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33083
RBB 40ab
KONG
ANNUAL
DEPARTMENTAL
REPORTS
1967-68
ARISES T
I
RBB/40 (at)
DIRECTOR OF MEDICAL
AND HEALTH SERVICES
$
22501293150
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HONG KONG
ANNUAL DEPARTMENTAL REPORT
BY THE
DIRECTOR OF MEDICAL AND HEALTH SERVICES
P. H. TENG, C.M.G., O.B.E., J.P., M.B., B.S., D.P.H.
FOR THE
FINANCIAL YEAR 1967 - 68*
PRINTED AND PUBLISHED BY S. Young, Government PRINTER AT THE GOVernment Press, Java ROAD, HONG KONG
* 1st April 1967-31st March 1968
EXCHANGE RATES
When dollars are quoted in this Report, they are, unless otherwise stated, Hong Kong dollars. The official rate for conversion to pounds sterling is HK$14.54 £1 (HK$1=1s. 44d.). The official rate for conversion to U.S. dollars is HK$6.06= US$1 (based on £1-US$2.40).
WELLL
Ann ki WA28
.JH G
TH HTT
1768
63433-13K-11/68
I. GENERAL REVIEW
II. PUBLIC HEALTH
CONTENTS
Paragraphs
1 - 7
Vital Statistics
Communicable Diseases
III. WORK OF THE HEALTH DIVISION
Area Health Work
8 - 13
14 33
-
34
35 - 42
Tuberculosis
+
Social Hygiene Service.
43. 47
+
+
Port Health
District Midwifery Service
Maternal and Child Health Services
J
School Health Service
School Medical Service Board
Dental Service
Forensic Pathology
Government Chemical Laboratory.
Government Institute of Pathology
Industrial Health
י
Health Education
L
iii
48 - 49
50 - 51
52 53
-
54 - 55
56 57
-
58 - 60
61. 62
63 - 65
66 - 76
77 - 80
+
81
Paragraphs
IV. WORK OF THE MEDICAL DIVISION
General Remarks .
Government Hospitals.
Out-Patient Services
Specialist Services,
Radiological Services
Ophthalmology
Pharmaceutical Services.
Medical Social Work
+
+
L
82
83 - 103
104 106
107
-
108 - 110
111 - 113
114 115
-
116 - 121
Physiotherapy
122 123
-
r
Occupational Therapy
124 - 128
r
Orthopaedic and Prosthetic Appliances.
129 - 130
Medical Examination Board.
131
Hospital Maintenance and Supply.
132 - 135
Auxiliary Medical Service
136 - 138
Registration of Medical Clinics
139 - 140
V. GOVERNMENT-ASSISTED HOSPITALS
141 - 159
VI. DEVELOPMENT
Forward Planning.
Completed Projects
Projects under Construction.
IV
+
+
160 - 162
163 - 165
166 167
-
VII. TRAINING PROGRAMME
Doctors.
Dental Staff
Nurses
Radiographers
Laboratory Technicians.
Paragraphs
168 170
-
171 173
174 - 179
180 - 181
182
Other Forms of Departmental Training.
183
VIII. DONATIONS
184 185
IX. ACKNOWLEDGEMENT
186 188
+
+
+
1
X. MAPS
XI. STATISTICAL APPENDIX
V
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I. INTRODUCTION
THE general health of the population continued to be good. Due to great advances in disease control, the pattern of infectious diseases is changing rapidly. No case of cholera was reported during the year and apart from one isolated case in 1966, there has been no visitation of this disease for over 3 years. Diphtheria and poliomyelitis are under control and only 5 cases of the latter disease were reported during 1967.
2. As the incidences of other infectious diseases declined, measles in recent years has emerged as a major cause of death in young children, due primarily to complications associated with the disease. An anti- measles vaccination campaign was launched in December 1967 and the campaign was still in progress at the end of the year under review.
3. While tuberculosis remains the major community health problem, the Colony is facing increasing problems due to diseases of later life. Deaths from cancer, diseases of the heart and cerebro-vascular lesions were the leading causes of death followed by pneumonia and tuberculosis.
4. The Development Programme of the Medical and Health De- partment has been making steady progress. Altogether, there were 25 Building Projects being planned or built for the improvement and expansion of the medical facilities in the urban and rural areas. The first of the five phases of the alteration programme of Queen Mary Hospital to provide more acute beds commenced in July 1967. Up-to- date facilities for the professorial staff of the University in the hospital were completed and commissioned. Other works in progress were the new Lai Chi Kok Hospital, the Chai Wan Urban Clinic and Maternity Home, the Tang Shiu Kin Hospital and the Mental Defective Hospital at Siu Lam. The Castle Peak Clinic was opened in January 1968.
5. There has been increasing use of the Department's services by members of the public and attendances at general out-patients and specialist out-patients departments continued to increase. The number of patients admitted and treated in Government hospitals have also shown an increase compared with the previous years.
6. The continuing shortage of doctors and certain other professional personnel was a grave problem during the year, but the services con- tinued to be satisfactorily maintained despite the difficult conditions.
7. In the following pages are reviewed the state of the public health and the more important developments in the work of the Medical and Health Department and of the major voluntary agencies which are in receipt of substantial subventions from Government funds for the support of their medical activities. Detailed information covering all aspects of these fields is to be found in the Statistical Appendix to this report, the index to which is at page 58.
II. PUBLIC HEALTH
VITAL STATISTICS
(See tables 6-12)
8. The estimated mid-year population in 1967 was 3,834,000 of which approximately 85% was concentrated in the urban areas of Hong Kong Island and Kowloon. Approximately 40% of the population are below the age of 15 years and only 6% over the age of 60. The general state of health of the population continued to be satisfactorily reflected by the Colony's vital statistics. The crude death rate, at 5.1 per thousand of population, is one of the lowest in the world and reflects the rapid im- provement of medical and health services in a young and expanding population. The birth pattern continued its downward trend and the crude birth rate fell further from 24.8 in the previous year to 23.0 per thousand of population. Based on actual registration of births and deaths, there was a natural increase of 68,527, over five thousand less than the previous year.
9. The gratifying declines in infant and neonatal mortality rates, which are indicative of the trends of health conditions of the general population, are illustrated in Figure 1.
Infant Mortality
10. The steady decline in infant mortality has been due to improve- ment in environmental conditions, development of maternal and child health services and increasing public appreciation of the value of these
2
FIGURE I
INFANT AND NEO-NATAL MORALITY 1953 - 1967
B
INFANT
3
PER 1000 LIVE BIRTHS
+
R
DEATHS
.NED-NATAL
w
TEAR
services in the maintenance of health amongst infants and mothers. Among the major causes of infant mortality there have been great reductions in mortality from the preventable diseases particularly bronchopneumonia, gastro-enteritis and tuberculosis. There has also been a steady reduction in mortality from prematurity due to improve- ments in the midwifery and maternal health services. As has been the experience elsewhere, congenital malformations and other diseases of the new-born are proving more intractable and mortality from these causes has, as yet, been unaffected. As shown in Figure 1 there has been a slight upward trend in infant and neo-natal mortality in the last two years. This is attributed to fluctuations in mortality trends especially when the fall in mortality has reached a low level.
Maternal Mortality
11. Here also the statistics pertaining to Hong Kong have attained the standards prevailing in the developed countries of the world. During recent years great improvement in mortality has been obtained from toxaemia of pregnancy, haemorrhage and puerperal sepsis. There has been some reduction in mortality from abortion and ectopic pregnancy and deaths attributed to other conditions occurring during pregnancy or childbirth have also decreased in numbers.
3
General Mortality
12. The marked social and economic changes which have occurred in Hong Kong during the years following the Second World War are reflected in the mortality trends and patterns shown in Figure 2. Im- provements in the general level of public health are demonstrated by the decline in proportionate mortality from infectious, respiratory and intestinal diseases, while the ageing of a relatively young population is reflected by the increasing mortality from neoplastic, neurological and circulatory diseases. 15 years ago deaths from the former disease groups comprised 64.6% of total deaths; the proportion has fallen to 30.7% in 1967. In the latter disease groups the proportion of deaths has risen from 12.9% to 42.1% over the same period.
FIGURE 2
MAJOR TRENDS IN MORTALITY 1952 - 1967
TOTAL
DEATHS
+
PERCENTAGE
++
+
RESPIRATORY
INFECTIOUS
INTESTINAL
CIRCULATORY SYSTEM NEOPLASTIC NERVOUS SYSTEM
TEAR
13. The leading causes of death were cancer, diseases of the heart and cerebro-vascular accidents, followed by pneumonia, tuberculosis and all accidents. Deaths from cancer of the lung continued to increase accounting for 19.1% of all cancer deaths in the age group between 40 and 69.
4
COMMUNICABLE DISEASES
(See tables 13-16)
14. The total number of notifications of communicable diseases during 1967 was 23,742, of which tuberculosis formed 64.2%. Satis- factory progress continued to be made in the control of diphtheria and poliomyelitis but the incidences of dysentery and enteric fever showed little tendency to decline (Figure 3). After its biennial rise in the cold months of 1966-67, the indicence of measles levelled off during the winter months of 1967-68. The Colony remained free from cholera and other quarantinable disease.
CASES REPORTED
FIGURE 3
INCIDENCE OF MAJOR INFECTIOUS DISEASES 1953 - 1967
2000
1200
500
299:
1853
DQ
*
www
DIPHTHERIA
ENTERIC FEVER
BACILLARY OYSENTERY
POLIOMYELITIS
57 50
5+ 40 #1
YEAR
45 等 67
Cholera
15. Hong Kong was last declared free from cholera infection on 5th December, 1966 and since then no further case of this disease was reported. In view of the continuing prevalence of the disease in nearby countries which are also in regular air and sea communication with Hong Kong, special preventive measures were continued and strict quarantine restrictions were maintained in respect of neighbouring countries declared infected.
5
16. Routine sampling of nightsoil was carried out throughout the year as part of Hong Kong's anti-cholera surveillance programme. This measure now provides very useful epidemiological information about the presence or absence of infection in Hong Kong, the locality likely to be infected and the possible extent of infection. Apart from nightsoil sampling other public health preventive measures include routine bac- teriological investigation of specimens sent to the Government labora- tories of cases of gastro-enteritis as well as sampling of well water and foodstuff liable to be involved in the transmission of the vibrio. No positive samples were obtained from these investigations. The routine. investigation on the frequency of isolation of non-agglutinable vibrios was continued during the year. As with previous years a mass immuni- zation campaign against cholera was started in April and by the end of the year a total of 1,318,991 inoculations were given.
Amoebiasis
17. The disease continued to remain endemic, particularly in the overcrowded areas. A total of 154 cases were notified and the disease remained predominant among adult males.
Bacillary Dysentery
18. A slight increase in the number of notifications was recorded. The disease occurs at all ages, but 44.8% of the notifications were in children under the age of 5 years. Shigella flexneri and Shigella sonnei remained the predominant organisms isolated.
19. Transmission of infection among families and in institutions is a feature of the disease and very often a number of symptomless carriers are detected from members of the same family or from inmates of the same institution. In all a total of 392 carriers were discovered during investigations of reported cases. They were all given appropriate
treatment.
Chickenpox
20. This is a very common disease amongst children, 97.2% of the cases reported were under 15 years. As with measles the seasonal prevalence of the disease is in winter and spring and hence the earlier part of the year saw an increase in the number of notifications.
6
Diphtheria
21. As a result of annual immunization campaign which has been in progress since 1959, the incidence of the disease has shown a con- tinuous and steady decline falling from 73.0 per 100,000 population in 1959 to 5.8 in 1967. The disease affects largely children and 77.8% of the cases were under the age of 10 years. The case fatality ratio in 1967 was 7.9% and death occurred primarily among the unimmunized children. Corynebacterium diphtheriae mitis remained the predominant organism isolated in clinical cases.
22. A total of 46 carriers were discovered amongst contacts of reported cases; each was treated and, if necessary, isolated until proved free of infection.
Enteric Fever
23. Typhoid fever showed a slight increase in incidence in August and September. The disease in Hong Kong is generally mild and the case fatality ratio is less than 2%. Transmission of infection is frequently associated with neglect in personal and food hygiene. As elsewhere the peak incidence occurred in children of school age and young adoles- cents. Free inoculation is offered and the usual preventive measures are enforced with special attention to environmental and food hygiene and the control of food premises.
Malaria
24. The incidence of malaria showed a notable reduction during the year, the disease being restricted mainly to certain parts of the rural areas in the New Territories. The majority of the cases were reported from the shores of Tolo Harbour and from the outlying islands at the mouth of the Tolo Channel. Of the three fresh cases reported from the urban area of Kowloon, one was due to blood transfusion while in the other two the infection was probably contracted in the New Territories where the affected persons had recently stayed. Plasmodium vivax remained the predominant parasite responsible for infection.
Measles
25. As shown in Figure 4, measles in Hong Kong has shown a distinct biennial pattern with exacerbation of the disease every alternate winter and spring. The last epidemic occurred in the winter months of
7
1966-67 and reached its peak in the first three months of 1967. There- after incidence of the disease began to decline and the disease was at its ebb during the winter months of 1967-68.
2000
FIGURE 4
MONTHLY MEASLES NOTIFICATIONS & DEATHS
JANUARY 1960 - MARCH 1968
HOTIFICATION DEATHS
NOTIFICATIONS / DEATHS
! 600
200)
800
1950
1961
1952
1963
1964
YEAR
1965
1966
1963
26. The disease affected predominantly children under the age of four years. The high mortality associated with the disease during each outbreak has been due mainly to complications, particularly broncho- pneumonia, developing as a result of delay in seeking early medical attention. Health education efforts through press and radio were con- tinued throughout the outbreak to encourage parents to bring their children for early medical advice.
27. At the end of December 1967 measles vaccine was made avail- able at all Government Maternal and Child Health Centres to children aged between six and forty-eight months. The drive is being continued in order to offer ample opportunities for children to become immunized before the next expected biennial rise in the winter months of 1968-69.
8
Poliomyelitis
28. A further fall in the incidence of poliomyelitis was observed and a report of five cases during the year was the lowest recorded since 1949. The success in the control of the disease has been due to the continuing vaccination programme, consisting of giving one dose of Type 1 polio- vaccine, soon after birth, followed by two doses of 'balanced' trivalent vaccine at three and five months of age. Approximately 77% of infants received one dose of Type I poliovaccine soon after birth and more than half of these children subsequently received two doses of the trivalent vaccine at Maternal and Child Health Centres. A general campaign is mounted annually in an attempt to immunize the remainder.
29. Virological investigation of the disease is maintained on a routine and year-round bases. Two poliomyelitis faecal surveys in normal children were carried out in July and December respectively. The excretor rate of 'wild' poliovirus was 0.2% in July and none in December. Vaccine strains of poliovirus were found in 1.4% of children in the December's survey only.
Influenza
30. The notification of influenza is entirely voluntary. The Virus Laboratory continued to function as a World Health Organization National Influenza Centre and virological investigations of throat swabbings and throat washings are continued on a year-round basis. A minor outbreak of the disease occurred in August and September. The virus isolated was similar to the more recent A2 antigenic variant.
Tetanus
31. This disease, although not notifiable, is recorded with reasonable accuracy owing to the severity of the symptoms requiring hospitaliza- tion of clinical cases. In past years, approximately half the cases reported were in newborns whose birth had not been attended by trained personnel and who had been exposed to various hazards from unsterile materials. In 1967 tetanus neonatorum was responsible for only one-fifth of the recorded cases and infant mortality from such infection fell from 1.2 deaths per 1,000 in 1951 to 0.18 deaths in 1967.
Viral Hepatitis
32. Notification of this disease is not compulsory, but the number of patients treated for this disease in hospitals had shown an increase
9
over the past years. Attention was drawn to the large number of inocula- tions given during the mass immunization campaigns each year and since August 1966 disposable syringes have been used in such immuni- zation campaigns. In 1967 a small reduction in the number of patients treated for this discase in hospitals was recorded but the effect on the disease following the use of disposable syringes remains to be assessed.
33. Developments in certain other communicable diseases will be reviewed later in this report, while the remainder showed little variation during 1967 and hence requires no comment.
III. WORK OF THE HEALTH DIVISION
AREA HEALTH WORK
34. Much of the work of the area Health Officers, apart from their duties with the Urban Services Department in the maintenance of satis- factory standards in environmental sanitation and food hygiene, has been recounted in the preceding paragraphs on Epidemiology. Such work included not only the field investigations into the major communic- able diseases but also the co-ordination of the activities of teams of inoculators participating in prophylactic immunization drives. Four such campaigns were staged during the year and reference has already been made to three, namely, cholera, poliomyelitis and diphtheria. The fourth, promoting smallpox vaccination, was held in March 1968. The increasing importance of Hong Kong in international travel by sea and air and the prevalence of smallpox in nearby countries underline the need to maintain a high level of community protection against the disease.
TUBERCULOSIS
(See tables 17-23)
35. As stated previously, tuberculosis is the major health problem of Hong Kong. The policy for control of the disease has been to protect, by vaccination with B.C.G., the new borns, who are particularly vulner- able to the fulminating forms of the disease, and the primary school entrants who may develope active disease later in life. For actual cases of the disease, it has now been shown that in a large proportion of cases out-patient therapy is at least as good as institutional treatment. The not inconsiderable institutional resources are reserved for those not
10
responding to out-patient therapy, for acutely ill cases, for those where the diagnosis is in doubt and for those in need of surgical intervention. In the execution of this policy there has been a high degree of co- operation between Government and voluntary agencies concerned with the problem, particularly the Hong Kong Anti-tuberculosis and Thoracic Diseases Association. The Government Chest Service maintains the B.C.G. vaccination and out-patient treatment programmes while the voluntary agencies aided by substantial Government subventions, main- tain most of the hospitals.
36. To keep pace with the rapid changes which are occuring in the fields of treatment and prevention of tuberculosis, close liaison has been maintained with agencies outside the Colony. As a result of this liaison two events of major importance to the Chest Service resulted. The first was the assignment of a bio-statistician by the World Health Organiza- tion; this resulted in a complete re-appraisal of the statistical material produced by the Chest Service and as a direct consequence many changes of a fundamental nature were introduced. In conjunction with the Tuberculosis and Chest Diseases Research Unit of the Medical Research Council of the United Kingdom and the Hong Kong Anti-tuberculosis and Thoracic Diseases Association, a tria! started in March 1967 to evaluate the most effective policy of treatment for tuberculous patients in Hong Kong and to investigate the use of a rapid-slide-culture sen. sitivity test. This chemotherapy trial should yield extremely valuable results in the treatment of patients suffering from tuberculosis in Hong Kong.
Mortality
37. During the year the number of deaths from tuberculosis fell slightly although the total did not reach the low figure of 1965. The great majority of deaths continued to occur in elderly males who had been suffering from tuberculosis for many years and died from its sequelae rather than from active tuberculosis. The average age of death was 55. Changes taking place in mortality from tuberculosis of various ages are presented in Figure 5. Evidence of progress against the disease in the young is shown by a further appreciable fall in the Infant Mortality Rate for tuberculosis from 0.12 to 0.07 per 1,000 live births. The level of B.C.G. coverage at birth remains very high at 95.4% of new-borns. (Figure 6).
IL
DEATHS PER DODO IN AGE GROUP
500
400.
2
200
+
100
FIGURE $
TUBERCULOSIS MORTALITY BY AGE & SEX
1955 - 1957 & 1965 - 1967
#
HALE
1855-867,
w w
wwwww
-FEMALE
FEMALE 1965-1967
AGE GROUP
FIGURE 6
TUBERCULOSIS MORTALITY & B.C.G. VACCINATION OF NEW-BORNS
1953 - 1967
(MORTALITY RATES EXPRESSED AS PERCENTAGE OF 1953 RATES)
100
PERCENTAGE
80
L
1
60
1
20
4
'
L
L
L
800 WACCINATION OF ALL, NEW BORNS IN MISTITUTEN
Au
YEAR
12
**
"TOTAL MORTALITY
ww
INFANT MORTALITY
Morbidity
38. Notifications of tuberculosis during 1967 showed a very con- siderable increase over the previous years. This, however, does not represent a deterioration in the overall tuberculosis position in the Colony but rather reflects the thorough re-organization of statistics which has been taking place as stated in paragraph 36 and the intensified case finding programme. During the year a separate notification form for tuberculosis was prepared for introduction later in 1968. Figure 7 shows the changes which have taken place in the age and sex specific notification rates. It will be seen that there have been marked reductions in the incidence of the disease during childhood, that there has been little change in the vulnerability of adolescents and that there has been some reduction in the incidence amongst middle-aged adults. The relative susceptibility of males, except in childhood, corresponds with the well-documented pattern recorded elsewhere in the world.
FIGURE 7
TUBERCULOSIS NOTIFICATIONS BY AGE & SEX
1955 - 1957 & 1965 - 1967
NOTIFICATIONS PER BLOM IN AGE GROUP
13.
*
HILE
TULLE
7
PIHALE
www
Work of the Government Chest Service
39. The Government Chest Clinics provide ambulatory chemo- therapy services for the great majority of cases of tuberculosis, hospital admission being reserved for emergencies, cases requiring investigation, and those requiring second-line drugs or surgical intervention. Increasing
13
attention is being paid to the public health aspects of tuberculosis. 70 Health Auxiliaries whose main duties consist of contact tracing and home visiting are attached to the Chest Service; these Health Auxiliaries are supervised by one Health Sister and six Health Visitors. Newly diagnosed cases of tuberculosis have all aspects of the disease thoroughly explained to them by Health Visitors and receive explanatory leaflets. Regular attendance for out-patient chemotherapy is regarded as being of paramount importance and considerable emphasis is placed on follow up of defaulters and on ensuring that contacts are examined.
40. The clinics also provide medical social work, contact tracing and supervisory services, and undertake surveys of selected groups, such as Government employees and prisoners, in co-operation with the Radio- logical Service. In other cases a regular financial grant can be made where the family depend on the patient's earnings and no other way can be found to maintain the dependants during his hospitalization.
41. The high incidence of primary and secondary drug resistance in Hong Kong has been demonstrated by research undertaken in conjunc- tion with the Medical Research Council in Britain. Results of these investigations indicated that the level of drug resistance in Hong Kong was probably the highest in the world, 40% of the organisms investi- gated showing resistance to one or more of the first-line drugs commonly used in ambulatory chemotherapy. A register of resistant cases is kept at the main clinics. During the year a total of 809 cases were registered, of which 391 were bacteriologically resistant to one drug, 220 were resistant to 2 drugs and 198 resistant to the three primary drugs; these patients were entered on the waiting list for admission to hospital for treatment with 'second-line' drugs.
42. The work of hospitals dealing with tuberculosis cases is reviewed elsewhere in this report.
SOCIAL HYGIENE SERVICE
(See tables 25-29)
43. The incidence of early infectious syphilis showed a further reduction in 1967, marking the fourth consecutive year of reduction. The number of latent syphilitic cases was about the same as in the previous year while the incidence of gonorrhoea showed a slight increase. It is encouraging to note that the incidence of syphilis in the teenage group of the population has not risen in the manner experienced in many other parts of the world. The trends over the past ten years are illustrated in Figures 8 to 10.
14
4,000
FIGURE 8 SYPHILIS 1958 - 1967
INCIDENCE RATE
0
1,000
TOTAL CASES
1,600-
200
TOTAL
CASES
100
~N X
CASES
P
ww
INCIDENCE RATE PER 100,000 POPULATION AGED 15 & OVER 3
120
100
20
YEAR
FIGURE 9
INFECTIOUS SYPHILIS 1958 - 1967
INCIDENCE RATÉ
CASES
ww
f
Į
J
YEAR
63
15
1
L
www
-12
INCIDENCE RATE PER 100,000 POPULATION AGED 15 & OVER
-
d
W
CASES
TOTAL
12000
10000
8000
6000
4000
2000
1993
59
FIGURE 10
GONORRHOEA 1958 - 1967
INCIDENCE RATE
CASES
501
YEAR
INCIDENCE RATE PER 100 800 POPULATION AGED 15 L OVER
€
44. Case finding continued at a high level, particularly in ante-natal cases where an initial positive serology rate of 1.8% was observed, which, after further investigations, showed that 1.3% of the ante-natal cases were suffering from syphilis. Contact tracing, particularly of infectious syphilis, was continued.
Leprosy
45. New cases of leprosy treated numbered 149, representing a rate of 3.9 per 100,000 of population which is the lowest recorded since 1959. Tuberculoid manifestations predominated, comprising 55% of total cases. Of the infectious cases, 70 were admitted to the Hay Ling Chau Leprosarium maintained by the Leprosy Mission-Hong Kong Auxi- liary, with which the Social Hygiene Service maintains close liaison.
46. During recent years there has been some advance in overcoming the prejudice against employment of cured leprosy patients and, to this end, great attention is paid by the Service towards the prevention of disabilities in tuberculoid cases.
16
Dermatology
47. There was a high incidence of urticaria, lichenification, alopecia areata, and vitiligo. The incidence of skin cancers was very low.
PORT HEALTH
(See table 30)
48. The Port Health Administration continued its routine duties in respect of prevention of the introduction of quarantinable infectious diseases, the sanitary control of ports of entry, the provisions of facilities as required by the International Sanitary Regulations and a regular exchange of epidemiological information with the World Health Organization as well as with ports and airports in other countries.
49. With the increasing importance of Hong Kong as a tourist and an international transit centre, the work of the Service has gradually in- creased during the recent years. The increase of shipping entering the port has resulted in an extension of the quarantine service to give a full 24-hour daily cover. This service also pays special attention to travellers from nearby ports of Macao and Kwangtung province and to vessels from plague infected regions.
DISTRICT MIDWIFERY SERVICE
(See table 31)
50. Approximately 99% of births took place in institutions, either hospitals or maternity homes. Of these 20% were in maternity centres attached to Government clinics and 28% were attended by midwives in private practice, while the remainder took place in Government, Government-subsidized and private hospitals.
51. Owing to the difficulties of domiciliary delivery under existing housing conditions, it has been the Department's policy to provide maternity beds in Health Centres. The maternity home in Sha Tau Kok Clinic was temporarily suspended since June 1967. The registered maternity cases were transferred to Shek Wu Hui Jockey Club Clinic for delivery. The Lions' Club Maternity Home in Kowloon City with 20 beds was opened in October 1967, while the Castle Peak Clinic with 26 beds was opened in January 1968, the latter replacing the former San Hui Dispensary with 8 beds. Thus 38 additional maternity beds were added to the service.
17
MATERNAL AND CHILD HEALTH SERVICES
(See tables 32-33)
52. There is increasing public appreciation of the value of these services in the maintenance of health amongst infants and expectant and nursing mothers, and 78.8% of children born attended a Centre on at least one occasion; the corresponding figure for 1966 was 75.5%. Approximately 1.6% of the new attendances at infant welfare centres were found to have abnormalities; of these, the majority were either congenital defects or the effects of prematurity. A further encouraging trend is the increasing appreciation by expectant mothers of the need for regular ante-natal care as reflected in increasing attendances at ante-natal sessions and by the low maternal mortality rate.
53. As a result of the disturbances in 1967, the maternal and infant welfare sessions in Sha Tau Kok Clinic were suspended from June onwards, and its work was taken over by the Shek Wu Hui Jockey Club Clinic. In January 1968 the infant sessions were transferred back to Sha Tau Kok Clinic but antenatal sessions and deliveries are still being carried out in Shek Wu Hui Jockey Club Clinic.
SCHOOL HEALTH SERVICE
54. The Medical and Health Department provides an advisory service to the Education Department on matters relating to environ- mental health and hygiene in schools. Inspection of schools is carried out by School Health Inspectors with special regard to lighting, ventila- tion and sanitary arrangements, and immunization against diphtheria, cholera and smallpox was carried out in the schools during the year by staff under the direction of Area Health Officers.
55. Considerable emphasis is now being placed on the tuberculin testing of entrants to primary schools and B.C.G. is given to those who are found to be tuberculin negative. Five teams each of 2 inoculators from the Government Chest Service progress steadily from school to school so that all schools throughout the Colony are covered within a period of 2 years. Positive reactors with a reading of 15 mm and over are submitted to X-Ray examination, and further investigation of 2,564 pupils examined revealed 12 cases of active tuberculosis who were given treatment; 179 pupils were placed under observation. Health Visitors interview all pupils with active tuberculosis and every effort is made to try and determine the source of infection, special emphasis being paid to home contacts.
18
SCHOOL MEDICAL SERVICE BOARD
(See table 34)
56. The School Medical Service, which commenced in September 1964. is administered by the School Medical Service Board, an inde- pendent statutory body incorporated by Ordinance and operated by private medical practitioners. Remuneration of the doctors is on a per capita basis, half the annual fee being paid by the participating pupil and half contributed by Government which also meets the Board's administrative expenses.
57. On 31st March, 1968 the number of pupils participating was 46,744 from 637 schools, compared with 56,115 pupils from 661 schools on the same date in the previous year. Doctors participating in the scheme numbered 218 compared with 227 in the previous year.
DENTAL SERVICE
(See table 35)
58. The Dental Service provides dental care for Government Officers and their dependants. Government pensioners, limited specialized treat- ment for in-patients of Government Hospitals and for prisoners, and emergency treatment for members of the general public.
59. Fluoridation of the Colony's urban water supplies began in 1961. The rate of enrichment was formerly at two levels, being 0.7 parts of fluoride per million in summer and 0.9 parts per million during winter. In May 1967 the concentration was increased to a constant level of 1 part per million throughout the year. This level is to be maintained in future and is the result of a decision arrived at after consideration of more recent work on the study of optimum fluoride levels for com- munity water supplies. The cost of this operation is now estimated at about nine cents per person receiving fluoridated water per annum. Dental health education plays an important part in combating dental disease in the Colony and the Dental Service continued to take advan- tage of major educational exhibitions to distribute information and advice on the maintenance of dental health.
