 367 611 598 1,441]

84 502 129 10 51

266 103

317

216 7,037

14]

677

60| 7,621

16!

90 2,075

3,082 3,480

1,531| 705 2,128 1,232 1,531 1,600 823

2641

693

2011 338

656 16,733

Government Institutions

Government-Assisted Institutions Private Institutions

GRAND TOTAL (Colony)

* Beds in Rennie's Mill Christian Medical Centre.

† Including mixed wards; private wards; F.C.U. and staff beds,

TABLE 49

IN-PATIENTS TREATED IN GOVERNMENT, GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS, CLINICS AND MATERNITY HOMES 1972

In-patients Discharged

Deaths

Total

In-

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

Total General

In- Tuber-Mater- fectious culosis

Pay-

nity chiatric

Total

patients

Treated

HONG KONG

(A) Government Institutions Queen Mary Hospital Sai Ying Pun Hospital. Stanley Prison Hospital Tang Shiu Kin Hospital Tsan Yuk Hospital

36,583

318 336

3,436 218 40,891 2,007

744 1,575

2,350

1,019]

1,220

3,8281

899

371

4,773

|| | ||

2,062

281

42,953

2,378

1,225

LB1

4.791

1,345

8,543

9,888

9.932

Victoria Reception Centre

471

2,920

3,405

3,408

Government Clinics and

Maternity Homes

1,873

Hospital

(B) Government-Assisted Institutions

Alice Ho Miu Ling Netbersole

Dutchess of Kent Children's Orthopaedic Hospital and

Convalescent Home

Grantham Hospital

Nam Long Hospital

Ruttonjec Sanatorium

Sandy Bay Convalescent Hospital

---

Tung Wah Hospital

7,467

[72

701

7,108

13 14,830

2721

280

15,110

415

217

171

760

---

760

1,321

1,029

2,351

164

227

2,578

368

438

245

1,210

1,455

131

1,586

3,425

3,456 316

320

3,776

2,609)

955

3,766

368.

391

4,157

Tung Wab Eastern Hospital

831!

231

463:

111

1,333

183

199

1,532

Canossa Hospital

3,785

3,793

3,856

Hong Kong Central Hospital....

3,440

232,

108

3,783

146

146.

3,929

Hong Kong Adventist

Sanitarium and Hospital

670

912

927

Hong Kong Sanatorium and

Hospital

---

10,394|

947:

133

4,545

172 16,191|

364

366 16,557

Matilda and War Memorial Hospital

931

---

118

1,064

Homes

St. Paul's Hospital

Private Nursing and Maternity

TOTAL (Hong Kong)

1,739:

1,060

1581

806

3,765

1,076

3,765

639

110

639

81,332 4,576|

4,576 3,223 29,714

3,723 122,568,

168 4,410

38|

244

4,698, 127,266

119

120

KOWLOON

(A) Government Institutions

TABLE 49-Contd.

In-patients Discharged

Deaths

Total

In-

General

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

Total General

Tuber- Mater- Pty- fectious culosis nity chiatric

Total

patients

Treated

Kowloon Hospital Lai Chi Kok Hospital ... Queen Elizabeth Hospital Government Clinics and Maternity Homes

111

(B) Government-Assisted Institutions,

8,870

1,160 E,207

79,610

2,961,

447

1,165 15,110

301

436 10,152

1 2,370

151

336 99,182

3,399

120

8,062)

8,062

159

10,311

2,400

3,549 102,731

8,062

Caritas Medical Centre

---

5,943

200

Hong Kong Buddhist Hospital 1,882 Kwong Wah Hospital... Margaret Trench Medical Rehabilitation Centre

28,504

1,130

407 3,080

1,117 20,669]

62)

9,645

36 2,073 28 51,548

676

190

3,513

175

376

394

XER |

720

10,365

203

2,276

3,708

55,256

394

111

3,265

154

246

2,335

5,972

262

273

6,245

---

976

1,130

514

134

650

1,780

Our Lady of Maryknoll Hospital

Wong Tai Sin Infirmary

Baptist Hospital Evangel Medical Centre Precious Blood Hospital St. Teresa's Hospital

Private Nursing and Maternity Homes

---

3,375

1.359

23.

111

2,131

---

10,070| 811

221

1382

399

950

729

3,974

10 2,566

2,225

2,940

225 13,552

436

7,674

7,574

111

4,085

2,611

121

3,061

457 14,009

7,674

TOTAL (Kowloon)...

146,91|| 6,737 4,558 61,796|

1,232 221,234 9,424

503

6 10,026231,260

TABLE 49 Contd.

In-patients Discharged

Deaths

Total

In-

eneral

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

In-

Total General

Tuber- Mater- Pry- fectious culosis nity chiatric

Total

patients

Treated

NEW TERRITORIES

(A) Government Institutions

Castle Peak Hospital

3,916

3,999

Chi Ma Wan Prison Hospital.

280

285

Siu Lam Hospital

St. John Hospital

753

283

1,085

South Lantau Hospital

L66

189

ггг

Tai Lam Addiction Treatment

Centre.

246

361

638

LLL

Tai Lam Centre for Women Ma Po Ping Addiction

134

103

233

---

Sanatorium

Pok Oi Hospital

Treatment Centre

Government Clinics and Maternity Homes

(B) Government-Assisted Institutions

Fanling Hospital

Haven of Hope T.B.

Hay Ling Chau Leprosarium

Adventist Sanitarium and

161

217

---

B.359

8,359

4,077

286

1,118

189

638

238

217

8,359

111

395

10|

510

542

304

538

940

983

121

125

2,899

1,200

4,245

248

253

4.498

ггг

121

Hospital

Private Nursing and Maternity

Homes

י..

1,821.

439!

1,155

3,558

1,221

Government-Assisted Institutions

TOTAL (New Territories)

Government Institutions

Private Institutions

7,232 773

135,443 6,307

60,110 2,373 39,922 3,406

754 12,296|

2,106 46,873

5,753 35,946 676 20,987

4,572 25,627

459

8,469 199,198|

5,776

169

417 104,399||

7.149

607

641 65,632

1,368

GRAND TOTAL

---

..| 235,475 12,086

B,535 103,806

9,327 369,429 14,293 14,293

[32 794

3,628

1,221

514 26,141

6,030| 205,228

7,802 112,401

1,406

67,038

12 15,2381 384,667

15,238

TABLE 50

DISEASE CLASSIFICATION OF IN-PATIENTS TREATED IN GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND OF ALL DEATHS IN THE COLONY 1972 (Patients treated in maternity homes are excluded)

Discharges

Deaths

Govern-

menç

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male

Female

Sex Un-

known

Total

---

402

111

343

ल

3,200

984

1,582

5,253

158

565

972

258

1,230

224

191

207

219

---

Detailed

Inter-

List

mediate

Number

List

Cause groups

1965

Number

Revision

000

Cholera

001

002, 003

Typhoid fever

Paratyphoid fever and other

...

salmonella infections

---

4(0)

004

Bacillary dysentery

---

(b)!

006

Amoebiasis.

· · ·

008, 009

Enteritis and other diarrhoeal

diseases

+ Fr

A 6

010-012

A 7

013

A 8

014

---

A 9

015

A 10

016-019

Tuberculosis of respiratory system Tuberculosis of meninges and central nervous system. Tuberculosis of intestines, peritoneum and mesenteric glands

---

Tuberculosis of bones and joints. Other tuberculosis, including late

---

effects

FEL

---

A 11

020

Plague

---

· · ·

A 12

022

Anthrax

---

A 13

023

Brucellosis

...

A 14

030

Leprosy

---

A 15

032

Diphtheria

---

A 16

033

Whooping cough

122

---

122]

---

6,206 7,031

173

610

610 1,040

283

1,323

Carried forward

TABLE 50 Contd.

Detailed

Inter-

mediate

List

Number

Discharges

Deaths

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govern

Imment

Assisted

Hospitals

Govern- Govern

Whole Colony

109:00

ment

Assisted Hospital Hospital

Male Female

|Sex Un-

known

Total

T11

+++

6,206 7,031 173 610 1,040

283

1,323

LLL

A 17

034

scarlet fever

Brought forward

Streptococcal sore throat and

A 18

035

Erysipelas

A 19

036

A 20

037

Tetanus

A 21(a)|

005

Meningococcal infection

Food poisoning (bacterial)

TTI

123

(6)

038

Septicaemia

007,

021,

024-027,

Other bacterial diseases

031,

A 22

039

040-043

A 23

044

Acute poliomyelitis

Late effects of acute poliomyelitis

A 24

050

Smallpox

· · ·

A 25

055

Measles

A 26

060

Yellow fever

ILL

--L

A 27(a)

050

062

(6)

063

(c)} 064

(d) 065

A 28

070

Mosquito-borne viral encephalitis

Tick-borne viral encephalitis

Viral encephalitis 'transmitted'

by other arthropods

Viral encephalitis unspecified Infectious hepatitis

Carried forward

---

י.

421

219!

URB

فيا ليا

× | | -

1,049

315'

181

7,911 7,792

241

641 1,121| 641|

337

1,458

TABLE 50 Contd.

Detailed

Inter-

List

Discharges

Deaths

mediatel

Number

List

Cause groups

1965

Number

Govern-

ment

Revision

Govern-

ment

Assisted

Hospitals

Hospitals Hospitals Assisted

Govern-

ment

Govern-

ment

Deaths

Whole Colony

Male

Female

Hospitals

|Sex Uo-l

known

Total

Brought forward

7,911! 7,792 241 641 1,121

337

1,458

...

235

124

A 29(a)

052

Chickenpox

(b)|

061

Dengue

---

051,

053, 054,

056, 057,

066-068

Other viral diseases

137

149

071-079

A 30(a) 080

Epidemic louse-borne typhus

++1

A 31

A 32

A 33

A 34

A 35

A 36

A 37

* **ERSE 200

081

Other typhus

...

IPT

082

Tick-borne rickettsiosis

---

083

Other rickettsiosis...

084

Malaria

+++

LL+

086, 087

Trypanosomiasis

.ז.

---

088

Relapsing fever

090

091

094

092, 093,

095-097

A 38

098

Congenital syphilis

Early syphilis, symptomatic Syphilis of central nervous

system

Other syphilis

Gonococcal infections

Fr F

---

*++

---

· · ·

મ

Carried forward

- - -

8,315

2,995

245

644 1,127 341

1,468

TABLE 50-Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

Cause groups

List

1965

Number

Govern-

ment

Revision

Hospitals Hospitals

Govern-

ment

Assisted

Govern

Govern-

meal

Whole Colony

ment

Assisted Hospitals

Male

Female

Hospitals

[Sex Un-|

known

Total

8,315 2,995 2451 644 1,127 341

1,468

...

A 39(0)

120.0

(S. haematobium)

(6)]

120.1

(S. mansoni)

(c)

120,2

(d) 120.3,

120.8,

120.9

Brought forward

Schistosomiasis vesical

Schistosomiasis intestinal

ITT

LLL

Schistosomiasis pulmonary

(S. japonicum)

וזז

Other and unspecified schistosomiasis

LLL

LII

A 40

122

Hydatidosis

A 41

125

Filarial infection

rrt

A 42

126

Ancylostomiasis

+++

---

A 43

121, 123,

124.

Other helminthiases

127-129

A 44(a)

100

Leptospirosis

(6)

102

Yaws

LLL

(c)

110

(d)

085,089,

099, 101,

103, 104,

111-117,

130-136

Dermatophytosis

All other infective and parasitic diseases

---

125

||"

116

Carried forward

---

8,413 8,126 245

645

645 1,128

341

1,469

TABLE 50-Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

List

Cause groups

Govern-

1965

Number

Revision

Govern-

ment

Hospitals

ment

Assisted

Hospitals

Govern-

ment Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male Female

Sex Un-¡ known i

Total

A 45

140-149

FrT

Brought forward.

Malignant neoplasm of buccal cavity and pharynx

8,413 8,126 245 645 1,128) 341

1,469

9871 293

151

A 46

150

Malignant neoplasm of oesophagus

3331

116

---

A 47

151

126

A 48

152, 153

A 49

154

A 50

161

A 51

162

A 52

170

A 53

172, 173

A 54

174

A 55

180

Malignant neoplasm of stomach.. Malignant neoplasm of intestine,

except rectum

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

312

2421

289

300

143

FL +

605

ILI

uteri

950

A 56

181, 182

Other malignant neoplasm of uteri

* 8± 3975 82

231

144

562

182

240

259

2 85 % ** *99* |

82 7228

ཙཱུ ལཉྩ སྐྱསྶ

223

131

454

1581

76!

234

173 231

173

404

106

115|

221

58:

110

525

582

367

949

175

178

25 3486

831

159

921

A 57

185

Malignant neoplasm of prostate...

11 24

Carried forward

LEE

SFF

12,951 10,418 877

2,008 2,673 1,639

4,312

127

TABLE 50 Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

List

Cause groups

1965

Number

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Whole Colony

ment

Hospitals Assisted

Male

Hospitab

Female Sex Un-

Total

known

Brought forward

12,951| 10,418

877

2,008 2,673 1,639

4,312

A 58(a)

155

Malignant neoplasm of liver and intrahepatic bile ducts,

specified as primary

369

170

204

259 591

144

735

(6) 156-160,

163, 171,

Malignant neoplasm of other and

183, 184,

unspecified sites...

881

406

184

284 290

294

584

ILL

186-199

A 59

204-207

Leukaemia

129

541

241

65: 41

106

A 60

200-203,

208, 209

A 61

210-239

A 62

240, 241

A 63

242

goitre

TII

A 64

250

A 65

260-269

A 66

243-246,

251-258,

Other neoplasms of lymphatic

and haemotopoietic tissue

Benign neoplasms and neoplasms

of unspecified nature

Non-toxic goitre

Thyrotoxicosis with or without

Diabetes mellitus

Avitaminoses and other

nutritional deficiency

Other endocrine and metabolic diseases

199

561

220

107

ILI

2,298

1,607|

סי

393

116|

440

155

ITI

---

ILL

སྨཱཙ

5241

518

101

179

109

ггт

гг-

385

272

نيا

270-279

Carried forward

18,632 13,819 1,417

2,655 3,779 2,282

2,2821

6,061

TABLE 50 Contd.

Detailed

Inter-

List

Discharges

Deaths

mediate

List

Number

1965

Cause groups

Govern- !

Number

Revision

Govern-

ment

Hospitals!

Govern- Govern-

Whole Colony

ment

Assisted

Hospitals

ment

Hospitals!

ment

Assisted

Hospitals

Mate Female

|Sex Un-

known

Total

Brought forward

18,632 13,819, 1,417 2,655 3,7791 2,282

6,061

A 67(a)]

280

Iron deficiency anaemias

(b)

281

Other deficiency including

pernicious anaemias

(c)

282-285

Other anaemias

999

254

128

A 68

286-289

Other diseases of blood and

A 60

290-299

Psychoses

A 70

300-309

blood-forming organs

Neuroses, personality disorders

and other non-psychotic mental disorders

428

137

LII

4,177

سانی

...

4,229

249

A 71

310-315

Mental retardation

121

elt

A 72

320

Meningitis (excluding all

A 73

340

meningitis between 001-136) Multiple sclerosis

244

16 38

...

A 74

345

Epilepsy

-- J

1,036

308

A 75

360-369

Inflammatory diseases of eye

LLL

A 76

374

Cataract

620

155

+++

A 77

375

Glaucoma

174

---

A 78

381-383

Otitis media and mastoiditis

212

~||16-8 AN

Carried forward

---

30,870|| 15,385

1,494

2,727 3,867 2,356

6,223

TABLE 50 Contd.

Detailed

Inter-

List

Discharges

Deaths

mediate Number

List

Cause groups

Govern-

Number

1965

Revision

Govern-

ment

Govern-

Deaths

Whole Colony

10000

Trent

ment

Hospitals Hospitals

Assisted

Assisted Hospitals

Brought forward

30,870 15,385

Hospitals

Malc

1,494 2,727 3,867 2,356

Female

|Sex Un-

known

Total

6,223

A 79(a)

370-373,

All other diseases and

376-379

conditions of eye

308

(b)

321-333,

341-344,

346-358,

380,

All other diseases of the nervous system and sense organs

1,105

462

361

384-389

A 80

390-392

Active rheumatic fever

793

133

A 81

393-398

Chronic rheumatic heart disease.

669

456

113

144

257

A 82

400-401

Hypertensive disease

+++

1,109

1,110/

104

144

420

332

752

410-414

Ischaemic heart disease

968

412

265

228

612

559

..ז

1,171

420-429

Other forms of heart disease

LJI

1,836

1,458

205

639

444

405

849

430-438

Cerebrovascular disease

+++

2,021

1,341

933

944

939

953

1,892

A 86

440-448

Diseases of arteries, arterioles

A 87

450-453

and capillaries

Venous thrombosis and embolism

202

113

121

103

224

]

ليا

A 88

454 458

Other diseases of circulatory

system

TII

1,286

1,039

A 89(a) 460-465

Acute upper respiratory

infections

1,586

2,595

(b)

466

Acute bronchitis and

bronchiolitis

568

450

A 90

470-474

Influenza

103

112

Carried forward

ггг

43,436 25,139

3,163

4,906 6,557 4,914

11,471

129

Govern

ment

Assisted

Hospitals

Govern-

ment

TABLE 50-Contd.

---

Contd.

Discharges

Govern-

ment

Hospitals

Hospitais

Deaths

Whole Colony

43,436 25,139, 3,163 4,906 6,557 4,914

Deaths

Govern-

meat

Hospitats Assisted

Male Female

Sex Up-1

koowo

Total

11,471

1331

108/

581

4,523 2,043

901

879 1,173 1,105|

2,278

834

1,887.

151 245

189

434

---

2,3711

1,312

46!

62 376

202

578

574

476,

222

611

Detailed

Inter-

List

mediate

Number

Cause groups

List

1965

Number

Revision

A 91

480

Viral pneumonia

A 92(a)|

481

(b)

482-486

A 93(a)|

490-491

(5) 492-493

Emphysema and asthma

A 94

500

A 95

A 96(a)

510, 513

515

(6)

501-508,

511, 512,

$14.

Brought forward

Pneumococcal pneumonia Other pneumonia including bronchopneumonia

Bronchitis, chronic and

unqualified

Hypertrophy of tonsils and

adenoids

---

Empyema and abscess of lung Pheumoconiosis

...

Other diseases of respiratory

system

+++

-TH

516-519,

A 97

520-525

Diseases of teeth and supporting

structures

---

A 98(a)

531

Ulcer of stomach

(6)

532

Ulcer of duodenum

(c)

533

Peptic ulcer, site unspecified

534)

A 99

535

(excluding gastrojejunal ulcer,

Gastritis and duodenitis

130

3,319

1,908

142

54!

103 1101

213

522

---

115

531

634

643

192

158

2,446

1,513)

440

526

30 24

Carried forward

+++

59,577 36,200 4,365|

6,132 8,643 6,606

15,249

TABLE 50 Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

Cause groups

List

1965

Number

Revision

Govern-

ment

Hospitals

Govern-

ΠΕΠΙ

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Whole Colony

Male Fernale

Hospitals

'Sex Un-

known

Total

Brought forward

гт+

59,577 36,200 4,365 6,132

6,132 8,643 6,606

15,249

A100

540-543

Appendicitis

---

5,405 1,847

A101

550-553,

Intestinal obstruction and hernia.

2,086

560

1,043 |

201

19.

A102

571

Cirrhosis of liver

782

323

70)

119

231

309

ггт

A103

574, 575

Cholelithiasis and cholecystitis

3,813

1,613!

68:

138

A104

526-530,

534, 536,

537.

561-570,

Other diseases of digestive system!

5,267

2,426

243!

110.

214

140]

354

572,573.

576,577

A105

580

Acute nephritis

604

279.