60. Although no training in dentistry is undertaken in Hong Kong, a programme of overseas training is maintained by Government and during the year two scholarships were again awarded to students for study in the University of Otago in New Zealand. In-service training in
19
dental technology is available for students in Government employment and evening classes are held in the Hong Kong Technical College for technicians in private employment. Three dental surgery assistants are under training for dental nursing in Penang, Malaysia under World Health Organization Fellowships.
FORENSIC PATHOLOGY
(See tables 36-37)
61. The Department of Forensic Pathology consists of a main laboratory in Police Headquarters, Hong Kong, and another laboratory in the Mong Kok Police Station, Kowloon. It deals mainly with the medico-legal work in close association with the Hong Kong Police Force. Since the 1st of July, 1967, the administration and running of both public mortuaries were transferred to the Government Institute of Pathology. Homicidal deaths and deaths from suspicious circumstances still remain within the jurisdiction of the Forensic Pathologists.
62. During the year the Colony was free from deaths caused by natural disasters, but the disturbances resulted in a total of 49 deaths and called for much effort by the Forensic Pathology Service.
GOVERNMENT CHEMICAL LABORATORY
(See table 41)
63. The laboratory was kept very busy throughout the year under review in spite of a fall of some 3,000 samples below the total for the previous year; the number in 1967 being 26,894 as against 30,139 for 1966. This decline in numbers does not represent any general slackening in the demand for the services of the laboratory. The difference in the total number of samples is partly due to a drop of over 4,000 Dangerous Drugs samples submitted by the Police Department and the curtailment of normal activities of many Government Departments during the 1967 disturbances.
64. On the other hand there was a large increase of nearly 1,000 samples from the Police Department under the heading 'Forensic'. Some of this increase was due to a drive in the latter half of the year against the illicit sale of Scheduled Poisons and in particular 'pep pills', but most of the increase came from the very numerous examinations. carried out on explosive, corrosive, and inflammable substances under the Emergency Regulations.
20
65. Under the heading 'Pharmaceutical Examinations' are included checks on dispensing carried out by the official pharmacists and also on tender samples, and supplies of drugs purchased by Government. The latter work has now been in progress for over two years, and this service has proved very worthwhile. The assurance of quality which it gives has enabled Government tendering to be carried out on a much more competitive basis, and large savings in official spending have resulted.
GOVERNMENT INSTITUTE OF PATHOLOGY
(See tables 38-40)
66. The number of examinations for the year under review exceeded slightly that of the previous year and was mainly due to increased number of tests in Haematology, Blood Bank work and Bacteriology.
Morbid Anatomy and Histology
67. Beginning from 1st July, 1967 work in both Victoria and Kowloon Public Mortuaries was done by pathologists from this Institute. Paid consultation work for the year totalled 761 cases which was double that of the previous year. The completed work on pancreatic clonorchiasis was published in the Journal of Pathology and Bacteriology, 1967. Investigations in progress are: histological typing of salivary gland tumours; ductal changes in recurrent pyogenic cholangitis; histological changes of the nasopharynx after radiotherapy in cases of nasopharyn- geal carcinoma and modifications for Mallory's phosphotungstic acid haematoxylin stain.
Haematology and Serology and Blood Bank
68. The acquisition of a refrigerated centrifuge has resulted in better and more efficient production of fresh frozen plasma for cases of haemophilia. Using this centrifuge trials conducted to prepare cryopre- cipitate were encouraging. The use of starch-gel instead of paper electrophoresis has greatly improved the detection of abnormal haemo- globin. Cytogenetic studies of clinical cases may be possible in future, if preliminary work on chromosome preparation works out smoothly. More specific serological diagnosis of syphilis using the fluorescent antibody technic is now being worked out following the demonstration by Dr. NEILSEN who visited the Institute in November 1967.
21
Chemical Pathology
69. It is worthy of note that certain specialised tests in this field were being done for case in Queen Mary Hospital, the significant one being the estimation of lead in urine. Other tests included the estimation of ketosteroids, catecholamines, 5-hydroxyindolacetic acid and amino acid chromatography.
Bacteriology
70. Samples of nightsoil, well water and imported food from endemic areas were routinely examined throughout the year for cholera vibrios. There was no positive isolation and no clinical cases were detected. The isolation of non-cholera vibrios in nightsoil samples presented opportunities for further work on identification and typing. The use of nitrate blood agar and coagulated serum agar as selective media for the growth of these vibrios has been of value. The emergence of multiple drug resistant strains of Shigella orgianisms needs further study. Alterations to the building are now being carried out to provide more laboratory space to meet the increased demand for bacteriological assessment of commercial food and other products for export. In the food section new tests were developed to comply with health regulations of importing countries.
71. Apart from routine bacteriological diagnosis of tuberculosis, the tuberculosis laboratory was mainly involved in anti-tuberculous drug sensitivity tests in conjunction with the Medical Research Council of London. In this connexion the slide culture technic initiated by a member of the Medical Research Council in this laboratory for rapid testing of anti-tuberculous drug sensitivity is progressing satisfactorily.
Virology
72. The Government Virus Unit continued diagnostic examination for virus infections and surveys in connection with poliomyelitis. Other projects included studies of respiratory virus infections and follow-up study of post-vaccinal measles antibody.
73. Laboratory evidence of poliovirus infection was obtained in only two of the twenty suspected cases of poliomyelitis. Both were type I infections. This was the lowest figure of laboratory-confirmed polio- myelitis recorded since the functioning of this laboratory in 1960. Two poliomyelitis faecal surveys in normal children were carried out in July and December respectively. The excretor rate of 'wild' poliovirus was
22
0.2% in July and none in December. Vaccine strains of poliovirus were found in 1.4% of children in the December's survey only.
74. The laboratory continued to function as a World Health Organization National Influenza Centre. A minor outbreak of influenza occurred during August and September, the virus isolated being similar to the more recent A2 antigenic variant. The investigation of respiratory virus infection formed part of the World Health Organization co-opera- tive study in this region. Viruses commonly associated with respiratory infections were parainfluenza virus type I and type 3, adenovirus types 2, 3 and 7. Other viruses found in isolated cases were: ECHO virus types 1, 11, 14; Coxsackie virus B4 and B6; mumps virus and rhinovirus.
75. An increased incidence of Coxsackie B5 virus infections was observed in February and March associated with various clinical con- ditions such as respiratory infections, fever with skin rash and heart failure. Three clinical cases of Japanese B encephalitis were sero- logically diagnosed in August, and the testing of a small number of samples of pigs' serum suggested that pigs could be the reservoir of the virus. The incidence of infection in pigs appeared to be higher in the New Territories than on the island.
76. The follow-up study of post-vaccinal measles antibody was carried out in children who received the Beckenham 31 or Schwartz live attenuated measles vaccine in 1966. The result showed that 80% of the children possessed a satisfactory persistent level of measles anti- body at one year and the remaining 20% had a gradual fall when compared with the level at the 4th week after vaccination. There was no significant difference in the degree and rate of antibody decline for both vaccine groups.
INDUSTRIAL HEALTH
(See table 42)
77. The health of workers in factories and in other industrial undertakings is the statutory responsibility of the Commissioner of Labour. The Industrial Health Division of the Labour Department which is staffed by personnel seconded from the Medical and Health Department, is chiefly concerned with the prevention of occupational diseases and the protection of workers against health hazards arising from their working environments. To achieve these aims a number of
23
separate surveys were carried out during the year in addition to routine medical surveillance and environmental investigations.
78. Environmental surveys included the measurement of silica dust in quarries, an X-Ray survey of quarry workers and the investigation of thermal comfort, noise and lighting in offices and workshops. Statutory clinical examinations of radiation workers continued to be conducted by Medical Officers seconded to the Labour Department who also followed up cases of occupational disease and examined workers exposed to lead, chromic acid and fluoride.
79. Late in the year the Workmen's Compensation Section became part of the Industrial Health Division and this has led to closer co- operation and improved co-ordination between the officers of the Compensation Section and the Health Visitors carrying out the case work of injured workers. An increase in the number of attendances at Kwong Wah Hospital made it necessary to station an Industrial Health Nurse there in the mornings and this arrangement has resulted in benefit and convenience to injured workers. Two surveys of occupational accidents were carried out during the year. One concerned injuries caused by press machinery and the other was a follow-up survey of a number of cases assessed at 10% or more permanent disability.
80. Twenty-two stations measuring monthly levels of sulphur dioxide by means of lead peroxide candles were set up in various localities throughout the Colony. These were in addition to the four existing stations which measure daily levels of sulphur dioxide and smoke. High concentrations of sulphur dioxide were demonstrated from the Hung Hom and Queen Elizabeth Hospital stations but elsewhere in the Colony levels of pollution were generally low. Preliminary investigations into the extent of carbon monoxide pollution from motor vehicles, which included the measurement of carbon monoxide in ambient air at street level and the estimation of carboxyhaemoglobin in policemen engaged in traffic duties, have so far indicated that such pollution presents as yet no special hazard in Hong Kong.
HEALTH EDUCATION
81. A better appreciation by the Colony's population of the basic principles of personal and environmental hygiene and the prevention of disease continues to be the main health objective. A very wide field is
24
covered by many branches of the Medical and Health Department, and the co-operation of all voluntary bodies interested in such topics is actively sought. During the year the Department co-operated in a number of exhibitions, notably the Fisheries Exhibition in February 1968, by producing displays on various aspects of preventive medicine.
IV. WORK OF THE MEDICAL DIVISION
(See tables 4447)
82. At the end of 1967, there was a total of 13,273 beds available in all hospitals in Hong Kong excluding those hospitals maintained by Her Majesty's Armed Forces; in addition there were 484 beds in Govern- ment Maternity Homes and 498 beds in private maternity and nursing homes and the total of 14,255 beds represents 3.7 beds per thousand of the population. The figures quoted are based on the normal bed capacities of the hospitals, but in some cases the actual bed occupancy is much higher as camp beds are often used whenever the need arises. Development over the past 10 years is illustrated in Figure 11 and it will be noted that the bed provision in 1967 represents an increase of nearly 90% over the bed provision in 1958.
IN 19001
12
善
TOTAL
HOSPITAL BEDS
1954
FIGURE 11
HOSPITAL BEDS 1958 - 1967
GOVERNMENT ASSISTED
GOVERNMENT
PRIATE
43
YEAR
25
74
QUEEN MARY HOSPITAL
(See table 48)
83. This hospital built in 1937 is the main acute and specialist centre for Hong Kong Island and is also the University teaching hospital for the Medical Faculty of the University of Hong Kong; clinical supervi- sion is provided partly by the University clinical departments and partly by Government specialist units. Owing to the increased demand for services, the hospital's nominal capacity of 632 beds was augmented considerably by the use of camp-beds, which averaged approximately 120 each day throughout the year.
84. Work on the alterations to the hospital commenced and during the year the central sterile supply department and three wards were completed and commissioned. Work on the alterations continues so as to provide a total of approximately 1,080 beds by the end of 1969 and to set up an intensive care unit, and an acute psychiatric ward to im- prove the facilities of the hospital as a teaching and specialized institution.
QUEEN ELIZABETH HOSPITAL
(See tables 49-50)
85. This hospital serves the population of approximately 23 million people living in Kowloon and the New Territories as a medical centre for emergency and specialist care.
86. During its fourth year of operation, attendances at the Casualty Department rose by 8% compared with the previous year. Of these attendances, 24% were due to trauma, the main causes being, in order of frequency, domestic, industrial and assault cases. 27.9% of all the cases seen in Casualty Department required immediate admission to hospital and 6.4% were referred for admission to other hospitals such as Kwong Wah Hospital and Lai Chi Kok Hospital. (Please see para- graph 144 below for details of operation of the Casualty Department of the Kwong Wah Hospital).
87. The average time spent in the Hospital by each in-patient was 8.2 days. Once tided over the acute episode of the illness, patients are either discharged or transferred to Kowloon or Lai Chi Kok Hospitals for convalescence. The pressure of admissions necessitated increasing the bed state to 1,501.
26
The first Colony- wide
anti-
measles vaccina- tion campaign was launched in December 1967; a child receiv- ing the measles vaccine 31 a Maternal and Child Health
Centre.
A baby receiving B.C.G. vaccina. tion. In 1967, 95.4 per cent of babies born in the Colony received B.C.G. vaccination soon after birth.
7
00
LE
4
A child receiv- ing smallpox vaccination. The prevalence
smallpox
of
in
nearby countries underlines
the
need to maintain a high level of community pro- tection against the disease.
A Health Visitor giving a health talk at one of the Maternal and Child Health Centres.
An elderly Hakka woman receiving advice from a Health
Visitor.
A Health Visitor giving advice to a village mother. There is increasing appreciation amongst the village women of the value of preventive services in the maintenance of health amongst infants.
+
+
KOWLOON HOSPITAL
88. This hospital at present has 500 beds but an additional block of 600 beds has been planned and site formation commenced in early March, 1967, but work has been seriously delayed by unforeseen cir- cumstances. When completed, there will be a total of 1,100 beds in this hospital as subsidiary accommodation for Queen Elizabeth Hospital and for chest diseases requiring both medical and surgical management. 89. The Pulmonary Tuberculosis Unit and the Thoracic Surgical Unit in the hospital now have a total of 168 beds. Apart from treating patients suffering from pulmonary tuberculosis, the work of these 2 units includes also other aspects of cardio-thoracic surgery and non- tuberculous chest disease.
TSAN YUK HOSPITAL
(See table 51)
90. 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 with 238 beds. It is the teaching centre in obstetrics for medical undergraduates and the training. school for midwives.
91. About 95% of admissions were booked cases. These were mainly primigravidae, grand multiparae and cases with previous or present complications that required specialist care. The emergency admissions were referred mostly from Government Maternity Homes. There were two maternal deaths among 5,378 deliveries, one due to rupture of uterus and the other to disseminated lupus erythematosus.
MENTAL HEALTH SERVICE
Castle Peak Hospital (See table 52)
92. Continued efforts to turn the hospital into a modern therapeutic community have resulted in a judicious liberalization of control over patients. Except for two closed wards for patients involved in Court proceedings, most of the wards are in various degrees 'open', having free access to their own gardens. Two wards are never locked, the patients housed therein being convalescent and receiving intensive atten- tion to prepare them for discharge. Some patients travel daily to Tsuen Wan to work in factories for a short period of rehabilitation prior to final discharge and many are given permission to go freely within hospital.
27
93. Much reliance was put on psychotropic drugs, and it became increasingly clear that maintenance treatment of many schizophrenics over a long period of time could result in a drop in the relapse rate.
94. Increasing efforts were made to rehabilitate the long-stay and grossly mentally handicapped patients, the aim being to make them fit to earn their living. Two wards were specially set up for this purpose. The usual therapeutic measures including occupational therapy, group therapy and re-education were intensively used but emphasis was placed on training in activities having a direct bearing on their work after leaving hospital. By these means a number of patients found employment while still in hospital. They were later discharged for full time employ ment. Planning is in progress for another Mental Hospital which will be sited at Lai Chi Kok.
Psychiatric Centres (See table 53)
95. The Yau Ma Tei Psychiatric Centre provides treatment for both out- and day-patients including follow-up cases from Castle Peak Hospital. A Child Psychiatric Unit was set up in the same centre. The Day Hospital was found to be most useful for treating psychoneurotics and disturbed adolescents and children especially. On the island the Hong Kong Psychiatric Centre continues to see out- and day-patients, follow-up cases from Castle Peak Hospital as well as forensic cases and referrals from the University Child Guidance Centre and Queen Mary Hospital. In addition to these centres, psychiatric services are provided for Psychiatric Observation Unit in Victoria Remand Prison and for the mentally sub-normal in the Aberdeen Rehabilitation Centre.
New Life Psychiatric Rehabilitation Association
96. This Association, with the close co-operation of the Mental Health Service, opened a 'New Life Rehabilitation' Farm adjacent to Castle Peak Hospital for the benefit of discharged patients requiring a period of orientation before returning to full social and economic activities in the community. The Association already runs a 'Half-way House' in Hung Hom-a hostel where certain selected discharged patients from Castle Peak Hospital spend a transitional period before return to normal society.
Drug Addiction Treatment
97. A centre situated in Castle Peak Hospital and opened in March, 1961 continued to provide treatment on a voluntary basis for male drug addicts up to November 1965. It was then closed down following the
28
completion of direct admission facilities at Shek Kwu Chau, and all drug addiction patients at Castle Peak were transferred to Shek Kwu Chau for treatment. The Shek Kwu Chau Drug Addiction Treatment Centre is maintained by the Society for the Aid and Rehabilitation of Drug Addicts, aided by Government subvention.
98. An attempt has been made by the Psychiatric Social Work Unit of the Drug Addiction Section of the Mental Health Service to follow up the voluntary patients who were wholly treated in the former Castle Peak Drug Addiction Treatment Centre before the opening of the Shek Kwu Chau Centre. This group of persons had remained in close contact with the psychiatric social workers of the Castle Peak Centre, and had organized themselves into an informal social and recreational group so that it was possible to know with considerable accuracy whether or not they had relapsed. The total number followed up was 314. A pamphlet outlining the scientific basis of assessing the effectiveness of treatment and the results of follow-up of this group of patients has been printed for general information.
The Anti-Narcotic Campaign
99. The anti-narcotic campaign, organized by the Medical and Health Department in conjunction with ACAN (Action Committee Against Narcotics), was launched in November, 1967 and lasted for one month. Widest publicity to the campaign was given through the press, radio, television interviews as well as the showing of the film, 'Suicide on Hire Purchase', in schools and slides in theatres; posters were put up at public buildings, in resettlement estates, public transports and many other public places and leaflets were also distributed through public and voluntary agencies. The emphasis of the campaign was on the preventive aspect of drug addiction and publicity was directed primarily towards education of the young.
INFECTIOUS DISEASES HOSPITALS
100. 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.
101. The general pattern of admissions followed the trend ex- perienced in previous years. There was a further reduction in the number of admissions for diphtheria and poliomyelitis.
29
102. Typhoid admissions remained comparable with the previous year. The disease occurs mainly amongst children and adolescents and is very often of a mild character. Measles however showed a further increase in incidence and in mortality; in almost every instance bron- chopneumonia was the cause of death and unfortunately many of these children continued to be admitted in a moribund condition.
OTHER GOVERNMENT HOSPITALS
103. Other hospitals maintained by Government are the St. John Hospital, serving the island of Cheung Chau and neighbouring islands of the western sea-board; the Wan Chai Hospital for the care of female patients with skin diseases; the South Lantau Hospital serving the villages on the south-west coast of Lantau Island; and six hospitals within prison compounds at Stanley Prison, Victoria Prison, Lai Chi Kok Female Prison, the Tai Lam Prison for convicted drug addicts, the Tong Fuk Prison and the Chi Ma Wan Prison.
OUT-PATIENT SERVICES
(See tables 54-56)
104. Pressure remained heavy throughout the year on all 43 general out-patient clinics and also on most specialized ones. Trends during the past ten years are shown in Figure 12.
FIGURE 12
OUT-PATIENT ATTENDANCES 1958 - 1967
7
NO OF ATTENDANCES IN MILLIONS
H
TOTAL ATTENDANCES
1950 $2
NEW ATTENDANCES
8
62 YEAR
63
30
64
F
*
67
105. New facilities which became available during the year are detailed in paragraphs 163 to 165 of this report.
106. In addition to general out-patient services, regular out-patient sessions were maintained at a number of clinics by staff of specialized units. Evening and public holiday out-patient sessions continued to be held at eight clinics in the more densely populated areas. The more remote areas of the New Territories continued to be served by two mobile dispensaries and two 'floating clinics' while the 'flying doctor' service to more isolated and inaccessible villages was maintained.
SPECIALIST SERVICES
107. There are Government Specialist Clinical Units in medicine, surgery, obstetrics and gynaecology, anaesthesiology, dentistry, neuro- surgery, opthalmology, orthopaedic surgery, otorhinolaryngology, pathology. paediatrics, psychiatry, radiodiagnosis, radiotherapy, social hygiene, thoracic surgery and tuberculosis. In addition, the Professors and certain Senior Lecturers of the University Faculty of Medicine act as consultants in medicine, surgery, obstetrics and gynaecology, ortho- paedics, pathology and paediatrics. A number of Government Specialists act as Honorary Consultants to the Tung Wah Group of Hospitals and others serve as part-time lecturers in the University clinical depart- ments.
RADIOLOGICAL SERVICES
(See tables 57-58)
108. The Medical Department Institute of Radiology operates a service consisting of Radiodiagnosis, Radiotherapy, including the use of radioisotopes in the diagnosis and treatment of certain diseases, Radia- tion Physics and Clinical Photography. It serves mainly Government institutions but free consultant services are available to the Tung Wah Group of Hospitals and to the Pok Oi Hospital in the New Territories and such services are also available to medical practitioners in private practice. The Institute maintains a radiation monitoring and protection service for the Colony, undertakes teaching of medical students of the University of Hong Kong in the fundamentals of radiodiagnosis and radiotherapy and operates a Colony-wide Cancer Registry.
109. During the year the Yau Ma Tei X-Ray Survey Centre and the Yau Ma Tei Chest Clinic X-ray Department were opened. The Radiotherapy Division at Queen Mary Hospital moved into a new department in the Professorial Block where a new Caesium-137
31
radiotherapy unit was installed to replace an old and obsolete small telecobalt unit. A new Picker's Magna-Scanner was also acquired to increase the facilities of the Radioisotope Section.
110. With the enactment of Regulations under the Radiation Ordinance on 1st October, 1965, a programme of inspection of premises, including hospitals where irradiating apparatus and radioactive sub- stances were used by registered medical and dental practitioners outside Government service for medical purposes, was commenced. A number of factories employing irradiating apparatus or radioactive substances for industrial use were also visited. At the time of these visits advice for the improvement of radiation protection facilities was given where required and this was followed by subsequent visits to ensure that the improvements suggested had been carried out before a licence to use the irradiating apparatus or radioactive substances was issued.
OPHTHALMOLOGY
(See tables 59-60)
11. This service maintains three full-time centres with surgical facilities, and in addition holds regular sessions at out-patient clinics in urban and rural areas. Sixty per cent of the major operations were per- formed on an out-patient basis, and increased availability of beds enabled waiting lists to be reduced to almost negligible proportions.
112. During the year, the number of persons first registered as blind fell further from 420 in the previous year to 345, including 20 under the age of 15 years. Following successful operations, some eighty patients were removed from the register.
113. Trends of previous years in the causation of blindness were continued, with increasing frequency of the eye diseases of advancing age and a reduction in those caused by deficiency states and trauma; senile cataract and glaucoma have replaced keratomalacia as the pre- dominant causes, and amongst children, the main cause of blindness is congenital defect, while blindness due to keratomalacia is now com- paratively rare.
PHARMACEUTICAL SERVICE
(See table 61)
114. This service is concerned with the enforcement of the Ordin- ances dealing with Dangerous Drugs, Pharmacy and Poisons, and
32
Antibiotics as well as the control, manufacture and supply of drugs and dressings and supply of medical and surgical instruments and sundries to all Government medical institutions. In addition to the usual in- patient and out-patient dispensing services provided in hospitals and clinics, two manufacturing units are maintained, one on the island and one in Kowloon for the preparation in bulk of a wide variety of pharmaceuticals. In the two largest hospitals, sterile preparation units supply all the hospital departments with their requirements for all intravenous fluids and with an extensive range of injections.
115. The Central Sterile Supply Department at Queen Elizabeth Hospital is gradually being extended to include the requirements of Kowloon Hospital. Another Central Sterile Supply Department has been opened in the new theatre block at Queen Mary Hospital and is being expanded to meet the requirements of the entire hospital. A new pharmacy department has also been opened in the new theatre block at Queen Mary Hospital.
MEDICAL SOCIAL WORK
116. The expansion of the medical services and the increasing emphasis on rehabilitation in its various aspects continued to place heavy demands for the services of medical social workers. In the Tuberculosis Service, the development by Health Visitors of the work concerned with public health and preventive aspects of this disease has enabled the Medical Social Workers, working on a referral and selection basis, to concentrate more on the purely social work angles; more time can be spent by Medical Social Workers in hospitals, and the stationing of Medical Social Workers at the Grantham Hospital and Ruttonjee Sanatorium, started in the previous year, has proved successful.
117. Work at the Kowloon Jockey Club Rehabilitation Centre has remained at a high level. The backlog of handicapped children awaiting admission to school has created a problem, and a valuable service has been provided by the Heep Hong Club in which handicapped children are encouraged to participate in group recreational and educational activities.
118. Medical Social Workers in the hospitals have continued to work with patients and families throughout the period of hospitalization towards the ultimate goal of discharging them back into the community. Severe residual disabilities, particularly in such conditions as paraplegia and hemiplegia, pose serious problems. In Queen Elizabeth Hospital
33
there was no significant change in the method of work during the year, while in Queen Mary Hospital medical social service was extended to patients in the nearby Sandy Bay Convalescent Hospital, who had previously been treated in Queen Mary Hospital.
119. In the Mental Health Service the demand for fully trained Psychiatric Social Workers and the scope of work at Castle Peak Hos- pital remained wide. In April, 1967 a system of carrying out social work on a referral basis was implemented and the follow-up of discharged drug addicts from Castle Peak Hospital was continued.
120. In the leprosy service methods of rehabilitation remained the same and co-operation with the Hay Ling Chau Leprosarium was maintained. Housing of leprosy patients and employment of cured persons remained important problems. In the fields of venereal diseases and dermatology, long interviews with patients were needed to release tensions and uncover hidden anxieties which play so important a part in some dermatological conditions. In other specialist sections such as ophthalmology, the Medical Social Workers worked on the referral system, and constantly pruned their activities in order to obtain the best possible results.
121. In staff training two medical social workers returned from and another medical social worker left for overseas training during the year. In staff training locally, full use has been made of Extra-Mura] Courses, several of which have been designed especially for social workers. Medical Social Workers continued to give lectures in the course of training of nurses, physiotherapists and medical students, and all possible assistance was given to the two universities in the training of university social work students.
PHYSIOTHERAPY
(See table 621
122. Demand for physiotherapy services continues to rise, and there is increasing concentration on education and training of the handicapped in re-adapting themselves to day-to-day activities. Some new activities were started during the year in conjunction with the Occupational Therapists for permanently handicapped patients, especially paraplegic patients. These activities include indoor bowling and archery.
123. The Physiotherapy Training School had no intake of new students during the year partly due to shortage of space. 19 students
34
are under training at the school, including four male students. The students are making satisfactory progress in their training and they have made themselves useful in the departments where they are able to put their training into practice.
OCCUPATIONAL THERAPY
(See table 63)
124. Owing to the pressure on the acute hospitals and to the resulting short patient-stay, the main energies of the Occupational Therapy sub- department are concentrated on the hospitals for long-term patients, particularly the Castle Peak Hospital for psychiatric cases. Progress has however been considerably handicapped by difficulties in recruitment of trained staff.
125. At Castle Peak Hospital the department continued to provide a diverse programme of treatment covering work, recreation and group social activities for a daily average of 900 patients. Industrial 'out- work', consisting of contracts with factories, continues as a valuable adjunct to the treatment programme and is being expanded, and Govern- ment orders for domestic, hospital and office equipment continued. In the Hong Kong Psychiatric Centre a carefully planned programme of rehabilitation is also carried out for patients attending the centre.
126. The occupational therapy sub-department at Yau Ma Tei Psychiatric Centre was opened in June, 1967. Patients treated at this department consist of two main categories, namely, those discharged from Castle Peak Hospital who need a short follow-up in a Day Psychiatric Centre to aid their rehabilitation and those requiring closer observation and assessment as out-patients. Patients in the latter group are generally children and young adolescents in the early stage of illness whose pattern of behaviour needs close observation.
127. Work in the Kowloon Jockey Club Rehabilitation Centre showed a further increase during the year and the aim of treatment in the centre is to assist in returning patients to their previous employment, or where this is not possible, to an alternative means of livelihood. The ward work in the Kowloon Hospital itself has progressed satisfactorily as demonstrated by the appreciable increase in the total number of treatments given during the year.
128. The Occupational Therapy Units at Queen Elizabeth, Queen Mary and Lai Chi Kok Hospitals continued their activities and treat-
35
ments given to patients covered orthopaedic, tuberculosis, surgical and medical conditions. The weekly occupational therapy service to the tuberculosis patients at St. John Hospital, Cheung Chau was maintained.
ORTHOPAEDIC AND PROSTHETIC APPLIANCE
129. During the year 2,235 appliances were made and 1,738 patients were treated while approximately 950 minor repairs, alterations or checkings were also done. There was an increase in the production of artificial limbs, especially the below-knee prosthesis. The number of new poliomyelitis cases decreased but the old patients are growing up and therefore the demand for long leg brace with knee hinges rose. Work study in the production section has therefore been directed mainly to simplified but effective designs and improved techniques of fabrication of appliances.
130. The training programme for Student Assistant Orthopaedic Appliance Technicians progressed satisfactorily. To suit the Asian con- ditions and meet the local requirements, a co-ordinated research pro- gramme and development covering various aspects of design and production technique was started during the year. The programme includes developments in long leg brace, Milwaukee spinal brace, fitting of very short above-elbow stump and functional hand splint.
MEDICAL EXAMINATION BOARD
(See tables 64-65)
131. This section performs medical examinations of new entrants to Government employment and to the Essential Service Corps. Although the numbers of persons classified as unfit on account of tuberculosis continued to fall, that disease remained the primary reason for non- acceptance of applicants on medical grounds, being responsible for thirteen out of the eighteen classification as 'unfit" in each thousand examination.
HOSPITAL MAINTENANCE AND SUPPLY
132. This section, responsible for the routine supply and lay administration of medical institutions, continued to experience staffing difficulties as not only was difficulty encountered in recruiting ex- perienced Hospital Secretaries but the wastage rate among male minor staff remained high.
36
133. Transport services continued to present problems as the number of routine requirements has increased with the expansion of activities in the Department and the opening of new institutions, whilst the number of vehicles has not increased commensurately, The increased number of mass immunization campaigns and an increase in the periods. that vehilces were off the roads for maintenance and repair aggravated the position.
134. The Departmental Central Laundry experienced difficulty, which was particularly great at times, in coping with the still-rising demand; additional machinery was installed and additional staff appointed. More machinery is now on order and it is hoped that when this is in use the Laundry will have sufficient balanced capacity to deal with all demands until such time as a second Laundry is built and opened to serve Hong Kong Island, which should be towards the end of 1970.
135. The UNICEF-sponsored feeding programme continued throughout the year and a total of 54,154 lbs of Milk Powder and 456 Ibs of Corn-Soya-Milk was distributed to the various Government feed- ing centres throughout the Colony. The decrease in consumption com- pared with the previous year was approximately 30% and was due to shortage of supplies during the early part of the year and to the cessation of demand by the voluntary agencies which had found an alternative source of supply.
AUXILIARY MEDICAL SERVICE
136. This branch of the Essential Services Corps has a strength of over 5,000 men and women trained to augment the Colony's medical services during an emergency and approximately half of the strength is used to make up the Ambulance Depot Teams which are based on the Fire Services Ambulance Stations throughout the Colony. These Ambul- ance Depot Teams are trained to reinforce the Fire Services Ambulance Service and to provide mobile first aid teams as necessary.
137. Members of the Service carry out training on Sunday mornings and during the evenings. They also perform routine ambulance duty with the Fire Services Ambulance Service by rotation at week-ends and Public Holidays.
138. During the disturbances in 1967 members of the Service were called up to reinforce the Ambulance Service as required, and assisted
37
the Medical Services in various duties. Members also attended at the scenes of a number of fires in Hong Kong and Kowloon during the year.
REGISTRATION OF MEDICAL CLINICS
(See table 43)
139. In accordance with the Medical Clinics Ordinance. Chapter 343, all clinics, except the mobile vans which were formerly registered with exemption (that is operated by unregistered doctors) were required to be re-registered annually. As on 31st March, 1968 there were 75 registered static clinics and 3 registered mobile clinics in the charge of registered medical practitioners and 380 clinics registered with exemp- tion, making a total of 458 which is slightly less than the previous year's total of 475.
140.
The decrease is more than compensated by the implementation of the Low Cost Medical Care Scheme under which static clinics were to be set up in Resettlement and Housing Estates. The aim is to provide one doctor for every 6,000 residents with priority given to registered practitioners. At the end of the year under review there were 31 clinics in Resettlement Estates and 18 in Housing Estates being operated by registered doctors. In addition, there were 11 clinics in Resettlement Estates and 2 clinics in the Hong Kong Housing Societies which were registered with exemption.
V. GOVERNMENT-ASSISTED HOSPITALS
(See table 66)
141. Financial assistance mainly by means of an annual subvention is given by Government to certain voluntary organizations maintaining hospitals in the Colony. Such hospitals, containing a total of 6,109 beds, provide mainly subacute general beds or facilities for persons suffering from certain specific diseases or handicaps. The total Government sub- vention to these hospitals during the year was $45,165,314 recurrent and $541,589 special expenditure.
THE TUNG WAH GROUP OF HOSPITALS
142. The Tung Wah Group of Hospitals is a long-established Chinese charitable organization and is managed by a Board of Directors elected annually. During recent years a programme of modernization and
38
expansion has been undertaken with assistance from Government in terms of personnel, especially medical officer and consultant services. money and material, with a subvention amounting to $27,268,888.
143. The Intensive Care Unit at Kwong Wah Hospital was opened in March 1968. The Unit with a total of 16 beds is equipped with life- saving facilities and provides intensive nursing care, active treatment and continuous close observation for critical cases.
144. The Casualty Department at Kwong Wah Hospital, opened in July 1965, continued to relieve some of the heavy pressure on the Casualty Department in Queen Elizabeth Hospital and to provide additional casualty facilities for the public in Kowloon and the New Territories. The Department, initially staffed by secondment from Government, was finally managed by the Hospital's own staff in 1967. During the year there were 66,000 casualty attendances at the Depart- ment of which 19% were traumatic cases.
145. The need for subsidiary beds for long-term patients was stressed in the Medical Development Plan and the Group's programme of devel- opment was directed towards the provision of these. During the year work on Wong Tai Sin Infirmary's Phases II and III continued. On completion of the whole project, it will give an overall total of 800 beds.
THE ALICE HO MIU LING NETHERSOLE HOSPITAL
146. This hospital, supported by the London Missionary Society, received a Government subvention of $2,500,000 during the year. The building of the new East Wing, officially opened in December, and the associated alterations in the rest of the Hospital have greatly improved the facilities. New features provided in the hospital include a central sterile supply department, central milk kitchen, intensive care unit and laundry. Several departments including pharmacy, radiology, blood bank and haematology, laboratory, operating theatres, casualty and ward units have been re-modelled or rebuilt.
POK OI HOSPITAL
147. This charitable hospital at Yuen Long in the New Territories continued to serve the population in Yuen Long and its adjoining areas. The hospital's programme of modest expansion progressed satisfactorily and new projects including minor staff quarters, a kitchen and a mortuary were under consideration at the end of the year under review.
39
CARITAS MEDICAL CENTRE
148. This hospital of 490 beds, erected with the aid of donations from Roman Catholic Communities in many parts of the world and in particular from the Federal Republic of Germany, and maintained partly with the aid of a Government subvention of $2,000,000, is situated in the densely populated district of So Uk in North-West Kowloon. It is administered by the Canossan Sisters and comprises three blocks for general, tuberculosis and cancer patients respectively, as well as quarters for staff and a nurses' training school. Plans are under way for further expansion by the provision of a paediatric block of 250 beds. Although certain staffing difficulties were encountered initially, these have been mainly overcome and the hospital is playing a very active part in the provision of medical services in the Colony.
HONG KONG ANTI-TUBERCULOSIS AND THORACIC DISEASES ASSOCIATION
149. This Association, in its three institutions-the Grantham Hospital, the Ruttonjee Sanatorium and the Freni Memorial Convales- cent Home provides the great majority of the beds available for treat- ment of tuberculosis, and a close liaison is maintained with the Government Chest Service.
The Grantham Hospital (See table 67)
150. This hospital of 619 beds is equipped as a modern chest hospital and is administered by the Grantham Hospital Management Board on a fee-paying, non-profit-making basis. Government maintains 576 of the beds, but all staff of the hospital is provided by the Associa- tion with the exception of Government Medical Officers posted to the Government clinical units which are directly responsible for 218 of the beds.
151. Closed heart surgery was started in October 1967. The hospital has now been equipped to deal with open heart operations, this form of surgical treatment will be available later in 1968. The cardiac surgery unit is to be operated in association with the Professorial Medical and Surgical Departments of the University of Hong Kong.
Ruttonjee Sanatorium and Freni Memorial Convaleseent Home
(See table 68)
152. The Ruttonjee Sanatorium and its annex, the Freni Memorial Convalescent Home together accommodate 360 patients suffering from
40
tuberculosis and other chest diseases. The Sanatorium also operates a Follow-up Clinic and a B.C.G. centre. It is supported by voluntary contributions and by a subvention from Government through the Association.
HAVEN OF HOPE SANATORIUM
153. This hospital of 230 beds is situated in the Junk Bay area of the New Territories and a tuberculosis out-patient and follow-up clinic is maintained at nearby Rennie's Mill. During the year, the hospital was assisted in its recurrent expenditure by a Government subvention of $715,900, and planning of an additional 60 beds was completed.
SANDY BAY CHILDREN'S ORTHOPAEDIC HOSPITAL
AND CONVALESCENT HOME
154. Maintained by the Society for the Relief of Disabled Children, partly with the aid of a Government subvention of $150,000, this home contains 100 beds for children requiring long-term orthopaedic care. The Hong Kong Red Cross Society provides two full-time primary school teachers to enable the children to continue their education during convalescence. Construction of additional facilities in the form of an out-patient department, an operating theatre suite, X-ray facilities, physiotherapy and 100 additional beds was substantially completed and would be opened for use in the later half of 1968.
OUR LADY OF MARYKNOLL HOSPITAL
155. This hospital of 80 beds is administered by the Maryknoll Sisters, and was maintained during the year partly with the aid of a Government subvention of $387,000. It is located at Wong Tai Sin in North-East Kowloon and provides general in-patient and out-patient facilities for this rapidly expanding area. During the year construction for an extension of 140 beds was well advanced, and on completion the hospital will have a total of 220 beds, 180 for general third class patients and 40 for first and second class patients and maternity cases.
HAY LING CHAU LEPROSARIUM
(See table 69)
156. This leprosarium situated on an island six miles from Hong Kong is maintained by the Leprosy Mission, Hong Kong Auxiliary with the aid of a Government subvention. It provides accommodation for 540 leprosy patients and special facilities for those who require reconstructive surgery or who are suffering from intercurrent disease.
41
157. In therapy, diamino-diphenyl-sulphone remained the drug of choice for most patients, but thiambutasone was used more with increas- ing success, either by itself or with diamino-diphenyl-sulphone. Its usefulness has improved greatly since it became available in the inject- able form; results are far better and undesirable side effects are far fewer. The newer drugs are also used for some of those who do not respond favourably to the more routine therapy. Physiotherapy has become an essential part of the programme to prevent disability, and through this treatment programme many of the newer patients are able to return home earlier and without any disability.
HONG KONG SOCIETY FOR REHABILITATION KWUN TONG
REHABILITATION CENTRE
158. This centre, aided by a recurrent grant from Government. accommodates eighty patients and has occupational workshops and facilities for physiotherapy and for the manufacture of prostheses. It is designed to assist in the quick return to employment of those who have been injured, particularly in industrial accidents.
NAM LONG HOSPITAL
159. The hospital maintained by the Hong Kong Anti-Cancer Society was officially opened on 5th May, 1967. Its 3 blocks occupy a site at Brick Hill overlooking Aberdeen harbour. With a total accom- modation of 120 beds, it takes in cancer patients convalescing from major surgery or from radiotherapy and also those with advanced disease. Chemotherapy is also given to patients. Cases are referred by government or private hospitals or by medical practitioners and it is the policy of the hospital to admit only such cases. All poor patients receive free treatment, but for those who are able to pay a small fee is charged. Patients are provided with medical social service.
VI. DEVELOPMENT
(See table 70)
FORWARD PLANNING
160. Reference has been made previously in this report to the unparalleled hospital development of the past 15 years. However, the population has also been increasing very rapidly and there is still con- siderable pressure on most categories of hospital beds, particularly those
42
for acute and chronic general and mental patients. The White Paper on Development of Medical Services in Hong Kong, which was tabled in Legislative Council in February 1964, outlined the medical problems of the Colony and made suggestions to remedy deficiencies in order to produce, in the face of a rapidly increasing population, a reasonably satisfactory standard of medical facilities. Developments have to take into account the ability of the community to afford these facilities either by direct payment or by indirect payment by means of taxation. The Working Party which prepared the White Paper was re-constituted by His Excellency the Governor as the Medical Development Plan Standing Committee. The Director of Medical and Health Services is its Chair- man and the Committee comprises two nominated members and representatives of the Medical and Health Department, the Finance and General Branches of the Colonial Secretariat, and, when necessary, the Public Works Department. The Committee has held 33 meetings since its inception, in order to keep the recommendations made in the White Paper under continuous administrative review and to report its conclusions on all major matters to Government through the Medical Advisory Board. The Committee's activities fall into five main cate- gories, namely, development of medical institutions; staffing of such institutions; subventions to Government-assisted institutions; fees and charges; and improved utilization of existing medical facilities.
161. The principal matters, with which the Committee continued to occupy themselves were: the alterations to and extensions of Queen Mary Hospital, the first two phases of which have been completed, two more to be completed at the end of 1968 and the fifth and last phase to be completed by early 1969 to provide ultimately a total of 1,080 beds; the progress made with the provision of a new 1,360 beds general hospital at Lai Chi Kok; the planning of a new convalescent block in the grounds of Kowloon Hospital; the adequacy of the present psychiatric services, a new mental hospital of approximately 1,000 beds being approved; the review of fees and charges at Government hospitals and clinics, a matter still under consideration at the end of the year, and the subventions paid to Government-assisted institutions.
162. Amongst new matters considered by the Committee were: a polyclinic including rehabilitation facilities at Kwai Chung South, a polyclinic for Kowloon East, a new kitchen, laundry, mortuary and minor staff quarters for the Pok Oi Hospital at Yuen Long, and an
43
experimental centre for the voluntary treatment of female drug addicts to be operated by the Society for the Aid and Rehabilitation of Drug Addicts.
COMPLETED PROJECTS
163. The year 1967-68 saw the completion of a number of major additions to the Colony's medical and health services. Although most of these have been mentioned elsewhere in this report, it is appropriate to summarize them in this chapter.
164. Projects completed during the year were the Castle Peak Clinic, a new rural clinic and maternity home financed entirely by Government, a new professorial block at Queen Mary Hospital also financed by Government, alterations to the fourth and fifth floors of the Tsan Yuk Hospital financed by the Royal Hong Kong Jockey Club, which in the previous year had financed the provision of an additional floor at this hospital as a result of which it was possible for the alteration to be carried out, and a two-storey addition to the Lion's Club Government Maternal and Child Health Centre at Kowloon City financed jointly by the Lion's Club and Government.
165. Major projects at Government-assisted medical institutions which were completed during the year were a nursing home of 120 beds for cancer patients run by the Hong Kong Anti-Cancer Society and the expansions to the Nethersole Hospital, while extensions to the Sandy Bay Children's Orthopaedic Hospital and Convalescent Home were almost complete.
PROJECT UNDER CONSTRUCTION
166. Major projects on which construction had commenced or was about to begin were Chai Wan Urban Clinic and Maternity Home, the Tang Shiu-kin Hospital, the convalescent block at Kowloon Hospital, and a major programme of alterations to Queen Mary Hospital, while site formations for the new Lai Chi Kok General and Mental Hospitals were in progress. Work on the Tung Wah Group Wong Tai Sin Infirmary's Phases II and III continued.
167. A detailed statement of development will be found in the Statistical Appendix to this report.
44
VII. TRAINING PROGRAMME
(See tables 71-73)
168. The University of Hong Kong confers the degrees of M.B., B.S., which have been registrable with the General Medical Council of the United Kingdom since 1911. Posts in the major hospitals are recognized for post-graduate training by the majority of the examining bodies in Britain.
169. Mention has been made in recent reports of the relative shortage of qualified medical personnel and, with the completion of the new University pre-clinical buildings at Sassoon Road, the Univer- sity's intake of medical students was increased to 120 students in 1965. The extensions to Queen Mary Hospital, to which reference has already been made, will be completed in time to allow a larger number of students to have their clinical training. While there will therefore be a considerable increase in the output of medical graduates from the Hong Kong University as from 1970, the Colony will remain relatively short of qualified medical personnel for some years to come.
170. Following the opening of the Queen Elizabeth Hospital, the programme for the training of doctors for post-graduate qualifications was reviewed by the Panel on Post-Graduate Medical Education, which advised a re-appraisal of specialization in the major disciplines. A shortage of experienced personnel has been encountered in some speciali. ties, but it is hoped that most of these deficiencies will be remedied within the next few years.
DENTAL STAFF
171. No undergraduate training in dentistry is available in Hong Kong, but Government annually awards scholarships for the study of dentistry overseas. Two such scholarships were awarded during the year, while four scholars returned to the Colony after qualification, bringing the total of returned graduates to 51 out of a total of 76 scholarships so far awarded.
172. In-service training in dental technology continues for Govern- ment student dental technicians, while evening classes for dental technicians in private employment are held at the Hong Kong Technical College. During the year two Government dental technicians passed the Intermediate Certificate of the City and Guilds of London Institute in
45
Dental Technology. In-service training of selected dental surgery assist- ants in the fields of dental radiography and orthodontics is also carried
out.
173. Three dental surgery assistants are under training in Penang, Malaysia, under World Health Organization Fellowships for training in dental nursing.
General Nursing
NURSES
174. There is full reciprocity of registration between the general nursing qualifications of the Nursing Board in Hong Kong and of the General Nursing Council of England and Wales. Government maintains two training schools, at Queen Mary and Queen Elizabeth Hospitals respectively where teaching is in the medium of the English language, while the other approved training schools are maintained by the Tung Wah Group of Hospitals, the Alice Ho Miu Ling Nethersole Hospital and the Hong Kong Sanatorium and Hospital and in these teaching is in the medium of the Chinese Language. The Caritas Medical Centre nurses training school, started in November 1965, received full recogni- tion from the General Nursing Council of England and Wales in November 1967.
175. Eight trained staff proceeded overseas during the year for specialized training in various branches of nursing such as hospital administration (nursing); paediatric nursing; sister tutor's diploma; dietetics, teaching methods for overseas nurses and operating theatre technique (open heart surgery).
176. A Working Party on Nursing Education and Training was appointed by the Nursing Board of Hong Kong in May 1965 to consider the whole field of nursing education and training and to make recom- mendations. The Working Party, under the chairmanship of Miss Sheila Iu, M.B.E., comprised nursing members from Goevrnment, Govern- ment-assisted and private hospitals. The Working Party held a total of 23 meetings and its report, completed in April 1967, was considered by the Nursing Board during the year.
Midwifery
177. For registered general nurses, a one-year course in midwifery continues to be conducted and usually commences as a continuation after registration with the Nursing Board.
46
178. Pupil Midwives without a nursing qualification undergo a two- year course at the Government Tsan Yuk Hospital conducted in the Chinese language. After qualification suitable midwives are employed to staff Government maternity units.
Health Visitors
179. A Health Visitors' Course was commenced in January 1968, and nine trained nurses entered the course.
RADIOGRAPHERS
180. Training in this sphere was continued during the year and examinations were held in the Colony for Membership of the Society of Radiographers of England for both therapy and diagnostic radio- graphers.
181. During the year 5 Student Radiographers passed the Part II examination for the Membership of the Society of Radiographers.
LABORATORY TECHNICIANS
182. The Government Institute of Pathology maintained its in- service training for Medical Laboratory Technicians. The Intermediate Examination of the Institute of Medical Laboratory Technology of the United Kingdom was held in Hong Kong in May 1967 and 29 candi- dates passed. Five technicians returned from the United Kingdom this year, four with the A.I.M.L.T. qualification and one with the F.I.M.L.T. qualification.
OTHER FORMS OF DEPARTMENTAL TRAINING
183. In-service courses of training were continued for dispensers, Health Auxiliaries, Dental Technicians and Orthopaedic Appliance Technicians. These do not all lead to recognized qualifications but prepare those concerned for appointment to permanent posts in Govern- ment service after passing a departmental examination.
VIII. DONATIONS
(See table 78)
184. The Colony's medical and health services have in the past years benefited to a considerable degree from donations received from a
47
number of non-government organizations and individuals, and in the year under review this continuing interest has been reflected in donations totalling $219,723. In March 1968, a donation of $150,000 was received from the Lions International for the building of an extension to the Lions Club Government Maternal and Child Health Centre in Kowloon City.
185. Sir Shiu-kin TANG, whose philanthropy is well-known, con- tributed a total of $1,300,000 towards the cost of a hospital now being built. Pending completion of the building, the interest from Sir Shiu-kin TANG's donation is being devoted to assisting certain non-Government organizations concerned with the provision of medical assistance for the Colony's needy.
IX. ACKNOWLEDGEMENT
186. I would like to place on record my sincere appreciation of the loyal and effective support I have continued to receive from all the officers of the Department. The year under review was a most difficult period but the devotion to duty shown by every member of the depart- ment was most commendable as will be appreciated from a study of this report. The considerable pressure of work on all sections has continued to increase, aggravated by staff shortages and difficult working condi- tions. During the disturbances which the Colony had to face in 1967, all members of the staff worked hard and unflinchingly to maintain the high standard of efficiency which the community has come to expect of them, in many instances under the most hazardous conditions. At the same time I must also pay a sincere tribute to the patience and understanding displayed by the public in their acceptance of the unavoid- able deficiencies in the medical service of the Colony.
187. The Department has received the most effective co-operation and help from the voluntary organizations, the Press, Radio, Rediffusion, and many civic-minded persons who served on the many Statutory Boards, Advisory Committees and Working Parties without whose co- operation and assistance it would have been impossible to provide the essential services of the Medical and Health Department. My colleagues in the other branches of Government also rendered invaluable assistance which enabled the Department to carry out its many functions.
48
188. To all those who have been mentioned and to the many others who are too numerous to put on record, I extend my heartful thanks for their co-operation and help.
30th June, 1968.
P. H. TENG,
Director of Medical and Health Services.
49
$1
HONG KONG ISL. MEDICAL FACILITIES
2
16
SEE MAP✡
B
C
12
HONG
KONG
MAP I
A
B
C
+
IN
52
A
2
Л
Om Yorur Rd.
R.C
•H
C
Hennessy
Cha
24
Wong Hei
Chung Rd.
MAP II
B
C
N
GOVERNMENT INSTITUTIONS
t. Aberdeen Jockey Club Clinic (general out: patient facilities, dental clinic, maternal and child health centre and maternity home). 2. Anne Black Health Centre (general out- patient facilities, maternal and child health centre, maternity home, dental clinic and X-ray, survey centre).
3. Central District Health Centre (general out- patient facilities, maternal and child health centre and special clinics).
4.
Chai Wan Clinic and Maternity & Child Health Centre.
5. Eastern Dispensary and Maternity Home (a maternity home with general out-patient Facilities).
6. Harcourt Health Centre (a maternal and Child health centre and a male social hygiene clinic).
7. Hong Kong Families Clinic (general out- patient facilities and dental clinic for English-speaking Government Servants and their families).
A
HONG KONG ISLAND
MAP I MAP II
A 1
GOVERNMENT INSTITUTIONS (Contd.)
18. Shau Kei Wan Jockey Club Clinic (general; out-patient facilities, maternal and child health centre, maternity home, chest clinic) and dental clinic).
19. Stanley Dispensary & Maternity Home (a maternity home with some out-patient facilities and dental clinic).
20. Stanley Prison Hospital.
21. Tsan Yuk Hospital (a maternity hospital). 22. Victoria Remand Prison Clinić (general out- patient facilities for prison officers and their families, and general medical and psychiatric facilities for detainees).
23. Violet Peel Polyclinic (general out-patient facilities with special clinics and an oph- thalmic centre).
MAPI
MAP II
C1
AL
您]
☐ 1
C1
C2
C1
24.
C1
25.
Wan Chai Clinic (a dental centre, tuberculosis clinic and physiotherapy department). Wan Chai Hospital (a hospital for venereal and dermatological treatment).
C2
C1
GOVERNMENT-ASSISTED AND PRIVATE
BI
8. Hong Kong Psychiatric Clinic & Day Hospital.
AI
53
9. Kennedy Town Jockey Club Clinic (general out-patient facilities, maternal and child health centre, maternity home and dental clinic),
HOSPITALS
A. Alice Ho Miu Ling Nethersole Hospital (a general hospital).
A1
AI
Canossa Hospital (a general hospital). Freni Memorial Convalescent Home.
A1
C2
10. Li Sing Dental Clinic.
AI
D.
11. Medical Examination Board.
CI
E.
12. Mount Butler Quarry Clinic.
Grantham Hospital (a tuberculosis hospital), Hong Kong Central Hospital (a general hospital).
BI
B 1
BI
F.
13. Police Medical Post (general out-patient and dental facilities for police officers and their families).
Hong Kong Sanatorium & Hospital (a generalj hospital).
BI
G.
BI
Matilda Hospital (a general hospital). H. Nam Long Hospital (a cancer hospital).
A2
B 1
14. Port Health Inoculation Centre, Harcourt
1.
Road.
CI
J.
15. Port Health Inoculation Centre, Marine Building.
Rulonjee Sanatorium (a tuberculosis hospital). Sandy Bay Children's Orthopaedic Hospital) and Convalescent Home.
CI
AI
|
E 1
K.
16. Queen Mary Hospital (an acute general hospital with casualty department).
L.
AI
M.
17, Sai Ying Pun Hospital (infectious diseases)' and Sai Ying Pun Jockey Club Clinic (general out-patient and special clinics).
A:
Sandy Bay Convalescent Hospital. St. Paul's Hospital (a general hospital), Tung Wah Hospital (a general hospital with out-patient department and special clinics).| N. Tung Wab Eastern Hospital (a general hospital with out-patient department).
AI
BI
A1
|
B1 |
54
N
M
LAI CHI KOK
4
MAP
SHAMSHUIPO
MONG KOK
C
KOWLOON PENINSULA MEDICAL FACILITIES
YAU MA TEI
*
+12
AIR PORT
KOWLOON
BAY
12
HUNG HOM
TSIM SHA TSUI
111
B
VICTORIA HARBOUR
NORTH POINT
D
N
3
55
B
KOWLOON
GOVERNMENT INSTITUTIONS
1. Air Port Health Station.
MAP III
GOVERNMENT INSTITUTIONS (Contd.)
MAP ILL
C2
20. Queen Elizabeth School Dental Clinic.
CZ
2. Ashley Road Social Hygiene Clinic (a male treatment centre for venereal disease).
21.
B 4
3. Cheung Sha Wan Jockey Club Clinic (general out- patient facilities, maternal and child health centre, imatemity home and eye clinic).
Robert Black Health Centre (general out-patient facili- ties, maternal and child health centre and maternity home).
C2
22.
B1
4. Cheung Sha Wan Police Quarters Clinic (general out- patient and dental facilities for police officers and their families).
23.
B 2
5. Farm Road Dental Clinic.
C2
24.
6. Government Ophthalmic Clinic-Arran Street (an ophthalmic centre).
# 1
7. Ho Man Tin Maternal & Child Health Centre.
C3
Sham Shui Po Public Dispensary (general out-patient facilities).
Shek Kip Mei Health Centre (general out-patient facilities with special clinics, a chest clinic and a maternal and child health centre).
Tai Hang Tung Clinic (general out-patient facilities). 25. Tin Kwong Road Police Quarters Medical Post (general out-patient facilities for police officers and their families).
B 2
B 2
B 2
CZ
8. Hung Hom Clinic Maternity Home (general out- patient facilities and maternity home).
26.
C3
27.
9. Kowloon-Canton Railway Staff Clinic (dental facilities for railway staff and their families). 10. Kowloon Chest Clinic (a tuberculosis clinic). 11. Kowloon Hospital and Out-patient Department (a general hospital with general out-patient and dental facilities).
B 4
Tsim Sha Tsui Port Health Inoculation Centre. Wang Tau Hom Jockey Club Clinic (general out- patient facilities, maternal and child health centre and maternity home).
C4
C2
C2
28. Wong Tai Sin Police Quarters Medical Post (general out-patient and dental facilities for police officers and their families).
CI
C2
B 4
29. Yau Ma Tei Jockey Club Polyclinic (general out- patient, social hygiene facilities, eye clinic, dental clinic, chest clinic, maternal and child health centre).
# 3
12. Kowloon Police Medical Post (general out-patient and dental facilities for police officers and their families). 13. Kwun Tong Health Centre (general out-patient facilities maternal and child health centre, dental clinic and matemity home).
14. Lai Chi Kok Female Prison Hospital. 15. Lai Chi Kok Hospital (an infectious diseases and convalescent hospital, with an Isolation Unit for the segregation of suspected cases of quarantinable disease).
16. Li Kee Memorial Dispensary (general out-patient facilities with special clinics and a dental clinic). 17. Li Po Chun Health Centre (general out-patient facilities, maternal and child health centre and maternity home).
19.
18. Lions Club Maternal & Child Health Centre (maternal and child health centre and maternity home). Queen Elizabeth Hospital (an acute specialized general hospital with casualty department and specialist clinic).
D2
AI
GOVERNMENT-ASSISTED AND PRIVATE
HOSPITALS
A.
Baptist Hospital (a general hospital).
CL
A 1
B.
Caritas Medical Centre (a general and tuberculosis hospital).
BI
C2
C.
D.
Evangel Medical Centre (a general hospital).
C2
B 2
Kwong Wah Hospital (a general hospital with out- patient department).
C3
E.
Kwun Tong Rehabilitation Centre.
D2
C2
Maryknoll Mission Hospital (a general hospital).
DI
G. Precious Blood Hospital (a general hospital). H. St. Teresa's Hospital (a general hospital).
B 2
C2
C3
Wong Tai Sin Infirmary.
DI
3
답
NEW TERRITORIES MEDICAL FACILITIES
MAP DI
SME Pik
DEE.P
Cute Peak
San Hui
Sanim
Fanting
Kam Tun
Yuen Long
דן
A
LANTAU
Oland
Chau
Islandi
C
皇
C
MIAS
1
1
C
NEW TERRITORIES
GOVERNMENT INSTITUTIONS
1. Castle Peak Hospital (a mental hospital).
2. Castle Peak Clinic (general out-patient facilities and maternity home), 3. Chi Ma Wan Prison Hospital.
4. Ho Tung Dispensary (general out-patient facilities and maternity home), 5. Kam Tin Clinic (a maternity home with some out-patient facilities).
6. Lady Trench Polyclinic (general out-patient facilities with special clinics).
7. Marine Grantham Health Centre (maternal and child health centre and maternity home). 8. North Namma Clinic (a maternity home with some out-patient facilities). 9. Peny Chau Clinic (a maternity home with some out-patient facilities). 10. Sai Kung Dispensary (general out-patient facilities and maternity home). 11. Sha Tau Kok Clinic (a maternity home with some out-patient facilities). 12. Sha Tin Clinic (general out-patient facilities and maternity home). 13. Shek Wu Hui Jockey Club Clinic (general out-patient facilities and maternity home), 14. Silver Mine Bay Dispensary (a maternity home with some out-patient facilities). 15. South Lantau Hospital (a general hospital with out-patient facilities). 16. St. John Hospital (a general hospital with out-patient department). 17. Tai Lam Chung Prison Hospital.
18. Tai O Dispensary (general out-patient facilities and maternity home).
19. Tai Po Jockey Club Clinic (general out-patient facilities, dental clinic and maternity home). 20. Tong Fuk Prison Hospital.