A106

581-584

Other nephritis and nephrosis

886

316

145

102

247

A107

590

Infections of kidney

213

871

105

A108

592, 594

Calculus of urinary system

886

420

---

A109

600

Hyperplasia of prostate

176

183|

A110

610, 611

Diseases of breast

122%

Carried forward

· · ·

---

79,780 44,859 4,794 6,504, 9,414 7,107

16,521

131

TABLE 50 Contd.

Brought forward

Al11(4) 603

Hydrocele

L+

(6)

626

Disorders of menstruation

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

List

Number

Cause groups

1965

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male

Femate

¡Sex Un-i

known

Total

79,780 44,859 4.794 6,504 9,414 7,107

16,521

280

170

1,395

1,997

(c)

591,593,

595-599,

601,602,

604-607,

Other diseases of genitourinary system

5,375

3,670,

321 22

132

612-625,

627-629

A112

636-639

Toxaemias of pregnancy and the

puerperium

216

L+

A113

632,

651-653

Haemorrhage of pregnancy and childbirth

485|

903

1,137

AI14

640,641

Abortion induced for legal

indications

A115

642-645

A116

670, 671

Other and unspecified abortion Sepsis of childbirth and the

3,481

3,491

673

puerperium

---

A117

630,631,

633-635,

654-662,

672,

Other complications of pregnancy, childbirth and the puerperium.

9,040

5,518

674-678

Carried forward

---

100,552 61,342 4,816

6,530 9,446 7,145

16,591

TABLE 50-Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

List

Cause groups

1965

Govern

Number

ment

Revision

Hospitals Hospitals

Govern

ment

Assisted

Govern-

MBOL

Hospitals

Gover-

ment

Assisted Hospitals

Whole Colony

Male Female

Sex Un-

known

Total

A118

650

Brought forward

Delivery without mention of

L++

complication

100,552 61,342 4,816 6,530 9,446 7,145

14,857 25,300

16,591

A119

680-686

Infection of skin and

subcutaneous tissue

+++

2,742

787

A120(a)|

707

Chronic ulcer of skin

111

ייז

78 112

(b)

690-706,

708, 709

subcutaneous tissue

A121

710-715

A122

716-718

Other diseases of skin and

Arthritis and spondylitis

Non-articular rheumatism and

rheumatism unspecified

695

557

दूध

739

441

+++

22:

A123

720

Osteomyelitis and periostitis

193

A124

727,

Ankylosis and acquired

735-738

musculoskeletal deformities

142

A125

721-726,

728-734

Other diseases of musculoskeletal system and connective tissue

988

346.

的

A126

741

Spina bifida

A127

746

A128

747

A129

749

Congenital anomalies of heart

Other congenital anomalies of circulatory system

Cleft palate and cleft lip

[T1

279

130:

86 $1

168

110

120

189

Carried forward

---

121,514 89,389

389 4,877

6,569 9,548 7,265 1 16,814

133

TABLE 50- Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

Cause groups

List

1965

Number

Govern-

ment

Revision

Govern-

ment

Assisted

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Whole Colony

Male

Female

Sex Un-

known

Total

Brought forward

Hospitals Hospitals

121,514 89,389) 4,877 6,569 9,548 7,265

1| 16,814

A130

740,

742-745,

748.

750-759

All other congenital anomalies

6551 472

27 100

177

A131

764-768,

772

Birth injury and difficult labour.

نيا

A132

770, 771

A133

774, 775

A134

776

Conditions of placenta and cord... Haemelytic disease of newborn... Anoxic and hypoxic conditions not elsewhere classified

2,536

742

نيا

26'

107

A135

760-763,

769, 773,

777-779

Other causes of perinatal morbidity and mortality

2,130

1,154:

100

138

203

162

365

A136

794

A137

780-793,

795, 796

AE138 E810-E823

Senility without mention of psychosis

Symptoms, and other ill-defined

Motor vehicle accidents

---

- - -

---

28]

573

570

250

568

818

---

19,644 5,279 431

330

537

458

995

3,716 702

233

48 266 153

419

134

Carried forward

150,238 98,366

5,779|

7,730

7,730 11,030 8,767

2 19,799

TABLE 50Contd.

Detailed

Inter-

mediate

Discharges

Deaths

List

Number

List

Number

Cause groups

Govern

Govern-

1965

Revision

Govern-

ment

Hospitals

Govern-

Deaths

Whole Colony

ment

Assisted

Hospitals

bent

Hospitals

meat

Assisted

Hospitals

Male Female

|Sex Un-

known

135

Total

Brought forward

LJ J

150,238 98,366. 5,779 7,730 11,030 8,767

2 19,799

AE139 E800-E807 } Other transport accidents

E825-E845

Accidental poisoning Accidental falls

264

19]

T11

AE140 E850-E877

AE14! | E880-E887

AE142 | E890-E899

Accidents caused by fires.

AE143

E910

Accidental drowning and

submersion

AE144

E922

Accident caused by firearm missiles

+11

AE145

(a) E924

...

1,550

8,263

928

281

123

540

* 838

188

ल

212

284

ггг

-г г

(6) E916-E921

E923,

E925-E928

AE146

(a)

E905

(b)

E906

Accident caused by hot substance, corrosive liquid, and steam

Accidents mainly of industrial type

Bites and stings of venomous animals and insects

260

331

LT+

Other accidents caused by animals

JJ I

LLF

1,602

516

TII

9,658

684

Carried forward

172,658) 100,750

5,932 7,770 11,427 8,936

11,427|

20,365

136

TABLE 50-Contd.

Detailed

Inter-

Discharges

Deaths

List

mediate

Number

List

Cause groups

1965

Number!

Govern-

ment

Revision

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

ment

Hospitals

Deaths

Whole Colony

Inent

Assisted F

Male

Female

Hospitals

|Sex Un-|

known

Total

Brought forward

172,658 100,750| 5,932 7,770, 11,427 8,936

2 20,365

---

1,215 229

4,200 2,728

122

207

744

671

301

276

187

463

(c)

E914

(d)

E915

(e) E900-E904,

E907-E909.

E911-E913, E929-E949

AE147 E950-E959 AE148 E960-E978

AE149 E980-E989

Foreign body accidentally entering eye and adnexa

Foreign body entering other orifice

-- L

All other accidents

Suicide and self inflicted injury

Homicide and injury purposely inflicted by other persons; legal intervention

FL +

Injury undetermined whether

accidentally or purposely inflicted

- Pr

1,757

467

255

IPT

354

AE150 E990-E999

Injury resulting from operation of

war

+++

PPT

- T

GRAND TOTAL

---

180,904 14,599 180,904 104,599|

6,030|

1,910 9,233 7,802 11,910 9,233

2 21,145

137

317

TABLE 50-Contd.

Detailed

Inter-

List

Discharges

Deaths

mediate

Number

List

Number

Cause groups

1965

Revision

Govern-

ment

Hospitals

Govern-

ment

Assisted

Hospitals

Govern-

MERL

Deaths

Whole Colony

ment

Hospitals!

Assisted Hospitals!

Male

Female

Sex Un-

known

Total

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

AN141 N830-N839

AN142 N840-N848

AN143 N850-N854

AN144 N860-N869

Burn

AN145 jN870-N907 AN146 N910-N929

AN147 N930-N939

AN148 N940-N949 AN149 N960-N989

AN150 N950-N959

N990-N999 }

---

Fracture of skull Fracture of spine and trunk Fracture of limbs

Dislocation without fracture

Sprains and strains of joints and adjacent muscles

Intracranial injury (excluding

skull fracture)

.гг

Internal injury of chest, abdomen and pelvis

ILL

Laceration and open wound Superficial injury, contusion and crushing with intact skin surface Foreign body entering through orifice

Adverse effects of chemical

substances

All other and unspecified effects of external causes

302

111

232

112

...

344

694

184

5,376

1,649

3361

93'

105

ггг

8,221

841

170

103

273

158

146

222

10,604

1,634

1,473;

979

· · ·

2,028

243;

---

----

1,990

606

N 00 12

---

2,568

247

109

527

277

22:

11 409

192

601

TOTAL

34,382

...

6,935:

484)

120 1,146

619

1,765

TABLE 51

EXPENDITURE ON HOSPITALS

1971-72 AND 1972-73

1971-72

1972-73

Unit

No. of

beds

in-patient

Total

Expendi-

Expendi

admissions

tore

per bed

ture per

in-patient

No. of

beds

No. of

in-patient admissions

Total

Expendi-

turet

ture

per bed

Expendi-

ture per

in-patient

Castic Peak Hospital (Psychiatric Service)

1,242"

3,834 21,794,676|

17,548

5,684

1,242"

4,103 25,713,309 20,703

6,266

Kowloon Hospital (Tuber- culosis and Convalescent).

678

7,759 ❘ 15,768,432 23,257

2,032

1,043

10,492 25,408,094 24,360

2.421

Lai Chi Kok Hospital (Infec- tious and Convalescent)....

492

6,409 | 7,512,173

15,268

1.172

492

7,023 8,020,3701 16,301

1,142

Queen Elizabeth Hospital (Acute and General)

1,596

88,764 61,870,920 38,766

697

1,5965 102,699

80,264,100 50,291

782

Queen Mary Hospital (Acute, General and Teaching)

1,128

36,793

46,960,861 41,631

1,276

1,144

42,989

57,975,000

50,677

1,349

Tsan Yuk Hospital (Maternity sad Teaching)

301

8,093

3,656,187

18,791

698

300

10,749

7,550,901| 25,169

702

138

Additional lemporary beds were provided which resulted in an average bed occupancy rate for 1971-72 and 1972-73 of 42% and 48% respectively over the official number of beds in the hospital. The expenditure per bed per annum calculated on this basis reduces therefore to $11,838 (1971-72) and 513,385 (1972-73).

↑ 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 1,904 and the expenditure per functional bed per annum reduces to 542,156.

TABLE 52

WORK OF THE QUEEN MARY HOSPITAL 1971 AND 1972

1971

1972

Total number of In-patients Discharged

Total number of Deaths

Total number of In-patients Treated

Total Attendances at Casualty

LLL

Total Out-patient Attendances at Specialist

Clinics

-- r

34,767

40,891

1,992

2,062

36,759

42,953

48,402

54,207

19,873

23,482

Total number of Operations (Excluding Minor

Operations)

14,612

15,161

Average Length of Stay (in days)

9.4

8.4

111

Mortality (% of total In-patients Treated)

5.4

4.8

---

TABLE 53

WORK OF THE QUEEN ELIZABETH HOSPITAL 1971 AND 1972

1971

1972

Total number of In-patients Discharged

85,420

99,182

Total number of Deaths

ייז

rrr

3,247

3,549

Total number of In-patients Treated

ILI

88,667

102,731

Total Attendances at Casualty

Total Out-patient Attendances at Specialist

Clinics

Operations:

...

Casualty Department

Operating Theatre Suites

Specialist Clinics

Total

Average Length of Stay (in days)

Mortality (% of total In-patients Treated)

176,385

192,618

ггг

285,717

308,417

20,486

20,348

---

21,619

23,055

...

2,754

2,936

44,859

46,339

6.5

5.9

3.7

3.5

139

Assault

TABLE 54

WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1972

A. TRAUMATIC CASES

First Attendance

Traffic...

Industrial

Domestic

Animal Bite

Sport Others

rrr

Total

Causes

---

Admissions

Cases

7,955

14.5

3,221

14.3

8,831

16.1

3,611

16.0

19,286

35.3

8,100

35.9

13,096

24.0

5,520

24.5

1,991

3.6

754

3.4

1,016

1.9

378

1.7

2,521

4.6

948

4.2

---

54,696

100.0

22,532

100.0

___

28.4%

Traumatic attendances as a percentage of total attendances at Casualty Traumatic admissions as a percentage of total admissions from Casualty = 28.7%

B. NON-TRaumatic CaSES

First Attendance

Admissions

Cause

Cases

www.www

Cases

Infectious

6,983

5.1

2,166

3.9

---

Tuberculosis

---

7,773

5,6

3,041

5.4

Medical

34,511

25.0

13,782

24.6

IL+

Surgical

27.311

19.8

10,460

18.7

Obstetrical Gynaecology Paediatric Psychiatric Others

1,955

1.4

1,642

2.9

6,164

4,5

4,347

7,8

31,774

23.0

12,745

22.8

1,711

1.3

19,740

14.3

7,779

13.9

---

Total

Frt

137,922

100.0

55,962

100,0

Non-traumatic attendances as a percentage of total attendances at Casualty-71.6% Non-traumatic admissions as a percentage of total admissions from Casualty=71.3%

140

TABLE 55

WORK OF THE TANG SHIU KIN HOSPITAL 1971 AND 1972

1971

1972

Total number of In-patients Discharged

Total number of Deaths

4,603

4,773

Total number of In-patients Treated

ILL

4,632

4,791

Total Attendances at Casualty

64,129

74,362

Total General Out-patient Attendances (Including

Casualty Attendances)

LLL

IL -

126,773

133,647

Total number of Operations....

ггт

8,784

8,774

Average Length of Stay (in days)

3.3

JJJ

ILL

3.0

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

0.6

0.4

TABLE 56

WORK OF TSAN YUK HOSPITAL 1971 AND 1972

1971

1972

Total Admissions:

Special Care Babies

Maternity...

---

849

2,557

ILL

TIE

8,092

8,192

Total infants born

+++

ILL

---

5,985

6,374

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

Total

...

---

Post-natal Clinic Attendances:

7.85

8.55

ILL

9.94

9.73

0.31

огт

28.34

28.63

- г г

+++

5,010

5,705

TII

33,165

31,614

New

Total

711

11 1

3,387

3,694

3,801

3,947

141

TABLE 57

WORK OF CASTLE PEAK HOSPITAL 1972

Male

Female

Total

Patients in hospital on 1st January, 1972

1,140

658

1,798

Patients admitted:

First admissions

913

667

- PI

1,580

Re-admissions

Total admissions...

Patients discharged

1,474

1,049

2,523

---

2,387

1,716

4,103

2,338

1,661

3,999

Deaths

Total discharges

-г г

2,376

1,701

4,077

Patients remaining on 31st December, 1972..

1,223

719

1,942

TABLE 58

WORKS OF DAY HOSPITALS AND PSYCHIATRIC CENTRES 1972

PSYCHIATRIC DAY PATIENTS AT PSYCHIATRIC CENTRES

Hong Kong Psy. Centre

Yau Ma Tei Psy. Centre

Kowloon

Hospital

Psy. Unit

Patients attending on 1.1.72

Admissions

Total Treated...

Discharges

Patients attending on 31.12.72

D86 562 85E 990 ZEA

ZLE ELE ZLF 2LF ZLF

218

116

334

252

130

382

218

117

335

nar 193 ANA ANA

| -

142

TABLE 58-Contd.

OUT-PATIENT ATTENDANCES AT PSYCHIATRIC CENTRES

New

Repeated

Total

Hong Kong Psychiatric Centre

720

26,040

26,760

Kowloon Hospital Psychiatric Unit...

891

7,106

7,997

Queen Elizabeth Hospital, Psychiatric Clinic

100

1,240

1,340

Tsuen Wan Psychiatric Clinic

FEE

2,428

2,490

Yau Ma Tei Psychiatric Centre

1,083

52,365

53,448

Violet Peel Psychiatric Sunday Clinic

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

2,004

3,507

TOTAL

---

2,856

94,690

97,546

TABLE 59

WORK OF KOWLOON HOSPITAL, PSYCHIATRIC UNIT

Male

Female

Total

Patients in hospital on 1st January 1972

Patients admitted:

First admissions Re-admissions

ITI

176

205

381

...

111

ггг

Total admissions...

　　　Patients discharged Deaths

Total discharges ...

201

252

453

...

190

244

434

191

244

435

Patients remaining on 31st December, 1972...

143

TABLE 60

TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT-ASSISTED HOSPITALS AND CLINICS, 1972

General Clinics

Special Clinics

General

Casu-

alty

*Gen- | Child eral ¦ Health

Ante- Posl- Natal | Natal

Eye E.N.T,' I.B.

HONG KONG

Government Institutions

Alice Ho Miu Ling Nethersole Hospital...

...

Duchess of Kent Children's

Orthop. Hospital and Convalescent Home

---

1,410,258 135,887) 405,818,

Government-assisted Institutions:

15.81ཐ」

Derma- TOTAL

340,200 64,651 6,943 74,307 16,214 425,85628,764 7,210 98,694 19,344 3,034,146

Social

Psy. Leprosy Hygi- Lology

ene

JJJ

69,160 7,552

69,777

2,896 28,129 2,790

609

658

181,571

---

2,983

Grantham Hospital

Ruttonjee Sanatorium

Tung Wah Hospital

110

-11

17,688

Tung Wah Eastern Hospital

TOTAL (Hong Kong)

-гг

50,225 8,783 20,484

1,550,127 132,222

10,393

4,656 362

4,109 3.135!

1,938.

83,601

2,888!

2,635, 185

1,086, 1,430

584

29,292

491,859

343,096| 100,071, 10,280

80,111:21,437 445,066, 28,764 7,210 98,694| 19,344| 3,349,281

KOWLOON

Government Institutions

Government-assisted Institutions:

1,837,807 205,292

Caritas Medical Centre

64,037

1-1

H.K. Buddhist Hospital

---

30,988.

Kwong Wah Hospital

---

гог

144,207 98,390|

668,695

49,460

3,261:

76,370

579,804 102,260 13,309 156,208 28,943, 836,609 66,292 16,938 79,729 20,301 4,612,187

2,474 21,019 1,626

3,601) 4,460)

13,827,

3,470 99,937

263.911

223! 844

382

35,698

Our Lady of Maryknoll Hospital

36,341

27,400

84,971 7,712 6,448 16,524) 1,845 783: 5321 1,070

3,748 8,334.

423,732

90,996

TOTAL (Kowloon)

LLLL

+++

2,113,380 303,682

825,186

588,726 224,774 24,492, 164,563:43,133, 8$1,506 66,292 16,938 83,199 120,653 5,426,524

NEW TERRITORIES

Government Institutions

---

Government-assisted Institutions: Fanling Hospital

Haven of Hope T.B. Sanatorium.

ILL

FIL

Po Oi Hospital

LLL

LLI

1,005,394 54,551

26,036

60,480 1,387 19,910 472

576,06 165,504 66,090 1,108 22,459 3,759 187,744 2,508 20,127

811 11,638

104 2,097,731

42 93

5261

101

46,925

4,837

923

4,719 163

664

Rennie's Mill Church Clinic

TOTAL (New Territories)

TOTAL (Government InsTITUTIONS) TOTAL (GOVT-ASSISTED Inst.)... GRAND TOTAL (Colony)

1.111,820 56,410 597,111

166,168 71,302 1,491 22,501 3,852. 193,107|| 2,508| 4.253,459 395,730 1,650,574 1,085,508 233,001 21,360 252,974 48,916 1,450,209 97,564 521,868 116,584 263,582. 12,482| 163,146 14,903 14,201|19,506) 40,470 4,775,327| 512,314, 1,914,156. 1,097,990 396,147|36,263|267,175| 68,422|1,490,679 97.564 24.959| 193,531||140,202 11,014,729

* Including Allendances in Physiotherapy and Occupational-therapy clinics.

24,959 190,061 39,749, 9,744,064 3,470 100,453 1,270,665

493 220

67,672

21,759

811 11,638

205 2,238,92

144

Dispensaries

Out-patient

TABLE 61

TOTAL OUT-PATIENT ATTENDANCES AT NEW TERRITORIES CLINICS 1972

No. of cases

seen by

doctors at

General

No. of

injections

No. of

dressings

No. of

Casualty

No. of

maternity

cases

Total

attendances at Specialist

Clinics

cases

treated

clinics

Castle Peak Clinics

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

Kam Tin Clinic

---

Lady Trench Polyclinic (Day)

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

+++

30,220

14,287

7,925

710

18,896

680

---

6,227

480

212

139

---

8,394

294

235

105

1,581

1,839

---

1,683

1,486

1,410

132

---

· · ·

4,026

1,966

748

4,280

138

88,589

73,391

42,827

55,513

40,730

...