21. Yuen Long Dispensary (general out-patient facilities, dental clinic and maternity home).
GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS
A. Fanling Hospital (a general hospital).
B. Haven of Hope Tuberculosis Sanatorium.
C. Hay Ling Chau Leprosarium,
D. Seventh Day Adventist Hospital (a general hospital).
E. Pok Oi Hospital (a general hospita!).
F. Shek Kwu Chau Centre for Drug Addicts.
MAP IV
A 2
A 2
B 4
B 1
B 2
B 3
B 3
B 4
B 3
€ 2
C 1
C 2
B 1
B 3
A 4
B 4
B 3
A 4
C 2
A 4
B 2
B 1
C 3
B 4
B 2
B 2
A 4
57
L
I.
11.
III.
INDEX TO STATISTICAL APPENDIX
ADMINISTRATION
Establishment of the Medical & Health Department as at 31.3.68... Administration of the Medical & Health Department Statement of Expenditure from 1963-64 to 1967-68 Legislation of Medical & Health Importance-April 1967 to March
1968
---
+--
Work of Statutory Councils and Boards-April 1967 to March 1968
PUBLIC HEALTH
(a) Vital Statistics
Estimated Population Structure-1967
Births and Deaths 1953 and 1958-67
LJI
LLI
LII
LIE
Infant and Maternal Mortality 1953 and 1958-67 Major Causes of Infant Mortality 1953, 1958 and 1963-67 Major Causes of Maternal Mortality 1953 and 1958-67 Proportionate mortality by Disease Groups 1953, 1958 and
1963-67
TH
T10
Table No.
1
2
3
4
5
6E 36
--
4.
6
7
8
9
10
---
11
r
12
13
+++
14
---
15
J
L
16
LII
The Ten Leading Causes of Deaths by age and sex 1967 (b) Infectious Diseases
Infectious Diseases notified (cases and deaths) 1963-67 Mortality Rates for Certain Infectious Diseases 1963-67 Principal Infectious Diseases by Age and Sex 1967 Prophylactic Immunizations 1963-67
WORK OF HEALTH DIVISION
(a) Tuberculosis
Tuberculosis Mortality 1953 and 1958-67 Tuberculosis in Childhood 1953 and 1958-67 Tuberculosis Notifications 1953, 1958 and 1963-67 Work of Government Chest Service 1967
X-Ray Surveys 1957-67
Contact Examinations 1967
Orthopaedic Tuberculosis 1963-67
(b) Malaria
+++
+
---
PRANA
17
18
---
J
19
20
TII
21
22
23
24
T
Ti
++/
++
** R*
25
26
27
28
29
Distribution of Cases and Identification of Parasites 1963-67 ...
(c) Social Hygiene and Dermatology
Annual Incidence of Venereal Disease 1958-67
Leprosy 1967...
Fr
rt+
гт т
יזז
V.D.R.L. Examinations in Expectant Mothers 1963-67
..ז
Analysis of Dermatological Conditions Presenting at Clinics,
1967
++
Hi
Cultures for Mycological Identification, 1967
(d) Port Health
Work of the Port Health Service 1967
++.
++
+
+++
++1
30
58
III.
INDEX TO STATISTICAL APPENDIX-Contd.
WORK OF HEALTH DIVISION-Contd.
(e) District Midwifery Services
Midwifery Services 1966-67
J
Table No.
31
(ƒ) Maternal & Child Health Services
Distribution of Maternal & Child Health Centres at 31.3.1968... Work of Maternal & Child Health Services 1966-67
(g) School Medical Service Board
Number of Participating Schools, Students and Doctors at
31.3.1968
TII
(h) Dental Service
--
T +1
PTI
Work of the General Dental Service 1963-67
(i) Forensic Pathology
32
33
34
...
35
+++
+++
+
Work of the Forensic Pathology Laboratories 1966-67 Work of Public Mortuaries 1966-67
(i) Government Institute of Pathology
-
ггт
Work of Government Institute of Pathology 1966-67 Vaccine Production 1966-67
Blood Banks 1966-67
---
---
---
---
25
36
37
rr
38
39
40
(k) Government Chemical Laboratory
Work of the Government Chemical Laboratory 1966-67
(1) Industrial Health
Work of Industrial Health Section 1967 ...
(m) Medical Clinics Registration
IV. WORK OF THE MEDICAL DIVISION
41
ILJ
42
ггг
r
r
-г г
43
Number of Hospital Beds in Hong Kong 1967 In-Patients Treated in Government, Government-Assisted and
Private Hospitals, Clinics & Maternity Homes, 1967... Disease Classification of In-patients Treated in Government & Government-Assisted Hospitals and of All Deaths in the Colony, 1967
(a) Government Hospitals
Hospital Costing 1966-67 and 1967-68
TH
44
45
46
47
...
...
48
49
50
51
---
52
53
ITI
Work of the Queen Mary Hospital 1963-67 Work of the Queen Elizabeth Hospital 1967 Work of the Queen Elizabeth Hospital Casualty 1967 Work of Tsan Yuk Hospital 1966-67 Work of Castle Peak Hospital 1967 Work of Day Hospital and Psychiatric Centres 1967
59
ILL
LLL
ייז
INDEX TO STATISTICAL APPENDIX-Contd.
Table No.
IV. WORK OF THE MEDICAL DIVISION-Contd.
V.
VI.
(b) Out-Patient Clinics
New Out-Patient Attendances 1967 Total Out-Patient Attendances 1967 New Territories Clinics 1967
(c) Radiology
Work of Radiodiagnostic Branch 1967 Radiotherapeutic Branch 1966-67...
(d) Ophthalmology
Work of the Ophthalmic Service 1966-67 Analysis of Major Causes of Blindness
(e) The Pharmaceutical Service
Work of Pharmaceutical Service 1966-67
(f) Physiotherapy
Work of Physiotherapy Service 1967
(g) Occupational Therapy
LJ J
LJ
LJ J
J
LJI
+4
+4
+++
+
***
54
55
56
55555
57
58
---
33
59
60
61
62
63
---
---
64 65
+
Work of Occupational Therapy Service 1967
(h) Medical Examination Board
Work of Medical Examination Board 1966-67 Unfitness of Candidates by Causes 1959, 1966-67
GOVERNMENT-ASSISTED HOSPITALS
+
(a) Government Medical Subventions to Voluntary Institution
1963-64-1967-68
(5) Work of the Grantham Hospital 1967 (c) Work of Ruttonjee Sanatorium 1963-67 (d) Admissions to Leprosarium 1967...
DEVELOPMENT PROGRAMME
Building Programme
- LL
ILL
LLL
LII
66
67
68
---
69
---
ILL
---
70
VII.
TRAINING PROGRAMME
71
72
---
--
I
73
(a) Nurses in training at 31.3.1968
(6) Courses of study overseas 1967-68 (c) Departmental Training at 31.3.1968
VIII. MISCELLANEOUS
(a) Attendances at Conferences, etc., Overseas (b) Visitors
(c) Publications
--
(d) Samaritan Fund (e) Donations
---
---
-IT
---
60
:
י די
---
---
+4
TII
74
75
76
77
78
TABLE 1
ESTABLISHMENT OF THE MEDICAL AND HEALTH DEPARTMENT
AS AT 31ST MARCH, 1968
Grade
Zone
Headquarters
Queen Mary Hospital
-
Queen Elizabeth Hospital
Kowloon Hospital
Castle Peak Hospital and Mental Health Centre
Tsan Yuk Hospital
Dental Service
Tuberculosis Service
Other Hospitals, Clinics
and Services
!
-
E
لعبه
E
--
Total
=
2
Strength on 31.3.68
1
41
35
9
6
13
12
2
2
36
97: 13
L
18 J2
1
29
325
556
468
56
62
61
780 348 300 151
823 2,968 2,785
7
Director of Medical & Health
Services
Deputy Director of Medical &
Health Services ...
-
Assistant Director of Medical &
Health Services...
Senior Specialist and Specialist Principal Medical and Health
Officer
Chief Executive Officer/Senior
Executive Officer/Executive Officer
Senior Treasury Accountant/
Treatury Accountant
111
---
J
Senior Medical & Health Officer/
Medical & Health Officer/
Assistant Medical & Health Officer
---
Senior Dental Oficer/Dental
---
Officer/Assistant Dental Officer
principal Matron
Nursing Staff
---
111
---
---
for Dietitian/Dietitian
Principal Medical Social Worker/
Senior Medical Social Worker
Cadical Social Worker Class [
Cha II
Chief Pharmacist/Senior
armacist/Pharmacist/Chief
Diapenser Senior Dispenser/ Dispenser/Student Dispenser! sary Supervisor
enment Chemist/Senior
Chemist/Assistant
| | _|
L8
---
Assistant Biochemist...
Scientific Officer (Medical)
Senior Physicist/Physiciat
Sieť Hospital Secretary/Senior
Hospital Secretary/Hospital Secretary/Assistant Hospital
incestary........
Clerical Suff
---
IL.
LLL
ILI
---
Superintendent Radiographer/
Senior Radiographer/
Radiographer/Assistant Radiographer/Student Assistant Radiographer
Carried forward
LLL
[16
12
12
NA
L
N
el
ま
301
79
73
128
180
16-4
14
14
10
2
2
7
5
17
14
38
215
578
366
31
43
35 JIS [1]
720 1,094 401 364 173 103 105 1,585 4,661| 4,331
61
Grade
Zone
TABLE 1-Contd.
Headquarters
Queen Mary Hospital
Queen Elizabeth Hospital
Kowloon Hospital
Castle Peak Hospital and Mental Health Centre
Tsan Yuk Hospital
Dental Service
Tuberculosis Service
Other Hospitala Clinics and Services
!
Total
Strength on 31.3.68
720 1,094 401 364 173 103 105 1,585 4,661 4.331
$5
n
54
9
57
28
98
100
136 112
Brought forward
-rr
Superintendent Physiotherapist/
Senior Physiotherapist/Tutor Physiotherapist/Physiotherapist/ Assistant Physiotherapist/ Student Assistant Physiotherapist
- JI
Superintendent Occupational
Therapist/Senior Occupational Therapist/Occupational Therapist/Handicraft Instructor Chief Medical Technologist/Senior Medical Technologist/Medical
Technologist/Medical
Laboratory Technician Class I/ Medical Laboratory Technician Class 11/Student Laboratory Technician
rri
Senior Laboratory Assistant/
Laboratory Assistant/Student Laboratory Assistant
Senior Health Inspector/Health
Inspector Class I & II ... Senior Inoculator/Inoculator Audiology Technician
PIT
Orthopaedic Appliance Tech-
nician/Assistant Orthopaedic Appliance Technician/Student Assistant Orthopaedic Appliance Technician
Mould Laboratory Technician/ Student Mould Laboratory Technician
LLL
Dental Technologist/Dental
Technician/Student Dental
Technician/Dental Inspector/
Senior Dental Surgery
Assistant/Dental Surgery
Assistant/Dental Nurse
Laundry Adviser/Laundry
Manager/Assistant Laundry
J-
111
---
Manager/Laundry Supervisor...
Senior Linen Room Supervisor/
Linen Room Supervisor
Other Staff...
LLL
---
116.
TOTAL
1
1
2
1
112
20
20
19
18
18
10
112
122
1
1
རྒྱུུ ཌ
15
L19
L
121
116
3
3
3
16
15
5
16
---
760 1,292 262 591 131
48 18 1,579 4,797 4,539
132 1,505 2,485 672 999 305 263 233 3,454 10,048 9,394
62
3
*
DEPUTY DIRECTOR
IHEALTHI
ASST. DIL (HYGIENE)
US.D.
ASST. DIR.
(HEALTII)
P.M.IO.
(HEALTH)
TABLE 2
ADMINISTRATION OF MEDICAL AND HEALTH DEPARTMENT
ASST. DR.
TUBERCULOSIS
SENIOR
TREASURY ACCOUNTANT
DIRECTOR
ww ww
SECRETARY
ASST. DIR. (MEDICAL)
P.M.H.O.
P.M.H.O.
(MEDICAL) (PLANNING)
DEPUTY
SECRETARY
SECRETARY (9CARDS)
H.T. MEDICAL & HEALTH
INSTITUTE OF PATHOLOGY PORENSIC PATHOLOGY MATERNAL & CHILD
TUBERCULOSIS SERVICES
ACCOUNTS STORES
GENERAL
MATTERS
HEALTH
DENTAL
SOCIAL HYGIENE
PORT HEALTH
GOVERNMENT CHEMKAL
LABORATORY
INDUSTRIAL HEALTH
PERSONNEL MATTERS
HOSPITAL & CLINICS (EXCLUDING IN TI
MED. SOCIAL SERVICE RADIOLOGICAL SERVICE PHYSIOTHERAPY SERVICE OCCUPATIONAL THERAPY
SERVICE
MEDICAL EXAMINATION. BOARD
DEPUTY DIRECTOR
MEDIÇAL
ASST. DEL
QEH.
CHIEF HOSP SECRETARY
PRINCIPAL
MATRON
GROUP
HOSPITAL SECRETARIES
NURSING
STAFF
SECRETARY. MEDICAL COMMITTEE, TUNG WAIL HOSPITAL
GROUP
64
TABLE 3
STATEMENT OF EXPENDITURE FROM 1963-64 TO 1967-68
Particulars
(a) Medical and Health Department
(6) Medical Subventions
1963-64
1964-65
1965-66
1966-67
1967-68
S
$
5
76,893,619 94,525,377 105,473,152 94,525,377 105,473,152 112,713,222 120,524,934
ILI
27,764,694
32,178,883
3,883
38,158,439; 45,478,728
,728
46,341,311
(c) Capital expenditure on medical projects under Public Works Non-Recurrent
29,675,789Į 7,121,098 18,089,300 15,236,622
Total
---
++
7,439,173
134,334,102 133,825,358 161,720,891 173,428,572 174,305,418
Total expenditure of the Colony
*++
1,295,372,840 1,440,523,324 1,769,130,468 1,806,066,602 1,766,022,040
Percentage of Medical and Health Department
Expenditure to the Total Expenditure of the Colony
10.37%
9.29%
9.14%
9.60%
9.87%
TABLE 4
LEGISLATION OF MEDICAL AND HEALTH IMPORTANCE
APRIL 1967 TO MARCH 1968
Ordinances:
(i) The Drug Addicts Treatment and Rehabilitation (Amendment) Ordinance
1967
(ii) The Mental Health (Amendment) Ordinance 1968
(iii) The School Medical Service Board Incorporation (Amendment) Ordinance
1968
(iv) The Dentists Registration (Amendment) Ordinance 1968
Rules and Regulations:
(a) Nurses (Registration and Disciplinary Procedure) (Amendment) Regulations
1967
(6) Drug Addicts Treatment and Rehabilitation (Amendment) Regulations 1967 (c) Medical Practitioners (Fees) Order 1967
(d) Places for Post-Mortem Examination Order 1967
65
TABLE 5
WORK OF STATUTORY COUNCILS AND BOARDS-APRIL 1967 TO MARCH 1968
Medical
Council
Dental Council
Nursing Board
Midwives Pharmacy Radiation! Board Board Board
Medical
Advisory
Board &
Number of meetings held|
3
4
3
4
3
1
1
Female
General Mentall 3,835
24
Number on the Register...
1,634
457
Male:
228 53 3,426
169
269+
General Mentali
Number of applications for registration...
Female: 423
4
118*(75)†
18
Male:
27
7
332*
18
16+
General Mental
Number of registrations
Female: 423
4
granted
118*(75)+
15
Male:
27
7
326
21
62+
Prel.
Final
Number of examinations
General:
2
4
held
7
Mental:
1
4
2
- 11
Prel.
Final
Number of candidates
Oral & practical: 4 General:
54
480
examined
Written:
3. Mental:
6
17
339
33
ггт
Prel.
Final
Oral & practical:
Written:
...
1
LII
Number of successful candidates
Number of disciplinary hearings held
Number of removals from
register
---
3
22
* Including 2 restorations to the register.
General
Female:
Male:
50
Figures in brackets represent applications for provisional registration (not included in total). These figures refer to the licensing of irradiating apparatus.
Not a statutory board.
Including 3 removals from the register as a result of disciplinary proceedings.
** These figures refer to number of cancellation of irradiating apparatus licences,
2General
38
396
1 Mental;
6
15
323
13
3
3
64**|
66
67
65
and
over
MALE
TABLE 6
ESTIMATED POPULATION STRUCTURE
1967
FEMALE
65
and
over
160-64
55-59
50-54
:
45-49
60-64
55-59
50-54
45-49
140-44
35-39
40-44
35-39
30-34 !
30-34
25-29:
25-29
20-24
20-24
15-19
115-19
10-14
10-14
5-9
5-9
0-4
0-4
300
250
200
150
100
50
50 100
150
200
250
300
NO. OF PERSONS IN THOUSANDS
TABLE 7
BIRTHS AND DEATHS 1953 AND 1958-67
Estimated
Registered
Crude Birth Rate
Crude Death
Still Births
Year
Mid-Year
Live Births
Population
(per 1,000
Recorded
Registered Deaths
Population)
Rate (per 1,000 Population)
1953
2,250,000
75,544
33.6
1,158
18,300
8.1
1958
2,748,000
106,624
38.8
1,297
20,554
1959
2,857,000 104,579
36.6
1,393
20,250
1960
2,981,000
110,667
37.1
1,680
19,146
1961
+
3,174,700* 108,726
34.2
1,683
18,738
1962
3,346,600* 111,905
33.4
.יד
1,560
20,324
1963
3,503,700* 115,263
32.9
1,633
19,748
1964
3,594,200
108,519
30.2
1.485
18,113
1965
3,692,300* 102,195
27.7
1.363
17,621
1966
3,732,400
92,476
24.8
1.246
18.700
1967
3,834,000
88,171
23.0
999
19,644
5.1
PESACHAPAS
7.5
7.1
6.4
5.9
6.1
5.6
5.0
4.8
5.0
Figures adjusted after 1966 By-Census.
TABLE 8
INFANT AND MATERNAL MORTALITY 1953 AND 1958-67
Year
Infant Mortality Rate (per 1,000 live births)
Neo-natal Mortality Maternal Mortality
Rate (per 1,000
Rate (per 1,000
live births)
total births)
Male
Female Both Sexes
1953
68.8
78.7
73.6
25.8
0.98
1958
56.2
52.1
54.3
23.4
0.85
1959
51.6
44.7
48.3
21.3
0.73
1960
44.6
..
38.2
41.5
20.9
0.49
1961
40.6
34.5
37.7
21.0
0.45
1962
39.9
33.7
36.9
21.2
0.48
1963
35.3
30.5
32.9
18.9
0.29
1964
29.2
23.5
26.4
16.6
0.38
1965
26.8
20.5
23.7
15.2
0.33
1966
27.2
22.3
24.9
15.3
0.43
1967
28.7
22.3
25.6
15.9
TII
0.30
68
TABLE 9
MAJOR CAUSES OF INFANT MORTALITY 1953, 1958 AND 1963-67 (per 1,000 live births)
Detailed
Disease Group
List Number Respiratory Tuberculosis 001-008 Tuberculosis Meningitis 010 Other Forms of
1953 1958 1963 1964 1965 1966 1967
1.02 0.39 0.02 0.01 0.02 0.03 0.01 1.83 0.98 0.14 0.07 0.04 0.08
0.02
Tuberculosis
011-019
0.66 0.14
0.01
0.04
0.03
0.01
0.02
Tetanus
061
0.58 2.08
0.42
0.25 0.17
0.10
0.18
Bronchopneumonia
491
21.30 17.68
6.00
4.60 4.21
4.34
4.08
Pneumonia other forms
490,492-3
0.40
0.31
0.17
0.08 0.07
0.11
0.04
Bronchitis
500-502
1.13
0.20
0.17
0.06 0.02
0.02
0.09
TH
Gastroenteritis over age
of 4 weeks
571
19.18 9.44
3.60
1.34
0.86
0.91
0.91
tions
Congenital Malforma-
Births Injuries
Post-natal Asphyxia
Pneumonia of Newbor
Diarrhoea of Newborn...
J
יי+
+1
762
750-759 0.82 1.43 760-761 0.46 0.44 2.09 3.E2
1.64 1.69 1.91
2.14
2.05
0.36
0.50 0.54
0.68
0.66
1.10 1.43 1.31
1.28
1.75
763
3.83 4.16
2.67
2.52
1.84
2.13
2.85
764
1.32
1.24
2.01
1.14
0.64
0.59
0.79
Blood Diseases of
Newborn
770-771
0.75 0.78
1.76
1.95
2.27
1.97
1.81
Nutritional Maladjust-
ment
772
1.80 0.82
0.16
0.11
0.07 0.14
0.04
Immaturity
776
11.57 8.06 8.90
7.50
6.49 5.73 5.39
ILL
Ill-defined Causes
795
1.77 1.04 0.66
0.40
0.37
0.43 0.24
TABLE 10
MAJOR CAUSES OF MATERNAL MORTALITY 1953 AND 1958-1967
(per 1,000 total births)
Year
Sepsis (excluding septic abortions)
Toxaemias
Haemorr- hages
Ectopic
Abortions Pregnan
cies
Others
1953
0
0.326
0.404
0.013
0.065
0.169
1958
0.065
0.260
0.250
0.028
0.111
0.139
1959
0
0.340
0.226
0.028
0.066
0.056
1960
0.010
0.179
0.145
0.045
0.072
0.045
1961
0.009
0.090
0.027
0.036
0.027
0.072
1962
0.018
0.141
0.185
0.026
0.044
0.062
1963
0.017
+-
0.077
0.111
0.009
0.034
0.051
1964
0.009
0.055
0.118
0.045
0.055
0.100
1965
0.019"
0.077
0.135
0.009
0.019
0.068*
1966
0.01E
0.053
0.107
0.032
0.128
0.096
1967
0.011
0.056
0.123
0.011
0.034
0.067
* Adjusted figures.
69
TABLE 11
PROPORTIONATE MORTALITY BY DISEASE GROUPS 1953, 1958 AND 1963-67
(Percentage of Total Deaths)
Detailed List
Disease Group
1953
1958
Number
1963 ¡
1964
1965
1966
1967
1. Infectious and Parasitic
H+
001-138
19.3
14.6
12.8
10.1
10.0
11.5
12.6
2. Neoplastic
140-239
5.6
8.9
13.4
16.4
18.1
17.6
17.4
...
70
3. Allergic, Endocrine, Metabolic and Blood...
L
240-299
1.3
1.1
1.5
1.5
1.4
1.5
1.7
4. Nervous System and Sense Organs...
300-398
3.5
5.3
5. Circulatory System
400-468
6.2
8.3
12.2
ནས
9.1
10.5
11.7
10.7
10.7
14.5
15.2
14.7
14.0
8.
6. Respiratory System.
7. Intestinal System
---
Genito-Urinary System
470-527
23.0
24.2
13.3
10.7
10.6
12.4
12.8
---
LJI
530-587
17.2
1.]
7.1
5.7
5.2
5.0
5.3
HT
590-637
2.2
I.9
2.2
2.0
1.7
1.8
1.9
9. Pregnancy, Child-birth and
Puerperium
640-689
0.4
0.5
0.2
0.2
0.2
0.2
0.1
- - -
10. Skin and Musculo-Skeletal System
690-749
0.2
0.5
0.2
0.2
0.1
0.2
0.2
11. Congenital Malformations and
Diseases of Early Infancy
750-776
9,7
10.8
11.3
9.9
9.5
8.4
7.8
12. III-defined Causes
780-795
7.4
8.0
9.9
30.5
9.2
8.9
8.8
---
13. Accidents, Poisoning and Violence E800-E999
4.0
4.8
6.3
7.7
7.1
7.1
6.8
L
TABLE 12
THE TEN LEADING CAUSES OF DEATHS BY AGE AND SEX, 1967
Age Group
R
tank
Cause of Death
Detailed
List No.
Sex
65
All ages
0
1-4
5-1415-44|45-64 and
over
known
M
10,920
1,312
611
282
1,701 3,926 3,073 15
All Causes
F
8,722
T
19,644(2) 2,260(1) 1,190
947
2,260(1)||1,190
579 250
532
874 | 2,056 | 4,014 2 2,575 5,982 | 7,087|| 18(1)
Malignant neoplasms, includ-
M
1,856
1
11
39
375 1,005 425
}
ing neoplasms of lymphatic
140-205
F
1,524
3
18
30
213 699 561
and haematopoietic tissues
T
3,380
4
29
69
588 1,704
986
400-402
M
1,381
1
2
21
127
598
632
410-416
N
Heart Disease
420-422
F
1,176
-
4
21
88
311
745
1
430-434
440-443
T
2,552
2
6
42
215
909 1,377 1
M
907
2
4
6
57
401
435 2
3
Vascular Lesions affecting central nervous system
330-334
F
1,001
3
5
49
285
659
T
1,908
2
7
11
106
|
686 1,094 2
M
995
189
152
27
82
219
323 3
4 Poeumonia, all forms.
490 493
F
910
175
156
37
27
90
425
Τ
1,905
364
308
64
109
309
748 3
M
1,080
3
11
3
229
560
273 1
001-008
5
Tuberculosis
F
413
2
14
11
79
147
160
010-019
T
1,493
5
25
14 !
308
707
433 1
E800-E802 M
$59
18
39
104
261
101 34
6
All Accidents
E810-E835 F
302
16
43
55
80
57 51
E840-E962
T
861
34
82
159
341
158 85
NON
71
TABLE 12-Contd.
R
Age Group
Detailed
Cause of Death
Sex
65
List No.
k
All Ages
: 1-4
5-1415-44 45-64 and
|
Un-
known
over
M
346
62
277
7
7 Measles
085
F
308
69
231
8
T
654
131
508
15
M
232
232
&
Infections of the newborn
763-768
F
183
183
T
415
415
M
238
132
88
18
y Suicide and self-inflicted injury
E963
F
149
72
40
37
E970-E979
T
387
204
128
55
M
202
3
10
Bronchitis
|
500-502
F
139
5
T
341
8
10 10 100
7
5
95
92
2
1
3
9
1
8
len 100
43
85
138
177
M
203
52
116
35
| Cirrhosis of Liver
581
F
70
2
1
6
35
26
T
273
2
M
129
Nephritis and nephrosis
590-594
F
133
4
T
262
5
WAINI
1
58
151
61
6
43
44
35
3
35
39
51
1
y
78
83
86
]
M
117
106
5
6
Congenital Malformations
750-759
F
94
74
14
5
I
T
212(1)
181(1)
19 11
I
M
2,675
695
102 63
338
699
771 7
All other causes
F
2,325
419
88
73
221
310|1,214
T
5,001(1)
1,114
190
136
559 | 1,009 | 1,985 8(1)
Note: Figures in brackets denote number of deaths with sex unknown.
72
TABLE 13
INFECTIOUS DISEASES NOTIFIED CASES AND DEATHS 1963-67
Cases
Deaths
Diseases
1963
1964
1965
1966 1967
1963
1964
1965
1966
1967
Cholera
---
115
34
1
4
4
Amoebic Dysentery
241
209
173
220
154
12
21
16
24
21
Bacillary Dysentery (Including
unspecified dysentery)
802
680
537
766
829
Cerebro-spinal Meningitis
50
38
19
10
55
24
Chickenpox
1,199
718
1,552
600
H
1,257
Diphtheria
871
699
581
307
226
86
יז
..ז
---
Enteric Fever (Typhoid and
Paratyphoid)
JJ
1,038
882
6:58
686
728
28
B ZwXw
8
4
10
7
19
9
7
16
I
4
10
38
37
27
18
20
14
7
*Leprosy
---
F4L
Malaria
102
160
148
2
4
377
180
143
127
65
1
2
Scarlet Fever
Measles
LFT
Ophthalmia Neonatorum
Poliomyelitis
Puerperal Fever
Tuberculosis
Typhus (Mite-borne)
Whooping Cough
...
---
3,416
1,218
5.459
2,360
4,726
405
73
217
384
654
240
232
215
203
191
LII
53
37
140
32
5
4
3
17
1
3
2
1
3
2
1
1
I
2
Z
N
...
---
18
12
12
37
64
1
13,031
L
12,557
9,927
11,427
11,427
15,253
1,762
1,441
1,278
1,515
1,493
1
2
2
IL
61
106
339
108
40
Total
HTT
|
21,515 17,603 19,862 17,048 23,742
2,334
1,630
1,595
1,983
2,240
+Influenza
... 4,433
4,433 2,473 |
896 | 1,220 4,923
22 |
16
21
30
25
Remarks:
* Notifiable since June 1965.
† Voluntary Notifications.
73
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,
74
TABLE 14
MORTALITY RATES FOR CERTAIN INFECTIOUS DISEASES 1963-67
Case Fatality Ratio (Deaths as percentage of Notifications)
Death Rate (per million population)
Diseases
1963 1964 1965 1966 1967
1963 1964 1965 1966 1967
Cholera
Amoebiasis
Cerebrospinal Meningitis
Diphtheria
...
Dysentery
Bacillary
PT
ггт
ITI
L++
3.48 11.76
1.1
1.1
4.98 10.01 9.25 10.91 13.64
3.4
5.8
4.3
6.4
5.5
48.00 50.00| 47.30| 70.00 29.09
6.8
5.3
2.4
1.9
4.2
-
9.87
5.44 6.35 8.79 7.96
24.5
10.6
10.0
7,2
4.7
0.39
1.18 0.74 1.30
0.84
0.8
2.2
1.1
2.7
1.8
Unspecified
Typhoid
Enteric Fever
2.60
2.27
2.12
1.02 1.51
8.0
5.6
3.8 1.9
2.9
Paratyphoid
Measles
Poliomyelitis
Tuberculosis
£1.85
5.99 3.97 16.27 13.84 115.6
20.3
58.8 102.9 170.6
---
7.55
8.11 12.15 3.12 60.00
1.1
0.8 4.6 0.3 0.8
|
13.52
11.48 12.87 13.26
9.79 502.91 400.9 | 346.1 405.9 389.4
---
-F
* Figures adjusted after 1966 By-Census.