37,776

6,533

1,089

---

70,915

2,218

North Kwai Chung Polyclinic North Lamma Clinic

LII

Peng Chau Clinic

66,490

7,937

6,887

165

***

2,879

659

1,879

254

...

6,179

1,008

586

199

2,385

Sai Kung Clinic

---

Sai Kung Travelling Clinic

Sha Tin Clinic

Sha Tau Kok Clinic

Shek Wu Hui J.C.C.

37,919

13,013

3,300

452:

9,399

312

---

4,366

6,465

1,074

1,103

2,743

---

...

22,874

10,441

7,334

615

11,662

392

---

54,094

32,207

21,081

7,208

36,713

1,342

Shek Wu Hui Travelling Dispensary

Silver Mine Bay Dispensary

Tai O Dispensary

2,095

259

196

6,031

2,451

1,888

308

2,151

19,544

27,659

2,022

2,664

2,642

150

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

LJI

Tai Po Travelling Clinic

230

LL+

+++

31,028

12,277

13,351

4,289

24,325

1,005

יזי

1,649

г гт

Yuen Long Dispensary

- гт

Yuen Long Travelling Dispensary

· PI

---

52,582

31,082

16,949

6,771

46,096

1,572

1,023

TOTAL

494,100

238,108

129,878

79,140

276,226

8,334

145

TABLE 62

WORK OF RADIODIAGNOSTIC BRANCH 1972

Centres

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

- IL

- г г

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 ...

Total

---

Examinations

---

8,880

---

ILL

28,948

огг

- г г

---

Lrt

98,899

---

19,068

31.022

---

15.220

34,000

---

35,650

---

7.855

---

412

...

---

30,041

---

310,154

Kowloon and New Territories

1. Castle Peak Hospital

--L

2. Kowloon Chest Clinic

3. Kowloon Hospital

4. Kwai Chung Chest Clinic

5. Lai Chi Kok Hospital

6. Medical Examination Board

---

LIF

---

6,269 59,292

111

21,443

2,489

---

1,377

---

23,244

---

J-I

7. Mobile Mass Radiography Unit No. 2

8. Mobile Mass Radiography Unit No. 3 9. Pok Oi Hospital

10. Queen Elizabeth Hospital

11. Shek Kip Mei Chest Clinic

12. Yau Ma Tei Chest Clinic

13. Yau Ma Tei X-ray Survey Centre

---

...

---

--г

LLJ

33,404 24,511 2,647 195,440

LET

37,097

26,264

33,135

Total

---

- J-

466,612

Grand Total (Whole Colony)

---

776,766

146

A. Radiotherapy

TABLE 63

RADIOTHERAPEUTIC DIVISION

New Patients seen

ггг

1972

---

3,256

1,988

1,212

---

2,349

1,775

574

---

408

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

PIL

Patients with non-malignant disease treated

B. Radiation Treatments Given

1. Supervoltage X-ray and Gamma-ray Therapy 2. Orthovoltage X-ray and Gamma-ray Therapy 3. Superficial X-ray therapy...

---

IL F

64,127

ILL

15,691

Radium or radiocobalt applications

5. Radio-gold (198 Au) application

་ ་ ་

гг.

Frr

bur

ITT

Radio-strontium (Sr) application (Skin Plaques, eye-shells)

Radio-phosphorus (p) therapy (Internal Administration)

8. Radio-iodine (111) Therapy

C. Radio-isotope Tracer Studies

Radio-iodine (1311)

(i) Thyroid function tests

(ii) Trisorb only

(iii) Topographical Survey

Strontium-85

110

ייז

+++

ILI

418

313

JJJ

385

3,535

---

(1,490)

(1,980)

LJ J

...

LJI

ILL

(65)

---

ILL

Technetium-99m

3. Strontium-87m

.гг

---

ILL

Others

Indium-113m

(i) 1131 (Scan only) (ii) 1191 (body scan)

(iii) p (iv) Sp85

+++

---

LLL

147

+++

---

JJJ

1,029

284 (246) (32)

---

{

---

TABLE 64

WORK OF THE OPHTHALMIC SERVICE 1971 AND 1972

1971

1972

New Out-patient attendances...

95,894

81,571

Total Out-patient attendances

111

Fr+

260,142

Operations performed

252,967

...

2,630

above)

Operations classed as sight-restoring (included

Home visits by Health Visitors

2,709

1.424

1,927

1,587

1,862

TABLE 65

ANALYSIS OF MAJOR CAUSES OF BLINDNESS 1971 AND 1972 ((Expressed as percentage of blind cases)

Causes

1971

1972

Keratomalacia

3.5

Senile cataracts

L++

LL+

ILL

---

45,2

39.7

Trachoma

гг.

brr

6.5

6.2

---

Glaucoma

Injuries (all types)

Syphilis

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

Degenerative diseases

13.7

---

15.6

---

1.3

-J

---

ILI

---

2,7

1.3

LIJ

LII

LLI

3.5

4.0

...

11.0

20.1

11.4

9.4

Neoplasms

Meningitis

2.6

0.5

...

LJ J

1.3

0.5

ANALYSIS OF Major CAUSES OF BLINDNESS IN CHILDREN UNDER

15 YEARS OF AGE

(percentage of blind cases)

Keratomalacia Congenital defects

N.S.O.A./Uveitis Neoplasms

Causes

---

...

ILL

+++

• Total Cases: 11. + Total Cases- 17,

148

1971*

1972†

amox

TABLE 66

WORK OF THE EAR-NOSE-THROAT SERVICE

1971

1972

---

14,931

---

15,238

LLJ

ILL

47,768

48,852

2,663

2,810

1,970

1,930

　　　New out-patient attendances Total out-patient attendances Total inpatients admitted Operations performed

...

ггг

TABLE 67

PHARMACEUTICAL SERVICES

BULK PHARMACEUTICAL CENTRES

Store and Bulk Manufacture

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

Sterile Preparation Centres

Queen Mary Hospital

Queen Elizabeth Hospital

Cost of Instruments, Medical and Surgical Equipment

Cost of Drugs and Dressings

1971

1972

1971

1972

Queen Mary Hospital Queen Elizabeth Hospital Sai Ying Pun J.C.C.... Violet Peel Polyclinic Q.E.H. Specialist Clinic

---

Other Hospitals and Clinics...

Total Cost

4,584,362.58 4,901,432.62 5,119,371.16 4,676,382,24 1,364,376.45; 1,463,437.19|

617,117.311 678,871.66

1,552,902.07) 1,494,915.70

798,795.78 1,[15,387.94 635,563,65

623,026.99

5,917.32

12,771.18

2,159.96

2,225.47

400,74

8,874,364.91| 9,346,821,21 2,028,390.18 1,467,525.15

22,112,494.48 22,561,860.62 3,470,826.89 3,221,337.47

PHARMACEUTICAL Control 1971 and 1972

Wholesale Poisons Licences issued

Authorized Seller Licences issued

LLT

1971

1972

---

506

457

---

1,482

1,621

237

ILL

213

230

212

4,531

4,503

132

107

　　　　Listed Seller Licences issued Dangerous Drugs Licences issued Antibiotics Permits issued...

LLL

Licences for movement of Dangerous Drugs Premises inspected

---

Prosecutions

LIL

...

149

TABLE 68

WORK OF PHYSIOTHERAPY SERVICE 1972

Number of Attendances

Centres

Queen Elizabeth Hospital

Queen Mary Hospital

Kowloon Hospital

Lai Chi Kok Hospital

---

Kowloon Rehabilitation Centre

Wanchai Polyclinic

Tang Shiu Kin Hospital

Sandy Bay Hospital

David Trench Rehab. Centre

Kwun Tong W.R.C.

---

Sai Ying Pun Hospital

...

110

Total

JJ L

JJ.

---

LJI

Patients

Treated

Total Attendances

17,774

147,730

9,523

65,040

6,385

96,214

2,780

48,938

6,898

50,349

...

5,073

50,411

386

3,028

947

...

18,971

2,882

34,601

270

1,616

256

LIL

52,950

517,154

TABLE 69

WORK OF OCCUPATIONAL THERAPY SERVICE 1972

Centres

Patients

Treated

Total Attendances

7,038

$75,790

ILL

LLL

ILL

331

6,142

LL.

110

12,743

768

---

26,615

458

16,452

958

ILI

20,098

384

10,097

гг.

1,084

18.751

2,611

27,067

419

LII

7,530

LLJ

LIJ

368

18,379

Castle Peak Hospital

David Trench Rehab. Centre..

Hong Kong Psychiatric Centre... Kowloon Hospital

Kowloon Hospital, West Wing

PPI

Kowloon Jockey Club Rehabilitation Centre

Queen Elizabeth Hospital

Lai Chi Kok Hospital

Queen Mary Hospital

Wan Chai Polyclinic

---

11 1

Yau Ma Tei Jockey Club Polyclinic

Total (Colony)

150

14,529

739,664

TABLE 70

WORK OF PROSTHETIC-ORTHOTIC SERVICE 1972

Type of Patients

No. of Patients Treated

Total Attendances

---

268

---

535

2,675

1,167

ггг

3,501

260

111

555

---

FIL

340

680

1,696

Patients requiring Spinal Braces

Patients requiring Hand and Arm Splints

Patients requiring Leg Braces

---

Patients requiring Foot Appliances and Shoe

Corrections

- г г

Upper Extremity Amputee

Lower Extremity Amputee

Patients requiring repairs Patients called for checking

...

---

Total

LIL

3,990

9,723

TABLE 71

WORK OF MEDICAL EXAMINATION BOARD 1971 AND 1972

Government Auxiliary Miscellaneous: Total Appointments Defence Units

1971 1972 1971 1972

1971

1972 1971 1972

New examinations

Re-examinations

9,783 10,292 2,784 3,261

6,624 7,150 1,850 1,700

8511

845 13,418 14,398

8.474 8.850

Annual Total

16,407 17,442 4,634 4,961

851

845 21,892 23,248

151

TABLE 72

UNFITNESS OF CANDIDATES BY CAUSES 1971 AND 1972

Causes

Pulmonary Tuberculosis

Other Chest Lesions

י.

1971

1972

LLJ

ILL

145

121

ILL

ייי

[T1

ILI

...

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

---

Total

212

248

---

TABLE 73

MEDICAL CLINICS REGISTRATION

Number of clinics fully registered at 31st March, 1973

Number of clinics registered with exemption at 31st March, 1973

344

Number of clinics in respect of which registration was refused during 1972-73

Number of clinics in respect of which registration was cancelled during

1972-73

---

152

LAUL

GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS FROM 1968-69 TO 1972-73 (FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)

Institutions

1968-69

1969-70

1970-71

1971-72

1972-73

---

Alice Ho Miu Ling Nethersole Hospital

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

Chesire Home

Family Planning Association of Hong Kong Fanling Hospital

2,991,400

3,481,400

3,799,880

(130,200)

5,484,613

8,582,584

727

זו.

-JJ

JJJ

1,455

2,568,802

3,636

3,429,306

727

3,636

3,700,000

3,636

4,440,000

3,495,940

110

49,000

$1,200

PIP

+++

Grantham Hospital

Haven of Hope Tuberculosis Sanatorium

тгт

+++

LLL

Hong Kong Anti-Cancer Society

1 гг

---

111

500,000

4,992,782

740,000

814,000

1,400,000

373,300

432,167

5,468,125

5,693,138

8,634,384

8,828,485

-T

(425,816)

880,000

1,080,000

1,382,400

1,944,000

(150,000)

(26,626)

(93,156)

(196,006)

...

543,962

558,850

656,000

680,000

873,539

111

110

11-

Leprosy Mission, Hong Kong Auxiliary

ייז

PPP

Hong Kong Anti-Tuberculosis and Thoracic Diseases Association

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

John F. Kennedy Centre Princess Alexandra Residential School Tsz Wan Shan School

Hong Kong Buddhist Hospital

London School of Hygiene and Tropical Medicine Nam Long Cancer Hospital Extension Our Lady of Maryknoll Hospital

Pok Oi Hospital

2,021,360

2,363,400

2,300,000

2,640,000

3,700,000

(157,800)

(45,564)

(82,652)

LLL

וזז

(116,200)

---

267,700

273,200

280,000

366,100

685,600

(38,400)

(33,000)

212,800

400,000

450,000

464,500

---

PPP

29,400

31,800

37,000

41,200

500

6,900

8,500

11,100

LLL

IIL

775,000

(800)

820,000

800,000

840,000

925,000

FFF

250,026

946,700

1,580,897

LLL

---

1,455

1,434

1,454

1,455

---

гог

(71,050)

---

FIT

L-L

830,922

1,056,000

870,375

1,050,000

1,600,000

2,006,082

1,100,000

1,000,000

1,300,000

1,500,000

(23,306)

(69,663)

(639,090)

Rennie's Mill Church Clinic

---

ггг

18,000

24,000

St. John Ambulance Brigade

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

Tung Wah Sandy Bay Convalescent Hospital Tung Wab Hospital (Centenary Block) Tung Wah Eastern Hospital (Conversion) United Christian Hospital University of Hong Kong

Wong Tai Sin Infirmary, Phase II and III Yan Chai Hospital

111

.--

---

LLL

Society for the Aid and Rehabilitation of Drug Addicts

ILI

80,000

1,431,800

80,000

45,000

44,864

2,563,800

2,869,726

4,689,150

5,458,400

(26,659)

(27,330)

---

584,000

830,807

1,215,858

1,200,000

1,677,569

(32,483)

(11,902)

(149,389)

(99,146)

---

600,000

700,000

655,000

670,000

741,000

(2,700)

(7,020)

-11

29,161,060

29,641,998

34,891,431

41,864,775

52,255,214

(186,442)

(442,811)

(510,411)

(216,119)

---

(74,369)

111

---

(17,976)

(518,920)

(733,712)

FIL

LLL

ILL

(439,822)

---

(1,605,085)

(6,544,545)

111

-11

---

➖ ➖ ➖

913.750

(1,099,447)

1,150,000 (1,340,726)

(189,837)

(5,603)

ILI

LLL

---

(862,779)

Total

50,432,975 (1,440,816)

55,606,978

61,494,576

78,520,012

98,704,432

(1,562,352)

(1,065,717)

(3,103,191) (10,272,687)

153

TABLE 75

WORK OF THE GRANTHAM HOSPITAL 1972

Total Admissions

Total Discharges ...

---

...

---

ггт

+++

LL+

LLL

ггг

2,529

2,351

1,029

+++

1,322

227

Tuberculosis Cases Non-tuberculosis Cases

Deaths

Surgery-operations performed:

Lung. 'Open' heart

'Closed' heart

Orthopaedic

ITI

Other ...

+++

LLT

+++

---

++1

ггт

LEE

---

132

LII

---

TABLE 76

WORK OF RUTTONJEE SANATORIUM 1968-72

Admissions

1968

1969

1970

1971

1972

Adults through Government Clinics 716

496

646

566

665

Children (pulmonary through

Government Clinics)

Children (Orthopaedic)

Children (Miscellaneous)

+++

Other admissions and re-admissions

715

839

867

861

860

Total

---

1,501

1,389 1,577

1,494

1,590

TABLE 77

ADMISSIONS TO LEPROSARIUM 1972

Adults

Children

Total

Male Female

LJI

..ז

New Admissions

Re-Admissions ...

Total Admissions ...

154

TABLE 78

BUILDING PROGRAMME

I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED

(1) Government

(i) Institute of Immunology-A new institute at Pok Fu Lam for the pro-

duction of vaccines and their evaluation. Completed in June 1972.

(ii) South Kwai Chung Polyclinic, Stage I-A standard urban clinic with maternity home and with a Chest Clinic and Chest X-Ray Section. Opened in October 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. Completed towards the middle of the year.

(iv) Medical Department Laundry, Shau Kei Wan-A laundry on Hong Kong Island to deal with laundry items from medical institutions on the Island. Completed in September/November 1972.

(v) New Clinical Building, Queen Mary Hospital-A project to provide further facilities for the clinical teaching of an increased intake of medical students. Completed in August 1972.

(vi) Victoria Public Mortuary-Reprovisioning. Opened on 18th December,

1972.

(2) Government-assisted

(i) Redevelopment of Tung Wah Eastern Hospital-A programme of altera-

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

II. PROJECTS UNDER CONSTRUCTION

(1) Government

(i) Princess Margaret Hospital-A new general, geriatric and infectious diseases hospital of some 1,320 beds. Superstructure work 75% complete. Expected completion date is January 1974.

(ii) St. John Hospital, Cheung Chau-Out-patients clinic and major altera-

tions. Expected completion date is July 1973,

(iii) New Lai Chi Kok General and Mental Hospitals Combined Staff Quar- ters-A project to provide quarters for staff of the Princess Margaret Hospital and the New Mental Hospital Lai Chi Kok. Expected com- pletion date is 1974.

(iv) Health Office and Staff Quarters, Cheung Sha. Expected completion

date is early 1973.

(v) Tsz Wan Shan Standard Urban Clinic and Maternity Home-A standard urban clinic with general out-patient and maternal and child health services. Expected completion date is mid-1973.

(vi) Sha Tau Kok Clinic-Reprovisioning. Expected completion date is

November 1973.

155

TABLE 78 Conid.

(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 completion 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. Expected completion date is 1974.

III. PROJECTS ON WHICH DETAILED PLANNING HAS COMMENCED

(1) Government

(Kowloon East Polyclinic,

(ii) New Mental Hospital, Lai Chi Kok.

(iii) Queen Mary Hospital-Additional Staff Quarters.

(iv) South Kwai Chung Jockey Club Polyclinic Stage II.

(v) Castle Peak Hospital-Additions and Improvements. (vi) Specialist Clinic-Hong Kong Island East.

(vii) Club House for Staff, Castle Peak Hospital.

(viii) Queen Elizabeth Hospital-Expansion to Nurses Quarters' Kitchen.

(ix) Midwife Training School, Queen Elizabeth Hospital.

(x) Standard Clinic and Maternity Home at Lam Tin/Lei Yue Mun. (xi) Standard Clinic at Ngau Tau Kok.

(xii) Medical Department Laundry, Kowloon,

(xiii) Milk Kitchen, Tsan Yuk Hospital.

(xiv) Pupil Nursing Auxiliaries Training School and Quarters, and Quarters

for Nursing Auxiliaries, Registered Nurses, Kowloon Hospital. (xv) Kowloon Public Mortuary-Additional Mortuary Facilities.

(xvi) Arran Street Eye Clinic-Additional Floor.

TABLE 79

NURSES IN TRAINING AT 31ST MARCH, 1973

Government School of Nursing (Male and Female)

...

Tung Wah Group of Hospitals Alice Ho Miu Ling Nethersole Hospital Hong Kong Sanatorium and Hospital Caritas Medical Centre

Total

---

837

---

447

---

...

110

321

183

148

111

1,936

+++

---

156

TABLE 80

OVERSEAS COURSES OF INSTRUCTION 1972-73

BY PLACE OF STUDY

Slan

U.K.

North America

Australia S.E. Asia

Others

Total

Medical

Dental

Nursing

110

rro

717

Medical Social Work

Health Auxiliary...

Physiotherapist

---

···

---

111

---

Medical Laboratory Technician

Medical Technologist/Senior

Prosthetist

...

Laboratory Assistant

Hospital Secretary

Dispenser...

Pharmacist

Total

Staff

LLL

r..

LLL

LIL

---

111

نیا

]

[

BY SOURCE OF FUNDS

Courses of Study

Govern- ment

W.H.O.

Own Expenses

Others

Total

Medical

M.R.C. Psych.