TABLE 15
PRINCIPAL INFECTIOUS DISEASES BY AGE AND SEX 1967
CASES NOTIFIED
Tuberculosis
Diphtheria
Enteric Fever
Poliomyelitis
B/Dysentery
Age Group
M
F
M
F
M
F
M
F
M
F
0-4
113
78
73
58
H
14
9
2
5-9 10-14
181
178
21
24
71
60
IN
1
195
177
59
54
119
163
15
90
75
15
19
15-19
869
584
89
44
10
5
--J
20-24
993
480
35
33
22
11
L
25-29
1,069
346
21
26
17
12
T
30-34
1.150 376
25
23
19
13
35-39
1,213
406
16
13
17
27
40-44
1.129 378
17
11
26
45-49
1,080
L
310
13
12
50-54
970
303
15
55-59
777
295
[]
---
60-64
543
198
13
65-69
309 157
10
70-74
136
101
ILL
75 & Over
90
94
NW
9
rrr
Unknown
42
23
3
Total
10,783 4,470
104
122 394 334
N
نيا
3
408 421
DEATHS
Tuberculosis
Diphtheria
Enteric Fever
Poliomyelitis
Age Group
M
F
M
F
M
F
M
B/Dysentery
F
M
F
04 5-9 10-14 15-19
14 16
10
---
2
1
T11
..ז
20-24
25-29
13 30
30-34
40
14
1
1
444
35-39
52 19
+
40-44
86
27
TII
45-49
108
25
50-54 55-59 60-64 65-69
148
35
LI
154
43
H+
150
44
2
1
711
114
47
1
70-74
76
56
---
75 & Over Unknown
---
83 1
+++
Total
1,080 413
10
7
1
18
3
75
76
TABLE 16
PROPHYLACTIC IMMUNIZATIONS 1963-67
Immunological Procedure
1963
1964
1965
1966
1967
Anti-Smallpox Vaccination
Anti-Cholera Inoculation
Anti-Diphtheria Inoculations:
321,942
844,367
776,538
487,790
575,869
3,101,766
2,406,623
1,603,875 1,467,271
1,318,991
1st Dose
371,059
338,468
392,474
290,226
341,632
2nd Dose
+++
Booster Dose
Anti-Typhoid Inoculations:
1st Dose
2nd Dose
++
Booster Dose
---
---
+1
Anti-Tuberculosis (B.C.G.) Vaccinations:
PF
гтт
+++
281,369
282,176
351,960
249,738
301,097
LII
---
++
+++
146,374
142,242
181,603
167,557
175,359
+
17,779
19,931
19,378
49,913
29,799
J
J
10,696
6,843
7,052
19,115
12,793
...
ITI
---
28,864
41,018
65,381
65,042
61,447
Infants
Others
+++
Poliomyelitis Vaccinations:
Ist Dose
IJL
98,342
93,806
93,666
84,839
85,917
■++
14,175
13,875
15,465
13,933
28,274
+10
534,862
145,760
194,084
106,190+
107,302
---
...
+++
500,387
98,111
126,095
116,009†
90,880
54,590
69,495
2nd Dose
*Oral Poliovaccine Type I for Newborn
* From April, 1966.
† Adjusted figures.
1953
TABLE 17
TUBERCULOSIS MORTALITY 1953 AND 1958-67
Tuberculosis
Tuberculosis Deaths as
Total Deaths
Death Rate
Year
from Tuber-
culosis
per 100,000
percentage of
population
total deaths
Average age at death from Tuberculosis
++
2,939
130.6
16.0
26.5
1958 1959
1969 1961
LLL
2,302
83.8
11.2
36.5
+++
+1
2,178
76.2
10.7
37
P+1
--
2,085
69.9
10.8
43
PI
LII
1,907
60.1*
10.2
43
1962 1963
1.881
-
---
56.2*
9.2
46
1,762
50.3*
8.9
1964
++
+10
1.441
40.1*
7.9
1965 1966 1967
P
TIL
1,278
34.6*
7.2
1.515
40.6
8.1
--
-
1,493
38.9
7.6
uuta!
47
48
49
53
55
1953
* Figures adjusted after 1966 By-Census.
TABLE 18
TUBERCULOSIS IN CHILDHOOD 1953 AND 1958-67
Percentage
of newborns
Year
receiving
Percentage of Tuberculosis deaths below
B. C. G.
5 years
Percentage of Tuberculosis deaths under 1 year
Infantile Mor. tality from Tuberculosis (per 1,000
live births)
6.46
36.2
9.02
3.51
------
----------------
1958 1959
46.86
19.63
7.04
1.52
59.53
18.92
5.56
1.17
--L
ILJ
1960
71.54
+
10.50
2.20
0.42
1961
79.31
11.48
2.62
0.46
1962
81.59
5.74
...
1.43
0.24
1963
ILI
83.44
5.50
1.08
0.16
-- J
1964
86.40
4.09
0.90
0.12
+
1965
+++
91.65
3.36
0.70
0.09
1966 1967
90.22
2.71
0.73
0.12
---
T
95.42
2.01
0.33
0.07
---
77
TABLE 19
TUBERCULOSIS NOTIFICATIONS 1953, 1958 AND 1963-67
1953 1958 1963 1964 1965 1966 1967
Govt. Chest
Clinics Other Govt.
6,895 8,787 8,794
9,478 6,530
8,105 11,917
Origin
Inst. Tung Wah
+++
1,762 2,366 1,660
1,184
1,334
990 1,167
of Noti-
Group
864
604
463
618 563
fication
Other Non-
Govt.
3,243 2,332
Inst, and
Private
Sources
Total
1,713
1,291
1,600 1,714 1,606
--
+++
11,900 13,485; 13,031 12,557
9,927 11,427 15,253
Notification rate per
100,000 population
529 491 372" 349*
• Figures adjusted after 1966 By-Census.
TABLE 20
269*
306 398
WORK OF GOVERNMENT CHEST SERVICE Government Chest Clinics 1967
Full-time Centres
---
Part-time Centres
T
Hong Kong
Kowloon
New Territories
Wan Chai Chest Kowloon Chest
Clinic
Sai Ying Pun
Chest Clinic Shau Kei Wan
Chest Clinic
Aberdeen J.C.C.
Clinic Shek Kip Mei
Chest Clinic Yau Ma Tei
Chest Clinic
Robert Black Kam Tin Clinic
Health Centre Lady Trench
Kwun Tong
Jockey Club
Health Centre Tung Tau Clinic
Polyclinic
Sai Kung
Dispensary Sha Tin Clinic Shek Wu Hui
J.C.C. St. John
Hospital Tai Po J.C.C.
Yuen Long
Jockey Club Health Centre
78
Other Centres (for injections
only)
TABLE 20-Contd.
Hong Kong
Kowloon
INew Territories
Anne Black
+++
Hung Hom
Castle Peak
Health Centre
Dispensary
Clinic
Họ Tụng
Dispensary Peng Chau Clinic
Sha Tau Kok Dispensary Silver Mine Bay
Dispensary
Tai O
Dispensary
Total attendances
ATTENDANCES AT GOVERNMENT Chest Clinics, 1967
+-
Total number of new and old patients attending Number of new patients
Number of new patients with examination completed
N.S.D.
TII
Not tuberculosis
Orthopaedic T.B. Extra-pulmonary
---
17
---
---
1,442,317
85,235
40,893 (100.0%
+++
H¬
38,946 (95.2%
19,144 (46.8%)
3,018
7.4%
51
(0.1%
85
(0.2%
---
ILL
J
L
LL+
+
+4
Pulmonary T.B.
Active Al A2
ITI
A3
B1
B2 B3
Not Active...
..ז
-
יוז
LJI
...
---
---
---
---
L
2,887 ( 7.1
1,066 ( 2.6)
382
0.9
829 (2.0° 1,372 3.3% 1,088 ( 2.7%
9,024 (22.1%)
Remarks: Figures in brackets denote percentage of total new patients.
TABLE 21
X-RAY SURVEYS, 1957-67
Government Servants
Conditional Survey
Prisoners Survey
Year
Total
% with
Total
% with
Active
Examined
Examined
Active
Total Examined
Disease
Disease
%%%% with Active Disease
1957
30,231
1.61
8,991
2.12
4,649
1.89
1958
33,420
1.38
.. .
8,768
1.88
6,279
6.24
1959
J
37,204
1.29
13,995
1.78
6,483
5.15
1960
42,482
0.88
17,311
1.25
9,481
10.39
1961
+
45,617
0.87
9,735
1.17
1,761
4.98
1962
39,232
1.04
20,019
2.06
5,852
5.52
1963
51,180
0.55
41.905
0.86
4.994
4.60
1964
50,009
0.55
47,521
0.78
9,524
2.90
1965
57,893
0.64
44,271
0.71
5,876
3.94
1966
59,691
0.51
40,572
0.74
5.904
4.18
1967
31,096
0.71
56,826
0.56
4,997
3.58
79
80
TABLE 22
CONTACT EXAMINATIONS, 1967
(May-December only}"
Number of patients giving rise to contacts Number of contacts listed to be examined
Number of B.C.G. given
-
---
---
---
---
ILL
5,455
17,044
897
Number of
Contacts
Number
X-rayed
Result of Examination
Respiratory TB
Disease
listed
Un-
known
N.S.D.
other
Active
Not-
Non-
Respira-
than TE
A
B
0
Active 1-
unknown
tory TB
(A) Under 8 years
Positive
1,664
1,663
4
1,273
20
6
4
I
346
y
Tuberculin
Tested
Negative
901
11
11
Not Read
22
!!
Not Tuberculin Tested
1,171
303
268
3
1
30
1
Total (under 8 years)
3,758
1,977 4
1,552
23
7
4
1 376
10
(B) 8 years and over
...! 13,286
9,650 | 21 | 8,425
64 30 | 41
24 | 998
47
Remarks:
* data are only avilable for May to December as a result of re-orientation of statistics in the earlier part of 1967.
(A) Under 8 years
% examined with active T.B.
-
0.42%
% examined with active T.B. = 0.98%
(B) 8 years and over
+
TABLE 23
CLASSIFICATION OF ORTHOPAEDIC TUBERCULOSIS
OF NEW PATIENTS, BY SITE, 1963-67
Site of Disease
Year
TOTAL
Spine
Hip Joint
Knee
Ankle Femur Others
1963
158
60
70*
288
1964
+I
133
50
48*
231
1965
84
32
4
I
17
FF
146
1966
1967
30
12
49
10
4
1
I
2
67
0
0
5
51
* Figures with regard to tuberculosis of the knee, ankle and femur, not available
prior to 1965.
81
TABLE 24
MALARIA 1963-1967
DISTRIBUTION OF CASES
(According to notified place of residence)
Year
Cases Notified
Urban Death Controlled
Sai Kung* Lantau
District District
Tai Po*
Other
District
Areas
Areas
(as percentage of notified cases)
1963
377
1
10.9
47.5
18.6
[4.3
8.7
1964
180
1
13.3
35.6
25.0
17.2
8.9
*++
1965
143
1
6.3
28.0
10.5
47.5
7.7
1966
127
nil
10.2
3.9
5.5
62.5
18.1
---
1967
65
2+
7.7
1.5
4.6
66.2
20.0
• Including floating population.
+ Imported cases.
IDENTIFICATION OF PARASITES
(as percentage of parasites found)
Year
P. vivas
P. falciparum P. malariae
Mixed infection
Species undetermined
1963
93.9
4.2
1.3
0.3
0.3
1964
35.6
12.2
1.1
0.55
0.55
TIE
1965
95.1
2.8
2.1
1966
90.5
7.9
1.6
1967
86.2
7.7
3.1
1.5
1.5
+
82
TABLE 25
ANNUAL INCIDENCE AND TREND OF VENEREAL DISEASE 1958-67
1958
1959 1960 1961 1962 1963 1964
1965
1966
1967
Late Latent
All others
Venereal Diseases
SYPHILIS
Total (Except Congenital)
---
Primary
Secondary
Early Latent
3,372 2,680,
2,091
1,555 1,858
1,487
1,036 1,197
1,177
1,082
9
19.
46
35
154
164
119
39
28
10
3
9:
20
26
26
60
64
35
8
15
417
426
296
202
359
307
197
263
198
220
יי!
2,766
2,038
1,590
1,173
1,216
864
590
791
874
788
177
188
139
119
103
92
66
69
69
49
711
Under 1 year
7
10.
0
3
11
5
1
2,
1
16
Congenital
Over 1 year
86
131
74
48
66
53
47
66
56
45
Chancroid
Other Diseases
Non-Venereal Disease
Skin Diseases
Gonorrhoea
Non-Conococcal Urethritis
Lymphogranuloma Venereum
8,360
8,362
ILI
6,506
5,997
5,747
5,696
5,008
5,096
6,353
7,344
644, 481
591
509
453
379
496
578
629
648
294! 324
873
635
356
3471
268
254
105
53
T
91
53
16
7
8
16
8
8
11
5
...
Attendances at Clinics (All Types)
New Attendance
Total Attendances
+++
יוי
...
4,155) 4,548 5,169 5,191 4,672 [2,570! 14,121 15,014 13,206
9,458 4,997: 4,717 4,293 5,489 8,701 11,046 10,611 12,173 12,917 10,740
27,841 28,980; 26,281 203,954 213,026 213,733
25,819
25,819 27,264 23,761 25,224 27,541 29,254 27,669 182,049 179,135 147,588 143,381 147,311 161,994| 170,532
83
TABLE 26
V.D.R.L. EXAMINATIONS IN EXPECTANT MOTHERS 1963-67
1963 1964
1965 1966 1967
---
31,544 || 55,406 56,103
|
52,381 | 55,012
---
ILL
+
1.6 3,690 1.1
1.7
2.2
7,373 1.8
6,669
2.4 4,580
2.0
1.7
1.8 3,577 0.8
No. of tests (Clinics & Hospitals)
%% Positive
No. of tests (Private Midwives)
% Positive...
1962
1
Year
TABLE 27
LEPROSY 1967
INCIDENCE OF Leprosy 1962-67
Rate per 100,000 population
1963 1964 1965 1966
гто
TII
---
---
---
---
LJI
---
- rr
1967
...
New Cases
255
258
271
217
163
149
* Figures adjusted after 1966 By-Census.
ANALYSIS OF CASES BY AGE 1967
Age Group
Under 1 I 4
---
---
---
---
---
---
---
-
---
5
9
10 - 14
+1
15 - 19
---
TIL
20 - 24
25 29
30 - 34
+
35
40
-
-
44
45 49
39
-г г
гт т
TIL
---
J
50
54
55 - 59
---
-- J
60 & Over
7.7*
7.5*
7.6*
5.9*
4.1
3.9
No. of Cases
3
-IT
21
---
---
---
---
omovezenBRDO
7
15
22
18
16
17
9
4
13
149
---
JL
L
Total ...
New admissions
Relapses
For surgery
ADMISSION TO LEPROSARIUM 1967
---
I
---
T
+
+++
---
Total...
84
---
55
3
12
++
70
---
Contact Dermatitis
Dermatitis Exfoliative
--L
Dermatitis Herpetiformis Dermatomyositis
Drug Eruption
Eczema (All Types) Erythema Multiforme Erythema Nodosum Granulomata
Herpes Simplex
Herpes Zoster
Icthyosis
Keloid
---
---
L
L
Keratosis (All Types).
Lichen Amyloidosis
Lichen Planus...
Light Sensitivity
Lupus Erythematosus
(All Types)
Miliaria
---
---
Molluscum Contagiosum
Neurodermatitis
r
TABLE 28
ANALYSIS OF DERMATOLOGICAL CONDITIONS PRESENTING AT CLINICS 1967
Acne
213
+
Alopecia
129
L
++1
+
Angioedema
0
Carcinoma
110
...
---
11
1,882
12
Neurofibromatosis Nevi (All Types)
Pediculosis
Pemphigus
Paronychia
...
Pityriasis Rosea
Pityriasis Alba
---
---
---
---
6
10
3
Pruritus
73
Psoriasis
L
4,255
Purpura
18
Frt
Pyoderma
54
3
4
ггт
61
149
100
---
368
192
ILF
16
---
ггт
388
--
19
Raynaud's Phenomenoma
Q
16
Rosacea
34
L
ILL
18
Scabies ...
ILL
54
53
Scleroderma
2
HH
28
Tinea (All Types)
778
огт
гтт
35
36
8
T.B. Cutis
Tumors, Benign
Ulcer, Varicose
44
36
42
8
Urticaria
520
+
+
15
Vasculitis
6
-rr
ггг
- r
...
Verruca...
---
30
JOI
Vitiligo
388 209
ILL
LIL
116
---
L
Xanthoma
6
J--
ILL
LLL
20
FIL
Leprosy...
H+
885
Miscellaneous
80 400
Total
...
11,833
TABLE 29
CULTURES FOR MYCOLOGICAL IDENTIFICATION, 1967
T. rubrum
T. mentogrophytes
196
T. tonsurans 27 E. floccosum
+4
M. canis
IT T
T.
versicolor
M. ferrugineum
16
12
16
---
---
UNOO7
0
---
T11
---
---
---
28
M. gypseum 60 C. albicans
--
T10
J--
---
8 T.
violaceum
---
Total specimens examined
85
---
ILL
1,5||
TABLE 30
WORK OF THE PORT HEALTH SERVICE-1967
INSPECTIONS
Immigration
Overseas
By Sea
Macao
Junks, etc.
By Air
J
By Train
+
No. of
No. of Vessels
No. of Pas-
No. of Crew
No. of Smallpox Cholera No. under Vaccina- Inocula❘ Surveil-
sengers
tions
tions
lance
5,519
40.247
244,338
318
302
992,921
229,135
103,260
12,441
154,416
219
2
J
14,410 568,540 129,179
816
630
219,228
14,268
99
32,370
32,370 1,820,936
757,068 118,981
1,033
0
Emigration
By Sea...
28
2,739 3,119
• Number not recorded.
FUMIGATION
No. of ships fumigated... Total net tonnage Cubic capacity (cubic feet) Rats recovered
Exemptions granted
No. of ships disinfected
+
No, of aircraft disinsected
...
---
To ships at sea... To ships in port
-гг
L
...
I
---
---
[
35
44,284.20 7,272,933
310 244
P
+4
+=
6
---
---
гто
365
MEDICAL ASSISTANCE TO SHIPS
---
---
86
33 29
TABLE 31
MIDWIFERY SERVICES 1966-67*
(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
..ז
100
---
...
1966
1967
166
134
98
80
506
460
---
---
TH
29,938
24,848
824
687
G
30,762
25,535
GOVERNMENT MIDWIFERY SERVICES
1966
1967
Maternity beds in maternity homes (Urban) Maternity beds in maternity homes (Rural) Midwives (excluding hospitals)
Cases attended (excluding hospitals)
233
253
214
232
117
123
LJ J
J
!
19.922
18,880
170
164
+++
Average case-load for each midwife (excluding hospitals)....
Position at 31st March.
TABLE 32
DISTRIBUTION OF M.C.H. CENTRES AT 31ST MARCH, 1968
District
Full-time Centres
Subsidiary Centres
No Midwifery With Midwifery No Midwifery With Midwifery Service attached Service attached Service attached Service attached
#
4
---
N.
2
6
1
Hong Kong Kowloon
N.T. & Islands...
Total
6
11
---
87
1
1
1
9
+
2
Il
TABLE 33
MATERNAL AND CHILD HEALTH SERVICES 1966-67
No. of full-time centres
No. of subsidiary centres
Ante-natal Sessions
Total Sessions
-гг
New attendances
+1
Total attendances ...
ILL
+
---
Average attendance per session...
Average attendance per person
Post-natal Sessions
Total Sessions
---
ILL
New attendances
Total attendances
T
TTI
+10
Percentage presenting with some abnormality
Infant Welfare Sessions (0-2 years of age)
Total Sessions
---
T
New attendances
Total attendances ..
+++
Toddler Welfare Sessions (2-5 years of age)
---
TII
Total Sessions
TIO
New attendances
---
---
Total attendances
+++
+
Percentage presenting with some abnormality
(0-5 year of age)
Home Visits
F
---
88
1966
1967
17
17
16
14
+++
++
2,679
2,556
r
TII
22,933
22,295
L
FLL
112,081
112,780
41.83
44.12
огт
4.89
5.06
979
+
825
5,536
5,045
6,301
6,346
26.05%
27.12%
5,923
6,069
75,847
76,254
++
743,108
778,202
1,187
1,207
L
22,866
27,737
123,633
134,594
+
0.15%
0.15%
127,847
135,795
TABLE 34
SCHOOL MEDICAL SERVICE BOARD
NUMBER OF PARTICIPATING SCHOOLS, STUDENTS AND DOCTORS AT 31st March, 1968
Districts
No. of Part. Schools
No. of Part. Students
No. of Part.
Doctors
Hong Kong
Wan Chai
36
3,068
Central and Sheung
Wan
31
2,154
39
---
+
Western
42
2.497
Causeway Bay
29
2,732
---
North Point
31
-++
3,384
Shau Kei Wan
27
963
+++
Aberdeen
22
2,446
---
218
17,244
I A*DIN* 2
14
13
14
94
Sub-total
Kowloon
Tsim Sha Tsui
Yau Ma Tei
Mong Kok...
Cheung Sha Wan Shek Kip Mei Hung Hom and
To Kwa Wan San Po Kong Kowloon Tong Kai Tak
Kwun Tong
Sub-total
New Territories
Tsuen Wan Yuen Long
Sha Tin
Tai Po
Sheung Shui
Sub-total
21
-
+++
31
34
-IT
---
21
CAR86 Zalga
13
901
13
931
15
73
7.451
37
26
1,962
37
2,388
2,084
3,623
10
383
3
43
2,845
11
1,827
2
IJL
309
24,395
113
28
2,710
---
41
1,066
2
7
261
I
++
14
289
1
20
779
1
110
5,105
11
Grand Total
637
PT+
46,744
218
89
TABLE 35
WORK OF THE GENERAL DENTAL SERVICE 1963-67
Year
Attend-
ances
Deciduous Teeth
Permanent Teeth
Persons rendered
Restored Extracted
Restored Extracted
dentally fit
1963
145,128
6,406
21,649
52,254
33,535
21,628
1964
--
175,683
14,540
23,176
74,038
35,199
26,496
1965
224,172
18,899
29,688
90,519
40,635
36.010
1966 1967
---
244,097
23,107
29.996
96,851
39,991
44.262
---
258,399
21,836
30,257
100,312
38,941
23,475
TABLE 36
WORK OF THE FORENSIC PATHOLOGY LABORATORIES 1966-67
Examination of victims and suspects
Attendance at scenes of crime
Attendance at courts
IIT
יז.
Medico-legal examination of weapons Examination of hairs, fibres, etc.
Examination of clothing
Miscellaneous examination
1966
1967
780
---
--
---
808
+++
+++
---
131
168
161
TII
188
140
---
111
927
---
984
---
1,217
1,101
368
285
+1
2,927
3,033
---
++
997
832
32
18
T
13
---
56
72
45
+++
+
Blood grouping (medico-legal) Blood grouping (Police officers) Lectures to Police Officers
---
---
Indentification of nature of meat (dog, cat, etc.).. Chemical examinations
Assistance in Raids:
Breach of Pharmacy and Poisons Ordinance and
Penicillin Ordinance
--
---
Unregistered Medical Practitioners
Abortionists
Unregistered Dentists
---
ז..
---
---
ог т
+++
---
---
+
lawn
1
3
TABLE 37
WORK OF PUBLIC MORTUARIES 1966-67
Total number of bodies received
Victoria
Kowloon
1966
1967
1966
1967
977
.ז.
1,129
2,663
3,016
641
659
1.104
1,045
...
805
880
ILI
1,744
2,015
172
249
919
1,001
L++
+1
675
809
2,034
2,294
302
320
629
722
++1
..ז
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
90
TABLE 38
WORK OF GOVERNMENT INSTITUTE OF PATHOLOGY 1966-67
LABORATORIES
1. Clinical Laboratories
---
---
2. Public Health Laboratories...
3. Virological Laboratory 4. Vaccine Production
5. Blood Banks
гг.
T10
---
..г
---
Sai Ying Pun Polyclinic Queen Elizabeth Hospital Kowloon Hospital Lai Chi Kok Hospital Castle Peak Hospital
Sai Ying Pun Polyclinic Queen Elizabeth Hospital Kowloon Hospital
Queen Mary Hospital
Old P.L. Caine Lane Laboratory
Queen Mary Hospital
Queen Elizabeth Hospital
Remarks: Clinical pathological services for Queen Mary Hospital are provided by
the Department of Pathology, University of Hong Kong.
SPECIMENS EXAMINED 1966-67
1. Protozoology and Helminthology
2. (a) Haematology
3.
(b) Blood grouping Serology
4. Bacteriology
5. Mycology
6. Public Health
7. Histo-pathology
8. Chemical-pathology
9. Clinical Pathology
10. Virology
11. Special investigations 12. Blood Banks
...
111
---
. гг
---
---
---
---
17
---
---
---
---
-LL
1966
1967
39,845
37,414
264,940
274,412
L
1,534
1.194
LLI
132,681
128,397
418,030
343,357
...
15,823
13,063
- 1
31,231
29,212
---
J--
19,523
19,238
263,236
251,477
IT
++
69,450
63,068
3,826
---
2.379
1,282
1,027
93,544
124,583
1,354,948
1,379,811
Total
LIT
AUTOPSIES ON MEDICAL LEGAL CASES PERFORMED 1966-67
Queen Mary Hospital Queen Elizabeth Hospital
ILL
ILL
LJ J
T
L-T
Total
JJL
1966
1967
181
192
333
306
514
498
RODENTS EXAMINED AND AUTOPSIES PERFORMED 1966-67
Victoria Public Mortuary
+
Kowloon Public Mortuary
.יז
+
Total
91
1966
1967
32,348
31.972
F
31,548
30,358
63,896
62,330
TABLE 39
VACCINE PRODUCTION 1966-67
(in millilitres)
Vaccine
1966
Prepared
1967
1966
Issued
1967
55,120
43,644
28,118
33,262.5
---
52,900
58,700
57,100
95,900
53.500
49,050
37.845
47,050
151,500
119,900
143,900
140,000
2,545,000
124,950
2,397,400
994,350
2,650
1,850
Anti-Smallpox Anti-Rabies (2%) Anti-Rabies (4%)
T.A.B.... Anti-Cholera Anti-Plague
---
---
TABLE 40
BLOOD BANKS 1966-67
SOURCES OF BLOOD
British Red Cross Society Patient's Relative and friends
Other sources
711
---
Government Hospitals Government-assisted Hospitals
Total
IT
1966
1967
+++
19,589 pints 369 pints
18,836 pints
465 pints
299 pints
316 pints
-- J
20,257 pints
19,617 pints
DISTRIBUTION OF BLOOD
Private Hospitals
---
Military Hospitals
---
---
Unusable due to various causes
1966
1967
---
++
+1
+++
...
13,924 pints 4,147 pints
14,260 pints
3,512 pints
--
891 pints
1,033 pints
--
---
21 pints 1,213 pints
64 pints 907 pints
Total
LL
20,196 pints
19,776 pints
92
TABLE 41
WORK OF THE GOVERNMENT CHEMICAL LABORATORY 1966-67
Samples Analysed
1966
1967
Dangerous Drugs Ordinance
Dutiable Commodities
Food and Drugs
---
---
L
14,309
10,119
8,301
8,173
L++
LJ J
2,400
2,013
Forensic
Toxicology
1,396
· · ·
. . .
огт
гт.
TII
2,368
---
L
IFF
ILL
ILI
J
1,544
2,240
Dangerous Goods Regulations
444
181
++
+++
+
Commercial
145
86
IIT
Import/Export (Prohibition) (Specified Articles) Orders...
13
17
Pharmaceutical Examination
385
487
...
Miscellaneous
1,202
1,210
Total
---
---
30,139
26,894
93
TABLE 42
WORK OF INDUSTRIAL HEALTH SECTION 1967
MONITORING AND SURVEY WORK
Atmospheric Samples:
Carbon Monoxide
(0)
(c) Dust
(b) Chromic Acid
(d) Explosive Gas
(e) Lead
ILL
() Nitrogen Dioxide (g) Sulphur Dioxide...
T10
TII
---
огг
L
L
J
---
--L
+++
+++
Ventilation Surveys:
(a) Effective Temperature (b) Radiant Heat (c) Relative Humidity (d) Velocity of Air
ILL
Samples for Analysis:
(a) Free Silica (b) Lead
---
---
Numbers
T
+
109
...
TTI
---
---
ILL
---
++
uu ̄now=
17
11
Total
---
r
- M
..ז
152
ITI
-
+++
---
W
---
---
TTI
---
огт
++1
200x
19
19
19
23
Total
80
IL+
+4
---
+
+4
-
Urinalyses:
(a) Coproporphyrin in Urine (b) Fluoride in Urine
Total
---
-IL
L++
+++
Blood Counts:
(a) Haemoglobin Estimation (5) Red Blood Count
J
Total
Total
94
++
+++
+++
4
L
ILJ
---
2
6
+
101
90
83
191
90
r
90
88
---
180
TABLE 42--Contd.
Miscellaneous Measurements:
(a) Lighting
(6) Noise
IIL
LLL
(c) Radiation...
...
---
Total
-LI
Numbers
9
11
1
---
--
J
JJ
---
---
---
21
Workmen's Compensation Case Work
1963-4 | 1964-5 | 1965-6 | 1966-7 | 1967-8
| |
Injured persons dealt with (old and new)... 18,710 16,608 19,614 26,593 | 21,957
Number of visits
---
Cases assessed by I.H.O.
5,218
4,822 3,224 $15 1,532
218
734
929
717
489
Cases assessed at Medical Boards
1,830
2,218 2,882 3,921 4,030
TABLE 43
MEDICAL CLINIC REGISTRATION
82
J. L
Fr
+++
393
---
0
0
Number of clinics fully registered at 31st December, 1967
Number of clinics registered with exemption at 31st December, 1967
Number of clinics in respect of which registration was refused during [967
Number of clinics in respect of which registration was cancelled during 1967
95
96
TABLE 44
NUMBER OF HOSPITAL BEDS IN HONG KONG 1967
Others
Total
HONG KONG
(A) GOVERNMENT HOSPITALS
Queen Mary Hospital Sai Ying Pun Hospital
Stanley Prison Hospital
169
223
ま
14
632
88
34
Ruttonjee Sanatorium
Sandy Bay Children's Orthopaedic Hospital & Convalescent Home
Sandy Bay Convalescent Hospital Tung Wah Hospital
---
Tsan Yuk Hospital...
Victoria Remand Prison Hospital
Wan Chai Hospital
30
JLL
Government Clinics & Maternity Homes.....
(B) GOVERNMENT-ASSISTED HOSPITALS Alice Ho Miu Ling Nethersole Hospital. Grantham Hospital
79
- J
144
Nam Long Hospital
---
ठक् ।।
94
238
70
30
99
Tung Wah Eastern Hospital
(C) PRIVATE HOSPITALS
Canossa Hospital
H.K. Central Hospital
--L
Matilda & War Memorial Hospital
H.K. Sanatorium & Hospital
St. Paul's Hospital...
---
Private Nursing & Maternity Homes
TOTAL (Hong Kong)
KOWLOON
(A) GOVERNment HospitALS
Kowloon Hospital
Lai Chi Kok Hospital
ггг
Lai Chi Kok Female Prison Hospital
Queen Elizabeth Hospital
PII
ייי
Government Clinics & Maternity Homes.
---
212
41
10
---
27
50
希笞||_][(c)
ALLE 1888
350
467
$619
120-
120
360
360
1:00
100
12
233
503
101
[37
673
48
338
111
40:
10F
******
28
---
1,019
9061 17 33
721|
345 1,042
6 596
17
180
LO
120
12
316
52
220
46
בלן
88 84
5,238
295
104
170
196
15
| 8||||
500
15
492
1,481
161
97
(B) GOVERNMENT-ÅSSISTED HOSPITALS
TABLE 44 Contd.
Chro. & Long Term
Cust.
Çasu. &
Obsr.
Inf.
Others
Total
1
NA
---
(C) PRIVATE HOSPITALS
Adventist Sanatorium Hospital Fanling Hospital
LLL
100
---
ггг
Private Nursing & Maternity Homes
St. Teresa's Hospital
Private Nursing & Maternity Homes
TOTAL (Kowloon)
NEW TERRITORIES
(A) GOVERNMENT HOSPITALS
Castle Peak Hospital
ILL
LLI
Chi Ma Wan Prison Hospital
St. John Hospital
South Lantau Hospital
ггг
Tai Lam Chung Prison Hospital Tong Fuk Prison Hospital
LII
---
Government Clinics & Maternity Homes.
(B) GOVERNMENT-ASSISTED HOSPITALS Haven of Hope T.B. Sanatorium. Hei Ling Chau Leprosarium Pak Oi Hospital
---
гг 1
Caritas Hospital
79
55
---
H.K. Society for Rehabilitation
(Kwun Tong Rehabilitation Centre)
Kwong Wah Hospital
364
PLL
361
Maryknoll Mission Hospital
75
40
Wong Tai Sin Infirmary
174
32
PRIVATE HOSPITALS
Baptist Hospital
17
Evangel Medical Centre
Precious Blood Hospital
50
PII
* 129*
112
80
104
303
201
10
15
।
[18
ཚ{||
80
1,555
180
350
52
39
106
101
16
33
367
2
286
390
11-
1,406 1,686 40 58 275
1,117 537 416
3
211
48 162
6,2€2
401 30
157
525
TÆTTER DAP
1,242
1,242
20
20
1911
261
470
32
52
20
L2
10
| M
54
288ZAMA 180 000
TOTAL (New Territories)
GOVERNMENT HOSPITALS GOVERNMENT-ASSISTED HOSPITALS
2531
30
PIL
ILL
LLL
710 1,313 29 30 162
PRIVATE HOSPITALS.
---
1,345 971 20 41 281 562 623 338
|| 878
308
78
307 470 1,242
3
ليا
109]
51
2,805
9[7
282
508
155
1,524 470
1
1,242
[4
325
5,551
782
208
6,716
20 41 667
170
86
14
t2
1,988
GRAND TOTAL
LLL
2,678 2,622
57 91 484 2,146 960 1,765 471
1,251 251 810
329 255 336 14,255 336 14,255
98
TABLE 45
IN-PATIENTS TREATED IN GOVERNMENT, GOVERNMENT-ASSISTED AND PRIVATE HOSPITALS, CLINICS AND MATERNITY HOMES, 1967
In-patients Discharged
Deaths
Total
In-
General
In-Tuber- Mater- Psy- fectious culosis nity chiatric
Total General
In- Tuber- Mater- Psy- fectious! culosis nily chiatric
patients
Toual
Treated
J
21,267
7891
1,027
$15. 382 3,175
783.
5
39
122
2,487
7,072
50 25,389
1,579
331 1,221
9,559
1,535
14
53
666
ត
243
2,575: 3,496
14
237
43
11
4
286
|_| || 83
| -|_ună
28
1,596
26,983
79
1,658
1.228
55
9.614
13
3,511
286
B
2,702,
2,702
2,702
898-
111
94 3,729
8,911
162;
169
9,080
178,
---
1,33]|
1,510
49.
371
88
1,598
28
28
1][
111
139
183
110
1,0501
1,233,
13
73
1.308
136
241
250
2,804
47
2,9391
206
---
3,302.
102
279! 1,999
5.711!
606
113!
2,642
181
181
2,377
5,402!
451
50
ARE
223
3,162
733
6,444
$11
5,913
2,790.
---
10)
336
3,160
37
60
3,220
3,051
14
71
184
3,304
153
154
3,458
8,8901
327
155]
2,592
12,031
368
12
389
12,420
807,
124
935
8
ป
943
3,283
54. 303
725
4,365
229
[3
243
4,608
2,429
2,429
0
2,429
59,465
2,321
4,251 27,445) 2,937 96,440 4,033
133
344
4,516|| 100,956
HONG KON
A) GOVERNMENT HOSPITALS Queen Mary Hospital
LLL
Sai Ying Pun Hospital... Stanley Prison Hospital Tsan Yuk Hospital
Victoria Remand Prison
Wan Chai Hospital Government Clinics &
Maternity Homes
(B) Govt.-ASSISTED HOSPITALS
Alice Họ Miu Ling
Nethersole Hospital
Grantham Hospital Nam Long Hospital Ruttonjee Sanatorium Sandy Bay Children's Orthopaedic Hospital & Convalescent Home
-
Sandy Bay Convalescent Hospital
Tung Wah Hospital
Tung Wah Eastern Hospital
(C) PRIVATE HOSPITALS
Canossa Hospital
H.K. Central Hospital...
H.K. Sanatorium & Hospital. Matilda & War Memorial Hospital
rrr
St. Paul's Hospital
717
Private Nursing & Maternity Homes
111
гг.
TOTAL (Hong Kong)
TABLE 45-Contd.
In-patients Discharged
Io-
Tuber- Mater- Pay- fectious culosis nity chiatric
Deaths
Toul
Total Gener
In- Tuber- Mater- Psy- fectious culosis nity chiatric
patients
Total Treated
KOWLOON
(A) GOVERNMENT HOSPITALS
Kowloon Hospital
6,086
97
$33.
2 6,71B
23
106 6,824
Lai Chi Kok Female Prison
136
116
255
L
Lai Chi Kok Hospital
Queen Elizabeth Hospital
JOL
224 1,072
41.510 1,607
1,305!
32
255
36
1,341
791 10,613
150 54,673||
2,696!
121
Government Clinics
Maternity Homes
(B) GOVT.-ASSISTED HOSPITALS
5,053
5,053
[
2,915 57,588
0 5,053
Caritas Hospital
2,014:
37
477 1.194
B 3.730
393
32
246
4,156
H.K. Society for Rehab. (Kwun Tong Rehab. Centre)
416
19
18
453
0
453
Kwong Wah Hospital
27,901
1,023
644; 19,71S
19,715
153 49,436
3,513
[22
236
3,891
53,327
Maryknoll Hospital
Wong Tai Sin Infirmary (C) PRIVATE HOSPITALS
Baptist Hospital
Evangel Medical Centre
Precious Blood Hospital St. Teresa's Hospital
Private Nursing & Maternity Homes
TOTAL (Kowloon)
PII
-- J
1,749
42
43. 1,072
16 2,922
L
71
2,993
438
1,266
1,704
268
194
463
2,169
1,342
206
!
1,548
52.
|
52
1,600
...
412
35.
13
415
i
880
21
21
901
1,182 17. 30
360
1,590
150.
6
157
1,747
6,428 132
- гг
184 1,051
36
7,881
I
331
13
1
8,240
19,677
19,677.
0 19,677
89,838 4,132 4,014 59,360 481 157,825 7,579:
288'
600
19
13
8,499|| 166,324
99
100
NEW TERRITORIES
(A) GOVERNMENT HOSPITALS
Castle Peak Bospital Chi Ma Wan Prison
St. John Hospital
South Lantau Hospital
Tai Lam Chung Prison Tong Fuk Prison
Government Clinics & Maternity Homes
(B) Govt.-ASSISTED HOSPITALS
Haven of Hope T.B.
Sanatorium
---
TABLE 45-Contd.
In-patients Discharged
General
In- Tuber- Mater- Pay Total General fectious culosis nitychiatric
וייי
!
191
123.
699
93
121
36
455
43
Tax
199
Deaths
Psy-1
Total
Jn- Tuber- Maler- fectious! culosis nity ichiatric
11,023
!
|89||
3,468. 3,468
10
317
1,385
78)
554
215
11,023
2,695
147!
258
1,464
21
4,549
237
FIL
Hay Ling Chau Leprosarium Pok Of Hospital
(C) PRIVATE HOSPITALS
Adventist Sanatorium Hospital;
2,263
Fanling Hospital
1,047
Private Nursing & Maternity
Homes
J
301,
2,564
1,047
2.742
2,742
لات
* | | | |
|
19
TFTIT
if
TOTAL (New Territories)
7,585
700 16,042
3,513 28,514
25
75
GOVERNMENT HOSPITALS
76,009
GOVT.-ASSISTED HOSPITALS
PRIVATE HOSPITALS
---
4,442 2,253 40,154 49,384 2,067) 31,495 639
6,418 129,276
4,467
261
[39
5,990 31,550
359 89,350 6,089
166
807
722 31,143;
154 64,153
19
33
SON
GRAND TOTAL
156,880. 7,148
8,965; 102,947)
(02,947)
282,779
6,931 282,779|| 12,040
446
1,019
24
Total
1n-
patients
Treated
कु
N
3,517
317
1,427
78
$54
216
11,023
47
472
155
269
4,818
58
2,622
57
1.104
2,742
531 29,045
4,901|| 134,177 7,087 96,437 1,558|| 65,711
17 13,546296,325
+
TABLE 46
DISEASE CLASSIFICATION OF IN-PATIENTS TREATED IN GOVERNMENT & GOVERNMENT-ASSISTED HOSPITALS AND OF ALL DEATHS IN THE COLONY 1967
(Note: These exclude patients treated in maternity homes)
Discharges
Inter-
mediate
List
Deaths
Detailed
Deaths
List
Cause groups
Number
Number
Govern-
ment
Govern-
ment-
Govern-
Hospitals
meat Assisted Hospitals Hospitals
Govern-
meat-
Assisted Hospitals
Whole Colony
Male
Female
Sex Un-
known
Total
A 1
A 2
001-008
010
Tuberculosis of Respiratory System Tuberculosis of meninges and
1,563 5,562 118
778 1,017
368
1,385
central nervous system ...
93
59
24
15
351
27
62
A 3
011
012-013
014-019
Tuberculosis of intestines, peri- toneum and mesenteric glands.. Tuberculosis of bones and joints.. Tuberculosis, all other forms
42!
[7]
3
3361
224
1
NN
9
1
5
219,
128
13
20
12
-- L
32
020
Congenital syphilis
021
Early Syphilis
LLT
024
Tabes dorsalis
1
- г г
ггт
9
025
General paralysis of insane
34)
8
...
10
022-023
All other syphilis
ILJ
701
25
34.
38
026-029
A 11
030-035
A 12
040
Typhoid fever
A 13
041-042
A 14
043
Cholera
A 15
044
Gonococcal infections
Paratyphoid fever and other
Salmonella infections
Brucellosis (Undulant fever)
23
W
16
546
184
FFT
27.
19
...
---
---
-- J
K
N
21
101
Carried forward...
2,973
6,255
180
820 1,129 422
1,551
|
TABLE 46-Contd.
Discharges
A 16(0)
045
Bacillary dysentery
(6)
046
Amoebiasis
(c)
047-048
dysentery
A 17
050
Scarlet fever
A 18
051
A 19
052
Erysipelas
20
053
21
055
Diphtheria
22
056
23
057
24
058
Plague
25
060
Leprosy
A 26
061
Tetanus
Inter-
mediate
List
Number
Deaths
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Hospitals
Govern-
ment-
Govern-
Govern-
Whole Colony
menl-
Assisted
Hospitals
menl Assisted Hospitals Hospitals
Male
Female
|Sex Un-
known
Total
Brought forward...
2,973 6,255
1801 820 1,129
422
1,551
+4
677
139
4
135
50
18'
21
ז'
Other unspecified forms of
Streptococcal sore throat
LL L
Septicaemia and pyaemia
Whooping Cough
Meningococcal infections
71
111
1:
3
---
91
LJ J
$
17
73
12
110
E1
9
49.
38
53
109
303
131
LO
18
ILJ
---
3
2
L
14
6
16
ILL
-T
+11
111
155
2
2
4
ггт
...
41
10
34
55
---
27
062
Anthrax
ILI
...
28
080
A 29
082
Acute poliomyelitis
Acute infectious encephalitis
16
فيا العيا
NN
A 30
081, 083
Late effects of acute poliomyelitis
and acute infectious encephalitis
315
102
A 31
084
Smallpox
IIT
TII
A 32
085
Measles
· · ·
1,043
668
1031
A 33
091
Yellow fever
LLJ
נננ
A 34
092
Infectious hepatitis
4381
303
རྔུ।5 །
74 346 308
654
14
+
A 35
094
Rabies
+++
TII
102
Carried forward...
LII
6,1.59
7,801
414
962 1,615 839|
2,454
103
Inter-
TABLE 46- Contd.
Discharges
Deaths
Deaths
Detailed
mediate
List
Number
List
Number
Cause groups
Govern-
ment
Hospitals
Gover-
Iment-
Assisted Hospital
Govern
Govem-
ment
Hospitals
Whole Colony
ment-
Assisted
Hospitals
Male Female
[Sex Un-
known
Total
Brought forward...
2,454
Louse-borne epidemic typhus Flea-borne epidemic typhus (murine)
JJ
---
Tick-borne epidemic typhus Mite-borne typhus
Other and unspecified typhus
Vivax malaria (benign tertian) Malariae malaria (quartan) Falciparum malaria
(Malignant tertian) Blackwater fever
A 36(a)
(b)
100
101
(e)
A 37(a)
090
(c) 104 (d) 105
102-103
106-108
999
110
111
112
(d)
115
A 37(e)
113-114
116-117
A 38(a)
123.0
(b)
123.1
(c)
123.2
(4)
123.3
schistosomiasis
A 39
125
Hydatid disease
тгг
Other and unspecified forms of malaria
-
Schistosomiasis vesical
(S. haematobium)
Schistosomiasis intestinal
(S. Mansoni)
---
- FF
Schistosomiasis pulmonary
(S. Japonicum)
44
Other and unspecified
J
י.
6,159 7,801 414! 962 1,615 839
N
فيا
1
J
LL
10
N
I
N
-
Carried forward...
| |
Z
1
6,176
7,808
414
963 1,617 840
2,457
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Hospitals
Govern-
meal-
Assisted
Hospitals
Govern-
Govern-
ment
Hospitals
Deaths
Whole Colony
ment-
Assisted
Hospitals
Male Female
¡Sex Un+]
known
Total
Brought forward...
6,176 7,808 414 963 1,617
840
2,457
A 40(@)
127
Onchocerciasis
JOL
(b)
127
Loiasis
(c)
127
Filariasis (bancrofti)
TII
(d)
127
Other filariasis
...
---
A 41
129
Ankylostomiasis
TII
---
A 42(a)
126
(b)
130.0
(c)
130.3
(d) 124, 128
130.1-130.2
A 43(a)
goo ↑ OS 6305
037
038
039
(d)
049
071
072
073
Yaws
---
+
087
Tapeworm (infestation) and other
cestode infestations
Ascariasis
ILL
Guinea Worm (dracunculosis) Other diseases due to helminths
Lymphogranuloma venereum
Granuloma inguinale, venereal Other and unspecified venereal diseases
Food poisoning infection and intoxication
Relapsing fever
Leptospirosis icterohaemorrhagica
(Weil's disease)
Chickenpox...
+++
62
2
51
13
1
+
ז.
شيه |
1
16
8
...
---
160
1
1
1
---
ILL
T
++
090
Dengue
| #||
10
---
---
---
J
095
Trachoma
ليا
---
104
+++
6,505 7,922|
417
964 1,625 844
2,459
Carried forward ....
TABLE 46-Contd.
Discharges
Inter+
mediate
List
Number
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Hospitals
Govern-
ment-
Assisted
Hospitals
Govern-
Govern-
Deaths
Whole Colony
ment-
ment Assisted Hospitals
Male
Female
Hospitals
Sex Un-
known
Total
Brought forward...
6,505 7,922
417
964 1,625
844
2,469
(k)
096.7
Sandfly fever
(D)
120
(m)]
121(0)
(6)
(c)
Leishmaniasis
Trypanosomiasis gambiensis Trypanosomiasis rhodesiensis
Other and unspecified trypanosomiasis
---
---
(0)
30€
131
135
(p) | 036, 054,
059, 063,
064, 070,
074,086,
Dermatophytosis
Scabies
L
10
15
| | |
1
...
105
088, 089,
093, 096.1
096.6,
All other diseases classified as infective and parasitic
199
- - -
132
3
1
4
096.8,
096.9.
122,
132-134,
136-138
A 44
140-148
Malignant neoplasm of buccal
cavity and pharynx
570
232
88
A 45
150
Malignant neoplasm of oesophagus
162
81
70
A 46
151
Malignant neoplasm of stomach.
249
189
63
888
231 263
118
381
43 122
41
163
136
171
143
314
A 47
1.52-153
Malignant neoplasm of intestine,
except rectum
204
811
30
57 95
76
171
...
---
Carried forward
+++
7,914
8,6411
671
1,4321 2,278 1,224
3,502
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Detailed
List
Cause groups
Number
Govern-
ment
Hospitals
Govern-
ment-
Assisted
Hospitals
Govern-
ment
Hospitals
Govern-
ment-
Assisted
Hospitals
Deaths
Whole Colony
|Sex Un-
Mate
Female
Total
known
A 48
154
A 49
161
A 50
162-163
Brought forward... Malignant neoplasm of rectum Malignant neoplasm of larynx Malignant neoplasm of trachea, and of bronchus and lung not specified as secondary Malignant neoplasm of breast Malignant neoplasm of cervix uteri
---
LII
Malignant neoplasm of other
and unspecified parts of uterus. Malignant neoplasm of prostate... Malignant neoplasm of skin Malignant neoplasm of bone and connective tissue
7,914 8,641 6711 1,432 2,278 1,224
3,502
161
83
16
39 38 47
85
68
25
5
12
161
5
21
+1
347
---
P10
---
A 51
A 52
170
171
A 53
172-174
A 54
A 55
A 56
177
190-191
196-197
A 57
155-160,
164-165,
175-176,
178-181,
Malignant neoplasm of all other and unspecified sites
916
383
330
412
648 396,
+++
1,044
192-195,
198-199
A 58
204
Leukaemia and aleukaemia
136.
15
60
31!
59 66
125
---
A 59
200-203
205
Lymphosarcoma and other
neoplasms of lymphatic and haematopoietic system
Carried forward...
157
24
49
291 35
41
96
11,083
9,963
1,310
2,475 3,483 2,370|
5,853
335
702
191
སྙཤྩ བྲན
330
108
315
344
272
616
156
17
69
N
2.
123
125
214
28
101
|
158
158
37
15
24
24
19
11
5
13
54
15
8
mn 00
13
3
نيا
11
83
29
GO
12
22
11
33
106
TABLE 46-Contd.
Discharges
Inter-
mediate
Deaths
Deaths
Detailed
List
Number:
List
Number
Cause groups
Govern-
Ikent
Hospitals
Govern.
ment-
Assisted
Hospitals
Govem-
ment
Hospitals
Govern-
meal-
Assisted
Hospitals
Whole Colony
Male
Female
[Sex Un-|
known
Total
A 60
210-239
2,118
Brought forward...
Benign neoplasms and neoplasms of unspecified nature
11,083 9,963 1,310 2,475 3,483 2,370|
5,853
1,397
14
14
19
27
46
A 61
250-251
Nontoxic goitre
144
60
A 62
252
Thyrotoxicosis with or without
goitre
453
188
2
T
---
LII
A 63
260
Diabetes mellitus
483
309
13
5
75
140
+
A 64(0)
280
Beriberi
3
TII
(b)
281
Pellagra
| |
TII
(c)
282
Scurvy
1
---
d) 283-286
A 65(a)
290
(b) 291
(c)
292-293
Other deficiency states Pernicious and other hyperchromic anaemias Iron deficiency anaemias (hypochromic)
Other specified and unspecified
anaemias
62
217
1
7
3
1
711
40
19
434|
203
23
33
A 66(a)
241
Asthma
701
1,142
7
26
NW │
I
wwwwww
-
I
33
26
54
23
ITI
Ra
59
77
(b)
240,
242-245,
253-254,
270-277
All other allergic disorders, endocrine, metabolic and blood diseases
936
355
16
14
20
17:
37
287-289,
+
294-299
A 67
300-309 | Psychoses
2,816
40
2
41
]
73
४
Carried forward ....
19,286 13,899|
1,387
2,608 3,682 2,552|
6,234
---
107
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Hospitals
Govern-
ment-
Assisted
Hospitals
Govern-
ment
Hospitals
Govern-
Meni-
Assisted
Hospitals
Whole Colony
Mate Female
[Sex Un-|
known
Total
Brought forward...
19,286 13,899 1,387 2,608 3,682 2,552
6,234
A 68
310-324,
Psychoneuroses and disorders
326
of personality
3,339
222
3
A 69
325
Mental deficiency
110
97
بيانو
պէս
5
7
A 70
330-334
Vascular lesions affecting central
nervous system
592
1,884
665
705 907 1,001
1,908
огт
[ +1
A 71
340
Nonmeningococcal meningitis
108
67
51
36
54
41
95
A 72
345
Multiple sclerosis
8
ILI
A 73
353
Epilepsy
491
189
1
LL J
A 74
370-379
Inflammatory diseases of eye
87
79
A 75
385
Cataract
424
144
A 76
387
Glaucoma
105
...
A 77(a)
390
Otitis externa
27
---
(6)
391-393
Otitis media and mastoiditis
172
206
(c)
394
Other inflammatory diseases of ear
201
A 78(2)
380-384
All other diseases and
386, 388
389
Conditions of eye
353
2 BENNE
खा।
Tal
4
10
26
M
1
2
(5)
341-344,
350-352,
1
354-357,
360-369,
All other diseases of the nervous system and sense organs
708
367
34
30
31
37
68
395-398
A 79
A 80
83
400-402
Rheumatic fever
780
428
11
1
8
5
13
410-416
Chronic rheumatic heart disease
838
466
40
$1 74
86
160
---
Carried forward.
---
27,440 18,227| 2,189
3,445 4,768 3,734
8,502
108
TABLE 46-Contd.
Discharges
Inter-
Deaths
Detailed
mediate
List
Number
List
Number
Cause groups
Govém-
Govern-
ment
-10200
Hospitals
Govern-
ment Assisted
Hospitals Hospitals Hospitals
Govern-
ment-
Assisted
Deaths
Whole Colony
Male Female
Sex Un-|
known
Total
A 81
420-422
A 82
430-434
A 83
440-443
A 84
444 447
A 85
450-465
A 86
460-468
Brought forward...
Arteriosclerotic and degenerative
heart disease
Other diseases of heart Hypertensive heart disease Other hypertensive diseases Diseases of arteries
Other diseases of circulatory system
27,440 18,227 2,189
3,445 4,768 3,734
8,502
402
6321
128
238 640 554
---
1,194
...
---
658 1,190
214
328
449
1581
364
6
183
314
792
3
41
239
203
17
30
...
616
1,171
11
3
A 87
470-475
Acute upper respiratory infections
1,923
2,192
दन एक
A 88
480-483
Influenza
172
33
-г т
гтт
+++
A 89
490
Lobar Pneumonia
150
159
20
· - ·
- T1
A 90
491
A 91
492-493
A 92
500
Acute bronchitis
A 93
501-502
A 94
510
A 95
518, 521
A 96
519
A 97(a)
523
Bronchopneumonia
Primary atypical, other and
unspecified pneumonia
Bronchitis, chronic and unqualified Hypertrophy of tonsils and
adenoids
Empyema and abscess of lung Pleurisy
Pneumoconiosis
IT
- 11
1,667
2,427
614
812!
894
241
210
27
48
--L
---
175!
262
41
2
ILL
LL
441
933.
21
148
187
383
305
י -
200
45
26
---
53
42
5
...
9 926 TAT
401
8.50
210] 125
335
37
31
68
71
37
108
13
18
2
4
14
11
25
54
18
72
853
1,747
47
39
86
15
5
20
134
321
39
15
54
2
7
(b)
511-517,
520, 522,
All other respiratory diseases
...
1,380
1,320
97
73 104 70
174
524-527
109
Carried forward...
36,612 30,512| 3,366 5,387 7,546 6,039
13,585
Inter-
mediate
List
Number
Detailed
List
Number
Cause groups
110
TABLE 46-Contd.
Discharges
Govern-
ment
Deaths
Hospitals
Govern-
ment-
Assisted
Hospitals
Govern-
ment
Govern-
ment-
Assisted Hospitals Hospitals
Deaths
Whole Colony
Male Female
Sex Un-1
known
Tolal
Brought forward...
36,612 30,512 3,366 5,387 7,546 6,039
13,585
A 98(a)
530
(6) 531-535
Dental Caries
90
7
---
...
*
All other diseases of teeth and
supporting structures
419
82
---
---
A 99
540
Ulcer of Stomach
C++
JJI
1,350
1,518
36
21
A100
541
Ulcer of duodenum
+++
L
1,016,
5381
14
10
A101
543
Gastritis and duodenitis
514
710
4
A102
550-553
Appendicitis
2,783
---
1,458
A103
560-561,
Intestinal obstruction and hernia...
1,450
972
27
28
37 20
Spinto
93
9=6881
570
A104(a)
571.0
Gastro-enteritis and colitis,
between 4 weeks and 2 years
970 1,098
ILJ
(6)
571.1
Gastro-enteritis and colitis,
age 2 years and over
1,304
722
(c)
$72
Chronic enteritis and ulcerative
A105
581
colitis Cirrhosis of liver
18
413
+++
640
200
110
...
JLI
A106
584-585
Cholelithiasis and cholecystitis
813
656!
** 197
40
12
L
131 203
37 27
* 5 -85
40
25
70
31
9 3 487
102
52
2
3
273
58
A107
536-539.
542, 544,
545,
573-580,
Other diseases of digestive system
2,295
1,497
172
139 213 143
356
582-583.
586-587
A108
590
Acute nephritis
314
181
8
6
7
13
Carried forward.....
50,588 40,564| 3,828
5,820 8,221 6,424
14,645
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number!
Deaths
Detailed
List
Number
Cause groups
Gover-
ment
Hospitals
Govern-
ment-
Assisted Hospitals
Govern
Govern-
menl
Hospitals
Deaths
Whole Colony
ment-
Assisted Hospitalt
Male Female
|Sex Un-
known
Total
Brought forward...
50,588 40,564 3,828
5,820 8,221 6,424
14,645
A109
591-594
Chronic, other and unspecified nephritis
436
284
60
124 123 126
249
A110
600
Infections of kidney
348
106]
31 27 35
All
602, 604
Calculi of urinary system
910]
387
3
1
A}12
610
A113
620, 621
Diseases of breast
A114(a)
613
(5)
634
Hyperplasis of prostate
Hydrocele
Disorders of menstruation
101
36
N
12
198
183
និទ្ធកដ |
62
3
12
L
238
109
---
7781
1,112
(e)
601, 603,
605-609,
611-612,
614-617,
All other diseases of the genito-urinary system
2,737.
2,605
27
I
12
16
28
622-633,
635-637
A115
640-641,
681-682,
Sepsis of pregnancy, child-birth and the puerperium
128
75
1
I
1
+4
---
684
A116
642,652
685, 686
puerperium
A117
643, 644
670-672
A118
650
Toxaemias of pregnancy and the
Haemorrhage of pregnancy and childbirth.
Abortion without mention of
...
LL+
A[19
651
sepsis or toxaemia Abortion with sepsis
..
---
ייז
Carried forward...
383
415
21
5
558
405
11
11
2,418
3,043
I
1
22
21
59,843 49,345 3,948
5,995 8,396 6,621
15,017
111
112
12
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Govern-
ment-
Govern
Gover+
Whole Colony
Hospitals
ment Assisted Hospitals Hospitals
ment-
Assisted
Hospitals
Male Female
[Sex Un-|
known
Total
Brought forward...
15,017
A120(a) 645-649.
673-680,
683,
8,357 2,808
687-689
(6)
660
--
9,856 24,798
A121
690-698
---
---
1,488
A122
720-725
398
A123
726-727
81
-- L
A124
730
346
A 125
737
Other complications of pregnancy, childbirth and the puerperium...
Delivery without complication Infections of skin and sub-
cutaneous tissue
Arthritis and spondylitis Muscular rheumatism and
rheumatism, unspecified Osteomyelitis and periostitis Ankylosis and acquired
59,843 49,345 3,948 5,995 8,396 6,621
888
3
9
9
'
601
432
1
4
8
681
98
1
A126(a)
745-749
715
musculoskeletal deformities
104
321
Chronic ulcer of skin
(including tropical ulcer)
143
49
(b)
700-714,
All other diseases of skin...