LIL

LLL

---

D.P.H.

---

LLI

ILI

M.R.C.P....

J-J

---

的

D.M.R.D.

D.M.R.T.

---

110

111

F.F.R. (D)

M.R.C.O.G.

|M.R.C. Path.

D.I.H.

---

-- L

L.M.C.C....

Others

}

111

717

111

157

Slal

TABLE 80 Contd.

BY SOURCE OF FUNDS-Contd.

Courses of Study

Dental

Prosthetic Dentistry Course

---

Dental Nursing

LLL

Govern- ment

W.H.O.

Own Expenses

Others Total

Nursing

Dental Health Tutoring Course

First Regional Workshop on Dental

Health Services

---

111

Course in Aluminox Vacuum Fired

Porcelain Crowns and Bridges

Paediatric Nursing Course

Sister Tutor's Diploma Course.....

Techniques in Venereology

וי.

111

Nursing Administration (Public Health)

| ल

Course

Psychiatric Nursing

---

ггг

rri

700

Dietitian's Diploma Course

Cardio-Thoracic Paediatric Nursing

C.S.S.D.

LLL

LLI

ггг

Renal Dialysis

---

LLL

LLI

Medical Social

Worker

Diploma in Nursing Education

Visits to U.K. Hospitals/Organizations Nursing in Plastic Surgery and Burns

Master Degree in Social Work Course...

B.Sc. (Hon.) Course in Chemistry!

followed by M.Sc. Course

PIL

Laboratory Assistant

Physiotherapist Training on Treatment of Cerebral

Medical

Palsy

A.I.M.L.T.

Laboratory

Technician

Medical

PII

IIL

ггг

Overseas Medical Laboratory Tech-

---

Technologist nician Tutor's Course

Senior Medical Biological Standardization Course

Technologist

Prosthetist

Prosthetic Training

Hospital

Secretary

Diploma Course in Hospital Administra-

tion

Dispenser

Degree Courses in Pharmacy

---

Health

Auxiliary

Pharmacist

T.U.C. Summer Courses

Quality Control of Drugs

UIT

1/1

TOTAL

- -

158

品

TABLE 81

DEPARTMENTAL TRAINING 1972-73

(Position at 31st March, 1973)

Appoint- Resigna-

Strength

Passed

ment

tion

at 31.3.73

Student Dispenser

ILL

Student Laboratory Assistant

品

---

Student Medical Laboratory

Technician...

Student Physiotherapist

Student Prosthetist

---

Student Radiographer:

　Diagnostic Therapeutic

Medical Social Worker (In-training)

Student Health Auxiliary (Male and

Female)

..ז

Student Health Visitor

ггт

1 year Midwifery Training for

Registered Nurses...

ד..

Student Midwife undergoing 2 year Training at Tsan Yuk Hospital

ייז

Student Nurse (Male and Female)...

Student Nurse (Psy): (Male and

Female)

...

---

Pupil Nursing Auxiliary: (Male and

Pupil Nursing Auxiliary (Psy):

(Male and Female)

- י

།

292

741

156

+++

119

192

159

TABLE 82

ATTENDANCE AT CONFERENCES ETC. OVERSEAS

Appointment

Conferences etc. attended

Place

Senior Industrial Health

Officer

Chemist

---

...

12th World Congress International Society Sydney

for Rehabilitation of the Disabled

6th International Meeting of Forensic

Sciences

Edinburgh

Principal Medical and

Health Officer

Specialist (Medical)

Deputy Director of

Medical and Health Services...

Principal Medical and

Health Officer

3 Senior Medical and Health Officers...

---

་་

W.H.O. Regional Committee Meeting 23rd Guam

Session

5th Asian Pacific Congress of Cardiology Singapore

International Planned Parenthood Federa-Seoul

tion Western Pacific Regional Seminar

on 'Family Planning and Maternal and Child Health'

Specialist (Dental)

15th World Congress of the International Mexico

Dental Federation

Government Pathologist Second

Physicist

IIL

Second Regional Seminar on Health Manila

Laboratory Services

First Regional Seminar on Radiation Health Manila

160

14.4.72

18.5.72

23.5.72

9.6.72 & 20.6,72

July, 72

10.7.72-14.7.72

1.8.72-26.8.72

7.8.72-11.8.72

9.9.72-14.9.72

13.9.72

22.9.72-24.9.72

23.10.72

9.11.72-10.11.72

29.11.72

11.1.73

18.1.73

23.2.73

TABLE 33

OVERSEAS VISITORS

GENERAL

Dr. E. B. PEDERSEN, Senior Medical Officer of the New South Wales Police Force

Miss Sandra J. MCCLAIN, Director of the Speech Pathology Service at the Long Beach General Hospital in Long Beach, California, U.S.A.

Mr. R. H. LEWIS and Mr. E. OGDEN, Members of Parliament

Mr. R. B. Crowson, Assistant Head of Hong Kong Department, Foreign and Commonwealth Office

Dr. Frederick P. Li of the Public Health Service, U.S.A.

Mrs. L. M. PETTIT, Mr. and Mrs. Martin SPRING from Johannesburg

Mr. Jerry OLSHAN, medical student from Philadelphia

Mr. A. R. G. PROSSER, C.M.G., M.B.E., Adviser on Social Develop- ment, Overseas Development Administration, Foreign and Com- monwealth Office, U.K.

Mr. J. C. St. GEORGE, Superintendent, Central Sterile Supply Department, St. Pancreas Hospital, London

Mr. A. D. DODDS-PARKER, Mr. A. G. F. HALL-DAVIS and Mr. A. D. WALDER, Members f Parliament

Dr. P. W. DILL-RUSSELL, Chief Medical Adviser, Overseas Develop- ment Administration

Mr. Andrew STUART, Head of Hong Kong Department, Foreign and Commonwealth Office

Dr. Kenneth EASTON, Chairman of Road Accident After Care Scheme, Yorkshire

Mr. Ron BOXALL, Principal Information Office of the Hong Kong Government London Office

The Right Honourable Edmund DELL, Member of Parliament

Mr. J. Y. THIRLWELL, Consultant-consultancy for pollution aspects of Shell refinery proposals in Lamma Island

Mr. A. M. J. WRIGHT, C.M.G., Administrative Commissioner for the Government of Hong Kong in London

161

20.3.73

29.3.73-31.3.73

TABLE 83-Contd.

The Joint League of Red Cross Societies/World Meteorological Organization/Economic Commission for Asia and the Far East Disaster Prevention and Community Preparedness Mission

Professor Mamoru SAITO of the Institute of Medical Science. The University of Tokyo, Japan

Consultant and Administrative April, 72

12.4.72

2.5,72-9,5,72

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

Dr. W. LAURIE, W.H.O. Consultant for the preparation of the Directory of Médical and Allied Laboratories in countries of the Western Pacific

Dr. Milan KUBIN, W.H.O. Consultant on bacteriology

Dr. R. SANSONNENS, W.H.O. Regional Adviser on health laboratory services

22.5.72-25.5.72 Dr. Pedro N. MAYUGA, W.H.O. Adviser on family planning

Dr. Y. WATANABE, W.H.O. Consultant on the production and control of cholera vaccine

26.6.72-1.7.72

3.8.72-5.8.72

12.8.72

29.8.72-31.8.72

18.9.72-22.9.72

4.10.72-10,10,72

11.12.72

26.1.73

8.3.73-10.3.73

Fellowship

10.4.72-21.4.72

15,4.72-21.4,72

Miss Fernanda ALVES-DINIZ and Miss Madeleine LENOIR, W.H.O. Nursing Officers

Mr. M. V. S. RAO, Regional Adviser on economic and social statistics, ECAFE

Four officials of The Ghana National Family Planning Programme

Dr. H. M. C. POORTMAN, W.H.O. Short-term Consultant on maternal and child health/family planning

Miss Geneviene W. STOUT, W.H.O. Short-term Consultant on venereal disease laboratory services

Dr. L. R. VERSTUYFT, W.H.O. Representative for Malaysia, Singapore and Brunei

Dr. T. SHIGEMATSU, W.H.O. Medical Officer

Dr. W. C. COCKBURN, Chief Medical Officer of the Virology Unit of W.H.O. Headquarters

Dr. T. R. ANAND of India. Fellowship in medical care and hospital administration

Mr. TAM Chiew Lam of Singapore. Fellowship in port health

162

TABLE 83-Contd.

12,6,72-30.6,72

Dr. Somsong KanchanahutA of Thailand. Fellowship in narcotics addiction.

21.6.72-23.6.72 Dr. Ananda JAYATILAKA of Ceylon. Fellowship in medical

education

3,7.72-14.7.72

10.7.72-14.7.72

17.7.72-21.7.72

21.8.72-25.8.72

28.8.72-15.9.72

4.9.72-15.9.72

Dr. Bhaskar MAHANTI of India. Fellowship in maternal and child health/family planning

Mr. John O'DRISCOLL of New Zealand. Fellowship in environ. mental health

Dr. Consuelo VILLAROSA of Philippines. Fellowship in maternal and child health

Miss Rebecca MAURICIO of Philippines. Fellowship in public health nursing

Dr. P. G. DHAR of India, Fellowship in maternal and child health/ family planning

Dr. Andreas LOUHENAPESSY of Indonesia. Fellowship in venereal disease control

Mrs. Young Hi Lee Kim of Korca. Fellowship in maternal and child health

[1.9.72-15.9.72 Dr. Brij M. ABROL of India. Fellowship in otolaryngology

2.10.72-6.10.72 Mr. Kold Kee Loon of Malaysia. Fellowship in port health work

2.10.72-13.10.72 Dr. S. G. K. CANAGAREINA of Ceylon. Fellowship in port health

and public health

27,[1,72-5,12,72 Dr. Robert G. NEWMAN of U.S.A. Fellowship in drug addiction

treatment, prevention and data systems

30.11.72-6,12,72

Dr. A. T. M. El CHARABLI of Egypt, Dr. N. D. Joshi of Nepal, Dr. K. XAYAVONG of Laos, Dr. F. V. AMBAS of Philippines, Dr. N. BRODIT of Philippines and Dr. Le Ba Tung of Vietnam. Fellowships in tuberculosis control