605
240
5
1
1
1
I
1
16
171
2
1
17
NE
716
(c)
731-736,
738-744
All other diseases of musculo- skeletal
845
104
1
2.
---
A127
751
A128
754
Spina bifida and meningocele Congenital malformations of circulatory system
Carried forward...
12
3
1
1
61
---
399
55
45
16
49
47
97
---
82,477 78,633 4,011]
6,036 8,456|
6,036 8,456| 6,706
1|15,163
ET
113
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Deaths
Detailed
List
Number
Cause groups
Gover-
Govem
Govern-
ment
Hospitals
ment-
Assisted
Hospitals
Govern-
ment
Hospitals
Whole Colony
ment-
Assisted Hospitals
Male Female
1Sex Un-l
known
Total
Brought forward...
82,477 78,633 4,011 6,036 8,456 6,706
||15,163
A[29
750, 752
753
All other congenital
malformations
558
326
54
24 68
46
114
755-759
A130
A131
760-761
Birth injuries
84
22
26
762
Postnatal asphyxia and atelectasis
24
16
XX
11 39
19:
28
44
89
65
154
A132(0)
764
Diarrhoea of newborn (under
(b) 765
(c) 763,
766-768
A133
770
4 weeks)
++1
Ophthalmia neonatorum
Other infections of newborn
Haemolytic disease of new-born
68
375
10
21
40
30
24
71
ཝཱ༈ ༄|
58
236
82
18
141
192
153
345
793
39
92
11
101
31
132
A134
769,
771-772
All other defined diseases of early infancy
20
111|
11.
41 25
131
38
ггт
гтт
..ז
A135
773-776
early infancy
A136
794
A137(a)
788.8
(5)
793
Ill-defined diseases peculiar to
ггт
Senility without mention of Psychosis...
Pyrexia of unknown origin Observation, without need for further medical care
гтт
1,698
608
154
269
316
202
518
6
265
[
3101
152 394
546
---
---
47
638
+
LIJ
2,561
259
Carried forward...
88,596 81,445| 4,405 6,871 9,478 7,659
1
117,138
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Hospitals
Govern-
ment-
Assisted Hospitals
Govern
ment
Hospitals
Govern
ment-
Assisted
Hospitals
Deaths
Whole Colony
Male Female
[Sex Un-l
known
Total
Brought forward...
88,596 81,445 4,405! 6,871 9,478 7,659
117,138
114
780-787,
788.1-
788.7.
788.9.
All other ill-defined causes of morbidity
T10
789-792,
795
AE138 E810-E835
LJ
---
---
1,959 2,392 101
103 579 597
11,177
2,267
$13
144)
22 160
508
53
26
6
11
557
265
---
5,262
1,003
102
1,756
529
ཀམྦྷཡ
13
]
19
109
98 185
76
236
28
16
20
58
167
LOW EN
44
35
5
AE140 E870-E895 AE141 E900-E904 AE142 E912 AE143 E916
AE139 E800-E802
E840-E866
Motor vehicle accidents Other transport accidents...
Accidental poisoning Accidental falls
Accident caused by machinery Accident caused by fire and explosion of combustible material
---
AE144 E917-E918
AE145
AE146
E919
E929
- Pr
IPT
Accident caused by hot
substance, corrosive liquid, steam and radiation Accident caused by firearm Accidental drowning and submersion
206
44
17
४ |
27
22
49
++
+++
1,744
168
1
3
3
6
71
22
TII
83
6
---
158 85
243
3,002
103,009) 86,440
4,816
10,562 7,031 10,562 8,536
219,100
Carried forward...
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Deaths
Detailed
List
Number
Cause groups
Govern-
ment
Hospitals
Govern-
ment-
Govern
Govern-
ment Assisted Hospitals Hospitals
Whole Colony
ment-
Assisted
Hospitals
Male Female
Sex Un-
known
Total
115
Brought forward...
---
103,009 86,440 4,816 7,031 10,562 8,536 219,100
AE!47
(a);
E920
(b)
E923
Foreign body entering eye and adnexa
Foreign body entering other orifice
-- L
49
---
719!
[19]
-- L
t
Art
ILL
(c)
E927
Accidents caused by bites and
stings of venomous animals
and insects
243,
(d)
OS
E928
(e) E910-E911. E913-E915, E921-E922,
31
Other accidents caused by animals
28
28
33
I
1
I
All other accidental causes
4,504
1,733
28
5 53
22
75
E924-E926, E930-E965 AE148 E970-E979 AE149 E980-E985
AE150 E990-E999
Suicide and self-inflicted Injury Homicide and injury purposely inflicted by other persons (not in war)
Injury resulting from operations of war
J
JJI
633
340
45
47 239
149
388
---
1,291
657
12
3 64
15
79
GRAND TOTAL
110,479 89,350 4,901 7,08710,920 8,722
2 19.644
116
16
TABLE 46-Contd.
Discharges
Inter-
mediate
List
Number
Deaths
Deaths
Detailed
List
Number
Cause groups
Govern-
mment
Hospitals
Gover-
ment-
Assisted
Hospitals
Govern-
Gover-
Whole Colony
ment
ment-
Assisted
Sex Un-|
Hospitals
Male
Female
Total
Hospitals
known
AN138 N800-N804 Fracture of skull
389
72
145
39
229
104)
333
---
AN139 N805-N809
Fracture of spine and trunk
523
164
22
3
44
241
68
AN140 N810-N829|
Fracture of limbs
3,110
1,017]
15
18
10
28
AN141 N830-N839
Dislocation without fracture
217
87
AN142 N840-N848 Sprains and strains of joints and
adjacent muscle
147
701
AN143 N850-N856
AN144
Head injury (excluding fractures)..
N860-N869| N860-N869 Internal injury of chest, abdomen
6,692
1,464
90
28
83
41
124
and pelvis
209
14
46
13
105
26
131
---
---
AN145 N870-N908
Laceration and open wounds
3,842
1,542
3
1
19
5
24
AN146 N910-N929 Superficial injury, contusion and crushing with intact skin surface
626
188
N
2
AN147 N930-N936 Effects of foreign body entering
through orifice
747
£12
4
8
---
AN148 N940-N949
Burns
1,956
2671
27
1어
30
27
57
---
AN149 N960-N979
Effects of poisons
L
--
1,201
229)
38
11
70
63
133
ANI50 N950-N959 All other and unspecified effects
N980-N999
of external causes
265
287
9
8
259
162
421
TOTAL
---
19,924
5,513
395
113
863
466
1,329
117
TABLE 47
HOSPITAL COSTING 1966-67 AND 1967-68
1966-67
1967-68
Unit
Total Cost
Cost per
bed*
Cost per
patient
Total Cost
Cost per
Cost per
bed*
patient
$
$
$
$
$
$
Castle Peak Hospital
(Psychiatric Services)
9,202,843
6,417.60
3,253.04 12,312,945
8,252.64
3,640.72
Kowloon Hospital
(Tuberculosis and Convalescent)
6,459,203
16,519.70
992,96 7,686,176 19,458.67
1.116.85
Lai Chi Kok Hospital
(Infectious and Convalescent)
2,917,047
8,947,99
520.99
3,453,318 11,949.20
661.30
Queen Elizabeth Hospital
(Acute and General)
32,849,996
HH
27,014.99
583.39 38,029,906
29,186.42
644.08
Queen Mary Hospital
(Acute, General & Teaching)
17,967,278
25,558.00
703.03 22,655,216
32,977.02
842.10
Tsan Yuk Hospital
(Maternity and Teaching)
3,165,700
18,193.67
499.95
3,852,614
22,014.93
528.04
* The figures are based on the actual occupancy over the same period which may be different from the normal bed capacities as shown in Table 44.
TABLE 48
WORK OF THE QUEEN MARY HOSPITAL 1963-67
Total Admissions
+
New Attendances at Casualty
New Out-patients
Total New Out-patients
Total Out-patient Attendances
Operations (excluding minor cases)
Mortality (expressed as percentage of
admissions)
---
1963
1964 1965 1966 1967
21,518 21,510 22,832 25,557 26,954 21,518 21,510
40,243 38,458 37,354 41,675 42,553
2,943 2,841 2,281 1,785 2,200
43,186 41,299 39,635 43,460 44,753
81,209 79,081 62,118 86,219 89,767
9,623 10,315 10,860 11,155 10,453
7.5
6.3
5.9
5.8
5.9
TABLE 49
WORK OF THE QUEEN ELIZABETH HOSPITAL 1967
Total Admissions
LJ
LJI
New Attendances at Casualty
---
New Out-patients
Operations:
Casualty Department
Operating Theatre Suites
L
Specialist Clinics
TIL
---
Total New Out-patients
Total Out-patient Attendances
r
T10
...
++
+++
Average length of stay of In-patients
Total Operations
L
Mortality (Percentage of total deaths & discharges)
118
---
57,635
---
121,683
- rr
41,549
163,232
359,500
16,822
18,610
L
2,622
38,054
8.2 Days
+4
5.1%
Assault Traffic
TABLE 50
WORK OF QUEEN ELIZABETH HOSPITAL CASUALTY 1967
A. TRAUMATIC Cases
First Attendance
Cause
Admissions
Cases
%
Cases
X
ITT
FI
5,314
18.1
1,021
15.6
4,665
15.9
1,544
23.5
5,913
20.1
1,253
19.1
9,029
30.7
2,108
32.2
гтт
огт
2,030
6.9
104
1.6
---
1,018
3.5
178
2.7
ILL
ILL
1,419
4.8
346
5.3
гг.
I
---
---
Industrial
LI
F4
Domestic
Animal Bite
Sport
Other
110
Total...
---
29,388
100.0
6,554
100.0
Traumatic attendances as a percentage of total attendances at Casualty Traumatic admissions as a percentage of total admissions from Casualty
B. NON-TRAUMATIC CAses
First Attendance
=
24.2% = 19.3%
Cause
Admissions
Cases
%
Cases
%
Infectious Tuberculosis
282
0.3
47
0.2
---
IT
IIT
533
0.6
49
0.2
---
---
---
---
Medical
---
---
---
31,378
34.0
7,254
26.4
Surgical
Obstetrical Gynaecology Paediatric Psychiatric Other
26,521
28.8
7,827
28.5
762
0.8
620
2.3
---
---
---
---
---
---
4,733 22,017
5.1
2,374
8.7
23.9
7,172
26.2
776
0.8
39
0.1
+++
+++
+
...
TT
+++
5,289
5.7
2,040
7.4
Total...
92,291
100.0
27,422
100.0
www.ww
Non-traumatic attendances as a percentage of total attendances at Casualty=75.8% Non-traumatic admissions as a percentage of total admissions from Casualty=80.7 |
119
TABLE 51
WORK OF TSAN YUK HOSPITAL 1966-67
1966
1967
Total Admissions:
Special Care Babies
Maternity Cases
Total Deliveries
J
---
Stillbirth rate (per 1,000 total births)
Neo-natal Mortality rate (per 1,000 livebirths) Maternity Mortality rate (per 1,000 total
births)
---
Percentage of Operative Deliveries
Ante-natal Out-patient Attendances:
---
2,139
2,550
--
6,332
7,043
5,268
5,378
10.06
9.30
10.44
9.95
1.33
0.37
28.17%
24.88%
New Cases
Total
---
IT
ITI
tr
1
-T
ггт
5,159 35,243
5.146 32,879
Post-natal Out-patient Attendances:
New Cases Total
+
+1
++1
2,853
2.681
---
3,477
3,303
TABLE 52
WORK OF CASTLE PEAK HOSPITAL 1967
Male
Female
Total
Patients in hospital on 1st January, 1967 ...
1,276
585
1,861
Patients admitted: First admissions
TIE
1,028
803
1,831
Re-admissions
818
641
1,459
Total admissions
++
+
1,846
1,444
3,290
Patients discharged
Patients transferred
LLI
Deaths
.ז
ז..
---
2,016
1,452
3,468
42
39
81
---
---
L
32
17
49
Total discharges
2,090
1,508
3.598
Patients remaining on 31st December, 1967
1,032
$21
1,553
120
TABLE $3
WORKS OF DAY HOSPITALS AND PSYCHIATRIC CENTRES 1967
HONG KONG PSYCHIATRIC DAY HOSPITAL
Patients attending on 1st January, 1967
Admissions
..ז
Discharges
---
--
Patients attending on 31st December, 1967
Male
Female
Total
28
59
67
---
20
YAU MA TEI PSYCHIATRIC DAY HOSPITAL*
* 2 2 2
25
53
76
135
79
146
22
42
Male
Female
Total
Admissions
Discharges
Patients attending on 31st December, 1967
71
60
131
49
41
90
-г г
22
19
41
• In operation since 23rd June, 1967.
ATTENDANCES AT PSYCHIATRIC CENTRES
New
Repeated
Total
Hong Kong Psychiatric Centre
869
27,325
H
28,194
Queen Elizabeth Hospital, Psychiatric Clinic
216
1,613
1,829
Tsuen Wan Psychiatric Clinic
217
1,918
2,135
Yau Ma Tei Psychiatric Centre
F
1,080
27,284
28,364
Harcourt Health Centre, Psychiatric Sunday Clinic
Yau Ma Tei J.C.C., Psychiatric Sunday Clinic
0
363
363
0
431
431
Total
- J
+
... | 2,382
58,934❘ 61,316
121
TABLE 54
NEW OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT ASSISTED HOSPITALS AND CLINICS 1967
! General Clinics
Special Clinics
Total
Casu-
Gen
General
General
| alty
Child Ante Post- İ Health Natal
Natal
Eye E.N.T.
atry
culosis Tuber- Psychi- Leprosy Hygi
1 Social
Derma-
tology
ene
!
HỒNG KÔNG
Goverment Institutions
Goverment Assisted
608,323, 49,431
9,513 65,047 10,323 3,128 25,923, 4,771
13,705 869! 164; 12,451
6,479 $12,129
Institutions:
Alice Ho Miu Ling Nethersole
Hospital
---
451 3,106 10,724
1,023
2,417; 2,047|| 38!
19,853
Grantham Hospital
61
ייי
61
Ruttonjee Sanatorium
85
---
85
Tung Wah Hospital
111
111
Tung Wah Eastern Hospital
TOTAL (Hong Kong)
29,930 1,877 17,601 5,855 891 656,305 58,392 23,005,
1,781
1,924 1,543
67,994 16,064
[31] 1,946:
1981
7,504' 27,907
637
352
36,654
480
237
28,729
5,888
14,440 869
164 12,453, 6,526
897,511
KOWLOON
!
Government Institutions
125,773 709,660 125,773) 22,589)
58,947 12,738)
7,440, 36,366
5,810
21,841 1,297
297: 12,218
5,354 1,040,329
Government Assisted
Caritas Hospital
Maryknoll Hospital
Institutions:
Kwong Wah Hospital
Fr
J
9,311
4,606
1,302
1,130
56,273 66,113) 13,284) 7,129'
TOTAL (Kowloon)
огг
782.373; 191,886 40,479
15,910 I,104 1,092,
61,353 30,890
471. 476 1,561 1,346, 1,482 3,119
689
860
20,426
157,527
9,325
9,257, 38,324 10,490
22,530 1,297
297, 12,218
6,214 1,227,507
NEW TERRITORIES
Government Institutions Government Assisted Institutions:
413,150; 25,367)
77
17,481| 12,457; 728 9,154 1,624
6,289 217
3,502
490,046
674
!
Pok Oi Hospital
Rennie's Mill Church Clinic TOTAL (New Territories)
GRAND TOTAL (GOVT. ENST.) GRAND TOTAL (Govt. Asst. Inst.)' GRAND TOTAL (Colony) ...
32,964
5,451
451,565; 26,041 157
1,731,133 200,571 32,179 159,110 75,748 31,462. 1,890,243,276,319 63,64[i
141,475 35,518, 13,296, 91,443 12,205; 5,434 25,171 4,412 4,126 5,982 146,909 60,689 17,708, 95,569| 18,187,
1,278; 219.
|
35,135
80
81.
17,562 13,735; 947 9.338
184
185
59
6,040
1,809.
6,348 217
3,502
331,221
41,835, 2,382
[,483;
461 28,173 11.833; 2,342,504 907 313,833
43,318, 2,382
461) 28,173 12,740, 2,656,339
122
TABLE 55
TOTAL OUT-PATIENT ATTENDANCES AT GOVERNMENT AND GOVERNMENT ASSISTED HOSPITALS AND CLINICS 1967
HONG KON
Government Institutions
Government Assisted
General Clinics
Special Clinics
General
Casu-
alty
General
Child Ante- Post- Health Natal Natal
Tuber- Psychi- Eye E.N.T.
culosis
Social Leprosy Hygi-
Total
Derma-
Lology
---
1,306,244 59,610 51,626
377,055 61,211 6,285 72,479 13,255
443,540 28,557 8,527 94,445 16,760 2,539,594
Institutions:
Alice Ho Miu Ling Netbersole)
Hospital
4,320 3,106 48,873
2,442; 17,871
2,047 353
Grantham Hospital
647|
Ruttonjee Sanatorium
i
14,600
Tung Wah Hospital
---
Tung Wah Easter Hospital..
TOTAL (Hong Kong)
92,035 8,972; 49,150 5,855 2,957 1,451,749; 68,571 $2,428,
5,352 438! 6,370; 3,172, 7,420 4,203 2411 1,974 386,917 88,637, 9,011 79,202 18,401
2,252
3,421.
79,432
647
14,600
118,591
75,221
464,460, 28,557 8,527, 94,445 17,180 2,828,085
123
23 KOWLOON
Government Institutions
1,386,957 125,773 156,994)
564,722 72,611 11,123, 166,303 18,878
15,878
836,326 30,624: 15,536
15.536
71,047 1,047) 16,700, 3,473,594
Government Assisted
Institutions:
Caritas Hospital
---
36.275i
Kwong Wahi Hospital
LIL
---
15,239 197,668 66,113) $7,940 22,266 13,275❘
---
1,643,166' 191,886|243,448
Government Institutions
884,044 30,724 264)
!
108,976 61,636
Institutions:
56,016 674 20,716
124;
863
960,776 31,398. 388
Maryknoll Hospital
TOTAL (Kowloon)
NEW TERRITORIES
Government Assisted
Pok Oi Hospital
---
Rennie's Mill Church Clinic...
TOTAL (New Territories)
GRAND TOTAL (GOVT. INST.) GRAND TOTAL (GOVT. ASST, INST.), GRAND TOTAL (Colony)
...
4,055,691 291,885 356,264 1,973,768314,129. 24,424.280,434 58,674 1,344,395 61,316 25,229 177,353 36,402 8,299,934
1,302 7,467 568 69,211 1,926; 5,481 10,988, 10,080) 780 325 577,012; 159,369 14,397; 173,06|| 35,313)
952
3,736
12,022
677
40,493
2,361 108,393
410,361 68 58,459
876,819, 30,624 15,536] 71,047) 19,129 4,050,807
|
734' 27,889 4,572
201,339; 2,135 1,166 11,861]
93. 1,335,433
4,487 282!
292
388
1,777
61,459
24,150
109,839 66,123, 1,016 28,171 4,960 203,116 2,135, 1,166 11,861)
93. 1,421,042
3,577,245 216,107 208,884 1,050,753 195,458 18,142 266,671 36,705 1,481,205, 61,316 25,229 177,353 33,553 7,348,621
2,849
951,313
TABLE 56
NEW TERRITORIES CLINICS, 1967
Out-patient Attendances
Maternity Cases
New Cases
Total Attendances
Dispensaries
General Special Total
General Special Total
[a- Domi- patients ciliary
Chee Hong Floating Clinic...
Chee Wan Floating Clinic...
Helicopter Medical Service
6,902
6,902 6,966
6,966
12,910
12,910 17,983
17,983
1,744
Ho Tung
LLL
5,012
1.744 1,748
352 5,364 8,754 1.136.
1,748
9,910
307
Kam Tin
ггг
3,448
805
4,253 7,426
5,311
12,737
240
kal Q
13
13
13
13
---
PPP
Lady Trench Polyclinic
Maurine Grantham M.CH.
TIT
145,098
7,969 153,067|| 299,871
39.595 339,466,
Centre
---
PII
9.554 9,554
North Lamina
LPI
4,961
Peng Chau
LLL
7,667
Sai Kung
Sai Kung Travelling
San Hui
LLL
IL
28,637
1,635
LIL
3,392
7,926
ггг
1,926
ггт
Sha Tau Kok
---
---
5,462
489
Sha Tin
-
---
---
18,100 1,813
Shek Wu Hui
Silver Mine Bay
Tai O
Tai O Travelling
Tai Po
Tai Po Travelling
Tai Wo Hau*
Yuen Long ...
43.395
5,371
$8 5,019 10.296
633 8,300 12,861
30,272) 29,903
3,192
3,392
9,852 15.520
5,951
19,9LB
7.172 50,567
58,536 58,536
180 10,476
1,491
14.352
8,846
2,131
52
1
38.749
458
18
3,392
7,566 23,086)
998
8,853 2,274 11,127
---
---
:
16,975
:
379
133 5,504
567 17.542
379
41,17] 11,596 52,767
91,156) 34,847 126,003
9,781
38,793
379
567
2,099
799 10,580
121
1,346 40,139
287
379
|
L
35,991
4,434 40,425
71,739
22,990-94,729)
1,503
IIL
3.388
3.388 3.713)
3,713
77
77
379
379
67
117
---
---
---
36,158
9,765 45,923 97,865 45,125 142,990)
1,780
TOTAL
392,929: 47,387 440,316 778,183 242,037 1,020,220 10,763
94
• Domiciliary midwifery service.
124
TABLE 57
WORK OF RADIODIAGNOSTIC BRANCH 1967
Centres
Hong Kong Island
I.
H.M. Prison Victoria
2. Medical Examination Board
3. Mobile Mass Radiography Unit No. 1
4. Queen Mary Hospital
5. Sai Ying Pun Chest Clinic
6. Sai Ying Pun Polyclinic...
7. Shau Kei Wan Chest Clinic
8. Tang Shiu Kin X-ray Survey Centre
9. Tsan Yuk Hospital
10. Tung Wah Hospital
11. Tung Wah Eastern Hospital
12. Wan Chai Chest Clinic
...
.гг
TOTAL
Examinations
---
11,653
---
19,140
---
48,245
10
---
--
55,200
ILL
24,183
25,402
15,184
--L
тгг
25,207
Fr
J
7.129
366
H1
128
ILJ
J
LIJ
32,730
L
+4
..ז
264,567
Kowloon and New Territories
1. Castle Peak Hospital
2. Kowloon Chest Clinic
יזז
יד
3. Kowloon Hospital
4. Lai Chi Kok Hospital
...
---
5. Mobile Mass Radiography Unit No. 2
6. Pok Oi Hospital
7. Queen Elizabeth Hospital
8. Shek Kip Mei Chest Clinic
9. Yau Ma Tei Chest Clinic
rr
T10
1-1
---
---
---
L
LLL
IIT
гг.
---
---
--
3,400
81,979
10,133
1,133
....
46,140
1,206
10.
Yau Ma Tei X-ray Survey Centre
L
ILL
LLJ
LJ J
TOTAL
J-
GRAND TOTAL (Whole Colony)
125
127,162
47,882
1,532
20,200
340,767
605,334
TABLE 58
RADIOTHERAPEUTIC DIVISION 1966-67
1966
1967
New Patients seen
H
New Patient with malignant disease seen
New Patients with non-malignant disease seen
Patients treated
New Patients treated
Old Patients treated
L
T
Total Patients with malignant disease treated
2,679
2,720
огг
1,739
1,675
940
1,045
2,403
2,418
1,886
1.844
517
574
1,925
1,877
New Patients treated
M
Old Patients treated
TII
1,506
1,438
419
439
LIJ
LJI
JJ
Patients with non-malignant disease treated
Deep radiotherapy treatments (Orthovoltage and Megavol-
tage X-ray, Telecobalt and High Energy Electron)
Contact and superficial radiotherapy treatments
H
478
541
- - -
67,382
69,829
254
ILL
1,065
Radium,
applications...
radiocobalt,
radiostrontium and radiogold
351
335
FT 1
...
---
382
460
LLI
Radioiodine for thyrotoxicosis (courses of treatment)
Radioiodine for carcinoma of thyroid (courses of treat-
ment)
огг
ггт
Radiophosphorus for polycythaemia vera ...
Radioiodine for thyroid function tests
---
9
1
3
LL J
--
1,450
2,152
28
458
753
29
Radioiodine for scanning of whole body for metastases
Radioiodine for scanning of neck only
Radiostrontium-85 for skeletal scanning
--
100
126
TABLE 59
WORK OF THE OPHTHALMIC SERVICE 1966-67
New out-patient attendances
Total out-patient attendances
Operations performed
L
---
Jrr
---
1966
1967
93,998
91,443
---
273,146
251.187
2,698
2.388
1,481
1,620
1,698
1,498
Operations classed as sight-restoring (included in above)...
Home visits by Health Visitors
TABLE 60
ANALYSIS OF MAJOR CAUSES OF BLINDNESS
(EXPRESSED AS PERCENTAGE OF BLIND CASES)
TOTAL INCIDENCE 1953 & 1967
Keratomalacia
Senile cataract
Trachoma
Glaucoma
---
Injuries (all types)
Syphilis
...
Congenital defects
N.S.O.A./Uveitis
Degenerative diseases
Causes
1953
1967
--+
LEF
Ꮀ Ꮀ Ꮠ
+++
+++
+++
44
4.5
-
- rr
D
16
35
---
---
ILI
---
11
11
---
3.5
444
14
+++
+++
+++
10
1.5
...
110
FI
---
+
6
4
---
---
LJ I
4 2.5
4
14
LJ J
JJJ
---
1
1 E
INCIDENCE IN CHILDREN UNDER 15 YEARS OF AGE
1954 & 1967
Keratomalacia Congenital defects N.S.O.A./Uveitis
+
---
Causes
---
---
---
[27
1954
1967
74.5
20
5.5
508
15
65
20
TABLE 61
PHARMACEUTICAL SERVICES
Store and Bulk Manufacture
BULK PHARMACEUTICAL CENTRES
Central Medical Store (supplying Hong Kong and other islands) Kowloon Medical Store (supplying Kowloon and the New Territories)
Sterile Preparation Centres
Queen Mary Hospital
Queen Elizabeth Hospital
Queen Mary Hospital
Queen Elizabeth
Hospital ...
Cost of Drugs and Dressings |
Cost of Instruments, Medical and Surgical Equipment
1966
1967
1966
1967
$
$
!
$
$
2,121,484.75
1,564,743.79.
311,228.53
413,826.33
ILL
3,069,422.28
3,174,787.24
492,664.76
638,388.14
717,378.41
640,568.06
3,587.49
5,418.62
643,212.01
570,647.40
1,464.13
1,334.03
760,825.32
909,365.20
1,232.48
697.30
---
5,764,056.81 6,183,125.87, 792.877.89
455,620.00
Sai Ying Pun J.C.C.|
Violet Peel Polyclinic
Q.E.H. Specialist
Clinic
Other Hospitals &
Clinics
Total Cost
$13,076,379.58 $13,043,237.56 $1,603,055.28 $1,515,288.42
PHARMACEUTICAL CONTROL 1966 & 67
Wholesale Poisons Licences issued
1966
1967
487
488
...
гг.
60
64
rrr
1,118
1.140
317
308
410
323
2,879
4,052
36
25
Authorized Sellers Licences issued
Listed Sellers Licences issued
Antibiotics Permits issued
111
Licences for movement of Dangerous Drugs
Premises inspected
Prosecutions
LFF
JIL
ггт
++1
11
128
TABLE 62
WORK OF PHYSIOTHERAPY SERVICE 1967
Number of Attendances
Centres
New Patients
Total Attendances
Hong Kong
Queen Mary Hospital Wan Chai Polyclinic
Kowloon
Total (Hong Kong)
Kowloon Hospital
---
Jockey Club Rehabilitation Centre
Lai Chi Kok Hospital
Queen Elizabeth Hospital
+11
F
LLJ
1
---
L
+
++
2,582
4,185
TTI
1,250
4,856
---
---
3,832
9,041
...'
1,164
2,670
1,605
4,982
890
LL+
LJ J
2,355
+1
тто
4,204
9,229
Total (Kowloon)
---
--L
ILL
---
7,863
19,236
Total (Colony)
---
tt
11,695
28,277
---
гг т
Hong Kong
TABLE 63
WORK OF OCCUPATIONAL THERAPY SERVICE 1967
Centres
Patients Treated
Total Attendances
Hong Kong Psychiatric Centre
722
LJ J
LJ J
LJ J
19,471
Queen Mary Hospital
---
2,166
- rr
---
21,910
Total (Hong Kong)
---
---
---
2,888
41,381
Kowloon
Kowloon Hospital...
Kowloon Jockey Club Rehabilitation Centre
Lai Chi Kok Hospital
Queen Elizabeth Hospital
--г
Yau Ma Tei Jockey Club Polyclinic
Total (Kowloon)
New Territories
1,507
20,296
2,504
16,339
955
15,814
...
Pr
+++
+
+TI
1,956
15,428
TII
259
6.129
---
7,181
74,006
...
LI
Castle Peak Hospital
P
+4
13,659
444,342
Total (Colony)
ILL
J
---
TII
23,728
559,729
129
TABLE 64
WORK OF MEDICAL EXAMINATION BOARD 1966 & 1967
Government Appointments
Auxiliary Defence Units
Miscellaneous.