18.12.72-22.12.72 Dr. J. C. SACHDEV of India. Fellowship in medical education

2.1.73-5.1.73 Dr. T. N. SRINIVASAN of India. Fellowship in leprosy control

17.1.73-26.1.73 Dr. Dal-Sup SHIM of Korea. Fellowship in Venereal disease

control

12.2.73-23.2.73

12.3.73-23.3.73

Dr. H. V. SAKHRIE of India. Fellowship in leprosy control

Mrs. Joyce FUNG Yong Siang of Singapore. Fellowship in rehabilitation of leprosy patients

163

TABLE 84

PUBLICATION

BY MEMBER OF THE MEDICAL AND HEALTH DEPARTMENT

Title of Article

Publication

Author

*A study in Hong Kong to

evaluate the role of pre- treatment susceptability tests in the selection of regimens of chemotherapy for pulmonary tuberculosis"

'Direct B.C.G. For School

Children In Hong Kong'

'Hong Kong Policy Study for

sensitivity testing (a) the main results'

'Further study of Strontium

selenite and selenite F broths for the isolation of salmonella! typhi

'Further Notes on the Incidence

of Leprosy in Hong Kong Children Living with a

Lepromatous Parent'

American Review of

Respiratory Diseases 1972 Vol. 106, J

W. G. L. ALLAN, Specialist

i/c (T.B. and Chest Service), one of the co-writers

The Bulletin of the Society W. G. L. ALLAN, Specialist

of medical officers of Health, Hong Kong 1972, Vol. 4, 9

i/c (T.B. and Chest Service)

S.S. LEONG,Senior Medical

and Health Officer

W. G. L. ALLAN, Specialist

i/c, (T.B. and Chest

Bulletin of International

Union Against Tuberculosis, Vol. 47, 3 Service)

J. Clin. Path., 1972 25,

966-969

International Journal of

Leprosy, Vol. 39, No. 3, 745, Jul-Sept. 1971

'A 14-day treatment of typhoid |Medical Journal of

carriers in Hong Kong with

trimethoprim-

sulphamethoxazole'

'Clinical Trial of Benzoctamine

Versus Chlordiazepoxide in Anxiety Neurosis'

*A Note on a follow-up study

of childhood Neurosis and Behavior Disorder'

Australia, 1:386, 1973

Journal of Clinical

Pharmacology, Vol. 13: 48-53

Journal of Child

Psychology and Psychiatry, Vol. 14: 147-150

164

C. R. FORREST, Specialist (Infectious Disease), one of the co-writers

WONG Kwok-on, Specialist (Social Hygiene), One of the Co-writers

Anthony C. H. CHAN, Senior Medical and Health Officer.

C. R. FORREST, Specialist (Infectious Disease). M. J. ROBERTSON, Senior Medical and Health Officer

W. H. Lo, Specialist

(Psychiatry)

T. Lo, Medical and Health

Officer

W. H. Lo, Specialist

(Psychiatry)

Title of Article

TABLE 84-Contd.

Publication

Author

'Social Work and

Psychogeriatrics*

'Fractures of the Zygoma'

Hong Kong Journal of

Mental Health, Vol. 2: 23-26

Asian journal of Medicine, Vol. 8 No. 5, May 1972

'Dental Services in Hong Kong' An account of a visit to

'Dentistry in Hong Kong'

New Zealand by dental delegates from countries in the South East Asian and Pacific regions for the purpose of attending the 1972 Biennial Conference of the New Zealand Dental Association (Inc.) and also participating in the Pre-and Post- Conference field study tours

The Scientific and

Educational Bulletin of the International College of Dentists

'Weardenburg's Syndrome in a Asian Journal of

Chinese Family'

'Lead Poisoning' (Editorial)

Medicine, Vol. 8, Number 10, October 1972

Journal of the Society

of Medical Officers of Health Hong Kong, Vol. 4, No. 1, 1972

'Herb-pills and Lead Poisoning' Journal of the Society of

'Environmental Noise'

(Editorial)

Medical Officers of Health Hong Kong. Vol. 4, No. 1, 1972

Journal of the Society of

medical Officers of Health Hong Kong, Vol. 4, No. 2, 1972

165

W. H. Lo, Specialist

(Psychiatry)

Eric FUNG Hang, Senior

Dental Officer

Eric FUNG Hang, Senior

Dental Officer

J. H. YAP, Specialist

(Dental)

Denis CHUNG Tai-wing,

Medical and Health

P. K. WONG, Senior

Medical and Health Officer

S. Y. CHAN, Medical and

Health Officer

P. K. WONG, Senior

Medical and Health Officer

Title of Article

TABLE 84-Contd.

Publication

Author

'Malaria Survey at Tai Po

District, N.T. 1971'

'Rehabilitation' (Editorial)

'Report On the First

International Seminar on Rehabilitation Medicine'

'Technique Clinic-Begg

Stage III-A suggestion'

'Technique Clinic-An aid in

retention'

Journal of the Society of

Medical Officers of Health Hong Kong, Vol. 4, No. 2, 1972

Journal of the Society of

Medical Officers of Health Hong Kong. Vol. 4, No. 3, 1972

Journal of the Society of Medical Officers of Health Hong Kong. Vol. 4, No. 3, 1972

Journal of Clinical Orthodontics, September 1972, Vol. 6, No. 9

Journal of Clinical Orthodontics. December, 1972, Vol. 6, No. 12

'Nasopharyngeal Carcinoma II, Journal of the National

Ultrastructure of Normal Mucosa, Tumour Biopsies, and Subsequent Epithelial Growth In Vitro'

Cancer Institute, Vol. 48: 73-86, 1972

'Hospital Volunteer Service for H.K. Journal of Mental

Castle Peak Hospital'

Health, July 1972, Vol. 1, No. 2

"Why do we help the Mentally H.K. Journal of Mental

Subnormal'

Health, July 1972, Vol. 1, No. 2

C. C. Chu, Medical and

Health Officer, R. A. PERRY, Principal

Medical and Health Officer,

IS. C. NG, Medical and

Health Officer,

C. Y. SAM, Senior Medical

and Health Officer C. H. JAMES, Medical

and Health Officer

P. K. WONG, Senior

Medical and Health Officer

P. K. WONG, Senior

Medical and Health Officer

Gordon CHAN Kam-hung, Senior Dental Officer

H. C. Ho, Senior Specialist

(Radiology) i/c, One of the Co-writers

Judy, C. W. CHAN,

Medical Social Worker I

Paul K. W. CHEUNG,

Medical Social Worker II

166

167

TABLE 85

SAMARITAN FUND

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH, 1973

EXPENDITURE

Grants to needy patients for temporary maintenance,

travelling expenses etc.

---

Balance carried to Accumulated Fund

---

$ 41,031.20

6,344.50

Donations;

---

ILI

INCOME

ייי

LI.

LIABILITIES

--L

Accumulated Fund as at 1st April, 1972 Surplus from Income and Expenditure Account

$ 47,575.70

The Royal Hong Kong Jockey Club Li Po Chun Charitable Trust Fund Others.

Interest on Fixed Deposits

BALANCE SHEET AS AT 31ST MARCH, 1973

Cash with Accountant General

ASSETS

L-L

$114,893.09

6,544,50

Fixed Deposits

LLL

Accrued interest on Fixed Deposits

11-

$121.437.59

---

LLL

LLI

$41,690.00

2,000.00

2,487,09 $ 46,177.09

---

1,398.61

ILL

$ 47,575.70

$ 40,288.98

80,000.00

1,148.61

$121,437.59

Certified Correct. G. H. CHOA.

Director of Medical and Health Services. 18th June, 1973.

CERTIFICATE OF THE DIRECTOR OF AUDIT

I have examined the attached Balance Sheet and the accompanying Income and Expenditure Account in accordance with the provisions of Section 8(1) of the Audit Ordinance. I have obtained all the information and explanations that I have required and 1 certify as a result of my audit that in my opinion the attached Balance Sheet and the accompanying Income and Expenditure Account are correct.

AUDIT Department, HONG KONG.

9th July, 1973.

REPORT ON THE SAMARITAN FUND 14,72-31.3.73

F. T. WARR, Director of Audit.

The Samaritan Fund is entirely dependent on voluntary donations and a total of $46, 177.09 was received during this financial year. The main purpose of the fund is to give financial assistance to needy patients to meet the expenses of trans- portation to hospitals and clinics to enable them to obtain essential medical treatment, and to assist in the payment of rent and school fees etc. Small monetary grants are also made to assist needy patients for the purchase of clothing, daily necessities and food for extra nourishment after discharge from hospital, With the very generous donations by The Royal Hong Kong Jockey Club and Li Po Chun Charitable Trust Fund, it has been possible to assist a total of 4,997 needy patients. During the year, it was found possible to place a sum of $80,000.00 on fixed deposit as a reserve against future contingencies.

G. H. CHOAI

Director of Medical and Health Services.

12th July, 1973.

TABLE 86

LIST OF DONATIONS RECEIVED FOR THE YEAR ENDED 31ST MARCH, 1973

Samaritan Fund:

The Royal Hong Kong Jockey Club Sir Robert Ho Tung Charitable Fund

Li Po Chun Charitable Trust Fund

Others

Christmas Fund:

The Royal Hong Kong Jockey Club Others

T10

$ 41,690.00

---

ILL

2,000,00

2,487,09 $ $ 46,177.09

Miscellaneous:

Patients' donations to Neuro-surgical Unit,

Queen Elizabeth Hospital

---

Patients' donations to Physiotherapy Unit Milk Kitchen,Tsan Yuk Hospital

The Royal Hong Kong Jockey Club:

Additional donation for the construction of

Siu Lam Hospital

168

$ 10,610.00

9,180.00

$ 6,600.00

100.00

159,000.00

19,790.00

854,000.00

1,019,700.00

$1,085,667.09

GPHK

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