Total
1966 1967
1966 1967 1966 1967
1966 1967
New examinations... 8,149 9,435
Re-examinations
4,847 5,759
2,267 1,717 231
2,582 2,053
176 10,647 11,328
7,429 7,812
Annual Total... 12,996
12,996 15,194 4,849 3,770
231
176 18,076 19,140
TABLE 65
UNFITNESS OF CANDIDATES BY CAUSES 1959, 1966 & 1967
(PER 1,000 TOTAL EXAMINATIONS)
Causes
1959
1966
1967
Pulmonary Tuberculosis
60.12
23,29
13.32
ILL
Other diseases of the Respiratory System
2.41
2.32
0.94
Diseases of the Circulatory System
Diseases of the Alimentary System
Diseases of the Skeletal System
2.66
1.22
2.51
TIL
1.01
0.55
0.63
+++
0.50
0.06
0
Diseases of the Genito-urinary System
0.50
0.11
0.16
Diseases of the Nervous System
0.57
0.06
L
0.10
Diseases of the Endocrine System
Diseases of the Eye
Diseases of the Skin
0.38
0.11
0.10
1.90
0.33
0.10
0.69
0
0
---
1.14
0.22
0.47
Other diseases
LLF
[+
+++
++
All Causes
71.88
28.27
18.33
---
+
+++
+
130
TABLE 66
GOVERNMENT MEDICAL SUBVENTIONS TO VOLUNTARY INSTITUTIONS FROM 1963-64 TO 1967-68 (FIGURES IN BRACKETS REPRESENT ADDITIONAL SUBVENTIONS FOR CAPITAL PURPOSES)
Institutions
1963-64
1964-65
1965-66
1966-67
1967-68
Alice Ho Miu Ling Nethersole Hospital British Empire Leprosy Relief Association Bureau of Hygiene and Tropical Diseases Caritas Medical Centre Cheshire Home
Family Planning Association of Hong Kong Grantham Hospital
LII
$1,503,000
800
$1,799,200
52,221,683
$2,483,358
$2,500,000
800
800
7,200
7,200
7,200
---
---
---
800
7,200
500
1,600
275,221
---
1,240,515
1,824,976
2,000,000
111
---
гіг
111
110
(25,000)
---
---
J
300,000
3,459,402
400,000
450,000
450,000
500,000
3,988,704
4,226,371
4,873,220
4,895,800
Haven of Hope Tuberculosis Sanatorium Hong Kong Anti-Cancer Society
ггг
111
110
288,000
288,000
309,320
441,500
715,900
LLL
241,188
Hong Kong Anti-Tuberculosis & Thoracic Diseases Association.
1,200,000
1,200,000
1,240,000
1,946,900
1,900,000
(74,604)
(108,271)
(20,212)
(116,900)
Hong Kong Council of Social Service Hong Kong Red Cross, Blood Bank
LLL
J
J
(23,800)
...
45,000
50,000
71,000
100,000
169,890
(20,000)
(13,3001
Leprosy Mission, Hong Kong Auxiliary
LLL
---
600,000
600,000
700,000
700,000
775,000
(13,976)
(75)
(985)
(84,900)
London School of Hygiene and Tropical Diseases Our Lady of Maryknoll Hospital Oxfam Hostel for Cancer Patients
PII
Pok Of Hospital
Rennie's Mill Church Clinic...
St. John Ambulance Brigade
1,600
1,600
1,600
1,600
1,600
---
ILI
I
---
250,000
275,000
387,000
387,000
387,000
111
12,000
12,000
12,000
13.000
6,500
W
---
550,000
550,000
550,000
650,000
800,000
(43,551)
(223,534)
(496,903)
(25,556)
(220,000)
18,000
18,000
18,000
---
LLL
40,000
40,000
80,000
80,000
80,000
Salvation Army (Cheung Chau Convalescent Home) Society for the Aid and Rehabilitation of Drug Addicts.......
---
10,000
10,000
10,000
5,000
345,000
(404,444)
450,000
500,000
865,000
1,255,700
(386,867)
(466,094)
(194,363)
(108,609)
Sheung Shui Clinic
20,000
5,000
Society for the Relief of Disabled Children
---
L-F
30,000
300,000
100,000
150,000
150,000
(24,905)
(36,743)
The Hong Kong Society for Rehabilitation Tung Wah and Associated Hospitals
Kwong Wah Hospital
Tung Wah Sandy Bay Convalescent Hospital
Wong Tai Sin Infirmary, Phase II United Nations Children's Fund:
(1) Administration
(2) Relief Expenses
...
400,000
400,000
520,000
350,000
600,000
(40,000)
---
14,969,745
17,089,650
21,251,413
26,226,500
27,268,888
---
(302,629) (2,516,245)
(3,247,510)
(1,849,971)
(42,210)
---
(208,986)
(1,426,338)
(125,833)
LLI
--
L-F
(42,946)
(50,848)*
---
PP.
---
---
IIL
ILL
University of Hong Kong
гг.
ггт
...
---
I
---
10,304
20,000
380,000
9,328
10,320
8,000
11,248
20,000
529,000
25,000
606,900
25.000
31,200
790,650
850,000
(10,000)
Total
LI
$24,432,051
(3,257,294)
• Phases II and 111.
$28,100,703 (3,997,497)
$34,339,324
$42,602,704
$45,165,314
(2,900,787)
(2,299,831)
(541,589)
131
New Admissions
1,359
TABLE 67
WORK OF THE GRANTHAM HOSPITAL 1967
Re-admissions
239
Total bed days: 226,785
Orthopaedic operations: Spine 35
Thoracic Operations:
Pulmonary tuberculosis
Bronchial Carcinoma
Discharges 1,510
Hip 11 Other 42
:
Bronchiectasis, simple tumours etc.
+++
+
General Operations: 5
Heart Operations: 4
Deaths 88
Resection
Others
60
5
---
10
0
---
17
0
TABLE 68
WORK OF RUTTONJEE SANATORIUM 1963-67
Admissions
1963
1964
1965
1966
1967
Adults through Government Clinics
370
313
297
420
612
Children (pulmonary through Govern.
ment Clinics)
49
54
20
18
31
г г г
H
- J
Children (Orthopaedic)
Other admissions and re-admissions
TOTAL
44
29
21
27
21
+
504
577
544
648
660
967
973
882
1,113
+++
1,324
TABLE 69
ADMISSIONS TO LEPROSARIUM 1967
New Admissions
Re-admissions
T
Total Admissions
---
Adults
Children
Total
Male
Female
41
10
6
57
10
3
13
---
51
13
6
70
132
TABLE 70
BUILDING PROGRAMME
I. BUILDINGS OR EXTENSIONS TO EXISTING BUILDINGS COMPLETED>
(1) Government
(i) Castle Peak Clinic-A general Out-patient Department with Maternity
and Child Health facilities and a 24 bedded Maternity Ward.
(i) Lion's Club Government Maternal and Child Health Centre, Kowloon City-A 22 bedded Maternity Ward Extension-donated by the Lion's Club.
(iii) Tsan Yuk Hospital Alterations to the 4th and 5th floors-To provide a Central Hospital Nursery and an increase of 17 maternity beds donated by the Royal Hong Kong Jockey Club.
(2) Government Assisted
Sandy Bay Children's Convalescent Home-Extensions containing an Out-Patient Department, an Operating Theatre Suite, Quarters and an additional 100 beds. Costs defrayed by the Society for the Relief of Disabled Children with generous donations from the United States of America. (1) Alice Ho Miu Ling Nethersole Hospital-A New Wing to contain 50 additional beds, an Emergency Department, Operating Theatres, X-ray Department, Intensive Care Unit, Central Sterile Supply Department and Laundry, Costs defrayed by the Executive Committee of the Hospital with a generous donation by the Royal Hong Kong Jockey Club.
(1) Government
II. PROJECTS UNDER CONSTRUCTION
(1) New Lai Chi Kok General Hospital-A new General, Geriatric and Infectious Diseases Hospital of some 1,360 beds. Site formation in progress. Expected completion date is 1972.
(ii) Tang Shin Kin Hospital-A new Casualty and Maternity Hospital at Queen's Road East, Hong Kong Island, with General Out-Patient, Maternity and Child Health, Dermatology and Social Hygiene Clinics. Construction under way. Expected completion date is mid-1969. Half of the cost generously donated by Sir Shiu-kin TANG, C.B.E., L.L.D., J.P., K.St.J. (A.).
(iii) New Convalescent Block, Kowloon Hospital-A Block of almost 600 beds. for convalescent patients from Queen Elizabeth Hospital with a psychiatric and a paraplegic unit. Being erected in the grounds of the existing Kowloon Hospital, Construction commenced but delayed because of a legal dispute with the Contractor, Expected completion date is the end of 1970. (iv) Queen Mary Hospital Alterations to Existing Main Hospital Building- A five-phase alteration programme designed to increase the Hospital's bed capacity by 454 beds thus giving a total of 1,086 beds. First two phases complete and third in progress. Expected completion date is 1969. (v) Chai Wan Standard Urban Clinic and 24-bedded Maternity Home- A standard urban facility containing an Out-Patient Department, a Maternal and Child Health Centre and a 24-bedded Maternity Home. Expected completion date is the end of 1968.
133
TABLE 70-Contd.
(vi) Extension of the Tuberculosis Laboratory and Re-allocation of Laboratory Space in the Government Institute of Pathology, Sai Ying Pun-Alterations in hand. Designed to provide more space for tuberculosis and other bacteriological work.
(2) Government Assisted
(1) Wong Tai Sin Infirmary Phases II and III-An additional 450 infirmary beds for the Tung Wah Group of Hospitals. Site formation completed and construction about to commence. Expected completion date is 1969. (ii) Our Lady of Maryknoll Hospital, Wong Tai Sin-An extension of 140 beds giving a total of 220 beds. Almost complete at the end of March, 1968 and commissioning about to commence.
(iii) Buddhist Hospital, Lo Fu Ngam-A 350 bedded general hospital with 220 beds being provided in the first phase. Site formation complete and construction about to commence. Costs defrayed by Buddhist Association with the aid of a donation of $2,000,000 from the Royal Hong Kong Jockey Club.
(iv) Extensions to Shek Kwu Chau Treatment and Rehabilitation Centre for Drug Addicts-Extensions designed to provide treatment and rehabilita- tion facilities for 500 drug addicts, double the present capacity of the Centre. Site formation now under way.
III. PROJECTS ON WHICH DETAILED PLANNING HAS Commenced
(1) Government
(i) Redevelopment of Medical Institutions, Sai Ying Pun, Phase I.
(i) St. John Hospital, Cheung Chau-Out-Patient Clinic and major alterations. (iii) New Vaccine Institute, Pok Fu Lam.
(iv) Siu Lam Hospital for the Mentally Subnormal, Siu Lam, New Territories.
(v) Kowloon Hospital-New Quarters for Medical and Minor Staff,
(vi) Tong Fuk Dental Clinic, South Lantau Island, New Territories.
(vii) Tsuen Wan/Kwai Chung Polyclinic-Kwai Chung South-Phase I.
(viii) New Mental Hospital, Lai Chi Kok.
(ix) Quarters for New Lai Chi Kok and New Mental Hospitals.
(x) Medical Department Laundry, Shau Kei Wan.
(xi) Victoria Public Mortuary-Reprovisioning.
(xii) Kowloon East Polyclinic, Ngau Chi Wan-Phase I.
(xiii) Standard Clinic for Kwai Chung North.
(2) Government Assisted
United Christian Hospital, Kowloon.
(ii) Extensions to Haven of Hope Tuberculosis Sanatorium.
134
-
(1) Government
TABLE 70-Contd.
IV. PROJECTS IN INITIAL STAGES OF PLANNING
(1) Shau Kei Wan Hospital.
(ii) Redevelopment of Medical Institutions, Sai Ying Pun, Phase 11.
(iii) Tze Wan Shan Standard Clinic and Maternity Home.
(iv) Kowloon East Polyclinic, Phase II
(v) Queen Mary Hospital Reprovisioning of mortuary. Virus Laboratory
and Clinical Pathology Institute.
(vi) Tsuen Wan/Kwai Chung Polyclinic, Phase II.
(2) Government Assisted
(i) Wong Tai Sin Infirmary, Phase IV and V.
(ii) Yan Chai Hospital, Tsuen Wan.
TABLE 71
NURSES IN TRAINING AT 31ST MARCH, 1968
Women
Men
Total
Government School of Nursing
600
140
740
Tung Wah Group of Hospitals
340
340
ILL
Nethersole Hospital
Hong Kong Sanatorium & Hospital
Caritas Medical Centre
170
170
129
129
72
72
---
Total
L
---
TII
1,311
140
1,451
135
Medical
Dental
Nursing
TABLE 72
COURSES OF STUDY OVERSEAS 1967-1968
BY PLACE OF STUDY
Staff
---
LLI
---
LL-
Health Visitor
...
Medical Social Worker
Physicist
---
---
---
ייי
rri
---
---
---
---
---
I
---
Physiotherapist
Dispenser...
Senior Medical Technologist
Medical Laboratory Technician
Laboratory Assistant
Dental Surgery Assistant
Dental Technician
Total
107
---
LLL
-
U.K.
North America
Australia S.E. Asia
Others
Total
22
L
H
3
30
22
28
انيا
3
67
5
BY SOURCE OF FUNDS
Staf
Course of Study
Medical
IM.R.C.P.
...
F.R.C.S.
•F.F.A.R.C.S.
M.R.C.O.G.
D.M.R.D.
D.A.
¡Others
--L
LL-
гг.
---
10
5
91
Govern- meni
Own
W.H.O.
Others Total
3
Dental
Diploma in Paedodontics
Diploma in Public Dentistry
Fellowship in Dental Surgery
Master of Dental Science
---
гг.
---
Nursing Administration (Hospital)
Nursing
Sister Tutor Diploma
Dietitian Diploma
Teaching Method for Overseas Nurses
General Nursing
Psychiatric Nursing
Specialized Nursing Techniques
Occupational Therapy ...
Diploma in Health Education
Health Visitor
Medical Social
Applied Social Studies...
Worker
Physicist
Physiotherapist
Master of Social Work
---
---
111
LLI
---
Radiation and Isotope Hazards and
Public Health
---
Diploms Course for Teachers of
Physiotherapy
L
---
---
-~~
---
10
---
---
Dispenser
Pharmacy
Senior Medical
F.I.M.L.T.
Technologist
Medical Laboratory
A.L.M.L.T.
Technicians.
Laboratory
Membership of the Institute of
Assistant
Chemistry
LLL
Dental Surgery
Dental Nursing
Assistant
Dental Technicians Dental Technology
Total
---
---
-LL
---
---
I
!
3
---
39
12
33
---
LLI
136
| | |
7
[]
12
13
91
TABLE 73
DEPARTMENTAL TRAINING-1967
(Position at 31st March, 1968)
Appointment Resignation Strength at
Passed
31.3.68
Student Assistant Physiotherapist!
Student Assistant Radiographer
(Diagnostic)... (Therapy)
Student Dispenser
---
Student Laboratory Assistant
Student Medical Laboratory
Technician
Student Nurse
ILJ
...
19
F1
Student Male Nurse
19
17
5
3
4
11
I
30
14
لنا
3
10
2
30
10
44
19
173
36
557
127
P
9
نیا
3
72
24
23
N
43
3
ILL
26
5
68
11
[55
154
112
LIO
20
4
41
31
---
20
2
18
18
Student Nurse (Psy.)
Student Male Nurse (Psy.)
1 year Midwifery Training for
Registered Nurses
FLJ
Student Midwives undergoing 2 year training at Tsan Yuk Hospital
Student Health Auxiliary
(T.B. Worker)
Student Health Auxiliary
Female
Male...
JIL
Pupil Nursing Auxiliaries
Pupil Nursing Auxiliaries (Male)
Medical Social Worker
---
Student Assistant Orthopaedic
Appliance Technician...
Pupil Nursing Auxiliaries (Psy.)
Female
Male...
8
15
INR
8
72
20
155
19
23
12
38
3
20
8
T
20
1
19
20
20
---
137
TABLE 74
ATTENDANCES AT CONFERENCES, ETC. OVERSEAS
Appointment
Conference, etc. attended
Place
Principal Medical &
Health Officer ...
Health Congress of the Royal Society of Eastbourne
Health
England Soeul
Senior Dental Specialist... 5th Asian Pacific Dental Congress
Senior Industrial Health
Officer
יזז
Senior Specialist (Radiology)
T10
VLJ
Assistant Director of
Medical and Health Services (Health)
---
International
Labour Organization Inter-Denmark
Regional Study Tour on Vacational Rehabilitation
Skinner Lecture, Faculty of Radiologists
Bristol
W.H.O. Sixth Regional Seminar on Public Singapore
Administration: Health Planning in Urban Development.
9.4.67-11.4.67
17.4.67-22.4.67
12.6.67-16.6.67
12.6.67
3.7.67
26.8.67
TABLE 75
OVERSEAS VISITORS
GENERAL
Prof. E. Rossi, Chairman of the Department of Paediatrics University of Berne, Switzerland.
Dr. Tomokazu KATO, Tuberculosis Control Section, Public Health Bureau, Ministry of Health and Welfare, Tokyo.
Dr. Alan H. MCNAUGHTON, Deputy Director of Tuberculosis for the State of Victoria, Australia.
Sir John WALSH, K.B.E. Dean of the Dental School of the University of Otago.
Dr. Stanley G. BROWNE, O.B.E., the Leprosy Study Centre, London.
Dr. Wallace Fox, of the Medical Research Council, London. 23.9.67-24.9.67 Dr. Derek TAYLOR, Director, Division of Public Health, Wellington,
New Zealand.
11.10.67-14.10.67 Dr. Douglas LATTO, Vice-chairman of the British Safety Council. 15.10.67-17.10.67 Mr. B. K. Rank, C.M.G., President of the Royal Australian
17.10.67
18.10.67
College of Surgeons.
Lord SHEPHERD, Minister of State for Commonwealth Affairs Mr. T. DRIBERG, Member of Parliament.
138
18.10.67
TABLE 75-Contd.
Mr. D. COE, Member of Parliament.
19.10.67-25.10.67 Dr. J. M. LISTON, Medical Adviser in the Ministry of Overseas
24.10.67
20.11.67
21.11.67-5.12.67
26.11.67-8.12.67
5.1.68
11.2.68-17.2.68
26.2.68-29.2.68 2.3.68-6.3.68
18.9.67-22.9.67
Development.
Dr. Terence PERERA, Assistant Director (M.C.H.) of the Depart- ment of Health, Ceylon,
Dr. M. V. BIASUTTI, Vice-President of the Technical Committee for the Organization of the World Congress of Prophylactic Medicine and Social Hygiene.
Mr. W. J. A. Scorr, Chief Executive Officer of the Scottish Home and Health Department, Edinburgh.
Dr. A. B. MILLER of the Tuberculosis and Chest Diseases Research Unit, London.
Mr. Nils BEJEROT, Research Fellow in Drug Dependence Swedish National Medical Research Board.
Professor C. D. COLNAN, a distinguished dermatologist from the Institute of Dermatology, London.
Mr. L. GODDEN, The Editor of the British Dental Journal.
Mr. M. V. S. RAO, Economic Affairs Officer of the Statistics Division of the Economic Commission for Asia and Far East (ECAFE).
Dr. Joong-keun OH of Korea. 18.9.67-22.9.67 Dr. Byong-kwai KIL of Korea. 18.9.67-22.9.67 Dr. TAN Yaw-kwang of Sarawak. 21.9.67-24.9.67
21.9.67-24.9.67
30.9.67
30.9.67
30.9.67
Dr. LIN Kuo-liang of Provincial Tainan T.B. Control Centre, Taiwan.
Dr. CHIN Yu-Piao of Taipei T.B. Control Centre, Taiwan. Dr. Tae-shik LEE of Korea.
Dr. Choong-sup Yoon of Korea,
Mr. Byong-koo CHUNG of Korea.
13.10.67-17.10.67 Dr. Vassos VASSILOPOULOS, Director General, Ministry of Health,
Cyprus.
29.10.67-11.11.67 Dato Paduka Dr. Abdul Wahab bin Mohamed ARIFF of West
29.10.67-2.11.67
1.11.67
14.11.67
26.11.67
20.11.67
4.12.67-8.12.67
19.1.68-20.1.68
5.2.68-6.2.68 5.2.68-6.2.68
5.2.68-6.2.68
Malaysia.
Mr. Lucjan WOLANOWSKI of Poland.
Mrs. CHIU Yu-chin, W.H.O. Fellow, Taipei, Taiwan.
Dr. Masami ASHIZAWA of Japan.
Mr. Eligio L. SONGCO of the Philippines, a U.N. Fellow. Dr. Haynh-Duc-TINH of Vietnam, W.H.D. Fellow.
Dr. Saroj JUMAR Muk-herjee of West Malaysia, W.H.O. Fellow. Mr. Poorna P. SHRESTHA of the Directorate of Health Services in Singhdurbar, Kathmandu, Nepal.
Dr. CHANG Dong-min, Section Chief of Public Health, Seoul. Mr. Beun-soo Moon-Chief of the Food Analysis Section of the National Institute of Health, Seoul.
Mr. Snag-wook HAN-Senior Health Technician of the Food Sanitation Section of the Bureau of Public Health, Seoul,
139
5.2.68-6,2.68
19.2.68-21.2.68
26.2.68-1.3.68 4.3.68
TABLE 75-Contd.
Dr. Dong-koon KIN-Senior Health Technician of the Food Sanitation Section of the Bureau of Public Health, Seoul.
Dr. Takemichi KUROSU, Chief Research Officer and Professor of the Department of Epidemiology, Tokyo,
Dr. Kila L. WARI of Papua and New Guinea.
Dr. Choong-mo CHUNG of Korea.
Consultant and Administrative
19.5.67-21.5.67
12.6.67
12.8.67-18.8.67 &
17.3.68-30.3.68
21.8.67
6.11.67-8.11.67
4.12.67-7.12.67
9.12.67-22.12.67 14.2.68-16.2.68 1.3.68-4.3.68
Fellowship
7.4.67-19.4.67 17.4.67-28.4.67 8.5.67-19.5.67
16.5.67-24.5.67
27.6.67-7.7.67
27.6.67-7.7.67
24.7.67-31.7.67
24.7.67-4.8.67
24.7.67-4.8.67
14.8.67-15.8.67
14.8.67-27.8.67
W.H.O. AND U.N.I.C.E.F.
Dr. D. BARNA, Medical Officer, Bacterial Diseases-Geneva. Colonel F. J. Fuller, W.H.O. Dental Consultant.
Miss E. WILHELMSSON, Public Health Nurse of the W.H.O. Regional T.B. Advisory Team.
Dr. F. J. DY, Regional Director, W.H.O. Regional Office for the Western Pacific, Manila.
Dr. C. J. CUMMINS of Australia, W.H.O. Consultant in Social and Occupational Health.
Dr. H. A. NIELSEN, Director, W.H.O. Serological Reference Centre, State Serum Institute, Copenhagen.
Miss Catherine WALSH, a W.H.O. Public Health Nurse.
Dr. Pier L. Fazzi, W.H.O. Representative, Taipei.
Dr. Charles J. Ross-SMITH, Regional Adviser in Education and Training, Regional Office for the Western Pacific W.H.O.
Mr. YAP Fui-kong, Health Superintendent, Kuching.
Mr. WONG Kwong-toh, Senior Health Inspector, Sibu, Sarawak. Miss Li Shih-feng, Chief Nurse, Taipei Public Health Teaching and Demonstration Centre, Taiwan.
Dr. TSAI Hsieng-ming, Director, Hsin-chu County Health Bureau, Taiwan.
Mr. Kuo Chih-nan, Engineer of the Taiwan Institute of Enviro- mental Sanitation.
Mr. SUN Tsuan-chieh, Senior Technician of the Taiwan Institute of Enviromental Sanitation.
Dr. Sytze SMIT, Medical Officer of Tuberculosis Control, Depart- ment of Public Health, Papua.
Mr. Chow Kwai-chor, Acting Superintendent, Public Cleansing Department, Ministry of Health, Singapore.
Mr. M. L. DUMONT, Acting Assistant Superintendent, Public Cleansing Department, Ministry of Health, Singapore.
Dr. Jong Huн, Assistant Professor, School of Public Health, Soeul National University, Korea.
Mrs. Fortunata R. GALIAS, Public Health Nurse Supervisor of Provincial Health Office, Pasig, Rigal, Philippines.
140
TABLE 76
PUBLICATIONS
BY MEMBERS OF THE MEDICAL AND HEALTH DEPARTMENT
Total of Articles
'Circulatory Collapse Due to Acidosis in a Case of Eclampsia'
*A Case of Multiple Peritoneal
Leiomyomatosis'.
'Obstetrial Management of
Conjoined Twins'.
*Hydramnios in the Chinese'.
'Rupture of Uterus in
Hong Kong.
'Classification of the
Culture-bound Reactive Syndronmes".
"The Problem of Suicide
Prevention in Hong Kong'. "The Kaleidoscopic Presenta-
tion of Systemic Lupus Erythematosis". 'Protection against the
Ill-effects of Sunlight'.
*A Preliminary Statistical study
of 1,040 Cases of Leprosy in Hong Kong'.
'Progress Report on Fluorida-
tion in Australia-1966'.
*Survival Curves for Clonogenic
Cells of a Murine Keratinizing Squamous Carcinoma Irradiated in vivo or under Hypoxic conditions'. *An Epidemiological Review of Infectious Diseases in Hong Kong, 1966, 'Mortality Trends and
Patterns in Hong Kong'.
Publication
Far East Medical Journal
Vol. 3, No. 9, Sept., 1967,
Far East Medical Journal
Vol. 3, No. 10, October,
1967.
Journal of Obstetrics and
Gynaecology of the
British Commonwealth, Vol. 74, Oct., 1967. Journal of Obstetrics and
Gynaecology of the British Commonwealth, Vol. 74, Dec., 1967. The Bulletin of the Hong Kong Chinese Medical Association.
Aust. N.E.J. Psychiat.
Brit. J. Soc. Psychiat.
Far East Medical Journal Vo. 3, (9) Sept., 1967.
Hong Kong Nursing
Journal May, 1967.
Bulletin of the Society of
Medical Officers of Health, Hong Kong Branch, Oct., 1967. Australian Dental Journal Vol. 12, No. 6, Dec.. 1967. International Journal of
Radiation Biology.
Author
K. H. LEE, Medical and
Health Officer.
+
K. H. LEE, Medical and
Health Officer.
K. H. LEE, Medical and
Health Officer.
K. H. LEE, Medical and
Health Officer.
K. H. LEE, Medical and
Health Officer.
P. M. YAP, Senior
Specialist (Psychiatry).
P. M. YAP, Senior
Specialist (Psychiatry). MAK Hay-man, Medical
and Health Officer.
WONG Kwok-on,
Specialist (Social Hygiene). WONG Kwok-on,
Specialist (Social Hygiene).
$. C. E. CHAN, Dental Officer, One of the Co-writers. Daniel P. S. Chan,
Specialist (Radiology) one of the Co-writers.
Far East Medical Journal S. H. LEE, Epidemiologist.
Vol. 3(6) June, 1967.
International Union for
the Scientific Study of Population, Sydney Conference, Aug., 1967.
141
S. H. LEE, Epidemiologist.
142
42
TABLE 77
SAMARITAN FUND
INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31ST MARCH, 1968
EXPENDITURE
Maintenance, Capital grants, travelling expenses etc.
LLL
$50,352.35
Donations:
INCOME
FIL
$25,000.00
---
1,500.00
The Royal Hong Kong Jockey Club (Charities) Ltd.
Mr. Ho Sai Lai
---
Lutheran World Federation
11
Hongkong & Shanghai Banking
Corporation
Others
---
---
Excess of Expenditure over Income
LLL
---
:
$50,352.35
BALANCE SHEET AS AT 31ST MARCH, 1968
LIABILITIES
Accumulated Fund as at 1st April, 1967
ггг
Less Excess of Expenditure over Income for the year
Certified correct.
5,000.00
---
- - -
1.000.00
2,052.02
$34,552.02
---
15,800.33
ASSETS
111
---
$19,206.91
15,800.33
3,406.58
Cash with Accountant General
LLL
LLI
Certified Correct.
$50,352.35
$ 3,406.58
$ 3,406.58
A. WHITNEY,
for Director of Medical & Health Services.
17th May, 1968.
CERTIFICATE OF THE DIRECTOR OF AUDIT
S. C. CHENG,
Principal Medical Social Worker. 11th May, 1968.
The above Balance Sheet and Income and Expenditure Account have been examined in accordance with Condition 5 of the Schedule to Legislative Council Resolution dated 24th May, 1950 (G.N.A. 113 of 26th May 1950, as amended by G.N.A. 33 of 22nd April, 1960). 1 have obtained all the information and explanations that I have required, and I certify, as a result of this audit, that in my opinion the Balance Sheet and the Income and Expenditure Account are correct.
AUDIT DEPARTMENT,
Hong Kong, 26th June, 1968.
REPORT ON THE SAMARITAN FUND 1.4.67-31.3.68
D. G. BRITTON, Director of Audit.
The expenditure of the year under review was increased as a result of increased grants made to patients and their relatives for travelling and other expenses during the period of the confrontation in 1967. In view of the steadily rising expenditure, the Fund which is at present exclusively from non-govemment sources will be gradually exhausted. Consideration is being given to obtain increased donations, or to obtain Government grants to the Fund.
S. C. CHENG, Principal Medical Social Worker.
28th June,
TABLE 78
LIST OF DONATIONS RECEIVED FOR THE YEAR ENDED
31ST MARCH, 1968
Samaritan Fund:
The Royal Hong Kong Jockey Club
Mr. Ho Sai Lai
rr
rur
гг.
Lutheran World Federation
P
Hong Kong & Shanghai Banking Corporation
Others
...
111
111
$ 25,000.00
1,500.00
---
5,000.00
IL
---
1,000.00
. . .
ггт
2,052.02 $ 34,552.02
Christmas Fund:
The Royal Hong Kong Jockey Club
The Hong Kong Football Associate Ltd.
Others
W.H.O. Dental Health Surveys
W.H.O. Grant for Co-operative Survey of Severe
Respiratory Infections in Children
Lions International
---
H
PIL
$ 7,500.00
1,000.00
4,837.90 $ 13,337.90
$ 16,033.40
5,800.00
$150,000.00 $171,833.40
143
$219,723.32
L
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